Untitled document

Health Insurance (Section 3C General Medical Services – Cryopreservation of Semen) Determination 2018

I, MICHAEL RYAN, delegate of the Minister for Health, make the following Determination under subsection 3C(1) of the Health Insurance Act 1973. 

Dated          16 August 2018

Michael Ryan

Acting Assistant Secretary

MBS Policy and Specialist Services Branch

Medical Benefits Division

Health Financing Group

Department of Health

Contents

1.           Name

2.           Commencement

3.           Authority

4.           Definitions

5.           Treatment of relevant services

6.           Application of provisions of the general medical services table

Schedule 1 – relevant services

1. Name

This Determination is the Health Insurance (Section 3C General Medical Services – Cryopreservation of Semen) Determination 2018.

1. Commencement

This Determination commences on 1 November 2018.

1. Authority     

This Determination is made under subsection 3C(1) of the Health Insurance Act 1973.

1. Definitions

1. In this Determination:

Act means the Health Insurance Act 1973.

relevant provisions means all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.

relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.

Schedule means a Schedule to this Determination.

Note:       The following terms are defined in subsection 3(1) of the Act:

·clinically relevant service

·general medical services table

·item

·professional service

(2)   Unless the contrary intention appears, a reference in this Determination to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.

1. Treatment of relevant services

For subsection 3C(1) of the Act a relevant service, provided in accordance with this Determination and as a clinically relevant service, is to be treated, for the relevant provisions, as if:

(a)it were both a professional service and a medical service; and

(b)there were an item in the general medical services table that:

(i)related to the service; and

(ii)specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.

1. Application of provisions of the general medical services table

(1)    Clause 2.37.5 of the general medical services table shall have effect as if item 13260 was also specified in the clause.

Schedule 1 – relevant services

Category 3 – Therapeutic Procedures
Group T1 – Miscellaneous therapeutic services
Subgroup 3 – Assisted reproductive services
Item	Service	Fee ($)
13260	Processing and cryopreservation of semen for fertility preservation treatment before or after completion of gonadotoxic treatment for malignant or non-malignant conditions, in a post-pubertal male in Tanner stages II–V, up to 60 years old, if the patient is referred by a specialist or consultant physician, initial cryopreservation of semen (not including storage) – one of a maximum of two semen collection cycles per patient in a lifetime.	415.00