I, GREG HUNT, Minister for Health, make this Determination under section 10B of the Health Insurance Act 1973.

Dated 15 August 2017

Greg Hunt

Contents

1 Name of Determination

2 Commencement

3 Definitions

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

5. Repeal

1 Name of Determination

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

2 Commencement

Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

 (2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

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 listed in column 1 of the table below; and

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

Note   Items 82100, 82105, 82110, 82115, 82130, 82135 and 82140 appear in the determination made under subsection 3C(1) of the Act with respect to midwife and nurse practitioner services.  The determination operates so that the items are to be treated as if the items were in the general medical services table.             

 (2) For section 10B of the Act:

 (a) subsections 10ACA(7A) and 10ADA(8A) apply to items 11700, 14100, 20142, 30071, 31560, 32501, 32504, 32507, 34106, 35533, 37619, 42590, 42738, 42739, 42740, 45003, 45025, 45026, 45200, 45203, 45206, 45545, 45584, 45585, 45587, 45614, 45617, 45620, 45623, 45624, 45632, 45635, 45652 and 45659 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 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.

(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 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.             

Notes   Items in groups M3, M6, M7, M8, M9, M10, M11 and M15 appear in the determination made under subsection 3C(1) of the Act with respect to allied health services. The determination operates so that the items are to be treated as if the items were in the general medical services table.

Items in group M14 appear in the determination made under subsection 3C(1) of the Act with respect to midwife and nurse practitioner services.  The determination operates so that the items are to be treated as if the items were in the general medical services table.

 (5) For section 10B of the Act:

 (a) subsections 10ACA(7A) and 10ADA(8A) apply to items 82120, 82125, 82150, 82151, and 82152 of the general medical services table; 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.

Note   Items 82120, 82125, and 82150-82152 appear in the determination made under subsection 3C(1) of the Act with respect to midwife and nurse practitioner services.  The determination operates so that the items are to be treated as if the items were in the general medical services table.

 (6) For section 10B of the Act:

 (a) subsections 10ACA(7A) and 10ADA(8A) apply to the items of the diagnostic imaging services table listed in column 1 of the table below; and

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

Note   Items 55701, 55702, 55710, 55711, 55713, 55714, 55716, 55717, 55719, 55720, 55722, 55724, 55726, 55727, 55730, 55763, 55765, 55767, 55769, 55771, 55773 and 55775 appear in the determination made under subsection 3C(1) of the Act in relation to diagnostic imaging and capital sensitivity services. The determination operates so that the items are to be treated as if the items were in the diagnostic imaging services table.

5. Repeal

This Determination repeals the Health Insurance (Extended Medicare Safety Net) Determination 2009.