Health Insurance (General Medical Services Table) Amendment Regulations 2009 (No. 3)1
Select Legislative Instrument 2009 No. 371
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 14 December 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. 3).
2              Commencement
                These Regulations commence on 1 January 2010.
3              Amendment of Health Insurance (General Medical Services Table) Regulations 2009
                Schedule 1 amends the Health Insurance (General Medical Services Table) Regulations 2009.
Schedule 1        Amendments
(regulation 3)
 
[1]           Schedule 1, subrule 8 (1)
omit
6013 and 6015,
insert
6013, 6015, 16401 and 16404,
[2]           Schedule 1, rule 10, heading
substitute
10            Interpretation of items 104 to 147, 289 to 388, 2801 to 2840, 3005 to 3028, 6007 to 6015, 16401, 16404, 17640, 17645, 17650 and 17655
[3]           Schedule 1, subrule 10 (1)
after
6015,
insert
16401, 16404,
[4]           Schedule 1, paragraph 48 (4) (c)
omit
an enhanced primary care
insert
a
[5]           Schedule 1, subrule 55 (1)
substitute
         (1)   For items 2702 and 2710, 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:
                (a)    assessment of the patient’s mental disorder, including administration of an outcome measurement tool (except if considered clinically inappropriate);
               (b)    formulation, including either provisional diagnosis or diagnosis, of the mental disorder;
                (c)    treatment goals with which the patient agrees;
               (d)    any actions to be taken by the patient;
                (e)    a plan for crisis intervention or relapse prevention, or both;
                (f)    referral and treatment options for the patient;
                (g)    arrangements for providing the referral and treatment options mentioned in paragraph (f);
                (h)    arrangements to review the plan.
[6]           Schedule 1, subrule 55 (2)
omit
subparagraph (1) (a) (vi)
insert
paragraph (1) (f)
[7]           Schedule 1, subparagraphs 55 (2) (c) (ii) and (iii)
omit
strategy
insert
strategies
[8]           Schedule 1, subrule 55 (2), note
omit
2007.
insert
2009.
[9]           Schedule 1, after subrule 55 (2)
insert
         (3)   Preparation of the plan also includes all of the following:
                (a)    explaining to the patient (and, if subrule (6) applies, the patient’s carer) the steps involved in preparing the plan;
               (b)    recording the plan;
                (c)    recording the patient’s agreement to the preparation of the plan;
               (d)    offering the patient (and, if subrule (6) applies, the patient’s carer):
                          (i)    a copy of the plan; and
                         (ii)    suitable education about the mental disorder;
                (e)    adding a copy of the plan to the patient’s medical records.
[10]         Schedule 1, subrules 56 (1) and (2)
after
Items
insert
2702,
[11]         Schedule 1, subrule 56 (4)
omit
item 2710 is
insert
items 2702 and 2710 are
[12]         Schedule 1, paragraphs 56 (4) (b), (c) and (d)
substitute
               (b)    more than once in a 12 month period of the provision of either item for a particular patient; or
                (c)    within 3 months following the provision of a service to which item 2712 applies.
[13]         Schedule 1, paragraphs 56 (5) (a) and (7) (b)
omit
(item 2710)
insert
(item 2702 or 2710)
[14]         Schedule 1, paragraph 56 (8) (b)
omit
item
insert
item 2702,
[15]         Schedule 1, after subrule 56 (8)
insert
         (9)   Item 2710 applies only if the medical practitioner providing the service has successfully completed mental health skills training accredited by the General Practice Mental Health Standards Collaboration.
Note   The General Practice Mental Health Standards Collaboration operates under the auspices of the Royal Australian College of General Practitioners.
[16]         Schedule 1, subrule 62 (2)
omit
13200, 13203,
insert
13200 to 13203,
[17]         Schedule 1, rule 76, heading
substitute
76            Limitation of items 10943, 16590, 16591, 18360, 18364 and 50303
[18]         Schedule 1, subrule 76 (2)
after
16590
insert
or 16591
[19]         Schedule 1, rule 79
omit
13200 to 13221,
insert
13200, 13201 and 13203 to 13221,
[20]         Schedule 1, rule 82, heading
substitute
82            Meaning of embryology laboratory services in items 13200, 13201 and 13206
[21]         Schedule 1, rule 82
omit
13200
insert
13200, 13201
[22]         Schedule 1, after item 2677, in Group A20, subgroup 1
insert
2702
Attendance by a medical practitioner (including a general practitioner who has not undertaken mental health skills training, but not including a specialist or consultant physician) for the preparation of a GP Mental Health Treatment Plan for a patient
125.95
[23]         Schedule 1, item 2710
omit
practitioner,
insert
practitioner who has undertaken mental health skills training,
[24]         Schedule 1, items 13200 to 13251
substitute
13200
Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13201, 13202, 13203, 13206 or 13218 applies, being services rendered during 1 treatment cycle — initial cycle in a single calendar year
2 940.00

13201
Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13202, 13203, 13206 or 13218 applies, being services rendered during 1 treatment cycle — each cycle after the first in a single calendar year
2 750.00

13202
Assisted reproductive technologies superovulated treatment cycle that is cancelled before oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones and ultrasound examinations, but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13201, 13203, 13206 or 13218 applies, being services rendered during 1 treatment cycle
440.00

13203
Ovulation monitoring services for artificial insemination, including quantitative estimation of hormones and ultrasound examinations, being services rendered during 1 treatment cycle but excluding a service to which item 13200, 13201, 13202, 13206, 13212, 13215 or 13218 applies
460.00

13206
Assisted reproductive technologies treatment cycle using the natural cycle or oral medication only to induce oocyte growth and development, including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, frozen embryo transfer, donated embryos or ova or treatment involving the use of injectable drugs to induce superovulation, being services rendered during 1 treatment cycle — only if rendered in conjunction with a service to which item 13212 applies
440.00

13209
Planning and management of a referred patient by a specialist for the purpose of treatment by assisted reproductive technologies or for artificial insemination payable once only during 1 treatment cycle
80.00

13212
Oocyte retrieval for the purpose of assisted reproductive technologies — only if rendered in conjunction with a service to which item 13200, 13201 or 13206 applies (Anaes.)
335.00

13215
Transfer of embryos or both ova and sperm to the female reproductive system, excluding artificial insemination — only if rendered in conjunction with a service to which item 13200, 13201, 13206 or 13218 applies, being services rendered in 1 treatment cycle (Anaes.)
105.00

13218
Preparation of frozen or donated embryos or donated oocytes for transfer to the female reproductive system, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in 1 treatment cycle and excluding a service to which item 13200, 13201, 13202, 13203, 13206 or 13212 applies (Anaes.)
750.00

13221
Preparation of semen for the purpose of artificial insemination — only if rendered in conjunction with a service to which item 13203 applies
48.00

13251
Intracytoplasmic sperm injection for the purpose of assisted reproductive technologies, for male factor infertility, excluding a service to which item 13203 or 13218 applies
395.00

[25]         Schedule 1, item 16400
omit
23.45
insert
25.80
[26]         Schedule 1, after item 16400
insert
16401
Professional attendance at consulting rooms or a hospital by a specialist in the practice of his or her specialty of obstetrics after referral of the patient to him or her — each attendance, other than a second or subsequent attendance in a single course of treatment
80.85

16404
Professional attendance at consulting rooms or a hospital by a specialist in the practice of his or her specialty of obstetrics after referral of the patient to him or her — each attendance after the first attendance in a single course of treatment
40.60

[27]         Schedule 1, items 16500, 16502, 16504, 16505, 16508 and 16509
omit
40.45
insert
44.55
[28]         Schedule 1, items 16515 and 16518
omit
327.60
insert
425.95
[29]         Schedule 1, item 16519
omit
504.50
insert
655.85
[30]         Schedule 1, item 16520
omit
589.60
insert
766.55
[31]         Schedule 1, item 16522
omit
1 184.55
insert
1 539.90
[32]         Schedule 1, item 16525
omit
279.45
insert
363.25
[33]         Schedule 1, item 16590
omit
122.50
insert
306.30
[34]         Schedule 1, after item 16590
insert
16591
Planning and management of a pregnancy that has progressed beyond 20 weeks, excluding management of the labour and delivery if the care of the patient will be transferred to another medical practitioner for the labour and delivery
(Item is subject to rule 76)
134.80
[35]         Schedule 1, item 22051
omit
transoesophogeal echocardiograpy
insert
transoesophageal echocardiography
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.