EXPLANATORY STATEMENT
Issued by the Authority of the Minister for Health and Ageing
Private Health Insurance Act 2007
Private Health Insurance (Prostheses) Rules 2007 (No.3)
Section 333-20 of the Private Health Insurance Act 2007 (the Act) provides that the Minister may make Private Health Insurance (Prostheses) Rules, providing for matters required or permitted by Part 3-3 of the Act, or necessary or convenient in order to carry out or give effect to Part 3-3 of the Act.
Item 4 of the table in subsection 72-1(2) of Part 3-3 of the Act provides for requirements that a complying health insurance policy that covers hospital treatment must meet. There must be a minimum benefit for the provision of a prosthesis of a kind listed in the Private Health Insurance (Prostheses) Rules.
Item 4 of the table provides that in order for a private health insurer to be required to pay the minimum benefit, a Medicare benefit must be payable in respect of the professional service associated with the provision of the listed prosthesis.
If the complying health insurance policy also covers hospital-substitute treatment, the same requirements apply.
The Private Health Insurance (Prostheses) Rules 2007 commenced on 1 April 2007.
The Private Health Insurance (Prostheses) Rules 2007 (No.2) commence on 1 June 2007.
The Private Health Insurance (Prostheses) Rules 2007 (No.3) (the Rules) commence on 1 June 2007.
The Private Health Insurance (Prostheses) Rules 2007 (No.2) remake the Private Health Insurance (Prostheses) Rules 2007 in their entirety.
Due to an administrative oversight, the effect of the Private Health Insurance (Prostheses) Rules 2007 (No.2) is that they do not revoke the Private Health Insurance (Prostheses) Rules 2007. Consequently, it is necessary for the Rules to be made in order to effect the revocation.
CONSULTATION
No consultation was necessary.
Details of the Rules are set out in the Attachment.
The 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 (PROSTHESES) RULES 2007 (No.3)
1. Name of Rules
Rule 1 provides that the title of the Rules is the Private Health Insurance (Prostheses) Rules 2007(No.3).
2. Commencement
Rule 2 provides for the Rules to commence on 1 June 2007.
3. Revocation
Rule 3 provides that the Rules revoke the Private Health Insurance (Prostheses) Rules 2007.