Commonwealth Consolidated Regulations Commonwealth Consolidated RegulationsStatutory Rules 1975 No. 80 as amended
This compilation was prepared on 1 May 2012
taking into account amendments up to SLI 2012 No. 57
Prepared by the Office of
Legislative Drafting and Publishing,
Attorney-General's Department, Canberra
Contents
1 Name of Regulations [see Note 1] 7
2 Interpretation 7
2A General practitioners 10
2B Specified medical practitioners 10
2C Collaborative arrangements -- participating midwives 11
2D Agreement between eligible midwife and 1 or more specified medical practitioners 12
2E Arrangement -- midwife's written records 12
2F Collaborative arrangements -- participating nurse practitioners 13
2G Agreement between eligible nurse practitioner and 1 or more specified medical practitioners 14
2H Arrangement -- nurse practitioner's written records 14
3 Definition of professional service in Act 16
3A Health services not specified in an item (Act s 3C) 16
4 Relevant organisations and qualifications (Act s 3D) 17
5 Prescribed fee -- subsection 3D (1) of the Act 17
6 Prescribed fee -- subsection 3E (2) of the Act 17
6A Recognised Fellows of the RACGP 18
6B Notice to be given of certain decisions 18
6C Appeals 18
6D Eligibility pending decision on appeal 19
6DA Recognition of practitioners who meet ACRRM fellowship standards 19
6DB Eligibility for determination 20
6DC Revocation of determinations 21
6E Register of Approved Placements -- specified bodies etc 22
6EA Register of Approved Placements -- eligible applicants 22
6EB Register of Approved Placements -- removal of name 22
6EF Services for which medicare benefit is 100% of Schedule fee (Act s 10 (2) (aa)) 22
6F Circumstances in which subparagraphs 19AA (1) (b) (iv) and (2) (b) (iv) of the Act apply 23
6G Interns -- relevant State or Territory laws 23
9 Reduction of amounts for purposes of subsection 16 (4) of the Act 24
9A Requests for pathology services by electronic means 24
10 Diagnostic imaging services which dental practitioners may request 24
11 Diagnostic imaging services that chiropractors, osteopaths, physiotherapists and podiatrists may request 26
11A Pathology services determined to be necessary by participating midwives and participating nurse practitioners 27
11B Diagnostic imaging services that participating midwives and participating nurse practitioners may request 27
12 Exemption -- pre-existing diagnostic imaging services 28
12A Prescribed date -- paragraph 16B (11) (d) of the Act 28
12B Definition of radiation oncology service 28
13 Particulars to be recorded on accounts, receipts and bulk billing agreement 28
13AA Payment to general practitioner by electronic transmission (Act s 20 (5)) 38
13AB Payment to specialists or consultant physicians by electronic transmission (Act s 20 (5)) 39
13AC Manner of electronic claim (Act s 20 (6)) 40
13B Application for approval as billing agent 40
14 Medicare benefit not payable in respect of certain professional services 40
14A Eligibility requirements for midwives 41
15 Service of notice under subsection 23B (6) of the Act 41
16 Application for acceptance of undertaking -- repayment of fee 42
16A Records of pathology services to be kept by approved pathology authorities 42
17 Application for approval of premises -- prescribed fees 43
18 Application for approval of premises -- repayment of fees 43
19 Information that must be included in requests for diagnostic imaging services 43
20 Records of diagnostic imaging services that must be kept by providing medical practitioners 45
20A Diagnostic imaging -- information to be included in application for registration 46
20B Diagnostic imaging -- information to be included on register 47
20C Primary information -- types of diagnostic imaging equipment 47
20CA Method for determining substantial difference from market value 57
20CB Method for determining market value 57
20D Radiation oncology -- information to be included in application for registration 58
20E Radiation oncology -- information to be included on register 58
20F Primary information -- types of radiation oncology equipment 58
21 Application form -- application for approval as an organisation under Part IV of the Act 59
22 Application form -- application for approval of health service 59
22A Prescribed bodies -- Part IVA of the Act 60
23 Prescribed fee -- subsection 61 (1A) of the Act 60
23A Application for a declaration that a quality assurance activity is an activity to which Part VC of the Act applies 60
23B Criteria in relation to quality assurance activities 60
23C Criteria in relation to quality assurance activities: disclosure of information 61
23D Criteria in relation to quality assurance activities: activities engaged in in one State or Territory 61
23E Criteria in relation to quality assurance activities: activities that have not been engaged in previously in Australia 62
23F Criteria in relation to quality assurance activities: activities that have been engaged in previously in Australia 63
23G Criteria in relation to quality assurance activities: review procedures 64
24 Allowances for witnesses at hearings before a Professional Services Review Committee 65
25 Professional organisation -- subsection 124B (1) of the Act 65
25A Circumstances where fees etc cannot be charged for provision of public hospital services to public patients 65
26 Prescribed rate of interest -- subsection 129AC (2) of the Act 66
27 Prescribed authorities and persons for the purposes of subsection 130 (3A) of the Act 66
28 Delegation 70
29 Referral to specialists or consultant physicians 70
30 Referrals: special cases 71
31 Validity of referrals to specialists or consultant physicians 72
Schedule 1 Forms 74
Form 1 Application for approval as an organization under Part IV 74
Form 2 Application for approval of a health service 75
Schedule 1A Bodies to which information in the Australian Childhood Immunisation Register may be given 76
Part 1 New South Wales 76
Part 2 Victoria 78
Part 3 Queensland 79
Part 4 Western Australia 80
Part 5 South Australia 81
Part 6 Tasmania 82
Part 7 Australian Capital Territory 82
Part 8 Northern Territory 82
Schedule 2 Witnesses' allowances for travelling and other expenses 84
Schedule 3 Prescribed authorities and persons -- subsection 130 (3A) of the Act 85
Part 1 Interpretation of Schedule 85
Part 2 Prescribed persons of the Commonwealth: Department of Veterans' Affairs, Executive Officers 88
Part 3 Prescribed persons of the Commonwealth: Department of Veterans' Affairs, Health Program 89
Part 4 Prescribed authority and persons of New South Wales 111
Part 5 Prescribed authorities of other States and Territories 111
Schedule 4 Relevant organisations and qualifications 112
Part 1 Current organisations and qualifications 112
Part 2 Former organisations and qualifications 117
Schedule 5 Matters specified for Register of Approved Placements 121
Part 1 Specified bodies and qualifications 121
Part 2 Specified bodies and programs 122
Part 3 Participatory eligibility programs 123
Schedule 6 Services for which medicare benefit is 100% of Schedule fee 125
Notes 126
Notes to the Health Insurance Regulations 1975 Note 1 The Health Insurance Regulations 1975 (in force under
the Health Insurance Act 1973) as shown in this compilation comprise
Statutory Rules 1975 No. 80 amended as indicated in the Tables below. All relevant information pertaining to application, saving or
transitional provisions prior to 16 May 2003 is not included in this
compilation. For subsequent information see Table A.
Table of Instruments
|
Year and |
Date of |
Date of |
Application, saving or |
|
1975 No. 80 |
16 May 1975 |
16 May 1975 |
|
|
1975 No. 118 |
13 June 1975 |
13 June 1975 |
-- |
|
1975 No. 125 |
27 June 1975 |
1 July 1975 |
-- |
|
1975 No. 135 (a) |
3 July 1975 |
3 July 1975 |
-- |
|
1976 No. 202 |
23 Sept 1976 |
23 Sept 1976 |
-- |
|
1976 No. 214 |
30 Sept 1976 |
1 Oct 1976 |
-- |
|
1976 No. 215 |
30 Sept 1976 |
30 Sept 1976 |
-- |
|
1977 No. 26 |
15 Mar 1977 |
R. 2 (2): 1 Apr 1977 |
-- |
|
1977 No. 44 |
15 Apr 1977 |
15 Apr 1977 |
-- |
|
1978 No. 95 |
29 June 1978 |
1 July 1978 |
-- |
|
1978 No.177 |
26 Sept 1978 |
26 Sept 1978 |
-- |
|
1979 No. 230 |
31 Oct 1979 |
31 Oct 1979 |
-- |
|
1981 No. 198 |
17 July 1981 |
25 June 1981 |
-- |
|
1981 No. 317 |
4 Nov 1981 |
1 Sept 1981 |
-- |
|
1982 No. 157 |
30 June 1982 |
1 July 1982 |
-- |
|
1982 No. 251 |
1 Oct 1982 |
1 Oct 1982 |
-- |
|
1982 No. 287 |
29 Oct 1982 |
R. 1: 1 Nov 1982 |
-- |
|
1983 No. 106 |
22 July 1983 |
22 July 1983 |
-- |
|
1983 No. 231 |
28 Oct 1983 |
1 Nov 1983 |
-- |
|
1983 No. 253 |
31 Oct 1983 |
1 Feb 1984 |
-- |
|
1983 No. 255 |
31 Oct 1983 |
31 Oct 1983 |
-- |
|
1984 No. 5 |
26 Jan 1984 |
1 Mar 1984 |
-- |
|
1984 No. 162 |
25 July 1984 |
1 Mar 1984 |
-- |
|
1985 No. 36 |
4 Apr 1985 |
4 Apr 1985 |
-- |
|
1985 No. 50 |
29 Apr 1985 |
29 Apr 1985 |
-- |
|
1985 No. 95 |
7 June 1985 |
7 June 1985 |
-- |
|
1985 No. 205 |
29 Aug 1985 |
29 Aug 1985 |
-- |
|
1985 No. 290 (b) |
7 Nov 1985 |
7 Nov 1985 |
-- |
|
1986 No. 19 |
21 Feb 1986 |
22 Feb 1986 |
-- |
|
1986 No. 20 |
21 Feb 1986 |
22 Feb 1986 |
-- |
|
1986 No. 87 |
9 May 1986 |
9 May 1986 |
-- |
|
1986 No. 326 |
6 Nov 1986 |
6 Nov 1986 |
-- |
|
1987 No. 32 |
6 Mar 1987 |
7 Mar 1987 |
-- |
|
1987 No. 163 |
29 July 1987 |
1 Aug 1987 |
-- |
|
1987 No. 166 |
31 July 1987 |
1 Aug 1987 |
-- |
|
1988 No. 314 |
2 Dec 1988 |
R. 2: 1 Aug 1987 |
-- |
|
1989 No. 6 |
31 Jan 1989 |
31 Jan 1989 |
-- |
|
1989 No. 54 |
14 Apr 1989 |
14 Apr 1989 |
-- |
|
1989 No. 117 |
21 June 1989 |
21 June 1989 |
-- |
|
1989 No. 293 |
31 Oct 1989 |
31 Oct 1989 |
-- |
|
1990 No. 25 |
13 Feb 1990 |
13 Feb 1990 |
-- |
|
1991 No. 82 |
30 Apr 1991 |
1 May 1991 |
-- |
|
1991 No. 314 |
16 Oct 1991 |
1 Nov 1991 |
-- |
|
1991 No. 365 |
27 Nov 1991 |
1 Dec 1991 |
-- |
|
1991 No. 441 |
19 Dec 1991 |
1 Feb 1992 |
-- |
|
1992 No. 42 |
28 Feb 1992 |
R. 6.2: 1 Apr 1992 |
-- |
|
1992 No. 111 |
28 Apr 1992 |
Rr. 4-6: 1 May 1992 |
-- |
|
1992 No. 239 |
29 July 1992 |
(c) |
-- |
|
1992 No. 335 |
27 Oct 1992 |
1 Nov 1992 |
-- |
|
1992 No. 431 |
24 Dec 1992 |
24 Dec 1992 |
-- |
|
1993 No. 106 |
3 June 1993 |
3 June 1993 |
-- |
|
1993 No. 130 |
17 June 1993 |
17 June 1993 |
-- |
|
1993 No. 154 |
29 June 1993 |
1 July 1993 |
-- |
|
1994 No. 20 |
18 Feb 1994 |
1 Mar 1994 |
-- |
|
1994 No. 27 |
25 Feb 1994 |
25 Feb 1994 |
-- |
|
1994 No. 111 |
29 Apr 1994 |
1 May 1994 |
-- |
|
1994 No. 137 |
23 May 1994 |
23 May 1994 |
-- |
|
1994 No. 138 |
23 May 1994 |
1 July 1994 |
R. 5 |
|
1994 No. 328 |
23 Sept 1994 |
23 Sept 1994 |
-- |
|
1994 No. 413 |
13 Dec 1994 |
13 Dec 1994 |
-- |
|
1995 No. 9 |
3 Feb 1995 |
3 Feb 1995 |
-- |
|
1995 No. 25 |
28 Feb 1995 |
28 Feb 1995 |
-- |
|
1995 No. 287 |
10 Oct 1995 |
10 Oct 1995 |
-- |
|
1995 No. 300 |
26 Oct 1995 |
1 Nov 1995 |
-- |
|
1995 No. 409 |
19 Dec 1995 |
1 Jan 1996 (see r. 1) |
-- |
|
1996 No. 231 |
30 Oct 1996 |
1 Nov 1996 |
-- |
|
1996 No. 234 |
30 Oct 1996 |
1 Nov 1996 |
-- |
|
1996 No. 235 |
30 Oct 1996 |
1 Nov 1996 |
-- |
|
1996 No. 335 |
24 Dec 1996 |
24 Dec 1996 |
-- |
|
1996 No. 336 |
24 Dec 1996 |
1 Jan 1997 |
-- |
|
1997 No. 61 |
26 Mar 1997 |
26 Mar 1997 |
-- |
|
1997 No. 287 |
8 Oct 1997 |
8 Oct 1997 |
-- |
|
1997 No. 300 |
31 Oct 1997 |
1 Nov 1997 |
-- |
|
1997 No. 319 |
17 Nov 1997 |
17 Nov 1997 |
-- |
|
1997 No. 395 |
24 Dec 1997 |
1 Jan 1998 |
-- |
|
1998 No. 44 |
25 Mar 1998 |
1 Feb 1998 |
-- |
|
1998 No. 125 |
9 June 1998 |
1 July 1998 |
-- |
|
1998 No. 138 |
25 June 1998 |
1 July 1998 |
-- |
|
1998 No. 204 |
1 July 1998 |
1 July 1998 |
-- |
|
1998 No. 220 |
7 July 1998 |
7 July 1998 |
-- |
|
1998 No. 253 |
6 Aug 1998 |
6 Aug 1998 |
-- |
|
1998 No. 268 |
26 Aug 1998 |
1 Sept 1998 |
-- |
|
1998 No. 370 |
22 Dec 1998 |
22 Dec 1998 |
-- |
|
1998 No. 371 |
22 Dec 1998 |
22 Dec 1998 |
-- |
|
1998 No. 372 |
22 Dec 1998 |
1 Jan 1999 |
-- |
|
1999 No. 48 |
24 Mar 1999 |
24 Mar 1999 |
-- |
|
1999 No. 88 |
4 June 1999 |
4 June 1999 |
-- |
|
1999 No. 157 |
28 July 1999 |
28 July 1999 |
-- |
|
1999 No. 176 |
1 Sept 1999 |
1 Sept 1999 |
-- |
|
1999 No. 254 |
27 Oct 1999 |
1 Nov 1999 |
-- |
|
1999 No. 343 |
22 Dec 1999 |
1 Jan 2000 |
-- |
|
1999 No. 344 |
22 Dec 1999 |
1 Feb 2000 |
-- |
|
2000 No. 146 |
28 June 2000 |
28 June 2000 |
-- |
|
2000 No. 290 |
1 Nov 2000 |
1 Nov 2000 |
-- |
|
2001 No. 272 |
5 Oct 2001 |
5 Oct 2001 |
-- |
|
2001 No. 273 |
5 Oct 2001 |
5 Oct 2001 |
-- |
|
2001 No. 274 |
5 Oct 2001 |
1 Nov 2001 |
-- |
|
2001 No. 275 |
5 Oct 2001 |
1 Nov 2001 |
-- |
|
2001 No. 290 |
1 Dec 2001 |
1 Dec 2001 |
-- |
|
2001 No. 342 |
21 Dec 2001 |
21 Dec 2001 |
-- |
|
2002 No. 246 |
24 Oct 2002 |
Rr. 1-3 and Schedule 1: 1 Nov 2001 |
-- |
|
2002 No. 261 |
6 Nov 2002 |
Schedule 2: (d) |
-- |
|
2003 No. 87 |
16 May 2003 |
16 May 2003 |
R. 4 [see Table A] |
|
2003 No. 254 |
16 Oct 2003 |
1 Nov 2003 |
-- |
|
2003 No. 356 |
23 Dec 2003 |
23 Dec 2003 |
-- |
|
2003 No. 357 |
23 Dec 2003 |
23 Dec 2003 |
-- |
|
2004 No. 46 |
30 Mar 2004 |
30 Mar 2004 |
-- |
|
2004 No. 75 |
30 Apr 2004 |
30 Apr 2004 |
-- |
|
2004 No. 110 |
3 June 2004 |
3 June 2004 |
-- |
|
2004 No. 125 |
18 June 2004 |
18 June 2004 |
-- |
|
2004 No. 180 |
1 July 2004 |
1 July 2004 |
-- |
|
2004 No. 181 |
1 July 2004 |
1 July 2004 |
-- |
|
2004 No. 305 |
29 Oct 2004 |
1 Nov 2004 |
-- |
|
2004 No. 306 |
29 Oct 2004 |
1 Nov 2004 |
-- |
|
2004 No. 324 |
25 Nov 2004 |
25 Nov 2004 |
-- |
|
2004 No. 383 |
23 Dec 2004 |
1 Jan 2005 |
-- |
|
2005 No. 9 |
14 Feb 2005 (see F2005L00169) |
R. 1, 2, 3 (1) and Schedule 1: 30 Apr 1997 |
-- |
|
2005 No. 64 |
27 Apr 2005 (see F 2005L00938) |
1 May 2005 |
-- |
|
2005 No. 128 |
21 June 2005 (see F2005L01451) |
1 July 2005 |
-- |
|
2005 No. 207 |
19 Sept 2005 (see F2005L02673) |
1 Oct 2005 (see r. 2) |
-- |
|
2005 No. 236 |
27 Oct 2005 (see F2005L03104) |
28 Oct 2005 |
-- |
|
2005 No. 237 |
27 Oct 2005 (see F2005L03124) |
1 Nov 2005 |
-- |
|
2005 No. 286 |
2 Dec 2005 (see F2005L03869) |
1 Jan 2006 |
-- |
|
2006 No. 69 |
31 Mar 2006 (see F2006L00966) |
1 Apr 2006 |
-- |
|
2006 No. 84 |
28 Apr 2006 (see F2006L01209) |
1 May 2006 |
-- |
|
2006 No. 269 |
20 Oct 2006 (see F2006L03311) |
1 Nov 2006 |
-- |
|
2007 No. 55 |
30 Mar 2007 (see F2007L00582) |
1 Apr 2007 |
-- |
|
2007 No. 56 |
30 Mar 2007 (see F2007L00802) |
1 Apr 2007 (see r. 2) |
-- |
|
2007 No. 98 |
27 Apr 2007 (see F2007L00992) |
1 May 2007 |
-- |
|
2007 No. 187 |
29 June 2007 (see F2007L01519) |
1 July 2007 |
-- |
|
2007 No. 311 |
28 Sept 2007 (see F2007L02262) |
29 Sept 2007 |
-- |
|
2007 No. 337 |
8 Oct 2007 (see F2007L03759) |
1 Nov 2007 |
-- |
|
2008 No. 110 |
20 June 2008 (see F2008L01330) |
1 July 2008 |
-- |
|
2008 No. 209 |
17 Oct 2008 (see F2008L03448) |
1 Nov 2008 (see r. 2 and F2008L03447) |
-- |
|
2009 No. 136 |
25 June 2009 (see F2009L02306) |
1 July 2009 |
-- |
|
2009 No. 225 |
10 Sept 2009 (see F2009L02262) |
11 Sept 2009 |
-- |
|
2009 No. 270 |
13 Oct 2009 (see F2009L03138) |
1 Nov 2009 (see r. 2) |
-- |
|
2009 No. 306 |
13 Nov 2009 (see F2009L03987) |
1 Jan 2010 |
-- |
|
2009 No. 368 |
15 Dec 2009 (see F2009L04019) |
1 Jan 2010 |
-- |
|
2009 No. 369 |
15 Dec 2009 (see F2009L04017) |
1 July 2010 |
-- |
|
2010 No. 230 |
21 July 2010 (see F2010L01978) |
Rr. 1-3 and Schedule 1: 22 July 2010 |
-- |
|
2010 No. 260 |
27 Oct 2010 (see F2010L02796) |
Rr. 1-3 and Schedule 1: 1 May 2010 |
R. 4 |
|
2010 No. 261 |
27 Oct 2010 (see F2010L02770) |
1 Nov 2010 |
-- |
|
2010 No. 262 |
28 Oct 2010 (see F2010L02797) |
1 Nov 2010 |
-- |
|
2011 No. 27 |
15 Mar 2011 (see F2011L00426) |
1 Jan 2010 |
-- |
|
2011 No. 98 |
20 June 2011 (see F2011L01083) |
1 July 2011 |
-- |
|
2011 No. 120 |
30 June 2011 (see F2011L01364) |
1 July 2011 |
-- |
|
2011 No. 183 |
24 Oct 2011 (see F2011L02113) |
25 Oct 2011 |
-- |
|
2011 No. 184 |
25 Oct 2011 (see F2011L02119) |
Rr. 1-3 and Schedule 1: 1 Nov 2011 |
-- |
|
2012 No. 57 |
20 Apr 2012 (see F2012L00906) |
1 May 2012 |
-- |
(a) Statutory Rules 1975 No. 135 was disallowed by the Senate on 4 September 1975.
(b) Statutory Rules 1985 No. 290 was disallowed by the Senate on 10 April 1986.
(c) Subregulation 1.1 of Statutory Rules 1992 No. 239 provides as follows:
1.1 These Regulations are taken to have commenced immediately after the commencement of Regulation 4 of Statutory Rules 1992 No. 111.
Regulation 4 commenced on 1 May 1992.
(d) Regulation 2 (b) of Statutory Rules 2002 No. 261 provides as follows:
(b) on 1 September 1999, immediately before the commencement of Statutory Rules 1999 No. 176 -- Schedule 2.
Table of Amendments
The amendment history of the Health Insurance Regulations 1975 after renumbering by the Health Insurance Regulations (Amendment) (1992 No. 111) appears in the Table below.
|
ad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted |
|
|
Provision affected |
How affected |
|
R. 1.......................................... |
rs. 1998 No. 268 |
|
R. 2.......................................... |
rs. 1983 No. 253 |
|
|
am. 1989 No. 54; 1991 No. 82 |
|
|
rs. 1991 No. 365 |
|
|
am. 1991 No. 441; 1992 Nos. 42 and 111; 1996 Nos. 235 and 335; 2001 No. 290; 2003 No. 87; 2005 No. 207; 2007 No. 55; 2010 No. 230; 2011 No. 120 |
|
Note to r. 2.............................. |
ad. 2007 No. 56 |
|
|
rs. 2010 No. 230 |
|
R. 2A........................................ |
ad. 2007 No. 55 |
|
R. 2B........................................ |
ad. 2010 No. 230 |
|
R. 2C....................................... |
ad. 2010 No. 230 |
|
R. 2D....................................... |
ad. 2010 No. 230 |
|
R. 2E........................................ |
ad. 2010 No. 230 |
|
R. 2F........................................ |
ad. 2010 No. 230 |
|
R. 2G....................................... |
ad. 2010 No. 230 |
|
R. 2H....................................... |
ad. 2010 No. 230 |
|
R. 3.......................................... |
ad. 1975 No. 125 |
|
|
am. 1991 No. 365; 1999 No. 157 |
|
R. 3A........................................ |
ad. 2004 No. 125 |
|
|
am. 2004 No. 305; 2005 No. 286; 2006 No. 69 |
|
|
rs. 2006 No. 269 |
|
|
am. 2010 No. 230; 2011 No. 98 |
|
R. 4.......................................... |
ad. 1986 No. 20 |
|
|
rs. 2005 No. 9 |
|
R. 5.......................................... |
ad. 1986 No. 20 |
|
R. 6.......................................... |
ad. 1986 No. 20 |
|
R. 6A........................................ |
ad. 1996 No. 335 |
|
R. 6B........................................ |
ad. 1996 No. 335 |
|
|
am. 2005 No. 207; 2011 No. 120 |
|
R. 6C....................................... |
ad. 1996 No. 335 |
|
|
am. 2005 No. 207; 2011 No. 120 |
|
R. 6D....................................... |
ad. 1996 No. 335 |
|
|
am. 2005 No. 207; 2011 No. 120 |
|
R. 6DA..................................... |
ad. 2007 No. 55 |
|
|
am. 2011 No. 120 |
|
R. 6DB..................................... |
ad. 2007 No. 55 |
|
R. 6DC.................................... |
ad. 2007 No. 55 |
|
|
am. 2011 No. 120 |
|
Heading to r. 6E.................... |
rs. 1999 No. 344 |
|
R. 6E........................................ |
ad. 1996 No. 335 |
|
|
am. 1998, No. 44; 1999 No. 344 |
|
R. 6EA..................................... |
ad. 1999 No. 344 |
|
|
am. 2001 No. 272 |
|
R. 6EB..................................... |
ad. 1999 No. 344 |
|
|
am. 2005 No. 207; 2011 No. 120 |
|
R. 6EF..................................... |
ad. 2004 No. 383 |
|
|
rs. 2009 No. 270 |
|
|
am. 2010 No. 260; 2012 No. 57 |
|
R. 6F........................................ |
ad. 1996 No. 335 |
|
|
am. 2005 No. 207; 2011 No. 120 |
|
R. 6G....................................... |
ad. 1996 No. 335 |
|
R. 7.......................................... |
ad. 1989 No. 293 |
|
|
rep. 2001 No. 273 |
|
R. 8.......................................... |
ad. 1988 No. 314 |
|
|
am. 1988 No. 314 |
|
|
rep. 1994 No. 111 |
|
R. 9.......................................... |
ad. 1975 No. 125 |
|
R. 9A........................................ |
ad. 1994 No. 413 |
|
|
rs. 2010 No. 230 |
|
R. 10........................................ |
ad. 1991 No. 82 |
|
|
rs. 1991 No. 365 |
|
|
am. 1992 Nos. 111 and 239 |
|
|
rs. 1993 No. 130 |
|
|
am. 1993 No. 154; 1994 No. 111; 1996 No. 231; 1997 No. 300; 1998 No. 268; 1999 Nos. 157, 176 and 343; 2000 No. 290; 2002 Nos. 246 and 261; 2003 No. 254; 2004 No. 306 |
|
Heading to r. 11.................... |
rs. 2003 No. 87 |
|
R. 11........................................ |
ad. 1991 No. 82 |
|
|
rs. 1991 No. 365 |
|
|
am. 1992 Nos. 42, 111 and 239; 1996 No. 231; 2003 No. 87; 2007 No. 337; 2009 No. 306 |
|
R. 11A..................................... |
ad. 2010 No. 261 |
|
R. 11B..................................... |
ad. 2010 No. 261 |
|
|
am. 2011 No. 184 |
|
R. 12........................................ |
ad. 1991 No. 82 |
|
|
rs. 1991 No. 365 |
|
|
am. 1992 Nos. 111 and 239; 1996 No. 231; 1999 No. 157 |
|
R. 12A..................................... |
ad. 1996 No. 336 |
|
|
am. 1997 No. 395; 1998 No. 372; 1999 No. 343 |
|
R. 12AA................................... |
ad. 2008 No. 110 |
|
|
rep. 2009 No. 369 |
|
R. 12B..................................... |
ad. 2003 No. 87 |
|
R. 13........................................ |
ad. 1983 No. 255 |
|
|
am. 1986 No. 19; 1987 Nos. 32 and 166; 1991 Nos. 82, 365 and 441; 1992 Nos. 42 and 431; 1995 Nos. 9, 287 and 409; 1996 Nos. 231 and 234; 1998 No. 371; 1999 No. 157; 2001 Nos. 274 and 290; 2003 No. 87; 2004 No. 46; 2005 No. 207; 2007 No. 56; 2010 Nos. 230 and 260; 2011 No. 120 |
|
R. 13AA................................... |
ad. 2001 No. 272 |
|
|
am. 2005 No. 207; 2008 No. 209; 2011 No. 120 |
|
R. 13AB................................... |
ad. 2008 No. 209 |
|
|
am. 2011 No. 120 |
|
R. 13AC.................................. |
ad. 2008 No. 209 |
|
R. 13A..................................... |
ad. 1998 No. 204 |
|
|
am. 2005 No. 207 |
|
|
rep. 2007 No. 56 |
|
R. 13B..................................... |
ad. 1998 No. 204 |
|
|
am. 2004 No. 110; 2005 No. 207; 2011 No. 120 |
|
R. 14........................................ |
ad. 1985 No. 36 |
|
|
am. 1985 No. 205; 1986 No. 87; 1989 No. 117; 1990 No. 25; 1991 No. 314; 1992 Nos. 111 and 335; 1994 No. 20; 1995 No. 9; 2005 No. 236; 2006 No. 84 |
|
R. 14A..................................... |
ad. 2010 No. 230 |
|
R. 15........................................ |
ad. 1975 No. 125 |
|
|
am. 1976 No. 215 |
|
R. 16........................................ |
ad. 1986 No. 326 |
|
R. 16A..................................... |
ad. 1994 No. 328 |
|
R. 17........................................ |
ad. 1986 No. 326 |
|
R. 18........................................ |
ad. 1986 No. 326 |
|
R. 19........................................ |
ad. 1991 No. 82 |
|
|
am. 1996 Nos. 231 and 234; 2007 No. 56 |
|
R. 20........................................ |
ad. 1992 No. 42 |
|
|
am. 2001 No. 275; 2003 No. 87; 2005 No. 207; 2010 No. 230; 2011 No. 120 |
|
R. 20A..................................... |
ad. 2003 No. 87 |
|
|
am. 2008 No. 110; 2011 No. 183 |
|
R. 20B..................................... |
ad. 2003 No. 87 |
|
|
am. 2008 No. 110 |
|
R. 20C..................................... |
ad. 2003 No. 87 |
|
|
am. 2011 No. 183 |
|
R. 20CA.................................. |
ad. 2009 No. 225 |
|
R. 20CB.................................. |
ad. 2009 No. 225 |
|
R. 20D..................................... |
ad. 2003 No. 87 |
|
R. 20E..................................... |
ad. 2003 No. 87 |
|
R. 20F...................................... |
ad. 2003 No. 87 |
|
R. 21........................................ |
ad. 1975 No. 118 |
|
|
am. 1976 No. 202 |
|
R. 22........................................ |
ad. 1975 No. 118 |
|
|
am. 1976 No. 202 |
|
R. 22A..................................... |
ad. 1997 No. 287 |
|
R. 23........................................ |
ad. 1977 No. 44 |
|
|
rep. 1982 No. 251 |
|
|
ad. 1986 No. 20 |
|
R. 23A..................................... |
ad. 1993 No. 106 |
|
R. 23B..................................... |
ad. 1993 No. 106 |
|
|
am. 1994 No. 27 |
|
R. 23C..................................... |
ad. 1993 No. 106 |
|
R. 23D..................................... |
ad. 1993 No. 106 |
|
R. 23E..................................... |
ad. 1993 No. 106 |
|
|
am. 1994 No. 27 |
|
R. 23F...................................... |
ad. 1993 No. 106 |
|
|
am. 1994 No. 27 |
|
R. 23G..................................... |
ad. 1993 No. 106 |
|
|
am. 1994 No. 27 |
|
R. 24........................................ |
ad. 1976 No. 202 |
|
|
rs. 1989 No. 54 |
|
|
am. 1994 No. 138 |
|
R. 25........................................ |
ad. 1986 No. 20 |
|
R. 25A..................................... |
ad. 1998 No. 220 |
|
|
am. 2010 No. 230 |
|
R. 26........................................ |
ad. 1986 No. 20 |
|
R. 27........................................ |
ad. 1979 No. 230 |
|
|
am. 1983 No. 106; 1985 Nos. 50, 95 and 290 |
|
|
rs. 1992 No. 111 |
|
|
am. 1996 No. 235; 2001 No. 342; 2005 No. 207; 2011 No. 120 |
|
R. 28........................................ |
ad. 1992 No. 111 |
|
|
rs. 2005 No. 207; 2011 No. 120 |
|
R. 29........................................ |
ad. 1975 No. 125 |
|
|
am. 1976 No. 215; 1978 No. 95; 1987 No. 32 |
|
|
rs. 1991 No. 365 |
|
|
am. 1996 No. 235; 2010 No. 230 |
|
R. 30........................................ |
ad. 1975 No. 125 |
|
|
am. 1978 No. 177 |
|
|
rep. 1982 No. 251 |
|
|
ad. 1991 No. 365 |
|
|
am. 1995 Nos. 9 and 300 |
|
R. 31........................................ |
ad. 1975 No. 125 |
|
|
am. 1976 No. 215 |
|
|
rep. 1982 No. 251 |
|
|
ad. 1991 No. 365 |
|
|
am. 1995 Nos. 9 and 300; 1996 No. 235; 1999 No. 157; 2010 No. 261 |
|
Schedule 1A.......................... |
ad. 1996 No. 335 |
|
|
am. 1997 Nos. 61 and 319 |
|
|
rep. 1998 No. 44 |
|
Schedule................................ |
am. 1975 No. 118 |
|
Schedule 1 |
|
|
Heading to Schedule 1........ |
ad. 1976 No. 202 |
|
Schedule 1............................. |
am. 1976 Nos. 202, 214 and 215; 1982 No. 251; 1992 No. 111 |
|
... Form 1................................. |
ad. 1975 No. 118 |
|
|
am. 1976 No. 215 |
|
... Form 2................................. |
ad. 1975 No. 118 |
|
|
am. 1976 No. 215 |
|
Schedule 1A |
|
|
Schedule 1A.......................... |
ad. 1997 No. 287 |
|
|
rs. 1998 No. 253; 2004 No. 324 |
|
Schedule 2 |
|
|
Schedule 2............................. |
ad. 1976 No. 202 |
|
|
am. 1989 No. 54; 1994 No. 138 |
|
Schedule 3 |
|
|
Schedule 3............................. |
ad. 1979 No. 230 |
|
|
rs. 1992 No. 111 |
|
|
am. 1995 No. 25; 1996 No. 235; 2004 No. 180; 2005 No. 207; 2011 No. 120 |
|
Schedule 4 |
|
|
Schedule 4............................. |
ad. 1986 No. 20 |
|
|
am. 1992 No. 111 |
|
|
rs. 1994 No. 137 |
|
|
am. 1998 No. 125; 1999 Nos. 157 and 254; 2005 No. 9 |
|
|
rs. 2005 No. 9 |
|
|
am. 2006 No. 69; 2007 No. 311; 2009 No. 368; 2010 No. 262 |
|
Schedule 5 |
|
|
Heading to Schedule 5........ |
rs. 1999 No. 344 |
|
Schedule 5............................. |
ad. 1998 No. 44 |
|
|
am. 1998 Nos. 138 and 370; 1999 Nos. 48 and 344; 2000 No. 146; 2001 Nos. 272 and 342; 2003 Nos. 356 and 357; 2004 Nos. 75 and 181; 2007 Nos. 98 and 311; 2009 No. 368; 2010 No. 262 |
|
Schedule 6 |
|
|
Schedule 6............................. |
ad. 2004 No. 383 |
|
|
am. 2005 Nos. 64, 128 and 237; 2006 Nos. 84 and 269; 2007 No. 187; 2009 No. 136 |
|
|
rs. 2010 No. 260 |
|
|
am. 2011 Nos. 27, 98 and 184 |
Repeal Table
Certain provisions of the Health Insurance Regulations 1975, as amended, were repealed prior to renumbering by the Health Insurance Regulations (Amendment) (1992 No. 111) or by that Regulation. The amendment history of the repealed provisions appears in the Table below.
|
ad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted |
|
|
Provision affected |
How affected |
|
R. 2AA................................... |
ad. 1975 No. 125 |
|
|
rep. 1982 No. 251 |
|
R. 2AAB................................ |
ad. 1976 No. 202 |
|
|
am. 1977 No. 26 |
|
|
rep. 1982 No. 251 |
|
R. 2AC.................................. |
ad. 1975 No. 125 |
|
|
am. 1987 No. 163 |
|
|
rep. 1989 No. 6 |
|
|
ad. 1991 No. 365 |
|
|
rep. 1992 No. 42 |
|
R. 2ADAA............................. |
ad. 1984 No. 5 |
|
|
rep. 1992 No. 111 |
|
R. 2AE................................... |
ad. 1982 No. 287 |
|
|
rep. 1992 No. 111 |
|
R. 2A..................................... |
ad. 1975 No. 118 |
|
|
rs. 1976 No. 202 |
|
|
rep. 1982 No. 251 |
|
R. 2B..................................... |
ad. 1975 No. 118 |
|
|
rs. 1976 No. 202 |
|
|
am. 1976 No. 214 |
|
|
rep. 1982 No. 251 |
|
R. 2C..................................... |
ad. 1975 No. 118 |
|
|
rs. 1976 No. 202 |
|
|
rep. 1982 No. 251 |
|
R. 2CD.................................. |
ad. 1991 No. 82 |
|
|
rep. 1992 No. 42 |
|
Rr. 3, 4.................................. |
rs. 1976 No. 202 |
|
|
rep. 1992 No. 111 |
|
R. 4A..................................... |
ad. 1981 No. 198 |
|
|
rep. 1992 No. 111 |
|
R. 5........................................ |
ad. 1975 No. 118 |
|
|
am. 1976 No. 202 |
|
|
rep. 1982 No. 251 |
|
Rr. 6, 7.................................. |
ad. 1975 No. 118 |
|
|
am. 1976 No. 202; 1982 No. 251 |
|
|
rep. 1992 No. 111 |
|
R. 7A..................................... |
ad. 1976 No. 202 |
|
|
rep. 1992 No. 111 |
|
Heading to Schedule......... |
rep. 1976 No. 202 |
|
Schedule 4.......................... |
ad. 1981 No. 198 |
|
|
am. 1981 No. 317; 1982 No. 157; 1983 No. 231; 1984 No. 5 |
|
|
rep. 1992 No. 111 |
|
Schedule 5.......................... |
ad. 1984 No. 5 |
|
|
rs. 1984 No. 162 |
|
|
rep. 1992 No. 111 |
Table A Application, saving or transitional provisions
Statutory Rules 2003 No. 87
4 Transitional
The amendments made by items 6 and 7 of Schedule 1 apply only to:
(a) in relation to diagnostic imaging services -- services described in item 12 of Schedule 1 to the Health Insurance Amendment (Diagnostic Imaging, Radiation Oncology and Other Measures) Act 2003; and
(b) in relation to radiation oncology services -- services described in item 13 of Schedule 2 to the Health Insurance Amendment (Diagnostic Imaging, Radiation Oncology and Other Measures) Act 2003.
Note 1 Item 12 of Schedule 1 to the Health Insurance Amendment (Diagnostic Imaging, Radiation Oncology and Other Measures) Act 2003 provides that certain amendments made by that Schedule (broadly amendments that enforce the registration provisions contained elsewhere in that Schedule) apply to diagnostic imaging services rendered using diagnostic imaging procedures carried out after the earlier of:
(a) a day fixed by proclamation; and
(b) the first day after the end of the period of 6 months beginning on the day on which the Act receives the Royal Assent.
Note 2 Item 13 of Schedule 2 to the Health Insurance Amendment (Diagnostic Imaging, Radiation Oncology and Other Measures) Act 2003 provides that certain amendments made by that Schedule (broadly amendments that enforce the registration provisions contained elsewhere in that Schedule) apply to radiation oncology services rendered after the earlier of:
(a) a day fixed by proclamation; and
(b) the first day after the end of the period of 6 months beginning on the day on which the Act receives the Royal Assent.
Select Legislative Instrument 2010 No. 260
4 Services for which medicare benefit is 100% of Schedule fee -- GMST items 709, 711 and 713
(1) For paragraph 10 (2) (aa) of the Act,
a service described in items 709, 711 and 713 of the general medical services
table
is taken to have been prescribed from 1 July 2008 to
31 April 2010 (inclusive).
Note Items 709, 711 and 713:
(a) were inserted into the general medical services table by the Health Insurance (General Medical Services Table) Amendment Regulations 2008 (No. 2) which commenced on 1 July 2008; and
(b) were repealed by the Health Insurance (General Medical Services Table) Amendment Regulations 2010 (No. 3) which commenced on 1 May 2010.
(2) In this regulation:
Act means the Health Insurance Act 1973.
Note The term general medical services table is defined in the Act.
Renumbering Table
Table showing new Regulation numbers of the Health Insurance Regulations 1975 after renumbering by the Health Insurance Regulations (Amendment) (1992 No. 111).
Note This Table does not form part of the Health Insurance Regulations 1975 and is printed for convenience of reference only.
|
Old
|
New
|
|
Regulation |
Regulation |
|
1 |
1 |
|
2 |
2 |
|
2AB |
3 |
|
2ABA |
4 |
|
2ABB |
5 |
|
2ABC |
6 |
|
2ABD |
7 |
|
2ACA |
8 |
|
2AD |
9 |
|
2ADAAA |
10 |
|
2ADAAB |
11 |
|
2ADAAC |
12 |
|
2ADA |
13 |
|
2ADB |
14 |
|
2CA |
15 |
|
2CB |
16 |
|
2CC |
17 |
|
2CD |
18 |
|
2CE |
19 |
|
2CF |
20 |
|
8 |
21 |
|
9 |
22 |
|
9AA |
23 |
|
9A |
24 |
|
9AB |
25 |
|
9AC |
26 |
|
9B |
27 |
|
9C |
28 |
|
10 |
29 |
|
11 |
30 |
|
12 |
31 |
|
Schedule 1 |
Schedule 1 |
|
Form 6 |
Form 1 |
|
Form 7 |
Form 2 |
|
Schedule 2 |
Schedule 2 |
|
Schedule 3 |
Schedule 3 |
|
Schedule 6 |
Schedule 4 |
|
|
|