Health Insurance (Extended Medicare Safety Net) Determination 2009

Health Insurance (Extended Medicare Safety Net) Determination 2009

as amended

made under section 10B of the Health Insurance Act 1973

Compilation start date:  1 May 2013

Includes amendments up to: Health Insurance (Extended Medicare Safety Net) Amendment Determination 2013 (No. 1)

Prepared by the Department of Health and Ageing, Canberra

About this compilation

The compiled instrument

This is a compilation of the Health Insurance (Extended Medicare Safety Net) Determination 2009 amended and in force on 1 May 2013. It includes any amendment affecting the compiled instrument to that date.

This compilation was prepared on 6 September 2013.

The notes at the end of this compilation (the endnotes) include information about amending Acts and instruments and the amendment history of each amended provision.

Uncommenced provisions and amendments

If a provision of the compiled instrument is affected by an uncommenced amendment, the text of the uncommenced amendment is set out in the endnotes.

Application, saving and transitional provisions for amendments

If the operation of an amendment is affected by an application, saving or transitional provision, the provision is identified in the endnotes.

Modifications

If a provision of the compiled instrument is affected by a textual modification that is in force, the text of the modifying provision is set out in the endnotes.

Provisions ceasing to have effect

If a provision of the compiled instrument has expired or otherwise ceased to have effect in accordance with a provision of the instrument, details of the provision are set out in the endnotes.

Contents

 1. Name of Determination

 2. Commencement

 3. Definitions

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

Endnotes  

1. Name of Determination

  This Determination is the Health Insurance (Extended Medicare Safety Net) Determination 2009.

2. Commencement

  This Determination commences on 1 January 2010.

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.

4. 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.

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.

 (1A) For section 10B of the Act:

 (a) subsections 10ACA (7A) and 10ADA (8A) apply to items 11700, 14100, 20142, 30071, 31200, 31205, 31521, 31527, 31560, 32501, 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.

 (1B) 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 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.

 (1C) For section 10B of the Act:

 (a) subsections 10ACA (7A) and 10ADA (8A) apply to items 10950, 10951, 10952, 10953, 10954, 10956, 10958, 10960, 10962, 10964, 10966, 10968, 10970, 80000, 80005, 80010, 80015, 80020, 80100, 80105, 80110, 80115, 80120, 80125, 80130, 80135, 80140, 80145, 80150, 80155, 80160, 80165, 80170, 81000, 81005, 81010, 81100, 81105, 81110, 81115, 81120, 81125, 81300, 81305, 81310, 81315, 81320, 81325, 81330, 81335, 81340, 81345, 81350, 81355, 81360, 82000, 82005, 82010, 82015, 82020, 82025, 82030, 82035, of the general medical services table; 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.

Note   Items 10950-10970, 80000-81010, 81100-81125, 81300-81360 and 82000-82035 appear in the determination made under subsection 3C (1) of the Act with respect to allied health services.  The determination operates so that the items are to be treated as if the items were in the general medical services table.

 (1D) For section 10B of the Act:

 (a) subsections 10ACA (7A) and 10ADA (8A) apply to items 82120, 82125, 82150, 82151, 82152, 82200, 82205, 82210, 82215, 82220, 82221, 82222, 82223, 82224 and 82225 of the general medical services table; 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.

Note   Items 82120, 82125, 82150-82152 and 82200-82225 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 the items of the diagnostic imaging services table listed in column 1 of the table below; and

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

Note   Items 55701, 55702, 55710, 55711, 55713, 55714, 55716, 55717, 55719, 55720, 55722, 55724, 55726, 55727, 55730, 55763, 55765, 55767, 55769, 55771, 55773 and 55775 appear in the determination made under subsection 3C (1) of the Act in relation to diagnostic imaging and capital sensitivity services. The determination operates so that the items are to be treated as if the items were in the diagnostic imaging services table.

Endnotes

Endnote 1—About the endnotes

The endnotes provide details of the history of this compilation and its provisions. The following endnotes are included in each compilation:

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Endnote 5—Uncommenced amendments

Endnote 6—Modifications

Endnote 7—Misdescribed amendments

Endnote 8—Miscellaneous

If there is no information under a particular endnote, the word “none” will appear in square brackets after the endnote heading.

Abbreviation key—Endnote 2

The abbreviation key in this endnote 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 the compiled law. The information includes commencement information for amending laws and details of 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 level. It also includes information about any provisions that have expired or otherwise ceased to have effect in accordance with a provision of the compiled law.

Uncommenced amendments—Endnote 5

The effect of uncommenced amendments is not reflected in the text of the compiled law, but the text of the amendments is included in endnote 5.

Modifications—Endnote 6

If the compiled law is affected by a modification that is in force, details of the modification are included in endnote 6.

Misdescribed amendments—Endnote 7

An amendment is a misdescribed amendment if the effect of the amendment cannot be incorporated into the text of the compilation. Any misdescribed amendment is included in endnote 7.

Miscellaneous—Endnote 8

Endnote 8 includes any additional information that may be helpful for a reader of the compilation.

Endnote 2—Abbreviation key

Endnote 3 – Legislation History

This endnote sets out details of the legislation history of the Health Insurance (Extended Medicare Safety Net) Determination 2009.

Table of Instruments

Endnote 4 – Amendment history

This endnote sets out the amendment history of the Health Insurance (Extended Medicare Safety Net) Determination 2009.

Endnote 5—Uncommenced amendments [none]

Endnote 6—Modifications [none] 

Endnote 7—Misdescribed amendments [none] 

Endnote 8—Miscellaneous [none]