Health Insurance Legislation Amendment (Indexation) Regulations 2025 (Cth)

Health Insurance Legislation Amendment (Indexation) Regulations 2025

I, the Honourable Sam Mostyn AC, Governor‑General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following regulations.

Dated 20 February 2025

Sam Mostyn AC

Governor‑General

By Her Excellency’s Command

Mark Butler

Minister for Health and Aged Care

Contents

1Name

This instrument is the Health Insurance Legislation Amendment (Indexation) Regulations 2025.

2Commencement

1. (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 2025.	1 July 2025

Note: This table relates only to the provisions of this instrument as originally made.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.

1. (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.

3Authority

This instrument is made under the Health Insurance Act 1973.

4Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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 1Amendments

Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020

1

Clause 2.4.6 of Schedule 1 (before the table)

Insert:

Note: The fees in Subgroup 1 of Group I4 are indexed in accordance with clause 2.7.1.

2

Clause 2.7.1 of Schedule 1 (heading)

Omit “1 July 2024”, substitute “1 July 2025”.

3

Subclause 2.7.1(1) of Schedule 1

Repeal the subclause, substitute:

1. (1)

   At the start of 1 July 2025 (the indexation time), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

   Note: The indexed fees could in 2025 be viewed on the Department’s MBS Online website ( subparagraph 2.7.1(2)(a)(iii) of Schedule 1

Insert:

1. (iiia)

   Subgroup 1 of Group I4 (nuclear medicine imaging services—non PET);

Health Insurance (General Medical Services Table) Regulations 2021

5

Paragraph 1.2.4(2)(c) of Schedule 1

Omit “$341.75”, substitute “$349.95”.

6

Clause 1.3.1 of Schedule 1 (heading)

Omit “1 July 2024”, substitute “1 July 2025”.

7

Subclause 1.3.1(1) of Schedule 1

Repeal the subclause, substitute:

1. (1)

   At the start of 1 July 2025 (the indexation time), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

   Note: The indexed fees could in 2025 be viewed on the Department’s MBS Online website ( 2.1.1 of Schedule 1 (table 2.1.1)

   Repeal the table, substitute:

   Table 2.1.1—Amount under clause 2.1.1
   Item	Column 1 Item of this Schedule	Column 2 Fee	Column 3 Amount if not more than 6 patients (to be divided by the number of patients) ($)	Column 4 Amount if more than 6 patients ($)
   1	4	The fee for item 3	30.70	2.45
   2	24	The fee for item 23	30.70	2.45
   3	37	The fee for item 36	30.70	2.45
   4	47	The fee for item 44	30.70	2.45
   5	58	$8.50	15.50	0.70
   6	59	$16.00	17.50	0.70
   7	60	$35.50	15.50	0.70
   8	65	$57.50	15.50	0.70
   9	124	The fee for item 123	30.70	2.45
   10	165	$88.20	15.50	0.70
   11	195	The fee for item 193	30.30	2.40
   12	414	The fee for item 410	30.20	2.40
   13	415	The fee for item 411	30.20	2.40
   14	416	The fee for item 412	30.20	2.40
   15	417	The fee for item 413	30.20	2.40
   16	5003	The fee for item 5000	30.30	2.40
   17	5010	The fee for item 5000	54.55	3.90
   18	5023	The fee for item 5020	30.30	2.40
   19	5028	The fee for item 5020	54.55	3.90
   20	5043	The fee for item 5040	30.30	2.40
   21	5049	The fee for item 5040	54.55	3.90
   22	5063	The fee for item 5060	30.30	2.40
   23	5067	The fee for item 5060	54.55	3.90
   24	5076	The fee for item 5071	30.30	2.40
   25	5077	The fee for item 5071	54.55	3.90
   26	5220	$18.50	15.50	0.70
   27	5223	$26.00	17.50	0.70
   28	5227	$45.50	15.50	0.70
   29	5228	$67.50	15.50	0.70
   30	5260	$18.50	27.95	1.25
   31	5261	$112.20	15.50	0.70
   32	5262	$112.20	27.95	1.25
   33	5263	$26.00	31.55	1.25
   34	5265	$45.50	27.95	1.25
   35	5267	$67.50	27.95	1.25
   36	90272	The fee for item 90271	30.30	2.40
   37	90274	The fee for item 90273	30.30	2.40
   38	90276	The fee for item 90275	24.20	1.90
   39	90278	The fee for item 90277	24.20	1.90

   9

   Clause 2.1.2 of Schedule 1 (table 2.1.2)

   Repeal the table, substitute:

   Table 2.1.2—Amount under clause 2.1.2
   Item	Column 1 Item of this Schedule	Column 2 Fee	Column 3 Amount if not more than 6 patients (to be divided by the number of patients) ($)	Column 4 Amount if more than 6 patients ($)
   1	181	The fee for item 179	24.60	1.95
   2	187	The fee for item 185	24.60	1.95
   3	191	The fee for item 189	24.60	1.95
   4	206	The fee for item 203	24.60	1.95
   5	303	The fee for item 301	24.60	1.95

   10

   Schedule 1 (item 111, column 2, paragraph (d))

   Omit “$341.75”, substitute “$349.95”.

   11

   Schedule 1 (item 115, column 2, paragraph (c))

   Omit “$341.75”, substitute “$349.95”.

   12

   Schedule 1 (item 117, column 2, paragraph (e))

   Omit “$341.75”, substitute “$349.95”.

   13

   Schedule 1 (item 120, column 2, paragraph (d))

   Omit “$341.75”, substitute “$349.95”.

   1. 14

      Subclause 2.20.2(1) of Schedule 1 (table 2.20.2)

   Repeal the table, substitute:

   Table 2.20.2—Amount under clause 2.20.2
   Item	Column 1 Item of this Schedule	Column 2 Fee	Column 3 Amount if not more than 6 patients (to be divided by the number of patients) ($)	Column 4 Amount if more than 6 patients ($)
   1	2723	The fee for item 2721	30.30	2.40
   2	2727	The fee for item 2725	30.30	2.40
   3	2741	The fee for item 2739	30.30	2.40
   4	2745	The fee for item 2743	30.30	2.40

   1. 15

      Subclause 2.20.2A(1) of Schedule 1 (table 2.20.2A)

   Repeal the table, substitute:

   Table 2.20.2A—Amount under clause 2.20.2A
   Item	Column 1 Item of this Schedule	Column 2 Fee	Column 3 Amount if not more than 6 patients (to be divided by the number of patients) ($)	Column 4 Amount if more than 6 patients ($)
   1	285	The fee for item 283	24.25	1.90
   2	287	The fee for item 286	24.25	1.90
   3	311	The fee for item 309	24.25	1.90
   4	315	The fee for item 313	24.25	1.90

   16

   Subclause 2.30.1(1) of Schedule 1

   Omit “$62.65”, substitute “$64.15”.

   17

   Subclause 2.30.1(2) of Schedule 1

   Omit “$45.50”, substitute “$46.60”.

   1. 18

      Subclause 5.7.1(1) of Schedule 1 (paragraph (b) of the definition of amount under clause 5.7.1)

   Omit “$21.65”, substitute “$22.15”.

   1. 19

      Subclause 5.7.1(2) of Schedule 1 (paragraph (b) of the definition of amount under clause 5.7.1)

   Omit “$32.60”, substitute “$33.40”.

   20

   Clause 5.9.1A of Schedule 1

   Omit “an item in Group T10”, substitute “this Division”.

   1. 21

      Clause 5.9.1A of Schedule 1 (definition of base unit)

   Omit “$22.55”, substitute “$23.10”.

   1. 22

      Clause 5.9.2 of Schedule 1 (paragraph (a) of the definition of amount under clause 5.9.2)

   Omit “$112.85”, substitute “5 base units”.

   1. 23

      Schedule 1 (items 51300, 51303, 51800 and 51803, column 2)

   Omit “$636.05” (wherever occurring), substitute “$651.30”.

   Health Insurance (Pathology Services Table) Regulations 2020

   24

   Clause 2.1.2 of Schedule 1 (before the table)

   Insert:

   Note: The fees in Group P1 are indexed in accordance with clause 2.14.1.

   25

   Clause 2.4.2 of Schedule 1 (before the table)

   Insert:

   Note: The fees in Group P4 are indexed in accordance with clause 2.14.1.

   26

   Clause 2.5.6 of Schedule 1 (before the table)

   Insert:

   Note: The fees in Group P5 are indexed in accordance with clause 2.14.1.

   27

   Clause 2.6.2 of Schedule 1 (note)

   Repeal the note, substitute:

   Note 1: The fees in Group P6 are indexed in accordance with clause 2.14.1.

   Note 2: See clause 2.5.4 in relation to the restriction that applies if certain services in Groups P5 and P6 are performed in a single patient episode.

   28

   Clause 2.8.1 of Schedule 1 (before the table)

   Insert:

   Note: The fees in Group P8 are indexed in accordance with clause 2.14.1.

   29

   Clause 2.14.1 of Schedule 1 (heading)

   Omit “1 July 2024”, substitute “1 July 2025”.

   30

   Subclause 2.14.1(1) of Schedule 1

   Repeal the subclause, substitute:

   1. (1)

      At the start of 1 July 2025 (the indexation time), each amount covered by subclause (1A) is replaced by the amount worked out using the following formula:

      Note: The indexed fees could in 2025 be viewed on the Department’s MBS Online website ( amounts covered by this subclause are the fee for each item in the following:

      1. (a)

         Group P1 (haematology services);

      2. (b)

         Group P4 (immunology services);

      3. (c)

         Group P5 (tissue pathology services);

      4. (d)

         Group P6 (cytology services);

      5. (e)

         Group P8 (infertility and pregnancy test services);

      6. (f)

         Group P12 (management of bulk‑billed services).