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. 6

Compilation date:  1 January 2022

Includes amendments up to:           F2021L01590

Registered:18 February 2022

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 2022 (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If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.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

Endnotes8

Endnote 1—About the endnotes  8

Endnote 2—Abbreviation key  9

Endnote 3—Legislation history  10

Endnote 4—Amendment history  11

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.

1. 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	1765.65
13201	2563.00
13202	68.45
13203	113.95
13206	68.45
13209	11.50
13210	5.60
13212	74.15
13215	51.35
13218	740.45
13221	22.85
13251	113.95
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	515.00
14217	326.15
14219	515.00
14220	326.15
16399	25.40
16400	11.70
16401	57.90
16404	34.75
16406	113.95
16407	65 percent of the Schedule fee for the item
16408	65 percent of the Schedule fee for the item
16500	34.75
16501	69.40
16502	23.20
16505	23.20
16508	23.20
16509	23.20
16511	115.65
16512	34.75
16514	17.40
16515	185.05
16518	185.05
16519	346.85
16520	346.85
16527	185.05
16528	346.85
16530	65 percent of the Schedule fee for the item
16564	231.25
16567	231.25
16570	231.25
16571	231.25
16573	231.25
16590	231.25
16591	115.65
16600	34.75
16603	69.40
16606	138.85
16609	266.00
16618	109.90
16624	150.35
16627	323.80
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	22.85
82105	17.15
82110	22.85
82115	57.00
82130	17.15
82135	22.85
82140	17.15

(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

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

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	34.20
55703	17.15
55704	39.90
55705	17.15
55706	56.95
55707	39.90
55708	17.15
55709	22.80
55712	68.35
55715	22.80
55718	56.95
55721	68.35
55723	22.80
55725	22.80
55729	17.15
55762	34.20
55764	91.10
55766	34.20
55768	85.50
55770	34.20
55772	91.10
55774	39.90

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 the amendment to be made. If, despite the misdescription, the amendment can be given effect as intended, the amendment is incorporated into the compiled law and the abbreviation “(md)” added to the details of the amendment included in the amendment history.

If a misdescribed amendment cannot be given effect as intended, the abbreviation “(md not incorp)” is added to the details of the amendment included in 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)	—

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
s 5................................	rep LA s 48C