This instrument is the Private Health Insurance Legislation Amendment Rules (No. 3) 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	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Note: This table relates only to the provisions of this instrument as originally made.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.

3 Authority

This instrument is made under section 333-20 of the Private Health Insurance Act 2007.

4 Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

Schedule 1—Amendments

Private Health Insurance (Benefit Requirements) Rules 2011

1 Clause 6(3) of Schedule 1

Omit “31539” and “31545”.

2 Clause 5(1) of Schedule 3

After “42503”, insert “42504”.

After “37219”, insert “37226”.

3 Clause 8 of Schedule 3 (Category 2 – Diagnostic procedures & investigations, under the heading “D2:”)

Omit, “12503”, “12506”, “12509”, “12512”, “12518”, “12521” and “12530”.

4 Clause 8 of Schedule 3 (Category 6 – Pathology services, under the heading “P7:”)

After “73297”, insert “73298” and “73299”.

5 Clause 8 of Schedule 3 (Category 6 – Pathology services, under the heading “P7:”)

After “73351”, insert “73352”, “73353”, “73354”, “73355”, “73356”, “73357”, “73358”, “73359”, “73360”, “73361”, “73362”, “73363”, “73364”, “73365”, “73366”, “73367”, “73368”, “73369”, “73370”, “73371”, “73372”, “73373”, “73374”, “73375”, “73376”, “73377”, “73378”, “73379”, “73380”, “73381”, “73382”, and “73383”.

6 Clause 8 of Schedule 3 (Category 5 – Diagnostic Imaging Services, under the heading “I1:”)

After “55065”, insert “55066”.

After “55070”, insert “55071”.

After “55854”, insert “55856”, “55857”, “55858”, “55859”, “55860”, “55861”, “55862”, “55863”, “55864”, “55865”, “55866”, “55867”, “55868”, “55869”, “55870”, “55871”, “55872”, “55873”, “55874”, “55875”, “55876”, “55877”, “55878”, “55879”, “55880”, “55881”, “55882”, “55883”, “55884”, “55885”, “55886”, “55887”, “55888”, “55889”, “55890”, “55891”, “55892”, “55893”, “55894” and “55895”.

Omit “55816”, “55818”, “55820”, “55822”, “55824”, “55826”, “55828”, “55830”, “55832”, “55834”, “55836”, “55838”, “55840” and “55842”.

7 Clause 8 of Schedule 3 (Category 5 – Diagnostic Imaging Services, under the heading “I2:”)

After “56620”, insert “56622” and “56623”.

After “56626”, insert “56627”, “56628”, “56629”, “56630”, “57352”, “57353” and “57354”.

Omit “56619”, “56625” and “57350”.

8 Clause 8 of Schedule 3 (Category 5 – Diagnostic Imaging Services, under the heading “I3:”)

After “57903”, insert “57905”.

After “57905”, insert “57907”.

Omit “57903”, “57906”, “57909”, “57912”, “59306” and “59309”.

9 Clause 8 of Schedule 3 (Category 5 – Diagnostic Imaging Services, under the heading “I4:”)

Omit “61316”, “61317”, “61320”, “61352”, “61401”, “61405”, “61417”, “61437”, “61458” and “61484”.

Schedule 2—Amendments

Private Health Insurance (Complying Product) Rules 2015

1 Clause 2 of Schedule 5 (table item dealing with clinical category “Eye (not cataracts)”, column headed “Treatments that must be covered (MBS Items) (see Notes 1, 2 and 3)”)

After “42503”, insert “42504”.

2 Clause 2 of Schedule 5 (table item dealing with clinical category “Breast surgery (medically necessary)”, column headed “Treatments that must be covered (MBS Items) (see Notes 1, 2 and 3)”)

Omit “31539”, “31542” and “31545”.

3 Clause 2 of Schedule 5 (table item dealing with clinical category “Male reproductive system”, column headed “Treatments that must be covered (MBS Items) (see Notes 1, 2 and 3)”)

After “37224”, insert “37226”.

4 Clause 1 of Schedule 7 (table titled “Table of MBS items”)

Repeal the table, substitute:

Support treatments – table of MBS items

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