Private Health Insurance (Complying Product) Amendment Rules 2012 (No. 3)

Administered by Department of Health, Disability and Ageing

Legislation au F2012L01003 Rules Not in force Legislative Instrument

Legislation content

EXPLANATORY STATEMENT

 

Issued by the Authority of the Minister for Health

 

Private Health Insurance Act 2007

 

Private Health Insurance (Complying Product) Amendment Rules 2012 (No. 3)

 

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 2012 (No. 3) (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 amendment to Rule 8A is to change the patient contribution payable per night for nursing-home type patients (NHTPs) at public hospitals in Western Australia.

 

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 a minor change to subparagraph 8A(3)(a) (viii) of the Principal Rules by amending the NHTP contribution rate at public hospitals in Western Australia.

 

Changes to the NHTP contribution rate reflect increases in the Adult Pension Basic Rate (Pension Rate) and the Maximum Daily Rate of Rental Assistance (Rental Assistance Rate), which took effect on 20 March 2012.

 

Details

Details of the Amendment Rules are set out in the Attachment.

 

Consultation

On 28 February 2012, States and Territories were asked whether they would be increasing the NHTP contribution in their jurisdiction in line with increases in the Pension Rate and Rental Assistance Rate. New South Wales, Queensland, the Northern Territory, South Australia and Tasmania advised the Commonwealth of changes to their respective NHTP contribution rates. The Private Health Insurance (Complying Product) Amendment Rules 2012 (No. 1) took effect on 21 March 2012 to reflect these increases.

 

On 2 March 2012, Western Australia advised of its intention to increase its NHTP contribution rate, but did not confirm an increase due to a delay in their gazettal of the new NHTP contribution rate.

 

On 20 April 2012, Western Australia advised that its NHTP contribution rate was gazetted in the Western Australia Gazette, increasing the contribution rate to $50.95 per day in line with the indexation applied to the Pension Rate and the Rental Assistance Rate.

 

The Amendment Rules commence on 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

 


 

ATTACHMENT

 

DETAILS OF THE PRIVATE HEALTH INSURANCE (COMPLYING PRODUCT) AMENDMENT RULES 2012 (No. 3)

 

  1. Name of Rules

Rule 1 provides that the title of the Rules is the Private Health Insurance (Complying Product) Amendment Rules 2012 (No. 3) (the Amendment Rules).

2.                   Commencement

Rule 2 provides that the Amendment Rules are to commence 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, Subparagraph 8A(3)(a)(viii)

 

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 subparagraph 8A(3)(a)(viii) of the Principal Rules by increasing the NHTP contribution at public hospitals in Western Australia:

 

  • From $50.55 to $50.95;

 

 

 

PRIVATE HEALTH INSURANCE BRANCH

DEPARTMENT OF HEALTH AND AGEING

MAY 2012

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Overview

The Private Health Insurance (Complying Product) Amendment Rules 2012 (No. 3) were enacted to amend the Private Health Insurance (Complying Product) Rules 2010 (No. 2) under the authority provided by Section 333-20 of the Private Health Insurance Act 2007. These rules aim to adjust the patient contribution payable per night for nursing-home type patients at public hospitals in Western Australia. This adjustment follows changes in the Adult Pension Basic Rate and the Maximum Daily Rate of Rental Assistance, which were implemented on 20 March 2012. The purpose of these amendments is to align the patient contributions with the updated rates, ensuring that the private health insurance system remains consistent with broader social welfare adjustments. The changes were introduced after consultation with relevant states and territories, reflecting a coordinated approach to updating healthcare funding arrangements. The rules came into effect the day after their registration, serving to update the regulatory framework governing private health insurance contributions.

Scope and Application

The Private Health Insurance (Complying Product) Amendment Rules 2012 (No. 3) amends the Private Health Insurance (Complying Product) Rules 2010 (No. 2) to adjust the patient contribution for nursing-home type patients at public hospitals in Western Australia. This change responds to the increases in the Adult Pension Basic Rate and the Maximum Daily Rate of Rental Assistance, effective from 20 March 2012. The amendment specifically modifies the daily contribution rate from $50.55 to $50.95, aligning with the indexation applied to these rates. The amendment applies to all private health insurers in Australia who provide coverage for hospital treatment under the Private Health Insurance Act 2007. This adjustment is necessary to ensure compliance with the Act and to reflect the updated contribution rates as advised by the Western Australian government. The Amendment Rules are subordinate legislation under the authority of Section 333-20 of the Private Health Insurance Act 2007, which empowers the Minister to make rules necessary for the operation of the Act. The Amendment Rules themselves commence on the day after their registration, ensuring a prompt and effective update to the patient contribution rates.

Key Provisions

The Private Health Insurance (Complying Product) Amendment Rules 2012 (No. 3) amend Rule 8A of the Private Health Insurance (Complying Product) Rules 2010 (No. 2). The amendment specifically pertains to the patient contribution for nursing-home type patients (NHTPs) at public hospitals in Western Australia, increasing it from $50.55 to $50.95 per night. This change is in response to increases in the Adult Pension Basic Rate and the Maximum Daily Rate of Rental Assistance, both of which took effect on 20 March 2012. The Amendment Rules seek to align the patient contribution with these indexed rates. Under the Private Health Insurance Act 2007, private health insurers are required to adhere to the stipulated patient contributions as outlined in the amended rules. For NHTPs in Western Australia, this means insurers must now apply the new contribution rate of $50.95 per night. This requirement ensures that the benefit provided by private health insurance remains consistent with the indexed rates of the Pension Rate and Rental Assistance Rate, reflecting the updated financial circumstances of the patients. The Amendment Rules impose a clear obligation on private health insurers to update their policies and billing systems to reflect the new contribution rate for NHTPs in Western Australia. Failure to comply with these updated rates could result in discrepancies in the benefits provided, potentially leading to legal and financial repercussions. Insurers must ensure that all relevant documentation and communication to policyholders accurately reflect the new rates. There are no specific offences or penalties outlined in the Amendment Rules themselves. However, non-compliance with the requirements of the Private Health Insurance Act 2007 or the amended rules could potentially lead to enforcement actions under the broader provisions of the Act. These could include fines or other penalties as determined by the relevant regulatory authorities. It is crucial for insurers to adhere to the updated contribution rates to avoid any legal consequences.

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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.