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PRIVATE HEALTH INSURANCE ACT 2007 - NOTES

No. 31, 2007

Compilation No. 36

Compilation date: 1 July 2023

Includes amendments up to: Act No. 8, 2023

Registered: 1 July 2023

About this compilation

This compilation

This is a compilation of the Private Health Insurance Act 2007 that shows the text of the law as amended and in force on 1  July 2023 (the compilation date).

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register (www.legislation.gov.au). The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.

Application, saving and transitional provisions for provisions and amendments

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

Editorial changes

For more information about any editorial changes made in this compilation, see the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.

Self-repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

 

 

 

Contents

Chapter 1--Introduction

Part 1-1--Introduction

Division 1--Preliminary

1-1 Short title

1-5 Commencement

1-10 Identifying defined terms

1-15 Extension to Norfolk Island

Division 3--Overview of this Act

3-1 What this Act is about

3-5 Incentives (Chapter 2)

3-10 Complying health insurance products (Chapter 3)

3-15 Health insurance business, health benefits funds and miscellaneous obligations of private health insurers (Chapter  4)

3-20 Enforcement (Chapter 5)

3-25 Administration (Chapter 6)

3-30 Dictionary (Schedule 1)

Division 5--Constitutional matters

5-1 Meaning of insurance

5-5 Act not to apply to State insurance within that State

5-10 Compensation for acquisition of property

Chapter 2--Incentives

Part 2-1--Introduction

Division 15--Introduction

15-1 What this Chapter is about

Part 2-2--Premiums reduction scheme

Division 20--Introduction

20-1 What this Part is about

20-5 Private Health Insurance (Incentives) Rules

Division 22--PHIIB, PHII benefit and related concepts

Subdivision 22-A--PHIIB, PHII benefit and related concepts

22-1 Application of Subdivision

22-5 Meaning of PHIIB

22-10 Meaning of PHII benefit

22-15 Meaning of share of the PHII benefit--single PHIIB

22-20 Meaning of share of the PHII benefit--multiple PHIIBs

22-25 Application of subsection 22-15(1) after a person 65 years or over ceases to be covered by policy

Subdivision 22-B--Private health insurance tiers

22-30 Private health insurance tiers

22-35 Private health insurance singles thresholds

22-40 Private health insurance family thresholds

22-45 Indexation

Division 23--Premiums reduction scheme

Subdivision 23-A--Amount of reduction

23-1 Reduction in premiums

Subdivision 23-B--Participation in the premiums reduction scheme

23-15 Registration as a participant in the premiums reduction scheme

23-20 Refusal to register

23-30 Participants who want to withdraw from scheme

23-35 Revocation of registration

23-40 Variation of registration

23-45 Retention of applications by private health insurers

Part 2-3--Lifetime health cover

Division 31--Introduction

31-1 What this Part is about

31-5 Private Health Insurance (Lifetime Health Cover) Rules

Division 34--General rules about lifetime health cover

34-1 Increased premiums for person who is late in taking out hospital cover

34-5 Increased premiums for person who ceases to have hospital cover after his or her lifetime health cover base day

34-10 Increased premiums stop after 10 years' continuous cover

34-15 Meaning of hospital cover

34-20 Meaning of permitted days without hospital cover

34-25 Meaning of lifetime health cover base day

34-30 When a person is overseas or enters Australia

Division 37--Exceptions to the general rules about lifetime health cover

37-1 People born on or before 1 July 1934

37-5 People over 31 and overseas on 1 July 2000

37-7 Person yet to turn 31

37-10 Hardship cases

37-15 Increases cannot exceed 70% of base rates

37-20 Joint hospital cover

Division 40--Administrative matters relating to lifetime health cover

40-1 Notification to insured people etc.

40-5 Evidence of having had hospital cover, or of a person's age

Part 2-4--Excess levels for medicare levy and medicare levy surcharge purposes

Division 42--Introduction

42-1 What this Part is about

Division 45--Excess levels for medicare levy and medicare levy surcharge purposes

45-1 Excess level amounts

Chapter 3--Complying health insurance products

Part 3-1--Introduction

Division 50--Introduction

50-1 What this Chapter is about

50-5 Private Health Insurance Rules relevant to this Chapter

Part 3-2--Community rating

Division 55--Principle of community rating

55-1 What this Part is about

55-5 Principle of community rating

55-10 Closed products, and terminated products and product subgroups

55-15 Pilot projects

Part 3-3--Requirements for complying health insurance products

Division 60--Introduction

60-1 What this Part is about

Division 63--Basic rules about complying health insurance products

63-1 Obligation to ensure products are complying products

63-5 Meaning of complying health insurance product

63-10 Meaning of complying health insurance policy

Division 66--Community rating requirements

66-1 Community rating requirements

66-5 Premium requirement

66-10 Minister's approval of premiums

66-15 Entitlement to benefits for general treatment

66-20 Different amount of benefits depending on where people live

66-25 Different amounts of benefits for travel or accommodation

Division 69--Coverage requirements

69-1 Coverage requirements

69-5 Meaning of cover

69-10 Meaning of hospital-substitute treatment

Division 72--Benefit requirements for policies that cover hospital treatment

72-1 Benefit requirements

72-5 Rules requirement in relation to provision of benefits

72-10 Minimum benefits for medical devices and human tissue products

72-11 Meaning of medical device

72-12 Meaning of human tissue product

72-15 Fees for certain activities

72-20 Delisting because of unpaid fees or levy

72-25 Minister may direct that activities not be carried out

72-27 Matters to have regard to before exercising certain powers

72-30 When cost-recovery fee must be paid

72-35 Payment of cost-recovery fee

72-40 Recovery of fee

72-45 Other matters

Division 75--Waiting period requirements

75-1 Waiting period requirements

75-5 Meaning of waiting period

75-10 Meaning of transfers

75-15 Meaning of pre-existing condition

Division 78--Portability requirements

78-1 Portability requirements

Division 81--Quality assurance requirements

81-1 Quality assurance requirements

Division 84--Enforcement of this Part

84-1 Offence: advertising, offering or insuring under non-complying policies

84-5 Offence: directors and chief executive officers liable if systems not in place to prevent breaches

84-10 Injunction in relation to non-complying policies

84-15 Remedies for people affected by non-complying policies

Part 3-4--Obligations relating to complying health insurance products

Division 90--Introduction

90-1 What this Part is about

Division 93--Giving information to consumers

93-1 Maintaining up to date private health information statements

93-5 Meaning of private health information statement

93-10 Making private health information statements available

93-15 Giving information to newly insured people

93-20 Keeping insured people up to date

93-25 Giving advance notice of detrimental changes to rules

93-30 Failure to give information to consumers

Division 96--Giving information to the Department and the Private Health Insurance Ombudsman

96-1 Giving private health information statements on request

96-5 Giving private health information statements for new products

96-10 Giving updated private health information statements

96-15 Giving additional information on request

96-20 Failure to give information to Department or Private Health Insurance Ombudsman

96-25 Giving information required by the Private Health Insurance (Complying Product) Rules

Division 99--Transfer certificates

99-1 Transfer certificates

Division 102--Private health insurers to offer cover for hospital treatment

102-1 Private health insurers to offer cover for hospital treatment

Chapter 4--Health insurance business, health benefits funds and miscellaneous obligations of private health insurers

Part 4-1--Introduction

Division 110--Introduction

110-1 What this Chapter is about

Part 4-2--Health insurance business

Division 115--Introduction

115-1 What this Part is about

115-5 Private Health Insurance (Health Insurance Business) Rules

115-10 Whether a business etc. is health insurance business

Division 121--What is health insurance business?

121-1 Meaning of health insurance business

121-5 Meaning of hospital treatment

121-7 Conditions on declarations of hospitals

121-8 Application for inclusion of hospital in a class

121-8A Minister to decide application

121-8B Period of inclusion of hospital in a class

121-8C Revocation of inclusion of hospital in a class

121-8D Private Health Insurance (Health Insurance Business) Rules

121-10 Meaning of general treatment

121-15 Extension to employee health benefits schemes

121-20 Exception: accident and sickness insurance business

121-25 Exception: liability insurance business

121-30 Exception: insurance business excluded by the Private Health Insurance (Health Insurance Business) Rules

Part 4-4--Health benefits funds

Division 131--Health benefits funds

131-1 What this Part is about

131-5 Private Health Insurance (Health Benefits Fund Policy) Rules

131-10 Meaning of health benefits fund

131-15 Meaning of health-related business

131-20 Risk equalisation jurisdictions

131-25 Operation of health-related businesses through health benefits funds

Part 4-5--Miscellaneous obligations of private health insurers

Division 157--Introduction

157-1 What this Part is about

157-5 Private Health Insurance (Data Provision) Rules

Division 169--Notification obligations

169-10 Private health insurers to notify any changes to rules

Division 172--Other obligations

172-5 Agreements with medical practitioners

172-10 Private health insurers to give information to Secretary

172-15 Restrictions on payment of pecuniary penalties etc.

Chapter 5--Enforcement

Part 5-1--Introduction

Division 180--Introduction

180-1 What this Chapter is about

Part 5-2--General enforcement methods

Division 185--What this Part is about

185-1 Introduction

185-5 Meaning of enforceable obligation

Division 188--Performance indicators

188-1 Performance indicators

Division 191--Explanation of private health insurer's operations

191-1 Minister may seek an explanation from a private health insurer

191-5 Minister must respond to insurer's explanation

Division 194--Investigation of private health insurer's operations

194-1A Purposes for which powers may be exercised etc.

194-1 Minister may investigate a private health insurer

194-5 Notice to give information

194-10 Notice to produce documents

194-15 Notice to give evidence

194-20 Offences in relation to investigation notices

194-25 Authorisation to examine books and records etc.

194-35 Minister must notify outcome of investigation

Division 197--Enforceable undertakings

197-1 Minister may accept written undertakings given by a private health insurer

197-5 Enforcement of undertakings

Division 200--Ministerial directions

200-1 Minister may give directions

200-5 Direction requirements

Division 203--Remedies in the Federal Court

203-1 Minister may apply to the Federal Court

203-5 Declarations of contravention

203-10 Pecuniary penalty order

203-15 Compensation order

203-20 Adverse publicity order

203-25 Other order

203-30 Time limit for declarations and orders

203-35 Civil evidence and procedure rules for declarations and orders

203-40 Civil proceedings after criminal proceedings

203-45 Criminal proceedings during civil proceedings

203-50 Criminal proceedings after civil proceedings

203-55 Evidence given in proceedings for penalty not admissible in criminal proceedings

203-60 Minister may require person to assist

203-65 Relief from liability for contravening an enforceable obligation

203-70 Powers of Federal Court

Division 206--Revoking entitlement to offer rebate as a premium reduction

206-1 Revocation of status of participating insurer

Chapter 6--Administration

Part 6-1--Introduction

Division 230--Introduction

230-1 What this Chapter is about

Part 6-4--Administration of premiums reduction scheme

Division 276--Introduction

276-1 What this Part is about

Division 279--Reimbursement of participating insurers and powers of Chief Executive Medicare

Subdivision 279-A--Reimbursement of private health insurers for premiums reduced under scheme

279-1 Participating insurers may claim reimbursement

279-5 Participating insurers

279-10 Requirements for claims

279-15 Amounts payable to the private health insurer

279-20 Notifying private health insurers if amount is not payable

279-25 Additional payment if insurer claims less than entitlement

279-30 Additional payment if insurer makes a late claim

279-35 Content and timing of application

279-40 Decision on application

279-45 Reconsideration of decisions

Subdivision 279-B--Powers of Chief Executive Medicare in relation to participating insurers

279-50 Audits by Chief Executive Medicare

279-55 Chief Executive Medicare may require production of applications

Division 282--Recovery of amounts and other matters

Subdivision 282-A--When and how payments can be recovered

282-1 Recovery of payments

282-5 Interest on amounts recoverable

282-10 Chief Executive Medicare may set off debts against amounts payable

282-15 Reconsideration of certain decisions under this Division

Subdivision 282-AA--Recovery of certain amounts by Commissioner of Taxation

282-16 Administration of this Subdivision by Commissioner of Taxation

282-17 Subdivision operates in addition to Subdivision  282-A

282-18 Liability for excess private health insurance premium reduction or refund

282-19 When general interest charge payable

Subdivision 282-B--Miscellaneous

282-20 Notification requirements--private health insurers

282-25 Use etc. of information relating to another person

282-30 Information to be provided to the Commissioner of Taxation

282-35 Delegation

282-40 Appropriation

Part 6-6--Private health insurance levies

Division 304--Introduction

304-1 What this Part is about

304-5 Private Health Insurance (Levy Administration) Rules

304-10 Meaning of private health insurance levy

Division 307--Collection and recovery of private health insurance levies

307-1 When private health insurance levy must be paid

307-5 Late payment penalty

307-10 Payment of levy and late payment penalty

307-15 Recovery of levy and late payment penalty

307-20 Waiver of late payment penalty

307-30 Other matters

Division 310--Returns, requesting information and keeping records: private health insurers

310-1 Returns relating to complaints levy

310-5 Insurer must keep records

310-10 Power to request information from insurer

Division 313--Power to enter premises and search for documents related to complaints levy

313-1 Authorised officer may enter premises with consent

313-5 Authorised officer may enter premises under warrant

313-10 Announcement before entry

313-15 Executing a warrant to enter premises

313-20 Identity cards

Part 6-7--Private Health Insurance Risk Equalisation Special Account

Division 318--Private Health Insurance Risk Equalisation Special Account

318-1 Private Health Insurance Risk Equalisation Special Account

318-5 Credits to the Risk Equalisation Special Account

318-10 Purpose of the Risk Equalisation Special Account

318-15 Record keeping

Part 6-8--Disclosure of information

Division 323--Disclosure of information

323-1 Prohibition on disclosure of information

323-5 Authorised disclosure: official duties

323-10 Authorised disclosure: sharing information about insurers among agencies

323-15 Authorised disclosure: sharing information about insurers other than among agencies

323-20 Authorised disclosure: public interest

323-25 Authorised disclosure: by the Secretary if authorised by affected person

323-30 Authorised disclosure: court proceedings

323-40 Offence: disclosure of information obtained by certain authorised disclosures

323-45 Offence: soliciting disclosure of information

323-50 Offence: use etc. of unauthorised information

323-55 Offence: offering to supply protected information

Part 6-9--Review of decisions

Division 328--Review of decisions

328-1 What this Part is about

328-5 AAT review of decisions

Part 6-10--Miscellaneous

Division 333--Miscellaneous

333-1 Delegation by Minister

333-5 Delegation by Secretary

333-10 Approved forms

333-15 Signing approved forms

333-20 Private Health Insurance Rules made by the Minister

333-25 Private Health Insurance Rules made by APRA

333-30 Regulations

Schedule 1--Dictionary

1 Dictionary

Endnotes

Endnote 1--About the endnotes

Endnote 2--Abbreviation key

Endnote 3--Legislation history

Endnote 4--Amendment history

Endnotes

Endnote 1--About the endnotes

The endnotes provide information about this compilation and the compiled law.

The following endnotes are included in every compilation:

Endnote 1--About the endnotes

Endnote 2--Abbreviation key

Endnote 3--Legislation history

Endnote 4--Amendment history

Abbreviation key--Endnote 2

The abbreviation key 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 (or will amend) the compiled law. The information includes commencement details for amending laws and details of any 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 (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.

Editorial changes

The Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.

If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.

Misdescribed amendments

A misdescribed amendment is an amendment that does not accurately describe how an amendment is to be made. If, despite the misdescription, the amendment can be given effect as intended, then the misdescribed amendment can be incorporated through an editorial change made under section  15V of the Legislation Act 2003.

If a misdescribed amendment cannot be given effect as intended, the amendment is not incorporated and "(md not incorp)" is added to the amendment history.

 

Endnote 2--Abbreviation key

 

ad = added or inserted

o = order(s)

am = amended

Ord = Ordinance

amdt = amendment

orig = original

c = clause(s)

par = paragraph(s)/subparagraph(s)

C[x] = Compilation No. x

/sub-subparagraph(s)

Ch = Chapter(s)

pres = present

def = definition(s)

prev = previous

Dict = Dictionary

(prev ... ) = previously

disallowed = disallowed by Parliament

Pt = Part(s)

Div = Division(s)

r = regulation(s)/rule(s)

ed = editorial change

reloc = relocated

exp = expires/expired or ceases/ceased to have

renum = renumbered

effect

rep = repealed

F = Federal Register of Legislation

rs = repealed and substituted

gaz = gazette

s = section(s)/subsection(s)

LA = Legislation Act 2003

Sch = Schedule(s)

LIA = Legislative Instruments Act 2003

Sdiv = Subdivision(s)

(md) = misdescribed amendment can be given

SLI = Select Legislative Instrument

effect

SR = Statutory Rules

(md not incorp) = misdescribed amendment

Sub-Ch = Sub-Chapter(s)

cannot be given effect

SubPt = Subpart(s)

mod = modified/modification

underlining = whole or part not

No. = Number(s)

commenced or to be commenced

 

Endnote 3--Legislation history

 

Act

Number and year

Assent

Commencement

Application, saving and transitional provisions

Private Health Insurance Act 2007

31, 2007

30 Mar 2007

1 Apr 2007 (s 1-5)

 

Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007

32, 2007

30 Mar 2007

Sch 3 (items 9D, 9E): 1 July 2007 (s 2(1) item 8)

Act No 32, 2007

Health Legislation Amendment Act 2007

180, 2007

28 Sept 2007

Sch 1 (items 1-3, 5): 1 Apr 2007 (s 2(1) items 2, 4)
Sch 1 (items 4-4B, 6): 29 Sept 2007 (s 2(1) items 3, 5)

Sch 1 (items 5, 6)

Private Health Insurance Legislation Amendment Act 2008

54, 2008

25 June 2008

25 June 2008 (s 2)

Sch 3 (items 3, 4)

Private Health Insurance Legislation Amendment Act 2009

66, 2009

1 July 2009

Sch 1 (items 2-14): 1 July 2009 (s 2(1) items 2-5)

--

Statute Law Revision Act 2010

8, 2010

1 Mar 2010

Sch 5 (item 137(a)): 1 Mar 2010 (s 2(1) item 38)

--

Private Health Insurance Legislation Amendment Act (No. 1) 2010

40, 2010

13 Apr 2010

13 Apr 2010 (s 2)

--

Health Legislation Amendment (Australian Community Pharmacy Authority and Private Health Insurance) Act 2010

63, 2010

28 June 2010

Sch 2: 1 July 2010 (s 2(1) item 3)

--

Trade Practices Amendment (Australian Consumer Law) Act (No. 2) 2010

103, 2010

13 July 2010

Sch 6 (items 1, 84, 85): 1 Jan 2011 (s 2(1) items 3, 5)

--

Human Services Legislation Amendment Act 2011

32, 2011

25 May 2011

Sch 4 (items 506-545): 1 July 2011 (s 2(1) item 3)

--

Acts Interpretation Amendment Act 2011

46, 2011

27 June 2011

Sch 2 (items 923-933) and Sch 3 (items 10, 11): 27 Dec 2011 (s 2(1) items  7, 12)

Sch 3 (items 10, 11)

Fairer Private Health Insurance Incentives Act 2012

26, 2012

4 Apr 2012

Sch 1 (items 10-40, 48(1)): 1 July 2012 (s 2(1) item 2)

Sch 1 (items 15, 48(1))

Statute Law Revision Act 2012

136, 2012

22 Sept 2012

Sch 1 (items 100-103): 22 Sept 2012 (s 2(1) item 2)

--

Privacy Amendment (Enhancing Privacy Protection) Act 2012

197, 2012

12 Dec 2012

Sch 5 (items 72, 73): 12 Mar 2014 (s 2(1) item 3)

Sch 6 (items 1, 15-19)

Private Health Insurance Amendment (Lifetime Health Cover Loading and Other Measures) Act 2013

105, 2013

29 June 2013

Sch 1 (items 1, 2, 4) and Sch 2 (items 1-21, 28(1), (2)): 1 July 2013 (s 2)

Sch 1 (item 4) and Sch 2 (item 28(1), (2))

Private Health Insurance Legislation Amendment (Base Premium) Act 2013

106, 2013

29 June 2013

Sch 1 (items 1-3, 6, 13): Taken to have never commenced (s 2(1) items 2, 4, 6)
Remainder: 29 June 2013 (s 2(1) items 1, 3, 5, 7)

Sch 1 (item 14)

Private Health Insurance Legislation Amendment Act 2014

26, 2014

9 Apr 2014

Sch 1 (items 1-11, 13): 9 Apr 2014 (s 2)

--

Statute Law Revision Act (No. 1) 2014

31, 2014

27 May 2014

Sch 6 (items 19, 20, 23): 24 June 2014 (s 2(1) item 9)

Sch 6 (item 23)

Public Governance, Performance and Accountability (Consequential and Transitional Provisions) Act 2014

62, 2014

30 June 2014

Sch 6 (items 66, 67), Sch 11 (items 61-72) and Sch 14: 1 July 2014 (s 2(1) items  6, 14)

Sch 14

as amended by

 

 

 

 

Public Governance and Resources Legislation Amendment Act (No. 1) 2015

36, 2015

13 Apr 2015

Sch 2 (item 7) and Sch 7: 14 Apr 2015 (s 2)

Sch 7

as amended by

 

 

 

 

Acts and Instruments (Framework Reform) (Consequential Provisions) Act 2015

126, 2015

10 Sept 2015

Sch 1 (item 486): 5 Mar 2016 (s 2(1) item 2)

--

Acts and Instruments (Framework Reform) (Consequential Provisions) Act 2015

126, 2015

10 Sept 2015

Sch 1 (item 495): 5 Mar 2016 (s 2(1) item 2)

--

Private Health Insurance Amendment Act (No. 1) 2014

123, 2014

26 Nov 2014

26 Nov 2014 (s 2)

--

Private Health Insurance Amendment Act 2015

57, 2015

26 June 2015

Sch 1 (items 14-31): 1 July 2015 (s 2(1) item 2)
Sch 2 (items 2, 3): 26 May 2015 (s 2(1) item 3)

Sch 1 (items 25-31) and Sch 2 (items 2, 3)

Norfolk Island Legislation Amendment Act 2015

59, 2015

26 May 2015

Sch 2 (items 306-310): 1 July 2016 (s 2(1) item 5)
Sch 2 (items 356-396): 18 June 2015 (s 2(1) item 2)

Sch 2 (items 356-396)

as amended by

 

 

 

 

Territories Legislation Amendment Act 2016

33, 2016

23 Mar 2016

Sch 2: 24 Mar 2016 (s 2(1) item 2)

--

Private Health Insurance (Prudential Supervision) (Consequential Amendments and Transitional Provisions) Act 2015

87, 2015

26 June 2015

Sch 1 (items 42-177, 179, 180): 1 July 2015 (s 2(1) items 2-5)
Sch 2: 27 June 2015 (s 2(1) item 9)

Sch 2

Budget Savings (Omnibus) Act 2016

55, 2016

16 Sept 2016

Sch 6: 17 Sept 2016 (s 2(1) item 6)

--

Private Health Insurance Legislation Amendment Act 2018

101, 2018

21 Sept 2018

Sch 1, Sch 2 (items 1, 2) and Sch 5 (items 1-30): 1 Apr 2019 (s 2(1) items 2, 5)
Sch 4 and Sch 5 (items 33-35): 22 Sept 2018 (s 2(1) items 4, 7)
Sch 5 (items 31, 32): 1 Jan 2019 (s 2(1) item 6)

Sch 1 (item 2) and Sch 4

Health Legislation Amendment (Data-matching and Other Matters) Act 2019

121, 2019

12 Dec 2019

Sch 1 (item 8): 13 Dec 2019 (s 2(1) item 1)

--

Private Health Insurance Amendment (Income Thresholds) Act 2021

52, 2021

24 June 2021

1 July 2021 (s 2(1) item 1)

Sch 1 (item 10)

Private Health Insurance Legislation Amendment (Age of Dependants) Act 2021

60, 2021

29 June 2021

Sch 1 (items 2-22): 1 Apr 2021 (s 2(1) item 1)

Sch 1 (item 22)

Private Health Insurance Legislation Amendment (Medical Device and Human Tissue Product List and Cost Recovery) Act 2023

8, 2023

16 Mar 2023

Sch 1 (items 1-20, 24, 25) and Sch 2: 1 July 2023 (s 2(1) item 1)

Sch 1 (items 24, 25) and Sch 2 (items 11-15)

 

Endnote 4--Amendment history

 

Provision affected

How affected

Chapter 1

 

Part 1-1

 

Division 1

 

s 1-10.............

am No 32, 2011; No 87, 2015

s 1-15.............

ad No 59, 2015

Division 3

 

s 3-1..............

am No 87, 2015

s 3-5..............

am No 105, 2013

s 3-15.............

rs No 87, 2015

Chapter 2

 

Part 2-1

 

Division 15

 

s 15-1.............

am No 105, 2013

Part 2-2

 

Part 2-2 heading......

rs No 105, 2013

Division 20

 

s 20-1.............

am No 32, 2007

 

rs No 105, 2013

s 20-5.............

am No 105, 2013

Division 22

 

Division 22...............

ad No 26, 2012

Subdivision 22-A.....

ad No 26, 2012

s 22-1.............

ad No 26, 2012

s 22-5.............

ad No 26, 2012

 

am No 60, 2021

s 22-10............

ad No 26, 2012

s 22-15............

ad No 26, 2012

 

am No 105, 2013; No 26, 2014; No 60, 2021

s 22-20............

ad No 26, 2012

s 22-25............

ad No 26, 2012

 

am No 60, 2021

Subdivision 22-B

 

Subdivision 22-B heading 

ad No 26, 2012

s 22-30............

ad No 26, 2012

 

am No 60, 2021

s 22-35............

ad No 26, 2012

 

rs No 52, 2021

s 22-40............

ad No 26, 2012

 

am No 52, 2021

s 22-45............

ad No 26, 2012

 

am No 123, 2014; No 55, 2016; No 52, 2021

Subdivision 22-C

 

Subdivision 22-C heading 

ad No 106, 2013

 

rep No 26, 2014

s 22-50............

ad No 106, 2013

 

rep No 26, 2014

s 22-55............

ad No 106, 2013

 

rep No 26, 2014

s 22-60............

ad No 106, 2013

 

rep No 26, 2014

s 22-65............

ad No 106, 2013

 

rep No 26, 2014

Division 23

 

Subdivision 23-A

 

Subdivision 23-A heading 

rs No 26, 2012

s 23-1.............

rs No 26, 2012

s 23-5.............

rep No 26, 2012

s 23-10............

rep No 26, 2012

Subdivision 23-B

 

s 23-15............

am No 32, 2011; No 26, 2012

s 23-20............

am No 32, 2011

s 23-25............

am No 32, 2011

 

rep No 26, 2012

s 23-30............

am No 32, 2011

s 23-35............

am No 32, 2011

s 23-40............

am No 32, 2011

s 23-45............

am No 32, 2011

Division 26...............

rep No 105, 2013

s 26-1.............

am No 32, 2007; No 26, 2012

 

rep No 105, 2013

s 26-5.............

rep No 26, 2012

s 26-10............

am No 32, 2011

 

rep No 105, 2013

s 26-15............

rs No 32, 2011

 

rep No 105, 2013

s 26-20............

am No 32, 2011

 

rep No 105, 2013

s 26-25............

am No 32, 2011

 

rep No 105, 2013

s 26-30............

am No 32, 2011

 

rep No 26, 2012

Part 2-3

 

Division 34

 

s 34-25............

rs No 63, 2010

 

am No 32 and 46, 2011; No 59, 2015

s 34-30............

am No 63, 2010; No 59, 2015

Division 37

 

s 37-5.............

am No 63, 2010; No 46, 2011

s 37-7.............

ad No 63, 2010

Part 2-4

 

Part 2-4............

ad No 101, 2018

Division 42

 

s 42-1.............

ad No 101, 2018

Division 45

 

s 45-1.............

ad No 101, 2018

Chapter 3

 

Part 3-1

 

Division 50

 

s 50-5.............

am No 8, 2023

Part 3-2

 

Division 55

 

s 55-5.............

am No 54, 2008; No 66, 2009; No 101, 2018

s 55-10............

rs No 101, 2018

s 55-15............

ad No 54, 2008

Part 3-3

 

Division 63

 

s 63-5.............

am No 66, 2009; No 60, 2021

Division 66

 

s 66-5.............

am No 101, 2018

s 66-25............

ad No 101, 2018

Division 72

 

s 72-1.............

am No 40, 2010; No 8, 2023

s 72-10............

am No 40, 2010; No 8, 2023

s 72-11............

ad No 8, 2023

s 72-12............

ad No 8, 2023

s 72-15............

rs No 8, 2023

s 72-20............

rs No 8, 2023

s 72-25............

ad No 8, 2023

s 72-27............

ad No 8, 2023

s 72-30............

ad No 8, 2023

s 72-35............

ad No 8, 2023

s 72-40............

ad No 8, 2023

s 72-45............

ad No 8, 2023

Division 78

 

s 78-1.............

am No 101, 2018

Division 84

 

s 84-1.............

am No 180, 2007

s 84-10............

am No 87, 2015

Part 3-4

 

Division 90

 

s 90-1.............

am No 87, 2015

Division 93

 

s 93-1.............

am No 101, 2018

s 93-5.............

am No 101, 2018

 

ed C32

s 93-10............

am No 101, 2018

s 93-15............

am No 101, 2018

s 93-20............

am No 87, 2015; No 101, 2018

Division 96

 

Division 96 heading..........

rs No 87, 2015

s 96-1.............

am No 87, 2015; No 101, 2018

s 96-5.............

am No 87, 2015; No 101, 2018

s 96-10............

am No 87, 2015; No 101, 2018

s 96-15............

am No 87, 2015

s 96-20............

am No 87, 2015

s 96-25............

am No 87, 2015

Division 99

 

s 99-1.............

am No 136, 2012

Chapter 4

 

Chapter 4 heading...........

rs No 87, 2015

Part 4-1

 

Division 110

 

s 110-1............

rs No 87, 2015

Part 4-2

 

Part 4-2 heading......

rs No 87, 2015

s 115-1............

rs No 87, 2015

s 115-5............

rs No 87, 2015

Division 118..............

rep No 87, 2015

s 118-1............

rep No 87, 2015

s 118-5............

rep No 87, 2015

Division 121

 

s 121-5............

am No 101, 2018

s 121-8............

ad No 101, 2018

s 121-8A...........

ad No 101, 2018

s 121-8B...........

ad No 101, 2018

s 121-8C...........

ad No 101, 2018

s 121-8D...........

ad No 101, 2018

s 121-10...........

am No 101, 2018

Part 4-3............

rep No 87, 2015

s 126-1............

rep No 87, 2015

s 126-5............

rep No 87, 2015

s 126-10...........

am No 54, 2008

 

rep No 87, 2015

s 126-15...........

rep No 87, 2015

s 126-20...........

am No 180, 2007; No 54, 2008; No 26, 2014

 

rep No 87, 2015

s 126-25...........

rep No 87, 2015

s 126-30...........

rep No 87, 2015

s 126-35...........

rep No 87, 2015

s 126-40...........

rep No 87, 2015

s 126-42...........

rep No 87, 2015

s 126-45...........

am No 54, 2008

 

rep No 87, 2015

Part 4-4

 

Division 131

 

s 131-1............

rs No 87, 2015

s 131-5............

rs No 87, 2015

s 131-20...........

ad No 87, 2015

s 131-25...........

ad No 87, 2015

Division 134..............

rep No 87, 2015

s 134-1............

rep No 87, 2015

s 134-5............

rep No 87, 2015

s 134-10...........

rep No 87, 2015

Division 137..............

rep No 87, 2015

s 137-1............

rep No 87, 2015

s 137-5............

rep No 87, 2015

s 137-10...........

rep No 87, 2015

s 137-15...........

rep No 87, 2015

s 137-20...........

rep No 87, 2015

s 137-25...........

rep No 87, 2015

s 137-30...........

rep No 87, 2015

Division 140..............

rep No 87, 2015

s 140-1............

rep No 87, 2015

s 140-5............

rep No 87, 2015

s 140-10...........

rep No 87, 2015

s 140-15...........

rep No 87, 2015

s 140-20...........

rep No 87, 2015

Division 143..............

rep No 87, 2015

s 143-1............

rep No 87, 2015

s 143-5............

rep No 87, 2015

s 143-10...........

rep No 87, 2015

s 143-15...........

rep No 87, 2015

s 143-20...........

rep No 87, 2015

Division 146..............

rep No 87, 2015

s 146-1............

rep No 87, 2015

s 146-5............

rep No 87, 2015

s 146-10...........

rep No 87, 2015

s 146-15...........

rep No 87, 2015

Division 149..............

rep No 87, 2015

s 149-1............

rep No 87, 2015

s 149-5............

rep No 87, 2015

s 149-10...........

rep No 87, 2015

s 149-15...........

rep No 87, 2015

s 149-20...........

rep No 87, 2015

s 149-25...........

rep No 87, 2015

s 149-30...........

rep No 87, 2015

s 149-35...........

rep No 87, 2015

s 149-40...........

rep No 87, 2015

s 149-45...........

rep No 87, 2015

s 149-50...........

rep No 87, 2015

s 149-55...........

rep No 87, 2015

s 149-60...........

rep No 87, 2015

Division 152..............

rep No 87, 2015

s 152-5............

rep No 87, 2015

s 152-10...........

rep No 87, 2015

s 152-15...........

rep No 87, 2015

Part 4-5

 

Part 4 5 heading............

rs No 87, 2015

Division 157

 

s 157-1............

rs No 87, 2015

s 157-5............

am No 87, 2015

Division 160..............

rep No 87, 2015

s 160-1............

rep No 87, 2015

s 160-5............

rep No 87, 2015

s 160-10...........

rep No 87, 2015

s 160-15...........

rep No 87, 2015

s 160-20...........

rep No 87, 2015

s 160-25...........

rep No 87, 2015

s 160-30...........

rep No 87, 2015

s 160-35...........

rep No 87, 2015

Division 163..............

rep No 87, 2015

s 163-1............

rep No 87, 2015

s 163-5............

rep No 87, 2015

s 163-10...........

rep No 87, 2015

s 163-15...........

rep No 87, 2015

s 163-20...........

rep No 87, 2015

Division 166..............

rep No 87, 2015

s 166-1............

rep No 87, 2015

s 166-5............

rep No 87, 2015

s 166-10...........

rep No 87, 2015

s 166-15...........

rep No 87, 2015

s 166-20...........

rep No 87, 2015

s 166-25...........

rep No 87, 2015

Division 169

 

Division 169 heading.........

rs No 87, 2015

s 169-1............

rep No 87, 2015

s 169-5............

rep No 87, 2015

s 169-10...........

am No 87, 2015

s 169-15...........

rep No 87, 2015

Division 172

 

Division 172 heading.........

rs No 87, 2015

s 172-1............

rep No 87, 2015

s 172-5............

am No 103, 2010

s 172-15...........

am No 87, 2015

Chapter 5

 

Part 5-2

 

Division 180

 

s 180-1............

am No 87, 2015

Division 185

 

s 185-1............

am No 87, 2015

s 185-5............

am No 54, 2008

 

rs No 87, 2015

s 185-10...........

rep No 87, 2015

Division 191

 

s 191-1............

rs No 87, 2015

s 191-5............

am No 87, 2015

Division 194

 

s 194-1A...........

ad No 87, 2015

s 194-1............

am No 87, 2015

s 194-5............

am No 87, 2015

s 194-10...........

am No 87, 2015

s 194-15...........

am No 87, 2015

s 194-25...........

am No 87, 2015

s 194-30...........

rep No 87, 2015

s 194-35...........

am No 87, 2015

Division 197

 

s 197-1............

am No 87, 2015

s 197-5............

am No 87, 2015

Division 200

 

Division 200 heading.........

rs No 87, 2015

s 200-1............

am No 54, 2008; No 87, 2015

s 200-5............

am No 87, 2015

Division 203

 

s 203-1............

am No 87, 2015

s 203-10...........

am No 87, 2015

s 203-15...........

am No 87, 2015

s 203-20...........

am No 87, 2015

s 203-25...........

am No 87, 2015

s 203-60...........

am No 87, 2015

Division 206

 

s 206-1............

am No 105, 2013

Part 5-3............

rep No 87, 2015

s 211-1............

rep No 87, 2015

s 211-5............

rep No 87, 2015

s 211-10...........

rep No 87, 2015

s 211-15...........

rep No 87, 2015

s 214-1............

rep No 87, 2015

s 214-5............

rep No 87, 2015

s 214-10...........

rep No 87, 2015

s 214-15...........

rep No 87, 2015

s 214-20...........

rep No 87, 2015

s 214-25...........

rep No 87, 2015

s 214-30...........

rep No 87, 2015

s 214-35...........

rep No 87, 2015

s 214-40...........

rep No 87, 2015

s 214-45...........

rep No 87, 2015

s 217-1............

rep No 87, 2015

s 217-5............

rep No 87, 2015

s 217-10...........

rep No 87, 2015

s 217-15...........

rep No 87, 2015

s 217-20...........

rep No 87, 2015

s 217-25...........

rep No 87, 2015

s 217-30...........

rep No 87, 2015

s 217-35...........

rep No 87, 2015

s 217-40...........

rep No 87, 2015

s 217-45...........

rep No 87, 2015

s 217-50...........

rep No 87, 2015

s 217-55...........

rep No 87, 2015

s 217-60...........

rep No 87, 2015

s 217-65...........

rep No 87, 2015

s 217-70...........

rep No 87, 2015

s 217-75...........

rep No 87, 2015

s 217-80...........

rep No 87, 2015

s 220-1............

rep No 87, 2015

s 220-5............

rep No 87, 2015

s 220-10...........

rep No 87, 2015

s 220-15...........

rep No 87, 2015

Chapter 6

 

Part 6-1

 

Division 230

 

s 230-1............

am No 105, 2013; No 57, 2015; No 87, 2015

Part 6-2............

rep No 57, 2015

s 235-1............

rep No 57, 2015

s 235-5............

rep No 57, 2015

s 238-1............

am No 62, 2014

 

rep No 57, 2015

s 238-5............

am No 8, 2010

 

rep No 57, 2015

s 241-1............

rep No 57, 2015

s 241-5............

rep No 57, 2015

s 241-10...........

rep No 57, 2015

s 241-15...........

rep No 57, 2015

s 241-20...........

rep No 57, 2015

s 241-25...........

rep No 57, 2015

s 241-30...........

rep No 57, 2015

s 241-35...........

rep No 57, 2015

s 241-40...........

rep No 57, 2015

s 241-45...........

rep No 57, 2015

s 241-50...........

rep No 57, 2015

s 241-55...........

rep No 57, 2015

s 241-60...........

rep No 57, 2015

s 241-65...........

rep No 57, 2015

s 244-1............

rep No 57, 2015

s 244-5............

rep No 57, 2015

s 244-10...........

rep No 57, 2015

s 244-15...........

rep No 57, 2015

s 244-20...........

am No 103, 2010

 

rep No 57, 2015

s 247-1............

rep No 57, 2015

s 247-5............

rep No 57, 2015

s 247-10...........

rep No 57, 2015

s 247-15...........

rep No 57, 2015

s 247-20...........

rep No 57, 2015

s 247-25...........

rep No 57, 2015

s 250-1............

rep No 57, 2015

s 250-5............

rep No 57, 2015

s 250-10...........

am No 197, 2012

 

rep No 57, 2015

s 253-1............

rep No 57, 2015

s 253-5............

rep No 57, 2015

s 253-10...........

am No 46, 2011

 

rep No 57, 2015

s 253-15...........

rep No 57, 2015

s 253-20...........

rep No 57, 2015

s 253-25...........

rep No 57, 2015

s 253-30...........

rep No 57, 2015

s 253-35...........

am No 62, 2014

 

rep No 57, 2015

s 253-40...........

rep No 62, 2014

s 253-45...........

rep No 57, 2015

s 253-50...........

rs No 62, 2014

 

rep No 57, 2015

s 253-55...........

rep No 57, 2015

s 253-60...........

rep No 57, 2015

s 256-1............

rep No 57, 2015

s 256-5............

rep No 57, 2015

s 256-10...........

rep No 57, 2015

Part 6-3............

rep No 87, 2015

s 261-1............

rep No 87, 2015

s 261-5............

rep No 87, 2015

s 264-1............

am No 62, 2014

 

rep No 87, 2015

s 264-5............

rep No 87, 2015

s 264-10...........

rep No 87, 2015

s 264-15...........

am No 62, 2014

 

rep No 87, 2015

s 264-20...........

rep No 87, 2015

s 264-25...........

rep No 87, 2015

s 267-1............

rep No 87, 2015

s 267-5............

rep No 87, 2015

s 267-10...........

rep No 87, 2015

s 267-15...........

am No 62, 2014

 

rep No 87, 2015

s 267-20...........

rs No 62, 2014

 

rep No 87, 2015

s 270-1............

rep No 87, 2015

s 270-5............

rep No 87, 2015

s 270-10...........

am No 46, 2011

 

rep No 87, 2015

s 270-15...........

am No 31, 2014

 

rep No 87, 2015

s 270-20...........

rep No 87, 2015

s 270-25...........

rep No 87, 2015

s 270-30...........

rep No 87, 2015

s 270-35...........

rep No 87, 2015

s 270-40...........

am No 62, 2014

 

rep No 87, 2015

s 270-45...........

am No 180, 2007

 

rep No 62, 2014

s 273-1............

rep No 87, 2015 /span>

s 273-5............

rep No 87, 2015

s 273-10...........

am No 62, 2014

 

rep No 87, 2015

s 273-15...........

rep No 87, 2015

s 273-20...........

rep No 87, 2015

s 273-25...........

rep No 87, 2015

Part 6-4

 

Part 6-4............

rs No 105, 2013

Division 276

 

s 276-1............

am No 32, 2011; No 105, 2013

Division 279

 

Division 279 heading.........

rs No 105, 2013

Subdivision 279-A

 

s 279-1............

am No 32, 2011

s 279-10...........

am No 32, 2011

s 279-15...........

am No 32, 2011; No 136, 2012

s 279-20...........

am No 32, 2011

s 279-25...........

am No 32, 2011

s 279-30...........

am No 32, 2011

s 279-40...........

am No 32, 2011

s 279-45...........

am No 32, 2011

Subdivision 279-B

 

Subdivision 279-B heading 

rs No 32, 2011

s 279-50...........

am No 32, 2011; No 136, 2012

s 279-55...........

am No 32, 2011

Division 282

 

Division 282 heading.........

rs No 105, 2013

Subdivision 282-A

 

s 282-1............

am No 32, 2011; No 26 and 136, 2012; No 105, 2013

s 282-5............

am No 32, 2011

s 282-10...........

am No 32, 2011

s 282-15...........

am No 32, 2011; No 105, 2013

Subdivision 282-AA

 

Subdivision 282-AA heading 

ad No 26, 2012

s 282-16...........

ad No 26, 2012

s 282-17...........

ad No 26, 2012

s 282-18...........

ad No 26, 2012

 

am No 105, 2013

s 282-19...........

ad No 26, 2012

Subdivision 282-B

 

s 282-20...........

am No 32, 2011

s 282-25...........

am No 26, 2012

s 282-30...........

am No 32, 2011

s 282-35...........

am No 32, 2011

Part 6-5............

rep No 87, 2015

s 287-1............

rep No 87, 2015

s 287-5............

rep No 87, 2015

s 290-1............

rep No 87, 2015

s 290-5............

rep No 87, 2015

s 290-10...........

rep No 87, 2015

s 293-1............

rep No 87, 2015

s 293-5............

rep No 87, 2015

s 293-10...........

rep No 87, 2015

s 293-15...........

rep No 87, 2015

s 296-1............

rep No 87, 2015

s 296-5............

rep No 87, 2015

s 296-10...........

rep No 87, 2015

s 296-15...........

rep No 87, 2015

s 296-20...........

rep No 87, 2015

s 296-25...........

rep No 87, 2015

s 299-1............

rep No 87, 2015

s 299-5............

rep No 87, 2015

s 299-10...........

rep No 87, 2015

s 299-15...........

rep No 87, 2015

s 299-20...........

rep No 87, 2015

s 299-25...........

rep No 87, 2015

Part 6-6

 

Division 304

 

s 304-10...........

am No 66, 2009; No 87, 2015; No 8, 2023

Division 307

 

s 307-1............

am No 66, 2009; No 87, 2015

s 307-5............

am No 66, 2009

s 307-10...........

am No 66, 2009; No 87, 2015; No 8, 2023

s 307-15...........

am No 87, 2015

s 307-20...........

am No 66, 2009; No 87, 2015; No 8, 2023

s 307-25...........

rep No 87, 2015

s 307-30...........

am No 8, 2023

Division 310

 

Division 310 heading.........

rs No 66, 2009

s 310-1............

am No 87, 2015

s 310-5............

am No 87, 2015

s 310-10...........

am No 87, 2015

Division 313

 

Division 313 heading.........

rs No 66, 2009; No 87, 2015

s 313-1............

am No 87, 2015

s 313-20...........

am No 87, 2015

Part 6-7

 

Part 6-7............

rs No 87, 2015

Division 318

 

s 318-1............

rs No 87, 2015

s 318-5............

rs No 87, 2015

s 318-10...........

rs No 87, 2015

s 318-15...........

rs No 87, 2015

Part 6-8

 

Division 323

 

s 323-1............

am No 87, 2015; No 121, 2019

s 323-5............

am No 32, 2011; No 26, 2012; No 57, 2015; No 87, 2015

s 323-10...........

am No 32, 2011; No 57, 2015; No 87, 2015

s 323-25...........

am No 87, 2015

s 323-35...........

am No 87, 2015

Part 6-9

 

Division 328

 

s 328-1............

am No 32, 2011; No 57, 2015

s 328-5............

am No 32, 2011; No 105, 2013; No 57, 2015; No 87, 2015; No 101, 2018

Part 6-10

 

Division 333

 

s 333-1............

am No 32, 2011; No 87, 2015

s 333-10...........

am No 32, 2011; No 87, 2015

s 333-20...........

am No 57, 2015; No 87, 2015; No 60, 2021; No 8, 2023

s 333-25...........

rs No 87, 2015

Schedule 1

 

Schedule 1................

am No 66, 2009; No 63, 2010; No 32, 2011; No 46, 2011; No 26, 2012; No 197, 2012; No  105, 2013; No 106, 2013; No 26, 2014; No 57, 2015; No 59, 2015; No 87, 2015; No 101, 2018; No 60, 2021; No 8, 2023

 


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