Health Insurance (Section 3C General Medical Services – Additional item for reversal of a bariatric procedure) Determination 2017
I, MICHAEL RYAN, delegate of the Minister for Health, make this Determination under subsection 3C(1) of the Health Insurance Act 1973.
MICHAEL RYAN
Acting Assistant Secretary
MBS Policy and Specialist Services Branch
Medical Benefits Division
Department of Health
5. Treatment of relevant services
6. Application of provisions of the general medical services table
Schedule 1 – relevant services
This Determination is the Health Insurance (Section 3C General Medical Services – Additional item for reversal of a bariatric procedure) Determination 2017.
This Determination commences the day after registration.
This Determination is made under subsection 3C(1) of the Health Insurance Act 1973.
(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:
(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.
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.
(1) Clause 1.2.1 of the general medical services table shall have effect as if item 31591 were specified in Part 2 of the general medical services table.
(2) Clause 1.2.4 of the general medical services table shall have effect as if item 31591 were also specified in subclause 1.2.4(1).
(3) Clause 1.2.5 of the general medical services table shall have effect as if item 31591were also specified in subclause 1.2.5(1).
(4) Clause 2.44.12A(1) of the general medical services table shall have effect as if item 31591 were specified in Group T8 of the general medical services table.
Group T8 – Surgical operations | ||
Subgroup 1 - General | ||
Subheading 1 – Bariatric | ||
Item | Service | Fee ($) |
31591 | Surgical reversal of an existing bariatric procedure performed in association with a service to which items 31569 to 31581 apply (H) (Anaes.) (Assist.) | 1,539.10 |
