Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Amendment (No. 2) Determination 2023 (Cth)

Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Amendment (No. 2) Determination 2023

I, Louise Riley, delegate of the Minister for Health and Aged Care, make the following determination.

Dated 14 September 2023

Louise Riley

Assistant Secretary

MBS Policy and Reviews Branch

Medicare 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—Amendments 2

Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 2

1 Name

This instrument is the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Amendment (No. 2) 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	Immediately after the commencement of Schedule 5 of the Health Insurance Legislation Amendment (2023 Measures No. 3) Regulations 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Note: This table relates only to the provisions of this instrument as originally made.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Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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—Amendments

Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018

1 Subsection 4(1)

Repeal the following definitions:

(a)definition of 2016 estimated resident population;

(b)definition of affected by bushfire;

(c)definition of ASGS;

(d)definition of COVID-19 Determination;

(e)definition of eating disorder treatment and management plan;

(f)definition of eligible area;

2 Subsection 4(1) (definition of medical practitioner)

Repeal the definition, substitute:

prescribed medical practitioner means a medical practitioner who is not a general practitioner, specialist or consultant physician, and who:

(a)is registered under section 3GA of the Act, to the extent that the person is practicing during the period in respect of which, and in the location in respect of which, he or she is registered, and insofar as the circumstances specified for paragraph 19AA(3)(b) of the Act apply; or

(b)is covered by an exemption under subsection 19AB(3) of the Act; or

(c)first became a medical practitioner before 1 November 1996.

3. Subsection 4(1)

Repeal the following definitions:

(a)definition of Modified Monash 1 area;

(b)definition of Modified Monash 2 area;

(c)definition of Modified Monash 3 area;

(d)definition of Modified Monash 4 area;

(e)definition of Modified Monash 5 area;

(f)definition of Modified Monash 6 area;

(g)definition of Modified Monash 7 area;

(h)definition of telehealth area.

4 Section 6

Repeal the section, substitute:

6. Application of general provisions of the general medical services table

Clause 1.2.1 of the general medical services table shall have effect as if an item in Schedule 1 of this Determination were specified in Schedule 1 of the general medical services table.

Clause 1.2.5 of the general medical services table shall have effect as if:

(a)an item in Schedule 1 of this Determination were specified in subclause 1.2.5(1) of the general medical services table; and

(b)an item in Schedule 1 of this Determination were specified in subclause 1.2.5(3) of the general medical services table.

Clause 1.2.7 of the general medical services table shall have effect as if an item in Schedule 1 of this Determination were also specified in subclause 1.2.7(1).

Clause 1.2.8 of the general medical services table shall have effect as if an item in Schedule 1 of this Determination were also specified in clause 1.2.8.

Clause 1.2.9 of the general medical services table shall have effect as if an item in Schedule 1 of this Determination were also specified in clause 1.2.9.

Clause 1.2.10 of the general medical services table shall have effect as if an item in Schedule 1 of this Determination were also specified in clause 1.2.10.

5 Clause 1.1.1 of Schedule 1 (table 1.1.1)

Repeal the table, substitute:

Table 1.1.1—Amount under clause 1.1.1
Item	Column 1 Item/s of the table	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	761	The fee for item 733	$22.90	$1.80
2	763	The fee for item 737	$22.90	$1.80
3	766	The fee for item 741	$22.90	$1.80
4	769	The fee for item 745	$22.90	$1.80
5	772	The fee for item 733	$41.15	$2.90
6	776	The fee for item 737	$41.15	$2.90
7	788	The fee for item 741	$41.15	$2.90
8	789	The fee for item 745	$41.15	$2.90
9	2198	The fee for item 2197	$22.90	$1.80
10	2200	The fee for item 2197	$41.15	$2.90

6 Division 1.2 of Schedule 1

Repeal the Division.

7 Division 1.3 of Schedule 1

Repeal the Division.

8 Division 1.4 of Schedule 1

Repeal the Division.

9 Division 1.5 of Schedule 1

Repeal the Division.

10 Division 1.6 of Schedule 1

Repeal the Division.

11 Division 1.7 of Schedule 1

Repeal the Division.

12 Division 1.9 of Schedule 1

Repeal the Division.

13 Division 1.10 of Schedule 1

Repeal the table, substitute:

Group A7 – Acupuncture and Non‑Specialist Practitioner Items
Subgroup 10 – Prescribed Medical Practitioner after‑hours attendances to which no other item applies
Item	Description	Fee ($)
733	Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance	25.50
737	Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance	43.10
741	Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance	73.95
745	Professional attendance at consulting rooms of more than 45 minutes in duration but not more than 60 minutes (other than a service to which another item applies) by a prescribed medical practitioner—each attendance	103.70
761	Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting not more than 5 minutes—an attendance on one or more patients on one occasion—each patient	Amount under clause 1.1.1
763	Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 5 minutes, but not more than 25 minutes—an attendance on one or more patients on one occasion—each patient	Amount under clause 1.1.1
766	Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 25 minutes, but not more than 45 minutes—an attendance on one or more patients on one occasion—each patient	Amount under clause 1.1.1
769	Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 45 minutes, but not more than 60 minutes—an attendance on one or more patients on one occasion—each patient.	Amount under clause 1.1.1
772	Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self‑contained unit) of not more than 5 minutes in duration by a prescribed medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient	Amount under clause 1.1.1
776	Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self‑contained unit) of more than 5 minutes in duration but not more than 25 minutes in duration by a prescribed medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient	Amount under clause 1.1.1
788	Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self‑contained unit) of more than 25 minutes in duration but not more than 45 minutes by a prescribed medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient	Amount under clause 1.1.1
789	Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self‑contained unit) of more than 45 minutes but not more than 60 minutes in duration by a prescribed medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient	Amount under clause 1.1.1
2197	Professional attendance at consulting rooms of more than 60 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance.	176.20
2198	Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 60 minutes—an attendance on one or more patients on one occasion—each patient.	Amount under clause 1.1.1
2200	Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 60 minutes in duration by a prescribed medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient.	Amount under clause 1.1.1

14 Division 1.11 of Schedule 1

Repeal the Division.

15 Division 1.14 of Schedule 1

Repeal the Division.