Statutory Rules
1979 No. 76
REGULATIONS UNDER THE HEALTH INSURANCE ACT 19731
I, THE GOVERNOR-GENERAL of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, hereby make the following Regulations under the Health Insurance Act 1973.
Dated this seventeenth day of May 1979.
ZELMAN COWEN
Governor-General
By His Excellency’s Command,
WAL. FIFE
Minister of State for Business and Consumer Affairs for and on behalf of the Minister of State for Health
–––––––––
HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (No. 13) REGULATIONS
Citation
1. These Regulations may be cited as the Health Insurance (Variation of Fees and Medical Services) (No. 13) Regulations.
Commencement
2. These Regulations shall come into operation on 1 June 1979.
Health Insurance (Variation of Fees and Medical Services) (No. 7) Regulations-amendment of Schedule
3. The Schedule to the Health Insurance (Variation of Fees and Medical Services) (No. 7) Regulations (being that Schedule as amended by the Health Insurance (Variation of Fees and Medical Services) (No. 8) Regulations, the Health Insurance (Variation of Fees and Medical Services) (No. 9) Regulations, the Health Insurance (Variation of Fees and Medical Services) (No. 10) Regulations, the Health Insurance (Variation of Fees and Medical Services) (No. 11) Regulations and the Health Insurance (Variation of Fees and Medical Services) (No. 12) Regulations) is amended as set out in the Schedule to these Regulations.
SCHEDULE
AMENDMENTS OF THE SCHEDULE TO THE HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (NO. 7) REGULATIONS
––––––––––
AMENDMENTS OF THE RULES FOR THE INTERPRETATION OF THE TABLE OF MEDICAL SERVICES
1. After rule 5, insert the following rules:
“5a. A reference in item 955 to venepuncture and the collection of blood for the performance by an approved pathology practitioner of a pathology service shall riot be read as a reference to that procedure where—
(a) any of the blood collected is used in the rendering of a medical service specified in an item in Part 7 by a member of a group of medical practioners of whom the medical practioner who collected the blood is a member;
(b) the procedure is performed—
(i) in respect of a person who is, at the time the procedure is performed, an inpatient of a private hospital or a recognized hospital; or
(ii) in the course of the provision of an outpatient service at a private hospital or a recognized hospital; or
(c) in the rendering of the procedure—
(i) any equipment of a private hospital, a recognized hospital or a prescribed establishment is used; or
(ii) any member of the staff of a private hospital, a recognized hospital or a prescribed establishment participates.
“5b. (1) In rule 5a and in item 955 ‘pathology service’ means a medical service specified in an item in Part 7, not being item 1504, 1505, 1511, 1512, 1516 or 1517 or an item in Division 9 of that Part.
“(2) In rule 5a ‘prescribed establishment’ means—
(a) a laboratory or medical centre operated by the Commonwealth;
(b) a laboratory or medical centre operated by a State or an authority of a State;
(c) a laboratory or medical centre operated by the Northern Territory of Australia;
(d) a laboratory or medical centre operated by the Capital Territory Health Commission;
(e) a laboratory or medical centre operated by an Australian University; or
(f) a laboratory or medical centre (not being a laboratory or medical centre referred to in paragraphs (a) to (e) inclusive ) operated on a non-profit basis.”.
2. Omit rule 9, substitute the following rule:
“9. For the purposes of rules 6 and 8, each of the following classes of laboratories is a prescribed class of laboratories:
(a) laboratories operated by the Commonwealth;
(b) laboratories operated by a State or an authority of a State;
(c) laboratories operated by the Northern Territory of Australia;
(d) laboratories operated by the Capital Territory Health Commission;
(e) laboratories operated by an Australian University.
3. Omit rule 11c, substitute the following rule:
“11c For the purposes of rules 11a and 11b, each of the following classes of radiology units is a prescribed class of radiology units:
(a) radiology units operated by the Commonwealth;
SCHEDULE-continued
(b) radiology units operated by a State or an authority of a State;
(c) radiology units operated by the Northern Territory of Australia;
(d) radiology units operated by the Capital Territory Health Commission;
(e) radiology units operated by an Australian University.”.
AMENDMENTS OF THE TABLE OF MEDICAL SERVICES
1. | After item 954, insert the following item: | |||||||
“955 Venepuncture and the collection of blood for the performance by an approved pathology practitioner of a pathology service— one or more such procedures during the one attendance | 2.00 | 2.00 | 2.00 | 2.00 | 2.00 | 2.00”. | ||
2. | Omit items 994 and 998, substitute the following item: | |||||||
“994 Multiphasic health screening service involving the performance of 10 or more medical services specified in items in Parts 6, 7 and 8 (including any associated consultation) | 110.00 | 97.00 | 97.00 | 97.00 | 97.00 | 97.00”. | ||
3. | Omit items 2962 and 2963, substitute the following items: | |||||||
“2962 Computerised axial tomography—brain scan on a brain scanner, plain study and contrast medium study (or) | 102.00 | 102.00 | 102.00 | 102.00 | 102.00 | 102.00 | ||
“2963 Computerised axial tomography—brain scan on a brain scanner, plain study and contrast medium study (hr) | 41.00 | 102.00 | 102.00 | 102.00 | 102.00 | 102.00”. | ||
4. | Omit items 2966, 2967, 2968, 2969, 2970 and 2971, substitute the following items: | |||||||
“2966 Computerised axial tomography—brain scan on a body scanner, plain study and contrast medium study (or) | 162.00 | 162.00 | 162.00 | 162.00 | 162.00 | 162.00 | ||
“2967 Computerised axial tomography—brain scan on a body scanner, plain study and contrast medium study (hr) | 65.00 | 162.00 | 162.00 | 162.00 | 162.00 | 162.00 | ||
“2968 Computerised axial tomography—body scan on a body scanner, plain study (or) | 162.00 | 162.00 | 162.00 | 162.00 | 162.00 | 162.00 | ||
“2969 Computerised axial tomography—body scan on a body scanner, plain study (hr) | 65.00 | 162.00 | 162.00 | 162.00 | 162.00 | 162.00 | ||
“2970 Computerised axial tomography—body scan on a body scanner, plain study and intravenous contrast medium study (or) | 210.00 | 210.00 | 210.00 | 210.00 | 210.00 | 210.00 | ||
“2971 Computerised axial tomography—body scan on a body scanner, plain study and intravenous contrast medium study (hr) | 84.00 | 210.00 | 210.00 | 210.00 | 210.00 | 210.00”. | ||
NOTE
1. Notified in the Commonwealth of Australia Gazette on 24 May 1979.