National Health Amendment Act (No. 2) 1980

Administered by Department of Health, Disability and Ageing

Legislation au C2004A02332 Not in force Act

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National Health Amendment Act (No. 2) 1980

No. 131 of 1980

 

An Act to amend the National Health Act 1953

[Assented to 19 September 1980]

BE IT ENACTED by the Queen, and the Senate and the House of Representatives of the Commonwealth of Australia, as follows:

Short title, &c.

1. (1) This Act may be cited as the National Health Amendment Act (No. 2) 1980.

(2) The National Health Act 1953 is in this Act referred to as the Principal Act.

Commencement

2. (1) Sections 1, 2, 7, 8, 9, 10 and 15 shall be deemed to have come into operation on 4 September 1980.

(2) Sections 4, 5, 6 and 14 shall come into operation on 1 October 1980.

(3) Section 3 shall come into operation on 1 November 1980.

(4) Sections 11, 12 and 13 shall come into operation on a date to be fixed by Proclamation.

Interpretation

3. Section 4 of the Principal Act is amended—

(a) by omitting from sub-paragraph (i) of paragraph (a) of the definition of pensioner in sub-section (1) or a sheltered employment allowance and substituting , a sheltered employment allowance or a sickness benefit; and

(b) by omitting from paragraph (a) of sub-section (3) or a sheltered employment allowance and substituting , a sheltered employment allowance or a sickness benefit.

Travel allowance

4. (1) Section 17 of the Principal Act is amended—

(a) by omitting sub-sections (1) and (2) and substituting the following sub-sections:

(1) In this section—

prescribed amount, in relation to a prescribed journey, means $20 or such other amount as is prescribed by regulations in force at the commencement of the journey;


prescribed journey, in relation to the rendering of a relevant professional service to an approved patient, means the relevant journeys made in connection with the rendering of that professional service, being those journeys regarded as one journey.

(2) Subject to this Part, a travel allowance of an amount ascertained in accordance with the succeeding provisions of this section is payable in respect of a prescribed journey.;

(b) by omitting from sub-section (3) of the person concerned (wherever occurring);

(c) by omitting from sub-section (4) of a person (wherever occurring);

(d) by omitting from sub-section (4) in respect of that person; and

(e) by omitting sub-section (6).

(2) Notwithstanding the amendments made by sub-section (1), section 17 of the Principal Act continues to apply in relation to any journey made in connection with the rendering of a professional service that was rendered before the commencement of this section.

Accommodation allowance

5. Section 18 of the Principal Act is amended by omitting from paragraph (b) of sub-section (2) $15 (wherever occurring) and substituting $20.

6. Section 20 of the Principal Act is repealed and the following section substituted:

Payment not to be made in case of late application

20. (1) Subject to this section, a payment under this Part shall not be made if the relevant application under section 13 is not made before the expiration of 12 months after the referral to which the application relates.

(2) Where an application under section 13 is made after the expiration of 12 months after the referral to which the application relates, the Permanent Head may request the applicant to forward a statement of the reasons for the delay.

(3) The Permanent Head shall consider the reasons for the delay in making an application and, if he is satisfied that there were extenuating circumstances that excuse the delay in making the application, direct that sub-section (1) is not to apply in relation to the application but, if he is not so satisfied, he shall refuse to give such a direction..

Interpretation

7. Section 58d of the Principal Act is amended by adding at the end thereof the following sub-section:

(2) For the purposes of this Part, any care provided by an approved person, before his approval takes effect, for the patient in relation to whom he is approved shall be deemed not to be domiciliary nursing care..

Payment of benefit

8. Section 58g of the Principal Act is amended by omitting all the words after the word benefit and substituting at the rate of $42 per fortnight..

9. (1) After section 58g of the Principal Act the following section is inserted:

Domiciliary nursing care benefit to be paid in fortnightly instalments

58ga. (1) In this section, unless the contrary intention appears—

benefit means a domiciliary nursing care benefit;

fortnightly instalment means an instalment calculated with respect to a fortnight;

instalment means a fortnightly instalment or a pro-rata instalment;

pro-rata instalment, in relation to an approved person in respect of a benefit pay-day, means an instalment of benefit of an amount equal to the product of $3 and the number of days in the relevant fortnight on which the approved person provided domiciliary nursing care for the patient;

relevant fortnight, in relation to a benefit pay-day, means the fortnight ending on the day immediately preceding that benefit pay-day.

(2) For the purposes of the definition of pro-rata instalment in sub-section (1), a person shall be deemed not to have provided domiciliary nursing care for a patient on a day if the person ceased to provide that care at some time during that day.

(3) Subject to this section, benefit shall be payable in fortnightly instalments on such benefit pay-days as the Permanent Head, by instrument in writing, directs.

(4) Where the approval of a person as an approved person in respect of a patient takes effect on a day other than a benefit pay-day, no instalment of benefit is payable to the approved person in respect of the patient on the benefit pay-day immediately following the date that the approval takes effect.

(5) An instalment of benefit is not payable to an approved person in respect of a patient on a benefit pay-day if the approved person has not provided domiciliary nursing care for the patient on at least one day of the relevant fortnight.

(6) Subject to sub-section (7), where—

(a) an approved person provides domiciliary nursing care to a patient for at least one, but not on every, day of the relevant fortnight in relation to a benefit pay-day;

(b) domiciliary nursing care was not provided by the approved person to the patient on the last day of the relevant fortnight in relation to the benefit pay-day immediately preceding the benefit pay-day referred to in paragraph (a); and

(c) the last instalment of benefit paid to the approved person in respect of the patient was a fortnightly instalment,

no instalment of benefit is payable to the approved person in respect of the patient on the benefit pay-day referred to in paragraph (a).


(7) Where an approved person has provided domiciliary nursing care for a patient on at least one, but not on every, day of the relevant fortnight in relation to a benefit pay-day, the Permanent Head may, by instrument in writing, direct that a pro-rata instalment is payable to the approved person in respect of the patient on that benefit pay-day and, if a fortnightly instalment would, but for this sub-section be payable to the approved person in respect of the patient on that benefit pay-day, that fortnightly instalment is not so payable.

(8) A direction under sub-section (7) may operate with respect to a benefit pay-day that occurred before the giving of the direction.

(9) Where—

(a) a fortnightly instalment of benefit has been paid to the approved person on a benefit pay-day; and

(b) by virtue of a direction under sub-section (7), a pro-rata instalment of benefit is payable to the approved person on that benefit pay-day and that fortnightly instalment is not so payable,

an amount equal to the amount by which that fortnightly instalment exceeds that pro-rata instalment may be deducted from any instalment payable to that approved person on the next benefit pay-day after the giving of the direction or on any subsequent benefit pay-day..

Revocation of approval of approved person

10. Section 58j of the Principal Act is amended by inserting after sub-section (1) the following sub-section:

(1a) The Permanent Head is not required to exercise his power under sub-section (1) in relation to an approved person where he is satisfied that the approved person is likely to recommence, within a reasonable period, to provide domiciliary nursing care for the patient..

Determinations of forms of pharmaceutical benefits with respect to classes of persons

11. Section 85a of the Principal Act is amended by adding at the end of paragraph (a) of sub-section (2) , either for all purposes or for particular purposes.

Prescribing of pharmaceutical benefits

12. Section 88 of the Principal Act is amended—

(a) by omitting from sub-section (1) or a participating dental practitioner;

(b) by inserting after sub-section (1) the following sub-section:

(1a) Subject to this Part, a participating dental practitioner is authorized to write a prescription for the supply of any pharmaceutical benefit determined from time to time by the Minister, for the purposes of this sub-section, by notice published in the Gazette.; and

(c) by omitting sub-section (8).


13. After section 88 of the Principal Act the following section is inserted:

Prescription of certain pharmaceutical benefits authorized only in certain circumstances

88a. (1) In this section, prescribed pharmaceutical benefit means a pharmaceutical benefit prescribed for the purposes of this section.

(2) The writing of a prescription for the supply of a prescribed pharmaceutical benefit is authorized under this Part only in circumstances prescribed in relation to that pharmaceutical benefit..

Applications for review by Tribunal of decisions under Part III

14. Section 105aaa of the Principal Act is amended by adding at the end thereof the following sub-section:

(2) An application may be made to the Tribunal for review of a decision of the Permanent Head under section 20 refusing to give a direction under that section..

Application

15. The amendments made by sections 8 and 9 do not apply in relation to any domiciliary nursing care provided on a day before 4 September 1980.

 

 

Overview

The National Health Amendment Act (No. 2) 1980 was enacted by the Parliament of Australia to amend the National Health Act 1953, addressing various issues related to health benefits and allowances under the Act. This legislation introduced several amendments to improve the administration and delivery of health services, including changes to the definition of eligible recipients, adjustments to travel and accommodation allowances, and modifications to the payment and administration of domiciliary nursing care benefits. The policy objective of the Act was to refine and update the health benefits system to better meet the needs of the population and ensure the efficient and effective delivery of healthcare services. The Act provided for a range of amendments, including the redefinition of the term "pensioner" to include recipients of sickness benefits, the adjustment of travel and accommodation allowances for approved patients, and the introduction of new provisions for the payment of domiciliary nursing care benefits in fortnightly instalments. Additionally, the Act introduced measures to ensure timely applications for health benefits and the revocation of approval for approved persons under specific circumstances. These changes aimed to streamline processes, provide clearer guidelines for benefit payments, and ensure that health services were delivered in a timely and effective manner.

Scope and Application

The National Health Amendment Act (No. 2) 1980 amends the National Health Act 1953 to introduce several changes to the administration and payment of certain health-related allowances and benefits. The Act applies to individuals and entities involved in the provision of approved professional services and domiciliary nursing care under the Principal Act. The amendments impact the calculation and payment of travel and accommodation allowances for professional services, and the payment of domiciliary nursing care benefits. The changes include the introduction of a fixed travel allowance, an increased accommodation allowance, the payment of domiciliary nursing care benefits in fortnightly instalments, and the payment of benefits only for days on which care was provided. The amendments also extend the time within which applications for certain benefits must be made and provide for the possibility of payments being withheld in cases of late applications, subject to certain conditions. The Act applies across the Commonwealth of Australia and its amendments and provisions can be extended or restricted through subordinate instruments such as regulations. The Act does not specify any exclusions, exemptions, or thresholds within the text provided.

Key Provisions

The National Health Amendment Act (No. 2) 1980 makes several significant amendments to the National Health Act 1953. For example, Section 4 amends the definition of "pensioner" to include recipients of a sickness benefit, while Section 7 revises the travel allowance provisions for approved patients. Under the new provisions, a travel allowance is payable for "prescribed journeys" at a rate of $20 or a prescribed amount. Additionally, Section 8 increases the accommodation allowance from $15 to $20. The Act also imposes a strict 12-month deadline for making applications for certain payments, with potential for extensions only in cases of extenuating circumstances (Section 6). The Act imposes various obligations on parties governed by it. For example, approved persons providing domiciliary nursing care must ensure they meet the criteria for payment of benefits, including providing care on at least one day of each fortnight to be eligible for a fortnightly instalment (Section 9). Additionally, participating dental practitioners are authorised to prescribe certain pharmaceutical benefits as determined by the Minister, subject to specific conditions (Section 12). The Permanent Head is tasked with reviewing applications for extensions and making determinations regarding the revocation of approvals for approved persons (Sections 6 and 10). Breach of the provisions of this Act can lead to civil or criminal consequences. For instance, failure to make an application within the stipulated timeframe can result in the refusal of payment (Section 6). Additionally, any misuse of prescribed pharmaceutical benefits, such as writing unauthorised prescriptions, can lead to penalties as determined under the relevant provisions of the Principal Act. While the specific penalties are not detailed in this amending Act, they can typically include fines and, in severe cases, imprisonment.

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