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This is a Bill, not an Act. For current law, see the Acts databases.
1998-1999-2000-2001
The
Parliament of the
Commonwealth of
Australia
HOUSE OF
REPRESENTATIVES
Presented and read a first
time
Health and
Other Services (Compensation) Legislation Amendment Bill
2001
No. ,
2001
(Health and Aged
Care)
A Bill for an Act to amend the
Health and Other Services (Compensation) Act 1995, and for related
purposes
Contents
Health and Other Services (Compensation) Act
1995 3
Health and Other Services (Compensation) Care Charges Act
1995 13
Administrative Review Tribunal (Consequential and Transitional
Provisions) Act
2001 14
Health and Other Services (Compensation) Act
1995 14
A Bill for an Act to amend the Health and Other
Services (Compensation) Act 1995, and for related
purposes
The Parliament of Australia enacts:
This Act may be cited as the Health and Other Services (Compensation)
Legislation Amendment Act 2001.
(1) Subject to subsections (2), (3), (4) and (5), this Act commences
on a day to be fixed by Proclamation.
(2) Subject to subsections (3), (4) and (5), if this Act does not
commence under subsection (1) within the period of 6 months beginning on
the day on which it receives the Royal Assent, it commences on the first day
after the end of that period.
(3) If the Health and Aged Care Legislation Amendment (Application of
Criminal Code) Act 2001 commences before the commencement of Schedule 1
to this Act, then item 21 of Schedule 1 to this Act does not
commence.
(4) Subject to subsection (5), Schedule 3 commences at the later
of:
(a) the time when Parts 4 to 10 of the Administrative Review
Tribunal Act 2001 commence; and
(b) immediately after the commencement of Schedule 1 to this
Act.
(5) If item 259 of Schedule 1 and items 264 and 265 of
Schedule 3 to the Administrative Review Tribunal (Consequential and
Transitional Provisions) Act 2001 commence before the commencement of
Schedule 1 to this Act, then items 1 and 2 of Schedule 3 to this
Act do not commence.
Subject to section 2, each Act that is specified in a Schedule to
this Act is amended or repealed as set out in the applicable items in the
Schedule concerned, and any other item in a Schedule to this Act has effect
according to its terms.
Health and Other Services
(Compensation) Act 1995
1 Subsection 3(1) (definition of
Secretary)
Omit “to the Department of Human Services and Health”,
substitute “of the Department”.
2 At the end of subsection
4(2)
Add:
; or (e) a payment of a kind, or in circumstances, prescribed by the
regulations made for the purposes of this paragraph.
3 Paragraph 8(9)(a)
Repeal the paragraph.
4 Paragraph 10(1)(c)
Omit “section 8”, substitute
“section 9”.
5 Paragraph 10(9)(a)
Repeal the paragraph.
6 Sections 11 and 12
Repeal the sections, substitute:
This Division operates if a person makes a claim against another person
for compensation in respect of an injury, by claiming compensation from the
other person.
7 Section 13
Repeal the section, substitute:
If:
(a) a period of 6 months has elapsed since the claim for compensation was
made; and
(b) a reimbursement arrangement in relation to the claim is or was made
after the end of that period;
the person who is liable to reimburse the claimant under the arrangement
must, within 28 days after the arrangement is made, give to the Commission
written notice of the arrangement.
8 Sections 15 and 16
Repeal the sections.
9 At the end of subsection
17(1)
Add:
Note: A notice under this section can be given before or
after judgment or settlement in respect of the claim.
10 After subsection 17(5)
Insert:
(5A) A request under subsection (5) must be made in the form approved
in writing by the Managing Director.
11 Paragraph 18(4)(b)
Omit “3 months”, substitute “6 months”.
12 At the end of
section 18
Add:
(6) Subsection (5) does not operate, and is taken for the purposes of
this Act and the Charges Act never to have operated, in relation to professional
services specified in a notice under subsection 17(2) if the Managing Director
gives the claimant a notice under subsection (7).
(7) The Managing Director must give the claimant a notice for the purposes
of subsection (6) if:
(a) apart from subsection (6), subsection (5) would operate so
that all the services specified in a notice under subsection 17(2) would be
taken for the purposes of this Act and the Charges Act to have been rendered in
the course of treatment of, or as a result of, the injury the claimant claims to
have suffered; and
(b) a judgment or settlement has been made in respect of an amount of
compensation; and
(c) the claimant, within the period of 2 years beginning on the day of the
judgment or settlement, satisfies the Managing Director that:
(i) not all of those services have been rendered in the course of
treatment of, or as a result of, the injury the claimant claims to have
suffered; and
(ii) the claimant’s failure to give the Commission a statement as
required by this section was reasonable in the circumstances.
(8) To avoid doubt, if:
(a) apart from subsection (6), an amount was payable to the
Commonwealth under this Act in relation to the claim; and
(b) a person paid that amount to the Commonwealth in relation to the
claim; and
(c) the Managing Director gave the claimant a notice under
subsection (7); and
(d) because of subsection (6), the amount paid exceeds the amount
properly payable under this Act;
the amount of the excess is payable by the Commonwealth to the
person.
(9) The Consolidated Revenue Fund is appropriated for the purposes of
payments by the Commonwealth under subsection (8).
(10) Application may be made to the Administrative Appeals Tribunal for
review of a decision by the Managing Director to refuse to give a notice under
subsection (7).
Note: Section 27A of the Administrative Appeals
Tribunal Act 1975 requires the decision-maker to notify persons whose
interests are affected by the decision of the making of the decision and their
right to have the decision reviewed. In so notifying, the decision-maker must
have regard to the Code of Practice determined under section 27B of that
Act.
13 Subsection 21(5)
Omit “3 months”, substitute “6 months”.
14 Paragraph 21(13)(a)
Omit “3 months”, substitute “6 months”.
15 Paragraph 22(1)(b)
Omit “3 months”, substitute “6 months”.
16 Subsection 22(1) (note)
Repeal the note.
17 After section 23
Insert:
(1) This section has effect if:
(a) a judgment or settlement has been made in respect of the claim;
and
(b) the Commission has received a notice under subsection 23(1) in
relation to the judgment or settlement; and
(c) the Managing Director has not given the notifiable person a notice
under section 21 in respect of the claim during the 6 month period ending
when the judgment or settlement was made; and
(d) either:
(i) the Managing Director has not given the notifiable person a notice
under section 21 in respect of the claim before the start of the 6 month
period and, as at the date of the judgment or settlement, the Commonwealth has
paid no eligible benefits in respect of services and care rendered or
provided in the course of treatment of, or as a result of, the injury the
claimant claims to have suffered; or
(ii) the Managing Director has given the notifiable person one or more
such notices before the start of the 6 month period and, as at the date of the
judgment or settlement, the Commonwealth has paid no eligible benefits of
the kind mentioned in subparagraph (i), other than those set out in the
most recent of those notices.
(2) The claimant may give a statement under this section to the
Commission specifying that:
(a) if subparagraph (1)(d)(i) applies—as at the date of the
judgment or settlement, the Commonwealth has paid no eligible benefits in
respect of services and care rendered or provided in the course of treatment of,
or as a result of, the injury the claimant claims to have suffered; or
(b) if subparagraph (1)(d)(ii) applies—as at the date of the
judgment or settlement, the Commonwealth has paid no eligible benefits in
respect of services and care rendered or provided in the course of treatment of,
or as a result of, the injury the claimant claims to have suffered, other than
those set out in the most recent of the notices mentioned in that
subparagraph.
Note: The Commission will take account of the information in
the statement in specifying in a notice under section 24 the amount (if
any) payable to the Commonwealth.
(3) The statement must also contain any other information specified in a
determination in writing made by the Managing Director for the purposes of this
subsection.
(4) The statement must be verified by statutory declaration.
(1) If the Managing Director is satisfied that a statement given to the
Commission under section 18 or 23A or this section is not substantially
correct, the Managing Director must give to the claimant a written
notice:
(a) specifying that the statement is not substantially correct;
and
(b) requiring the claimant to give an amended statement that is
substantially correct; and
(c) stating the period within which the claimant is required to give the
amended statement to the Commission.
(2) The notice must be given:
(a) unless paragraph (b) applies—within 28 days after the
statement under section 18 or 23A or this section was given to the
Commission; or
(b) if an advance payment has been made to the Commonwealth under
section 33B in relation to a judgment or settlement in respect of the
claim—before the last day on which the Managing Director could give the
compensable person a notice under section 33C in relation to the
payment.
(3) The claimant must give to the Commission the statement required by the
notice within the period of 28 days after being given the notice.
(4) In deciding whether a statement is substantially correct, the Managing
Director may have regard to:
(a) the date on which the compensable person suffered the injury;
and
(b) the nature of the injury that the compensable person suffered;
and
(c) the treatment of the injury; and
(d) statistical information about claims for eligible benefits in relation
to injuries of substantially the same kind as the injury in respect of which the
claim was made; and
(e) expert medical opinion about the treatment that is usual or may
reasonably be expected in relation to injuries of that kind; and
(f) any other matter that the Managing Director considers
relevant.
(5) A reference in subsection (4) to the treatment of the injury
includes a reference to the provision of nursing home care or residential care
as a result of the injury.
(6) Sections 18 and 19 apply to an amended statement under this
section as if it were a statement under section 18. Section 23A
applies to an amended statement under this section as if it were a statement
under section 23A.
(1) If the Managing Director accepts an amended statement under
section 23B as being substantially correct, the Managing Director must, as
soon as practicable after accepting the statement, notify the claimant, in
writing, accordingly.
(2) An amended statement given to the Commission under section 23B is
taken to have been accepted by the Managing Director as being substantially
correct if, within 28 days after the Commission is given the statement, a notice
under subsection 23B(1) in relation to the statement is not given to the
claimant.
(1) Application may be made to the Administrative Appeals Tribunal for
review of a decision by the Managing Director that a statement under
section 18 or 23A, or an amended statement under section 23B, is not
substantially correct.
Note: Section 27A of the Administrative Appeals
Tribunal Act 1975 requires the decision-maker to notify persons whose
interests are affected by the decision of the making of the decision and their
right to have the decision reviewed. In so notifying, the decision-maker must
have regard to the Code of Practice determined under section 27B of that
Act.
(2) Despite subsection 43(6) of the Administrative Appeals Tribunal Act
1975, the Tribunal’s decision has effect on and from the day on which
it is made.
18 Paragraph 24(4)(a)
Omit “3 months” (first occurring), substitute “6
months”.
19 Paragraph 24(6)(b)
Omit “3 months”, substitute “6 months”.
20 Subsection 26(1)
Omit “11, 12, 13, 15”, substitute “13”.
21 Subsection 26(2)
Omit “11, 12, 13, 15”, substitute “13”.
22 Subsection 26(3)
Omit “11, 12, 13, 15”, substitute “13”.
23 Subsection 26(4)
Omit “11, 12, 13, 15”, substitute “13”.
24 Paragraph 26(5)(a)
Omit “11, 12, 13, 15”, substitute “13”.
25 Paragraph 26(6)(a)
Omit “11, 12, 13, 15”, substitute “13”.
26 Subsection 29(3)
Omit “11, 12 or”.
27 Paragraph 32(1)(b)
Omit “3 months”, substitute “6 months”.
28 Before section 33A
Insert:
(1) This Division does not have effect in relation to a claim if judgment
or settlement in respect of the claim is made on or after:
(a) 1 July 2004; or
(b) a later date determined by the Minister under
subsection (2).
(2) The Minister may determine in writing a date no later than 1 July
2006 for the purposes of paragraph (1)(b).
(3) A determination under subsection (2) must be made no later than
1 July 2004.
(4) A determination under subsection (2) is a disallowable instrument
for the purposes of section 46A of the Acts Interpretation Act
1901.
29 Paragraph 33B(1)(a)
Omit “3 months”, substitute “6 months”.
30 Paragraph 33B(1)(d)
Omit “$3,000”, substitute “$5,000”.
31 After subsection 33B(2)
Insert:
(2A) A determination under subsection (2) may:
(a) identify different amounts, or ranges of amounts, of compensation
payable; and
(b) set different percentages for any one or more of those amounts, or
ranges of amounts.
32 Paragraph 33C(2)(b)
Omit “section 33E”, substitute
“section 23B”.
33 Subsection 33D(2)
Omit “subsection 33E(2)”, substitute “subsection
23B(1)”.
34 Paragraph 33D(2)(b)
Omit “section 33E”, substitute
“section 23B”.
35 Paragraph 33D(3)(a)
Omit “subsection 33E(2)”, substitute “subsection
23B(1)”.
36 Sections 33E, 33F and
33G
Repeal the sections.
37 Subsection 35(3)
Omit “(other than sections 11 and 12)”.
38 Subsection 35(4)
Repeal the subsection.
39 Paragraph 38(1)(a)
Omit “before a notice under section 11 or 12 would, but for this
section, have been required to be given to the Commission”.
40 Subsection 38(2)
Repeal the subsection, substitute:
(2) An amount of compensation is a small amount if it is
equal to or less than:
(a) $5,000; or
(b) if
a higher amount is prescribed for the purposes of this subsection by the
regulations—that amount.
41 Paragraph 42(1)(f)
Omit “subsection 44-16(5)”, substitute “subsection
44-20(5) or (6)”.
42 Application
The amendments made by this Schedule apply to a claim for compensation
made:
(a) after the commencement of this item; or
(b) before that commencement, where a judgment or settlement in respect of
the claim has not been made before that commencement.
43 Transitional
(1) The new provisions operate in relation to a notice, statement or
application made under the old provisions before the commencement of this item
as if the notice, statement or application had been made under the new
provisions.
(2) In this item:
new provisions means sections 23B, 23C and 23D of the
Health and Other Services (Compensation) Act 1995 (as amended by this
Schedule).
old provisions means sections 33E, 33F and 33G of the
Health and Other Services (Compensation) Act 1995 (as in force before the
commencement of this item).
Health and Other Services
(Compensation) Care Charges Act 1995
1 Paragraph 6(9)(a)
Repeal the paragraph.
2 Paragraph 8(9)(a)
Repeal the paragraph.
Administrative Review
Tribunal (Consequential and Transitional Provisions) Act
2001
1 Item 259 of
Schedule 1
Repeal the item.
2 Items 264 and 265 of
Schedule 3
Repeal the items.
Health and Other Services
(Compensation) Act 1995
3 Subsection 18(10)
Omit “Administrative Appeals Tribunal”, substitute
“Administrative Review Tribunal”.
4 Subsection 18(10) (note)
Repeal the note, substitute:
Note: Section 56 of the Administrative Review
Tribunal Act 2001 requires the decision-maker to notify persons whose
interests are affected by the decision of the making of the decision and their
right to have the decision reviewed. In so notifying, the decision-maker must
have regard to guidelines issued under subsection (4) of that
section.
5 Subsection 23D(1)
Omit “Administrative Appeals Tribunal”, substitute
“Administrative Review Tribunal”.
Note: The heading to section 23D is altered by omitting
“Appeals” and substituting
“Review”.
6 Subsection 23D(1) (note)
Repeal the note, substitute:
Note: Section 56 of the Administrative Review
Tribunal Act 2001 requires the decision-maker to notify persons whose
interests are affected by the decision of the making of the decision and their
right to have the decision reviewed. In so notifying, the decision-maker must
have regard to guidelines issued under subsection (4) of that
section.
7 Subsection 23D(2)
Omit “subsection 43(6) of the Administrative Appeals Tribunal Act
1975”, substitute “sections 134 and 135 of the
Administrative Review Tribunal Act 2001”.