National Health (Pharmaceutical Benefits) Amendment Regulations 2002 (No. 2) (Cth)

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National Health (Pharmaceutical Benefits) Amendment Regulations 2002 (No. 2)1

Statutory Rules 2002 No. 3442

I, PETER JOHN HOLLINGWORTH, Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the National Health Act 1953.

Dated 19 December 2002

PETER HOLLINGWORTH

Governor-General

By His Excellency’s Command

KAY PATTERSON

Minister for Health and Ageing

Contents

1Name of Regulations

These Regulations are the National Health (Pharmaceutical Benefits) Amendment Regulations 2002 (No. 2).

2Commencement

These Regulations commence as follows:

  1. (a)

    on gazettal — regulations 1 to 3 and Schedule 1;

  2. (b)

    on 1 August 2003 — Schedule 2.

3Amendment of National Health (Pharmaceutical Benefits) Regulations 1960

Schedules 1 and 2 amend the National Health (Pharmaceutical Benefits) Regulations 1960.

Schedule 1Amendments commencing on gazettal

(regulation 3)

  

[1]Subregulation 5 (1), after definition of HIC/DVA copy

insert

medicare number has the same meaning as in Part VII of the Act.

[2]Regulation 9AF, heading

substitute

9AFPrescribed offices (Act s 84DA (5))

[3]Regulation 9AF

omit

the Schedule

insert

Schedule 1

[4]Subregulation 9A (5)

substitute

  1. (5)

    The maximum value of a pharmaceutical benefit for safety net purposes is:

    1. (a)

      if the price of the pharmaceutical benefit is charged under paragraph 87 (2) (a), (b) or (c) of the Act:

      1. (i)

        the price mentioned for the prescription in the relevant paragraph of subsection 87 (2) of the Act as in force when the price is charged; or

      2. (ii)

        if the price charged is less than the amount mentioned in subparagraph (i) — the amount of the price charged; or

    2. (b)

      if the price of the pharmaceutical benefit is charged under paragraph 87 (2) (e) of the Act:

      1. (i)

        the price mentioned for the prescription in paragraph 87 (2) (e) of the Act as in force when the price is charged; or

      2. (ii)

        if the agreed price, within the meaning of subsection 84C (6) of the Act as in force when the price is charged, of the pharmaceutical benefit is less than the amount mentioned in subparagraph (i) — the amount of the agreed price; or

      3. (iii)

        if the price charged is less than the amount mentioned in subparagraph (i) and less than the agreed price mentioned in subparagraph (ii) — the amount of the price charged.

[5]Paragraph 9B (1) (e)

omit

made.

insert

made;

[6]After paragraph 9B (1) (e)

insert

  1. (f)

    the medicare number of the applicant.

[7]Regulation 9BA

omit

the Schedule

insert

Schedule 1

[8]After subparagraph 9C (3) (b) (v)

insert

  1. (vi)

    the medicare number of the applicant; and

[9]Subparagraph 9D (2) (b) (i)

omit

applicant;

insert

applicant; and

[10]After subparagraph 9D (2) (b) (iii)

insert

  1. (iv)

    the medicare number of the applicant; and

[11]Subregulation 16 (3)

omit

A medical practitioner

insert

A medical practitioner, or an agent of a medical practitioner,

[12]Paragraph 16 (3) (b)

omit

receipt.

insert

receipt; and

[13]After paragraph 16 (3) (b)

insert

  1. (c)

    if the pharmaceutical benefit is received by an agent of the medical practitioner — write the agent’s address on the receipt.

[14]Paragraph 19 (2) (a)

omit

day;

insert

day; or

[15]Paragraph 19 (2) (b)

omit

person; or

insert

person.

[16]Paragraph 19 (2) (c)

omit

[17]Subregulations 19 (3) and 19A (1A)

omit

[18]After subregulation 19A (2)

insert

  1. (2A)

    For a prescription to which subsection 84AA (1) or (1A) of the Act applies, subregulations (1) and (2) do not apply if:

    1. (a)

      the claim for a payment from the Commonwealth in relation to the supply of the pharmaceutical benefit to which the prescription relates is made under the Claims Transmission System, within the meaning of section 99AAA of the Act; and

    2. (b)

      the claim includes the card number that, under subregulation (1) would, except for this subregulation, be required.

[19]Paragraph 32 (1) (b)

substitute

  1. (b)

    the benefit supplied is not a dangerous drug;

[20]After subregulation 32 (3), including the note

insert

  1. (4)

    In this regulation:

dangerous drug means a drug or medicinal preparation in respect of which the law of the State or Territory in which the prescription is written provides that a pharmacist who dispenses that drug or medicinal preparation, or who dispenses it on the last of a number of occasions of supply indicated in a prescription for its supply, must take possession of the prescription and cancel it or deliver it to the authority administering that law.

[21]Schedule

substitute

Schedule 1Prescribed offices for subsections 84DA (5) and 84E (5) of the Act

(regulations 9AF and 9BA)

1. The State Manager

Health Insurance Commission

Medibank House

22 Erskine Street

 

Sydney

New South Wales 2000

2. The State Manager

Health Insurance Commission

150 George Street

 

Parramatta

New South Wales 2150

3. The State Manager

Health Insurance Commission

204–206 Lords Place

 

Orange

New South Wales 2800

4. The State Manager

Health Insurance Commission

460 Bourke Street

 

Melbourne

Victoria 3000

5. The State Manager

Health Insurance Commission

444 Queen Street

 

Brisbane

Queensland 4000

6. The State Manager

Health Insurance Commission

Medibank House

209 Greenhill Road

 

Eastwood

South Australia 5063

7. The State Manager

Health Insurance Commission

R & I Tower

108 St George’s Terrace

 

Perth

Western Australia 6000

8. The State Manager

Health Insurance Commission

242 Liverpool Street

 

Hobart

Tasmania 7000

[22]Further amendments — medicare number

The following provisions are amended by omitting ‘Medicare card number’ and inserting ‘medicare number’:

· paragraph 9AA (1) (f)

· subparagraph 9AB (3) (b) (vi)

· subparagraph 9AC (2) (b) (iv).

Schedule 2Amendments commencing on 1 August 2003

(regulation 3)

  

[1]Subregulation 5 (1), after definition of approved pharmacist

insert

approved supplier has the same meaning as in Part VII of the Act.

[2]Subregulation 5 (1), before definition of concessional beneficiary

insert

Commonwealth price has the same meaning as in Part VII of the Act.

[3]After regulation 35

insert

36Labelling of pharmaceutical benefits — full cost

  1. (1)

    A pharmaceutical benefit supplied by an approved supplier must be labelled with the words ‘full cost’ followed by the full cost of the pharmaceutical benefit.

  2. (2)

    Subregulation (1) does not apply to:

    1. (a)

      an approved supplier to which section 99AAB of the Act applies; or

    2. (b)

      an approved hospital authority; or

    3. (c)

      a pharmaceutical benefit obtained under subsection 93 (2) of the Act; or

    4. (d)

      a pharmaceutical benefit to which subsection 99 (2A), (2AB) or (2B) of the Act applies.

  3. (3)

    For this regulation, the full cost of a pharmaceutical benefit is the sum of:

    1. (a)

      the Commonwealth price of the pharmaceutical benefit within the meaning given by Part VII of the Act; and

    2. (b)

      the special patient contribution charged under subsection 87 (2A) of the Act.

Note The special patient contribution is an amount calculated under subsection 85B (2) of the Act.

Notes

1. These Regulations amend Statutory Rules 1960 No. 17, as amended by 1960 Nos. 90 and 102; 1961 Nos. 59 and 137; 1962 Nos. 34, 101 and 114; 1963 Nos. 34, 69 and 107; 1964 Nos. 12, 57 and 135; 1965 Nos. 51, 151 and 152; 1966 Nos. 80 and 144; 1967 Nos. 67, 116 and 158; 1968 Nos. 44, 76, 88 and 146; 1969 Nos. 44, 107 and 185; 1970 Nos. 39, 94, 119 and 186; 1971 Nos. 44, 101, 136 and 154; 1972 Nos. 32, 121 and 205; 1973 Nos. 15, 57, 139 and 229; 1974 Nos. 37, 126 and 222; 1975 Nos. 50, 148 and 209; 1976 Nos. 84, 150, 195 and 255; 1977 Nos. 39, 125 and 221; 1978 Nos. 47, 142, 153 and 245; 1979 Nos. 51, 55, 144 and 250; 1980 Nos. 69, 213 and 338; 1981 Nos. 52, 212, 218 and 345; 1982 Nos. 69, 76, 179, 334 and 372; 1983 Nos. 28, 102, 116 and 292; 1984 Nos. 50, 148, 169 and 342; 1985 Nos. 32, 184 and 320; 1986 Nos. 38, 194, 319, 320 and 391; 1987 Nos. 47, 262 and 279; 1988 No. 56; 1990 Nos. 226, 267, 337, 338 and 437; 1991 Nos. 1 and 474; 1992 No. 226; 1994 No. 348, 1996 No. 70; 1998 No. 374; 2000 No. 369; 2001 No. 68; 2002 Nos. 9 and 239.

2. Notified in the Commonwealth of Australia Gazette on 20 December 2002.

 
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