EXPLANATORY STATEMENT
Issued by the Authority of the Minister for Health and Ageing
Private Health Insurance Act 2007
Private Health Insurance (Complying Product) Amendment Rules 2011 (No. 4A)
Authority
Section 333-20 of the Private Health Insurance Act 2007 (the Act) provides that the Minister may make Private Health Insurance (Complying Product) Rules providing for matters required or permitted by Chapter 3 and/or section 188-1 of the Act, or necessary or convenient in order to carry out or give effect to the Act.
The Private Health Insurance (Complying Product) Amendment Rules 2011 (No. 4A) (the Amendment Rules) amend Rule 8A of the Private Health Insurance (Complying Product) Rules 2010 (No. 2) (the Principal Rules) which commenced on 14 January 2011.
Purpose
The purpose of the amendments to Rule 8A is to change the patient contribution payable per night for nursing-home type patients (NHTPs) at public hospitals in some States and at private hospitals nationally.
Background
Rule 8A of the Principal Rules sets the patient contribution for privately insured NHTPs by restricting the amount of benefit that private health insurers pay for each day of NHTP hospital treatment at a hospital. The amount of benefit is restricted to the hospital’s charge less the patient contribution amount.
The Amendment Rules make minor changes to paragraph 8A(3)(a) of the Principal Rules by amending the NHTP contribution rate at public hospitals in New South Wales, Queensland, South Australia and Tasmania. The Amendment Rules also make changes to paragraph 8A(3)(b) of the Principal Rules by amending the NHTP contribution rate at private hospitals nationally. Changes to the NHTP contribution rate reflect increases in the Adult Pension Basic Rate and the maximum daily rate of rental assistance, which take effect on 20 September 2011.
Details
Details of the Amendment Rules are set out in the Attachment.
Consultation
On 30 August 2011, States and Territories were asked whether they would be increasing the NHTP contribution and accommodation rates in their jurisdiction in line with increases in the Adult Pension Basic Rate and maximum daily rate of rental assistance. New South Wales, Queensland, South Australia and Tasmania advised that they will increase the NHTP contribution rates in their public hospitals from 20 September 2011. Australian Capital Territory advised that they are not increasing their NHTP contribution and accommodation rates at this time. Western Australia, Victoria and the Northern Territory advised of their intention to increase their NHTP contribution and accommodation rates at a later date yet to be determined.
No specific consultation was undertaken in relation to the amendment to paragraph 8A(3)(b) of the Principal Rules regarding private hospitals because the change was machinery in nature and linked to the twice annual pension increase. The change does not substantially alter existing arrangements.
The Amendment Rules commence on 20 September 2011 or, if registered after 20 September 2011, the day after registration.
The Amendment Rules are a legislative instrument for the purposes of the Legislative Instruments Act 2003.
Authority: Section 333-20 of the
Private Health Insurance Act 2007
4
ATTACHMENT
DETAILS OF THE PRIVATE HEALTH INSURANCE (COMPLYING PRODUCT) AMENDMENT RULES 2011 (No. 4A)
- Name of Rules
Rule 1 provides that the title of the Rules is the Private Health Insurance (Complying Product) Amendment Rules 2011 (No. 4A) (the Amendment Rules).
2. Commencement
Rule 2 provides that the Amendment Rules are to commence on 20 September 2011, or if registered on a later date, the day after registration.
3. Amendment of Private Health Insurance (Complying Product) Rules 2010 (No. 2)
Rule 3 provides that the Schedule to the Amendment Rules amends the Private Health Insurance (Complying Product) Rules 2010 (No. 2) (the Principal Rules) which commenced on 14 January 2011.
Schedule – Amendments
Item 1 – Part 2, Paragraph 8A(3)(a)
Paragraph 8A(3)(a) of the Principal Rules set out the patient contribution for privately insured NHTPs at public hospitals.
Item 1 of the Schedule of the Amendment Rules amends Part 2 paragraph 8A(3)(a) of the Principal Rules by increasing the NHTP contribution at public hospitals:
- New South Wales from $49.20 to $50.55;
- Queensland from $49.20 to $50.55;
- South Australia from $49.20 to $50.55; and
- Tasmania from $49.20 to $50.55.
Item 2 – Part 2, Paragraph 8A(3)(b)
Paragraph 8A(3)(b) of the Principal Rules set out the patient contribution for privately insured NHTPs at private hospitals.
Item 2 of the Schedule of the Amendment Rules amends Part 2 subparagraph 8A(3)(b) of the Principal Rules by increasing the NHTP contribution at private hospitals from $49.20 to $50.55.
PRIVATE HEALTH INSURANCE BRANCH
DEPARTMENT OF HEALTH AND AGEING
SEPTEMBER 2011