Commonwealth Coat of Arms of Australia

 

Health Insurance (Section 3C General Medical Services – Removal of Single Tumour, Lipoma or Cyst) Determination 2023

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

Dated    25 May 2023

 

 

 

 

 

Daniel McCabe

First Assistant Secretary

Medicare Benefits and Digital Health Division

Health Resourcing Group

Department of Health and Aged Care

 

 

 

 

 

 

 

Contents

1  Name

2  Commencement

3  Authority

4  Definitions

5  Treatment of relevant services

6  Application of provisions of the general medical services table

7  Schedules

Schedule – relevant services

1  Name

 This instrument is the Health Insurance (Section 3C General Medical Services – Removal of Single Tumour, Lipoma or Cyst) 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 Note: This table relates only to the provisions of this instrument as originally made.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  Definitions

 (1) In this instrument:

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 instrument.

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

         clinically relevant service;

         general medical services table;

         item;

         professional service.

 (2) Unless the contrary intention appears, a reference in this instrument 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 instrument 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:

  1. related to the service; and
  2. 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 1.2.6 of the general medical services table shall have effect as if the item in the Schedule of this instrument were specified in subsection (1) of that clause.

(2)   Clause 1.2.7 of the general medical services table shall have effect as if the item in the Schedule of this instrument were specified in subsection (1) of that clause.

(3)   Clause 5.1.1 of the general medical services table shall have effect as if the item in the Schedule of this instrument were specified for the purposes of that clause.

7  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 – relevant services

Group T8—Surgical operations

Column 1

Item

Column 2

Description

Column 3

Fee ($)

Subgroup 1—General

31227

Tumour, lipoma or cyst, removal of single lesion by excision and suture, where removal is from subcutaneous tissue and the specimen excised is sent for histological examination (Anaes.)

146.70