Health Insurance (Medicare Benefits Payable in Respect of Professional Services – First Nations Molecular Point-of-Care Testing Program) Direction (No. 1) 2025

Administered by Department of Health, Disability and Ageing

Legislation au F2025N00840 In force Notifiable Instrument

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AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH, DISABILITY AND AGEING

HEALTH INSURANCE ACT 1973

 

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – First Nations Molecular Point-of-Care Testing Program) Direction (No. 1) 2025

I, Nigel Murray, Assistant Secretary, MBS Policy and Specialist Programs Branch, Medicare Benefits and Digital Health Division, Health Resourcing Group, delegate for the Minister for Health and Aged Care, acting under section 19 of the Health Insurance Act 1973 (the Act) hereby:

  1.                REPEAL the Health Insurance (Medicare Benefits Payable in Respect of Professional Services – First Nations Molecular Point-of-Care Testing Program) Direction 2024; and
  2.                DIRECT that under subsection 19(2) of the Act Medicare benefits shall be payable in respect of:
  1.      a professional service (as defined in section 3 of the Act) which has been provided in accordance with the First Nations Molecular Point-of-Care Testing Program managed by the Department of Health, Disability and Ageing (ABN: 83 605 426 759) and at, or from, a practice location specified in subparagraph (2)(c)(iii) of this direction for which:
    1.        item 73813 of the Health Insurance (Section 3C Pathology Services – Point-of-Care Testing Services) Determination 2024 or item 73825 of the Health Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020 relate; and
  2.      where the professional service is provided to:
    1.        an eligible person (as defined in section 3 of the Act) who is;
      1. not receiving a service which attracts a payment through Schedule K of the 2020-2025 Addendum to the National Health Reform Agreement for a service rendered to a public patient; and
  3.      the professional services referred to in paragraph (2)(a) must be provided:
    1.        by, or on behalf of, a salaried medical practitioner or participating nurse practitioner, where the professional service meets all relevant item requirements, or
    2.      where the service is performed on behalf of a medical practitioner, by a practice nurse, eligible Aboriginal and Torres Strait Islander health practitioner or eligible Aboriginal health worker, where the professional service meets all relevant item requirements; and
    3.   at, or from, a practice location in a Modified Monash 6 area or Modified Monash 7 area (as defined in Section 7.1.1 of the general medical services table) specified in Schedule A of this Direction. 
  1.                DIRECT that under subsection 19(5) of the Act Medicare benefits shall be payable in respect of:

(a)     a professional service (as defined in section 3 of the Act) which has been provided in accordance with the First Nations Molecular Point-of-Care Testing Program managed by the Department of Health, Disability and Ageing (ABN: 83 605 426 759) and at, or from, a practice location specified in subparagraph 2(c)(iii) of this Direction for which:

(i)     item 73813 of the Health Insurance (Section 3C Pathology Services – Point-of-Care Testing Services) Determination 2024 or item 73825 of the Health Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020 relate; and

(b)     where the professional service meets all the requirements as set out in paragraphs (2)(b) and (2)(c) of this direction.

  1.             DECLARE that this Direction commences on the day after registration and ceases to have effect at the end of 31 October 2026 unless earlier repealed.

 

Note, a number of expressions used in this direction are defined in the below instruments:

  • Health Insurance Act 1973: the meaning of medical practitioner, participating nurse practitioner, practice nurse and professional service;
  • Health Insurance (General Medical Services Table) Regulations 2021: the meaning of Modified Monash 6 area and Modified Monash 7 area; and
  • Health Insurance (Section 3C General Medical Services – Allied Health Services) Determination 2024: the meaning of eligible Aboriginal and Torres Strait Islander health practitioner and eligible Aboriginal health worker.

 

Date: 17 October 2025

 

 

Nigel MurrayAssistant SecretaryMBS Policy and Specialist Programs BranchMedicare Benefits and Digital Health DivisionHealth Resourcing Group Department of Health, Disability and Ageing

 

 


SCHEDULE A

 

Approved Aboriginal Community controlled health Services (ACCHS) for the provision of services under the First Nations Molecular Point-of-Care Testing Program

 

NORTHERN TERRITORY

Service Name

Legal Entity Name

Street Address

Ampilatwatja Health Centre Aboriginal Corporation

Ampilatwatja Health Centre Aboriginal Corporation

64 South Street, Alice Springs, NT 0872

Anyinginyi Health Centre

Anyinginyi Health Aboriginal Corporation

73 Schmidt Street, Tennant Creek NT 0860

Bulman Health Centre

Sunrise Health Service Aboriginal Corporation

Lot 68, Bulman (Weemol) NT 0852

Gap Clinic

Central Australian Aboriginal Congress Aboriginal Corporation

25 Gap Road, The Gap NT 0870

Galiwin'ku (Elcho Island) Clinic

 

Mitwatj Health Aboriginal Corporation

Lot 600 Burmala Rd, Galiwin’ku NT 0822

Gapuwiyak Clinic

Mitwatj Health Aboriginal Corporation

Lot 96, 1 Babawuynagumi St, Gapuwiyak NT 0880

Kalkaringi Health Centre

 Katherine West Health Board Aboriginal Corporation

Lot 125, Libanangu Street, Kalkaringi NT 0852

Lajamanu Health Centre

 Katherine West Health Board Aboriginal Corporation

Lot 446 Lajamanu Street, Lajamanu NT 0852

Mala'la Health Service Aboriginal Corporation

Mala'la Health Service Aboriginal Corporation

Lot 480, 6 Parap Place Maningrida Community, Maningrida NT 0822

Malmaldharra (Milingimbi) Health Centre

Mitwatj Health Aboriginal Corporation

Lot 37 Madmungun Road, Milingimbi NT 0822

Minyerri Health Centre

Sunrise Health Service Aboriginal Corporation

Lot 3, Minyerri NT 0852

Ngukurr Health Centre

Sunrise Health Service Aboriginal Corporation

Lot 316, Ngukurr Road, Ngukurr NT 0852

Pintupi Homelands Health Service (Aboriginal Corporation)

Pintupi Homelands Health Service (Aboriginal Corporation)

194 Kintore Road Kintore NT 0872

Ramingining Clinic

 

Mitwatj Health Aboriginal Corporation

Lot 19, 17 Milbrim Road, Ramingining NT 0822

Timber Creek Health Centre

 

Katherine West Health Board Aboriginal Corporation

Lot 93 Wilson St, Timber Creek NT 0852

Urapuntja Health Service

Urapuntja Health Service Aboriginal Corporation

Amengernternenh (Utopia) Sandover Highway, Sandover, NT 0872

Yarralin Health Centre

Katherine West Health Board Aboriginal Corporation

Lot 53, Yarralin NT 0852

Yulara Clinic

Central Australian Aboriginal Congress Aboriginal Corporation

Lot 233 Yulara Drive, Yulara NT 0872

QUEENSLAND

Service Name

Legal Entity Name

Street Address

Child and Family Centre (aka Bwgcolman Healing Service)

Palm Island Community Company

 

4 Main Street, Palm Island Qld 4816

 


SOUTH AUSTRALIA

Service Name

Legal Entity Name

Street Address

Amata Clinic

Nganampa Health Council

9-11 Ngari Place, Amata SA 0872

Pukatja (Ernabella)) Clinic

 Western Desert Nganampa Walytja Palyantjaku Tjutaku Aboriginal Corporation

1 Main Street Ernabella (Pukatja) SA 0872

Fregon Clinic

Nganampa Health Council

1 Main Street, KALTJITI, SA 0872

Iwantja Clinic

Nganampa Health Council

Maku Street, Indulkana SA 5724

Mimili clinic

Nganampa Health Council

6-8 Puti Ilykuwara Road Mimili Community, Mimili SA 0872

Oak Valley Health Service

Oak Valley (Maralinga) Aboriginal Corporation

43 McKenzie Street, Ceduna SA 5690

Pipalyatjara Clinic

Nganampa Health Council

3-5 Ilykuwara Street, Pipalytjara SA 0872

Tullawon Health Service Incorporated

Tullawon Health Service Incorporated

303 Tullawon Square, Yalata SA 5690

Umoona Tjutagku Health Service Aboriginal Corporation

Umoona Tjutagku Health Service Aboriginal Corporation Inc

Lot 8, Umoona Road, Coober Pedy SA 5723

Ceduna Koonibba Aboriginal Health Service

Yadu Health Aboriginal Corporation

1 Eyre Highway, Ceduna SA 5690

WESTERN AUSTRALIA

Service Name

Legal Entity Name

Street Address

Balgo (Wirrimanu) Health Centre

Kimberley Aboriginal Medical Services Limited

1 Tanami Road, Balgo WA 6770

Beagle Bay Health Centre

Kimberley Aboriginal Medical Services Limited

Lot 53 Beagle Bay Road, Beagle Bay WA 6725

Bidyadanga Health Centre

Kimberley Aboriginal Medical Services Limited

Lot 86 Wangkaja Road, Bidyadanga Community (Lagrange) WA 6725

Billiluna Health Centre

Kimberley Aboriginal Medical Services Limited

Billiluna Community, Halls Creek WA 6770

Blackstone Clinic

Ngaanyatjarra Health Service (Aboriginal Corporation)

Blackstone Community, Blackstone WA 0872

Broome Regional Aboriginal Medical Service

Broome Regional Aboriginal Medical Service (Aboriginal Corporation)

2 Dora Street, Broome WA 6725

Carnarvon Gascoyne Outreach Service

Geraldton Regional Aboriginal Medical Service

14-16 Rusthon Street, Carnarvon WA 6701

Derby Aboriginal Health Service

Derby Aboriginal Health Service Council Aboriginal Corporation

1 Stanley Street, Derby WA 6728

Jigalong Clinic

Puntukurnu Aboriginal Medical Service

Jigalong Community, Corner of Walyagunya Boulevard & Daisy Street, Newman WA 6753

Kiwirrkurra Clinic

Ngaanyatjarra Health Service (Aboriginal Corporation)

Gibson Desert North WA 0872

Mawarnkarra Health Service

Mawarnkarra Health Service

20 Sholl Street, Roebourne WA 6718

Murchison Outreach Service

Geraldton Regional Aboriginal Medical Service

56 Attwood Street, Mount Magnet WA 6638

Mulan Clinic

Kimberley Aboriginal Medical Services Limited

Mulan Community via Halls Creek, WA 6770

Newman Clinic

Puntukurnu Aboriginal Medical Service

65 Mindarra Drive, Newman WA 6753

Ngangganawili Aboriginal Health Service

Ngangganawili Aboriginal Community Controlled Health and Medical Services Aboriginal Corporation

44 Scotia Street, Wiluna WA 6646

Ord Valley Aboriginal Health Service

Ord Valley Aboriginal Health Service Aboriginal Corporation

1125 Ironwood Drive, Kununurra WA 6743

Spinifex Health Service

Paupiyala Tjarutja Aboriginal Corporation

Tjuntjuntjara Community, Tjuntjuntjara WA 6436

Warakurna Clinic

Ngaanyatjarra Health Service (Aboriginal Corporation)

Fifteenth Street, Warakurna Community, Warakurna WA 6642

Warburton Clinic

Ngaanyatjarra Health Service (Aboriginal Corporation)

Fourth Street, Warburton Community, Warburton WA 6431

Wingellina Clinic

Ngaanyatjarra Health Service (Aboriginal Corporation)

Wingellina Community, Ngaanyatjarra-Giles WA 0872

Wirraka Maya Health Service Aboriginal Corporation

Wirraka Maya Health Service Aboriginal Corporation

17 Hamilton Road, South Hedland WA 6722

Yura Yungi Aboriginal Medical Centre

Yura Yungi Medical Service Aboriginal Corporation

342 Terone Street, Halls Creek WA 6770


Approved ABORIGINAL MEDICAL SERVICES (AMS) for the provision of services under the First Nations Molecular Point-of-Care Testing Program

NORTHERN TERRITORY

Service Name

Practice Name

Street Address

 NT Health

Ali-Curung / Primary Health Centre

159 Jangala St, Ali-Curung NT 0861

QUEENSLAND

Service Name

Practice Name

Street Address

Torres and Cape Hospital and Health Service

Aurukun Primary Health Care Centre

810 Kang Kang Road, Aurukun QLD 4892

Torres and Cape Hospital and Health Service

Bamaga Primary Health Care Centre

175 Adidi Street, Bamaga QLD 4876

Torres and Cape Hospital and Health Service

Kowanyama Primary Health Care Centre

Carrington Street, Kowanyama QLD 4892

Torres and Cape Hospital and Health Service

Lockhart River Primary Health Care Centre

2 Paytam Street, Lockhart River QLD 4892

Torres and Cape Hospital and Health Service

Pormpuraaw Primary Health Care Centre

8 Korka Street, Pormpuraaw QLD 4892

Torres and Cape Hospital and Health Service

Saibai Island Primary Health Care Centre

29A Main Riad, Saibai Island QLD 4875

Torres and Cape Hospital and Health Service

Sibuwani Ngurpai Meta/ Thursday Island Primary Health Care Centre

74 Douglas Street, Thursday Island QLD 4875

Torres and Cape Hospital and Health Service

Weipa Integrated Health Service

407 John Evans Dr, Trunding Weipa QLD 4874

North West Hospital and Health Service

Cloncurry Multipurpose Health Service

1 Musgrave Street, Cloncurry QLD 4824

North West Hospital and Health Service

Yellagundgimarra Hospital Doomadgee and Community Health Cenre

19 Sharpe Street, Doomadgee QLD 4830

North West Hospital and Health Service

Mornington Island Hospital and Aboriginal Community Health Service

Lardyl Street, Mornington Island QLD 4871

North West Hospital and Health Service

Mt Isa Sexual Health Service

1 Barkly Highway, Miles End QLD 4825

North West Hospital and Health Service

Normanton Hospital and Community Health

199 Brown Street, Normanton QLD 4890

WESTERN AUSTRALIA

Service Name

Practice Name

Street Address

Western Australia Country Health Service

Fitzroy Crossing Hospital and Community Health

82 Fallon Road, Fitzroy Crossing WA 6765

 

Overview

The Health Insurance (Medicare Benefits Payable in Respect of Professional Services – First Nations Molecular Point-of-Care Testing Program) Direction (No. 1) 2025 was enacted to address a gap in accessible healthcare services for First Nations Australians, specifically in remote and very remote areas. The Direction was issued under the Health Insurance Act 1973 by the Department of Health, Disability and Ageing. The policy objective is to ensure that eligible First Nations Australians receive timely and appropriate healthcare services through the provision of Medicare benefits for professional services related to molecular point-of-care testing. The Direction aims to improve health outcomes by enabling healthcare professionals to provide essential diagnostic services directly at or near the patient’s location, thereby reducing the need for travel to distant healthcare facilities. This initiative is intended to support the broader goal of equitable healthcare access for Aboriginal and Torres Strait Islander peoples.

Scope and Application

The Health Insurance (Medicare Benefits Payable in Respect of Professional Services – First Nations Molecular Point-of-Care Testing Program) Direction (No. 1) 2025 applies to medical practitioners, nurse practitioners, practice nurses, eligible Aboriginal and Torres Strait Islander health practitioners, and eligible Aboriginal health workers who provide professional services in accordance with the First Nations Molecular Point-of-Care Testing Program managed by the Department of Health, Disability and Ageing. These services must be provided at or from specified practice locations in Modified Monash 6 or 7 areas, primarily in regional and remote areas across Australia, as outlined in Schedule A. The Direction ensures that Medicare benefits are payable for these services when provided to eligible persons who are not receiving a service that attracts a payment through Schedule K of the 2020-2025 Addendum to the National Health Reform Agreement for a service rendered to a public patient. The Direction, which repeals the 2024 version, commences on the day after registration and remains in effect until 31 October 2026 unless earlier repealed. The Direction extends its application through subordinate instruments, including the Health Insurance Act 1973, Health Insurance (General Medical Services Table) Regulations 2021, and Health Insurance (Section 3C General Medical Services – Allied Health Services) Determination 2024, which define terms such as 'medical practitioner', 'practice location', and 'eligible Aboriginal and Torres Strait Islander health practitioner'.

Key Provisions

The Health Insurance (Medicare Benefits Payable in Respect of Professional Services – First Nations Molecular Point-of-Care Testing Program) Direction (No. 1) 2025, made under section 19 of the Health Insurance Act 1973, establishes specific conditions under which Medicare benefits will be payable for professional services provided as part of the First Nations Molecular Point-of-Care Testing Program. Section 2 of the Direction details that these benefits are payable for professional services provided in accordance with the program and for specific items listed in the Health Insurance (Section 3C Pathology Services – Point-of-Care Testing Services) Determination 2024 and the Health Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020. The services must be provided by or on behalf of specific healthcare professionals, such as salaried medical practitioners, participating nurse practitioners, practice nurses, eligible Aboriginal and Torres Strait Islander health practitioners, or eligible Aboriginal health workers. These services must be delivered to eligible persons who are not receiving services that attract payments through Schedule K of the 2020-2025 Addendum to the National Health Reform Agreement for public patients. Additionally, these services must be provided at or from practice locations specified in Schedule A of the Direction, which includes locations in Modified Monash 6 and 7 areas. The Direction imposes several obligations on the parties involved. For example, healthcare providers must ensure that the professional services they provide are in line with the requirements set out in the Direction. This includes verifying that the services are provided by authorised personnel and that they meet the criteria for the relevant Medicare items. Furthermore, the services must be performed in approved practice locations, which are specified in Schedule A of the Direction. Failure to comply with these requirements may result in the services not being eligible for Medicare benefits. Breaches of the provisions set out in the Direction may lead to civil or criminal consequences. Although the Direction does not specify maximum penalties, violations of the Health Insurance Act 1973 or related regulations can result in substantial fines. For instance, individuals or entities found to have provided services that do not meet the criteria for Medicare benefits may be liable for penalties. In more severe cases, deliberate misrepresentation or fraud can lead to criminal charges and imprisonment. It is essential for healthcare providers to adhere to the requirements to avoid these potential consequences.

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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.