Commonwealth Coat of Arms of Australia

 

Health Insurance (Section 3C General Medical Services – Telehealth Attendances) Amendment (Aboriginal and Torres Strait Islander Health Assessments) Determination 2025

I, Roland Balodis, delegate to the Minister of Health and Ageing, make the following determination.

Dated 22 December 2025

Roland Balodis

A/g Assistant Secretary

MBS Policy and Reviews Branch

Medicare Benefits and Digital Health Division

Health Resourcing Group

Department of Health, Disability and Ageing

 

1  Name...................................................1

2  Commencement............................................1

3  Authority................................................1

4  Schedules................................................1

Schedule 1—Amendments 2

Health Insurance (Section 3C General Medical Services – Telehealth Attendances) Determination 2021 2

 

 

  This instrument is the Health Insurance (Section 3C General Medical Services – Telehealth Attendances) Amendment (Aboriginal and Torres Strait Islander Health Assessments) 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.  The whole of this instrument

Immediately after the commencement of the Health Insurance Legislation Amendment (2026 Measures No. 1) Regulations 2026.

1 March 2026

Note:  This table relates only to the provisions of this instrument as originally made.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 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  Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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  Subclause 1.1.03(1), Schedule 1

Repeal the subclause, substitute:

(1) A health assessment may be performed under an item in Subgroup 11 of Group A40 for a patient who identifies as being of Aboriginal or Torres Strait Islander descent.

2  Subclause 1.1.03(6), Schedule 1

Repeal the subclause.

3  Table in clause 1.1.19, Schedule 1 (item 92004, column 2)

Repeal the cell, substitute:

 

Video attendance by a general practitioner for an Aboriginal and Torres Strait Islander health assessment:

  1.      for a patient who is of Aboriginal or Torres Strait Islander descent; and
  2.     that includes the following:
    1.         recognising the patient’s health priorities;
    2.         taking the patient’s medical history;
    3.         undertaking any relevant physical examinations;
    4.         undertaking or arranging any required investigations;
    5.         assessing the patient using the information gained in the health assessment;
    6.         initiating any necessary interventions and referrals;
    7.         developing and documenting a plan to manage the patient’s health including for follow-up, based on the health assessment and the patient’s priorities;
    8.         offering the patient (or the patient’s carer (if any) if the practitioner considers it appropriate and the patient agrees) a written report of the health assessment, with recommendations on matters covered by the health assessment and a strategy for the patient’s good health;
    9.         if the offer referred to in subparagraph (viii) is accepted—giving the report to the patient or the patient’s carer (as applicable);
    10.         adding a record of the health assessment to the patient’s medical records

Applicable only if a service to which this item or item 228, 715 or 92011 applies has not been provided to the patient in the preceding 9 months

 

4  Table in clause 1.1.19, Schedule 1 (item 92011, column 2)

Repeal the cell, substitute:

 

Video attendance by a prescribed medical practitioner for an Aboriginal and Torres Strait Islander health assessment:

  1.      for a patient who is of Aboriginal or Torres Strait Islander descent; and
  2.     that includes the following:
    1.             recognising the patient’s health priorities;
    2.             taking the patient’s medical history;
    3.             undertaking any relevant physical examinations;
    4.             undertaking or arranging any required investigations;
    5.             assessing the patient using the information gained in the health assessment;
    6.             initiating any necessary interventions and referrals;
    7.             developing and documenting a plan to manage the patient’s health including for follow-up, based on the health assessment and the patient’s priorities;
    8.             offering the patient (or the patient’s carer (if any) if the practitioner considers it appropriate and the patient agrees) a written report of the health assessment, with recommendations on matters covered by the health assessment and a strategy for the patient’s good health;
    9.             if the offer referred to in subparagraph (viii) is accepted—giving the report to the patient or the patient’s carer (as applicable);
    10.             adding a record of the health assessment to the patient’s medical records

Applicable only if a service to which this item or item 228, 715 or 92004 applies has not been provided to the patient in the preceding 9 months