Health Insurance (General Medical Services Table) Amendment Regulations 2009 (No. 2)1
Select Legislative Instrument 2009 No. 138
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 24 June 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 (General Medical Services Table) Amendment Regulations 2009 (No. 2).
2              Commencement
                These Regulations commence on 1 July 2009.
3              Amendment of Health Insurance (General Medical Services Table) Regulations 2008
                Schedule 1 amends the Health Insurance (General Medical Services Table) Regulations 2008.
Schedule 1        Amendments
(regulation 3)
 
[1]           Schedule 1, subrule 3 (1), definition of practice nurse
omit
general practice.
insert
general practice or by a health service that has an exemption to claim medicare benefits under subsection 19 (2) of the Health Insurance Act 1973.
[2]           Schedule 1, subrule 13 (3)
after
11820,
insert
11823,
[3]           Schedule 1, rule 55, heading
substitute
55            GP Mental Health Treatment Plans (Subgroup 1 of Group A20)
[4]           Schedule 1, subrule 55 (1)
substitute
         (1)   For item 2710:
                (a)    preparation of a GP mental health treatment plan means the preparation of a comprehensive written plan, in consultation with a patient (and, if subrule (6) applies, with the patient’s carer), that includes all of the following:
                          (i)    assessment of the patient’s mental disorder, including administration of an outcome measurement tool (except if considered clinically inappropriate);
                         (ii)    formulation, including either provisional diagnosis or diagnosis, of the mental disorder;
                         (iii)    treatment goals with which the patient agrees;
                        (iv)    any action to be taken by the patient;
                         (v)    a plan for crisis intervention and relapse prevention, if appropriate;
                        (vi)    referral and treatment options for the patient;
                        (vii)    arrangements for providing the referral and treatment options in subparagraph (vi);
                       (viii)    arrangements to review the plan; and
               (b)    preparation of a GP mental health treatment plan also includes all of the following:
                          (i)    explaining to the patient (and, if subrule (6) applies, to the patient’s carer) the steps involved in preparing the plan;
                         (ii)    recording the plan, including all of the matters specified in subparagraphs (1) (a) (ii) to (viii);
                         (iii)    recording the patient’s agreement to the preparation of the plan;
                        (iv)    offering the patient (and, if subrule (6) applies, the patient’s carer) suitable education about the mental disorder and a copy of the plan;
                         (v)    adding a copy of the plan to the patient’s medical records.
[5]           Schedule 1, subrule 55 (2)
omit
paragraph (1) (f)
insert
subparagraph (1) (a) (vi)
[6]           Schedule 1, subrule 55 (3)
omit
[7]           Schedule 1, subrule 55 (4) and paragraph 55 (6) (b)
omit
mental health care
insert
mental health treatment
[8]           Schedule 1, rules 56 and 57
omit each mention of
Mental Health Care
insert
Mental Health Treatment
[9]           Schedule 1, subrule 62 (2)
omit
12533,
insert
12530,
[10]         Schedule 1, rule 72, heading
substitute
72            Application of items in Group M2
[11]         Schedule 1, subrule 72 (1)
substitute
         (1)   For this rule and for the items in Group M2:
practice nurse has the meaning given by subrule 3 (1).
[12]         Schedule 1, Group A20, Subgroup 1, heading
substitute
Subgroup 1 —GP Mental Health Treatment Plans
[13]         Schedule 1, items 2710 and 2712
omit
GP Mental Health Care Plan
insert
GP Mental Health Treatment Plan
[14]         Schedule 1, Group 5, heading
substitute
Group M5 — Services provided by a registered Aboriginal health worker on behalf of a medical practitioner

10987
Follow-up service to a maximum of 5 services per patient in a calendar year provided by a practice nurse or registered Aboriginal health worker, on behalf of a medical practitioner, for an Indigenous person who has received a health assessment if:
   (a)  the service is provided on behalf of and under the supervision of a medical practitioner; and
 
22.20

 
   (b)  the person is not an admitted patient of a hospital; and
   (c)  the service is consistent with the needs identified through the health assessment
 

[15]         Schedule 1, Group 1, heading
substitute
Group M1 — Management of bulk-billed services
[16]         Schedule 1, Group 2, heading
substitute
Group M2 — Services provided by a practice nurse on behalf of a medical practitioner
[17]         Schedule 1, after item 11820
insert
11823
Capsule endoscopy to conduct small bowel surveillance of a patient diagnosed with Peutz-Jeghers Syndrome, using a capsule endoscopy device approved by the Therapeutic Goods Administration (including administration of the capsule, imaging, image reading and interpretation, and all attendances for providing the service on the day the capsule is administered) if:
   (a)  the service is performed by a specialist or consultant physician with endoscopic training that is recognised by the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy; and
   (b)  the item is performed only once in any 2 year period; and
   (c)  the service is not associated with double balloon enteroscopy
1 883.90
[18]         Schedule 1, item 12533, after paragraph (b)
insert
(not being a service associated with a service to which item 66900 applies)
[19]         Schedule 1, item 22055 and items 22065 to 22075
omit
associated with a service
insert
associated with anaesthesia
[20]         Schedule 1, items 30168 and 30171
omit
skin or fat
insert
skin and fat
[21]         Schedule 1, items 30684 and 30686
omit
polypectomy, snares,
insert
snare polypectomy,
[22]         Schedule 1, after item 32218
insert in subgroup 2
32220
Insertion of an artificial bowel sphincter for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed (Anaes.) (Assist)
835.05

32221
Removal or revision of an artificial bowel sphincter (with or without replacement) for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed (Anaes.) (Assist)
835.05

[23]         Schedule 1, items 45557 and 45558
omit
groove
insert
groove, not being a service associated with a service to which item 45522 applies
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.