
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If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.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
This Determination is the Health Insurance (Extended Medicare Safety Net) Determination 2017.
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.
(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 |