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Determinations/Health as amended, taking into account amendments up to Health Insurance (Extended Medicare Safety Net) Amendment (Indexation) Determination 2022
Administered by: Health and Aged Care
Registered 20 Jan 2023
Start Date 01 Jan 2023
Table of contents.

Commonwealth Coat of Arms of Australia

Health Insurance (Extended Medicare Safety Net) Determination 2017

made under section 10B of the

Health Insurance Act 1973

Compilation No. 7

Compilation date:                              1 January 2023

Includes amendments up to:            F2022L01458

Registered:                                         20 January 2023

About this compilation

This compilation

This is a compilation of the Health Insurance (Extended Medicare Safety Net) Determination 2017 that shows the text of the law as amended and in force on 1 January 2023 (the compilation date).

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register (www.legislation.gov.au). The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Editorial changes

For more information about any editorial changes made in this compilation, see the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.

Self‑repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

  

  

  


Contents

1                             Name of Determination                                                                                     1

3                             Definitions                                                                                                                        1

4.                            Maximum increases for items under sections 10ACA and  10ADA of the Act                                                                                                                                            1

Endnotes                                                                                                                                                                 9

Endnote 1—About the endnotes                                                                                                        9

Endnote 2—Abbreviation key                                                                                                          10

Endnote 3—Legislation history                                                                                                       11

Endnote 4—Amendment history                                                                                                     12

 


1       Name of Determination

                This Determination is the Health Insurance (Extended Medicare Safety Net) Determination 2017.

3       Definitions

                In this Determination:

Act means the Health Insurance Act 1973.

diagnostic imaging services table means the table prescribed under section 4AA of the Act.

general medical services table means the table prescribed under section 4 of the Act.

Schedule fee has the meaning given in subsection 8 (1A) of the Act.

4.      Maximum increases for items under sections 10ACA and 10ADA of the Act

         (1)   For section 10B of the Act:

                (a)    subsections 10ACA(7A) and 10ADA(8A) apply to the items of the general medical services table, and items in a determination made under subsection 3C(1) of the Act, listed in column 1 of the table below; and

               (b)    the maximum increases for these items are listed in column 2.

 

Item

Maximum increase ($)

13200

1894.50

13201

2750.00

13202

73.40

13203

122.20

13209

12.30

13212

79.50

13215

55.00

13218

794.50

13221

24.50

13251

122.20

13260

65 percent of the Schedule fee for the item

14201

15 percent of the Schedule fee for the item

 

14202

15 percent of the Schedule fee for the item

14216

552.50

14217

349.90

14219

552.50

14220

349.90

16400

12.50

16401

62.10

16404

37.20

16406

122.20

16407

65 percent of the Schedule fee for the item

16408

65 percent of the Schedule fee for the item

16500

37.20

16501

74.40

16502

24.80

16505

24.80

16508

24.80

16509

24.80

16511

124.00

16512

37.20

16514

18.60

16515

198.50

16518

198.50

16519

372.10

16520

372.10

16527

198.50

16528

372.10

16530

65 percent of the Schedule fee for the item

16564

248.10

16567

248.10

16570

248.10

16571

248.10

16573

248.10

16590

248.10

16591

124.00

16600

37.20

16603

74.40

16606

148.90

16609

285.40

16618

117.90

16624

161.30

16627

347.40

32500

110 percent of the Schedule fee for the item

32520

15 percent of the Schedule fee for the item

32522

10 percent of the Schedule fee for the item

32523

15 percent of the Schedule fee for the item

32526

10 percent of the Schedule fee for the item

32528

15 percent of the Schedule fee for the item

32529

10 percent of the Schedule fee for the item

42504

15 percent of the Schedule fee for the item

42505

15 percent of the Schedule fee for the item

42702

15 percent of the Schedule fee for the item

42705

15 percent of the Schedule fee for the item

45560

35 percent of the Schedule fee for the item

82100

24.50

82105

18.40

82110

24.50

82115

61.10

82130

18.40

82135

24.50

82140

18.40

91850

12.50

91851

52.80

91852

39.30

91853

37.20

91855

12.50

91856

52.80

91857

39.30

91858

37.20

         (2)   For section 10B of the Act:

(a)    subsections 10ACA(7A) and 10ADA(8A) apply to item 11704, 14100, 20142, 30071, 31560, 32504, 32507, 34106, 37619, 42590, 42738, 42739, 42740, 45003, 45025, 45026, 45200, 45203, 45206, 45545, 45614, 45617, 45620, 45623, 45624, 45632, 45635 and 45652 of the general medical services table; and

               (b)    the maximum increase for each item is 80 percent of the Schedule fee for that item.

         (3)   For section 10B of the Act:

                (a)    subsections 10ACA(7A) and 10ADA(8A) apply to each item in the Group of the general medical services table, and items in a determination made under subsection 3C(1) of the Act relating to services within those Groups, listed in the column of the table below; and

               (b)    the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount.

 

Group

A1

A2

A3

A4

A5

A6

A7

A8

A9

A10

A11

A12

A13

A14

A15

A17

A18

A19

A20

A21

A22

A23

A24

A26

A27

A28

A29

A30

A31

A32

A33

A35

A36

A39

A40

A41

A42

A45

A46

T6

(4) For section 10B of the Act:

                (a)    subsections 10ACA(7A) and 10ADA(8A) apply to each item in the Group of the general medical services table, and items in a determination made under subsection 3C(1) of the Act relating to services within those Groups, listed in the column of the table below; and

               (b)    the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount.

 

Group

M3

M6

M7

M8

M9

M10

M11

M12

M14

M15

M16

M17

M18

M19

M25

M26

M27

M28

M32

O1

         (5)   For section 10B of the Act:

                (a)    subsections 10ACA(7A) and 10ADA(8A) apply to items 13899 of the general medical services table and items 75001, 75004, 75150, 75153, 82150, 82151, 82152, 90183, 90188, 90202 and 90212 in a determination made under subsection 3C(1) of the Act; and

               (b)    the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount.

         (6)   For section 10B of the Act:

                (a)    subsections 10ACA(7A) and 10ADA(8A) apply to the items of the diagnostic imaging services table, and items in a determination made under subsection 3C(1) of the Act, listed in column 1 of the table below; and

               (b)    the maximum increases for these items are listed in column 2.

 

Item

Maximum increase ($)

55054

80 percent of the Schedule fee for the item.

55700

36.60

55703

18.40

55704

42.80

55705

18.40

55706

61.10

55707

42.80

55708

18.40

55709

24.40

55712

73.30

55715

24.40

55718

61.10

55721

73.30

55723

24.40

55725

24.40

55729

18.40

55740

63.60

55741

27.40

55742

63.60

55743

27.40

55757

30.30

55758

9.90

55762

36.60

55764

97.70

55766

36.60

55768

91.70

55770

36.60

55772

97.70

55774

42.80


Endnotes

Endnote 1—About the endnotes

The endnotes provide information about this compilation and the compiled law.

The following endnotes are included in every compilation:

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Abbreviation key—Endnote 2

The abbreviation key sets out abbreviations that may be used in the endnotes.

Legislation history and amendment history—Endnotes 3 and 4

Amending laws are annotated in the legislation history and amendment history.

The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.

The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.

Editorial changes

The Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.

If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.

Misdescribed amendments

A misdescribed amendment is an amendment that does not accurately describe how an amendment is to be made. If, despite the misdescription, the amendment can be given effect as intended, then the misdescribed amendment can be incorporated through an editorial change made under section 15V of the Legislation Act 2003.

If a misdescribed amendment cannot be given effect as intended, the amendment is not incorporated and “(md not incorp)” is added to the amendment history.

Endnote 2—Abbreviation key

 

ad = added or inserted

o = order(s)

am = amended

Ord = Ordinance

amdt = amendment

orig = original

c = clause(s)

par = paragraph(s)/subparagraph(s)

C[x] = Compilation No. x

/sub‑subparagraph(s)

Ch = Chapter(s)

pres = present

def = definition(s)

prev = previous

Dict = Dictionary

(prev…) = previously

disallowed = disallowed by Parliament

Pt = Part(s)

Div = Division(s)

r = regulation(s)/rule(s)

ed = editorial change

reloc = relocated

exp = expires/expired or ceases/ceased to have

renum = renumbered

effect

rep = repealed

F = Federal Register of Legislation

rs = repealed and substituted

gaz = gazette

s = section(s)/subsection(s)

LA = Legislation Act 2003

Sch = Schedule(s)

LIA = Legislative Instruments Act 2003

Sdiv = Subdivision(s)

(md) = misdescribed amendment can be given

SLI = Select Legislative Instrument

effect

SR = Statutory Rules

(md not incorp) = misdescribed amendment

Sub‑Ch = Sub‑Chapter(s)

cannot be given effect

SubPt = Subpart(s)

mod = modified/modification

underlining = whole or part not

No. = Number(s)

commenced or to be commenced

 

Endnote 3—Legislation history

 

Name

Registration

Commencement

Application, saving and transitional provisions

Health Insurance (Extended Medicare Safety Net) Determination 2017

24 Aug 2017 (F2017L01082)

1 Nov 2017 (s 2 item 1)

 

Health Insurance (Extended Medicare Safety Net) Amendment Determination 2019

30 Oct 2018 (F2018L01502)

1 Jan 2019 (s 2(1) item 1)

Health Insurance (Extended Medicare Safety Net) Amendment (Eating Disorders Capping) Determination 2019

26 Sept 2019 (F2019L01276)

Sch 1: 1 Nov 2019 (s 2(1) item 2)
Sch 2: 1 Jan 2020 (s 2(1) item 3)

Health Insurance (Extended Medicare Safety Net) Amendment Determination 2020

25 Feb 2020 (F2020L00166)

Sch 1 (items 1–3): 1 May 2020 (s 2(1) item 2)

Health Insurance (Extended Medicare Safety Net) Amendment (Indexation) Determination 2020

20 Nov 2020 (F2020L01444)

Sch 1 (items 1–6): 1 Jan 2021 (s 2(1) item 2)

Health Insurance (Extended Medicare Safety Net) Amendment (Repetitive Transcranial Magnetic Stimulation Capping) Determination 2021

2 Sept 2021 (F2021L01230)

Sch 1: awaiting commencement (s 2(1) item 2)

Health Insurance (Extended Medicare Safety Net) Amendment (Indexation) Determination 2021

23 Nov 2021 (F2021L01590)

Sch 1: 1 Jan 2022 (s 2(1) item 2)

Health Insurance (Extended Medicare Safety Net) Amendment (Indexation) Determination 2022

14 Nov 2022 (F2022L01458)

Sch 1: 1 Jan 2023 (s 2(1) item 2)

 

Endnote 4—Amendment history

 

Provision affected

How affected

s 2................................

rep LA s 48D

s 4................................

am F2018L01502; F2019L01276

 

ed C2

 

am F2020L00166; F2020L01444; F2021L01230; F2021L01590; F2022L01458

s 5................................

rep LA s 48C