National Health Amendment Regulations 1999 (No. 4)
Statutory Rules 1999 No. 174
I, WILLIAM PATRICK DEANE, Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the National Health Act 1953.
Dated 25 August 1999.
WILLIAM DEANE
Governor-General
By His Excellency’s Command,
michael wooldridge
Minister for Health and Aged Care

National Health Amendment Regulations 1999 (No. 4)1
Statutory Rules 1999 No. 1742
made under the
National Health Act 1953

Contents
	Page
	1	Name of Regulations	2
	2	Commencement	2
	3	Amendment of National Health Regulations 1954	2
Schedule 1	Amendments	3

1	Name of Regulations
		These Regulations are the National Health Amendment Regulations 1999 (No. 4).
2	Commencement
		These Regulations commence on gazettal. 
3	Amendment of National Health Regulations 1954
		Schedule 1 amends the National Health Regulations 1954.

Schedule 1	Amendments
(regulation 3)
[1]	Subregulations 4B (1), (2) and (3)
omit each mention of
31 August 1999:
insert
31 August 2000:
[2]	Subregulations 4B (4) and (5)
substitute
	(4)	Subsections 5A (1) and (3) of the Act, in their application to the following registered organizations, are affected by the modifications set out in Part 4 of Schedule 3 until 31 December 1999:
	(a)	The Hospitals Contribution Fund of Australia, Limited;
	(b)	Medical Benefits Fund of Australia Ltd.  
	(5)	Subsections 5A (1) and (3) of the Act, in their application to the following registered organizations, are affected by the modifications set out in Part 5 of Schedule 3 until 31 August 2000:
	(a)	Health-Partners;
	(b)	I.O.R. Australia Pty Ltd;
	(c)	Medibank Private Limited;
	(d)	National Mutual Health Insurance Pty Ltd;
	(e)	S.G.I.C. Health Pty Limited;
	(f)	South Australian Police Employees’ Health Fund Incorporated.   
	(6)	Parts 1, 2 and 3 of Schedule 3 have effect until 31 August 2000.
	(7)	Part 4 of Schedule 3 has effect until 31 December 1999.
	(8)	Part 5 of Schedule 3 has effect until 31 August 2000.  
[3]	Schedule 3, Part 2, item 1
omit
$90
insert
the amount agreed between the registered organisation mentioned in paragraph 4B (2) (a), (b), (c) or (d) and The Adelaide Clinic, Kahlyn Private Hospital and Fullarton Private Hospital,
[4]	Schedule 3, after Part 3
insert
Part 4	Modification of section 5A for Hornsby Ku-ring-gai Coordinated Care Trial

	1.	Subsection 5A (1):
	Add at the end:
	“; or (f)	for preventative care or post discharge care provided to a patient after the commencement of this modification as part of the Hornsby 
Ku-ring-gai Coordinated Care Trial, where the benefit payable is the amount payable under the Reinsurance Pilot agreement; or
	(g)	for a patient’s share, under the Reinsurance Pilot agreement, of the fees for care coordination or administration by Linked Care as part of the Hornsby Ku-ring-gai Coordinated Care Trial for the period between the commencement of this modification and 31 December 1999.”.

	2.	Subsection 5A (3):
	Insert the following definitions:
“Hornsby Ku-ring-gai Coordinated Care Trial means the trial administered by Linked Care under which preventative care or post discharge care is provided to enable patients:
	(a)	to live independently at home; or
	(b)	to receive care away from hospital for their health problems or disabilities.  
Linked Care means the organization that administers, and coordinates care under, the Hornsby Ku-ring-gai Coordinated Care Trial.  
post discharge care means care: 
	(a)	that is arranged to be provided to a patient at home (or at any other mutually agreed location) immediately after discharge of the patient from a hospital, for the purpose of facilitating the patient’s early discharge from the hospital; and
	(b)	that the patient would have otherwise received in the hospital if it had not been so arranged.  
Examples
Domiciliary nursing care, live-in assistance, assistance at home in preparing meals and doing laundry, personal care, physiotherapy and the provision of mobility and personal safety equipment.  
preventative care means care that is arranged to be provided to a patient at home (or at any other mutually agreed location) for a period of not more than 3 months for the purpose of preventing the need to admit the patient to a hospital.
Examples
Domiciliary nursing care, live-in assistance, assistance at home in preparing meals and doing laundry, personal care, review of a patient’s medication and the development of strategies to prevent injury.  
Reinsurance Pilot agreement means the agreement entered into between Linked Care, The Hospitals Contribution Fund of Australia, Limited and Medical Benefits Fund of Australia Ltd on 11 February 1999 to allow the funds to participate in the Hornsby 
Ku-ring-gai Coordinated Care Trial.”. 
Part 5	Modification of section 5A for Hospital-to-Home Trial (Ashford Community Hospital (SA))

	1.	Subsection 5A (1): 
	Add at the end:
	“; or (h)	for nursing care or professional attention provided to a patient at home, as part of the 
Hospital-to-Home Trial, where the benefit payable is:
	(i)	for episodically-funded benefits — the amount payable under the hospital purchaser-provider agreement between the registered organisation mentioned in paragraph 4B (5) (a), (b), (c), (d), (e) or (f) and Ashford Community Hospital Incorporated (the applicable agreement); and
	(ii)	for benefits payable for each day on which nursing care or professional attention is provided — an amount equal to 85% of the fees or charges that would otherwise be payable for each day (up to 5 days) under the applicable agreement.”.  

	2.	Subsection 5A (3):
	Insert the following definitions:
“episodically-funded benefit means a benefit payable by a registered organisation for an episode of nursing care or professional attention.
Hospital-to-Home Trial means the trial operated by Ashford Community Hospital Incorporated under which the Aged Care and Housing Group Inc provides nursing care or professional attention on behalf of the hospital to patients in their homes.”.  
Notes
1.	These Regulations amend Statutory Rules 1954 No. 35, as amended by 1957 No. 71; 1958 No. 63; 1962 Nos. 55, 70 and 113; 1965 Nos. 17, 94 and 185; 1966 No. 99; 1967 No. 86; 1969 Nos. 91 and 220; 1970 Nos. 70 and 166; 1971 Nos. 28, 76, 103 and 138; 1972 No. 79; 1973 Nos. 17, 75, 111, 221, 225 and 267; 1974 Nos. 52, 104, 105, 113 and 263; 1975 Nos. 14, 49, 66, 100, 124, 165 and 207; 1976 Nos. 113, 217 and 227; 1977 Nos. 11, 34, 51 and 112; 1978 Nos. 66, 178, 208 and 266; 1979 Nos. 59, 107, 208 and 231; 1980 Nos. 84, 292 and 309; 1981 Nos. 43, 97, 115, 232 and 318; 1982 Nos. 38, 82, 84, 250 and 284; 1983 Nos. 45, 247 and 267; 1984 Nos. 66, 161, 200, 308, 322 and 427; 1985 Nos. 86, 136, 186, 187, 206 and 288; 1986 Nos. 47, 53, 208, 330, 353 and 360; 1987 Nos. 50, 76, 100 and 310; 1989 Nos. 291, 292 and 334; 1990 Nos. 24, 86, 114, 292, 335 and 396; 1991 Nos. 40, 41, 232, 262, 263, 310 and 339; 1992 Nos. 136 and 187; 1993 Nos. 48, 85, 153, 260, 261, 273, 280 and 284; 1994 Nos. 2, 9, 106, 139, 201, 253, 256, 296, 349 and 451; 1995 Nos. 1, 14, 34, 52, 109, 116, 161, 220, 288, 289, 408 and 410; 1996 Nos. 46, 183 and 333; 1997 Nos. 16, 58, 133, 160, 179 and 353; 1998 Nos. 18, 73 and 262; 1999 Nos. 18, 140 and 162.
2.	Made by the Governor-General on 25 August 1999, and notified in the Commonwealth of Australia Gazette on 1 September 1999.