This instrument is the Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Amendment (Prescribed Medical Practitioner) Determination 2024.

(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 2024.

Note: This table relates only to the provisions of this instrument as originally made.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Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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 General Medical Services – Heart Health Assessment No.2) Determination 2019

1 Subsection 5(1)

Insert:

prescribed medical practitioner has the meaning given by clause 7.1.1 of the Health Insurance (General Medical Services Table) Regulations 2021.

2 Section 7

Repeal the section, substitute:

7. Application of item 699 and 177

(1) Clause 2.15.1 of the general medical services table shall have effect as if:

(a) item 699 is specified in subclause 2.15.1(1) for the purposes of this clause; or

(b) item 177 is specified in subclause 2.15.1(2) for the purposes of this clause.

(2) Clause 2.15.14 of the general medical services table shall have effect as if item 699 or 177 contained in the Schedule was also specified in clause 2.15.14.

(3) For any particular patient, item 699 or 177 is not applicable:

(a) if the patient has been provided a service to which item 699 or 177 applies in the previous 12 month period; or

(b) if, prior to a service, the patient has been provided a service mentioned in:

(i) Group A14 of the general medical services table within the previous 12 months, excluding item 715; or

(ii) Group A7, Subgroup 5 of the Health Insurance (General Medical Services Table) Regulations 2021 within the previous 12 months, excluding item 228.

3 Section 8

Repeal the section, substitute:

8 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:

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 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).

4 Schedule 1 (item 177, column 2)

After “assessment by a”, insert “prescribed”.

5 Schedule 1 (item 177, column 2)

Omit “(other than a specialist or consultant physician)”.