
Health Insurance (Extended Medicare Safety Net) Amendment (Indexation) Determination 2025
I, Mark Butler, Minister for Health and Ageing, make the following Determination.
Dated 3 November 2025
Mark Butler
Minister for Health and Ageing
1 Name...................................................1
2 Commencement............................................1
3 Authority................................................1
4 Schedules................................................1
Schedule 1—Indexation Amendments 2
Health Insurance (Extended Medicare Safety Net) Determination 2017 2
This instrument is the Health Insurance (Extended Medicare Safety Net) Amendment (Indexation) Determination 2025.
Commencement information | ||
Column 1 | Column 2 | Column 3 |
Provisions | Commencement | Date/Details |
1. Section 1 to 4 and anything in this instrument not elsewhere covered by this table | The later of: (a) the day after this instrument is registered; and (b) the day after this instrument has been approved by each House of Parliament. However, the provisions do not commence at all if the event mentioned in paragraph (b) does not occur. |
|
2. Schedule 1 | The later of: (a) 1 January 2026; and (b) the day after this instrument has been approved by each House of Parliament. |
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Note: This table relates only to the provisions of this instrument as originally made.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.
This instrument is made under subsection 10B(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Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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 Paragraph 4(1)(b) (table)
Repeal the table, substitute:
Maximum increase ($) | |
13200 | 2118.30 |
13201 | 3074.90 |
13202 | 81.90 |
13203 | 136.50 |
13209 | 13.60 |
13212 | 88.70 |
13215 | 61.40 |
13218 | 888.30 |
13221 | 27.30 |
13251 | 136.50 |
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 | 617.70 |
14217 | 391.10 |
14219 | 617.70 |
14220 | 391.10 |
16400 | 13.80 |
16401 | 69.30 |
16404 | 41.40 |
16406 | 136.50 |
16407 | 65 percent of the Schedule fee for the item |
16408 | 65 percent of the Schedule fee for the item |
16500 | 41.40 |
16501 | 83.00 |
16502 | 27.60 |
16505 | 27.60 |
16508 | 27.60 |
16509 | 27.60 |
16511 | 138.40 |
16512 | 41.40 |
16514 | 20.70 |
16515 | 221.80 |
16518 | 221.80 |
16519 | 415.80 |
16527 | 221.80 |
16530 | 65 percent of the Schedule fee for the item |
16567 | 277.20 |
16570 | 277.20 |
16571 | 277.20 |
16590 | 277.20 |
16591 | 138.40 |
16600 | 41.40 |
16603 | 83.00 |
16606 | 166.30 |
16609 | 319.00 |
16618 | 131.60 |
32500 | 80 percent of the Schedule fee for the item |
32520 | 110 percent of the Schedule fee for the item |
32522 | 15 percent of the Schedule fee for the item |
32523 | 10 percent of the Schedule fee for the item |
32526 | 15 percent of the Schedule fee for the item |
32528 | 10 percent of the Schedule fee for the item |
32529 | 15 percent of the Schedule fee for the item |
42505 | 15 percent of the Schedule fee for the item |
45560 | 15 percent of the Schedule fee for the item |
82100 | 27.30 |
82105 | 20.40 |
82110 | 27.30 |
82115 | 68.20 |
82130 | 20.40 |
82135 | 27.30 |
82140 | 20.40 |
91850 | 13.80 |
91851 | 65 percent of the Schedule fee for the item |
91852 | 65 percent of the Schedule fee for the item |
91853 | 41.40 |
91855 | 13.80 |
91856 | 65 percent of the Schedule fee for the item |
91857 | 65 percent of the Schedule fee for the item |
91858 | 41.40 |
2 Paragraph 4(2)(a)
Repeal the paragraph, substitute:
3 Paragraph 4(3)(b) (table)
Repeal the table, substitute:
Group |
A1 |
A2 |
A4 |
A5 |
A6 |
A7 |
A9 |
A10 |
A11 |
A12 |
A13 |
A14 |
A17 |
A18 |
A19 |
A20 |
A21 |
A22 |
A23 |
A24 |
A26 |
A27 |
A28 |
A29 |
A30 |
A31 |
A32 |
A33 |
A35 |
A36 |
A39 |
A40 |
A41 |
A42 |
A45 |
A46 |
4 After subsection 4(3)
Insert:
(3A) For section 10B of the Act:
(a) subsections 10ACA(7A) and 10ADA(8A) apply to all items in Group A8 (except item 297) 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.
(3B) For section 10B of the Act:
(a) subsections 10ACA(7A) and 10ADA(8A) apply to all items in Group A15 (except item 880) 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 $500.00 for that item whichever represents the lesser amount.
5 Paragraph 4(5)(a)
Omit “items 13899”, substitute “item 13899”.
6 Paragraph 4(6)(b) (table)
Repeal the table, substitute:
Item | Maximum increase ($) |
11704 | 80 percent of the Schedule fee for the item |
55054 | 80 percent of the Schedule fee for the item |
55238 | 80 percent of the Schedule fee for the item |
55244 | 80 percent of the Schedule fee for the item |
55246 | 80 percent of the Schedule fee for the item |
55252 | 80 percent of the Schedule fee for the item |
55276 | 80 percent of the Schedule fee for the item |
55296 | 80 percent of the Schedule fee for the item |
55700 | 40.70 |
55703 | 20.40 |
55704 | 47.70 |
55705 | 20.40 |
55706 | 68.20 |
55707 | 47.70 |
55708 | 20.40 |
55709 | 27.20 |
55712 | 81.80 |
55715 | 27.20 |
55718 | 68.20 |
55721 | 81.80 |
55723 | 27.20 |
55725 | 27.20 |
55729 | 20.40 |
55740 | 71.00 |
55741 | 30.50 |
55742 | 71.00 |
55743 | 30.50 |
55757 | 33.70 |
55758 | 10.90 |
55762 | 40.70 |
55764 | 109.00 |
55766 | 40.70 |
55768 | 102.40 |
55770 | 40.70 |
55772 | 109.00 |
55774 | 47.70 |