EXPLANATORY STATEMENT
Select Legislative Instrument No. 1, 2015
Health Insurance Act 1973
Health Insurance (General Medical Services Table) Repeal (Duration of Attendance) Regulation 2015
Subsection 133(1) of the Health Insurance Act 1973 (the Act) provides 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.
Part II of the Act provides for the payment of Medicare benefits for professional services rendered to eligible persons. Section 9 of the Act provides that Medicare benefits be calculated by reference to the fees for medical services set out in prescribed tables.
Subsection 4(1) of the Act provides that the regulations may prescribe a table of medical services which set out items of medical services, the fees applicable for each item, and rules for interpreting the table. The Health Insurance (General Medical Services Table) Regulation 2014 (GMST) currently prescribes such a table.
The Health Insurance (General Medical Services Table) Repeal (Duration of Attendance) Regulation 2015 (the Regulation) repeals the Health Insurance (General Medical Services Table) Amendment (Duration of Attendance) Regulation 2014 and the Health Insurance (General Medical Services Table) Amendment (Duration of Attendance) Regulation 2014 (No.2).
Consultation
In accordance with Section 18 of the Legislative Instruments Act 2003, the nature of the Regulation is such that it was inappropriate to consult. The original decision to alter entitlement to Medicare benefits was taken as part of Government’s Mid-Year Economic and Financial Outlook 2014-15. The decision to repeal the Health Insurance (General Medical Services Table) Amendment (Duration of Attendance) Regulation 2014 and the Health Insurance (General Medical Services Table) Amendment (Duration of Attendance) Regulation 2014 (No.2) ensures that the amendments provided for in those regulations do not take effect.
Details of the Regulation are set out in the Attachment.
The Act specifies no conditions which need to be met before the power to make the regulation may be exercised.
The Regulation is a legislative instrument for the purposes of the Legislative Instruments Act 2003.
The Regulation commences on 18 January 2015.
Authority: Subsection 133(1) of the
Health Insurance Act 1973
ATTACHMENT
Details of the Health Insurance (General Medical Services Table) Repeal (Duration of Attendance) Regulation 2015
Regulation 1 – Name
This regulation provides for the Regulation to be referred to as the Health Insurance (General Medical Services Table) Repeal (Duration of Attendance) Regulation 2015.
Regulation 2 – Commencement
This regulation provides for the Regulation to commence on 18 January 2015.
Regulation 3 – Authority
This regulation provides that the Regulation is made under the Health Insurance Act 1973.
Regulation 4 – Schedules
This regulation provides that each instrument specified in a Schedule to the instrument is amended or repealed as set out in the applicable items in the Schedule concerned.
Schedule 1 – Repeals
Item [1] – Repeal of Regulations
This item repeals the following Regulations:
Health Insurance (General Medical Services Table) Amendment (Duration of Attendance) Regulation 2014
Health Insurance (General Medical Services Table) Amendment (Duration of Attendance) Regulation 2014 (No. 2)
Overview
The Health Insurance (General Medical Services Table) Repeal (Duration of Attendance) Regulation 2015 was introduced under the authority of subsection 133(1) of the Health Insurance Act 1973, enacted to address the issues arising from the amendments made in 2014 concerning the duration of attendance in relation to medical services. This regulation was developed by the Australian Government to ensure that the specific amendments in the 2014 regulations did not take effect. The regulation repeals the Health Insurance (General Medical Services Table) Amendment (Duration of Attendance) Regulation 2014 and the Health Insurance (General Medical Services Table) Amendment (Duration of Attendance) Regulation 2014 (No.2), thus maintaining the existing framework for Medicare benefits without implementing the contested changes. The policy objective was to prevent the operationalisation of the contentious amendments while providing clarity and stability to the healthcare system. The regulation commenced on 18 January 2015 and was deemed not subject to consultation as per Section 18 of the Legislative Instruments Act 2003.
Scope and Application
The Health Insurance (General Medical Services Table) Repeal (Duration of Attendance) Regulation 2015 applies to the Health Insurance Act 1973, which governs the payment of Medicare benefits for professional services rendered to eligible persons in Australia. This regulation specifically addresses the fees for medical services set out in the prescribed tables, which are referenced in section 9 of the Act. The Regulation repeals two previous amendments concerning the duration of attendance, ensuring that these particular changes do not take effect. It is pertinent to all entities involved in the provision of medical services in Australia, including healthcare providers and patients who are eligible for Medicare benefits. The Regulation has a national jurisdictional reach as it pertains to the Health Insurance Act 1973, a Commonwealth Act. The Act does not specify any exclusions, exemptions, or thresholds, and the Regulation extends or restricts the application of the Act through subordinate instruments by repealing previous amendments. The Regulation commenced on 18 January 2015.
Key Provisions
The main operative sections of the Health Insurance (General Medical Services Table) Repeal (Duration of Attendance) Regulation 2015 (Regulation) pertain to the repeal of specific regulations concerning the duration of attendance for certain medical services. Regulation 1 establishes the name of the Regulation, while Regulation 2 sets the commencement date as 18 January 2015. Regulation 3 confirms the authority under which the Regulation is made, which is subsection 133(1) of the Health Insurance Act 1973. Regulation 4 outlines the amendments or repeals of specific instruments as detailed in Schedule 1.
The Regulation imposes specific obligations and requirements on parties and entities it governs. The primary obligation is to repeal the Health Insurance (General Medical Services Table) Amendment (Duration of Attendance) Regulation 2014 and the Health Insurance (General Medical Services Table) Amendment (Duration of Attendance) Regulation 2014 (No.2). This effectively nullifies any changes or amendments made by these previous regulations regarding the duration of attendance for medical services. The Regulation does not impose new obligations or requirements beyond the repeal of the specified regulations.
There are no specific offences, penalties, or civil/criminal consequences detailed in the Regulation for the breach of its provisions. Given that the Regulation primarily involves the repeal of existing regulations, there are no new offences created. The repeal itself serves as the primary consequence, ensuring that the amendments provided for in the repealed regulations do not take effect. The Regulation's purpose is to ensure the legislative framework remains aligned with the government's policy decisions without imposing punitive measures for non-compliance.