Health Insurance (Variation of Fees and Medical Services) (No. 16) Regulations

Legislation au C2004L04840 Regulations Not in force Legislative Instrument

Legislation content

Statutory Rules

1980 No. 166

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 eighteenth day of June 1980.

ZELMAN COWEN

Governor-General

By His Excellencys Command,

MICHAEL MACKELLAR

Minister of State for Health

 

HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (No. 16) REGULATIONS

Citation

 1. These Regulations may be cited as the Health Insurance (Variation of Fees and Medical Services) (No. 16) Regulations.

Commencement

 2. These Regulations shall come into operation on 1 July 1980.

Health Insurance (Variation of Fees and Medical Services) (No. 14) Regulationsamendment of Schedule

 3. The Schedule to the Health Insurance (Variation of Fees and Medical Services) (No. 14) Regulations (being that Schedule as amended by the Health Insurance (Variation of Fees and Medical Services) (No. 15) Regulations) is amended as set out in the Schedule to these Regulations.

 SCHEDULE Regulation 3

AMENDMENTS OF THE SCHEDULE TO THE HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES (No. 14) REGULATIONS

 

AMENDMENTS OF THE RULES FOR THE INTERPRETATION OF THE TABLE OF MEDICAL SERVICES

Omit rules 29, 30 and 31, substitute the following rules:

 29. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a radiographic examination of the kind referred to in the first-mentioned item and

 (a) in the case of item 2732$11.00;

 (b) in the case of item 2782$11.80; or

 (c) in the case of item 2798$6.90,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

 30. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a course of radiotherapy treatment of the kind referred to in the first-mentioned item when given to one field only and

 (a) in the case of item 2863$2.70 for each field separately treated in excess of one up to a maximum of 5 additional fields;

 (b) in the case of item 2867 or 2877$3.40 for each field separately treated in excess of one up to a maximum of 5 additional fields;

 (c) in the case of item 2881$3.90 for each field separately treated in excess of one up to a maximum of 5 additional fields;

 (d) in the case of item 2889$5.10 for each field separately treated in excess of one up to a maximum of 5 additional fields; or

 (e) in the case of item 2893$6.90 for each field separately treated in excess of one up to a maximum of 5 additional fields,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

 31. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to treatment by a single dose of radiotherapy of the kind referred to in the first-mentioned item when given to one field only and

 (a) in the case of item 2871$6.60 for each field separately treated in excess of one up to a maximum of 5 additional fields;

 (b) in the case of item 2885$8.60 for each field separately treated in excess of one up to a maximum of 5 additional fields; or

 (c) in the case of item 2897$11.80 for each field separately treated in excess of one up to a maximum of 5 additional fields,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference..

SCHEDULE—continued

AMENDMENTS OF THE TABLE OF MEDICAL SERVICES

1. Omit items 140 and 142, substitute the following items:

140

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioneran attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home

59.00

55.00

55.00

55.00

55.00

55.00

142

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioneran attendance of more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home

73.00

69.00

69.00

69.00

69.00

69.00

2. Omit items 150 and 152, substitute the following items:

150

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioneran attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home

71.00

68.00

68.00

68.00

68.00

68.00

 

SCHEDULE—continued

152

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioneran attendance of more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home

86.00

82.00

82.00

82.00

82.00

82.00.

3. After item 790 insert the following item in Division 2:

792

Ultrasonic echography by simple linear array or mechanical sector real-time scanning, not associated with item 794, 797 or 913 with a maximum of two scans during any one pregnancy

17.40

17.40

17.40

17.40

17.40

17.40.

4. Omit items 794 and 797, substitute the following items:

794

Ultrasonic echography, uni-dimensional, not associated with item 792, 797 or 913

30.50

30.50

30.50

30.50

30.50

30.50

797

Ultrasonic cross-sectional echography, bidimensional (excluding real-time scanning covered by item 792), not associated with item 792, 794 or 913

67.00

67.00

67.00

67.00

67.00

67.00.

5. Omit item 913, substitute the following item:

913

Echocardiography, not covered by item 792

44.00

44.00

44.00

44.00

44.00

44.00.

NOTE

1. Notified in the Commonwealth of Australia Gazette on 25 June 1980.

Overview

The Health Insurance (Variation of Fees and Medical Services) (No. 16) Regulations 1980 were enacted to amend the fees for medical services under the Health Insurance Act 1973. These regulations were made by the Governor-General, acting on the advice of the Federal Executive Council, and were designed to update and revise the fees associated with various medical services to ensure they reflect current costs and practices. These regulations, which came into effect on 1 July 1980, aim to maintain the integrity and efficiency of the health insurance system by periodically adjusting fees in response to economic and medical developments. The underlying policy objective is to provide a sustainable and fair framework for the delivery of medical services to the Australian population, ensuring that healthcare remains accessible and reasonably priced.

Scope and Application

The Health Insurance (Variation of Fees and Medical Services) (No. 16) Regulations, made under the authority of the Health Insurance Act 1973, apply to medical services covered by private health insurance in Australia. These regulations primarily concern the adjustment of fees for specific medical services as outlined in the amended Schedule to the Health Insurance (Variation of Fees and Medical Services) (No. 14) Regulations. The adjustments include fees for various types of radiographic examinations, courses of radiotherapy treatment, and specific psychiatric services. The amendments also affect fees for ultrasonic echography and echocardiography services. The Regulations come into operation on 1 July 1980 and are applicable nationally across Australia, thereby affecting all private health insurers and their members. There are no stated exclusions or exemptions within these Regulations, but they do modify the fees for specified medical services, ensuring that the fees listed in the amended Schedule are adhered to by all parties involved. The application of these Regulations is extended through subordinate instruments, allowing for periodic updates to the fees and services covered under the Health Insurance Act 1973.

Key Provisions

The Health Insurance (Variation of Fees and Medical Services) (No. 16) Regulations, which come into effect on 1 July 1980, amend the Health Insurance (Variation of Fees and Medical Services) (No. 14) Regulations. These regulations are primarily concerned with updating the fees for certain medical services and introducing new services under the Health Insurance Act 1973. Specifically, the Schedule to the aforementioned regulations is amended to reflect changes in the fees for various medical services. For instance, fees for radiographic examinations, courses of radiotherapy treatment, and treatments by a single dose of radiotherapy are adjusted, with new amounts set out in the amended rules (see Regulations 29, 30, and 31). The regulations impose specific obligations on medical practitioners, healthcare providers, and other entities involved in the provision of health services covered by these regulations. These obligations include ensuring that the updated fees are accurately reflected in their billing practices and records. Medical practitioners and healthcare providers must adhere to the new fee structures when providing the specified services, and these new fees must be applied from the commencement date of the regulations. Failure to comply with these fee structures could result in disputes regarding the amount of benefits payable under health insurance policies. There are no explicit provisions detailing offences, penalties, or consequences for breach of these regulations within the text provided. However, in general terms, non-compliance with regulations that govern the provision and billing of medical services could potentially lead to civil or administrative penalties under the Health Insurance Act 1973. Such penalties may include fines or other corrective measures imposed by the relevant authorities to ensure compliance with the legislative framework governing health insurance and medical services in Australia. The exact nature and severity of penalties would typically be determined based on the specific circumstances of non-compliance and the provisions of the overarching Act.

Legal classification tags

Area of Law
Health Law
Instrument
Regulation
Concepts
Commencement Provisions
Regulatory Standards
Reporting & Disclosure Obligations

Interactions

Authorises

All Versions

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.