Private Health Insurance (National Joint Replacement Register Levy) Rules 2011

Administered by Department of Health, Disability and Ageing

Legislation au F2011L01881 Rules Not in force Legislative Instrument

Legislation content

Private Health Insurance (National Joint Replacement Register Levy) Rules 2011

as amended

made under section 8 of the

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

Compilation start date:  30 April 2014

Includes amendments up to: Private Health Insurance (National Joint Replacement Register Levy) Amendment Rules 2014 (No. 1)

About this compilation

This compilation

This is a compilation of the Private Health Insurance (National Joint Replacement Register Levy) Rules 2011 as in force on 30 April 2014. It includes any commenced amendment affecting the legislation to that date.

This compilation was prepared on 16 February 2015.

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of each amended provision.

Uncommenced amendments

The effect of uncommenced amendments is not reflected in the text of the compiled law but the text of the amendments is included in the endnotes.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Modifications

If a provision of the compiled law is affected by a modification that is in force, details are included in the endnotes.

Provisions ceasing to have effect

If a provision of the compiled law has expired or otherwise ceased to have effect in accordance with a provision of the law, details are included in the endnotes.

 

 

 

 

 

Contents

 

Part 1 Preliminary

1. Name of Rules

2. Commencement and Revocation

3. Definitions

Part 2 National joint replacement register levy

4. National joint replacement register levy days

5. Rate of levy

6. Census day


Part 1 Preliminary

1.                      Name of Rules

These Rules are the Private Health Insurance (National Joint Replacement Register Levy) Rules 2011.

2.                      Commencement and Revocation

(1)    These Rules commence on the day after the Rules are registered.

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

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 –

 

1,081,000

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.

 

5A.  Rate of levy – 30 April 2014 levy day

(1)  Despite rule 5, 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 2014 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 prosthesis –  zero; and

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

 

1,312,000

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

Note

All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See www.frli.gov.au

 

Endnotes

Endnote 1—About the endnotes

The endnotes provide details of the history of this legislation and its provisions. The following endnotes are included in each compilation:

 

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Endnote 5—Uncommenced amendments

Endnote 6—Modifications

Endnote 7—Misdescribed amendments

Endnote 8—Miscellaneous

 

If there is no information under a particular endnote, the word “none” will appear in square brackets after the endnote heading.

 

Abbreviation key—Endnote 2

The abbreviation key in this endnote sets out abbreviations that may be used in the endnotes.

 

Legislation history and amendment history—Endnotes 3 and 4

Amending laws are annotated in the legislation history and amendment history.

 

The legislation history in endnote 3 provides information about each law that has amended the compiled law. The information includes commencement information for amending laws and details of application, saving or transitional provisions that are not included in this compilation.

 

The amendment history in endnote 4 provides information about amendments at the provision level. It also includes information about any provisions that have expired or otherwise ceased to have effect in accordance with a provision of the compiled law.

 

Uncommenced amendments—Endnote 5

The effect of uncommenced amendments is not reflected in the text of the compiled law, but the text of the amendments is included in endnote 5.

 

Modifications—Endnote 6

If the compiled law is affected by a modification that is in force, details of the modification are included in endnote 6.

 

Misdescribed amendments—Endnote 7

An amendment is a misdescribed amendment if the effect of the amendment cannot be incorporated into the text of the compilation. Any misdescribed amendment is included in endnote 7.

 

Miscellaneous—Endnote 8

Endnote 8 includes any additional information that may be helpful for a reader of the compilation.

Endnote 2—Abbreviation key

 

ad = added or inserted

pres = present

am = amended

prev = previous

c = clause(s)

(prev) = previously

Ch = Chapter(s)

Pt = Part(s)

def = definition(s)

r = regulation(s)/rule(s)

Dict = Dictionary

Reg = Regulation/Regulations

disallowed = disallowed by Parliament

reloc = relocated

Div = Division(s)

renum = renumbered

exp = expired or ceased to have effect

rep = repealed

hdg = heading(s)

rs = repealed and substituted

LI = legislative instrument

s = section(s)

LIA = Legislative Instruments Act 2003

Sch = Schedule(s)

mod = modified/modification

Sdiv = Subdivision(s)

No = Number(s)

SLI = Select Legislative Instrument

o = order(s)

SR = Statutory Rules

Ord = Ordinance

Sub-Ch = Sub-Chapter(s)

orig = original

SubPt = Subpart(s)

par = paragraph(s)/subparagraph(s)

 

 /sub-subparagraph(s)

 

 

Endnote 3—Legislation history

 

Name

FRLI registration or gazettal

Commencement

Application, saving and transitional provisions

Private Health Insurance (National Joint Replacement Register Levy) Rules 2011

F2011L01881

10 September 2011

 

Private Health Insurance (National Joint Replacement Register Levy) Amendment  Rules 2014 (No. 1)

 

F2014L00454

30 April 2014

 

 

Endnote 4—Amendment history

 

Provision affected

How affected

Pt 2, par 5(1)(b)

 

s 5A

am  F2014L00454

 

ad F2014L00454

 

 

 

 

 

Endnote 5—Uncommenced amendments [none]

Endnote 6—Modifications [none]

Endnote 7Misdescribed amendments [none]

Endnote 8—Miscellaneous [none]

 

 

 

 

 

 

Overview

The Private Health Insurance (National Joint Replacement Register Levy) Rules 2011, as amended, were enacted under section 8 of the Private Health Insurance (National Joint Replacement Register Levy) Act 2009 by the Parliament of Australia. These rules were introduced to address the need for a systematic collection and analysis of data related to joint replacement prostheses in Australia. The primary objective is to support the establishment and maintenance of the National Joint Replacement Register, which aims to improve patient outcomes and inform healthcare policy by tracking the performance and longevity of joint replacement devices. The rules establish the framework for the imposition of a levy on private health insurers for the sponsorship of joint replacement prostheses, with specific rates and levy days outlined to ensure consistent and accurate data collection.

Scope and Application

The Private Health Insurance (National Joint Replacement Register Levy) Rules 2011, as amended, apply to entities responsible for the sponsorship of joint replacement prostheses in Australia, specifically within the private health insurance sector. These rules are made under the authority of section 8 of the Private Health Insurance (National Joint Replacement Register Levy) Act 2009, and they detail the levy obligations for sponsors of joint replacement prostheses. The geographic reach of these rules is national, applying across all states and territories of Australia. The rules establish the rate of the national joint replacement register levy for financial years, specifying levy days and the formula for calculating the levy, while exempting certain types of prostheses such as hand and foot articulation prostheses from the levy. Additionally, these rules are subject to modification through subordinate instruments, as evidenced by the Private Health Insurance (National Joint Replacement Register Levy) Amendment Rules 2014 (No. 1). These amendments may alter the levy rates or other specified parameters, thus extending or restricting the application of the levy as needed.

Key Provisions

The Private Health Insurance (National Joint Replacement Register Levy) Rules 2011 (the "Rules") provide the administrative framework for the national joint replacement register levy, as required under the Private Health Insurance (National Joint Replacement Register Levy) Act 2009 (the "Act"). The levy is imposed on sponsors of joint replacement prostheses, with the aim of funding the National Joint Replacement Register. Under rule 4, two specified dates each financial year are identified as national joint replacement register levy days, being 30 April and 31 October. The levy rate is determined according to the type of prosthesis and the total number of joint replacement prostheses sponsored by all sponsors. Rule 5 sets out the levy rate, which is calculated using a specific formula where the total amount of the levy for a single prosthesis in a financial year does not exceed $5,000. An exception is made for the levy day of 30 April 2014, with a different formula specified in rule 5A. The Rules impose certain obligations on the parties or entities they govern. Firstly, sponsors of joint replacement prostheses must calculate and pay the national joint replacement register levy on the specified levy days. This involves determining the total number of prostheses sponsored and applying the relevant formula to calculate the levy amount. Secondly, sponsors must ensure they have accurate and up-to-date records of the prostheses they sponsor to correctly calculate the levy. The census day for determining the number of prostheses is specified in rule 6, which is 15 March for the 30 April levy day and 15 September for the 31 October levy day. Failure to comply with the Rules may result in various consequences. While the Rules themselves do not explicitly outline specific offences, penalties, or consequences for breach, such provisions are likely to be found in the Act. Given that the levy is a financial obligation, non-compliance could potentially lead to enforcement actions under the Act, including fines or other penalties as prescribed by the Act. It is essential for sponsors to adhere to the Rules to avoid any legal repercussions and to ensure the proper funding of the National Joint Replacement Register.

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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.