1. Name of Determination

This Determination is the Health Insurance (Section 3C General Medical Services—Cataract) Determination 2017.

2. Commencement

This Determination is taken to:

(a) have commenced on 1 May 2017; and

(b) is repealed at the end of 31 December 2017.

3. Authority

This Determination is made under subsection 3C(1) of the Health Insurance Act 1973.

4. Definitions

(1) In this Determination:

Act means the Health Insurance Act 1973.

relevant provisions means all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.

relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.

Schedule means a Schedule to this Determination.

Note: The following terms are defined in subsection 3(1) of the Act:

clinically relevant service
item
general medical services table
professional service

(2) Unless the contrary intention appears, a reference in this Determination to a provision of the Act or the National Health Act 1953 or regulations made under the Act or 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 relevant services

For subsection 3C(1) of the Act a relevant service, provided in accordance with this Determination and as a clinically relevant service, is to be treated, for the relevant provisions, as if:

(a) it were both a professional service and a medical service; and

(b) there were an item in the general medical services table that:

(i) related to the service; and

(ii) specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.

6. Application of provisions of the general medical services table

(1) Clause 1.2.4 of the general medical services table shall have effect as if item 42705 were also specified in subclause 1.2.4(1).

(2) Clause 1.2.5 of the general medical services table shall have effect as if item 42705 were also specified in subclause 1.2.5(1).

(3) Clauses 1.2.1 and 2.44.2 of the general medical services table shall have effect as if item 42705 were also specified in the clause.

(4) An item of the general medical services table mentioned in column 1 of an item of the table shall have effect as if the reference to a medical service or item, as appropriate, in column 2 of the table item included a reference to the health service or item that relates to the health service mentioned in column 3 of the table item.

Item	Column 1 Item of the general medical services table	Column 2 Reference to service or item	Column 3 Health service or item that relates to the health service
1	42719	item 42698, 42702, 42716, 42725 or 42731	item 42705
2	42731	item 42698, 42702, 42719 or 42725	item 42705
3	42789	item 42702	item 42705
4	45051	service listed in Group T8	health service specified in the Schedule
5	45572	item in Group T8	item 42705
6	51315	item 42698, 42701, 42702, 42704 or 42707	item 42705

Schedule 1 – relevant services

Group T8—Surgical operations
Subgroup 9—Ophthalmology
Item	Service	Fee ($)
42705	Lens extraction and insertion of intraocular lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye, performed in association with a trans-trabecular drainage device or devices, in a patient diagnosed with open angle glaucoma who is not adequately responsive to topical anti-glaucoma medications or who is intolerant of anti-glaucoma medication (Anaes.)	760.65