Amendments of the Health Commission (Charges) Regulations (ACT)
Regulations 1980 No . 13
Regulations under the Health Commission Ordinance 1975'
I, MICHAEL JOHN RANDAL MACKELLAR, the Minister of State for Health, hereby make the following Regulations under the Health Commission Ordinance 1975.
Dated this twenty-seventh day of August 1980.
MICHAEL MACKELLAR Minister of State for Health
| AMENDMENTS OF THE HEALTH COMMISSION (CHARGES) | REGULATIONS 2 |
Interpretation
1. Regulation 2 of the Health Commission (Charges) Regulations is
amended—
(a)
by inserting, before the definition of "extensive care patient", the following definition:
" 'Australian resident' means a person who is residing in Australia
and includes—
(a)
a person whose domicile is in Australia, other than a person whose permanent place of abode is outside Australia; and
(b)
a person who has been in Australia, whether continuously or intermittently, during more than one-half of the year ending on the day on which the question whether he is or is not an Australian resident arises, other than a person whose usual place of abode is outside Australia;";
(a) is not an Australian resident; (b) not being an Australian citizen, is the head of a diplomatic mission, or the head of a consular post, established in Australia; (c) not being an Australian citizen, is a member of the
staff of a diplomatic mission, or a member of the
(b)
by inserting, after the definition of "multiple-bed room", the following definition:
" 'non-eligible person' means a person who—
consular staff of a consular post, established in
Australia;
(d)
not being an Australian citizen, is a member of the family of a person referred to in paragraph (b) or (c), being a member who forms part of the household of that person; or
(e)
not being an Australian citizen, is employed on a full-time basis to perform domestic or other private services for a person referred to in paragraph (b), (c) or (d);"; and
(c)
by omitting the definition of "private patient" and substituting the following definition:
" 'private patient' means—
(a) a patient who is a hospital insured person; or (b)
a patient, not being a hospital insured person, in respect of whose treatment in a hospital services are not rendered solely by, or on behalf of, the Commission,
but does not include a non-eligible person;".
Hospital fees
2. Regulation 3 of the Health Commission (Charges) Regulations is
amended—
(a)
by omitting from sub-regulation (1) "patients to whom sub-regulation (2) applies" and substituting "patients to whom sub-regulation (2) or (3A) applies";
(b)
by inserting in sub-regulation (3) "(not being a nursing-home type patient or a patient who is a non-eligible person)" after "patient";
(c) by inserting, after sub-regulation (3), the following sub-regulation:
"(3A) The prescribed charge for the purpose of sub-section 74 (2) of the Ordinance, for the accommodation in a hospital conducted by the Commission, of a patient (not being a nursing-home type patient) who is a non-eligible person is $136 for each period of 24 hours or part of such a period during which the patient is accommodated in the hospital.";
(d) by omitting sub-regulation (6);
(e)
by omitting from sub-regulation (8) "A hospital insured person who is a patient at a hospital conducted by the Commission" and substituting "A patient at a hospital conducted by the Commission who is a hospital insured person or a non-eligible person"; and
(f)
by omitting from sub-regulation (10) "Where a hospital insured person who is a patient at a hospital conducted by the Commission" and substituting "Where a patient at a hospital conducted by the Commission who is a hospital insured person or a non-eligible person".
Fees for nursing-home type patients in hospitals
3. Regulation 3AA of the Health Commission (Charges) Regulations is amended by inserting "or a non-eligible person" after "private patient" (wherever occurring).
Out-patient fees
4. Regulation 3A of the Health Commission (Charges) Regulations is
amended—
(a) by inserting in paragraph (1) (a) "(not being a non-eligible person)" after "person"; (b) by inserting, after sub-regulation (1), the following sub-regulation: "(1 A) Where a professional service, other than a pathology service, is provided by the Commission to a non-eligible person as an out-patient at a hospital conducted by the Commission, the prescribed charge for the purpose of sub-section 74 (2) of the Ordinance for that service is $10."; and
(c)
by omitting from sub-regulation (2) "professional services, not being pathology services or services to which sub-regulation (1) applies," and substituting "professional services (not being pathology services or services to which sub-regulation (1) or (1 A) applies)".
Fees for health services hostels
5. Regulation 5A of the Health Commission (Charges) Regulations is amended by omitting from sub-regulation (1) the definitions of "extended stay resident" and "short-stay resident" and substituting the following definitions:
" 'extended-stay resident' means a child who has been admitted to a health services hostel for continuous or intermittent accommodation at the hostel during a specific period exceeding 28 days or indefinitely;
'short-stay resident' means a child who has been admitted to a health services hostel for continuous or intermittent accommodation at the hostel during a specific period not exceeding 28 days.".
Fees for pathology services
6. Regulation 6B of the Health Commission (Charges) Regulations is amended—
(a)
by inserting in paragraph (3) (d) "or a non-eligible person" after "private patient" (wherever occurring); and
(b) by inserting in paragraph 3 (f) "or (2 ) " after "sub-regulation 3A (1)". Prescribed classes of persons for the purposes of sub-section 74 (3) of the
Ordinance
7. Regulation 9 of the Health Commission (Charges) Regulations is
amended—
(a) by omitting from paragraph (d) of the definition of "dependant" in sub-regulation (1) "wholly or substantially dependant" and substituting "wholly or substantially dependent"; (b) by omitting from sub-regulation (1) the definition of "infectious disease"; (c) by omitting paragraph (2) (b) and substituting the following paragraph: "(b) persons who are suffering from a disease specified in the definition of 'infectious disease' or 'notifiable disease' in regulation 3 of the Public Health (Infectious and Notifiable Diseases) Regulations or in the definition of 'venereal disease' in section 4 of the Venereal Diseases Ordinance 1956;"; and
(d)
by omitting from paragraph (2) (g) "dependant of such persons" and substituting "dependants of such persons".
Schedule
8. The Schedule to the Health Commission (Charges) Regulations is repealed and the schedule set out in the Schedule to these Regulations substituted.
Application
9. (1) The amendment effected by regulation 8 does not apply in relation to a dental service provided by the Commission where any act forming part of the provision of that service was done before the commencement of these Regulations.
(2) The Health Commission (Charges) Regulations, as in force
immediately before the commencement of these Regulations, continue to apply
in relation to a dental service provided by the Commission where any act
forming part of the provision of that service was done before the
commencement of these Regulations.
S C H E D U L E Regulations SCHEDULE Regulations Charges for dental treatment
| Column 1 | Column 2 |
| Dental service | Prescribed charge |
| $ |
Examinations
Oral examination, not being a second or subsequent examination (not
| including any radiographs taken during the examination) | 7.40 |
Second or subsequent examination (not including any radiographs taken
| during the examination) | 6.90 |
| Supply of a written report | 3.50 |
Radiography
Taking of up to 14 radiographs in making a complete series of periapical
| radiographs | 44.00 |
Taking of each radiograph in excess of 14 in making a complete series of
| periapical radiographs | 4.70 |
| Single intraoral periapical or bitewing radiograph | 7.60 |
| Two intraoral periapical or bitewing radiographs taken during the 1 | |
| attendance | 12.20 |
Each intraoral periapical or bitewing radiograph in excess of 2 taken during
| the 1 attendance | 4.70 |
| Single intraoral occlusal, maxillary or mandibular radiograph | 12.20 |
| Single extraoral maxillary or mandibular radiograph | 17.80 |
| Two extraoral maxillary or mandibular radiographs taken during the 1 | |
| attendance | 30.00 |
Diagnostic models
| Construction of diagnostic model of upper or lower teeth | 7.30 |
| Construction of diagnostic model of upper and lower teeth | 14.60 |
Preventive services
| Removal of plaque | 11.00 |
| Scaling and cleaning (including removal of plaque) | 15.80 |
| Topical application of fluoride—each application | 5.40 |
| Oral hygiene instruction where a full attendance is taken up in giving the | |
| instruction | 14.60 |
| Provision of a mouthguard where the construction of a model is necessary | 30.00 |
| Application of a desensitising agent | 5.40 |
Periodontics
Subgingival curettage (including any scaling and cleaning or oral hygiene
instruction, and the provision of any medication for the condition
| treated) | each attendance at which the procedure is performed | . | . | . | 15.80 |
| Treatment of acute or chronic periodontal infection (incuding any scaling and cleaning or oral hygiene instruction, and the provision of any medication for the infection)—an attendance at which the procedure is performed other than a second or subsequent attendance in a single course of treatment | 15.80 |
| Treatment of acute or chronic periodontal infection (including any scaling and cleaning or oral hygiene instruction, and the provision of any medication for the infection)—each attendance at which the procedure is performed that is a second or subsequent attendance in a single course of treatment | 12.00 |
SCHEDULE—continued
Column 1 Column 2 Dental service Prescribed charge $ Oral surgery
Simple removal of 1 tooth (including local anaesthetic if administered and
any routine post-operative care) 12.80
Simple removal of teeth—removal of each tooth in excess of 1 during the 1 attendance (including local anaesthetic if administered and any routine post-operative care)
8.60
Surgical removal of an erupted tooth (including local anaesthetic if
administered and any routine post-operative care) 44.00
Surgical removal of a tooth with soft tissue impaction (including local
anaesthetic and any routine post-operative care) 44.00
Surgical removal of a tooth with partial bone impaction (including local
anaesthetic and any routine post-operative care) 53.00
Surgical removal of tooth fragment, whether involving soft tissue only or also bone (including local anaesthetic if administered and any routine post-operative care)
34.50
Attendance to give post-operative care (other than routine post-operative
care) following the extraction of a tooth 12.40
Alveoloectomy (not including removal of tooth) 26.00 Endodontics
Pulp capping
3.50 12.40
Endodontic treatment of a tooth with 1 root canal (including bio-chemical debridement, canal obliteration and any radiographs taken, but not including restoration)
84.00
Endodontic treatment of a tooth with 2 root canals (including bio-chemical
debridement, canal obliteration and any radiographs taken, but not95.00 •
Restoration of 1 surface of a tooth, using amalgam Restorative services 14.60
Restoration of 2 surfaces of a tooth, using amalgam 17.60 Restoration of 3 or more surfaces of a tooth, using amalgam 23.50 Restoration of 1 surface of a tooth, using composite resin 17.80 Restoration of 2 surfaces of a tooth, using composite resin 21.50
Restoration of 3 or more surfaces of a tooth, using composite resin . . . 28.50
Silicate cement filling 15.80 15.80
Supply and fixing of a direct gold inlay
The cost of the material or $82, whichever is the lesser
Re-cementing an inlay 14.60 Supply and fixing of a temporary crown 26.00 Temporary restoration using a metal band 17.60
Insertion of a pin for the retention of a filling—each pin inserted . . . . 4.30 Crowns and bridges
Supply and fixing of a crown or bridge The cost of the materials or $362, whichever is the lesser, together with $8.50 for each 20 minutes of attendance or part thereof Re-cementing a crown 14.60 Re-cementing a bridge 17.60 Supply and fixing of a crown or bridge
Prosthetic services
Supply of complete maxillary or mandibular denture 184.00 Supply of complete maxillary and mandibular denture 320.00 Immediate replacement of tooth in an immediate complete maxillary or
mandibular denture 1.80 SCHEDULE—continued
| Column I | Column 2 |
| Dental service | Prescribed charge |
| $ | |
| Supply of acrylic partial denture with 1 tooth | 77.00 |
| Supply of acrylic partial denture with 2 teeth | 90.00 |
| Supply of acrylic partial denture with 3 teeth | 106.00 |
| Supply of acrylic partial denture with 4 teeth | 120.00 |
| Supply of acrylic partial denture with 5,6, 7,8 or 9 teeth | 146.00 |
| Supply of acrylic partial denture with 10, 11 or 12 teeth | 172.00 |
| Supply of cast cobalt chromium alloy partial denture with 1 tooth | . | . | . | The cost of casting and the clasps together with $95 |
| Supply of cast cobalt chromium alloy partial denture with 2 teeth | . | . | . | The cost of casting and the clasps together with $110 |
| Supply of cast cobalt chromium alloy partial denture with 3 teeth | . | . | . | The cost of casting and the clasps together with $ 128 |
| Supply of cast cobalt chromium alloy partial denture with 4 teeth | . | . | . | |
| The cost of casting and the clasps together with $ 140 |
| Supply of cast cobalt chromium alloy partial denture with 5,6, 7,8 or 9 teeth | The cost of casting and the clasps together with $172 |
| Supply of cast cobalt chromium alloy partial denture with 10, 11 or 12 teeth | The cost of casting and the clasps together with $ 198 |
| Supply of additional retainer for a partial denture | 8.20 |
| Supply of additional occlusal rest for a partial denture where the rest is not | |
| used as part of a retainer | 4.00 |
| Immediate replacement of a tooth in an immediate partial denture | . | . | . | 1.80 |
| Adjustment of a complete or partial denture | 12.40 | |||
| Processed relining of a complete mandibular or maxillary denture | . | . | . | 75.00 |
| Resilient lining of a denture | 100.00 | |||
| Reattaching of undamaged clasp to denture | 17.40 | |||
| Replacing broken clasp of a denture with a new clasp | 21.00 |
Repairing a broken denture (partial or complete) where no tooth on the
| denture is damaged | 17.40 |
Repairing a broken denture (partial or complete) and replacing 1 broken
| tooth | 25.00 |
Repairing a broken denture (partial or complete) and replacing more than 1
| broken tooth | $25 together with $7.60 for |
each tooth replaced in excess of 1
Repairing a denture where only the replacement of 1 broken tooth is
| required | 17.40 |
| Repairing a denture where only the replacement of broken teeth is required | $17.40 for the first tooth replaced together with $7.60 for each additional tooth replaced |
| Adding a tooth to a partial denture to replace an extracted tooth (including | |
| any adjustment required to clasps) | 36.50 |
Adding teeth to a partial denture to replace extracted teeth (including any
| adjustment required to a clasp to an abutment tooth) | $36.50 for the first tooth added together with $9.50 for each additional tooth added |
| Impression where required for denture repair | 3.60 |
Adjunctive general services
| Palliative emergency treatment | 6.50 |
| Sedative dressing for emergency treatment | 9.50 |
NOTES
1. Notified in the Commonwealth of Australia Gazette on 5 September 1980. 2. Regulations 1975 No. 13 as amended by Regulations 1976 No. 18; 1977 Nos. 11, 15, 24 and 28; 1978 Nos. 7 , 8 , 1 5 , 1 7 , 1 8 and 19; 1979 Nos. 5 , 14 ,17 and 23; 1980 Nos. 3 ,8 and 9.
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