Private Health Insurance (National Joint Replacement Register Levy) Rules 2010

Administered by Department of Health, Disability and Ageing

Legislation au F2010L00531 Rules Not in force Legislative Instrument

Legislation content

 

Private Health Insurance (National Joint Replacement Register Levy) Rules 2010


 

As amended

Made under section 8 of the Private Health Insurance (National Joint Replacement Register Levy) Act 2009.

This compilation was prepared on 12 March 2010 taking into account amendments up to the Private Health Insurance (National Joint Replacement Register Levy) Amendment Rules 2010.

 

 

Prepared by the Department of Health and Ageing, Canberra

 

 

Contents

 

 

Part 1 Preliminary 

1. Name of Rules 

2. Commencement 

3. Definitions 

Part 2 National joint replacement register levy 4

4. National joint replacement register levy days 4

5. Rate of levy 4

6. Census day 4

7. Transitional period 5

 

 

 

Part 1 Preliminary

1.                      Name of Rules

These Rules are the Private Health Insurance (National Joint Replacement Register Levy) Rules 2010.

2.                      Commencement

These Rules commence on the day after the Rules are registered.

3.                      Definitions

Note: Terms used in these Rules have the same meaning as in the Act―see section 13 of the Legislative Instruments Act 2003

In these rules:

Act means the Private Health Insurance (National Joint Replacement Register Levy) Act 2009.

census day means the day specified in rule 6.

Part 2 National joint replacement register levy

4.                      National joint replacement register levy days

For the purposes of paragraph 6 (1) (a) of the Act, each of the following days are specified as a national joint replacement register levy day for each financial year:

(a)                                                             30 April; and

(b)                   31 October.

5.                      Rate of levy

(1)                For item 1 of the table in subsection 7(1) of the Act, the rate of the national joint replacement register levy, imposed on a sponsor on a national joint replacement register levy day in respect of each joint replacement prosthesis sponsored by that sponsor as at the most recent census day, is:

(a)       for a hand articulation prosthesis or a foot articulation prostheses – zero; and

(b)       for any other joint replacement prosthesis – subject to subrule (2), the rate in dollars calculated using the formula –

 

800,000

n

where:

n is equal to the total number of joint replacement prostheses sponsored by all sponsors as at the most recent census day, less the total number of hand articulation prostheses and foot articulation  prostheses sponsored by sponsors on that same day.

(2)               If the application of the formula in paragraph (1)(b) would result in the total amount of the national joint replacement register levy imposed on a sponsor in respect of the same joint replacement prosthesis in the same financial year exceeding $5,000, then the rate in dollars of the national joint replacement register levy imposed on that sponsor in respect of that joint replacement prosthesis is $5,000 less any amount of the national joint replacement register levy that has already been imposed on that sponsor in respect of that joint replacement prosthesis for national joint replacement register levy days in that financial year.

6.                      Census day

For subparagraph 7 (2) (a) (i) of the Act:

(a) the 15 March last occurring is the census day for the national joint replacement register levy day specified as 30 April in rule 4; and

(b) the 15 September last occurring is the census day for the national joint replacement register levy day specified as 31 October in rule 4.

Note: The national joint replacement register levy is payable on 21 May and 21 November each year - see the Private Health Insurance (Levy Administration) Rules

7.                      Transitional Rate

(1)          Despite subrule 5(1), for item 1 of the table in subsection 7(1) of the Act, the rate of the national joint replacement register levy, imposed on a sponsor on the national joint replacement register levy day of 30 April 2010 in respect of each joint replacement prosthesis sponsored by that sponsor as at the census day of 15 March 2010, is:

(a)       for a hand articulation prosthesis or a foot articulation prosthesis – zero; and

(b)       for any other joint replacement prosthesis – subject to subrule (2), the rate in dollars calculated using the formula:


 

1,600,000

n

where:

n is equal to the total number of joint replacement prostheses sponsored by all sponsors as at the census day of 15 March 2010, less the total number of hand articulation prostheses and foot articulation prostheses sponsored by sponsors on that same day.

 

(2)                If the application of the formula in paragraph (1)(b) would result in the total amount of the national joint replacement register levy imposed on a sponsor in respect of the same joint replacement prosthesis exceeding $5,000, then the rate in dollars of the national joint replacement register levy imposed on that sponsor in respect of that joint replacement prosthesis is $5,000.


Note

The Private Health Insurance (National Joint Replacement Register Levy) Rules 2010 as shown in this compilation are amended as indicated in the tables below.

 

Table of Instrument

 

Instrument

Date of FRLI registration

Date of commencement

Application, saving or transitional provision

 

Private Health Insurance (National Joint Replacement Register Levy) Rules 2010

 

 

23 February 2010

(see F2010L00531)

 

24 February 2010

 

 

Private Health Insurance (National Joint Replacement Register Levy) Amendment Rules 2010

 

11 March 2010

(see F2010L00671)

 

 

 

 

12 March 2010

 

 

 

 

 

 

 

 

 

 

 

 


Table of Amendments

ad. = added or inserted     am. = amended     rep. = repealed     rs. = repealed and substituted

Provision affected

How affected

Part 2

Subrule 5(1)……………

 

rs. F2010L00671

 

Subrule 5(2)……………

 

am. F2010L00671

Part 2

Subrule 7(1)……………

 

rs.  F2010L00671

 

Subrule 7(2)……………

 

am. F2010L00671

 

 

 

 

Overview

The Private Health Insurance (National Joint Replacement Register Levy) Rules 2010 were introduced to provide a legislative framework for the levy imposed on sponsors of joint replacement prostheses, as established under the Private Health Insurance (National Joint Replacement Register Levy) Act 2009. Enacted by the Parliament of Australia, these rules aim to support the establishment and maintenance of the National Joint Replacement Register, which is essential for monitoring the performance and safety of joint replacement prostheses. This initiative addresses the need for comprehensive data collection and analysis to enhance patient outcomes and inform medical practices. The rules specify the levy days, the rate of the levy, and the census day, while also including transitional provisions to facilitate a smooth implementation of the levy system.

Scope and Application

The Private Health Insurance (National Joint Replacement Register Levy) Rules 2010, made under the authority of the Private Health Insurance (National Joint Replacement Register Levy) Act 2009, outline the administrative and financial obligations for the national joint replacement register levy. This legislation applies to private health insurance providers, referred to as 'sponsors' in the Act, that offer policies covering joint replacement prostheses. These rules delineate the specific levy rates, the dates on which the levy is payable, and the calculation methodology for determining the levy amount based on the number of prostheses sponsored by each provider as at the most recent census day. The levy is imposed on two specific days each financial year: 30 April and 31 October. Notably, the levy does not apply to hand articulation prostheses or foot articulation prostheses. The Rules also include a transitional rate for the first levy period ending on 30 April 2010, providing a different calculation formula to ensure a smooth introduction of the levy. The geographic scope of these Rules is national, applying across Australia as they are made under Commonwealth legislation. The Rules are further refined and updated through subordinate instruments, such as the Private Health Insurance (National Joint Replacement Register Levy) Amendment Rules 2010, which modify specific provisions to reflect legislative changes or administrative adjustments.

Key Provisions

The Private Health Insurance (National Joint Replacement Register Levy) Rules 2010 (the Rules) provide specific details for the implementation of the Private Health Insurance (National Joint Replacement Register Levy) Act 2009. Under these Rules, there are designated national joint replacement register levy days, specifically 30 April and 31 October each year (rule 4). The levy is calculated based on the number of joint replacement prostheses sponsored by each health insurer as at the most recent census day, with the formula used to determine the levy rate outlined in rule 5. Notably, the levy for hand articulation and foot articulation prostheses is set at zero, while other prostheses have a rate calculated using a specific formula (rule 5(1)(a) and (b)). The Rules also establish a cap of $5,000 per prosthesis per financial year for the levy (rule 5(2)). The census day, which is the day on which the count of sponsored prostheses is taken, is the 15 March for the 30 April levy day and the 15 September for the 31 October levy day (rule 6). The Rules impose obligations on health insurers, particularly those sponsoring joint replacement prostheses, to calculate and pay the national joint replacement register levy on the specified levy days. They require health insurers to provide accurate counts of the prostheses they sponsor as at the census days, which are essential for the calculation of the levy (rule 4). Additionally, health insurers must ensure that the levy is paid by the due dates of 21 May and 21 November each year (as referenced in the Private Health Insurance (Levy Administration) Rules). The Rules also contain transitional provisions for the initial levy calculation for the financial year starting 30 April 2010, which have a different formula and cap for the levy (rule 7). Failure to comply with the obligations imposed by these Rules, such as inaccurate reporting of prostheses counts or non-payment of the levy, may result in legal consequences. While the specific penalties for non-compliance are not detailed within the Rules themselves, breaches of related provisions under the Private Health Insurance (National Joint Replacement Register Levy) Act 2009 could potentially incur civil penalties. The Act provides for penalties for non-compliance, and these could be enforced by the relevant authorities. The exact nature and extent of penalties would be guided by the overarching legislative framework and any relevant administrative guidelines or rulings.

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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.