Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2009 (No. 1)1
Select Legislative Instrument 2009 No. 60
I, QUENTIN BRYCE, Governor‑General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.
Dated 9 April 2009
QUENTIN BRYCE
Governor‑General
By Her Excellency’s Command
NICOLA ROXON
Minister for Health and Ageing
1 Name of Regulations
These Regulations are the Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2009 (No. 1).
2 Commencement
These Regulations commence on the day after they are registered.
3 Amendment of Health Insurance (Diagnostic Imaging Services Table) Regulations 2008
Schedule 1 amends the Health Insurance (Diagnostic Imaging Services Table) Regulations 2008.
Schedule 1 Amendments
(regulation 3)
[1] Schedule 1, subrule 31 (1)
omit
(2) and (2A),
insert
(2), (2A) and (2B),
[2] Schedule 1, after subrule 31 (2A)
insert
(2B) If a service described in an item mentioned in subrule (1) is performed with eligible equipment described in paragraph 36 (1) (f), the item for the service applies only if:
(a) for a service performed on a concessional beneficiary or a child under 16 — the maximum charge is the sum of the medicare benefit and any private health insurance benefit payable for the service; and
(b) all the conditions of the agreement, mentioned in the following table, that applies to the eligible equipment are met.
Item
Details of the agreement
Agreement date
1
Terms of Agreement between the Commonwealth and Southern Health for the provision of a Medicare‑eligible MRI service at Monash Medical Centre, 246 Clayton Road, Clayton, Victoria
25 November 2008
2
Terms of Agreement between the Commonwealth and PB Imaging Pty Ltd, as agent for Southern Radiology, for the provision of a Medicare‑eligible MRI service at Suite 1, 38‑40 Urunga Parade, Miranda, New South Wales
25 November 2008
3
Terms of Agreement between the Commonwealth and Bundaberg Radiology Pty Ltd, as trustee for Bundaberg Radiology Trust, for the provision of a Medicare‑eligible MRI service at the Bundaberg Mater Misericordiae Hospital, 313 Bourbong Street, Bundaberg, Queensland
18 December 2008
4
Terms of Agreement between the Commonwealth and Melbourne Health for the provision of a Medicare‑eligible MRI service at Radiology Department, Level 1, Clinical Services Building, Royal Melbourne Hospital, Grattan Street, Parkville, Victoria
23 December 2008
5
Terms of Agreement between the Commonwealth and Pacific Medical Imaging Pty Ltd, as trustee for Pacific Medical Imaging Unit Trust trading as Hunter Imaging Group, for the provision of a Medicare‑eligible MRI service at Suite 1, Maitland Specialist Centre, Maitland Private Hospital, corner Chisholm Road and New England Highway, East Maitland, New South Wales
22 December 2008
6
Terms of Agreement between the Commonwealth and SKG Radiology Pty Ltd for the provision of a Medicare‑eligible MRI service at SKG Radiology Kelmscott, 2964 Albany Highway, Kelmscott, Western Australia
11 November 2008
7
Terms of Agreement between the Commonwealth and SKG Radiology Pty Ltd for the provision of a Medicare‑eligible MRI service at SKG Radiology Duncraig, Units 3‑5, 54 Arnisdale Road, Duncraig, Western Australia
11 November 2008
[3] Schedule 1, subrule 34 (2)
omit
paragraph 36 (b), (c), (d) or (e)
insert
paragraph 36 (1) (b), (c), (d), (e) or (f)
[4] Schedule 1, rule 36
omit
For rule 31,
insert
(1) For rule 31,
[5] Schedule 1, sub‑subparagraph 36 (e) (iii) (B)
omit
services.
insert
services; or
[6] Schedule 1, after paragraph 36 (e)
insert
(f) equipment that:
(i) is situated in a location specified in column 2 of an item in Table 3; and
(ii) is described in columns 3 and 4 of that item by reference to the manufacturer, scanner model and magnet strength; and
(iii) forms part of a comprehensive radiology department, or a medical practice, that provides x‑ray, computed tomography and ultrasound services; and
(iv) except for periods reasonably required for maintenance, repairs and upgrades, is available for use at least from 9 am to 5 pm, Monday to Friday, excluding public holidays.
[7] Schedule 1, rule 36
insert
(2) In this rule:
medical practice means:
(a) a medical practice conducted by a group of practitioners within the meaning of subsection 16A (9) or (10) of the Act or by a sole practitioner; or
(b) a medical entrepreneur as defined in section 3 of the Act.
[8] Schedule 1, rule 36, after Table 2, before the notes
insert
Table 3 Eligible equipment — paragraph 36 (1) (f)
Item
Location
Manufacturer and scanner model
Magnet strength
1
Monash Medical Centre
246 Clayton Road
Clayton VIC 3168
Siemens
Symphony Maestro Class
1.5T
2
Suite 1
38‑40 Urunga Parade
Miranda NSW 2228
General Electric
Signa LX Version 9.1
1.5T
3
Bundaberg Mater Misericordiae Hospital
313 Bourbong Street
Bundaberg QLD 4670
General Electric
Prodigy
1.5T
4
Radiology Department
Level 1
Clinical Services Building
Royal Melbourne Hospital
Grattan Street
Parkville VIC 3050
Siemens
Magnetom Trio
3.0T
5
Suite 1
Maitland Specialist Centre
Maitland Private Hospital
Corner Chisholm Road and New England Highway
East Maitland NSW 2323
General Electric
Echospeed Excite 8
1.5T
6
SKG Radiology Kelmscott
2964 Albany Highway
Kelmscott WA 6111
Siemens
Avanto
1.5T
7
SKG Radiology Duncraig
Units 3‑5, 54 Arnisdale Road
Duncraig WA 6023
Siemens
Avanto
1.5T
[9] Schedule 1, Part 3, item 63464
after
woman is
insert
asymptomatic and is
[10] Further amendments
Provision
omit
insert
Subrule 31 (2)
paragraph 36 (c)
paragraph 36 (1) (c)
Subrule 31 (2A)
paragraph 36 (e),
paragraph 36 (1) (e),
Subrule 34 (1)
paragraph 36 (a)
paragraph 36 (1) (a)
Rule 36, Table 1, heading
paragraph 36 (c)
paragraph 36 (1) (c)
Rule 36, Table 2, heading
paragraph 36 (d)
paragraph 36 (1) (d)
Note
1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See http://www.frli.gov.au.
