Commonwealth Coat of Arms of Australia

 

Health Insurance Legislation Amendment (2024 Measures No. 2) Determination 2024  

I, Nigel Murray, delegate of the Minister for Health and Aged Care, make the following determination.

Dated   16 May 2024

Nigel Murray

Assistant Secretary

MBS Policy and Specialist Programs Branch

Medicare 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 amendments 2

Health Insurance (Section 3C General Medical Services – Allied Health Services) Determination 2024              2

Health Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020              2

Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021              2

Schedule 2—Nurse practitioner amendments 4

Health Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020              4

Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021              4

Schedule 3—Telehealth amendments 5

Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021              5

Schedule 4—Case confrencing amendments 6

Health Insurance (Section 3C General Medical Services – Allied Health Services) Determination 2024              6

 

 

 

 

1  Name

 This instrument is the Health Insurance Legislation Amendment (2024 Measures No. 2) Determination 2024.

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.  Section 1 to 4 and anything in this instrument not elsewhere covered by this table

The day after this instrument is registered.

 

2. Schedule 1

1 July 2024.

 

3. Schedules 2, 3, and 4

Immediately after the commencement of the provisions covered by table item 2.

 

 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 amendments

Health Insurance (Section 3C General Medical Services – Allied Health Services) Determination 2024

1        After section 10

Insert:

11  Indexation

(1)      At the start of 1 July 2024 (the indexation time), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

Start formula 1.035 times the amount immediately before the indexation time end formula

Note:         The indexed fees could in 2024 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 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 Midwife and Nurse Practitioner Services) Determination 2020

2        Subsection 6A(1)

Repeal the subsection, substitute:

(1)           At the start of 1 July 2024 (the indexation time), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

Start formula 1.035 times the amount immediately before the indexation time end formula

Note:         The indexed fees could in 2024 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

3        Subsection 8(1)

Repeal the subsection, substitute:

(1)           At the start of 1 July 2024 (the indexation time), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

Start formula 1.035 times the amount immediately before the indexation time end formula

Note:         The indexed fees could in 2024 be viewed on the Department of Health and Aged Care’s MBS Online website (http://www.health.gov.au).

4        Paragraph 8(2)(a)

Repeal the paragraph, substitute:

(a) items 91792, 91803, 91804, 91805, 91892, 91893, 92716, 92719, 92722, 92725, 92732, 92735, 92738, and 92741 in Group A40.

Schedule 2—Nurse practitioner amendments

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

1        Fee amendments of listed provisions

The items of Schedule 2 listed in the following table are amended as set out in the table.

 

Amendment relating to fees

 

Item

Table item

Omit

Substitute

1

Item 82200

10.00

14.20

2

Item 82205

21.80

31.05

3

Item 82210

41.35

58.85

4

Item 82215

60.95

86.80

 

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

2        Fee amendments of listed provisions

The items of Schedule 4 listed in the following table are amended as set out in the table.

 

Amendment relating to fees

 

Item

Table item

Omit

Substitute

1

Item 91192

10.00

14.20

2

Item 91178

21.80

31.05

3

Item 91179

41.35

58.85

4

Item 91180

60.95

86.80

5

Item 91193

10.00

14.20

6

Item 91189

21.80

31.05

6

Item 91190

41.35

58.85

8

Item 91191

60.95

86.80


Schedule 3—Telehealth amendments

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

1        Subparagraph 1.1.12(8)(a)(iii) of Schedule 1

Omit “and 92133.”, substitute “and 92133; or”.

2       Paragraph 1.1.17(2)(b) of Schedule 1

Omit “Determination”.

3       Paragraph 1.1.17(2)(c) of Schedule 1

Omit “Determination”.

4          Schedule 2 (item 92173, column 2)

Omit “30 minutes”, substitute “20 minutes”.


Schedule 4—Case conferencing amendments

Health Insurance (Section 3C General Medical Services – Allied Health Services) Determination 2024

1        Subsection 4(1) (definition of case conference service)

Repeal the definition, substitute:

case conference service means a service to which item 10955, 10957, 10959, 80176, 80177, 80178, 82001, 82002 or 82003 applies, which is one of the following health services:

 (a)  Aboriginal or Torres Strait Islander health service;

 (b)  audiology service;

 (c)  chiropractic service;

 (d)  diabetes education service;

 (e)  dietetics service;

 (f)  exercise physiology service;

 (g)  focussed psychological strategies service;

 (h)  mental health service;

 (i)  nurse practitioner service;

 (j)  occupational therapy service;

 (k)  orthoptics service;

 (l)  osteopathy service;

(m)  physiotherapy service;

 (n)  podiatry service;

 (o)  psychological therapy service;

 (p)  psychology service;

 (q)  speech pathology service.

2        Subsection 4(1) (note)

Repeal the note, substitute:

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

 dental practitioner

 general medical services table

 item

 medical practitioner

 Chief Executive Medicare

 optometrist

 professional service

 participating nurse practitioner.

3        Subsection 1.1.2(6) of Schedule 2

Repeal the subsection, substitute:

 (6) For the purposes of the items mentioned in subclause (1), eligible allied health practitioner means:

 (a) an eligible Aboriginal health worker;

 (b) an eligible Aboriginal and Torres Strait Islander health practitioner;

 (c) an eligible diabetes educator;

 (d) an eligible audiologist;

 (e) an eligible dietitian;

 (f) an eligible mental health worker;

 (g) an eligible occupational therapist;

 (h) an eligible exercise physiologist;

 (i) an eligible physiotherapist;

 (j) an eligible podiatrist;

 (k) an eligible chiropractor;

 (l) an eligible osteopath;

 (m) an eligible psychologist;

 (n) an eligible speech pathologist; or

 (o) a participating nurse practitioner.