Health Insurance Commission Amendment Regulations 2004 (No. 1)

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Legislation au F2004B00205 Regulations Not in force Legislative Instrument

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Health Insurance Commission Amendment Regulations 2004 (No. 1) 2004 No. 182

EXPLANATORY STATEMENT

STATUTORY RULES 2004 NO. 182

Issued by the Authority of the Minister for Health and Ageing

Health Insurance Act 1973
Health Insurance Commission Act 1973

Health Insurance Amendment Regulations 2004 (No. 5)
Health Insurance Commission Amendment Regulations 2004 (No. 1)

Subsection 133(1) of the Health Insurance Act 1973 (the Act) provides, in part, that the Governor-General may make regulations, not inconsistent with the Act, prescribing all matters required or permitted by the Act to be prescribed, or necessary or convenient to be prescribed for carrying out or giving effect to the Act.

Section 44 of the Health Insurance Commission Act 1973 (the Commission Act) provides that the Governor-General may make regulations, not inconsistent with the Commission Act, prescribing all matters required or permitted by the Commission Act to be prescribed, or necessary or convenient to be prescribed for carrying out or giving effect to the Commission Act. Subsection 8AA(2) of the Commission Act provides that the Health Insurance Commission (the Commission) is to perform such additional functions as are prescribed by the regulations.

The purpose of the Regulations is to confer additional functions on the Commission to process and pay claims under Part 2 of Chapter 6 of the Military Rehabilitation and Compensation Act 2004 (the Compensation Act).

The Compensation Act establishes a rehabilitation and compensation scheme specifically for members of the Australian Defence Force and their families.

Health Insurance Amendment Regulations 2004 (No. 5)

Subsection 130(3A) of the Act provides that the Commission may divulge information to prescribed authorities or persons in accordance with prescribed conditions. Schedule 3 to the Health Insurance Regulations 1975 prescribes authorities and persons for this purpose. In order for the Commission to undertake the function of processing claims for compensation under the Compensation Act, the Regulations amend the definition of "Veterans' patient" to include a person entitled to treatment under Part 2 of Chapter 6 of the Compensation Act. The effect of these provisions is that HIC could disclose certain information in relation to Veteran patients to officers within the Health Program administered by the Department of Veterans' Affairs.

Health Insurance Commission Amendment Regulations 2004 (No. 1)

The Regulations enable the Commission to process claims for compensation under Part 2 of Chapter 6 of the Compensation Act on behalf of the Military Rehabilitation and Compensation Commission. The Regulations also enable the Commission to make payments in respect of those claims.

Neither the Act nor the Commission Act specifies any conditions that need to be met before the power to make the proposed Regulations may be exercised.

Details of the Regulations are set out in Attachments A and B.

The Regulations commence on 1 July 2004 to coincide with the commencement of Part 2 of Chapter 6 of the Compensation Act.

ATTACHMENT A

DETAILS OF THE HEALTH INSURANCE AMENDMENT REGULATIONS 2004 (No. 5).

Regulation 1 names the regulations as the Health Insurance Amendment Regulations 2004 (No. 5).

Regulation 2 provides for the regulations to commence on 1 July 2004.

Regulation 3 provides that Schedule 1 amends the Health Insurance Regulations 1975.

Schedule 1 - Amendment

Item [1]

This item amends paragraph (c) of Clause 1 in Schedule 3, Part 1, definition of Veterans' patient to substitute a new paragraph (c):

"(c)       the Papua New Guinea (Members of the Forces) Benefits Act 1957; or"

and insert a new paragraph (d):

"(d)       Chapter 6 of the Military Rehabilitation and Compensation Act 2004."

The change to paragraph (c) substitutes the full stop at the end of the paragraph with a semi-colon and adds the word 'or' to allow the insertion of the new paragraph (d).

The new paragraph (d) ensures that the definition of Veterans' patient covers Chapter 6 of the Military Rehabilitation and Compensation Act 2004.

The rehabilitation and compensation scheme established by the Military Rehabilitation and Compensation Act 2004 is specifically for members of the Australian Defence Force and their families.

ATTACHMENT B

DETAILS OF THE HEALTH INSURANCE COMMISSION AMENDMENT REGULATIONS 2004 (No. 1).

Regulation 1 names the regulations as the Health Insurance Commission Amendment Regulations 2004 (No. 1).

Regulation 2 provides for the regulations to commence on 1 July 2004.

Regulation 3 provides that Schedule 1 amends the Health Insurance Commission Regulations 1975.

Schedule 1 - Amendment

Item [1]

This item inserts a new regulation 3I, after regulation 3H, into the Health Insurance Commission Regulations 1975. Regulation 3I sets out, for the purpose of section 8AA (2) of the Act, the additional functions of the Health Insurance Commission in relation to claims for compensation under the Military Rehabilitation and Compensation Act 2004 (the Act).

New subregulation 3I(1) prescribes the following functions:

(a)       process, on behalf of the Military Rehabilitation and Compensation Commission, claims for compensation under Part 2 of Chapter 6 of the Act; and

(b)       make payments in respect of those claims.

New subregulation 3I(2) defines the meaning of the Military Rehabilitation and Compensation Commission as the Commission established by section 361 of the Act.

The rehabilitation and compensation scheme established by the Act is specifically for 

 

Overview

The Health Insurance Commission Amendment Regulations 2004 (No. 1) were enacted to address the need for streamlined administration of compensation claims under the Military Rehabilitation and Compensation Act 2004. This legislation was introduced by the Australian Government through the relevant authorities under subsection 133(1) of the Health Insurance Act 1973 and section 44 of the Health Insurance Commission Act 1973. The primary policy objective of these regulations was to delegate the processing and payment of compensation claims from the Military Rehabilitation and Compensation Commission to the Health Insurance Commission, thereby enhancing efficiency and ensuring that claims are managed by entities with relevant expertise. The regulations commenced on 1 July 2004, aligning with the implementation of the Military Rehabilitation and Compensation Act 2004, to facilitate a smooth transition of these administrative functions.

Scope and Application

The Health Insurance Commission Amendment Regulations 2004 (No. 1) and the Health Insurance Amendment Regulations 2004 (No. 5) are regulatory instruments that extend the functions of the Health Insurance Commission (HIC) under the Health Insurance Act 1973 and the Health Insurance Commission Act 1973, respectively. These regulations empower the HIC to process and pay claims for compensation under Part 2 of Chapter 6 of the Military Rehabilitation and Compensation Act 2004, which is a scheme specifically designed for members of the Australian Defence Force and their families. The regulations are necessary to enable the HIC to carry out these additional functions, which were not originally covered under the Health Insurance Act or the Health Insurance Commission Act. These amendments allow the HIC to process and make payments for claims under the Military Rehabilitation and Compensation Act 2004 on behalf of the Military Rehabilitation and Compensation Commission. The regulations commenced on 1 July 2004 to align with the commencement of the relevant provisions in the Compensation Act. The regulations do not specify any conditions for their application and extend their reach to include persons and entities covered under the Military Rehabilitation and Compensation Act 2004.

Key Provisions

The main operative sections of the Health Insurance Commission Amendment Regulations 2004 (No. 1) focus on conferring additional functions on the Health Insurance Commission (the Commission) to process and pay claims under Part 2 of Chapter 6 of the Military Rehabilitation and Compensation Act 2004. Specifically, Regulation 3I inserted into the Health Insurance Commission Regulations 1975 prescribes these additional functions. This includes the Commission processing claims for compensation on behalf of the Military Rehabilitation and Compensation Commission and making payments in respect of those claims. The Regulations also amend the definition of "Veterans' patient" to include a person entitled to treatment under Part 2 of Chapter 6 of the Military Rehabilitation and Compensation Act 2004. These Regulations impose several obligations on the Commission. Primarily, the Commission is required to process claims for compensation under the specified part of the Compensation Act on behalf of the Military Rehabilitation and Compensation Commission. Additionally, the Commission must make payments in respect of those claims. The Regulations also necessitate the amendment of the definition of "Veterans' patient" to ensure that individuals entitled to treatment under the Compensation Act are included within this definition. These obligations are crucial for the seamless operation of the rehabilitation and compensation scheme for members of the Australian Defence Force and their families. Failure to comply with these Regulations could result in legal consequences. While the explanatory statement does not explicitly outline specific offences, penalties, or civil/criminal consequences for breach, non-compliance with regulations can typically lead to enforcement actions by the relevant authorities. This may include administrative penalties, fines, or legal proceedings. However, the maximum penalties are not specified within the provided text. Nonetheless, it is important for the Commission to adhere to these Regulations to avoid any potential repercussions and to ensure the proper administration of the compensation scheme.

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Sourced from the Federal Register of Legislation at 26 August 2026. For the latest information on Australian Government law please go to https://www.legislation.gov.au.