Commonwealth Coat of Arms of Australia

 

Health Insurance Legislation Amendment (Indexation) Determination 2023

I, Daniel McCabe, delegate of the Minister for Health and Aged Care, make the following Determination.

Dated  16 March 2023

Daniel McCabe

First Assistant Secretary

Medical Benefits and Digital Health Division

Health Resourcing Group

Department of Health and Aged Care

 

 

 

Contents

1  Name...................................................1

2  Commencement............................................1

3  Authority................................................1

4  Schedules................................................1

Schedule 1—Indexation provisions 2

Schedule 2—Indexation amendments 5

 

 

1  Name

  This instrument is the Health Insurance Legislation Amendment (Indexation) Determination 2023.

2  Commencement

(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 2023

 

 Note: This table relates only to the provisions of this instrument as originally made.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 subsection 3C(1) of 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  Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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— Indexation provisions

Health Insurance (Section 3C General Medical Services –Transcatheter Aortic Valve Implantation) Determination 2018

1        After section 8

Insert:

9.         Indexation

 (1) At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

Note: The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

 (2)  The amounts covered by this subsection are the fee for each item in Schedule 1 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

2        Subsection 7(1)

Repeal the subsection, substitute:

 (1) At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

Note: The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

 

Health Insurance (Section 3C General Medical Services - Optometric Services) Determination 2020

3        Subsection 16(1)

Repeal the subsection, substitute:

 (1) At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

Note: The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

 

Health Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020

4        Subsection 6A(1)

Repeal the subsection, substitute:

 (1) At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

Note: The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

 

Health Insurance (Section 3C General Medical Services – Extracorporeal Photopheresis) Determination 2020

5        Subsection 7(1)

Repeal the subsection, substitute:

 (1) At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

Note: The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

 

Health Insurance (Section 3C General Medical Services – Botox Injection) Determination 2020

6        Subsection 7(1)

Repeal the subsection, substitute:

 (1) At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

Note: The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

 

Health Insurance (Section 3C General Medical Services—Transcatheter Mitral Valve Repair) Determination 2021

7        Section 7(1)

Repeal the subclause, substitute:

 (1) At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

Note: The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

 

Health Insurance (Section 3C Diagnostic Imaging – Cardiac MRI for Myocarditis) Determination 2021

8        Section 8(1)

Repeal the subclause, substitute:

 (1) At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

Note: The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

 

Health Insurance (Section 3C General Medical Services – Extracorporeal Photopheresis for Chronic Graft Versus Host Disease) Determination 2022

9        Section 9(1)

Repeal the subclause, substitute:

 (1) At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

Note: The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

 

 

 

 

 

 

 


Schedule 2— Indexation amendments

Health Insurance (General Practice COVID-19 Treatment) Determination 2022

1        Schedule (item 93716, column 3)

Omit “90.50”, substitute “93.75”.

Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID19 Vaccine) Determination 2021

2        Subsection 9(1)

Omit “$139.00”, substitute “$144.00”.

3        Section 10(1)

Repeal the subclause, substitute:

 (1) At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

Note: The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

 

Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021

4        Section 8(1)

Repeal the subsection, substitute:

 (1)     At the start of 1 July 2023 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

  Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

  Note: The indexed fees could in 2023 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

5                      Indexation amendments of listed provisions

The items of the table in Schedule 3 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

14.55

15.10

2

Item 91806

31.80

32.95

3

Item 91807

61.55

63.75

4

Item 91808

90.65

93.90

5

Item 91895

61.55

63.75

6

Item 91820

78.45

81.30

7

Item 91821

112.25

116.30

8

Item 91844

78.45

81.30

9

Item 91845

112.25

116.30

10

Item 92011

179.50

186.00

11

Item 92055

122.00

126.40

12

Item 92056

96.70

100.15

13

Item 92057

59.50

61.70

14

Item 92058

59.50

61.70

15

Item 92059

60.90

63.10

16

Item 92137

64.80

67.10

17

Item 92139

64.80

67.10

18

Item 92118

60.65

62.85

19

Item 92119

89.30

92.50

20

Item 92120

60.65

62.85

21

Item 92121

60.65

62.85

22

Item 92122

77.00

79.75

23

Item 92123

113.45

117.50

24

Item 92132

60.65

62.85

25

Item 92133

60.65

62.85

26

Item 92150

60.65

62.85

27

Item 92151

89.30

92.50

28

Item 92152

77.00

79.75

29

Item 92153

113.45

117.50

30

Item 92171

60.65

62.85

31

Item 92177

60.65

62.85

32

Item 92186

78.45

81.30

33

Item 92188

112.25

116.30

34

Item 92198

78.45

81.30

35

Item 92200

112.25

116.30

36

Item 92211

129.30

133.95

 

Health Insurance (Section 3C General Medical Services – Smoking Cessation Services) Determination 2021

6        Amendments of listed provisions—Schedule 1

The items of 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

39.75

41.20

2          

Item 93682

31.80

32.95

3          

Item 93683

76.95

79.70

4          

Item 93685

61.55

63.75

5          

Item 93690

39.75

41.20

6          

Item 93692

31.80

32.95

7          

Item 93693

76.95

79.70

8          

Item 93695

61.55

63.75

9          

Item 93700

39.75

41.20

10      

Item 93702

31.80

32.95

11      

Item 93703

76.95

79.70

12      

Item 93705

61.55

63.75

 

Health Insurance (Section 3C General Medical Services - Ventral Mesh Rectopexy Services) Determination 2022

7        Schedule (item 32118, column 3)

Omit “1,328.00”, substitute “1,375.80”.

Health Insurance (Section 3C Diagnostic Imaging Services – Whole Body Magnetic Resonance Imaging Scan) Determination 2022

8        Schedule (item 63564, column 3)

Omit “1,500.00”, substitute “1,554.00”.