This instrument is the Health Insurance (Professional Services Review Scheme) Amendment (Prescribed Pattern of Services) Regulations 2021.

(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

Commencement information
Column 1	Column 2	Column 3
Provisions	Commencement	Date/Details
1. The whole of this instrument	1 January 2022.	1 January 2022

Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

(2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

3 Authority

This instrument is made under the Health Insurance Act 1973.

4 Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

Schedule 1—Amendments

Health Insurance (Professional Services Review Scheme) Regulations 2019

1 Section 5

Insert:

relevant phone service means a service specified in any of the following items of the general medical services table:

(a) an item in any of the following Subgroups of Group A40:

(i) Subgroup 2;

(ii) Subgroup 8;

(iii) Subgroup 10;

(iv) Subgroup 16;

(v) Subgroup 20;

(vi) Subgroup 28;

(vii) Subgroup 40;

(viii) Subgroup 41;

(b) an item in Subgroup 3 of Group A45;

Relevant phone services—individual items
Item	Column 1 Group or Subgroup	Column 2 Items of the general medical services table
1	Subgroup 26 of Group A40	92176, 92177
2	Subgroup 1 of Group A41	93302, 93305
3	Subgroup 2 of Group A41	93308, 93311
4	Subgroup 2 of Group A42	93423
5	Subgroup 4 of Group A42	93453

Note: Some services are specified in items set out in determinations under subsection 3C(1) of the Act.

2 Section 5 (definition of relevant service)

Repeal the definition, substitute:

relevant service means a service specified in any of the following items of the general medical services table:

(a) an item in Group A1, A2, A5, A6, A7, A9, A11, A13, A14, A15, A17, A18, A19, A20, A21, A22, A23, A27, A35, A39, A41, A42, A43 or A45;

(b) an item in Subgroup 1 or 4 of Group A36;

(i) Subgroup 1;

(ii) Subgroup 2;

(iii) Subgroup 3;

(iv) Subgroup 10;

(v) Subgroup 11;

(vi) Subgroup 13;

(vii) Subgroup 15;

(viii) Subgroup 16;

(ix) Subgroup 19;

(x) Subgroup 20;

(xi) Subgroup 21;

(xii) Subgroup 27;

(xiii) Subgroup 28;

(xiv) Subgroup 29;

(xv) Subgroup 39;

(xvi) Subgroup 40;

(xvii) Subgroup 41;

(d) an item listed in the following table.

Relevant services—individual items
Item	Column 1 Group or Subgroup	Column 2 Items of the general medical services table
1	A29	139
2	A36	90264, 90265
3	Subgroup 17 of Group A40	92142
4	Subgroup 25 of Group A40	92170, 92171
5	Subgroup 26 of Group A40	92176, 92177

Note: Some services are specified in items set out in determinations under subsection 3C(1) of the Act.

3 Section 8

Repeal the section, substitute:

8 Circumstances for medical practitioners for prescribed pattern of services

For the purposes of section 82A of the Act, circumstances in which services rendered or initiated by a medical practitioner constitute a prescribed pattern of services are that:

(a) the medical practitioner renders or initiates 80 or more relevant services on each of 20 or more days in a 12 month period; or

(b) the medical practitioner renders or initiates 30 or more relevant phone services on each of 20 or more days in a 12 month period.

4 Subsection 11(1)

Omit “paragraph 106XB(3)(a)”, substitute “subsection 106XB(3)”.

5 Subsection 11(2)

Omit “paragraph 106XB(3)(b)”, substitute “subsection 106XB(3)”.