Health Insurance (Pathologist-determinable Services) Amendment Determination 2020 (Cth)

Health Insurance (Pathologist-determinable Services) Amendment Determination 2020

I, DAVID WEISS, delegate of the Minister for Health, make the following Determination.

Dated      12 March 2020

David Weiss

First Assistant Secretary

Medical Benefits Division

Health Financing Group

Department of Health

Contents

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

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

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

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

Schedule 1— Amendments................................................................................................... 2

1  Name

This instrument is the Health Insurance (Pathologist-determinable Services) Amendment Determination 2020.

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	Immediately after the Health Insurance (Section 3C Pathology Services – COVID-19) Determination 2020 takes effect

Note:        This table relates only to the provisions of this instrument as originally made.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 4BA 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Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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— Amendments

Health Insurance (Pathologist-determinable Services) Determination 2015

1. Paragraph 5(c)

Repeal and replace:

(c)     a pathology service that is mentioned in items 69494, 69495 or 69496 of the pathology services table and:

(i)    is rendered, by or on behalf of, an approved pathology practitioner who is a recognised pathologist; and

(ii)    is a service that the approved pathology practitioner determines to be necessary on the basis of:

(A)   information provided by a treating practitioner in relation to a pathology service mentioned in items 69303, 69306, 69312, 69318, 69321 or 69345 of the pathology services table, that was rendered to the patient by, or on behalf of, the approved pathology practitioner pursuant to a request that complied with paragraph 16A(4)(a) or (b) of the Act; or

(B)   the nature or appearance of the pathology specimen collected for a pathology service mentioned in items 69303, 69306, 69312, 69318, 69321 or 69345 of the pathology services table, that was rendered to the patient by, or on behalf of, the approved pathology practitioner pursuant to a request that complied with paragraph 16A(4)(a) or (b) of the Act; or

(C)   information learned from a pathology service mentioned in items 69303, 69306, 69312, 69318, 69321 or 69345 of the pathology services table, that was rendered to the patient by, or on behalf of, the approved pathology practitioner pursuant to a request that complied with paragraph 16A(4)(a) or (b) of the Act; or

(D)   a request being made by a treating practitioner for a service mentioned in item 69485 but the treating practitioner has not requested a service mentioned in items 69494, 69495 or 69496 as part of the same single patient episode.