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Health Insurance (HbA1c Test for Diagnosis of Diabetes) Determination 2014

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Health Insurance (HbA1c Test for Diagnosis of Diabetes) Determination 2014
 
I,  KIRSTY FAICHNEY, delegate of the Minister for Health, make this Determination under subsection 3C(1) of the Health Insurance Act 1973.
 
Dated     24     October 2014
 
 
__________________________
 
KIRSTY FAICHNEY
ACTING FIRST ASSISTANT SECRETARY
MEDICAL BENEFITS DIVISION
 
 
 
 
Contents
 
1.                Name of Determination                                                                       3
2.                Commencement                                                                                   3
3.                Authority                                                                                             3
4.                Interpretation                                                                                       3
5.                Treatment of a relevant service                                                            3
6.                Limitation on item 66841                                                                    4
 
 
SCHEDULE –   SPECIFIED HEALTH SERVICES                                                5
 
 
Part 1                     Preliminary
1.                       Name of Determination
This Determination is the Health Insurance (HbA1c Test for Diagnosis of Diabetes) Determination 2014.
2.                       Commencement
This Determination commences on 1 November 2014.
3.           Authority
This Determination is made under the Health Insurance Act 1973.
4.           Interpretation
(1)    In this Determination:
         Act means the Health Insurance Act 1973.
relevant provision means a provision of the Act or of regulations made under the Act, or a provision of the National Health Act 1953 or of regulations made under that Act, that relates to professional services, medical services or items.
relevant service means a health service, as defined in subsection 3C(8)
of the Act, that is specified the Schedule to this Determination.
 
Note     Unless the contrary intention appears, expressions used in this determination have the same meanings as in the Act—see section 13 of the Legislative Instruments Act 2003.
(2)    Unless the contrary intention appears, in this Determination a reference to a provision of the Act or regulations made under the Act or the National Health Act 1953 or regulations made under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.
5.           Treatment of a relevant service
              A relevant service specified in the Schedule shall, for the purposes of each relevant provision, be treated as if:
(a)                    it were both a professional service and a medical service; and
(b)                   there was an item in Group P2 of the pathology services table that:
i.         related to the service; and
ii.        specified in respect of the service a fee in relation to each State being the fee specified in the Schedule.
 
 
6.           Limitation on item 66841
 
Subclause 2.2.6(1) of the pathology services table shall have effect as if item 66841 were also specified in that provision.
 
SCHEDULE –         SPECIFIED HEALTH SERVICES
 
 
Item
Health Service
Fee for all States ($)

66841
Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk.
 
 
16.80

 
Note    Subsection 3C(7) of the Act deems an internal territory to form part of the State of New South Wales.