Human Services and Health Legislation Amendment Act (No. 2) 1995

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Human Services and Health Legislation Amendment Act (No. 2) 1995

No. 164 of 1995

CONTENTS

Section

1. Short title

2. Commencement

3. Schedule

SCHEDULE

AMENDMENTS OF ACTS

Health Insurance Act 1973

National Health Act 1953


Human Services and Health Legislation Amendment Act (No. 2) 1995

No. 164 of 1995

 

An Act to amend legislation relating to human services and health, and for related purposes

[Assented to 16 December 1995]

The Parliament of Australia enacts:

Short title

1. This Act may be cited as the Human Services and Health Legislation Amendment Act (No. 2) 1995.

Commencement

2.(1) Subject to subsection (2), this Act commences on the day on which it receives the Royal Assent.

(2) Items 1 to 4, 14 to 17 and 19 to 25 of the Schedule commence on 1 January 1996.

Schedule

3. The Acts specified in the Schedule to this Act are amended in accordance with the applicable items in the Schedule, and item 18 of the Schedule has effect according to its terms.


SCHEDULE Section 3

AMENDMENTS OF ACTS

Health Insurance Act 1973

1. Subsection 3(1) (definition of medical practitioner):

Add at the end of the definition:

“Note: Some people are precluded by section 3J from being medical practitioners.".

2. Subsection 3(1) (definition of professional service):

Add at the end of the definition:

“Note: See subsection (17) for when a service is taken to be rendered on behalf of a medical practitioner.".

3. Section 3:

Add at the end:

“(17) For the purposes of this Act and the regulations, a service is taken to be rendered on behalf of a medical practitioner if, and only if, it is rendered by a person:

(a) who is not a medical practitioner; and

(b) who provides the service, in accordance with accepted medical practice, under the supervision of the medical practitioner.”.

4. After section 3H:

Insert:

Certain persons not medical practitioners

“3J.(1) Despite the definition of medical practitioner in subsection 3(1), a person who:

(a) is not an Australian citizen or a permanent resident; and

(b) entered Australia under a temporary visa for the principal purpose of either practising as a medical practitioner and/or undertaking specialist medical training;

is not a medical practitioner for the purposes of this Act, unless the Minister determines otherwise.

“(2) A determination under subsection (1) maybe made subject to such conditions (if any) as the Minister thinks fit.

“(3) A determination under subsection (1) may relate to an individual or to a class of people.

“(4) If a person to whom a determination under subsection (1) applies breaches a condition of the determination, the determination ceases to apply to the person at all times during which the person is in breach.


SCHEDULE—continued

“(5) Despite anything contained in subsection 488(1) of the Migration Act 1958, the Secretary to the Department of Immigration and Ethnic Affairs may, for the purpose of:

(a) making a determination under subsection (1); or

(b) assisting the Commission to ascertain whether a condition of such a determination has been breached;

disclose to an officer of the Commission information about the conditions on which a person has entered or remains in Australia under a temporary visa.

“(6) In this section, permanent resident and temporary visa have the same meanings as in the Migration Act 1958.

Reconsideration and review of decisions under section 3J

“3K.(1) An individual who had applied to the Minister for a determination under subsection 3J(1) may apply to the Minister for reconsideration of a decision by the Minister refusing to make such a determination in respect of the individual.

“(2) For the purposes of subsection (1), the Minister is taken to have decided to refuse to make a determination under subsection 3J(1) if the Minister fails to notify the individual of his or her decision in relation to the determination within 28 days of the day on which the application was made.

“(3) An individual who had applied to the Minister for a determination under subsection 3J(1) may apply to the Minister for reconsideration of a decision by the Minister under subsection 3J(2) to impose one or more conditions on a determination made under subsection 3J(1) in respect of the individual.

“(4) The Minister must make a decision on the reconsideration within 28 days after receiving the application.

“(5) For the purposes of subsection (7), the Minister is taken to have made a decision on the reconsideration confirming the original decision if the Minister has not informed the individual of the decision on the reconsideration before the expiration of the period of 28 days.

“(6) An application may be made to the Administrative Appeals Tribunal for a review of the Minister’s decision on the reconsideration.”.

5. Subparagraph 16B(1)(a)(i):

Omit “specialist”, substitute “consultant physician, or a specialist, ”.


SCHEDULE—continued

6. Paragraph 16B(6)(a):

Omit “specialist”, substitute “consultant physician, or a specialist, ”.

Note: The heading to subsection 16B(6) is replaced by the heading “[Exemption—consultant physicians and specialists]”.

7. Paragraph 16B(7)(c):

Omit the paragraph, substitute:

“(c) the service was rendered during the period when a remote area exemption granted to the providing practitioner under that Division was in force; and”.

8. Paragraph 23DQ(1)(a):

Omit “by a medical practitioner”.

9. Section 23DQ:

Add at the end:

“(4) In this section:

practitioner means:

(a) a medical practitioner; or

(b) a dental practitioner; or

(c) a chiropractor; or

(d) a physiotherapist; or

(e) a podiatrist.”.

10. Section 23DZA:

Repeal the section, substitute:

Commencement and duration of remote area exemption

“23DZA.(1) A remote area exemption comes into force, or is taken to have come into force, on the day it is granted, or on such earlier or later commencing day as is specified in it.

“(2) The Minister must not specify a commencing day in a remote area exemption that is earlier than the day the application for the exemption was received.

“(3) Subject to section 23DZC, a remote area exemption stays in force for 3 years, or for any shorter period specified in it.

“(4) The Minister may, under subsection (4), specify a period that has ended before the day the exemption is granted.”.


SCHEDULE—continued

11. Subsections 130(1), (2), (3), (6), (7), (9) and (10):

Omit “his” (wherever occurring), substitute “his or her”.

12. Subsections 130(1), (4), (7), (8) and (9):

Omit “he” (wherever occurring), substitute “he or she”.

13. Subsection 130(1):

Omit “him”, substitute “him or her”.

14. After paragraph 130(7)(b):

Insert:

“(ba) the administration of the Migration Act 1958;”.

15. After paragraph 130(7)(f):

Insert:

“(fa) if the certificate specifies a purpose of the kind referred to in paragraph (ba)—to the Secretary to the Department of Immigration and Ethnic Affairs;”.

16. After paragraph 130(9)(b):

Insert:

“(ba) in the case of the Secretary to the Department of Immigration and Ethnic Affairs or a person or employee under the control of the Secretary—in the performance of his or her duties, or in the exercise of his or her powers or functions, under the Migration Act 1958;".

17. Subsection 130(10):

After “(b), ” insert “(ba), ”.

18. Transitional

If:

(a) before the commencement of this item, a person received from the Commonwealth a payment that purported to be a payment of a medicare benefit in respect of an R-type diagnostic imaging service; and

(b) the providing practitioner was a consultant physician; and

(c) had subsections 16B(1) and 16B(6) of the Health Insurance Act 1973, as amended by this Act, been in force when the payment was made, it would have been a valid payment of medicare benefit in respect of the service;

any right of the Commonwealth to recover the payment is, by force of this item, extinguished.


SCHEDULE—continued

National Health Act 1953

19. Subsection 84C(1AA):

Omit “$400” (wherever occurring), substitute “$600”.

20. Subsection 84C(1AA) (note):

Omit “$400”, substitute “$600”.

21. Paragraphs 87(2)(b) and (c):

Omit “$400”, substitute “$600”.

22. Subsection 87(2) (note):

Omit “$400”, substitute “$600”.

23. Section 99F (definition of general patient safety net):

Omit “$400”, substitute “$600”.

24. Subsection 99G(1A):

Omit the subsection, substitute:

“(1A) The general patient safety net is not to be indexed in 1996.”.

25. Subsection 99G(3A):

Omit the subsection, substitute:

“(3A) For the purposes of the definition of Current figure in subsection (3), the general patient safety net is not taken to have been indexed on or before 1 January 1996.”.

[Minister's second reading speech made in—

House of Representatives on 23 August 1995 Senate on 28 August 1995]

Overview

The Human Services and Health Legislation Amendment Act (No. 2) 1995 was enacted to amend the Health Insurance Act 1973 and the National Health Act 1953, addressing various issues related to human services and health, particularly around the scope and definitions of medical practitioners and services provided, as well as the administration and indexing of benefits. The Act was passed by the Parliament of Australia and received Royal Assent on 16 December 1995. It introduces amendments that refine the definition of who qualifies as a medical practitioner and the circumstances under which services are considered to be rendered on their behalf. Additionally, it modifies the indexing provisions for the general patient safety net threshold in the National Health Act 1953. The policy objectives include ensuring that only appropriately qualified individuals can be recognised as medical practitioners and that the benefits and services provided under the Acts are accurately defined and administered.

Scope and Application

The Human Services and Health Legislation Amendment Act (No. 2) 1995 amends the Health Insurance Act 1973 and the National Health Act 1953. This Act applies to individuals and entities involved in the provision of health services in Australia, including medical practitioners, dental practitioners, chiropractors, physiotherapists, and podiatrists. It also affects the administration of Medicare benefits, with specific amendments to the eligibility of medical practitioners, definitions of services, and the conditions under which certain payments can be made. The Act’s jurisdictional reach is national, applying across the Commonwealth of Australia. Certain exclusions apply, particularly concerning the eligibility of non-citizens and non-permanent residents to be recognised as medical practitioners unless a specific ministerial determination is made. The Act also includes provisions for reconsideration and review of ministerial decisions under certain sections. Subordinate instruments may extend or restrict the application of this Act, but the primary legislation sets out the core amendments and their specific effects.

Key Provisions

The Human Services and Health Legislation Amendment Act (No. 2) 1995, specifically within the Health Insurance Act 1973, introduces several significant amendments. Section 3(1) of the Act redefines the term "medical practitioner" and clarifies the circumstances under which a service is considered rendered on behalf of a medical practitioner. For instance, section 3(17) stipulates that a service is rendered on behalf of a medical practitioner if provided by someone who is not a medical practitioner, but does so under the supervision of a medical practitioner in accordance with accepted medical practice. Section 3J introduces a critical exclusion, stating that individuals who are not Australian citizens or permanent residents and who entered Australia under a temporary visa for the principal purpose of practising as a medical practitioner or undertaking specialist medical training are not considered medical practitioners unless the Minister determines otherwise. This determination can be subject to specific conditions, and if breached, the determination ceases to apply. The Act imposes several obligations on parties and entities it governs. Under section 3J, the Minister must make a decision on applications for determinations within 28 days and provide reasons for refusals. Section 3K allows individuals to apply for reconsideration of such decisions, with the Minister required to respond within 28 days. Furthermore, section 23DZA outlines the commencement and duration of remote area exemptions, which must not commence before the application date and generally last for three years. Additionally, the Act mandates that certain information about visa conditions can be disclosed to the Minister for the purpose of making determinations or assisting in ascertaining breaches. Breaches of the provisions outlined in the Act can lead to various consequences. For instance, failure to comply with conditions set by the Minister under section 3J results in the cessation of the determination. Additionally, section 130 imposes obligations on individuals to provide information and certificates to authorised officers and specifies penalties for non-compliance. The penalties for offences under this Act are not explicitly detailed in the provided text, but typically, such legislative amendments would align with existing penalty frameworks for similar breaches.

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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.