Health Insurance (General Medical Services Table) Amendment Regulations 2009 (No. 2) (Cth)

Health Insurance (General Medical Services Table) Amendment Regulations 2009 (No. 2)¹

Select Legislative Instrument 2009 No. 138

I, QUENTIN BRYCE, Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.

Dated 24 June 2009

QUENTIN BRYCE

Governor-General

By Her Excellency’s Command

NICOLA ROXON

Minister for Health and Ageing

Name of Regulations

These Regulations are the Health Insurance (General Medical Services Table) Amendment Regulations 2009 (No. 2).

Commencement

These Regulations commence on 1 July 2009.

Amendment of Health Insurance (General Medical Services Table) Regulations 2008

Schedule 1 amends the Health Insurance (General Medical Services Table) Regulations 2008.

Schedule 1 Amendments

(regulation 3)

[1] Schedule 1, subrule 3 (1), definition of practice nurse

omit

general practice.

insert

general practice or by a health service that has an exemption to claim medicare benefits under subsection 19 (2) of the Health Insurance Act 1973.

[2] Schedule 1, subrule 13 (3)

after

11820,

insert

11823,

[3] Schedule 1, rule 55, heading

substitute

GP Mental Health Treatment Plans (Subgroup 1 of Group A20)

[4] Schedule 1, subrule 55 (1)

substitute

(1)For item 2710:

(a)preparation of a GP mental health treatment plan means the preparation of a comprehensive written plan, in consultation with a patient (and, if subrule (6) applies, with the patient’s carer), that includes all of the following:

(i)assessment of the patient’s mental disorder, including administration of an outcome measurement tool (except if considered clinically inappropriate);

(ii)formulation, including either provisional diagnosis or diagnosis, of the mental disorder;

(iii)treatment goals with which the patient agrees;

(iv)any action to be taken by the patient;

(v)a plan for crisis intervention and relapse prevention, if appropriate;

(vi)referral and treatment options for the patient;

(vii)arrangements for providing the referral and treatment options in subparagraph (vi);

(viii)arrangements to review the plan; and

(b)preparation of a GP mental health treatment plan also includes all of the following:

(i)explaining to the patient (and, if subrule (6) applies, to the patient’s carer) the steps involved in preparing the plan;

(ii)recording the plan, including all of the matters specified in subparagraphs (1) (a) (ii) to (viii);

(iii)recording the patient’s agreement to the preparation of the plan;

(iv)offering the patient (and, if subrule (6) applies, the patient’s carer) suitable education about the mental disorder and a copy of the plan;

(v)adding a copy of the plan to the patient’s medical records.

[5] Schedule 1, subrule 55 (2)

omit

paragraph (1) (f)

insert

subparagraph (1) (a) (vi)

[6] Schedule 1, subrule 55 (3)

omit

[7] Schedule 1, subrule 55 (4) and paragraph 55 (6) (b)

omit

mental health care

insert

mental health treatment

[8] Schedule 1, rules 56 and 57

omit each mention of

Mental Health Care

insert

Mental Health Treatment

[9] Schedule 1, subrule 62 (2)

omit

12533,

insert

12530,

[10] Schedule 1, rule 72, heading

substitute

Application of items in Group M2

[11] Schedule 1, subrule 72 (1)

substitute

(1)For this rule and for the items in Group M2:

practice nurse has the meaning given by subrule 3 (1).

[12] Schedule 1, Group A20, Subgroup 1, heading

substitute

Subgroup 1 —GP Mental Health Treatment Plans

[13] Schedule 1, items 2710 and 2712

omit

GP Mental Health Care Plan

insert

GP Mental Health Treatment Plan

[14] Schedule 1, Group 5, heading

substitute

Group M5 — Services provided by a registered Aboriginal health worker on behalf of a medical practitioner

10987

Follow-up service to a maximum of 5 services per patient in a calendar year provided by a practice nurse or registered Aboriginal health worker, on behalf of a medical practitioner, for an Indigenous person who has received a health assessment if:

(a) the service is provided on behalf of and under the supervision of a medical practitioner; and

22.20

(b) the person is not an admitted patient of a hospital; and

[15] Schedule 1, Group 1, heading

substitute

Group M1 — Management of bulk-billed services

[16] Schedule 1, Group 2, heading

substitute

Group M2 — Services provided by a practice nurse on behalf of a medical practitioner

[17] Schedule 1, after item 11820

insert

11823

Capsule endoscopy to conduct small bowel surveillance of a patient diagnosed with Peutz-Jeghers Syndrome, using a capsule endoscopy device approved by the Therapeutic Goods Administration (including administration of the capsule, imaging, image reading and interpretation, and all attendances for providing the service on the day the capsule is administered) if:

(a) the service is performed by a specialist or consultant physician with endoscopic training that is recognised by the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy; and

(b) the item is performed only once in any 2 year period; and

1 883.90

[18] Schedule 1, item 12533, after paragraph (b)

insert

(not being a service associated with a service to which item 66900 applies)

[19] Schedule 1, item 22055 and items 22065 to 22075

omit

associated with a service

insert

associated with anaesthesia

[20] Schedule 1, items 30168 and 30171

omit

skin or fat

insert

skin and fat

[21] Schedule 1, items 30684 and 30686

omit

polypectomy, snares,

insert

snare polypectomy,

[22] Schedule 1, after item 32218

insert in subgroup 2

32220	Insertion of an artificial bowel sphincter for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed (Anaes.) (Assist)	835.05
32221	Removal or revision of an artificial bowel sphincter (with or without replacement) for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed (Anaes.) (Assist)	835.05

[23] Schedule 1, items 45557 and 45558

omit

groove

insert

groove, not being a service associated with a service to which item 45522 applies

Note

All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See