Health Insurance (Amendment) Determination HS/04/2005 _______________________________________________________ I, TONY ABBOTT, Minister for Health and Ageing, make the following Determination under subsection 3C (1) of the Health Insurance Act 1973. Dated 22/10/05 Tony Abbott Minister for Health and Ageing
_______________________________________________________
1 Name of Determination This Determination is the Health Insurance (Amendment) Determination HS/04/2005.
2 Commencement This Determination commences on 1 November 2005.
3 Amendment of various section 3C Determinations (1)Schedule 1 amends the Health Insurance Determination HS/4/1999. (2)Schedule 2 amends the Health Insurance Determination HS/6/1999. (3)Schedule 3 amends the Health Insurance Determination HS/03/2001. (4)Schedule 4 amends the Health Insurance Determination HS/01/2002. (5)Schedule 5 amends the Health Insurance (Photodynamic Therapy) Determination HS/09/2002. (6)Schedule 6 amends the Health Insurance (Photodynamic Therapy) Determination HS/10/2002. (7)Schedule 7 amends the Health Insurance (Botulinum Toxin) Determination HS/04/2003. (8)Schedule 8 amends the Health Insurance (Deep Brain Stimulation for Parkinson’s Disease) Determination HS/01/2005. (9)Schedule 9 amends the Health Insurance (Allied Health and Dental Services) Determination 2005.
Schedule 1 Amendment of Health Insurance Determination HS/4/1999
(subsection 3 (1))
[1] Schedule, Items 12306, 12309, 12312, 12315, 12318 and 12321 omit $86.85 insert $88.60
Schedule 2 Amendment of Health Insurance Determination HS/6/1999
(subsection 3 (2))
[1] Schedule, Item 33116 omit $1,187.00 insert $1,210.75 [2] Schedule, Item 33119 omit $1,319.00 insert $1,345.40
Schedule 3 Amendment of Health Insurance Determination HS/03/2001
(subsection 3 (3))
[1] Schedule, Item 13015 omit $216.15 insert $220.45
Schedule 4 Amendment of Health Insurance Determination HS/01/2002
(subsection 3 (4)) [1] Schedule 1, Item 36658 omit $446.60 insert $455.55 [2] Schedule 1, Item 36660 omit $216.75 insert $221.10 [3] Schedule 1, Item 36662 omit $517.80 insert $528.15
Schedule 5 Amendment of Health Insurance (Photodynamic Therapy) Determination HS/09/2002
(subsection 3 (5)) [1] Section 5, Specified circumstances (Act s. 3C (1)) omit (a) to the first 10 occasions on which a relevant service is rendered to a patient, regardless of whether the service has been rendered to the patient before 1 June 2002 or after; and insert (a) to the first 15 occasions on which a relevant service is rendered to a patient, regardless of whether the service has been rendered to the patient before 1 June 2002 or after; and [2] Schedule, Item 42875 omit $386.15 insert $393.85 [3] Schedule, Item 42878 omit $463.40 insert $472.65
[4] Schedule, Items 42881, 42884, 42887 and 42990 omit $386.15 insert $393.85
[5] Schedule - Specified health services, after item 42990 insert
42991
Photodynamic therapy, 11th to 15th treatments on the same eye subsequent to a service to which item 42990 applies (including the infusion of verteporfin continuously through a peripheral vein), using a non-thermal laser at a wave length of 689nm
Not applicable
$393.85
[6] Schedule, Items 42993, 42996 and 42999 omit $463.40 insert $472.65 [7] Schedule - Specified health services, after item 42999 insert
43000
Photodynamic therapy, 11th to 15th treatments on both eyes subsequent to a service to which item 42999 applies (including the infusion of verteporfin continuously through a peripheral vein), using a non-thermal laser at a wave length of 689nm
Not applicable
$472.65
[8] Schedule, Item 43002 omit $75.10 insert $76.60
Schedule 6 Amendment of Health Insurance (Photodynamic Therapy) Determination HS/10/2002
(subsection 3 (6)) [1] Schedule, Items 43005 and 43008 omit $386.15 insert $393.85 [2] Schedule, Items 43011 and 43014 omit $463.40 insert $472.65 [3] Schedule, Item 43017 omit $75.10 insert $76.60
Schedule 7 Amendment of Health Insurance (Botulinum Toxin) Determination HS/04/2003
(subsection 3 (7))
[1] Section 2, Commencement and cessation omit (b) ceases on 30 April 2006; and insert (b) ceases at the beginning of 1 November 2005.
Schedule 8 Amendment of Health Insurance (Deep Brain Stimulation for Parkinson’s Disease) Determination HS/01/2005
(subsection 3 (8))
[1] Section 4, Cessation
omit
This Determination ceases to have effect on 30 April 2006.
insert
This Determination ceases to have effect at the beginning of
1 November 2006.
[2] Section 6, Specified circumstances (Act s. 3C (1))
omit
(a) the service is performed in a relevant centre that is participating in an appropriate controlled trial to obtain information on adverse events, longer term patient outcomes and costs in the Australian setting in consultation with appropriate groups and States; and
insert
(a) for services described in Items 40850, 40851, 40852, 40854, 40856, 40858, and 40860, the service is performed in a relevant centre that is participating in an appropriate controlled trial to obtain information on adverse events, longer term patient outcomes and costs in the Australian setting in consultation with appropriate groups and States; and
[3] Schedule 1 - Relevant Centres; under “Alfred
Public” in the column headed “Hospital”
insert
St Vincents Private [4] Schedule 2, Item 40850 omit $1,921.45 insert $1,959.90 [5] Schedule 2, Item 40851 omit $3,362.60 insert $3,429.85 [6] Schedule 2, Item 40852 omit $289.00 insert $294.80 [7] Schedule 2, Item 40854 omit $446.60 insert $455.55
[8] Schedule 2, Item 40856 omit $216.75 insert $221.10 [9] Schedule 2, Item 40858 omit $446.60 insert $455.55 [10] Schedule 2, Item 40860 omit $1,716.30 insert $1,750.65 [11] Schedule 2, Item 40862 omit $160.90 insert $164.10
Schedule 9 Amendment of Health Insurance (Allied Health and Dental Services) Determination 2005
(subsection 3 (9)) [1] Schedule, Items 10950, 10951, 10952, 10954, 10956, 10958, 10960, 10962, 10964, 10966, 10968 and 10970 omit $52.85 insert $53.90 [2] Schedule, Items 10975, 10976 and 10977 omit $88.05 insert $89.80
