Health Insurance Legislation Amendment (Indexation) Determination 2022
I, Travis Haslam, delegate of the Minister for Health and Aged Care, make the following Determination.
Dated 31 March 2022
Travis Haslam
Acting First Assistant Secretary
Medical Benefits Division
Health Resourcing Group
Department of Health
Contents
1 Name...................................................1
2 Commencement............................................1
3 Authority................................................1
4 Schedules................................................1
Schedule 1— Indexation Provisions..................................2
Schedule 2— Indexation Amendments................................10
This instrument is the Health Insurance Legislation Amendment (Indexation) Determination 2022.
(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 July 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Note: This table relates only to the provisions of this instrument as originally made.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.
This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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— Indexation Provisions
Health Insurance (Allied Health Services) Determination 2014
Insert:
17 Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in Schedule 2 of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C Cleft Lip and Cleft Palate Services) Determination 2020
2. After section 7
Insert:
8. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services ‑ Optometric Services) Determination 2020
3. After section 15
Insert:
16. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020
4. After section 6
Insert:
6A. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination, other than the fee for the following:
(a) an item in Group P9.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Poly Implant Prosthese MRI) Determination 2020
5. After section 10
Insert:
11 Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C Diagnostic Imaging Services – 3D Breast Tomosynthesis) Determination 2018
6. After section 6
Insert:
7 Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Botox, Dysport or Xeomin Injection) Determination 2020
7. After section 6
Insert:
7. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Botox Injection) Determination 2020
8. After section 6
Insert:
7. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Extracorporeal Photopheresis) Determination 2020
9. After section 6
Insert:
7. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Extracorporeal Photopheresis for Chronic Graft Versus Host Disease) Determination 2022
10. After section 8
Insert:
9. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Insertion of Testicular Prosthesis) Determination 2021
11. After section 6
Insert:
7. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services—Transcatheter Mitral Valve Repair) Determination 2021
12. After section 6
Insert:
7 Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021
13. After section 7
Insert:
7 Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in this Determination, other than the fee for the following:
(a) items 91792, 91803, 91804, 91805, 91794, 91806, 91807, 91808, 91892, 91893, 91895, 91820, 91821, 91844, 91845, 92011, 92055, 92056, 92057, 92058, 92059, 92137, 92139, 92118, 92119, 92120, 92121, 92122, 92123, 92132, 92133, 92150, 92151, 92152, 92153, 92171, 92177, 92186, 92188, 92198, 92200, 92211, 92716, 92717, 92719, 92720, 92722, 92723, 92725, 92726, 92732, 92733, 92735, 92736, 92738, 92739, 92741, 92742, 92747 in Group A40.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (General Practice COVID‑19 Management Support Service) Determination 2021
14. After section 8
Insert:
9. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020
15. After section 11
Insert:
12 Indexation
(1) (1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Health Insurance (Section 3C Diagnostic Imaging – Cardiac MRI for Myocarditis) Determination 2021
16. After section 7
Insert:
8. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
17. After section 9
Insert:
10. Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Schedule 2— Indexation Amendments
Health Insurance (Section 3C General Medical Services – Smoking Cessation Services) Determination 2021
18. Amendments of listed provisions—Schedule
The items of the table in Schedule 1 listed in the following table are amended as set out in the table.
Amendments relating to fees | |||
Item | Table item | Omit | Substitute |
1 | Item 93680 | 39.10 | 39.75 |
2 | Item 93682 | 31.30 | 31.80 |
3 | Item 93683 | 75.75 | 76.95 |
4 | Item 93685 | 60.60 | 61.55 |
5 | Item 93690 | 39.10 | 39.75 |
6 | Item 93692 | 31.30 | 31.80 |
7 | Item 93693 | 75.75 | 76.95 |
8 | Item 93695 | 60.60 | 61.55 |
9 | Item 93700 | 39.10 | 39.75 |
10 | Item 93702 | 31.30 | 31.80 |
11 | Item 93703 | 75.75 | 76.95 |
12 | Item 93705 | 60.60 | 61.55 |
Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Determination 2019
19. Schedule 1 (item 699)
Omit “75.75”, substitute “76.95”.
20. Schedule 1 (item 177)
Omit “60.60”, substitute “61.55”.
21. Amendments of listed provisions—Schedule
The items of the table in Schedule 1 listed in the following table are amended as set out in the table.
Amendments relating to fees | |||
Item | Table item | Omit | Substitute |
1 | Item 91794 | 14.30 | 14.55 |
2 | Item 91806 | 31.30 | 31.80 |
3 | Item 91807 | 60.60 | 61.55 |
4 | Item 91808 | 89.20 | 90.65 |
5 | Item 91895 | 60.60 | 61.55 |
6 | Item 91820 | 77.20 | 78.45 |
7 | Item 91821 | 110.50 | 112.25 |
8 | Item 91844 | 77.20 | 78.45 |
9 | Item 91845 | 110.50 | 112.25 |
10 | Item 92011 | 176.70 | 179.50 |
11 | Item 92055 | 120.10 | 122.00 |
12 | Item 92056 | 95.15 | 96.70 |
13 | Item 92057 | 58.60 | 59.50 |
14 | Item 92058 | 58.60 | 59.50 |
15 | Item 92059 | 59.95 | 60.90 |
16 | Item 92137 | 63.75 | 64.80 |
17 | Item 92139 | 63.75 | 64.80 |
18 | Item 92118 | 59.70 | 60.65 |
19 | Item 92119 | 87.90 | 89.30 |
20 | Item 92120 | 59.70 | 60.65 |
21 | Item 92121 | 59.70 | 60.65 |
22 | Item 92122 | 75.80 | 77.00 |
23 | Item 92123 | 111.65 | 113.45 |
24 | Item 92132 | 59.70 | 60.65 |
25 | Item 92133 | 59.70 | 60.65 |
26 | Item 92150 | 59.70 | 60.65 |
27 | Item 92151 | 87.90 | 89.30 |
28 | Item 92152 | 75.80 | 77.00 |
29 | Item 92153 | 111.65 | 113.45 |
30 | Item 92171 | 59.70 | 60.65 |
31 | Item 92177 | 59.70 | 60.65 |
32 | Item 92186 | 77.20 | 78.45 |
33 | Item 92188 | 110.50 | 112.25 |
34 | Item 92198 | 77.20 | 78.45 |
35 | Item 92200 | 110.50 | 112.25 |
36 | Item 92211 | 127.25 | 129.30 |
37 | Item 92717 | 14.30 | 14.55 |
38 | Item 92720 | 31.30 | 31.80 |
39 | Item 92723 | 60.60 | 61.55 |
40 | Item 92726 | 89.20 | 90.65 |
41 | Item 92733 | 14.20 | 14.55 |
42 | Item 92736 | 31.00 | 31.80 |
43 | Item 92739 | 60.05 | 61.55 |
44 | Item 92742 | 89.20 | 90.65 |
22. Subsection 11(1)
Omit “67.35”, substitute “68.40”.
23. Subsection 11(2)
Omit “48.90”, substitute “49.70”.
24. Subsection 11(3)
Omit “57.25”, substitute “58.15”.
25. Subsection 11(4)
Omit “41.60”, substitute “42.25”.
26. Schedule 3 (section 3)
Omit “47.45”, substitute “48.20”.
Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID‑19 Vaccine) Determination 2021
27. Subsection 9(1)
Omit “67.35”, substitute “68.40”.