Commonwealth Coat of Arms of Australia

 

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.

  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.  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.

 

Note:  This table relates only to the provisions of this instrument as originally made.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.

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  Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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

Item

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:

  1.     subsections 10ACA(7A) and 10ADA(8A) apply to items 11602, 11604, 11607, 11610, 18270, 18272, 30216, 30219, 14100, 30071, 31560, 32504, 34106, 42590, 43030, 43032, 43034, 43036, 43038, 43040, 45003, 45025, 45026, 45200, 45203, 45206, 45545, 45614, 45617, 45620, 45623, 45624 and 45652 of the general medical services table; and

 

3  Paragraph 4(3)(b) (table)

Repeal the table, substitute:

 

Group

A1

A2

A3

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

T6

 

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