Community Services and Health Legislation Amendment Act 1989 (Cth)
PART 1—PRELIMINARY
Section
1. Short title
2. Commencement
PART 2—AMENDMENTS OF THE AUSTRALIAN INSTITUTE OF HEALTH ACT 1987
3. Principal Act
4. Interpretation
5. Directions by Minister
6. Confidentiality
PART 3—AMENDMENTS OF THE HEALTH INSURANCE ACT 1973
7. Principal Act
8. Interpretation
9. Certification of in-patient as needing acute care
10. Insertion of new sections:
3f Vocationally registered general practitioners
3g. Removal from Register
3h. Minister’s powers to make determinations
11. Repeal of section 4a and substitution of new section:
4a. Variations and alterations of pathology services table
12. Multiple pathology services
13. Manner of making determinations under sections 4ba and 4bb
14. Increased fee in complex cases
15. Appeal from decision on increased fee
TABLE OF PROVISIONS—
Section
16. Repeal of provisions establishing the Pathology Services Advisory Committee
17. Prohibition of certain medical insurance
18. Repeal of Schedule 1a and substitution of new Schedule
PART 4—AMENDMENTS OF THE NATIONAL HEALTH ACT 1953
19. Principal Act
20. Interpretation
21. Insertion of new sections:
4b. Determinations—professional attention
4c. Certificates in respect of professional attention
4d. Determination—amount of benefit
22. Repeal of section 5 and substitution of new section:
5. Certain determinations to be disallowable instruments
23. Interim decisions on applications under subsection 40ad (1b)
24. Application by proprietor of home for patient classification
25. Review by Secretary of classification
26. Insertion of new sections:
40afg. Determination by Secretary where classifications found to be inaccurate
40afh. Review of determination
40afj. Effect of determination on applications for patient classification
40afk. Proprietor to be given notice of classification of classified patient admitted to nursing home
27. Insertion of new section:
67a. Injunctions for contravention of section 67
28. Application by organisation for registration as health benefits organisation or to carry on health insurance business
29. Giving of information by applicant organisations
30. Application to be referred to Committee
31. Report of the Committee
32. Matters to be taken into account by Committee and by Ministers
33. Registration and permission to carry on business as registered health benefits organisation
34. Registered organisation not to carry on other business etc.
35. Minimum reserves
36. Exemption from maximum reserve conditions
37. Reinsurance Account in health benefits fund
38. Health Benefits Reinsurance Trust Fund
39. Repeal
40. Conduct of health benefits funds
41. Repeal of sections 76, 76a and 77
42. Changes of rules etc. by registered organisations
43. Cancellation of registration of organisation
44. Offences
45. Insertion of new Part:
PART VIaa—PRIVATE HEALTH INSURANCE ADMINISTRATION COUNCIL
82a. Interpretation
82b. Establishment
82c. Commissioner
82d. Constitution of Council
82e. Appointment of non-Commissioner members
82f. Guidelines
TABLE OF PROVISIONS—
Section
82g. Functions
82h. Powers
82j. Directions by Minister
82k. Examination of records, books and accounts of registered organisations
82l. Registered organisation to give information to the Council annually
82m. Registered organisation to comply with Council’s reporting requirements
82n. Meetings of Council
82p. Delegation by Council
82pa. Annual report by Council
82pb. Validity of appointments
82pc. Acting Commissioner
82pd. Deputies of members
82pe. Remuneration and allowances of members
82pf. Resignation
82pg. Termination of appointment
82ph. Director
82pj. Duties of Director
82pk. Conflict of interests
82pl. Staff and consultants
82pm. Remuneration and allowances of Director
46. Investigation of organisation by inspector
47. Application for judicial management or winding up of a fund
48. Merger of funds
49. Application for review by Tribunal
50. Officers to observe secrecy
51. Insertion of new section:
138a. Telephone access to offices
52. Regulations
53. Schedule
54. Saving
PART 5—AMENDMENTS OF THE NURSING HOMES ASSISTANCE ACT 1974
55. Principal Act
56. Interpretation
57. Approval in principle of nursing home etc.
58. Approval of nursing home
59. Application of National Health Act
60. Approval of additional services
61. Common form of nursing home agreement
62. Certain notices to be subject to disallowance
PART 6—AMENDMENT OF THE REMUNERATION TRIBUNAL ACT 1973
63. Principal Act
64. Inquiries and determinations by Tribunal
TABLE OF PROVISIONS—
Section
PART 7—AMENDMENTS OF THE STATES GRANTS (NURSE EDUCATION TRANSFER ASSISTANCE) ACT 1985
65. Principal Act
66. Interpretation
67. Special nurse education transfer grants
68. Addition of new section:
10. Regulations
SCHEDULE
NEW SCHEDULE 1A TO THE HEALTH INSURANCE ACT 1973
An Act to amend laws relating to community services and health, and for related purposes
[
BE IT ENACTED by the Queen, and the Senate and the House of Representatives of the Commonwealth of Australia, as follows:
PART 2—AMENDMENTS OF THE AUSTRALIAN INSTITUTE OF HEALTH ACT 1987
“ ‘State Health Minister’ means:
(a) the Minister of the Crown for a State;
(b) the Minister of the Australian Capital Territory; or
(c) the Minister of the Northern Territory;
who is responsible, or principally responsible, for the administration of matters relating to health in the State, the Australian Capital Territory or the Northern Territory, as the case may be;”.
(a) by omitting paragraphs (2) (b) and (c) and substituting the following paragraphs:“(b) a person from divulging or communicating information, or producing a document, to a person specified in writing by the person (in this subsection called the ‘information provider’) who divulged or communicated the information, or produced the document, directly to the Institute;
(c) a person from divulging or communicating information, or producing a document, to a person specified in writing by the Australian Institute of Health Ethics Committee if to do so is not contrary to the written terms and conditions (if any) upon which the information provider divulged or communicated the information, or produced the document, directly to the Institute; or
(d) the publication of conclusions based on statistics derived from, or of particulars of procedures used in, the work of the Institute, if:
(i) to do so is not contrary to the written terms and conditions (if any) upon which an information provider divulged or communicated information relevant to the publication, or produced a document relevant to the publication, directly to the Institute; and
(ii) the publication does not identify the information subject.”;
(b) by omitting from subsection (3) “or (b)” and substituting “, (b) or (c),”;
(c) by omitting from paragraph (4) (b) all words from and including “and” and substituting the following words and subparagraphs:“and also includes:
(i) in the case of an information provider—a body politic; or
(ii) in the case of an information subject—a deceased person.”.
PART 3—AMENDMENTS OF THE HEALTH INSURANCE ACT 1973
“ ‘vocationally registered general practitioner’ means a medical practitioner registered under section 3f;”.
(a) by omitting from paragraph (5) (b) “an application in writing is made to him” and substituting “receiving from the Private Health Insurance Administration Council a copy of an application in writing made to it”;
(b) by omitting subsection (8) and substituting the following subsection:“(8) The Secretary may establish a Committee or Committees to be known as the Acute Care Advisory Committee or the Acute Care Advisory Committees.”.
“3f. (1) The purpose of this section is to provide for the registration of certain medical practitioners as vocationally registered general practitioners.
Note : Some items in the general medical services table apply only to services rendered by medical practitioners who are registered under this section.
“(2) The Commission is to establish and maintain a Vocational Register of General Practitioners.
“(3) The Register may be maintained in any form, including the form of a computer record.
“(4) A medical practitioner may apply to the Commission for registration under this section.
“(5) The application must be made in a manner approved by the Minister.
“(6) If:
(a) the General Manager of the Commission is satisfied that the Royal Australian College of General Practitioners has certified that the applicant’s medical practice is predominantly general practice and
that the applicant has training and experience in general practice that make it appropriate for the applicant to be registered under this section; or
(b) the applicant is, in accordance with the regulations, eligible for registration under this section;
the General Manager shall, within 14 days after receiving the application, enter the applicant’s name in the Register.
“(7) The General Manager of the Commission shall give the applicant written notice of the day on which the applicant’s name is to be entered in the Register.
“(8) The Commission may give the Royal Australian College of General Practitioners information about:
(a) the current state of the Register;
(b) additions to the Register; and
(c) deletions from the Register.
“(9) The General Manager of the Commission or an authorised officer may make available to members of the public, on request, the names of medical practitioners who are registered under this section and the addresses at which they practise.
“(10) In the section:
‘authorised officer’ means a Commission staff member authorised by the General Manager of the Commission as an authorised officer for the purposes of this section;
‘Commission staff member’ means a member of the staff of the Commission referred to in subsection 28 (1) of the
Health Insurance Commission Act 1973.
“3g. (1) The General Manager of the Commission shall remove a medical practitioner’s name from the Vocational Register of General Practitioners if:
(a) the medical practitioner requests the General Manager to do so;
(b) the Royal Australian College of General Practitioners gives the General Manager written notice that:
(i) the College is no longer satisfied that the medical practitioner’s medical practice is predominantly general practice;
(ii) the College is no longer satisfied that it is appropriate for the medical practitioner to be registered under section 3f; or
(iii) the medical practitioner has failed to meet the College’s minimum requirements for participation in continuing medical education and quality assurance programs; or
(c) removal is required by regulations made for the purposes of this paragraph.
“(2) Where the General Manager decides that a medical practitioner’s name should be removed from the Register, the General Manager shall give the medical practitioner written notice of the decision.
“(3) The decision shall be made in writing and shall specify the day on which the medical practitioner’s name is to be removed from the Register.
“(4) The day specified under subsection (3) shall be not less than 14 days after the day on which the decision is made.
“3h. (1) The Minister may, by notice published in the
“(2) If a determination is made under subsection (1), section 3f or 3g applies as if the reference to the College were a reference to the body specified in the determination.”.
“4a. (1) The regulations may provide that this Act shall have effect as if the pathology services table were varied:
(a) by omitting an item or rule of interpretation from the table;
(b) by inserting an item or rule of interpretation in the table; or
(c) by substituting another amount for an amount set out in the table.
“(2) The regulations may prescribe a table of pathology services in accordance with the form of table set out in Schedule 1a.
“(3) On the commencement of a regulation prescribing a table of pathology services:
(a) the table so prescribed has effect as if it were set out in Schedule 1a in the place of the table (in this subsection referred to as ‘the superseded table’) in that Schedule; and
(b) the superseded table or, if another table has effect, by virtue of this section, in the place of the superseded table, that other table ceases to have effect.
“(4) The regulations may amend a table that has effect by virtue of paragraph (3) (a) and, on the commencement of the amendment, the table as so amended has effect in the place of the first-mentioned table.
“(5) In this section, a reference to a table of pathology services shall be read as including a reference to rules for the interpretation of that table.
“(6) Regulations under this section shall, unless sooner repealed, cease to be in force on the day next following the 15th sitting day of the House
of Representatives after the expiration of a period of 12 months commencing on the day on which the regulations are notified in the
(a) by omitting from subsections (2) “the professional service referred to in the claim is a service other than a pathology service and”;
(b) by omitting subsection (2a);
(c) by omitting from subsection (3) “or (2a) (b)”.
(a) by omitting from subsections (2), (3), (4) and (6) “relevant committee” (wherever occurring) and substituting “Medicare Benefits Advisory Committee”;
(b) by omitting subsection (8).
(a) by omitting from subsection (1) “indemnify the other person in respect of loss arising out” and substituting “make a payment in the event”;
(b) by omitting from subsection (2) “indemnify a person in respect of loss arising out” and substituting “make a payment in the event”.
“ ‘Council’ means the Private Health Insurance Administration Council established by section 82b;
‘Council’s rules’ means rules made by the Council in the performance of its functions under paragraph 82g (r);”.
(a) by omitting paragraph (a) of the definition of “basic private table” or “basic table” in subsection (1) (in this section called the “relevant definition”) and substituting the following paragraph:“(a) in respect of hospital treatment provided to patients (other than nursing-home type patients) in a hospital in the State or Territory to which the table relates for the purpose of permitting the provision to them at the hospital of:
(i) type-A professional attention; or
(ii) professional attention that, under subsection 4c (1), is taken to be professional attention to which this paragraph applies;
where the hospital treatment has been provided for a period that includes part of an overnight stay—benefits equal to the amount of the standard hospital fees in relation to that State or Territory;”;
(b) by omitting from paragraph (b) of the relevant definition “persons as in-patients” and “that patient is an in-patient” and substituting “nursing-home type patients” and “hospital treatment is provided to that patient” respectively;
(c) by omitting from paragraph (b) of the relevant definition “, being nursing-home type patients”;
(d) by omitting from paragraph (c) of the relevant definition “persons as in-patients” and “that patient was an in-patient” and substituting “nursing-home type patients” and “hospital treatment is provided to that patient” respectively;
(e) by omitting from paragraph (c) of the relevant definition “, being nursing-home type patients”;
(f) by omitting from paragraph (d) of the relevant definition “persons as in-patients” and substituting “patients”;
(g) by omitting from paragraph (da) of the relevant definition “the person is an in-patient of” and substituting “hospital treatment is provided to the person in”;
(h) by omitting paragraphs (db) and (dc) of the relevant definition and substituting the following paragraphs:
“(db) in respect of hospital treatment provided to a patient in a hospital for the purpose of permitting the provision to the patient at the hospital of:
(i) type-A professional attention;
(ii) type-B professional attention; or
(iii) professional attention that is, under subsection 4c (2), to be taken to be professional attention to which this paragraph applies;
where the hospital treatment has been provided for a period that does not include part of an overnight stay—a benefit equal to the amount that, under the determination made by the Minister under paragraph 4d (1) (a), is payable in respect of that hospital treatment;
(dc) in respect of hospital treatment provided to a person in a day hospital facility for the purpose of permitting the provision to the person at the day hospital facility of professional attention other than type-C professional attention—a benefit equal to the amount that, under the determination made by the Minister under paragraph 4d (1) (b), is payable in respect of that hospital treatment;”;
(j) by omitting from paragraph (dd) of the relevant definition “person who is an in-patient” and substituting “patient while hospital treatment is provided to the patient”;
(k) by inserting in subsection (1) the following definitions:“ ‘patient’, in relation to a hospital, does not include:
(a) a member of the staff of the hospital who is receiving treatment in his or her own quarters; or
(b) except as provided by subsection 3 (2) of the
Health Insurance Act 1973 , a newly-born child whose mother also occupies a bed in the hospital;‘type-A professional attention’ means professional attention, other than professional attention to which a determination under paragraph 4b (a) relates, the provision of which to a patient normally requires that the patient be given hospital treatment in a hospital;
‘type-B professional attention’ means professional attention to which a determination under paragraph 4b (a) relates;
‘type-C professional attention’ means professional attention to which a determination under paragraph 4b (b) relates;”.
“4b. The Minister may make the following determinations in writing:
(a) a determination that the provision of professional attention of a kind specified in the determination normally requires hospital treatment in a hospital but does not require such hospital treatment for a period that includes part of an overnight stay;
(b) a determination that the provision of professional attention of a kind specified in the determination does not normally require hospital treatment.
“4c. (1) Where:
(a) hospital treatment is provided, for a period that includes part of an overnight stay, to a patient in a hospital for the purpose of permitting the provision to the patient at the hospital of professional attention other than type-A professional attention; and
(b) the practitioner providing the professional attention certifies in writing that:
(i) because of the medical condition of the patient specified in the certificate; or
(ii) because of the special circumstances specified in the certificate;
it would be contrary to accepted medical practice to provide the professional attention to the patient unless the patient were given hospital treatment in the hospital for a period that includes part of an overnight stay;
the professional attention shall be taken to be professional attention to which paragraph (a) of the definition of ‘basic private table’ or ‘basic table’ in subsection 4 (1) (in this section called the ‘relevant definition’) applies.
“(2) Where:
(a) hospital treatment is provided, for a period that does not include part of an overnight stay, to a patient in a hospital for the purpose of permitting the provision to the patient at the hospital of professional attention other than type-A professional attention or type-B professional attention; and
(b) the practitioner providing the professional attention certifies in writing that:
(i) because of the medical condition of the patient specified in the certificate; or
(ii) because of the special circumstances specified in the certificate;
it would be contrary to accepted medical practice to provide the professional attention to the patient unless the patient were given hospital treatment in the hospital for a period that does not include part of an overnight stay;
the professional attention shall be taken to be professional attention to which paragraph (db) of the relevant definition applies.
“4d. (1) The Minister may, in relation to a State or Territory:
(a) determine, for the purposes of paragraph (db) of the definition of ‘basic private table’ or ‘basic table’ in subsection 4 (1) (in this section called the ‘relevant definition’), the amount payable in respect of hospital treatment provided in hospitals in the State or Territory; and
(b) determine, for the purposes of paragraph (dc) of the relevant definition, the amount payable in respect of hospital treatment provided in day hospital facilities in the State or Territory.
“(2) In making a determination under subsection (1), the Minister may determine:
(a) different amounts in respect of hospital treatment relating to the provision of different classes of professional attention; and
(b) in the case of a determination for the purposes of paragraph (db) of the relevant definition—different amounts in respect of hospital treatment provided in different classes of hospital.”.
“5. (1) In this section:
‘determination’ means:
(a) a determination for the purposes of paragraph (dd) of the definition of ‘basic private table’ or ‘basic table’ in subsection 4 (1);
(b) a determination under section 4b; or
(c) a determination under subsection 4d (1).
“(2) A determination is a disallowable instrument for the purposes of section 46a of the
(a) by omitting from subsection (1) “When” and substituting “Subject to section 40afj, when”;
(b) by omitting from subsection (2) “The” and substituting “Subject to section 40afj, the”.
“The Secretary shall, as soon as practicable, give in writing:
(a) to the proprietor of the nursing home; and
(b) if another person or body applied for the classification of the nursing home patient under section 40afd—to that other person or body;”.
“40afg. (1) In subsection (2):
‘review’ means:
(a) a review under section 40afe; or
(b) where a review under that section has been confirmed by the Minister under section 40aff, the review as so confirmed by the Minister.
“(2) Where reviews of classifications of patients in a nursing home have in a substantial number of cases resulted in:
(a) those classifications being revoked on the ground that they were based on inaccurate information given by the proprietor of the nursing home; and
(b) lower classifications being substituted for them;
the Secretary may:
(c) determine in writing that section 40afd does not apply in relation to the proprietor; and
(d) nominate in the determination the person or body who is to make applications for the purposes of that section in the place of the proprietor.
“(3) Unless it is set aside by the Minister under subsection 40afh (2), a determination remains in force for the period specified in the determination.
“(4) The Secretary shall, as soon as practicable, give in writing to the proprietor of the nursing home notice of:
(a) the determination;
(b) the reasons for the determination; and
(c) the rights of the proprietor under section 40afh.
“40afh. (1) A proprietor of a nursing home dissatisfied with a determination under subsection 40afg (2) may, within 28 days after the day on which notice of the determination was given to the proprietor, request in writing the Minister to review the determination.
“(2) The Minister shall review the determination and may:
(a) confirm it;
(b) set it aside; or
(c) set it aside and substitute any determination that the Minister thinks appropriate.
“(3) A determination by the Minister under paragraph (2) (c) remains in force for the period specified in the determination.
“(4) The Minister shall, as soon as practicable, give in writing to the proprietor of the nursing home:
(a) notice of his or her decision under subsection (2); and
(b) if the Minister has confirmed the determination of the Secretary or substituted another determination for it—the reasons for the decision.
“40afj. Where there is in force a determination under subsection 40afg (2) or 40afh (2) in relation to the proprietor of a nursing home, the following provisions apply:
(a) the proprietor may not apply to the Secretary under section 40afd for the classification of patients in the nursing home;
(b) any application under that section in respect of a patient in the nursing home shall be made by the person or body nominated for that purpose in the determination;
(c) the Secretary shall give to the proprietor notice of any classification in respect of a nursing home patient granted under an application made in accordance with paragraph (b);
(d) where an application under subsection 40afd (2) for the classification of a nursing home patient is made in accordance with paragraph (b):
(i) subsections 40afd (7) to (10) (inclusive) do not apply in relation to the application; and
(ii) the classification granted on the application takes effect, or is to be regarded as having taken effect, at the expiration of the previous classification of the patient.
“40afk. Where a person in respect of whom a classification under section 40afa is in force is admitted to an approved nursing home, the Secretary shall, on request, give to the proprietor of the nursing home
written notice of the classification and of the day on which the classification expires.”.
“67a. (1) Where, on the application of the Minister, the Council or any other person, the Federal Court of Australia is satisfied that a person has engaged, or is proposing to engage, in conduct that constitutes or would constitute a contravention of subsection 67 (1), the Court may grant an injunction in such terms as the Court determines to be appropriate.
“(2) Where in the opinion of the Court it is desirable to do so, the Court may grant an interim injunction pending determination of an application under subsection (1).
“(3) The Court may rescind or vary an injunction granted under subsection (1) or (2).
“(4) The power of the Court to grant an injunction restraining a person from engaging in conduct may be exercised:
(a) whether or not it appears to the Court that the person intends to engage again, or to continue to engage, in conduct of that kind; and
(b) whether or not the person has previously engaged in conduct of that kind.
“(5) The power of the Court to grant an injunction requiring a person to do an act or thing may be exercised:
(a) whether or not it appears to the Court that the person intends to refuse or fail again, or to continue to refuse or fail, to do that act or thing; and
(b) whether or not the person has previously refused or failed to do that act or thing.”.
(a) by omitting subsection (1) and substituting the following subsections:“(1) In this section:
‘State’, except in subsections (2), (2a) and (3), includes the Northern Territory.
“(1a) An organisation may apply for registration as a registered health benefits organisation.
“(1b) An application shall specify the State or States in which the organisation proposes to carry on business as a registered health benefits organisation.
“(1c) It is a condition of the registration of a registered health benefits organisation that it only carries on business as a registered health benefits organisation in the State or States:
(a) specified in its application for registration;
(b) specified in a successful application by it under subsection (1d); or
(c) in which it has a fund transferred to it under paragraph 82zp (1) (b).
“(1d) A registered health benefits organisation may apply to carry on business as a registered health benefits organisation in a specified State, or specified States, not specified in its application for registration.”;
(b) by omitting from subsection (2) “be registered as a registered health benefits organisation in respect of a State” and substituting “carry on business as a registered health benefits organisation in a State”;
(c) by omitting from subparagraph (2) (c) (v) “Administrators” and substituting “Council”;
(d) by omitting from paragraph (2a) (c) “in respect of” and substituting “in an application specifying, or applies to carry on business as a registered health benefits organisation in,”;
(e) by omitting from subsection (3) “be registered as a registered health benefits organisation in respect of and substituting “carry on business as a registered health benefits organisation in”;
(f) by omitting subparagraph (3) (a) (i) and substituting the following subparagraph:“(i) the Northern Territory is to be treated as part of another State in which the organisation, carries on, or proposes to carry on, business as a registered health benefits organisation;”;
(g) by omitting from subsection (4) “be registered as a registered health benefits organisation in respect of any State or in respect of the Northern Territory” and substituting “carry on business as a registered health benefits organisation in any State”;
(h) by omitting from subparagraph (4) (c) (iv) “Administrators” and substituting “Council”.
(a) the organisation shall be taken to be registered under section 68 of the Principal Act as amended by this section; and
(b) for the purposes of subsection 68 (1c) of that section, every State and Territory in respect of which the organisation was registered as a registered health benefits organisation immediately before that
commencement shall be taken to have been specified in the application for registration under that section.
(a) by omitting “in respect of and substituting “or for permission to carry on business as a registered health benefits organisation in”;
(b) by inserting “or to carry on that business in the State or Territory, as the case may be” after “registered”;
(c) by inserting in paragraph (a) “or funds” after “fund”;
(d) by inserting in paragraphs (b) and (c) “or those funds” after “fund” (wherever occurring);
(e) by inserting in paragraph (d) “in respect of that fund or each of those funds—” before “the ratio”.
(a) by inserting in subsection (2aa) “for registration” after “application” (first occurring);
(b) by omitting from subsection (2a) “for registration by an organisation” and substituting “by an organisation for registration or to carry on business as a registered health benefits organisation”;
(c) by inserting in subsection (2a) “or a relevant fund” after “fund”;
(d) by adding at the end the following subsections:“(9) Where the Minister grants an application by a registered organisation to carry on business as a registered health benefits organisation in a State or the Northern Territory, the Minister shall, within one month after the Minister has granted the application publish in the
Gazette a notification to that effect setting out:(a) the name of the organisation; and
(b) the name of the State or Territory.
“(10) Where the Minister refuses an application by a registered organisation to carry on business as a registered health benefits organisation in a State or the Northern Territory, the Minister shall, within one month after so refusing the application publish in the
Gazette a notification of the refusal.”.
(a) by omitting subsection (1) and substituting the following subsections:“(1) It is a condition of registration of a registered organisation that, where it conducts only one health benefits fund, the value of the assets of that fund shall at all times exceed the sum of:
(a) whichever is the higher of:
(i) the prescribed minimum amount; or
(ii) the amount (if any) by which the sum of the amounts debited to that fund during the last preceding prescribed period of the organisation exceeds the amount of income received during that period from assets of that fund consisting of investments;
(b) the liabilities that are required to be met out of that fund;
(c) the amount of any subsisting guarantee, not falling within paragraph (b), given by the organisation in relation to a prescribed company;
(d) the sum of the amounts of payments by way of calls in respect of shares in a prescribed company, not falling within paragraph (b), that the organisation is, or could become, liable to pay; and
(e) any other amount that the Minister, after taking into account the advice of the Council, considers should be a liability for the purposes of this subsection.
“(la) It is a condition of registration of a registered health benefits organisation that, where it conducts 2 or more health benefits funds, the value of the assets of each of those funds shall at all times exceed the sum of:
(a) the amount (if any) by which the sum of the amounts debited to that fund during the last preceding prescribed period of the organisation exceeds the amount of income received during that period from assets of that fund consisting of investments;
(b) the liabilities that are required to be met out of that fund;
(c) so much as the Minister, by instrument in writing, determines of the amount of any subsisting guarantee, not falling within paragraph (b), given by the organisation in relation to a prescribed company;
(d) the amount equal to so much as the Minister, by instrument in writing, determines of the sum of the amounts of payments by way of calls in respect of shares in a prescribed company, not falling within paragraph (b), that the organisation is, or could become, liable to pay; and
(e) any other amount that the Minister, after taking into account the advice of the Council, considers should be a liability for the purposes of this subsection.
“(1b) It is a condition of registration of a registered health benefits organisation that, where it conducts 2 or more health benefits funds, the value of the sum of the assets of all those funds shall at all times exceed the sum of:
(a) whichever is the higher of:
(i) the prescribed minimum amount; or
(ii) the amount (if any) by which the sum of the amounts debited to those funds during the last preceding prescribed period of the organisation exceeds the amount of income received during that period from assets of those funds consisting of investments;
(b) the liabilities that are required to be met out of those funds;
(c) the amount of any subsisting guarantee, not falling within paragraph (b), given by the organisation in relation to a prescribed company;
(d) the sum of the amounts of payments by way of calls in respect of shares in a prescribed company, not falling within paragraph (6), that the organisation is, or could become, liable to pay; and
(e) any other amount that the Minister, after taking into account the advice of the Council, considers should be a liability for the purposes of this subsection.”;
(b) by omitting from paragraph (2) (b) “or” (last occurring);
(c) by adding at the end of subsection (2) the following word and paragraph:“; or (d) any property that the Minister, after taking into account the advice of the Council, considers should not be an asset for the purposes of this section.”;
(d) by inserting in subsection (3) the following definitions:“ ‘prescribed minimum amount’ means $1,000,000 or, if a higher amount is prescribed, that higher amount;
‘property’ includes an interest, power, right or privilege;”.
“(1) Upon application in writing made to the Minister by a registered organisation, the Minister, after consulting the Council, may, by notice in writing served on the public officer of the organisation, exempt the organisation from compliance with the conditions referred to in section 73bab.
“(1b) An application by an organisation under subsection (1) shall be accompanied by such evidence, valuations or actuarial certification of the assets and liabilities of the organisation as the Minister considers appropriate.”.
(a) by omitting from subsection (2) “this section” and substituting “subsections (3), (4) and (8)”;
(b) by inserting in subsection (2) “or a supplementary hospital table” after “Schedule)”;
(c) by inserting in subsection (2) “for a person who has not, or persons who have not, reached the prescribed age” after “matter” (first occurring);
(d) by inserting in paragraph (2) (a) “such” before “person”;
(e) by inserting in paragraph (2) (b) “such” before “persons” (first occurring);
(f) by omitting from subsection (3) “this section” and substituting “subsection (4)”;
(g) by omitting from subsection (4) “section” (first occurring) and substituting “subsection”;
(h) by inserting in subsection (4) “or a supplementary hospital table” after “Schedule)”;
(j) by omitting from subsection (4) “section” (last occurring) and substituting “subsection”;
(k) by inserting after subsection (4) the following subsection:“(5) A registered organisation may debit to the Reinsurance Account maintained by it in a health benefits fund the amounts of any payments of any benefits made out of that fund in accordance
with a basic table (whether or not modified by an election of the kind referred to in the condition set out in paragraph (ba) of the Schedule) or a supplementary hospital table to a contributor in respect of the provision of treatment, a service or another matter for a person who has reached the prescribed age.”;
(m) by omitting subsection (5a);
(n) by omitting from paragraph (7) (a) “Minister” and substituting “Council”;
(p) by omitting paragraph 7 (c) and substituting the following paragraph:“(c) shall give to the Council, at such times as the Council determines, such information drawn from the records referred to in paragraph (a) as the Council requires.”;
(q) by omitting subsection (9) and substituting the following subsection:“(9) This section only applies to classes of benefits declared by the Minister, by notice published in the
Gazette , to be classes of benefits for the purposes of reinsurance.”;
(r) by omitting from subsection (11) the definition of “nursing home fund benefit”;
(s) by inserting in subsection (11) the following definition:“ ‘prescribed age’ means 65 years or, if another age is prescribed, that other age;”.
(a) by omitting from subsection (1) “and the Commonwealth”;
(b) by inserting in that subsection “, and for the Commonwealth to make a payment towards,” before “meeting”;
(c) by omitting subsection (4);
(d) by omitting paragraph (5) (a) and substituting the following paragraph:“(a) such amount as is appropriated by the Parliament in the financial year ending on 30 June 1989 for payment into the Fund;”;
(e) by omitting subsections (5b), (5c) and (5d) and substituting the following subsections:“(5b) The Minister shall determine in writing principles relating to the operation of the Fund.
“(5c) The principles shall include principles for determining the method of, and the matters to be taken into account in, calculating the amounts to be paid into the Fund by registered health benefits organisations.
“(5d) Where the Minister determines or varies the principles, he or she shall as soon as practicable:
(a) notify the Council of the principles or variation, as the case may be; and
(b) cause a copy of the principles or particulars of the variation, as the case may be, to be published in the
Gazette. “(5e) The Council shall exercise its functions and powers in relation to the Fund in accordance with the principles.”;
(f) by omitting from subsection (6) “Administrators determine” and substituting “Council determines”;
(g) by omitting from subsection (8) “Administrators determine” and substituting “Council determines”;
(h) by omitting from subsection (8) “they” and substituting “it”;
(j) by omitting from subsection (9) “Administrators” and substituting “Council”;
(k) by omitting from subsection (10) “Administrators make” and substituting “Council makes”;
(m) by omitting from subsection (10) “they” and substituting “it”;
(n) by omitting from subsection (11) “Administrators” and substituting “Council”;
(p) by omitting from subsection (12) “Administrators” (first occurring) and substituting “Council”;
(q) by omitting from subsection (12) “Administrators otherwise direct” and substituting “Council otherwise directs”;
(r) by omitting from subsection (13) the definition of “Administrator”.
(a) by omitting from paragraph (c) “and” (last occurring);
(b) by inserting after paragraph (c) the following paragraph:“(ca) the Council’s rules; and”.
(a) by inserting in subsection (1) “in a form approved by the Minister” after “writing”;
(b) by omitting subsections (1a) to (11) (inclusive) and substituting the following subsections:“(2) The notification shall:
(a) identify the change; and
(b) show that the change is consistent with this Act and the conditions of registration of the organisation.
“(3) Where subsection (1) or (2) is not complied with in relation to a change, that change shall not be taken to have come into operation.
“(4) Where the Minister is of the opinion that a change:
(a) would or might result in a breach of this Act or of a condition of registration of an organisation;
(b) imposes an unreasonable or inequitable condition affecting the rights of any contributors; or
(c) might, having regard to the advice of the Council, adversely affect the financial stability of a health benefits fund;
the Minister may, by declaration in writing, declare that the change shall not be taken to have come into operation.
“(5) The Secretary shall tell the Council of any declaration made by the Minister under paragraph (4) (c).
“(6) Where the Minister makes a declaration under subsection (4) in relation to a notification by an organisation, the Secretary shall tell the organisation of the declaration.”.
(a) by omitting subsection (3) and substituting the following subsection:“(3) The Minister shall cancel the registration of a registered organisation if all health benefits funds conducted by the organisation have been wound up in accordance with Part VIa.”;
(b) by omitting subsection (5).
“PART VI aa —PRIVATE HEALTH INSURANCE ADMINISTRATION COUNCIL
“82a. In this Part, unless the contrary intention appears:
‘Commissioner’ means the Commissioner of Private Health Insurance Administration referred to in section 82c;
‘deputy’ means a deputy of a member appointed under section 82pd;
‘Director’ means the Director of the Council referred to in section 82ph;
‘guidelines’ means the guidelines referred to in section 82f;
‘member’ means a member of the Council and includes the Commissioner.
“82b. (1) There is established a Private Health Insurance Administration Council.
“(2) The Council:
(a) is a body corporate with perpetual succession;
(b) shall have a common seal;
(c) may acquire, hold and dispose of real and personal property; and
(d) may sue and be sued in its corporate name.
“(3) The common seal of the Council shall be kept in such custody as the Council directs and shall not be used except as authorised by the Council.
“(4) All courts, judges and persons acting judicially shall take judicial notice of the imprint of the common seal of the Council appearing on a document and shall presume that it was duly affixed.
“82c. (1) There shall be a Commissioner of Private Health Insurance Administration.
“(2) The Commissioner may perform the functions and exercise the powers of the Council and, where he or she performs such a function or exercises such a power, that function or power shall be taken to have been performed or exercised by the Council.
“(3) The Commissioner shall, in the performance of a function or the exercise of a power of the Council, have regard, as far as is practicable, to the advice of the other members.
“(4) The Commissioner shall be appointed by the Minister in accordance with the guidelines.
“(5) The Commissioner shall be appointed on a full-time basis or on a part-time basis.
“82d. (1) The Council consists of:
(a) the Commissioner;
(b) 3 members representing registered organisations; and
(c) one other member.
“(2) The performance of the functions, or the exercise of the powers, of the Council is not affected by a vacancy or vacancies in the membership of the Council.
“82e. (1) In this section:
‘member’ does not include the Commissioner.
“(2) The members shall be appointed by the Minister in accordance with the guidelines.
“(3) A member holds office on a part-time basis.
“82f. (1) The Minister may, by written instrument, make guidelines, not inconsistent with this Part, relating to:
(a) the appointment of the Commissioner, other members and deputies;
(b) the terms and conditions of their offices; and
(c) their periods of appointment.
“(2) Before making, varying or revoking guidelines, the Minister shall consult with such registered organisations or associations of registered organisations as he or she considers appropriate.
“(3) An instrument referred to in subsection (1) is a disallowable instrument for the purposes of section 46a of the
“82g. The functions of the Council are:
(a) to administer the Health Benefits Reinsurance Trust Fund;
(b) to obtain from each registered organisation regular reports about the financial affairs of the organisation, including reports supported by actuarial certification;
(c) to establish uniform standards of reporting by registered organisations to the Council;
(d) to examine, from time to time, the financial affairs of registered organisations, by means of the inspection and analysis of the records, books and accounts of the organisations and any other relevant information;
(e) to review, by carrying out independent actuarial assessment, the value of the assets of each health benefits fund;
(f) to determine whether a registered organisation is, or is about to be, in breach of a condition referred to in section 73bab (in this section called a ‘minimum reserve condition’);
(g) where the Council determines that a registered organisation is, or is about to be, in breach of a minimum reserve condition:
(i) to consult with the organisation; and
(ii) to make recommendations to the Minister about the action to be taken, including, where appropriate, a recommendation that the Minister apply under section 82z for the judicial management or winding up of the fund concerned;
(h) to impose levies on each registered organisation, to be calculated on the basis of the number of members of each organisation, for the purpose of meeting the:
(i) general administrative costs of the Council; and
(ii) administrative costs of reviews conducted by Acute Care Advisory Committees under section 3b of the
Health Insurance Act 1973 ;(j) in the event of a registered organisation being unable to meet its liabilities to its members—to impose a levy on each other registered organisation, to be calculated on the basis of the number of their members, for the purpose of helping to meet those liabilities;
(k) where it is necessary, for the purpose of making a proper examination of the financial affairs of a registered organisation, for the Council to incur unusually high costs—to impose an appropriate fee on the organisation concerned;
(m) to make statistics, and other financial information, relating to a registered organisation or registered organisations, publicly available in accordance with the Council’s rules;
(n) to receive applications from registered organisations for review of certificates given under subsection 3b (1) of the
Health Insurance Act 1973 and to refer the applications to the Secretary;(p) to impose fees in relation to applications for review of certificates given under subsection 3b (1) of the
Health Insurance Act 1973 ;(q) to make recommendations to the Minister in relation to applications made by registered organisations under section 73bac seeking exemption from the minimum reserve conditions;
(r) to make rules, not inconsistent with this Act, for the purpose of the performance of its functions and the exercise of its powers;
(s) to advise the Minister about the financial operations and affairs of registered organisations;
(t) functions incidental to any other functions of the Council; and
(u) any other functions conferred on the Council by this, or any other, Act.
“82h. The Council has power to do all things necessary or convenient to be done for, or in connection with the performance of its functions.
“82j. (1) The Minister may, by notice in writing to the Commissioner, give directions with respect to the performance of the Council’s functions or the exercise of its powers, and the Council shall comply with any such direction.
“(2) Before giving a direction under subsection (1), the Minister shall consult the Council about the proposed direction.
“(3) The Minister shall cause a copy of each direction to be laid before each House of the Parliament within 15 sitting days of the House after the direction is given.
“82k. (1) Where, in the opinion of the Commissioner it is desirable, for the proper performance of the Council’s functions that the records, books and accounts of a registered organisation be examined, the Commissioner may, by signed instrument, authorise:
(a) the Director;
(b) a member of staff of the Council; or
(c) a consultant engaged by the Council;
to examine and report on those records, books and accounts.
“(2) The person authorised under subsection (1) shall, at all reasonable times, have full and free access to any premises in which the records, books and accounts are kept and may take extracts from, or make copies of, the records, books and accounts.
“(3) The Commissioner may, by written notice given to a person who is or has been an officer, servant or agent of a registered organisation, require that person:
(a) to give the Council, within the time specified in the notice, such information relating to the affairs of the registered organisation as is stated by the notice to be required;
(b) to attend, at a time and place specified in the notice, before the Council and give evidence relating to the affairs of the registered organisation; or
(c) to produce, at a time and place specified in the notice, all records, books and accounts in the person’s custody or under the person’s control relating to the affairs of the registered organisation.
“(4) The Commissioner may require the information or evidence, to be given on oath and either orally or in writing and, for that purpose, the Commissioner, or a person authorised in writing by the Commissioner to do so, may administer an oath or affirmation.
“(5) A person shall not:
(a) refuse or fail to comply with a requirement contained in a notice served on the person under subsection (3); or
(b) refuse to be sworn or to make an affirmation.
Penalty: $1,000 or imprisonment for 6 months, or both.
“(6) In this section:
‘registered organisation’ includes an organisation the registration of which was cancelled under section 79 within 12 months before the date of the notice under subsection (3).
“82l. (1) A registered organisation which makes any report to all or any of its members at any time after 30 June 1989, shall, within one month after making the report or within such further time as the Council allows, give a copy of the report to the Council.
“(2) A registered organisation shall, within 3 months after the end of each year commencing with the year ending on 30 June 1989, or within such further time as the Council allows give to the Council:
(a) such financial accounts and statements in respect of that year as the Council requires to be given for use in preparing the report referred to in section 82pa; and
(b) such other statements in respect of that year as are required by the Council’s rules;
certified on behalf of the organisation in accordance with the Council’s rules to be true and correct.
Penalty: $1,000.
“82m. It is a condition of registration of a registered organisation that the organisation comply, within a reasonable time, with such requirements as the Council, in the performance of its functions, imposes on the organisation.
“82n. (1) Subject to subsection (2), the Commissioner shall convene a meeting of the Council when:
(a) the Commissioner thinks it necessary for the efficient performance of the Council’s functions; or
(b) directed to do so by written notice of the Minister.
“(2) The Commissioner shall convene a meeting at least once every 6 months.
“(3) The Commissioner shall determine the time and place at which a meeting is to be held.
“(4) At a meeting, the Commissioner and 2 other members constitute a quorum.
“(5) The Commissioner shall preside at all meetings.
“(6) Questions arising at a meeting shall be determined by the Commissioner, having regard to the advice of the members present.
“(7) Subject to this section, the Commissioner shall determine the procedure of the meeting.
“82p. The Council may, by writing under its common seal, delegate to:
(a) the Director; or
(b) another member of staff of the Council;
all or any of the functions and powers of the Council.
“82pa. (1) The Council shall, as soon as practicable after 30 September in each year give the Minister a report on the operations of registered organisations during the year ending on 30 June in that year.
“(2) The report shall include, in respect of each health benefits fund conducted by a registered organisation during the year to which the report relates, the following information in respect of the fund:
(a) contributions payable to the fund;
(b) other amounts payable to the fund;
(c) fund benefits payable out of the fund;
(d) management expenses;
(e) other amounts payable out of the fund;
(f) the balance of the fund as at the end of that year;
(g) details of how the reserves of the fund have been invested;
(h) such other information as the Minister requires to be included.
“(3) The Minister shall lay each report under this section before each House of the Parliament within 15 sitting days of that House after it is received by the Minister.
“82pb. The appointment of a person as Commissioner or as another member is not invalid because of a defect or irregularity in connection with the person’s appointment.
“82pc. (1) The Minister may appoint a person to act as Commissioner:
(a) during a vacancy in the office of Commissioner (whether or not an appointment has been previously made to the office); or
(b) during any period, or during all periods, when the Commissioner is absent from duty or from Australia or is, for any other reason, unable to perform the duties of the office;
but a person appointed to act during a vacancy shall not continue to act for more than 12 months.
“(2) Anything done by or in relation to a person purporting to act as Commissioner is not invalid because:
(a) the occasion for the appointment had not arisen;
(b) there was a defect or irregularity in connection with the appointment;
(c) the appointment had ceased to have effect; or
(d) the occasion for the person to act as Commissioner had not arisen or had ceased.
“82pd. (1) The Minister may appoint a person to be the deputy of a member (other than the Commissioner) in accordance with the guidelines.
“(2) The deputy of a member may attend meetings of the Council that the member does not attend and shall, while attending such a meeting, be taken to be a member.
“(3) Anything done by or in relation to a deputy purporting to act under this section is not invalid because:
(a) there was a defect or irregularity in connection with the appointment; or
(b) the appointment had ceased to have effect.
“82pe. Subject to the
(a) such remuneration as is determined by the Remuneration Tribunal; and
(b) such allowances as are prescribed.
“82pf. A member or a deputy may resign by writing signed and given to the Minister.
“82pg. (1) The Minister may terminate the appointment of a member or a deputy for misbehaviour or physical or mental incapacity.
“(2) If:
(a) a member or a deputy becomes bankrupt, applies to take the benefit of a law for the relief of bankrupt or insolvent debtors, compounds with his or her creditors or makes an assignment of his or her remuneration for their benefit; or
(b) a member of the Council is absent, except with the leave of the Commissioner, from 3 consecutive meetings of the Council;
the Minister shall terminate the appointment of the member or deputy.
“82ph. (1) There shall be a Director of the Council who shall be appointed by the Council.
“(2) The Council may:
(a) determine the terms and conditions of service of the Director in respect of matters not provided for by this Part; and
(b) at any time terminate such an appointment.
“(3) The Director holds office on a full-time basis.
“(4) Subject to this section, the Director holds office for the period, and subject to the terms and conditions, specified in the instrument of appointment.
“(5) A person who has attained the age of 65 years shall not be appointed as Director.
“(6) A person shall not be appointed as Director for a period that extends beyond the day on which the person will attain the age of 65 years.
“(7) The appointment of a person as Director is not invalid because of a defect or irregularity in connection with the person’s appointment.
“82pj. (1) The Director shall, to the extent determined by the Council, manage the affairs of the Council.
“(2) The Director shall, in managing the affairs of the Council, act in accordance with the policy of, and with any directions given by, the Council.
“82pk. (1) The Director shall not be present at a meeting of the Council when the Council is making a decision in relation to the office of Director.
“(2) Where the Director has a direct or indirect pecuniary interest in a matter related to his or her duties as Director, he or she shall disclose the nature of the interest to the Commissioner as soon as possible after the relevant facts have come to his or her knowledge.
“82pl. (1) The Council may employ such staff as the Council thinks necessary to employ to assist the Council in the performance of its functions and the exercise of its powers.
“(2) The Commissioner may arrange with the Secretary of a Department of the Australian Public Service for the services of officers or employees in the Department to be made available to the Council.
“(3) The Council may engage, under agreements in writing, persons having suitable qualifications and experience to perform services as consultants to the Council.
“(4) The terms and conditions of staff employed, or consultants engaged, by the Council are such as are determined by the Council from time to time.
“82pm. Subject to the
(a) such remuneration as is determined by the Remuneration Tribunal; and
(b) such allowances as are prescribed.”.
(a) by omitting subsection (1) and substituting the following subsection:“(1) Where the Minister, after consideration of:
(a) a report made under section 82w on the completion or termination of an investigation of a registered organisation; or
(b) any recommendation of the Council about the action to be taken in relation to the organisation;
is of the opinion that it is necessary or proper to do so, the Minister may apply to the Court for an order for the fund, or one or more of the funds, conducted by the organisation be placed under judicial management or be wound up.”;
(b) by omitting from paragraph (2) (b) “or” (last occurring);
(c) by adding at the end of subsection (2) the following word and paragraph:“; or (d) the Council’s rules.”.
“proposing:
(a) the transfer to a fund conducted by one of the organisations in a State or the Northern Territory of the business of the fund or funds conducted by the other organisation or organisations in that State or Territory; or
(b) where one of the organisations has not begun to conduct a fund in a particular State or the Northern Territory—the transfer to that organisation of the business of the fund or funds conducted by the other organisation or organisations in that State or Territory;
being a transfer in accordance with a scheme specified in the application.”.
(a) by omitting from subsection (1a) “for registration of the organisation”;
(b) by omitting subsections (5) and (6) and substituting the following subsection:“(5) An application may be made to the Tribunal for review of a decision of the Minister under subsection 78 (4).”.
(a) by inserting after subsection (4) the following subsection:“(4a) Nothing in this section prohibits the Council from publishing under paragraph 82g (m) statistics or financial information relating to a registered organisation or registered organisations.”;
(b) by inserting after subsection (12) the following subsection:“(12a) Where information referred to in subsection (1) is information acquired in the performance of functions or duties, or in the exercise of powers, under Part VIaa, this section applies as if a reference to the Secretary were a reference to the Commissioner of the Private Health Insurance Administration Council.”.
“138a. The Minister shall direct the Secretary to make provision for the development of a service which will enable a person to make a telephone call to an office that is under the general control of the Secretary, at no greater cost than the cost of a local telephone call.”.
“(2) The regulations may provide that a specified provision of the Act relating to the basic table does not apply, or applies with specified modifications, in respect of:
(a) a specified registered health benefits organisation; or
(b) a specified registered health benefits organisation in the conduct of its business in a specified State or in the Northern Territory.”.
(a) by omitting paragraph (a) of the CONDITIONS OF REGISTRATION OF AN ORGANISATION;
(b) by omitting from paragraph (1) of those conditions all words after “benefits” (first occurring) and before “who”;
(c) by adding at the end of subparagraph (1) (i) “or”;
(d) by omitting subparagraph (1) (ii);
(e) by adding at the end of paragraph (1) of those conditions:“; and those contributors shall:
(iv) only be affected by any waiting periods that applied to them for the purposes of the fund from which they transferred; and
(v) have the same entitlements to benefits that they would have had if they had been members of the fund to which they transferred for the period for which they were members of the fund from which they transferred, being benefits of a kind available to members of the fund to which they transferred.”.
(a) in the case of a determination for the purposes of subparagraph (db) (i) of the relevant definition—a determination under paragraph 4d (1) (a) of the Principal Act as amended by this Act; or
(b) in the case of a determination for the purposes of subparagraph (dc) (i) of the relevant definition—a determination under paragraph 4d(1) (b) of the Principal Act as amended by this Act.
PART 5—AMENDMENTS OF THE NURSING HOMES ASSISTANCE ACT 1974
(a) by inserting in the definition of “nursing home care” in subsection (1) “, personal care” after “accommodation”;
(b) by inserting in subsection (1) the following definition:“ ‘personal care’ means assistance of a personal nature given to help a person attend to his or her daily needs or carry out his or her daily routine;”.
“(3a) After the commencement of this subsection, the Minister shall not give a certificate under subsection (2) or (3).”.
(a) by omitting from subparagraph (6) (c) (i) “or”;
(b) by inserting after subparagraph (6) (c) (i) the following subparagraph:“(ia) ensuring that, to the extent that the principles and objectives formulated by the Minister under section 5 of the
Disability Services Act 1986 are applicable in relation to the provision to qualified nursing home patients in the nursing home of:(a) nursing home care; or
(b) any services that, as specified in the agreement entered into under section 15 by the Commonwealth with the proprietor of the nursing home, are to be provided for qualified nursing home patients in the nursing home;
that care and those services are provided in a manner that furthers those principles and objectives; or”;
(c) by adding at the end the following subsections:“(13) Subject to subsection (14), the Minister shall not, after the commencement of this subsection, grant an approval under this section.
“(14) The Minister may, not later than 30 June 1992, on application made under subsection (1), grant an approval under this section if:
(a) the applicant is the holder of a certificate in force under section 3a in respect of the premises to which the application relates; or
(b) the application relates to premises in respect of which an approval previously granted under this section is in force at the time when the application is made.
“(15) After the commencement of this subsection, the Minister may not determine under subsection (10) a period ending after 30 June 1992.
“(16) If, before the commencement of this subsection, the Minister had determined under subsection (10) a period ending after 30 June 1992, the period so determined shall, for the purposes of this Act, be taken to be a period ending at the end of 30 June 1992.”.
(a) by omitting from paragraph (1) (a) “and” (last occurring);
(b) by inserting after paragraph (1) (a) the following paragraph:“(ab) section 40ab of the
National Health Act 1953 has also effect after the commencement of this paragraph as if:(i) any reference in subsections (2) and (3) to a person’s needing or requiring nursing care by reason of infirmity or illness, disease, incapacity or disability were a reference to that person’s needing or requiring
nursing care or personal care by reason of that person’s condition as a disabled person; and
(ii) subsection (4) were omitted and the following subsection substituted:
‘(4) The Minister shall not approve an application under subsection (3) on behalf of a patient if the Minister is satisfied that:
(a) having regard to the medical condition of the patient and to any other relevant circumstances, the needs of the patient would be adequately, and more suitably, provided for in a place other than an approved nursing home; and
(b) accommodation in such a place is available to the patient’; and”.
(a) by omitting paragraph (4) (b) and substituting the following paragraph:“(b) any other conditions determined by the Minister for the purpose of ensuring:
(i) that the needs of persons of that class who seek the services are satisfactorily provided for; or
(ii) that, to the extent that the principles and objectives formulated by the Minister under section S of the
Disability Services Act 1986 are applicable to the provision of those services for persons of that class, the services are provided in a manner that furthers those principles and objectives.”;
(b) by adding at the end the following subsection:“(7) At the end of 30 June 1992, any approval then in force under this section ceases to be in force.”.
(a) by omitting subsection (la) and substituting the following subsection:“(la) In this section:
‘adjusted deficit’, in relation to the proprietor of an approved nursing home, in respect of a year or any other period, means the amount obtained by deducting from the amount that, under subsection (4), is the approved deficit of the proprietor in respect of that year or other period any approved
expenditure by the proprietor in respect of that year or other period that is of one of the following kinds:
(a) expenditure on the replacement of an asset of the nursing home exceeding $1,200 in value;
(b) expenditure exceeding $1,200 on repairs, or maintenance work, carried out on an asset of the nursing home;
(c) contributions paid to a superannuation scheme on behalf of persons employed by the proprietor for the purposes of the nursing home;
(d) payments in respect of long service leave entitlements of persons referred to in paragraph (c);
‘approved expenditure’, in relation to the proprietor of a nursing home, means expenditure in accordance with particulars of expenditure or expected expenditure approved by the Secretary under the agreement relating to the nursing home entered into with the proprietor under section 15;
‘relevant association’ means an association that:
(a) represents eligible organisations; and
(b) is specified by the Minister by notice in writing published in the
Gazette as a relevant association for the purposes of this section.”;
(b) by omitting from subsection (4) “an amount” and substituting “, if subsection (4a) does not apply, the amount”;
(c) by inserting in subsection (4) “(including approved services)” after “other services” (first occurring);
(d) by inserting after subsection (4) the following subsections:“(4a) If the adjusted deficit of the proprietor of a nursing home in respect of a year, or other period, ending after 30 June 1989 is more than the amount that, under subsection (4b), is the prescribed amount in relation to the proprietor in respect of that year or period:
(a) the amount of the difference between that adjusted deficit and that prescribed amount shall be deducted from the amount that, under subsection (4), is the approved deficit of the proprietor in respect of that year or period; and
(b) the amount obtained shall, for the purposes of this Act, be taken to be the approved deficit of the proprietor in respect of that year or period.
“(4b) The prescribed amount in relation to the proprietor of an approved nursing home in respect of a year, or other period, ending after 30 June 1989 (in this subsection called the ‘later year’ and ‘later period’ respectively) is:
(a) if the average number of beds occupied per day by qualified nursing home patients in the nursing home during the later year or later period is less than the average number of beds occupied per day by qualified nursing home patients in the nursing home during the year, or (if applicable) other period approved by the Secretary under paragraph (2) (a), ending on 30 June 1989:
124.50 | ||
2331 | Immunohistochemical investigation of biopsy material by one or more of immunofluorescent, immunoperoxidase or other labelled antibody techniques including any other histopathology examination. SP | 126.00 |
2332 | Immunohistochemical investigation of biopsy material by one or more of immunofluorescent, immunoperoxidase or other labelled antibody techniques including any other histopathology examination. OP | 94.50 |
2333 | Electron microscopy of biopsy material including any other histopathology examination. SP. | 134.00 |
2337 | Electron microscopy of biopsy material including any other histopathology examination. OP. | 100.50 |
2338 | Cytological examination of smears from cervix or vagina for detection of pre-cancerous or cancerous changes—one or more examinations. SP | 19.40 |
2339 | Cytological examination of smears from cervix or vagina for detection of pre-cancerous or cancerous changes—one or more examinations. OP | 14.55 |
2340 | Cytological examination including serial examinations of smears from skin, nipple discharge, lip, mouth, nose or anus for detection of precancerous or cancerous changes—one or more examinations. SP | 19.40 |
2341 | Cytological examination including serial examinations of smears from skin, nipple discharge, lip, mouth, nose or anus for detection of precancerous or cancerous changes—one or more examinations. OP | 14.55 |
Item No. | Pathology Service | Fees— All States |
$ | ||
2343 | Cytological examination including serial examinations for malignant cells of body fluids, sputum (single specimen), urine, washings or brushings not specified in item 2340 and any histopathological service performed—one or more examinations. SP | 38.00 |
2344 | Cytological examination including serial examinations for malignant cells of body fluids, sputum (single specimen), urine, washings or brushings not specified in item 2341 and any histopathological service performed—one or more examinations. OP | 28.50 |
2348 | Cytological examination including examination of a series of three sputum or urine specimens for malignant cells. SP | 79.00 |
2349 | Cytological examination including examination of a series of three sputum or urine specimens for malignant cells. OP | 59.25 |
2350 | Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues. SP | 47.50 |
2351 | Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues. OP | 35.65 |
2355 | Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues where the aspiration is performed by a recognised pathologist, or where a recognised pathologist attends the aspiration and performs cytological examination during the attendance. SP | 89.00 |
2356 | Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues where the aspiration is performed by a recognised pathologist, or where a recognised pathologist attends the aspiration and performs cytological examination during the attendance. OP | 66.75 |
2360 | Chromosome studies, including preparation, count and karyotyping of one or more of amniotic fluid, bone marrow, skin and any other tissue or fluid excluding blood—one or more estimations. SP | 172.00 |
2361 | Chromosome studies, including preparation, count and karyotyping of one or more of amniotic fluid, bone marrow, skin and any other tissue or fluid excluding blood—one or more estimations. OP | 129.00 |
2363 | Chromosome studies, including preparation, count and karyotyping of blood. SP | 156.00 |
2364 | Chromosome studies, including preparation, count and karyotyping of blood. OP | 117.00 |
2365 | Chromosome indentification by banding techniques (using fluorescein, Giemsa, or centromere staining of high resolution analysis); or by fragile X-site determination—one or more identifications. SP | 134.00 |
2366 | Chromosome indentification by banding techniques (using fluorescein, Giemsa, or centromere staining of high resolution analysis); or by fragile X-site determination—one or more identifications. OP | 100.50 |
2370 | Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner’s test). SP | 8.80 |
Item No. | Pathology Service | Fees— All States |
$ | ||
2371 | Semen examination for presence for spermatozoa or examination of cervical mucus for spermatozoa (Huhner’s test). OP | 6.60 |
2372 | Semen examination, involving measurement of volume, sperm count, motility, examination of stained preparations, morphology, and, if performed, differential count and one or more chemical tests, with a maximum of four examinations in any twelve month period. SP | 36.50 |
2373 | Semen examination, involving measurement of volume, sperm count, motility, examination of stained preparations, morphology, and, if performed, differential count and one or more chemical tests, with a maximum of four examinations in any twelve month period. OP | 27.40 |
2377 | Sperm antibodies, sperm penetrating ability—one or more tests. SP | 23.50 |
2378 | Sperm antibodies, sperm penetrating ability—one or more tests. OP | 17.65 |
2379 | Chorionic gonadotrophin (beta—HCG), qualitative estimation in serum or urine by one or more methods, including serial dilution if performed, for diagnosis of pregnancy—one or more estimations. SP | 12.80 |
2380 | Chorionic gonadotrophin (beta-HCG), qualitative estimation in serum or urine by one or more methods, including serial dilution if performed, for diagnosis of pregnancy—one or more estimations. OP | 9.60 |
2384 | Chorionic gonadotrophin (beta-HCG), qualitative (if performed) and quantitative estimation in serum by one or more methods for diagnosis of hydatidiform mole, HCG—secreting neoplasm, threatened abortion or follow-up of abortion. SP | 36.50 |
2385 | Chorionic gonadotrophin (beta-HCG), qualitative (if performed) and quantitative estimation in serum by one or more methods for diagnosis of hydatidiform mole, HCG—secreting neoplasm, threatened abortion or follow-up of abortion. OP | 27.40 |
2389 | Blood count consisting of leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count) or any or all of haemoglobin estimation, haematocrit estimation or erythrocyte count—one procedure. | 3.90 |
2390 | Two procedures specified in item 2389 | 5.85 |
2391 | Three or more procedures specified in item 2389 | 7.80 |
2393 | Microscopical examination of urine. | 3.90 |
2394 | Pregnancy test by one or more immunochemical methods. | 9.60 |
2395 | Microscopical examination of wet film other than urine. | 5.85 |
1396 | Microscopical examination of gram stained film. | 7.40 |
1397 | Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method. | 1.95 |
2398 | Microscopical examination screening for fungi in skin, hair or nails— one or more sites. | 5.85 |
2399 | Mantoux test. | 9.60 |
2400 | Seminal examination for presence of spermatozoa. | 5.85 |
LISTS OF ABBREVIATIONS
A. ABBREVIATIONS FOR GROUPS OF TESTS
Group | Estimations Included in Group | Abbreviation | Item Numbers |
Cardiac Enzymes | Lactate dehydrogenase LD,
| CE | 1562, 1563 |
Coagulation Studies |
| COAG | 1527, 1528 |
Electrolytes | Sodium (NA), Potassium (K), Chloride (CL) and Bicarbonate (HCO3). | E | 1564, 1565 |
Lipid Studies | Cholesterol (CHOL) and Triglycerides (TRIG), | FATS | 1560, 1561 |
Liver Function Tests |
Aspartate aminotransferase (AST), Albumin (ALB), Bilirubin (BIL), Gamma glutamyl transpeptidase (GGT), Lactate dehydrogenase (LDH) and Protein (PROT). | LFT | 1571, 1572 |
Syphilis Serology |
| STS | 2183, 2184 |
B. ABBREVIATIONS FOR INDIVIDUAL TESTS
The abbreviations are listed alphabetically within Divisions. The Divisions are:
HAEMATOLOGY
CHEMICAL PATHOLOGY
MICROBIOLOGY
IMMUNOLOGY
HISTOPATHOLOGY
CYTOPATHOLOGY
CYTOGENETICS
INFERTILITY & PREGNANCY TESTS
Approved Item Name of test in Schedule | Abbreviation | Numbers |
| ||
Antithrombin III | ATH | 1531, 1532 |
| AH | 1419, 1420 |
Bleeding Time | BT | 1521, 1522 |
Blood coagulation factors—quantitative assays: | 1541, 1542 | |
| VWA | |
| VWF | 1541, 1542 |
| FF | 1541, 1542 |
| FGF | 1541, 1542 |
| PF | 1541, 1542 |
| FII | 1541, 1542 |
| FV | 1541, 1542 |
| FVII | 1541, 1542 |
| VIII | 1541, 1542 |
| FIX | 1541, 1542 |
| FX | 1541, 1542 |
| FXI | 1541, 1542 |
| FXII | 1541, 1542 |
| FXIII | 1541, 1542 |
Blood Film | BF | 1170, 1171 |
Blood Group Antibodies | BGA | 1417, 1418 |
Blood Grouping-ABO and RH (D antigen) | BG | 1187, 1188 |
| BGAB | 1196, 1197 |
| BGS | 1192, 1193 |
Bone Marrow Examination—Threphine | BMET | 1181, 1182 |
Bone Marrow Examination—Aspirate | BMEA | 1183, 1184 |
Coagulation Time | CT | 1521, 1522 |
Cold Agglutinins | CAG | 1419, 1420 |
Compatibility testing | XMAT | 1198, 1199 |
C-reactive protein | CRP | 1163, 1164 |
Differential Cell Count | DIFF | 1170, 1171 |
Direct Coombs test | CMBS | 1419, 1420 |
D-dimer test | DD | 1521, 1522 |
Erythrocyte Count | RCC | 1163, 1164 |
Erythrocyte Metabolic Enzymes | ERYM | 1176, 1177 |
Approved Item Name of test in Schedule | Abbreviation | Numbers |
Erythrocyte Sedimentation Rate | ESR | 1163, 1164 |
Erythrocyte Haemolysis | ERYH | 1176, 1177 |
Euglobulin clot lysis time | ECLT | 1531, 1532 |
Fibrinogen Degradation Products | FDP | 1521, 1522 |
Fibrin Monomer | FM | 1521, 1522 |
Fibrinogen | FIB | 1521, 1522 |
Full Blood Examination | FBE | 1172, 1173 |
Haemoglobin Estimation | HB | 1163, 1164 |
Haemoglobinopathy tests | HMGP | 1179, 1180 |
Heparin Cofactor II | HRNC | 1531, 1532 |
Heparin estimation | HEPR | 1539, 1540 |
Heterophile Antibodies (Infectious Mononucleosis Test) | IM | 1419, 1420 |
Leucocyte Count | WCC | 1163, 1164 |
Lupus Anticoagulant | LUPA | 1531, 1532 |
Metalbumin detection (Schumm’s test) | SCHM | 1419, 1420 |
Plasminogen | PLAS | 1531, 1532 |
Partial Thromboplastin Time | PTT | 1521, 1522 |
Platelet Aggregation | PLTG | 1535, 1538 |
Platelet Count | PLTC | 1163, 1164 |
Protein C | PROC | 1531, 1532 |
Protein S | PROS | 1531, 1532 |
Prothrombin Time | PT | 1521, 1522 |
Red Cell Porphyrins-qualitative test | RCP | 1419, 1420 |
Reticulocyte Count | RETC | 1163, 1164 |
Test for Factor XIII deficiency | F13D | 1521, 1522 |
Thalassaemia Studies | TS | 1179, 1180 |
Thrombin Time | TT | 1521, 1522 |
Viscosity of blood or plasma | VISE | 1163, 1164 |
| ||
Alanine Aminotransferase | ALT | 1558, 1559 |
Albumin | ALB | 1558, 1559 |
Alcohol (Ethanol) | ETOH | 1791, 1792 |
Alkaline Phosphatase | ALP | 1558, 1559 |
Alkaline Phosphatase Isoenzymes | ALPI | 1734, 1735 |
Amniotic Fluid Examination | AFE | 1726, 1727 |
Ammonia | NH3 | 1791, 1792 |
Amylase | AMS | 1558, 1559 |
Angiotensin coverting enzyme | ACE | 1791, 1792 |
Aspartate Aminotransferase | AST | 1558, 1559 |
Bicarbonate | HC03 | 1558, 1559 |
Bilirubin (all fractions) | BILI | 1558, 1559 |
Bilirubin (Neonatal) | BILN | 1791, 1792 |
Blood Gases | GAS | 1590, 1591 |
Calcium (total, dialysed or ionized) | CA | 1558, 1559 |
Calculus Analysis | CALC | 1595, 1596 |
Catecholamines | CAT | 1959, 1960 |
Cholinesterase | CHSE | 1791, 1792 |
Chloride | CL | 1558, 1559 |
Cholesterol | CHOL | 1558, 1559 |
Cystine (cysteine) | CYST | 1791, 1792 |
C-reactive protein | CRP | 1558, 1559 |
Approved Item Name of test in Schedule | Abbreviation | Numbers |
Creatine Kinase | CK | 1558, 1559 |
Creatine Kinase Isoenzymes | CKI | 1558, 1559 |
| CKIE | 1734, 1735 |
Creatinine | C | 1558, 1559 |
Cryoglobulins | CGLB | 1575, 1576 |
Cryofibrinogen | CFIB | 1575, 1576 |
Dexamethazone Suppression test | DEXA | 2021, 2024 |
Drug or Chemical Assays—Overdose | DRGO | 1598, 1599 |
| DRGA | 1627, 1628 |
Drug Assays—Therapeutic: | ||
| ||
| ASUL | 1712, 1713 |
| AMIO | 1712, 1713 |
| AMIT | 1712, 1713 |
| AMYL | 1712, 1713 |
| BARB | 1712, 1713 |
| BRMD | 1712, 1713 |
| BUTO | 1712, 1713 |
| CARB | 1712, 1713 |
| CHHY | 1712, 1713 |
| CHZP | 1712, 1713 |
| CHLO | 1712, 1713 |
| CLOQ | 1712, 1713 |
| CMTD | 1712, 1713 |
| CLOB | 1712, 1713 |
| CLON | 1712, 1713 |
| CLSA | 1712, 1713 |
| DEAM | 1712, 1713 |
| DESI | 1712, 1713 |
| DIAZ | 1712, 1713 |
| DIG | 1712, 1713 |
| DIL | 1712, 1713 |
| DISO | 1712, 1713 |
| DOTH | 1712, 1713 |
| DOXE | 1712, 1713 |
| ETHO | 1712, 1713 |
| FLEC | 1712, 1713 |
| HOCQ | 1712, 1713 |
| IMIP | 1712, 1713 |
| LIGN | 1712, 1713 |
| LI | 1712, 1713 |
| MTDN | 1712, 1713 |
| MTTA | 1712, 1713 |
| MSUX | 1712, 1713 |
| MRDZ | 1712, 1713 |
| MEX | 1712, 1713 |
| NAPC | 1712, 1713 |
| NDAC | 1712, 1713 |
| NDAD | 1712, 1713 |
| NITR | 1712, 1713 |
Approved Item Name of test in Schedule | Abbreviation | Numbers |
| NDIP | 1712, 1713 |
| NORT | 1712, 1713 |
| OXAZ | 1712, 1713 |
| PARA | 1712, 1713 |
| PARQ | 1712, 1713 |
| PENT | 1712, 1713 |
| PHBA | 1712, 1713 |
| PHEN | 1712, 1713 |
| PRIM | 1712, 1713 |
| PCAM | 1712, 1713 |
| PROM | 1712, 1713 |
| PPNO | 1712, 1713 |
| QUIB | 1712, 1713 |
| QNN | 1712, 1713 |
| QUIN | 1712, 1713 |
| SALI | 1712, 1713 |
| SALL | 1712, 1713 |
| STEL | 1712, 1713 |
| SPDD | 1712, 1713 |
| SUL | 1712, 1713 |
| THEO | 1712, 1713 |
| TOPO | 1712, 1713 |
| THIO | 1712, 1713 |
| TOCN | 1712, 1713 |
| TRIM | 1712, 1713 |
| VALP | 1712, 1713 |
| WFR | 1712, 1713 |
| ||
Electrophoresis | EPP | 1734, 1735 |
Elements: | ||
| AL | 1871, 1872 |
| AS | 1871, 1872 |
| BE | 1871, 1872 |
| CD | 1871, 1872 |
| CR | 1871, 1872 |
| CU | 1871, 1872 |
| AU | 1871, 1872 |
| PB | 1871, 1872 |
| MN | 1871, 1872 |
| HG | 1871, 1872 |
| NI | 1871, 1872 |
| SE | 1871, 1872 |
| SR | 1871, 1872 |
| ZN | 1791, 1792 |
Enzyme assays of solid tissue or tissues | ENZS | 1969, 1970 |
Faecal Fat | FFAT | 1963, 1964 |
Faecal Haemoglobin (chemical test) | FBT | 1577, 1578 |
Faecal Porphyrins (qualitative test) | FPR | 1577, 1578 |
Faecal Reducing Substances | FRS | 1577, 1578 |
Faecal Haemoglobin (immunological test) | FBI | 1581, 1582 |
Fructosamine | FRUC | 1558, 1559 |
Approved Item Name of test in Schedule | Abbreviation | Numbers |
Gamma Glutamyl Transpeptidase | GGT | 1558, 1559 |
Globulin | GLOB | 1558, 1559 |
Glucose | GLUC | 1558, 1559 |
Glucose Tolerance Test | GTT | 1558, 1559 |
Glycosylated Haemoglobin (Hb Ale) | GHB | 2043, 2044 |
HDL Cholestrol | HDLC | 2039, 2040 |
Hormones: | ||
| ACTH | 2021, 2024 |
| ALDS | 2021, 2024 |
| ANDR | 2021, 2024 |
| CPEP | 2021, 2024 |
| CALT | 2021, 2024 |
| CORT | 2021, 2024 |
| CAMP | 2021, 2024 |
| DHEA | 2021, 2024 |
| FSH | 2021, 2024 |
| GAST | 2021, 2024 |
| GH | 2021, 2024 |
| OHP | 2021, 2024 |
| INS | 2021, 2024 |
| LH | 2021, 2024 |
| E2 | 2021, 2024 |
| E3 | 2021, 2024 |
| El | 2021, 2024 |
| PTH | 2021, 2024 |
| PROL | 2021, 2024 |
| PROG | 2021, 2024 |
| REN | 2021, 2024 |
| SHBG | 2021, 2024 |
| TES | 2021, 2024 |
| USF | 2021, 2024 |
| VIP | 2021, 2024 |
| HRA | 2037-2038 |
HIAA (Hydroxyindoleacetic acid) | HIAA | 1791, 1792 |
| HMMA | 1959, 1960 |
HVA (Homovanillic acid) | HVA | 1959, 1960 |
Hydroxproline | HYDP | 1791, 1792 |
Intestinal disaccharidases | INTD | 1969, 1970 |
Iron Studies (Iron, Transferrin and Ferritin) | IS | 1752, 1753 |
Lactate | LACT | 1791, 1792 |
Lactate Dehydrogenase | LDH | 1558, 1559 |
Lactate Dehydrogenase Isoenzymes | LDI | 1734, 1735 |
Lecithin/Sphingomyelin Ratio (Amniotic fluid) | LS | 1726, 1727 |
Lipase | LIP | 1558, 1559 |
Magnesium | MG | 1558, 1559 |
MHPG (Methoxy Hydroxy Phenyethylene Glycol) | MHPG | 1959, 1960 |
Osmolality, Serum or Urine | OSML | 1583, 1584 |
Oxalate | OXAL | 1791, 1792 |
PAA (Phenyl Acetic Acid) | PAA | 1959, 1960 |
Palmitic acid in amniotic fluid | PALM | 1726, 1727 |
pH measurement of body fluids other than urine | PH | 1575, 1576 |
Approved Item Name of test in Schedule | Abbreviation | Numbers |
Phosphate | PHOS | 1558, 1559 |
Porphyrins (quantitative test, one or more fractions) | PR | 1959, 1960 |
Potassium | K | 1558, 1559 |
Prostatic Acid Phosphatase (one or more fractions) | ACP | 1738, 1739 |
Protein (Total) | PROT | 1558, 1559 |
Protein—Quantitative Estim. of Specific Protein: | ||
| AFP | 1738, 1739 |
| AAT | 1738, 1739 |
| AMIC | 1738, 1739 |
| BMIC | 1738, 1739 |
| C125 | 1738, 1739 |
| CA19 | 1738, 1739 |
| CA15 | 1738, 1739 |
| CEI | 1738, 1739 |
| CPLS | 1738, 1739 |
| CEA | 1738, 1739 |
| FERR | 1738, 1739 |
| HGLB | 1738, 1739 |
| MALB | 1738, 1739 |
| PSA | 1738, 1739 |
| TRAN | 1738, 1739 |
Pyruvate | PVTE | 1791, 1792 |
Red Cell Folate and Serum B12 and if required, serum folate | RCF | 1770, 1771 |
Serum B12 | B12 | 1768, 1769 |
Serum Folate | FOL | 1768, 1769 |
Sodium | NA | 1558, 1559 |
Synacthen Stimulation Test | SYNS | 2021, 2024 |
Thyroid Function Tests | TFT | 1983, 1984 |
Thyrotrophin Releasing Hormone Test | TRH | 1985, 1986 |
Triglycerides | TRIG | 1558, 1559 |
Urate | URAT | 1558, 1559 |
Urea | U | 1558, 1559 |
Urine Bilirubin | UBIL | 1575, 1576 |
Urine Cystine (Cysteine) | UCYS | 1575, 1576 |
Urine Haemoglobin | UHB | 1575, 1576 |
Urine Melanin (Melanogen) | UML | 1575, 1576 |
Urine Myoglobin | UMY | 1575, 1576 |
Urine Porphobilinogen | UPG | 1575, 1576 |
Urine Porphyrins (qualitative test) | UPR | 1575, 1576 |
Urine Urobilinogen | UUB | 1575, 1576 |
| VIT | 1780, 1783 |
Vitamin D | VITD | 1786, 1787 |
Xylose | XYL | 1791, 1792 |
| ||
| QAA | 2235, 2236 |
Blood Culture | BC | 2123, 2124 |
Cultural Examination of Faeces | FCS | 2117, 2118 |
Approved Item Name of test in Schedule | Abbreviation | Numbers |
Herpes Simplex Virus Investigation by Cultural Methods | HSVC | 2139, 2140 |
Chlamydia Investigation by Cultural Methods Microbial Antibody Testing: | CHLC | 2139, 2140 |
IgG, IgM, IgA, or total antibodies may be tested against various organisms. These are indicated by placing the letter G, M A and T respectively on the end of the 3 letter abbreviation | 2181, 2182 | |
| ACT | |
| ADE | 2181, 2182 |
| ASP | 2181, 2182 |
| APP | 2181, 2182 |
| BLM | 2181, 2182 |
| BOR | 2181, 2182 |
| BOB | 2181, 2182 |
| BRU | 2181, 2182 |
| CAM | 2181, 2182 |
| CAN | 2181, 2182 |
| CHL | 2181, 2182 |
| CCC | 2181, 2182 |
| COX | 2181, 2182 |
| CRY | 2181, 2182 |
| CMV | 2181, 2182 |
| CMVP | 2145, 2146 |
| DEN | 2181, 2182 |
| DIP | 2181, 2182 |
| ECC | 2181, 2182 |
| ECH | 2181, 2182 |
| AMO | 2181, 2182 |
| EBV | 2181, 2182 |
| FTA | 2181, 2182 2181, 2182 |
| HUS | |
| HDA | 2181, 2182 |
| HIP | 2181, 2182 |
| HYD | 2181, 2182 |
| FLA | 2181, 2182 |
| FLB | 2181, 2182 |
| LP1 | 2181, 2182 |
| LP2 | 2181, 2182 |
| LEI | 2181, 2182 |
| LEP | 2181, 2182 |
| LIS | 2181, 2182 |
| MEA | 2181, 2182 |
| MIC | 2181, 2182 |
| MUM | 2181, 2182 |
| MVE | 2181, 2182 |
| MYC | 2181, 2182 |
| GON | 2181, 2182 |
| NCD | 2181, 2182 |
| PF1 | 2181, 2182 |
| PF2 | 2181, 2182 |
| PF3 | 2181, 2182 |
Approved Item Name of test in Schedule | Abbreviation | Numbers |
| PTY | 2181, 2182 |
| PER | 2181, 2182 |
| PCC | 2181, 2182 |
| PLO | 2181, 2182 |
| POX | 2181, 2182 |
| POK | 2181, 2182 |
| QFF | 2181, 2182 |
| RPR | 2181, 2182 |
| RSV | 2181, 2182 |
| RRV | 2181, 2182 |
| RUB | 2145, 2146 |
|
RUBP | 2181, 2182 | |
| SAH | 2181, 2182 |
| SAO | 2181, 2182 |
| STO | 2181, 2182 |
| ADNB | 2181, 2182 |
| ASOT | 2181, 2182 |
| TET | 2181, 2182 |
| THE | 2181, 2182 |
| TPS | 2181, 2181 |
| TOC | 2181, 2182 |
| TOX | 2181, 2182 |
| TOXP | 2145, 2146 |
| TPHA | 2181, 2182 |
| TOS | 2181, 2182 |
| TYP | 2181, 2182 |
| VCZ | 2181, 2182 |
| VDRL | 2181, 2182 |
| YER | 2181, 2182 |
| ||
Hepatitis Serology | 2229, 2230 | |
| HEP | |
| HEPB | 2231, 2232 |
HBSA | 2221, 2222 | |
| HEPI | 2223, 2224 |
Microbial Antigen Testing: | ||
| CHLY | 2133, 2134 |
| HSV | 2133, 2134 |
| CSFA | 2129, 2130 |
Cryptococcal antigen | CRYN | 2129, 2130 |
RSV—respiratory Syncytial virus | RSVN | 2129, 2130 |
Varicella zoster | VCZN | 2129, 2130 |
Microscopic examination of material other than blood | M | 2083, 2084 |
Microscopic examination of faeces for parasites | OCP | 2085, 2086 |
| MCS1 | 2087, 2088 |
| MCS2 | 2089, 2090 |
Approved Item Name of test in Schedule | Abbreviation | Numbers |
| MCS3 | 2098, 2099 |
Microscopy and culture of Sputum for Mycobacteria | AFB | 2119, 2020 |
Urine microscopy, culture, identification and sensitivity | UMCS | 2127, 2128 |
| ||
Specific IgG or IgE antibodies | ALLG | 2259, 2260 |
Antibodies to Tissue Antigens: | ||
| ARA | 2271, 2274 |
| ADR | 2271, 2274 |
| ACL | 2271, 2274 |
| ACA | 2271, 2274 |
| GLIA | 2271, 2274 |
| PCA | 2271, 2274 |
| GBA | 2271, 2274 |
| INSA | 2271, 2274 |
| ICCS | 2271, 2274 |
| JOl | 2271, 2274 |
| KERA | 2271, 2274 |
| LKA | 2271, 2274 |
| MA | 2271, 2274 |
| PTHA | 2271, 2274 |
| PM1 | 2271, 2274 |
| RCA | 2271, 2274 |
| RF | 2281, 2282 |
| SCL | 2271, 2274 |
| SLA | 2271, 2274 |
| SKA | 2271, 2274 |
| SMA | 2271, 2274 |
| TGA | 2271, 2274 |
| TMA | 2271, 2274 |
| TSHA | 2271, 2274 |
| ||
Antibodies to Nuclear Antigens—detection | ANA | 2261, 2262 |
| ANAP | 2263, 2266 |
Antibodies to Extractable Nuclear Antigens—detection | ENA | 2267, 2268 |
| ENAP | 2269, 2270 |
Complement total, C3 or C4 | COM | 2289, 2290 |
| ||
HLA Typing, comprising A, B, C and DR phenotypes | HLA | 2321, 2322 |
HLA Typing, one or more antigens | HLAN | 2323, 2324 |
Immunoglobulins G, A, M or D | IG | 2245, 2246 |
Immunoglobulin G, sub classes 1-4 | SIGG | 2255, 2256 |
Immunoglobulins E | IGE | 2261, 2262 |
Leucocyte Fractionation | LF | 2313, 2314 |
Leucocyte functional Tests | LFF | 2315, 2316 |
Leucocyte Surface Markers to assess Lymphoid populations | LSML | 2317, 2318 |
Approved Item Name of test in Schedule | Abbreviation | Numbers |
| LSMH | 2319, 2320 |
Mantoux Test | MANT | 2325, 2326 |
| PPRO | 2239, 2240 |
| PPSU | 2241, 2242 |
| ||
Electron microscopy and biopsy material | EM | 2333, 2337 |
Histopathology of biopsy material | HIST | 2327, 2328 |
Immediate frozen section diagnosis of biopsy material | FS | 2329, 2330 |
Immunohistochemical investigation of biopsy material | IHIS | 2331, 2332 |
| ||
Cytology from cervix or vagina | CXCY | 2338, 2339 |
| SMCY | 2340, 2341 |
Cytology from body fluids, urine or washing | BFCY | 2340, 2341 |
Cytology from body fluids, aspiration of solid tissues | FNCY | 2350, 2351 |
| FNCP | 2355, 2356 |
| ||
Chromosome studies | CS | 2360, 2361 |
Chromosome studies of blood | CSB | 2363, 2364 |
Chromosome identification by banding techniques | CSI | 2365, 2366 |
| ||
Semen examination for spermatozoa | SES | 2370, 2371 |
Huhner’s test | HT | 2370, 2371 |
Semen examination | SEE | 2372, 2373 |
Sperm antibodies | SAB | 2377, 2378 |
Sperm penetrating ability | SPA | 2377, 2378 |
Chorionic gonadotrophin for pregnancy diagnosis | HCG | 2379, 2380 |
Chorionic gonadotrophin for diagnosis of specified conditions | HCGD | 2384, 2385 |
1. No. 41, 1987, as amended. For previous amendments, see No. 79, 1988.
2. No. 42, 1974, as amended. For previous amendments, see No. 58, 1975; Nos. 59, 91, 101, 109 and 157, 1976; No. 75, 1977; Nos. 36, 89 and 133, 1978; Nos. 53 and 123, 1979; No. 132, 1980; Nos. 118 and 176, 1981; Nos. 49, 80 and 112, 1982; Nos. 54 and 139, 1983; Nos. 15, 46, 63, 120, 135 and 165, 1984; Nos. 24, 65, 70, 95 and 167, 1985; Nos. 28, 75 and 94, 1986; Nos. 44, 131, 132 and 141, 1987; and Nos. 85, 87, 99 and 155, 1988.
3. No. 95, 1953, as amended. For previous amendments, see No. 68, 1955; Nos. 55 and 95, 1956; No. 92, 1957; No. 68, 1958; No. 72, 1959; No. 16, 1961; No. 82, 1962; No. 77, 1963; No. 37, 1964; Nos. 100 and 146, 1965; No. 44, 1966; Nos. 14 and 100, 1967; No. 100, 1968; No. 102, 1969; No. 41, 1970; No. 85, 1971; No. 114, 1972; Nos. 49 and 202, 1973; No. 37, 1974; Nos. 1, 13 and 93, 1975; Nos. 1, 60, 91, 99, 108, 157 and 177, 1976; Nos. 98 and 100, 1977; Nos. 36, 88, 132 and 189, 1978; Nos. 54, 91 and 122, 1979; Nos. 117 and 131, 1980; Nos. 40, 74, 92, 118, 163 and 176, 1981; Nos. 49, 80 and 112, 1982; Nos. 35, 54 and 139, 1983; Nos. 46, 63, 72, 120, 135 and 165, 1984; Nos. 24, 53, 65, 70, 95, 127 and 167, 1985; Nos. 28, 75, 94 and 115, 1986; Nos. 22, 44, 72, 118, 131 and 132, 1987; and Nos. 79, 87, 99 and 155, 1988.
4. No. 147, 1974, as amended. For previous amendments, see No. 91, 1976; No. 100, 1977; No. 118, 1980; No. 118, 1981; Nos. 26 and 80, 1982; No. 139, 1983; No. 63, 1984; Nos. 24, 52 and 65, 1985; No. 115, 1986; and No. 72, 1987.
5. No. 215, 1973, as amended. For previous amendments, see No. 80, 1974; No. 96, 1975; Nos. 60 and 178, 1978; Nos. 26, 108, 136 and 155, 1979; No. 160, 1980; Nos. 61, 74 and 176, 1981; Nos. 78 and 111, 1982; Nos. 39 and 128, 1983; Nos. 63, 73 and 164, 1984; Nos. 65 and 187, 1985; and Nos. 87, 109 and 123, 1988.
6. No. 164, 1985, as amended. For previous amendments, see No. 75, 1986; No. 132, 1987; and Nos. 79 and 80, 1988.
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House of Representatives on 10 May 1989
Senate on 26 May 1989
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