Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Determination 2019
made under subsection 3C(1) of the
Health Insurance Act 1973
Compilation No. 12
Compilation date: 1 July 2026
Includes amendments: F2026L00523
About this compilation
This compilation
This is a compilation of the Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Determination 2019 that shows the text of the law as amended and in force on 1 July 2026 (the compilation date).
The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.
Uncommenced amendments
The effect of uncommenced amendments is not shown in the text of the compiled law. The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. Any uncommenced amendments affecting the law are accessible on the Register (www.legislation.gov.au).
Application, saving and transitional provisions
If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.
Editorial changes
For more information about any editorial changes made in this compilation, see the endnotes.
Presentational changes
The Legislation Act 2003 provides for First Parliamentary Counsel to make presentational changes to a compilation. Presentational changes are applied to give a more consistent look and feel to legislation published on the Register, and enable the user to more easily navigate those documents.
Modifications
If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. Any modifications affecting the law are accessible on the Register.
Self‑repealing provisions
If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.
Contents
1. Name 1
3. Authority 1
3A. Repeal 1
5. Definitions 1
6. Treatment of relevant services 2
7. Application of item 699 and 177 2
8. Indexation 2
Schedule 1 – relevant services 4
Endnotes 5
Endnote 1—About the endnotes 5
Endnote 2—Abbreviation key 6
Endnote 3—Legislation history 7
Endnote 4—Amendment history 9
1. Name
This Determination is the Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Determination 2019.
3. Authority
This Determination is made under subsection 3C(1) of the Health Insurance Act 1973.
3A. Repeal
This instrument is repealed on 30 June 2028 at 11:59pm.
5. Definitions
(1) In this Determination:
Act means the Health Insurance Act 1973.
health screening service has the same meaning as in subsection 19(5) of the Act.
prescribed medical practitioner has the meaning given by clause 7.1.1 of the Health Insurance (General Medical Services Table) Regulations 2021.
relevant provisions means all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.
relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.
Schedule means a Schedule to this Determination.
Note: The following terms are defined in subsection 3(1) of the Act:
clinically relevant service
general medical services table
item
professional service
(2) Unless the contrary intention appears, a reference in this Determination to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.
6. Treatment of relevant services
For subsection 3C(1) of the Act a relevant service, provided in accordance with this Determination and as a clinically relevant service, is to be treated, for the relevant provisions, as if:
(a) it were both a professional service and a medical service; and
(b) there were an item in the general medical services table that:
(i) related to the service; and
(ii) specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.
7. Application of item 699 and 177
(1) Clause 2.15.1 of the general medical services table shall have effect as if:
(a) item 699 is specified in subclause 2.15.1(1) for the purposes of this clause; or
(b) item 177 is specified in subclause 2.15.1(2) for the purposes of this clause.
(2) Clause 2.15.14 of the general medical services table shall have effect as if item 699 or 177 contained in the Schedule was also specified in clause 2.15.14.
(3) For any particular patient, item 699 or 177 is not applicable:
(a) if the patient has been provided a service to which item 699 or 177 applies in the previous 12 month period; or
(b) if, prior to a service, the patient has been provided a service mentioned in:
(i) Group A14 of the general medical services table within the previous 12 months, excluding item 715; or
(ii) Group A7, Subgroup 5 of the Health Insurance (General Medical Services Table) Regulations 2021 within the previous 12 months, excluding item 228.
8 Indexation
(1) At the start of 1 July 2026 (the indexation time), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
Note: The indexed fees could in 2026 be viewed on the Department of Health, Disability and Ageing’s MBS Online website (www.mbsonline.gov.au).
(2) The amounts covered by this subsection are the fee for each item in Schedule 1 of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Schedule 1 – relevant services
Category 1 – Professional Attendances | ||
Group A14 – Health assessments | ||
Item | Service | Fee ($) |
699 | Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a general practitioner at consulting rooms lasting at least 20 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination, which must include recording blood pressure and cholesterol; and (c) initiating interventions and referrals as indicated; and (d) implementing a management plan; and (e) providing the patient with preventative health care advice and information. | 80.10 |
Category 1 – Professional Attendances | ||
Group A7 – Acupuncture and Non‑Specialist Practitioner Items | ||
Subgroup 5 – Non‑Specialist Practitioner health assessments | ||
Item | Service | Fee ($) |
177 | Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a prescribed medical practitioner at consulting rooms lasting at least 20 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination, which must include recording blood pressure and cholesterol; and (c) initiating interventions and referrals as indicated; and (d) implementing a management plan; and (e) providing the patient with preventative health care advice and information. | 64.10 |
Endnotes
Endnote 1—About the endnotes
The endnotes provide information about this compilation and the compiled law.
The following endnotes are included in every compilation:
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history
Abbreviation key—Endnote 2
The abbreviation key 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 (or will amend) the compiled law. The information includes commencement details for amending laws and details of any 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 (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.
Editorial changes
The Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.
If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.
Misdescribed amendments
A misdescribed amendment is an amendment that does not accurately describe how an amendment is to be made. If, despite the misdescription, the amendment can be given effect as intended, then the misdescribed amendment can be incorporated through an editorial change made under section 15V of the Legislation Act 2003.
If a misdescribed amendment cannot be given effect as intended, the amendment is not incorporated and “(md not incorp)” is added to the amendment history.
Endnote 2—Abbreviation key
ad = added or inserted | orig = original |
am = amended | p = page(s) |
amdt = amendment | para = paragraph(s)/subparagraph(s) |
C[x] = Compilation No. x | /sub‑subparagraph(s) |
ch = Chapter(s) | pres = present |
cl = clause(s) | prev = previous |
cont. = continued | (prev…) = previously |
def = definition(s) | pt = Part(s) |
Dict = Dictionary | r = regulation(s)/Court rule(s) |
disallowed = disallowed by Parliament | reloc = relocated |
div = Division(s) | renum = renumbered |
ed = editorial change | rep = repealed |
exp = expires/expired or ceases/ceased to have | rs = repealed and substituted |
effect | s = section(s)/subsection(s) |
gaz = gazette | /rule(s)/subrule(s)/order(s)/suborder(s) |
LA = Legislation Act 2003 | sch = Schedule(s) |
LIA = Legislative Instruments Act 2003 | SLI = Select Legislative Instrument |
(md) = misdescribed amendment can be given | SR = Statutory Rules |
effect | sub ch = Sub‑Chapter(s) |
(md not incorp) = misdescribed amendment | sub div = Subdivision(s) |
cannot be given effect | sub pt = Subpart(s) |
mod = modified/modification | underlining = whole or part not |
No. = Number(s) | commenced or to be commenced |
Ord = Ordinance |
|
Endnote 3—Legislation history
Name | Registration | Commencement | Application, saving and transitional provisions |
Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Determination 2019 | 25 Mar 2019 (F2019L00361) | 1 Apr 2019 (s 2(1) item 1) |
|
Health Insurance (Section 3C General Medical Services – Medicare Indexation) Amendment Determination 2019 | 11 Apr 2019 (F2019L00605) | sch 1 (items 8, 9): 1 July 2019 (s 2(1) item 1) | — |
Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Amendment Determination 2019 | 4 Oct 2019 (F2019L01308) | 1 Nov 2019 (s 2(1) item 1) | — |
Health Insurance Legislation Amendment (Section 3C – Medical and Diagnostic Imaging Services) Determination 2020 | 29 Apr 2020 (F2020L00518) | 1 May 2020 (s 2(1) item 1) | — |
Health Insurance Legislation Amendment (Section 3C General Medical and Diagnostic Imaging Services – Medicare Indexation) Determination 2020 | 27 May 2020 (F2020L00748) | sch 1 (items 43, 44): 1 July 2020 (s 2(1) item 1) | — |
Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Amendment Determination 2021 | 25 May 2021 (F2021L00623) | 1 July 2021 (s 2(1) item 1) | — |
Health Insurance Legislation Amendment (Indexation) Determination 2022 | 7 Apr 2022 (F2022L00553) | sch 2 (items 19, 20): 1 July 2022 (s 2(1) item 1) | — |
Health Insurance Legislation Amendment (2023 Measures No. 2) Determination 2023 | 7 June 2023 (F2023L00731) | sch 4: 1 July 2023 (s 2(1) item 3) | — |
Health Insurance Legislation Amendment (Indexation No. 2) Determination 2023 | 4 Sept 2023 (F2023L01183) | sch 2 (items 1, 2): 1 Nov 2023 (s 2(1) item 1) | — |
Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Amendment (Prescribed Medical Practitioner) Determination 2024 | 20 May 2024 (F2024L00559) | 1 July 2024 (s 2(1) item 1) | — |
Health Insurance Legislation Amendment (Indexation) Determination 2025 | 6 May 2025 (F2025L00554) | sch 1 (item 9): 1 July 2025 (s 2(1) item 1) | — |
Health Insurance (Section 3C General Medical Services – Heart Health Assessment) Amendment Determination 2025 | 26 Aug 2025 (F2025L00980) | 1 Nov 2025 (s 2(1) item 1) | — |
Health Insurance Legislation Amendment (Indexation) Determination 2026 | 8 May 2026 (F2026L00523) | sch 1 (item 14): 1 July 2026 (s 2(1) item 2) | — |
Endnote 4—Amendment history
Provision affected | How affected |
s 2..................... | rep LA s 48D |
s 4..................... | rep LA s 48C |
s 3A.................... | ad F2025L00980 |
s 5..................... | am F2024L00559 |
s 7..................... | am F2020L00518; F2023L00731 |
| rs F2024L00559 |
s 8..................... | am F2023L00731 |
| rs F2024L00559 |
| am F2025L00554; F2026L00523 |
Schedule 1 |
|
Schedule 1................ | am F2019L00605; F2019L01308; F2020L00748; F2021L00623; F2022L00553; F2023L00731; F2023L01183; F2024L00559 |