EXPLANATORY STATEMENT
Issued by Authority of the Minister for Health and Ageing
Health Insurance Act 1973
Determination under Subsection 3(1)
(HIB 08/2006)
Paragraph (b) of the definition of ‘patient contribution’ in subsection 3(1) of the Health Insurance Act 1973 (the Act) provides that the Minister may from time to time determine the levels of benefit payable to a nursing-home type patient of a recognized hospital in a State or internal Territory.
This determination determines for the purposes of paragraph (b) that the amount of patient contribution shall, on and from 20 March 2006 be $36.40 per day in respect of recognized hospitals in Queensland.
This determination commences on 20 March 2006. The determination and this explanatory statement have been lodged for registration on the Federal Register of Legislative Instruments.
PRIVATE HEALTH INSURANCE BRANCH
DEPARTMENT OF HEALTH AND AGEING
MARCH 2006
Overview
The Health Insurance Act 1973 was enacted to establish and regulate private health insurance in Australia, ensuring that individuals have access to a system of health coverage that complements the public health system provided by Medicare. The 2006 Determination under Subsection 3(1) was introduced to address the need for the Minister for Health and Ageing to specify the patient contribution levels for nursing-home type patients in recognised hospitals across various states and territories. This specific determination sets the patient contribution at $36.40 per day for recognised hospitals in Queensland, effective from 20 March 2006. The determination was issued by the Department of Health and Ageing and lodged for registration on the Federal Register of Legislative Instruments, aiming to provide clarity and consistency in the application of health insurance benefits across the country.
Scope and Application
The Health Insurance Act 1973, as amended by the 2006 determination, applies to recognised hospitals in Queensland, specifically addressing the levels of patient contributions for nursing-home type patients. This Act operates within the jurisdictional reach of the Commonwealth, and the determination sets the patient contribution at $36.40 per day, effective from 20 March 2006. The determination is specific to the state of Queensland and applies to recognised hospitals providing nursing-home type services, thereby affecting the financial obligations of patients under the Medicare system in that region. The Act does not explicitly mention any exclusions or exemptions; however, the scope is limited to the specified patient contribution levels in Queensland hospitals. This legislative instrument, including its amendments, is registered on the Federal Register of Legislative Instruments, ensuring its legal standing and applicability within the defined parameters.
Key Provisions
The key operative sections of this legislation pertain to the determination of patient contribution levels for nursing-home type patients in recognised hospitals in Queensland, as outlined in subsection 3(1)(HIB 08/2006) of the Health Insurance Act 1973 (the Act). The primary provision of this determination is the setting of the patient contribution amount at $36.40 per day, effective from 20 March 2006 (subsection 3(1)(HIB 08/2006)). This determination applies specifically to nursing-home type patients in recognised hospitals within the state of Queensland. It is important to note that the contribution amount is subject to periodic review and adjustment by the Minister, as permitted by the Act.
The obligations imposed by this Act primarily fall on the Minister for Health and Ageing, who is tasked with determining the levels of benefit payable to nursing-home type patients in recognised hospitals. This responsibility includes setting the patient contribution amount, which must be done in accordance with the provisions of the Act. Furthermore, the Act requires that any determinations made by the Minister be lodged for registration on the Federal Register of Legislative Instruments, ensuring transparency and accessibility of the information to the public and relevant stakeholders.
The legislation also delineates the potential consequences for breaches or non-compliance with the provisions of the Act. While the determination itself does not explicitly outline specific offences, penalties, or consequences for breach, it is implicit that any failure to comply with the Act or its provisions could result in legal ramifications. These could include civil or criminal penalties, as outlined in the broader context of the Health Insurance Act 1973. The exact penalties would depend on the nature and severity of the breach, and could be subject to the relevant jurisdictional laws and regulations. Given that the Act is part of a larger legislative framework, any breaches could potentially lead to fines, sanctions, or other legal actions as deemed appropriate by the relevant authorities.