Health Insurance (Variation of Fees and Medical Services) (No. 9) Regulations

Legislation au C1978L00206 Regulations Not in force Legislative Instrument

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Statutory Rules

1978 No. 206

REGULATIONS UNDER THE HEALTH INSURANCE ACT 1973*

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 twenty-sixth day of October 1978.

ZELMAN COWEN

Governor-General

By His Excellency’s Command,

RALPH J. HUNT

Minister of State for Health

HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (NO.9) REGULATIONS

Citation

1. These Regulations may be cited as the Health Insurance (Variation of Fees and Medical Services) (No. 9) Regulations.

Commencement

2. These Regulations shall come into operation on 1 November 1978.

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) is amended as set out in the Schedule to these Regulations.

* Notified in the Commonwealth of Australia Gazette on 31 October 1978.


SCHEDULE

AMENDMENTS OF THE SCHEDULE TO THE HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (No. 7) REGULATIONS

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

After rule 11, insert the following rules:

11a. Where an item in Part 9a includes the symbol ‘ (HR) ’, the item shall be taken to relate to the service specified in the item when rendered with the use of any computerised axial tomography equipment of a recognized hospital or a radiology unit included in a prescribed class of radiology units.

“ 11b. Where an item in Part 9a includes the symbol ‘ (OR) ’, the item shall be taken to relate to the service specified in the item when rendered otherwise than with the use of any computerised axial tomography equipment of a recognized hospital or a radiology unit included in a prescribed class of radiology units.

“ 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;

(b) radiology units operated by the Capital Territory Health Commission;

(c) radiology units operated by a State or an authority of a State;

(d) radiology units operated by an Australian University.”.

AMENDMENTS OF THE TABLE OF MEDICAL SERVICES

1. After Division 9 of Part 6, insert the following Division:

Division 10

“ 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)              

100.00

97.00

97.00

97.00

97.00

97.00

“ 998 Radiographic examination of one or both breasts (with or without thermography), all associated screening services (other than echography) and report where the patient is referred for the radiographic examination with  a specific request for that examination and there is reason to suspect the presence of malignancy in the breast or breasts because of the past occurrence of breast malignancy in the patient or members of the patient’s family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner(S)              

43.00

43.00

43.00

43.00

43.00

43.00 ”.

2. After Part 9, insert the following Part:

 

 

 

 

 

“ PART 9a—COMPUTERISED AXIAL TOMOGRAPHY

“ 2960 Computerised axial tomography— brain scan on a brain scanner, plain study (OR)  

59.00

59.00

59.00

59.00

59.00

59.00


SCHEDULE— continued

“ 2961

Computerised axial tomography— brain scan on a brain scanner, plain study (HR)

23.50

59.00

59.00

59.00

59.00

59.00

“ 2962

Computerised axial tomography— brain scan on a brain scanner, plain study and contrast medium study (OR)              

134.00

134.00

134.00

134.00

134.00

134.00

“ 2963

Computerised axial tomography— brain scan on a brain scanner, plain study and contrast medium study (HR)              

54.00

134.00

134.00

134.00

134.00

134.00

“ 2964

Computerised axial tomography— brain scan on a body scanner, plain study (OR)

86.00

86.00

86.00

86.00

86.00

86.00

“ 2965

Computerised axial tomography— brain scan on a body scanner, plain study (HR)

34.50

86.00

86.00

86.00

86.00

86.00

“ 2966

Computerised axial tomography— brain scan on a body scanner, plain study and contrast medium study (OR)              

176.00

176.00

176.00

176.00

176.00

176.00

“ 2967

Computerised axial tomography— brain scan on a body scanner, plain study and contrast medium study (HR)              

70.00

176.00

176.00

176.00

176.00

176.00

“ 2968

Computerised axial tomography— body scan on a body scanner, plain study (OR)

215.00

215.00

215.00

215.00

215.00

215.00

“ 2969

Computerised axial tomography— body scan on a body scanner, plain study (HR)

86.00

215.00

215.00

215.00

215.00

215.00

“ 2970

Computerised axial tomography— body scan on a body scanner, plain study and intravenous contrast medium study (OR)

280.00

280.00

280.00

280.00

280.00

280.00

“ 2971

Computerised axial tomography— body scan on a body scanner, plain study and intravenous contrast medium study (HR)

112.00

280.00

280.00

280.00

280.00

280.00 ”

 

Overview

The Health Insurance (Variation of Fees and Medical Services) (No. 9) Regulations 1978 were enacted to amend the fees and 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 came into operation on 1 November 1978. The primary aim of these regulations was to adjust the fees and services listed in the Health Insurance (Variation of Fees and Medical Services) (No. 7) Regulations and subsequent amendments, by introducing new medical services and modifying the fees associated with certain services, particularly those involving the use of computerised axial tomography equipment. This legislative instrument ensures that the medical services table is kept up-to-date and reflective of technological advancements and changes in medical practices.

Scope and Application

The Health Insurance (Variation of Fees and Medical Services) (No. 9) Regulations 1978, made under the Health Insurance Act 1973, apply to the variation of fees for medical services covered under the Health Insurance Act. These Regulations amend the fees for various medical services listed in the Schedule to the Health Insurance (Variation of Fees and Medical Services) (No. 7) Regulations, as previously amended by the Health Insurance (Variation of Fees and Medical Services) (No. 8) Regulations. The Regulations came into operation on 1 November 1978 and are applicable nationwide across Australia. The Regulations extend to altering the fees for services rendered by recognised hospitals and specific classes of radiology units, including those operated by the Commonwealth, the Capital Territory Health Commission, a State, or an Australian University. Notably, the Regulations introduce new rules for interpreting the use of computerised axial tomography equipment in medical services and add new medical services to the Table of Medical Services, such as multiphasic health screening services and radiographic examinations of the breasts. The application of these Regulations is further defined through subordinate instruments, which may include additional amendments or clarifications to the fees and services covered.

Key Provisions

The Health Insurance (Variation of Fees and Medical Services) (No. 9) Regulations, made under the Health Insurance Act 1973, introduce amendments primarily to the interpretation of the table of medical services and the fees associated with certain medical procedures. Specifically, the Regulations amend the Schedule to the Health Insurance (Variation of Fees and Medical Services) (No. 7) Regulations, as previously amended by the Health Insurance (Variation of Fees and Medical Services) (No. 8) Regulations. These amendments come into effect on 1 November 1978. The Regulations impose specific obligations on the parties governed by them, particularly in relation to the interpretation of certain medical services and the fees associated with these services. For example, the Regulations require that items in Part 9a of the table of medical services, which include the symbols '(HR)' or '(OR)', be interpreted in the context of whether they are rendered using computerised axial tomography equipment in a recognised hospital or a prescribed class of radiology units. The Regulations also introduce new items and fees for certain medical services, including multiphasic health screening services and radiographic examinations of the breast. These obligations are designed to ensure that the fees charged for medical services are correctly interpreted and applied in accordance with the provisions of the Regulations. Failure to comply with the provisions of these Regulations may result in civil or criminal consequences. Although the specific penalties for breach are not detailed in the text of the Regulations, it is reasonable to infer that penalties may be prescribed under the Health Insurance Act 1973 or other relevant legislation. The penalties for breaching these types of regulations can range from fines to more severe criminal sanctions, depending on the nature and severity of the breach. The specific penalties would be outlined in the primary Act or other related legislation, and would be applicable to any party found to be in breach of the Regulations.

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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.