Health Insurance (Amendment) Determination HS/04/2005 (Cth)

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Health Insurance (Amendment) Determination HS/04/2005

_______________________________________________________

I, TONY ABBOTT, Minister for Health and Ageing, make the following Determination under subsection 3C (1) of the Health Insurance Act 1973.

Dated    22/10/05

                     Tony Abbott

Minister for Health and Ageing

_______________________________________________________


1       Name of Determination

This Determination is the Health Insurance (Amendment) Determination HS/04/2005.

2       Commencement

This Determination commences on 1 November 2005.

3       Amendment of various section 3C Determinations

(1)Schedule 1 amends the Health Insurance Determination HS/4/1999.

(2)Schedule 2 amends the Health Insurance Determination HS/6/1999.

(3)Schedule 3 amends the Health Insurance Determination HS/03/2001.

(4)Schedule 4 amends the Health Insurance Determination HS/01/2002.          

(5)Schedule 5 amends the Health Insurance (Photodynamic Therapy) Determination HS/09/2002.

(6)Schedule 6 amends the Health Insurance (Photodynamic Therapy) Determination HS/10/2002.

(7)Schedule 7 amends the Health Insurance (Botulinum Toxin) Determination HS/04/2003.

(8)Schedule 8 amends the Health Insurance (Deep Brain Stimulation for Parkinson’s Disease) Determination HS/01/2005.

(9)Schedule 9 amends the Health Insurance (Allied Health and Dental Services) Determination 2005.


Schedule 1 Amendment of Health Insurance Determination HS/4/1999

    (subsection 3 (1))

[1]       Schedule, Items 12306, 12309, 12312, 12315, 12318 and 12321

omit

$86.85

insert

$88.60


Schedule 2        Amendment of Health Insurance Determination HS/6/1999

    (subsection 3 (2))

[1]       Schedule, Item 33116

omit

$1,187.00

insert

$1,210.75

[2]       Schedule, Item 33119

omit

$1,319.00

insert

$1,345.40


Schedule 3        Amendment of Health Insurance Determination HS/03/2001

    (subsection 3 (3))

[1]       Schedule, Item 13015

omit

$216.15

insert

$220.45


Schedule 4    Amendment of Health Insurance Determination HS/01/2002

(subsection 3 (4))

[1]       Schedule 1, Item 36658

omit

$446.60

insert

$455.55

[2]       Schedule 1, Item 36660

omit

$216.75

insert

$221.10

[3]       Schedule 1, Item 36662

omit

$517.80

insert

$528.15


Schedule 5        Amendment of Health Insurance (Photodynamic Therapy) Determination HS/09/2002

(subsection 3 (5))

[1]       Section 5, Specified circumstances (Act s. 3C (1))

omit

(a)to the first 10 occasions on which a relevant service is rendered to a patient, regardless of whether the service has been rendered to the patient before 1 June 2002 or after; and

insert

(a)    to the first 15 occasions on which a relevant service is rendered to a patient, regardless of whether the service has been rendered to the patient before 1 June 2002 or after; and

[2]       Schedule, Item 42875

omit

$386.15

insert

$393.85

[3]       Schedule, Item 42878

omit

$463.40

insert

$472.65


[4]       Schedule, Items 42881, 42884, 42887 and 42990

omit

$386.15

insert

$393.85

[5]      Schedule - Specified health services, after item 42990

insert

42991 Photodynamic therapy, 11th to 15th treatments on the same eye subsequent to a service to which item 42990 applies (including the infusion of verteporfin continuously through a peripheral vein), using a non-thermal laser at a wave length of 689nm Not applicable $393.85

[6]       Schedule, Items 42993, 42996 and 42999

omit

$463.40

insert

$472.65

[7]      Schedule - Specified health services, after item 42999

insert

43000 Photodynamic therapy, 11th to 15th treatments on both eyes subsequent to a service to which item 42999 applies (including the infusion of verteporfin continuously through a peripheral vein), using a non-thermal laser at a wave length of 689nm Not applicable $472.65

[8]       Schedule, Item 43002

omit

$75.10

insert

$76.60


Schedule 6        Amendment of Health Insurance (Photodynamic Therapy) Determination HS/10/2002

(subsection 3 (6))

[1]       Schedule, Items 43005 and 43008

omit

$386.15

insert

$393.85

[2]       Schedule, Items 43011 and 43014

omit

$463.40

insert

$472.65

[3]       Schedule, Item 43017

omit

$75.10

insert

$76.60


Schedule 7        Amendment of Health Insurance (Botulinum Toxin) Determination HS/04/2003

(subsection 3 (7))

[1]     Section 2, Commencement and cessation

omit

(b)  ceases on 30 April 2006; and

insert

(b)  ceases at the beginning of 1 November 2005.


Schedule 8 Amendment of Health Insurance (Deep Brain Stimulation for Parkinson’s Disease) Determination HS/01/2005

    (subsection 3 (8))

[1]     Section 4, Cessation

omit

This Determination ceases to have effect on 30 April 2006.

insert

This Determination ceases to have effect at the beginning of

1 November 2006.

[2]     Section 6, Specified circumstances (Act s. 3C (1))

   omit

(a)    the service is performed in a relevant centre that is participating in an appropriate controlled trial to obtain information on adverse events, longer term patient outcomes and costs in the Australian setting in consultation with appropriate groups and States; and

insert

(a)    for services described in Items 40850, 40851, 40852, 40854, 40856, 40858, and 40860, the service is performed in a relevant centre that is participating in an appropriate controlled trial to obtain information on adverse events, longer term patient outcomes and costs in the Australian setting in consultation with appropriate groups and States; and


[3]     Schedule 1 - Relevant Centres; under “Alfred

Public” in the column headed “Hospital

insert

St Vincents Private 

[4]       Schedule 2, Item 40850

omit

$1,921.45

insert

$1,959.90

[5]       Schedule 2, Item 40851

omit

$3,362.60

insert

$3,429.85

[6]       Schedule 2, Item 40852

omit

$289.00

insert

$294.80

[7]       Schedule 2, Item 40854

omit

$446.60

insert

$455.55


[8]       Schedule 2, Item 40856

omit

$216.75

insert

$221.10

[9]       Schedule 2, Item 40858

omit

$446.60

insert

$455.55

[10]     Schedule 2, Item 40860

omit

$1,716.30

insert

$1,750.65

[11]     Schedule 2, Item 40862

omit

$160.90

insert

$164.10


Schedule 9        Amendment of Health Insurance (Allied Health and Dental Services) Determination 2005

    (subsection 3 (9))

[1]       Schedule, Items 10950, 10951, 10952, 10954, 10956, 10958, 10960, 10962, 10964, 10966, 10968 and 10970

omit

$52.85

insert

$53.90

[2]       Schedule, Items 10975, 10976 and 10977

omit

$88.05

insert

$89.80

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