Health Insurance Legislation Amendment (Indexation) Determination 2023 (Cth)

Case

Health Insurance Legislation Amendment (Indexation) Determination 2023

I, Daniel McCabe, delegate of the Minister for Health and Aged Care, make the following Determination.

Dated               16 March 2023

Daniel McCabe

First Assistant Secretary

Medical Benefits and Digital Health Division

Health Resourcing Group

Department of Health and Aged Care

Contents

1  Name........................................................................................................................................ 1

2  Commencement........................................................................................................................ 1

3  Authority.................................................................................................................................. 1

4  Schedules................................................................................................................................. 1

Schedule 1—Indexation provisions   2

Schedule 2—Indexation amendments   5

1  Name

This instrument is the Health Insurance Legislation Amendment (Indexation) Determination 2023.

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 2023

Note:        This table relates only to the provisions of this instrument as originally made.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Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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 (Section 3C General Medical Services –Transcatheter Aortic Valve Implantation) Determination 2018

  1. After section 8

Insert:

9.         Indexation

(1)  At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Note:          The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website ( The amounts covered by this subsection are the fee for each item in Schedule 1 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

  1. Subsection 7(1)

Repeal the subsection, substitute:

(1)  At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Note:          The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website ( Insurance (Section 3C General Medical Services - Optometric Services) Determination 2020

  1. Subsection 16(1)

Repeal the subsection, substitute:

(1)  At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Note:          The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website ( Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020

  1. Subsection 6A(1)

Repeal the subsection, substitute:

(1)  At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Note:          The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website ( Insurance (Section 3C General Medical Services – Extracorporeal Photopheresis) Determination 2020

  1. Subsection 7(1)

Repeal the subsection, substitute:

(1)  At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Note:          The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website ( Insurance (Section 3C General Medical Services – Botox Injection) Determination 2020

  1. Subsection 7(1)

Repeal the subsection, substitute:

(1)  At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Note:          The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website ( Insurance (Section 3C General Medical Services—Transcatheter Mitral Valve Repair) Determination 2021

  1. Section 7(1)

Repeal the subclause, substitute:

(1)  At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Note:          The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website ( Insurance (Section 3C Diagnostic Imaging – Cardiac MRI for Myocarditis) Determination 2021

  1. Section 8(1)

Repeal the subclause, substitute:

(1)  At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Note:          The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website ( Insurance (Section 3C General Medical Services – Extracorporeal Photopheresis for Chronic Graft Versus Host Disease) Determination 2022

  1. Section 9(1)

Repeal the subclause, substitute:

(1)  At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Note:          The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website ( 2— Indexation amendments

Health Insurance (General Practice COVID-19 Treatment) Determination 2022

  1. Schedule (item 93716, column 3)

Omit “90.50”, substitute “93.75”.

Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID‑19 Vaccine) Determination 2021

  1. Subsection 9(1)

Omit “$139.00”, substitute “$144.00”.

  1. Section 10(1)

Repeal the subclause, substitute:

(1)  At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Note:          The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website ( Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021

  1. Section 8(1)

Repeal the subsection, substitute:

(1)     At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Note:        The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website ( type="1">

  • Indexation amendments of listed provisions

  • The items of the table in Schedule 3 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 14.55 15.10
    2 Item 91806 31.80 32.95
    3 Item 91807 61.55 63.75
    4 Item 91808 90.65 93.90
    5 Item 91895 61.55 63.75
    6 Item 91820 78.45 81.30
    7 Item 91821 112.25 116.30
    8 Item 91844 78.45 81.30
    9 Item 91845 112.25 116.30
    10 Item 92011 179.50 186.00
    11 Item 92055 122.00 126.40
    12 Item 92056 96.70 100.15
    13 Item 92057 59.50 61.70
    14 Item 92058 59.50 61.70
    15 Item 92059 60.90 63.10
    16 Item 92137 64.80 67.10
    17 Item 92139 64.80 67.10
    18 Item 92118 60.65 62.85
    19 Item 92119 89.30 92.50
    20 Item 92120 60.65 62.85
    21 Item 92121 60.65 62.85
    22 Item 92122 77.00 79.75
    23 Item 92123 113.45 117.50
    24 Item 92132 60.65 62.85
    25 Item 92133 60.65 62.85
    26 Item 92150 60.65 62.85
    27 Item 92151 89.30 92.50
    28 Item 92152 77.00 79.75
    29 Item 92153 113.45 117.50
    30 Item 92171 60.65 62.85
    31 Item 92177 60.65 62.85
    32 Item 92186 78.45 81.30
    33 Item 92188 112.25 116.30
    34 Item 92198 78.45 81.30
    35 Item 92200 112.25 116.30
    36 Item 92211 129.30 133.95

    Health Insurance (Section 3C General Medical Services – Smoking Cessation Services) Determination 2021

    1. Amendments of listed provisions—Schedule 1

    The items of 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 39.75 41.20
    2       Item 93682 31.80 32.95
    3       Item 93683 76.95 79.70
    4       Item 93685 61.55 63.75
    5       Item 93690 39.75 41.20
    6       Item 93692 31.80 32.95
    7       Item 93693 76.95 79.70
    8       Item 93695 61.55 63.75
    9       Item 93700 39.75 41.20
    10       Item 93702 31.80 32.95
    11       Item 93703 76.95 79.70
    12       Item 93705 61.55 63.75

    Health Insurance (Section 3C General Medical Services - Ventral Mesh Rectopexy Services) Determination 2022

    1. Schedule (item 32118, column 3)

    Omit “1,328.00”, substitute “1,375.80”.

    Health Insurance (Section 3C Diagnostic Imaging Services – Whole Body Magnetic Resonance Imaging Scan) Determination 2022

    1. Schedule (item 63564, column 3)

    Omit “1,500.00”, substitute “1,554.00”.

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