National Health Act 1971 (Cth)

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National Health

No. 85 of 1971

An Act relating to the Provision of Nursing Home and Pharmaceutical Benefits and Medical Services.

[Assented to 20 October 1971]

BE it enacted by the Queen’s Most Excellent Majesty, the Senate, and the House of Representatives of the Commonwealth of Australia, as follows:—

Short title and citation.

1.—(1.) This Act may be cited as the National Health Act 1971.

(2.) The National Health Act 1953–1970 is in this Act referred to as the Principal Act.

(3.) The Principal Act, as amended by this Act, may be cited as the National Health Act 1953–1971.

Commencement.

2.—(1.) Except as provided otherwise, this Act shall come into operation on the day on which it receives the Royal Assent.

(2.) Section 3 of this Act shall come into operation on the day after the day on which this Act receives the Royal Assent.

(3.) Sections 4, 5, 6 and 11 of this Act shall come into operation on a date to be fixed by Proclamation.

Benefit payable in respect of nursing home care.

3. Section 56 of the Principal Act is amended by omitting from subsection (1.) the words “Two dollars” and inserting in their stead the words “Three dollars fifty cents”.

Interpretation.

4. Section 84 of the Principal Act is amended—

(a)by inserting after the definition of “brand” in sub-section (1.) the following definition:—

“‘dependant’, in relation to a subsidized beneficiary, means—

(a)if the subsidized beneficiary is married and is not living permanently apart from his or her spouse—that spouse;

(b)a person who is living with the subsidized beneficiary (not being a person to whom the subsidized beneficiary is legally married) as the spouse of the subsidized beneficiary on a permanent and bona fide domestic basis;

 

(c) a child under the age of 16 years in the custody, care and control of—

(i) the subsidized beneficiary;

(ii) the spouse of the subsidized beneficiary; or

(iii) a person who is living with the subsidized beneficiary (not being a person to whom the subsidized beneficiary is legally married) as the spouse of the subsidized beneficiary on a permanent and bona fide domestic basis; or

(d)a child in the custody, care and control of a person referred to in a sub-paragraph of the last preceding paragraph, being a child who—

(i) has attained the age of 16 years but is under the age of 21 years;

(ii) is receiving full-time education at a school, college or university;

(iii) is wholly or substantially dependent on the person in whose custody, care and control the child is; and

(iv) is not in receipt of an invalid pension under Part III. of the Social Services Act 1947–1971;”;

(b)by inserting after the definition of “refund agreement” in sub-section (1.) the following definition:—

“‘the appropriate maximum amount’, in relation to a prescription (other than a prescription that is marked, in accordance with the regulations, as a prescription in respect of a pensioner), means—

(a)where the prescription is marked, in accordance with the regulations, as a prescription in respect of a subsidized beneficiary—an amount of Fifty cents; or

(b) in any other case—an amount of One dollar.”; and

(c) by inserting after sub-section (1.) the following sub-section:—

“(1aa.) For the purposes of this Part—

(a) a person shall be deemed to be a subsidized beneficiary during any of the following periods:—

(i) a period in respect of which benefit was paid or is payable to him under Part VII. of the Social Services Act 1947–1971, being a period commencing on or after the date of commencement of this sub-section;

 

(ii) unless the period referred to in the last preceding sub-paragraph ended by reason of the cancellation, under section one hundred and twenty or section one hundred and twenty-one of that Act, of the payment of the benefit—the period of four weeks that immediately follows that period;

(b)a person shall be deemed to be a subsidized beneficiary during any period in. relation to which a determination under section eighty-two u or section eighty-two zc of this Act is in force in respect of the person, being a period commencing on or after the date of commencement of this sub-section;

(c) an immigrant who is the holder of an entry permit, not being a temporary entry permit, in force under the Migration Act 1958–1966 shall—

(i) if he first entered Australia on or after the date of commencement of this sub-section, be deemed to be a subsidized beneficiary during the period of two months after that first entry; or

(ii) if he first entered Australia on a date less than two months before the date of commencement of this sub-section, be deemed to be a subsidized beneficiary during that part of the period of two months after that first entry that commences on the date of commencement of this sub-section; and

(d)a dependant of a subsidized beneficiary shall be deemed to be a subsidized beneficiary.”.

Limited charges for pharmaceutical benefits.

5. Section 87 of the Principal Act is amended by omitting the words “Fifty cents” (wherever occurring) and inserting in their stead the words “the appropriate maximum amount”.

Payment for supply of benefits.

6. Section 99 of the Principal Act is amended by omitting from sub-section (2a.) the words “Fifty cents” (wherever occurring) and inserting in their stead the words “the appropriate maximum amount”.

Amendments of the Schedules having effect from 1 April, 1971.

7.—(1.) The Schedules to the Principal Act are amended as set out in the First Schedule to this Act.

(2.) The amendments made by this section shall be deemed to have come into operation on the first day of April, One thousand nine hundred and seventy-one.

Amendments of the Schedules having effect from 1 July, 1971.

8.—(1.) The Schedules to the Principal Act, as amended in accordance with the last preceding section, are amended as set out in the Second Schedule to this Act.

 

(2.) The amendments made by this section shall be deemed to have come into operation on the first day of July, One thousand nine hundred and seventy-one.

Repeal of Statutory Rules.

9. The National Health (Variation of Benefits) (No. 1) Regulations (being Statutory Rules 1971, No. 43) and the National Health (Variation of Benefits) (No. 2) Regulations (being Statutory Rules 1971, No. 75) are repealed.

Regulations may be made before the commencement of amendments.

10. At any time after this Act receives the Royal Assent and before the date of commencement of section 4 of this Act, regulations may be made for the purposes of the definition of “the appropriate maximum amount” in section 84 of the Principal Act, as amended by this Act, as if that first-mentioned section had come into operation, but regulations so made shall not come into operation before the date of commencement of that first-mentioned section.

Application of amendments made by sections 4, 5 and 6.

11. The amendments made by section 4, 5 and 6 of this Act apply in relation to the supply of a pharmaceutical benefit on or after the date of commencement of those sections.

   

THE SCHEDULES

FIRST SCHEDULE Section 7 (1.).

AMENDMENTS OF THE TABLE IN THE FIRST SCHEDULE TO THE PRINCIPAL ACT

1. Omit from item 37 “paralysis”, insert “or circulatory failure”.

2. Omit from item 451 “Major”, insert “Initial major”.

3. Insert each of the following items in the appropriate place in the table having regard to the number of the item:—

“452

Subsequent major regional or field block, including abdominal; brachial plexus; caudal; cervical plexus; epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal...................................................................................................

5.40”

“868

Intralymphatic insertion of needle or cannula for the purpose of introduction of radio-active material................................................................................................

11.40”

“965

Oesophageal motility test, manometric........................................................

7.20”.

4. Omit from item 1957 “9.00”, insert “12.60”.

5. Omit from item 1963 “4.50”, insert “5.10”.

6. Omit from item 1967 “6.90”, insert “8.10”.

7. Omit from item 1971 “10.20”, insert “11.40”.

8. After item 1975, insert the following item:—

“1976

Scan of liver and spleen..........................................................................

19.20”.

9. Omit from item 1977 “7.20”, insert “9.00”.

10. After item 1979, insert the following item:—

“1980

Renal scan and differential renal scan........................................................

15 00”.

11. Omit from item 1981 “7.20”, insert “9.00”.

12. Omit from item 2460 “2.40”, insert “3.60”.

13. Omit from item 2464 “3.60”, insert “3.90”.

14. Omit from item 3055 “10.50”, insert “12.60”.

15. Insert each of the following items in the appropriate place in the table, being a place before the heading that follows item 4040, having regard to the number of the item:—

“3823

Haemorrhoids, rubber band ligation of.....................................................

4.50”

“4034

Transluminal angioplasty including associated radiological services and preparation 

45.00”

“4042

Arteriovenous shunt, external, removal of................................................

18.60”

“4044

Arteriovenous anastomosis, direct, of upper or lower limb........................

69.00”

16. After item 4355, insert the following item:—

“4356

Glomus tumour, transtympanic excision of...............................................

87.00”.

17. Insert in item 5842, after “operation for”, “,not covered by item 5846”.

18. Omit from item 5846 “42.00”, insert “69.00”.

19. Omit from item 5989 “78.00”, insert “96.00”.

20. Omit from items 7224 and 7225 “phalanx, metacarpal or metatarsal”, insert “phalanx or metatarsal”.

21. After item 7225, insert the following item:—

“7226

Hallux valgus, correction of, with osteotomy or osteectomy of phalanx or metatarsal and transplantation of adductor hallucis tendon..........................................

72.00”.

 

First Schedule—continued

AMENDMENTS OF THE TABLE IN THE SECOND SCHEDULE TO THE PRINCIPAL ACT

1. Omit the items relating to items 1957, 1963, 1967, 1971, 1977, 1981, 2460, 2464, 3055, 5846 and 5989 in the First Schedule to the Principal Act, insert the following items, respectively:—

“1957...........................................

8.40

3.00”

“1963...........................................

3.40

2.50”

“1967...........................................

5.40|

3.00”

“1971...........................................

7.60

3.00”

“1977...........................................

6.00

3.00”

“1981...........................................

6.00

3.00”

“2460...........................................

2.40

1.50”

“2464...........................................

2.60

1.50”

“3055...........................................

8.40

3.00”

“5846...........................................

46.00

5.00”

“5989...........................................

64.00

5.00”

2. Insert each of the following items in the appropriate place in the table having regard to the number specified in the first column:—

“452.............................................

3.60

2.50”

“868.............................................

7.60

3.00”

“965.............................................

4.80

3.00”

“1976...........................................

12.80

4.00”

“1980...........................................

10.00

3.00”

“3823...........................................

3.00

2.50”

“4034...........................................

30.00

5.00”

“4042...........................................

12.40

4.00”

“4044...........................................

46.00

5.00”

“4356...........................................

58.00

5.00”

“7226...........................................

48.00

5.00”.

 

AMENDMENTS OF THE TABLE IN THE THIRD SCHEDULE TO THE PRINCIPAL ACT

1. Omit the items relating to items 1957, 1963, 1967, 1971, 1977, 1981, 2460, 2464, 3055, 5846 and 5989 in the First Schedule to the Principal Act, insert the following items, respectively:—

“1957..........................................

8.40

3.00”

“1963..........................................

4.40

1.50”

“1967..........................................

6.40

2.00”

“1971..........................................

7.60

3.00”

“1977..........................................

7.00

2.00”

“1981..........................................

7.00

2.00”

“2460..........................................

2.40

1.00”

“2464..........................................

3.10

1.00”

“3055..........................................

8.40

3.00”

“5846..........................................

46.00

5.00”

“5989..........................................

64.00

5.00”

 

First Schedule—continued

2. Insert each of the following items in the appropriate place in the table having regard to the number specified in the first column:—

“452...........................................

3.10

1.50”

“868...........................................

7.60|

3.00”

“965...........................................

5.80

2.00”

“1976.........................................

12.80

4.00”

“1980.........................................

10.00

3.00”

“3823.........................................

4.00

1.50”

“4034.........................................

30.00

5.00”

“4042.........................................

12.40

4.00”

“4044.........................................

46.00

5.00”

“4356.........................................

58.00

5.00”

“7226.........................................

38.00

5.00”

 

AMENDMENTS OF THE TABLE IN THE FOURTH SCHEDULE TO THE PRINCIPAL ACT

1. Omit the items relating to items 1957, 1963, 1967, 1971, 1977, 1981, 2460, 2464, 3055, 5846 and 5989 in the First Schedule to the Principal Act, insert the following items, respectively:—

“1957..........................................

8.40

3.00”

“1963..........................................

4.40

1.50”

“1967..........................................

6.40

2.00”

“1971..........................................

7.60

3.00”

“1977..........................................

7.00

2.00”

“1981..........................................

7.00

2.00”

“2460..........................................

2.40

1.00”

“2464..........................................

3.10

1.00”

“3055..........................................

8.40

3.00”

“5846..........................................

31.00

5.00”

“5989..........................................

64.00

5.00”

2. Insert each of the following items in the appropriate place in the table having regard to the number specified in the first column:—

“452............................................

4.10

1.50”

“868............................................

7.60

3.00”

“965............................................

5.80

2.00”

“1976..........................................

12.80

4.00”

“1980..........................................

10.00

3.00”

“3823..........................................

4.00

1.50”

“4034..........................................

30.00

5.00”

“4042..........................................

12.40

4.00”

“4044..........................................

46.00

5.00”

“4356..........................................

58.00

5.00”

“7226..........................................

25.50

5.00”

 

First Schedule—continued

AMENDMENTS OF THE TABLE IN THE FIFTH SCHEDULE TO THE PRINCIPAL ACT

1. Omit the items relating to items 1957, 1963, 1967, 1971, 1977, 1981, 2460, 2464, 3055, 5846 and 5989 in the First Schedule to the Principal Act, insert the following items, respectively:—

“1957..........................................

8.40

3.00”

“1963..........................................

4.40

1.50”

“1967..........................................

6.40

2.00”

“1971..........................................

7.60

3.00”

“1977..........................................

7.00

2.00”

“1981..........................................

7.00

2.00”

“2460..........................................

1.90

1.00”

“2464..........................................

3.10

1.00”

“3055..........................................

8.40

3.00”

“5846..........................................

16.00

5.00”

“5989..........................................

64.00

5.00”

2. Insert each of the following items in the appropriate place in the table having regard to the number specified in the first column:—

“452...........................................

3.10

1.50”

“868...........................................

7.60

3.00”

“965...........................................

5.80

2.00”

“1976.........................................

12.80

4.00”

“1980.........................................

10.00

3.00”

“3823.........................................

4.00

1.50”

“4034.........................................

30.00

5.00”

“4042.........................................

12.40

4.00”

“4044.........................................

46.00

5.00”

“4356.........................................

58.00

5.00”

“7226.........................................

23.00

5.00”

 

AMENDMENTS OF THE TABLE IN THE SIXTH SCHEDULE TO THE PRINCIPAL ACT

1. Omit the items relating to items 1957, 1963, 1967, 1971, 1977, 1981, 2460, 2464, 3055, 5846 and 5989 in the First Schedule to the Principal Act, insert the following items, respectively:—

“1957..........................................

8.40

3.00”

“1963..........................................

4.40

1.50”

“1967..........................................

6.40

2.00”

“1971..........................................

7.60

3.00”

“1977..........................................

7.00

2.00”

“1981..........................................

7.00

2.00”

“2460..........................................

1.90

1.00”

“2464..........................................

3.10

1.00”

“3055..........................................

8.40

3.00”

“5846..........................................

31.00

5.00”

“5989..........................................

64.00

5.00”

 

First Schedule—continued

2. Insert each of the following items in the appropriate place in the table having regard to the number specified in the first column of the item:—

“452............................................

3.10

1.50”

“868............................................

7.60

3.00”

“965............................................

5.80

2.00”

“1976..........................................

12.80

4.00”

“1980..........................................

10.00

3.00”

“3823..........................................

4.00

1.50”

“4034..........................................

30.00

5.00”

“4042..........................................

12.40

4.00”

“4044..........................................

46.00

5.00”

“4356..........................................

58.00

5.00”

“7226..........................................

28.00

5.00”.

 

AMENDMENTS OF THE TABLE IN THE SEVENTH SCHEDULE TO THE PRINCIPAL ACT

1. Omit the items relating to items 1957, 1963, 1967, 1971, 1977, 1981, 2460, 2464, 3055, 5505, 5507, 5846 and 5989 in the First Schedule to the Principal Act, insert the following items, respectively:—

“1957...........................................

8.40

3.00”

“1963...........................................

4.40

1.50”

“1967...........................................

6.40

2.00”

“1971...........................................

7.60

3.00”

“1977...........................................

7;00

2.00”

“1981...........................................

7.00|

2.00”

“2460...........................................

1.90

1.00”

“2464...........................................

3.10

1.00”

“3055...........................................

8.40

3.00”

“5505...........................................

34.00

5.00”

“5507...........................................

46.00

5.00”

“5846...........................................

16.00

5.00”

“5989...........................................

64.00

5.00”.

2. Insert each of the following items in the appropriate place in the table having regard to the number specified in the first column of the item:—

“452.............................................

2.60

1.00”

“868.............................................

7.60

3.00”

“965.............................................

5.80

2.00”

“1976...........................................

12.80

4.00”

“1980...........................................

10.00

3.00”

“3823...........................................

4.00

1.50”

“4034...........................................

30.00

5.00”

“4042...........................................

12.40

4.00”

“4044...........................................

46.00

5.00”

“4356...........................................

58.00

5.00”

“7226...........................................

13.00

5.00”.

 

SECOND SCHEDULE Section 8 (1.).

AMENDMENTS OF THE TABLE IN THE FIRST SCHEDULE TO THE PRINCIPAL ACT AS AMENDED IN ACCORDANCE WITH SECTION 7 OF THIS ACT

1. Omit items 2 and 3, insert the following items:—

“1.

Professional attendance (not being an attendance covered by any other item in this Part)—each attendance at consulting rooms, hospital or nursing home......

1.25

“4.

Professional attendance (not being an attendance covered by any other item in this Part)—each attendance at a place other than consulting rooms, hospital or nursing home......................................................................................................

1.95”.

2. Omit item 43, insert the following item:—

“44.

Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (G)............................................

1.25”.

3. Omit items 203 and 206, insert the following items:—

“201.

Antenatal care where attendances do not exceed ten— each attendance....

1.25

“204.

Antenatal care where attendances exceed ten.............................................

20.40”.

4. Omit item 3000, insert the following item:—

“3002.

Dressing of localised burns (not involving grafting)— each attendance at which the procedure is performed.........................................................................

1.25”.

5. Omit item 5714, insert the following item:—

“5713.

Cornea or sclera, removal of superficial foreign body from.....................

1.25”.

6. Omit item 6100, insert the following item:—

“6101.

Local infiltration around nerve or in muscle with alcohol, procaine or similar preparation—each attendance at which an injection is given...............

1.25”.

7. Omit item 6498, insert the following item:—

“6497.

One or more ribs—each attendance (G).....................................................

1.25”.

8. Omit item 6574, insert the following item:—

“6572.

Skull, not requiring operation—each attendance (G).................................

1.25”.

9. Omit item 6578, insert the following item:—

“6577.

Nasal bones, not requiring reduction—each attendance (G)

1.25”.

10. Omit item 6623, insert the following item:—

“6622.

Spine (excluding sacrum), transverse process or bone other than vertebral body, not requiring immobilisation in plaster—each attendance (G)...................

1.25”.

11. Omit item 6628, insert the following item:—

“6627.

Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilisation in plaster—each attendance (G)..................................

1.25”.

 

AMENDMENTS OF THE TABLE IN THE SECOND SCHEDULE TO THE PRINCIPAL ACT AS AMENDED IN ACCORDANCE WITH SECTION 7 OF THIS ACT

Omit the items relating to items 2, 3, 43, 203, 206, 3000, 5714, 6100, 6498, 6574, 6578, 6623 and 6628 in the First Schedule to the Principal Act as so amended, insert the following items, respectively:—

“1

1.75

0.80”

“4

1.90

1.20”

“44

1.75

0.80”

 

Second Schedule—continued

“201

1.75

0.80”

“204

13.60

4.00”

“3002

1.75

0.80”

“5713

1.75

0.80”

“6101

1.75

0.80”

“6497

1.75

0.80”

“6572

1.75

0.80”

“6577

1.75

0.80”

“6622

1.75

0.80”

“6627

1.75

0.80”.

 

AMENDMENTS OF THE TABLE IN THE THIRD SCHEDULE TO THE PRINCIPAL ACT AS AMENDED IN ACCORDANCE WITH SECTION 7 OF THIS ACT

Omit the items relating to items 2, 3, 43, 203, 206, 3000, 5714, 6100, 6498, 6574, 6578, 6623 and 6628 in the First Schedule to the Principal Act as so amended, insert the following items, respectively:—

“1

1.35

0.80”

“4

1.65

1.20”

“44

1.35

0.80”

“201

1.35

0.80”

“204

9.60

4.00”

“3002

1.35

0.80”

“5713

1.35

0.80”

“6101

1.35

0.80”

“6497

1.35

0.80”

“6572

1.35

0.80”

“6577

1.35

0.80”

“6622

1.35

0.80”

“6627

1.35

0.80”.

 

AMENDMENTS OF THE TABLE IN THE FOURTH SCHEDULE TO THE PRINCIPAL ACT AS AMENDED IN ACCORDANCE WITH SECTION 7 OF THIS ACT

Omit the items relating to items 2, 3, 43, 203, 206, 3000, 5714, 6100, 6498, 6574, 6578, 6623 and 6628 in the First Schedule to the Principal Act as so amended, insert the following items, respectively:—

“1

1.25

0.80”

“4

1.80

1.20”

“44

1.25

0.80”

“201

1.25

0.80”

“204

8.60

4.00”

 

Second Schedule—continued

“3002

1.25

0.80”

“5713

1.25

0.80”

“6101

1.25

0.80”

“6497

1.25

0.80”

“6572

1.25

0.80”

“6577

1.25

0.80”

“6622

1.25

0.80”

“6627

1.25

0.80”.

 

AMENDMENTS OF THE TABLE IN THE FIFTH SCHEDULE TO THE PRINCIPAL ACT AS AMENDED IN ACCORDANCE WITH SECTION 7 OF THIS ACT

Omit the items relating to items 2, 3, 43, 203, 206, 3000, 5714, 6100, 6498, 6574, 6578, 6623 and 6628 in the First Schedule to the Principal Act as so amended, insert the following items, respectively:—

“1

1.15

0.80”

“4

1.70

1.20”

“44

1.15

0.80”

“201

1.15

0.80”

“204

7.60

4.00”

“3002

1.15

0.80”

“5713

1.15

0.80”

“6101

1.15

0.80”

“6497

1.15

0.80”

“6572

1.15

0.80”

“6577

1.15

0.80”

“6622

1.15

0.80”

“6627

1.15

0.80”.

 

AMENDMENTS OF THE TABLE IN THE SIXTH SCHEDULE TO THE PRINCIPAL ACT AS AMENDED IN ACCORDANCE WITH SECTION 7 OF THIS ACT

Omit the items relating to hems 2, 3, 43, 203, 206, 3000, 5714, 6100, 6498, 6574, 6578, 6623 and 6628 in the First Schedule to the Principal Act as so amended, insert the following items, respectively:—

“1

1.25

0.80”

“4

1.80

1.20”

“44

1.25

0.80”

“201

1.25

0.80”

“204

8.60

4.00”

“3002

1.25

0.80”

“5713

1.25

0.80”

“6101|

1.25

0.80”

 

Second Schedule—continued

“6497

1.25

0.80”

“6572

1.25

0.80”

“6577

1.25

0.80”

“6622

1.25

0.80”

“6627

1.25

0.80”.

 

AMENDMENTS OF THE TABLE IN THE SEVENTH SCHEDULE TO THE PRINCIPAL ACT AS AMENDED IN ACCORDANCE WITH SECTION 7 OF THIS ACT

Omit the items relating to items 2, 3, 43, 203, 206, 3000, 5714, 6100, 6498, 6574, 6578, 6623 and 6628 in the First Schedule to the Principal Act as so amended, insert the following items, respectively:—

“1

1.35

0.80”

“4

1.35

1.20”

“44

1.35

0.80”

“201

1.35

0 80”

“204

9.60

4.00”

“3002

1.35

0.80”

“5713

1.35

0.80”

“6101

1.35

0.80”

“6497

1.35

0.80”

“6572

1.35

0.80”

“6577

1.35

0.80”

“6622

1.35

0.80”

“6627

1.35

0.80”.

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