Health Insurance (Extended Medicare Safety Net) Determination 2009 (Cth)
Health Insurance (Extended Medicare Safety Net) Determination 2009
as amended
made under section 10B of the Health Insurance Act 1973
Compilation start date: 1 May 2013
Includes amendments up to: Health Insurance (Extended Medicare Safety Net) Amendment Determination 2013 (No. 1)
Prepared by the Department of Health and Ageing, Canberra
About this compilation
The compiled instrument
This is a compilation of the Health Insurance (Extended Medicare Safety Net) Determination 2009 amended and in force on 1 May 2013. It includes any amendment affecting the compiled instrument to that date.
This compilation was prepared on 6 September 2013.
The notes at the end of this compilation (the endnotes) include information about amending Acts and instruments and the amendment history of each amended provision.
Uncommenced provisions and amendments
If a provision of the compiled instrument is affected by an uncommenced amendment, the text of the uncommenced amendment is set out in the endnotes.
Application, saving and transitional provisions for amendments
If the operation of an amendment is affected by an application, saving or transitional provision, the provision is identified in the endnotes.
Modifications
If a provision of the compiled instrument is affected by a textual modification that is in force, the text of the modifying provision is set out in the endnotes.
Provisions ceasing to have effect
If a provision of the compiled instrument has expired or otherwise ceased to have effect in accordance with a provision of the instrument, details of the provision are set out in the endnotes.
Contents
1.Name of Determination 4
2.Commencement 4
3.Definitions 4
4.Maximum increases for items under sections 10ACA and 10ADA of the Act 4
Endnotes 11
Name of Determination
This Determination is the Health Insurance (Extended Medicare Safety Net) Determination 2009.
Commencement
This Determination commences on 1 January 2010.
Definitions
In this Determination:
Act means the Health Insurance Act 1973.
diagnostic imaging services table means the table prescribed under section 4AA of the Act.
general medical services table means the table prescribed under section 4 of the Act.
Schedule fee has the meaning given in subsection 8 (1A) of the Act.
Maximum increases for items under sections 10ACA and 10ADA of the Act
(1) For section 10B of the Act:
(a) subsections 10ACA (7A) and 10ADA (8A) apply to the items of the general medical services table listed in column 1 of the table below; and
(b) the maximum increases for these items are listed in column 2.
Item
Maximum increase ($)
13200 1 675.50 13201 2 432.15 13202 64.95 13203 108.15 13206 64.95 13209 10.90 13210 5.30 13212 70.35 13215 48.70 13218 702.65 13221 21.70 13251 108.15 14201 15 percent of the Schedule fee for the item 14202 15 percent of the Schedule fee for the item 16399 24.10 16400 11.05 16401 54.90 16404 32.95 16406 108.15 16500 32.95 16501 65.90 16502 22.00 16504 22.00 16505 22.00 16508 22.00 16509 22.00 16511 109.75 16512 32.95 16514 16.55 16515 175.60 16518 175.60 16519 329.15 16520 329.15 16522 438.90 16525 153.70 16527 175.60 16528 329.15 16564 219.45 16567 219.45 16570 219.45 16571 219.45 16573 219.45 16590 219.45 16591 109.75 16600 32.95 16603 65.90 16606 131.75 16609 252.40 16618 104.30 16624 142.65 16627 307.25 16633 230.50 16636 87.85 32500 110 percent of the Schedule fee for the item 32520 15 percent of the Schedule fee for the item 32522 10 percent of the Schedule fee for the item 32523 15 percent of the Schedule fee for the item 32526 10 percent of the Schedule fee for the item 42702 15 percent of the Schedule fee for the item 45560 35 percent of the Schedule fee for the item 82100 21.70 82105 16.30 82110 21.70 82115 54.10 82130 16.30 82135 21.70 82140 16.30
Note Items 82100, 82105, 82110, 82115, 82130, 82135 and 82140 appear in the determination made under subsection 3C (1) of the Act with respect to midwife and nurse practitioner services. The determination operates so that the items are to be treated as if the items were in the general medical services table.
(1A) For section 10B of the Act:
(a) subsections 10ACA (7A) and 10ADA (8A) apply to items 11700, 14100, 20142, 30071, 31200, 31205, 31521, 31527, 31560, 32501, 32504, 32507, 34106, 35533, 37619, 42590, 42738, 42739, 42740, 45003, 45025, 45026, 45200, 45203, 45206, 45545, 45584, 45585, 45587, 45614, 45617, 45620, 45623, 45624, 45632, 45635, 45652 and 45659 of the general medical services table; and
(b) the maximum increase for each item is 80 percent of the Schedule fee for that item.
(1B) For section 10B of the Act:
(a) subsections 10ACA (7A) and 10ADA (8A) apply to each item in the Group of the general medical services table listed in the column of the table below; and
(b) the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount.
Group A1 A2 A3 A4 A5 A6 A7 A8 A9 A11 A12 A13 A14 A15 A17 A18 A19 A20 A21 A22 A23 A24 A26 A27 A28 A29 A30 T6 M12 M15
(1C) For section 10B of the Act:
(a) subsections 10ACA (7A) and 10ADA (8A) apply to items 10950, 10951, 10952, 10953, 10954, 10956, 10958, 10960, 10962, 10964, 10966, 10968, 10970, 80000, 80005, 80010, 80015, 80020, 80100, 80105, 80110, 80115, 80120, 80125, 80130, 80135, 80140, 80145, 80150, 80155, 80160, 80165, 80170, 81000, 81005, 81010, 81100, 81105, 81110, 81115, 81120, 81125, 81300, 81305, 81310, 81315, 81320, 81325, 81330, 81335, 81340, 81345, 81350, 81355, 81360, 82000, 82005, 82010, 82015, 82020, 82025, 82030, 82035, of the general medical services table; and
(b) the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount.
Note Items 10950-10970, 80000-81010, 81100-81125, 81300-81360 and 82000-82035 appear in the determination made under subsection 3C (1) of the Act with respect to allied health services. The determination operates so that the items are to be treated as if the items were in the general medical services table.
(1D) For section 10B of the Act:
(a) subsections 10ACA (7A) and 10ADA (8A) apply to items 82120, 82125, 82150, 82151, 82152, 82200, 82205, 82210, 82215, 82220, 82221, 82222, 82223, 82224 and 82225 of the general medical services table; and
(b) the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount.
Note Items 82120, 82125, 82150-82152 and 82200-82225 appear in the determination made under subsection 3C (1) of the Act with respect to midwife and nurse practitioner services. The determination operates so that the items are to be treated as if the items were in the general medical services table.
(2) For section 10B of the Act:
(a) subsections 10ACA (7A) and 10ADA (8A) apply to the items of the diagnostic imaging services table listed in column 1 of the table below; and
(b) the maximum increases for these items are listed in column 2.
Item
Maximum increase ($)
55054 80 percent of the Schedule fee for the item. 55700 32.95 55701 16.50 55702 8.30 55703 16.55 55704 38.50 55705 16.55 55706 54.90 55707 38.50 55708 16.55 55709 22.00 55710 19.30 55711 8.30 55712 65.90 55713 27.50 55714 19.30 55715 22.00 55716 8.30 55717 11.05 55718 54.90 55719 32.95 55720 11.05 55721 65.90 55722 27.50 55723 22.00 55724 32.95 55725 22.00 55726 11.05 55727 11.05 55729 16.55 55730 8.30 55762 32.95 55763 16.50 55764 87.85 55765 44.00 55766 32.95 55767 16.50 55768 82.40 55769 41.25 55770 32.95 55771 16.50 55772 87.85 55773 44.00 55774 38.50 55775 19.30
Note Items 55701, 55702, 55710, 55711, 55713, 55714, 55716, 55717, 55719, 55720, 55722, 55724, 55726, 55727, 55730, 55763, 55765, 55767, 55769, 55771, 55773 and 55775 appear in the determination made under subsection 3C (1) of the Act in relation to diagnostic imaging and capital sensitivity services. The determination operates so that the items are to be treated as if the items were in the diagnostic imaging services table.
Endnotes
Endnote 1—About the endnotes
The endnotes provide details of the history of this compilation and its provisions. The following endnotes are included in each compilation:
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history
Endnote 5—Uncommenced amendments
Endnote 6—Modifications
Endnote 7—Misdescribed amendments
Endnote 8—Miscellaneous
If there is no information under a particular endnote, the word “none” will appear in square brackets after the endnote heading.
Abbreviation key—Endnote 2
The abbreviation key in this endnote sets out abbreviations that may be used in the endnotes.
Legislation history and amendment history—Endnotes 3 and 4
Amending laws are annotated in the legislation history and amendment history.
The legislation history in endnote 3 provides information about each law that has amended the compiled law. The information includes commencement information for amending laws and details of application, saving or transitional provisions that are not included in this compilation.
The amendment history in endnote 4 provides information about amendments at the provision level. It also includes information about any provisions that have expired or otherwise ceased to have effect in accordance with a provision of the compiled law.
Uncommenced amendments—Endnote 5
The effect of uncommenced amendments is not reflected in the text of the compiled law, but the text of the amendments is included in endnote 5.
Modifications—Endnote 6
If the compiled law is affected by a modification that is in force, details of the modification are included in endnote 6.
Misdescribed amendments—Endnote 7
An amendment is a misdescribed amendment if the effect of the amendment cannot be incorporated into the text of the compilation. Any misdescribed amendment is included in endnote 7.
Miscellaneous—Endnote 8
Endnote 8 includes any additional information that may be helpful for a reader of the compilation.
Endnote 2—Abbreviation key
| ad = added or inserted | pres = present |
| am = amended | prev = previous |
| c = clause(s) | (prev) = previously |
| Ch = Chapter(s) | Pt = Part(s) |
| def = definition(s) | r = regulation(s)/rule(s) |
| Dict = Dictionary | Reg = Regulation/Regulations |
| disallowed = disallowed by Parliament | reloc = relocated |
| Div = Division(s) | renum = renumbered |
| exp = expired or ceased to have effect | rep = repealed |
| hdg = heading(s) | rs = repealed and substituted |
| LI = Legislative Instrument | s = section(s) |
| LIA = Legislative Instruments Act 2003 | Sch = Schedule(s) |
| mod = modified/modification | Sdiv = Subdivision(s) |
| No = Number(s) | SLI = Select Legislative Instrument |
| o = order(s) | SR = Statutory Rules |
| Ord = Ordinance | Sub‑Ch = Sub‑Chapter(s) |
| orig = original | SubPt = Subpart(s) |
| par = paragraph(s)/subparagraph(s) | |
| /sub‑subparagraph(s) |
Endnote 3 – Legislation History
This endnote sets out details of the legislation history of the Health Insurance (Extended Medicare Safety Net) Determination 2009.
Table of Instruments
| Title | FRLI registration date | Commencement date | Application, saving and |
| Health Insurance (Extended Medicare Safety Net) Determination 2009 | 15 Oct 2009 (see F2009L03861) | 1 Jan 2010 | |
| Health Insurance (Extended Medicare Safety Net ‑ Midwives) Amendment Determination 2010 | 20 Oct 2010 (see F2010L02762) | ss. 1‑3 and Schedule 1: 1 Nov 2010 Schedule 2: 1 Jan 2011 | — |
| Health Insurance (Extended Medicare Safety Net) Amendment Determination 2010 (No. 2) | 20 Oct 2010 (see F2010L02763) | 1 Jan 2011 | — |
| Health Insurance (Extended Medicare Safety Net) Amendment Determination 2011 | 2 Jun 2011 (see F2011L00915) | 1 July 2011 | — |
| Health Insurance (Extended Medicare Safety Net) Amendment Determination 2011 (No. 2) | 6 Jun 2011 (see F2011L00951) | 1 July 2011 | — |
| Health Insurance (Extended Medicare Safety Net ‑ Telehealth) Amendment Determination 2011 | 6 Jun 2011 (see F2011L00953) | 1 July 2011 | — |
| Health Insurance (Extended Medicare Safety Net) Amendment Determination 2011 (No. 3) | 5 Oct 2011 (see F2011L02021) | ss. 1‑3 and Schedule 1: 1 Nov 2011 Schedule 2: 1 Jan 2012 | — |
| Health Insurance (Extended Medicare Safety Net) Amendment Determination 2012 (No. 1) | 4 Oct 2012 (see F2012L01998) | ss. 1–3 and Schedule 1: 1 Nov 2012 Schedule 2: 1 Jan 2013 | — |
| Health Insurance (Extended Medicare Safety Net) Amendment Determination 2013 (No. 1) | 6 Mar 2013 (see F2013L00418) | 1 May 2013 | — |
Endnote 4 – Amendment history
This endnote sets out the amendment history of the Health Insurance (Extended Medicare Safety Net) Determination 2009.
| ad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted exp. = expired or ceased to have effect | |
| Provision affected | How affected |
| Schedule 1 | |
| S. 3......................................... | ad. F2012L01998 |
| S. 4......................................... | am. F2010L02762; F2010L02763; F2011L00915; F2011L00951; F2011L00953; F2011L02021; F2012L01998; F2013L00418 |
Endnote 5—Uncommenced amendments [none]
Endnote 6—Modifications [none]
Endnote 7—Misdescribed amendments [none]
Endnote 8—Miscellaneous [none]
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