Health Insurance Legislation Amendment (Indexation) Determination 2022 (Cth)
Health Insurance Legislation Amendment (Indexation) Determination 2022
I, Travis Haslam, delegate of the Minister for Health and Aged Care, make the following Determination.
Dated 31 March 2022
Travis Haslam
Acting First Assistant Secretary
Medical Benefits Division
Health Resourcing Group
Department of Health
Contents
1 Name........................................................................................................................................ 1
2 Commencement........................................................................................................................ 1
3 Authority.................................................................................................................................. 1
4 Schedules................................................................................................................................. 1
Schedule 1— Indexation Provisions............................................................................................ 2
Schedule 2— Indexation Amendments...................................................................................... 10
1 Name
This instrument is the Health Insurance Legislation Amendment (Indexation) Determination 2022.
2 Commencement
(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.
Commencement information Column 1 Column 2 Column 3 Provisions Commencement Date/Details 1. The whole of this instrument 1 July 2022. Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.
(2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.
3 Authority
This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.
4 Schedules
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.
Schedule 1— Indexation Provisions
Health Insurance (Allied Health Services) Determination 2014
1.After section 16
Insert:
17 Indexation
(1)On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2)The amounts covered by this subsection are the fee for each item in Schedule 2 of this Determination.
(3)An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C Cleft Lip and Cleft Palate Services) Determination 2020
2.After section 7
Insert:
8. Indexation
(1)On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2)The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3)An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services ‑ Optometric Services) Determination 2020
3.After section 15
Insert:
16. Indexation
(1)On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2)The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3)An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020
4.After section 6
Insert:
6A.Indexation
(1)On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2)The amounts covered by this subsection are the fee for each item in a Schedule of this Determination, other than the fee for the following:
(a) an item in Group P9.
(3)An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Poly Implant Prosthese MRI) Determination 2020
5.After section 10
Insert:
11 Indexation
(1)On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2)The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3)An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C Diagnostic Imaging Services – 3D Breast Tomosynthesis) Determination 2018
6.After section 6
Insert:
7 Indexation
(1)On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2)The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3)An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Botox, Dysport or Xeomin Injection) Determination 2020
7.After section 6
Insert:
7. Indexation
(1)On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2)The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3)An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Botox Injection) Determination 2020
8.After section 6
Insert:
7. Indexation
(1)On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2)The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3)An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Extracorporeal Photopheresis) Determination 2020
9. After section 6
Insert:
7. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Extracorporeal Photopheresis for Chronic Graft Versus Host Disease) Determination 2022
10.After section 8
Insert:
9. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Insertion of Testicular Prosthesis) Determination 2021
11.After section 6
Insert:
7. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services—Transcatheter Mitral Valve Repair) Determination 2021
12.After section 6
Insert:
7 Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021
13.After section 7
Insert:
7Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in this Determination, other than the fee for the following:
(a) items 91792, 91803, 91804, 91805, 91794, 91806, 91807, 91808, 91892, 91893, 91895, 91820, 91821, 91844, 91845, 92011, 92055, 92056, 92057, 92058, 92059, 92137, 92139, 92118, 92119, 92120, 92121, 92122, 92123, 92132, 92133, 92150, 92151, 92152, 92153, 92171, 92177, 92186, 92188, 92198, 92200, 92211, 92716, 92717, 92719, 92720, 92722, 92723, 92725, 92726, 92732, 92733, 92735, 92736, 92738, 92739, 92741, 92742, 92747 in Group A40.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (General Practice COVID‑19 Management Support Service) Determination 2021
14.After section 8
Insert:
9. Indexation
(1)On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2)The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3)An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020
15.After section 11
Insert:
12 Indexation
(1)(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2)The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3)An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C Diagnostic Imaging – Cardiac MRI for Myocarditis) Determination 2021
16.After section 7
Insert:
8. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID-19 Vaccine) Determination 2021
17.After section 9
Insert:
10. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Schedule 2— Indexation Amendments
Health Insurance (Section 3C General Medical Services – Smoking Cessation Services) Determination 2021
18.Amendments of listed provisions—Schedule
The items of the table in Schedule 1 listed in the following table are amended as set out in the table.
Amendments relating to fees Item Table item Omit Substitute 1 Item 93680 39.10 39.75 2 Item 93682 31.30 31.80 3 Item 93683 75.75 76.95 4 Item 93685 60.60 61.55 5 Item 93690 39.10 39.75 6 Item 93692 31.30 31.80 7 Item 93693 75.75 76.95 8 Item 93695 60.60 61.55 9 Item 93700 39.10 39.75 10 Item 93702 31.30 31.80 11 Item 93703 75.75 76.95 12 Item 93705 60.60 61.55 Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Determination 2019
19.Schedule 1 (item 699)
Omit “75.75”, substitute “76.95”.
20.Schedule 1 (item 177)
Omit “60.60”, substitute “61.55”.
Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021
21.Amendments of listed provisions—Schedule
The items of the table in Schedule 1 listed in the following table are amended as set out in the table.
Amendments relating to fees Item Table item Omit Substitute 1 Item 91794 14.30 14.55 2 Item 91806 31.30 31.80 3 Item 91807 60.60 61.55 4 Item 91808 89.20 90.65 5 Item 91895 60.60 61.55 6 Item 91820 77.20 78.45 7 Item 91821 110.50 112.25 8 Item 91844 77.20 78.45 9 Item 91845 110.50 112.25 10 Item 92011 176.70 179.50 11 Item 92055 120.10 122.00 12 Item 92056 95.15 96.70 13 Item 92057 58.60 59.50 14 Item 92058 58.60 59.50 15 Item 92059 59.95 60.90 16 Item 92137 63.75 64.80 17 Item 92139 63.75 64.80 18 Item 92118 59.70 60.65 19 Item 92119 87.90 89.30 20 Item 92120 59.70 60.65 21 Item 92121 59.70 60.65 22 Item 92122 75.80 77.00 23 Item 92123 111.65 113.45 24 Item 92132 59.70 60.65 25 Item 92133 59.70 60.65 26 Item 92150 59.70 60.65 27 Item 92151 87.90 89.30 28 Item 92152 75.80 77.00 29 Item 92153 111.65 113.45 30 Item 92171 59.70 60.65 31 Item 92177 59.70 60.65 32 Item 92186 77.20 78.45 33 Item 92188 110.50 112.25 34 Item 92198 77.20 78.45 35 Item 92200 110.50 112.25 36 Item 92211 127.25 129.30 37 Item 92717 14.30 14.55 38 Item 92720 31.30 31.80 39 Item 92723 60.60 61.55 40 Item 92726 89.20 90.65 41 Item 92733 14.20 14.55 42 Item 92736 31.00 31.80 43 Item 92739 60.05 61.55 44 Item 92742 89.20 90.65 Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020
22.Subsection 11(1)
Omit “67.35”, substitute “68.40”.
23.Subsection 11(2)
Omit “48.90”, substitute “49.70”.
24.Subsection 11(3)
Omit “57.25”, substitute “58.15”.
25.Subsection 11(4)
Omit “41.60”, substitute “42.25”.
26.Schedule 3 (section 3)
Omit “47.45”, substitute “48.20”.
Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID‑19 Vaccine) Determination 2021
27.Subsection 9(1)
Omit “67.35”, substitute “68.40”.
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