Health Insurance Legislation Amendment (Consequential Change to Incorporated GMST Clauses and Eye Movement Desensitisation and Reprocessing) Determination 2020
I, David Weiss, delegate of the Minister for Health, make the following Determination.
Dated 30 April 2020
David Weiss
First Assistant Secretary
Medical Benefits Division
Health Financing Group
Department of Health
Contents
1 Name
2 Commencement
3 Authority
4 Schedules
Schedule 1— Amendments to the Health Insurance (Section 3C General Medical Services – Eating Disorders Treatment Plan and Psychological Treatment Services) Determination 2019
Schedule 2 — Amendments to the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018
Schedule 3 — Amendments to the Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020
Schedule 4 — Amendments to the Health Insurance (Section 3C General Medical Services – Additional GP Bulk-billing Incentives) Determination 2020
Schedule 5 — Amendments to the Health Insurance (Allied Health Services) Determination 2014
This instrument is the Health Insurance Legislation Amendment (Consequential Change to Incorporated GMST Clauses and Eye Movement Desensitisation and Reprocessing) Determination 2020.
(1) 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.
Commencement information | ||
Column 1 | Column 2 | Column 3 |
Provisions | Commencement | Date/Details |
1. The whole of this instrument | 1 May 2020 |
|
Note: This table relates only to the provisions of this instrument as originally made.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.
This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.
1 Subsection 4(1), definition of general practitioner
Repeal definition, substitute:
general practitioner has a meaning affected by clause 1.1.3 of the general medical services table.
2 Schedule 4(1), definitions of Modified Monash 4 area, Modified Monash 5 area, Modified Monash 6 area and Modified Monash 7 area and telehealth eligible area
Omit “Part 3”, substitute “Part 7”.
3 Subsection 4(1), after definition of relevant service
Insert:
residential aged care facility has the meaning given in Part 7 of the general medical services table.
4 Subsection 4(1), definition of residential care service
Repeal definition.
5 Subsection 6(1)
Omit “Part 2”, substitute “Schedule 1”.
6 Subsection 6(3)
Omit “1.2.4” (wherever occurring), substitute “1.2.5”.
7 Subsection 6(4)
Omit “1.2.5” (wherever occurring), substitute “1.2.6”.
8 Subsection 6(5)
Omit “1.2.6” (wherever occurring), substitute “1.2.7”.
9 Subsection 6(6)
Omit “1.2.7, 1.2.8 and 1.2.9”, substitute “1.2.8, 1.2.9 and 1.2.10”.
10 Paragraphs 9(2)(b) and 10(2)(b)
Omit “residential care service”, substitute “residential aged care facility”.
1 Subsection 4(1), definition of general practitioner
Omit “has the meaning given under clause 1.1.2”, substitute “has a meaning affected by clause 1.1.3”.
2 Subsection 6(1)
Omit “Part 2”, substitute “Schedule 1”.
3 Subsection 6(2)
Omit “1.2.4” (wherever occurring), substitute “1.2.5”.
4 Subsection 6(3)
Omit “1.2.5” (wherever occurring), substitute “1.2.6”.
5 Subsection 6(4)
Omit “1.2.6” (wherever occurring), substitute “1.2.7”.
6 Subsection 6(5)
Omit “1.2.7” (wherever occurring), substitute “1.2.8”.
7 Subsection 6(6)
Omit “Clause 1.2.8” (wherever occurring), substitute “1.2.9”.
8 After subsection 6(6)
Insert:
(7) Clause 1.2.10 of the general medical services table shall have effect as if an item in Schedule 1 of this Determination were also specified in clause 1.2.10.
9 Schedule 1, subclause 1.5.1(2)
Omit “2.17.2” (wherever occurring), substitute “2.15.2”.
10 Schedule 1, subclause 1.5.1(3)
Omit “2.17.3” (wherever occurring), substitute “2.15.3”.
11 Schedule 1, subclause 1.5.1(4)
Omit “2.17.5, 2.17.6, 2.17.7, 2.17.8, 2.17.9, 2.17.11, 2.17.12 and 2.17.13”, substitute “2.15.5, 2.15.6, 2.15.7, 2.15.8, 2.15.9, 2.15.11, 2.15.12 and 2.15.13”.
12 Schedule 1, subclause 1.6.1(1)
Omit “2.18.7”, substitute “2.16.7”.
13 Schedule 1, subclause 1.6.1(2)
Omit “2.18.4”, substitute “2.16.4”.
14 Schedule 1, subclause 1.6.1(3)
Omit “2.18.6”, substitute “2.16.6”.
15 Schedule 1, subclause 1.6.1(4)
Omit “2.18.3”, substitute “2.16.3”.
16 Schedule 1, subclause 1.6.1(6)
Omit “2.18.5”, substitute “2.16.5”.
17 Schedule 1, subclause 1.6.1(7)
Omit “2.18.8”, substitute “2.16.8”.
18 Schedule 1, subclause 1.6.1(8)
Omit subclause, substitute:
(8) For items 235, 236, 237, 238, 239 and 240 multidisciplinary discharge case conference has the meaning given by clause 2.16.14 of the general medical services table.
19 Schedule 1, subclause 1.6.1(9)
Omit “2.18.15”, substitute “2.16.15”.
20 Schedule 1, subclause 1.6.1(10)
Omit “2.18.16”, substitute “2.16.16”.
21 Schedule 1, subclause 1.6.2(4)
Omit “2.18.11”, substitute “2.16.11”.
22 Schedule 1, subclause 1.6.2(5)
Omit “2.18.9” (wherever occurring), substitute “2.16.9”.
23 Schedule 1, Group A7, items 235, 236, 237, 238, 239 and 240, column 2, paragraph (b)
Omit paragraph, substitute:
(b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or
24 Schedule 1, subclause 1.7.1(1)
Omit “2.19.1”, substitute “2.17.1”.
25 Schedule 1, subclause 1.7.1(2)
Omit “2.19.2”, substitute “2.17.2”.
26 Schedule 1, subclause 1.7.2(1)
Omit “2.19.3”, substitute “2.17.3”.
27 Schedule 1, subclause 1.8.1(1)
Omit “2.21.1” (wherever occurring), substitute “2.19.1”.
28 Schedule 1, subclause 1.8.1(2)
Omit “2.21.2” (wherever occurring), substitute “2.19.2”.
29 Schedule 1, paragraph 1.9.1(1)(a)
Omit “2.22.1”, substitute “2.20.1”.
30 Schedule 1, paragraph 1.9.1(1)(b)
Omit “2.22.3”, substitute “2.20.3”.
31 Schedule 1, paragraph 1.9.1(1)(c)
Omit “2.22.4”, substitute “2.20.4”.
32 Schedule 1, subclause 1.9.3(1)
Omit “2.22.6” (wherever occurring), substitute “2.20.6”.
33 Schedule 1, subclause 1.10.1(1)
Omit “2.27.1” (wherever occurring), substitute “2.24.1”.
34 Schedule 1, subclause 1.11.1(1)
Omit “2.26.1” (wherever occurring), substitute “2.22.1”.
35 Schedule 1, subclause 1.12.1(1)
Omit “Part 3”, substitute “Part 7”.
36 Schedule 1, subclause 1.12.3(1)
Omit “2.20.1” (wherever occurring), substitute “2.18.1”.
37 Schedule 1, subclause 1.12.3(2)
Omit “2.20.2” (wherever occurring), substitute “2.18.2”.
1 Subsection 5(1), definition of Aboriginal and Torres Strait Islander health practitioner
Omit “Part 3”, substitute “Part 7”.
2 Subsection 5(1), definition of contribute to a multidisciplinary plan
Omit “2.18.3”, substitute “2.16.3”.
3 Subsection 5(1), definition of coordinating a review of team care arrangements
Omit “2.18.5”, substitute “2.16.5”.
4 Subsection 5(1), definition of coordinating the development of team care arrnangements
Omit “2.18.4”, substitute “2.16.4”.
5 Subsection 5(1), definition of focussed psychological strategies
Omit “2.22.1”, substitute “2.20.1”.
6 Subsection 5(1), definition of multidisciplinary care plan
Omit “2.18.6”, substitute “2.16.6”.
7 Subsection 5(1), definition of preparing a GP management plan
Omit “2.18.7”, substitute “2.16.7”.
8 Subsection 5(1), definition of residential aged care facility
Omit “Part 3”, substitute “Part 7”.
9 Subsection 5(1), definition of reviewing a GP management plan
Omit “2.18.8”, substitute “2.16.8”.
10 Subsection 5(1), definition of single course of treatment
Omit “1.1.5”, substitute “1.1.6”.
11 Subsection 5(3)
Omit “1.1.2”, substitute “1.1.3”.
12 Schedule 1, subclause 1.1.1(2)
Omit “2.22.7” (wherever occurring), substitute “2.20.7”.
13 Schedule 1, subclauses 1.1.5(1) and 1.1.8(1)
Omit “2.18.11”, substitute “2.16.11”.
14 Schedule 1, subclause 1.1.7(1)
Omit “2.18”, substitute “2.16”.
15 Schedule 1, subclause 1.1.10(1), definition of eligible allied health provider
Omit “clause 2.6.1”, substitute “Part 7”.
16 Schedule 1, subclause 1.1.10(1), definition of risk assessment
Omit “2.6.1”, substitute “2.6.2”.
17 Schedule 1, subclause 1.1.10(1), definition of eligible disability
Omit “2.6.2”, substitute “2.6.1”.
18 Schedule 1, subclause 1.1.11(1)
Omit “2.22.1” (wherever occurring), substitute “2.20.1”.
19 Schedule 1, subclauses 1.1.11(1) and (2)
Omit “2.22.3”, substitute “2.20.3”.
20 Schedule 1, subclause 1.1.11(1)
Omit “2.22.5”, substitute “2.20.5”.
21 Schedule 1, subclause 1.1.11(2)
Omit “2.22.4”, substitute “2.20.4”.
22 Schedule 1, subclause 1.1.11(3)
Omit “2.22.7”, substitute “2.20.7”.
23 Schedule 1, subclause 1.1.12(1), definition of patient’s medical condition requires urgent assessment
Omit “2.16.1”, substitute “2.14.1”.
24 Schedule 2, subclause 2.1.1(1), definition of eligible allied health provider
Omit “clause 2.11.5”, substitute “Part 7”.
25 Schedule 2, subclause 2.1.1(1), definition of risk assessment
Omit “2.11.5”, substitute “2.11.4”.
26 Schedule 2, paragraph 2.2.1(1)(a)
Omit paragraph, substitute:
(a) practice midwife has the same meaning as in clause 5.5.2 of the general medical services table.
27 Schedule 2, paragraph 2.2.1(1)(b)
Omit “2.41.1”, substitute “5.5.1”.
28 Amendments of listed provisions – practice midwife
Before “midwife”, insert “practice” in the following provisions:
(a) Schedule 2, subclause 2.2.1(2) (wherever occurring);
(b) Schedule 2, item 91850, column 2;
(c) Schedule 2, item 91852, column 2;
(d) Schedule 2, item 91855, column 2;
(e) Schedule 2, item 91857, column 2.
1 Subsection 5(1), definition of bulk-billed
Omit “2.34.1”, substitute “3.2.1”.
2 Subsection 5(1), definition of eligible area
Repeal definition.
3 Subsection 5(1), before definition of patient at risk of COVID-19 virus
Insert:
Modified Monash 2 area has the meaning given by Part 7 of the general medical services table.
Modified Monash 3 area has the meaning given by Part 7 of the general medical services table.
Modified Monash 4 area has the meaning given by Part 7 of the general medical services table.
Modified Monash 5 area has the meaning given by Part 7 of the general medical services table.
Modified Monash 6 area has the meaning given by Part 7 of the general medical services table.
Modified Monash 7 area has the meaning given by Part 7 of the general medical services table.
4 Subsection 5(1), definition of practice location
Omit “clause 2.34.1”, substitute “Part 7”.
5 Subsection 5(1), definition of unreferred service
Omit “2.34.1”, substitute “3.2.1”.
6 Schedule 1, subclause 1.1.1(1)
Omit “2.34.2(3)”, substitute “3.2.2(3)”.
7 Schedule 1, Group M1, item 10981, column 2
Omit paragraph (e), substitute:
(e) the service is not provided at, or from, a practice location in:
(i) a Modified Monash 2 area; or
(ii) a Modified Monash 3 area; or
(iii) a Modified Monash 4 area; or
(iv) a Modified Monash 5 area; or
(v) a Modified Monash 6 area; or
(vi) a Modified Monash 7 area
8 Schedule 1, Group M1, item 10982, column 2
Omit paragraph (e), substitute:
(e) the service is provided at, or from, a practice location in:
(i) a Modified Monash 2 area; or
(ii) a Modified Monash 3 area; or
(iii) a Modified Monash 4 area; or
(iv) a Modified Monash 5 area; or
(v) a Modified Monash 6 area; or
(vi) a Modified Monash 7 area
Schedule 5 — Amendments to the Health Insurance (Allied Health Services) Determination 2014
1 Subsection 4(1), definition of focussed psychological strategies
Insert immediately following paragraph (e) in the definition:
(ea) eye movement desensitisation and reprocessing;
2 Subsection 4(1), definition of focussed psychological strategies continuing professional development
Insert immediately following paragraph (f) in the definition:
(fa) eye movement desensitisation and reprocessing;