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This is a Bill, not an Act. For current law, see the Acts databases.
HEALTH INSURANCE AMENDMENT (EXTENDED MEDICARE SAFETY NET) BILL 2009
2008-2009
The Parliament of the
Commonwealth of Australia
HOUSE OF REPRESENTATIVES
Presented and read a first time
Health Insurance Amendment (Extended
Medicare Safety Net) Bill 2009
No. , 2009
(Health and Ageing)
A Bill for an Act to amend the Health Insurance Act
1973, and for related purposes
i Health Insurance Amendment (Extended Medicare Safety Net) Bill 2009 No. , 2009
Contents
1
Short title ............................................................................................ 1
2
Commencement .................................................................................. 1
3
Schedule(s) ......................................................................................... 1
Schedule 1--Health Insurance Act 1973
3
Health Insurance Amendment (Extended Medicare Safety Net) Bill 2009 No. , 2009 1
A Bill for an Act to amend the Health Insurance Act
1
1973, and for related purposes
2
The Parliament of Australia enacts:
3
1 Short title
4
This Act may be cited as the Health Insurance Amendment
5
(Extended Medicare Safety Net) Act 2009.
6
2 Commence ment
7
This Act commences on 1 January 2010.
8
3 Schedule(s)
9
Each Act that is specified in a Schedule to this Act is amended or
10
repealed as set out in the applicable items in the Schedule
11
2 Health Insurance Amendment (Extended Medicare Safety Net) Bill 2009 No. ,
2009
concerned, and any other item in a Schedule to this Act has effect
1
according to its terms.
2
3
Health Insurance Act 1973 Schedule 1
Health Insurance Amendment (Extended Medicare Safety Net) Bill 2009 No. , 2009
3
Schedule 1
--
Health Insurance Act 1973
1
2
1 After subsection 10ACA(7)
3
Insert:
4
(7A) Despite subsections (2) and (7), if the current claim is for a service
5
specified in an item determined under section 10B to be an item to
6
which this subsection applies, the increase under this section in the
7
benefit payable in respect of the claim cannot exceed the amount
8
determined under section 10B as the maximum increase for that
9
item.
10
Note:
This subsection does not limit the increase payable in respect of a
11
claim for a service specified in an item not determined under
12
section 10B to be an item to which this subsection applies.
13
(7B) If:
14
(a) for the purposes of the pathology services table:
15
(i) 2 or more pathology services are treated as a single
16
pathology service; and
17
(ii) the fee for the single service is the fee specified in one
18
or more particular items in the table; and
19
(b) one or more of those particular items (the limited increase
20
items) are items determined under section 10B to be items to
21
which subsection (7A) of this section applies;
22
then, for the purposes of that subsection, the single service is taken
23
to be specified in the limited increase item or, if there are 2 or more
24
limited increase items, in the one of those items for which the
25
maximum increase determined under section 10B is the greatest.
26
Note:
Section 4B lets regulations provide for a rule of interpretation of the
27
pathology services table to treat 2 or more pathology services as a
28
single pathology service.
29
2 After subsection 10ADA(8)
30
Insert:
31
(8A) Despite subsections (3) and (8), if the current claim is for a service
32
specified in an item determined under section 10B to be an item to
33
which this subsection applies, the increase under this section in the
34
benefit payable in respect of the claim cannot exceed the amount
35
determined under section 10B as the maximum increase for that
36
item.
37
Schedule 1 Health Insurance Act 1973
4 Health Insurance Amendment (Extended Medicare Safety Net) Bill 2009 No. ,
2009
Note:
This subsection does not limit the increase payable in respect of a
1
claim for a service specified in an item not determined under
2
section 10B to be an item to which this subsection applies.
3
(8B) If:
4
(a) for the purposes of the pathology services table:
5
(i) 2 or more pathology services are treated as a single
6
pathology service; and
7
(ii) the fee for the single service is the fee specified in one
8
or more particular items in the table; and
9
(b) one or more of those particular items (the limited increase
10
items) are items determined under section 10B to be items to
11
which subsection (8A) of this section applies;
12
then, for the purposes of that subsection, the single service is taken
13
to be specified in the limited increase item or, if there are 2 or more
14
limited increase items, in the one of those items for which the
15
maximum increase determined under section 10B is the greatest.
16
Note:
Section 4B lets regulations provide for a rule of interpretation of the
17
pathology services table to treat 2 or more pathology services as a
18
single pathology service.
19
3 After section 10A
20
Insert:
21
10B Determinations for subsections 10ACA(7A) and 10ADA(8A)
22
The Minister may by legislative instrument do either or both of the
23
following:
24
(a) determine that subsections 10ACA(7A) and 10ADA(8A)
25
apply to specified items;
26
(b) determine amounts as the maximum increases for items to
27
which subsections 10ACA(7A) and 10ADA(8A) are
28
determined to apply.
29
Note:
For specification by class, see subsection 13(3) of the Legislative
30
Instruments Act 2003.
31
4 Application
32
Subsections 10ACA(7A) and 10ADA(8A) of the Health Insurance Act
33
1973 (as amended by this Schedule) apply in relation to services
34
rendered on or after the commencement of those subsections.
35