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Health Insurance Amendment (Compliance) Bill 2009

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5987

2008-2009

 

The Parliament of the

Commonwealth of Australia

 

THE SENATE

 

 

 

 

 

Health Insurance Amendment (Compliance) Bill 2009

 

 

(1)     Schedule 1, item 2, page 3 (line 23), at the end of paragraph 129AAD(1)(b), add:

             ; and (c)  has taken reasonable steps to consult with a relevant professional body about the types of documents that contain information relevant to ascertaining whether amounts paid in respect of professional services of the same kind or kinds as the service or services referred to in paragraph (a) should have been paid.

[supporting documentation]

(2)     Schedule 1, item 2, page 3 (after line 30), after subsection 129AAD(1), insert:

          (1A)  In this section:

relevant professional body means a body declared by the Minister to be a relevant body for the purpose of this section.

[supporting documentation]

(3)     Schedule 1, item 2, page 4 (line 14), omit “request”, substitute “written request”.

[notice to produce documents]

(4)     Schedule 1, item 2, page 5 (after line 19), after paragraph 129AAD(8)(b), insert:

                   (ba)  specify the information relevant to ascertaining whether amounts paid in respect of each such service should have been paid; and

[notice to produce documents]

(5)     Schedule 1, item 2, page 5 (after line 31), at the end of subsection 129AAD(8), add:

Note:       For the purpose of paragraph (8)(ba) the notice will include the reason for the CEO’s concern about the payment and explain the factual issue that the person is required to substantiate.

[notice to produce documents]

(6)     Schedule 1, item 2, page 6 (after line 7), at the end of section 129AAD, add:

           (11)  Notices to produce documents issued under this section will not include requests for information about whether a particular service was clinically relevant.

[notice to produce documents]

(7)     Schedule 1, item 2, page 10 (after line 5), after subsection 129AAJ(1), insert:

          (1A)  In making an application under subsection (1), the person or estate may provide the Medicare Australia CEO with additional information to substantiate (wholly or partly) that the amount paid, purportedly by way of benefit or payment under this Act in respect of the service, should have been paid.

[review of decisions to claim amounts as debts]

(8)     Schedule 1, item 2, page 10 (lines 15 and 16), subsection 129AAJ(5) to be opposed .

[review of decisions to claim amounts as debts]