Untitled document

Health Insurance (Extended Medicare Safety Net) Determination 2017

made under section 10B of the

Health Insurance Act 1973

Compilation No. 2

Compilation date:   1 November 2019

Includes amendments up to:           F2019L01276

Prepared by the Office of Parliamentary Counsel, Canberra

About this compilation

This compilation

This is a compilation of the Health Insurance (Extended Medicare Safety Net) Determination 2017 that shows the text of the law as amended and in force on 1 November 2019 (the compilation date).

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register ( The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.

Self‑repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

Contents

1       Name of Determination

3       Definitions

4.      Maximum increases for items under sections 10ACA and  10ADA of the Act

Endnotes

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

1       Name of Determination

This Determination is the Health Insurance (Extended Medicare Safety Net) Determination 2017.

3       Definitions

In this Determination:

Act means the Health Insurance Act 1973.

diagnostic imaging services table means the table prescribed under section 4AA of the Act.

general medical services table means the table prescribed under section 4 of the Act.

Schedule fee has the meaning given in subsection 8 (1A) of the Act.

1. Maximum increases for items under sections 10ACA and 10ADA of the Act

(1)   For section 10B of the Act:

(a)    subsections 10ACA(7A) and 10ADA(8A) apply to the items of the general medical services table listed in column 1 of the table below; and

(b)    the maximum increases for these items are listed in column 2.

Item	Maximum increase ($)
13200	1 675.50
13201	2 432.15
13202	64.95
13203	108.15
13206	64.95
13209	10.90
13210	5.30
13212	70.35
13215	48.70
13218	702.65
13221	21.70
13251	108.15
13260	65 percent of the Schedule fee for the item
14201	15 percent of the Schedule fee for the item
14202	15 percent of the Schedule fee for the item
16399	24.10
16400	11.05
16401	54.90
16404	32.95
16406	108.15
16407	65 percent of the Schedule fee for the item
16408	65 percent of the Schedule fee for the item
16500	32.95
16501	65.90
16502	22.00
16504	22.00
16505	22.00
16508	22.00
16509	22.00
16511	109.75
16512	32.95
16514	16.55
16515	175.60
16518	175.60
16519	329.15
16520	329.15
16522	438.90
16527	175.60
16528	329.15
16530	65 percent of the Schedule fee for the item
16531	65 percent of the Schedule fee for the item
16533	65 percent of the Schedule fee for the item
16534	65 percent of the Schedule fee for the item
16564	219.45
16567	219.45
16570	219.45
16571	219.45
16573	219.45
16590	219.45
16591	109.75
16600	32.95
16603	65.90
16606	131.75
16609	252.40
16618	104.30
16624	142.65
16627	307.25
32500	110 percent of the Schedule fee for the item
32520	15 percent of the Schedule fee for the item
32522	10 percent of the Schedule fee for the item
32523	15 percent of the Schedule fee for the item
32526	10 percent of the Schedule fee for the item
32528	15 percent of the Schedule fee for the item
32529	10 percent of the Schedule fee for the item
42505	15 percent of the Schedule fee for the item
42702	15 percent of the Schedule fee for the item
42705	15 percent of the Schedule fee for the item
45560	35 percent of the Schedule fee for the item
82100	21.70
82105	16.30
82110	21.70
82115	54.10
82130	16.30
82135	21.70
82140	16.30

Note   Items 82100, 82105, 82110, 82115, 82130, 82135 and 82140 appear in the determination made under subsection 3C(1) of the Act with respect to midwife and nurse practitioner services. The determination operates so that the items are to be treated as if the items were in the general medical services table.

(2)   For section 10B of the Act:

(a)    subsections 10ACA(7A) and 10ADA(8A) apply to items 11700, 14100, 20142, 30071, 31560, 32504, 32507, 34106, 35533, 37619, 42590, 42738, 42739, 42740, 45003, 45025, 45026, 45200, 45203, 45206, 45545, 45584, 45585, 45587, 45614, 45617, 45620, 45623, 45624, 45632, 45635, 45652 and 45659 of the general medical services table; and 

(b)    the maximum increase for each item is 80 percent of the Schedule fee for that item.

(3)   For section 10B of the Act:

(a) subsections 10ACA(7A) and 10ADA(8A) apply to each item in the Group of the general medical services table, and items in a determination made under subsection 3C(1) of the Act relating to services within those Groups, listed in the column of the table below; and

(b)    the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount.

Group

A1

A2

A3

A4

A5

A6

A7

A8

A9

A11

A12

A13

A14

A15

A17

A18

A19

A20

A21

A22

A23

A24

A26

A27

A28

A29

A30

A36

T6

(4) For section 10B of the Act:

(a) subsections 10ACA(7A) and 10ADA(8A) apply to each item in the Group of the general medical services table, and items in a determination made under subsection 3C(1) of the Act relating to services within those Groups, listed in the column of the table below; and

(b)    the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount.

Group

M3

M6

M7

M8

M9

M10

M11

M12

M14

M15

M16

(5)   For section 10B of the Act:

(a) subsections 10ACA(7A) and 10ADA(8A) apply to items 82120, 82125, 82150, 82151, and 82152 in a determination made under subsection 3C(1) of the Act; and

(b)    the maximum increase for each item is 300 percent of the Schedule fee for that item or $500.00 for that item whichever represents the lesser amount.

(6)   For section 10B of the Act:

(a) subsections 10ACA(7A) and 10ADA(8A) apply to the items of the diagnostic imaging services table, and items in a determination made under subsection 3C(1) of the Act, listed in column 1 of the table below; and

(b)    the maximum increases for these items are listed in column 2.

Item	Maximum increase ($)
55054	80 percent of the Schedule fee for the item.
55700	32.95
55701	16.50
55702	8.30
55703	16.55
55704	38.50
55705	16.55
55706	54.90
55707	38.50
55708	16.55
55709	22.00
55710	19.30
55711	8.30
55712	65.90
55713	27.50
55714	19.30
55715	22.00
55716	8.30
55717	11.05
55718	54.90
55719	32.95
55720	11.05
55721	65.90
55722	27.50
55723	22.00
55724	32.95
55725	22.00
55726	11.05
55727	11.05
55729	16.55
55730	8.30
55762	32.95
55763	16.50
55764	87.85
55765	44.00
55766	32.95
55767	16.50
55768	82.40
55769	41.25
55770	32.95
55771	16.50
55772	87.85
55773	44.00
55774	38.50
55775	19.30

Endnotes

Endnote 1—About the endnotes

The endnotes provide information about this compilation and the compiled law.

The following endnotes are included in every compilation:

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Abbreviation key—Endnote 2

The abbreviation key sets out abbreviations that may be used in the endnotes.

Legislation history and amendment history—Endnotes 3 and 4

Amending laws are annotated in the legislation history and amendment history.

The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.

The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.

Misdescribed amendments

A misdescribed amendment is an amendment that does not accurately describe the amendment to be made. If, despite the misdescription, the amendment can be given effect as intended, the amendment is incorporated into the compiled law and the abbreviation “(md)” added to the details of the amendment included in the amendment history.

If a misdescribed amendment cannot be given effect as intended, the abbreviation “(md not incorp)” is added to the details of the amendment included in the amendment history.

Endnote 2—Abbreviation key

o = order(s)
ad = added or inserted	Ord = Ordinance
am = amended	orig = original
amdt = amendment	par = paragraph(s)/subparagraph(s)
c = clause(s)	/sub‑subparagraph(s)
C[x] = Compilation No. x	pres = present
Ch = Chapter(s)	prev = previous
def = definition(s)	(prev…) = previously
Dict = Dictionary	Pt = Part(s)
disallowed = disallowed by Parliament	r = regulation(s)/rule(s)
Div = Division(s)
exp = expires/expired or ceases/ceased to have	reloc = relocated
effect	renum = renumbered
F = Federal Register of Legislation	rep = repealed
gaz = gazette	rs = repealed and substituted
LA = Legislation Act 2003	s = section(s)/subsection(s)
LIA = Legislative Instruments Act 2003	Sch = Schedule(s)
(md) = misdescribed amendment can be given	Sdiv = Subdivision(s)
effect	SLI = Select Legislative Instrument
(md not incorp) = misdescribed amendment	SR = Statutory Rules
cannot be given effect	Sub‑Ch = Sub‑Chapter(s)
mod = modified/modification	SubPt = Subpart(s)
No. = Number(s)	underlining = whole or part not
commenced or to be commenced

Endnote 3—Legislation history

Name	Registration	Commencement	Application, saving and transitional provisions
Health Insurance (Extended Medicare Safety Net) Determination 2017	24 Aug 2017 (F2017L01082)	1 November 2017
Health Insurance (Extended Medicare Safety Net) Amendment Determination 2019	30 Oct 2018 (F2018L01502)	1 January 2019
Health Insurance (Extended Medicare Safety Net) Amendment (Eating Disorders Capping) Determination 2019	26 Sept 2019 (F2019L01276)	Sch 1: 1 Nov 2019 (s 2(1) item 2) Sch 2: 1 Jan 2020 (s 2(1) item 3)	—

Endnote 4—Amendment history

Provision affected	How affected
s 2................................	rep LA s 48D
s 4................................	am F2018L01502; F2019L01276 (Sch 2 items 1–4)
ed C2
s 5................................	rep LA s 48C

Endnote 5—Editorial changes

In preparing this compilation for registration, the following kinds of editorial change(s) were made under the Legislation Act 2003.

Paragraph 4(6)(a)

Kind of editorial change

Renumbering of provisions

Details of editorial change

Schedule 1 item 9 of the Health Insurance (Extended Medicare Safety Net) Amendment (Eating Disorders Capping) Determination 2019 provides as follows:

9 Paragraph 4(6)(a)

Repeal the paragraph, substitute:

(b) subsections 10ACA(7A) and 10ADA(8A) apply to the items of the diagnostic imaging services table, and items in a determination made under subsection 3C(1) of the Act, listed in column 1 of the table below; and

Item 9 repeals paragraph 4(6)(a) and substitutes paragraph 4(6)(b). Paragraph 4(6)(b) already appears.

This compilation was editorially changed by renumbering the provision inserted by Schedule 1 item 9 as paragraph 4(6)(a).