Health Insurance (Extended Medicare Safety Net) Determination 2017 (Cth)

Health Insurance (Extended Medicare Safety Net) Determination 2017

made under section 10B of the

Health Insurance Act 1973

Compilation No. 7

Compilation date:   1 January 2023

Includes amendments up to:            F2022L01458

Registered:   20 January 2023

About this compilation

This compilation

This is a compilation of the Health Insurance (Extended Medicare Safety Net) Determination 2017 that shows the text of the law as amended and in force on 1 January 2023 (the compilation date).

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register ( The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Editorial changes

For more information about any editorial changes made in this compilation, see the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.

Self‑repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

Contents

1. Name of Determination  1

1. Definitions  1

1. Maximum increases for items under sections 10ACA and  10ADA of the Act  1

Endnotes9

Endnote 1—About the endnotes  9

Endnote 2—Abbreviation key  10

Endnote 3—Legislation history  11

Endnote 4—Amendment history  12

1       Name of Determination

This Determination is the Health Insurance (Extended Medicare Safety Net) Determination 2017.

3       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.

4.      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, and items in a determination made under subsection 3C(1) of the Act, 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	1894.50
13201	2750.00
13202	73.40
13203	122.20
13209	12.30
13212	79.50
13215	55.00
13218	794.50
13221	24.50
13251	122.20
13260	65 percent of the Schedule fee for the item
14201	15 percent of the Schedule fee for the item
14202	15 percent of the Schedule fee for the item
14216	552.50
14217	349.90
14219	552.50
14220	349.90
16400	12.50
16401	62.10
16404	37.20
16406	122.20
16407	65 percent of the Schedule fee for the item
16408	65 percent of the Schedule fee for the item
16500	37.20
16501	74.40
16502	24.80
16505	24.80
16508	24.80
16509	24.80
16511	124.00
16512	37.20
16514	18.60
16515	198.50
16518	198.50
16519	372.10
16520	372.10
16527	198.50
16528	372.10
16530	65 percent of the Schedule fee for the item
16564	248.10
16567	248.10
16570	248.10
16571	248.10
16573	248.10
16590	248.10
16591	124.00
16600	37.20
16603	74.40
16606	148.90
16609	285.40
16618	117.90
16624	161.30
16627	347.40
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
32528	15 percent of the Schedule fee for the item
32529	10 percent of the Schedule fee for the item
42504	15 percent of the Schedule fee for the item
42505	15 percent of the Schedule fee for the item
42702	15 percent of the Schedule fee for the item
42705	15 percent of the Schedule fee for the item
45560	35 percent of the Schedule fee for the item
82100	24.50
82105	18.40
82110	24.50
82115	61.10
82130	18.40
82135	24.50
82140	18.40
91850	12.50
91851	52.80
91852	39.30
91853	37.20
91855	12.50
91856	52.80
91857	39.30
91858	37.20

(2)   For section 10B of the Act:

(a)    subsections 10ACA(7A) and 10ADA(8A) apply to item 11704, 14100, 20142, 30071, 31560, 32504, 32507, 34106, 37619, 42590, 42738, 42739, 42740, 45003, 45025, 45026, 45200, 45203, 45206, 45545, 45614, 45617, 45620, 45623, 45624, 45632, 45635 and 45652 of the general medical services table; and

(b)    the maximum increase for each item is 80 percent of the Schedule fee for that item.

(3)   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, and items in a determination made under subsection 3C(1) of the Act relating to services within those Groups, 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

A10

A11

A12

A13

A14

A15

A17

A18

A19

A20

A21

A22

A23

A24

A26

A27

A28

A29

A30

A31

A32

A33

A35

A36

A39

A40

A41

A42

A45

A46

T6

(4) 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, and items in a determination made under subsection 3C(1) of the Act relating to services within those Groups, 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

M3

M6

M7

M8

M9

M10

M11

M12

M14

M15

M16

M17

M18

M19

M25

M26

M27

M28

M32

O1

(5)   For section 10B of the Act:

(a) subsections 10ACA(7A) and 10ADA(8A) apply to items 13899 of the general medical services table and items 75001, 75004, 75150, 75153, 82150, 82151, 82152, 90183, 90188, 90202 and 90212 in a determination made under subsection 3C(1) of the Act; 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.

(6)   For section 10B of the Act:

(a) subsections 10ACA(7A) and 10ADA(8A) apply to the items of the diagnostic imaging services table, and items in a determination made under subsection 3C(1) of the Act, 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	36.60
55703	18.40
55704	42.80
55705	18.40
55706	61.10
55707	42.80
55708	18.40
55709	24.40
55712	73.30
55715	24.40
55718	61.10
55721	73.30
55723	24.40
55725	24.40
55729	18.40
55740	63.60
55741	27.40
55742	63.60
55743	27.40
55757	30.30
55758	9.90
55762	36.60
55764	97.70
55766	36.60
55768	91.70
55770	36.60
55772	97.70
55774	42.80

Endnotes

Endnote 1—About the endnotes

The endnotes provide information about this compilation and the compiled law.

The following endnotes are included in every compilation:

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Abbreviation key—Endnote 2

The abbreviation key 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 (or will amend) the compiled law. The information includes commencement details for amending laws and details of any 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 (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.

Editorial changes

The Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.

If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.

Misdescribed amendments

A misdescribed amendment is an amendment that does not accurately describe how an amendment is to be made. If, despite the misdescription, the amendment can be given effect as intended, then the misdescribed amendment can be incorporated through an editorial change made under section 15V of the Legislation Act 2003.

If a misdescribed amendment cannot be given effect as intended, the amendment is not incorporated and “(md not incorp)” is added to the amendment history.

Endnote 2—Abbreviation key

ad = added or inserted	o = order(s)
am = amended	Ord = Ordinance
amdt = amendment	orig = original
c = clause(s)	par = paragraph(s)/subparagraph(s)
C[x] = Compilation No. x	/sub‑subparagraph(s)
Ch = Chapter(s)	pres = present
def = definition(s)	prev = previous
Dict = Dictionary	(prev…) = previously
disallowed = disallowed by Parliament	Pt = Part(s)
Div = Division(s)	r = regulation(s)/rule(s)
ed = editorial change	reloc = relocated
exp = expires/expired or ceases/ceased to have	renum = renumbered
effect	rep = repealed
F = Federal Register of Legislation	rs = repealed and substituted
gaz = gazette	s = section(s)/subsection(s)
LA = Legislation Act 2003	Sch = Schedule(s)
LIA = Legislative Instruments Act 2003	Sdiv = Subdivision(s)
(md) = misdescribed amendment can be given	SLI = Select Legislative Instrument
effect	SR = Statutory Rules
(md not incorp) = misdescribed amendment	Sub‑Ch = Sub‑Chapter(s)
cannot be given effect	SubPt = Subpart(s)
mod = modified/modification	underlining = whole or part not
No. = Number(s)	commenced or to be commenced

Endnote 3—Legislation history

Name	Registration	Commencement	Application, saving and transitional provisions
Health Insurance (Extended Medicare Safety Net) Determination 2017	24 Aug 2017 (F2017L01082)	1 Nov 2017 (s 2 item 1)
Health Insurance (Extended Medicare Safety Net) Amendment Determination 2019	30 Oct 2018 (F2018L01502)	1 Jan 2019 (s 2(1) item 1)	—
Health Insurance (Extended Medicare Safety Net) Amendment (Eating Disorders Capping) Determination 2019	26 Sept 2019 (F2019L01276)	Sch 1: 1 Nov 2019 (s 2(1) item 2) Sch 2: 1 Jan 2020 (s 2(1) item 3)	—
Health Insurance (Extended Medicare Safety Net) Amendment Determination 2020	25 Feb 2020 (F2020L00166)	Sch 1 (items 1–3): 1 May 2020 (s 2(1) item 2)	—
Health Insurance (Extended Medicare Safety Net) Amendment (Indexation) Determination 2020	20 Nov 2020 (F2020L01444)	Sch 1 (items 1–6): 1 Jan 2021 (s 2(1) item 2)	—
Health Insurance (Extended Medicare Safety Net) Amendment (Repetitive Transcranial Magnetic Stimulation Capping) Determination 2021	2 Sept 2021 (F2021L01230)	Sch 1: awaiting commencement (s 2(1) item 2)	—
Health Insurance (Extended Medicare Safety Net) Amendment (Indexation) Determination 2021	23 Nov 2021 (F2021L01590)	Sch 1: 1 Jan 2022 (s 2(1) item 2)	—
Health Insurance (Extended Medicare Safety Net) Amendment (Indexation) Determination 2022	14 Nov 2022 (F2022L01458)	Sch 1: 1 Jan 2023 (s 2(1) item 2)	—

Endnote 4—Amendment history

Provision affected	How affected
s 2................................	rep LA s 48D
s 4................................	am F2018L01502; F2019L01276
ed C2
am F2020L00166; F2020L01444; F2021L01230; F2021L01590; F2022L01458
s 5................................	rep LA s 48C