This instrument is the Health Insurance (Section 3C Cleft Lip and Cleft Palate Services) Amendment Determination 2023.

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Note: This table relates only to the provisions of this instrument as originally made.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Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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

Health Insurance (Section 3C Cleft Lip and Cleft Palate Services) Determination 2020

1 Subsection 7(1)

Repeal the subsection, substitute:

(1) An item specified in the Schedule to this Determination only applies to a service provided to a patient diagnosed with an eligible cleft and craniofacial condition as specified in the table at section 9.

2 Subsection 8(1)

Repeal the subsection, substitute:

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

3 After section 8

Insert:

9. Eligible cleft and craniofacial conditions

Table 9– Eligible cleft and craniofacial conditions
1. Oral and/or facial clefting
Limited to		Cleft lip, alveolus and/or palate
		Tessier facial cleft
2. Congenital or hereditary craniofacial malformation, deformation or disruption
Limited to		Achondroplasia
		Branchial arch disorders including: Hemifacial/craniofacial microsomia, Goldenhar syndrome, DiGeorge syndrome, Velocardiofacial syndrome
		CHARGE syndrome
		Congenital hemifacial hyperplasia
		Congenital lymphatic and/or vascular malformations of the head & neck, cystic hygroma, Sturge-Weber syndrome, excluding haemangiomas, birthmarks, and naevi.
		Craniofacial Neurofibromatosis Type 1
		Craniometaphyseal dysplasia
		Ectodermal dysplasia
		Hemifacial atrophy (Parry Romberg syndrome)
		Mandibulofacial dysostosis (Treacher Collins syndrome)
		Maxillonasal dysplasia (Binder syndrome)
		Oral-facial digital syndrome Type 1
		Pierre Robin sequence
		Rubinstein-Taybi syndrome
		Shprintzen-Goldberg syndrome
		Solitary median maxillary central incisor syndrome
		Stickler syndrome
		Syndromic craniosynostoses including: Apert, Crouzon, Pfeiffer, Saethre Chotzen, and Muenke syndromes
		Trichorhinophalangeal syndrome Type 1
3. Hereditary conditions presenting with the absence of 6 (six) or more permanent teeth, excluding 3rd molars
4. Hereditary conditions where the presence of supernumerary teeth is a major feature
Limited to	Cleidocranial dysplasia
	Gardner’s syndrome
5. Hereditary conditions affecting the formation of enamel and/or dentine of all teeth
Limited to	Amelogenesis imperfecta
	Dentinogenesis imperfecta
	Regional odontodysplasia