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Health Insurance Amendment (Compliance) Bill 2009

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5963

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 32), omit “If”, substitute “Subject to section 129AADA, if”.

[additional requirements for personal clinical records]

(2)     Schedule 1, item 2, page 6 (after line 7), after section 129AAD, insert:

129 AADA  Additional requirements for personal clinical records

When section applies

             (1)  This section applies if, in relation to a decision under section 129AAD to require a person to produce or copy a document or an extract of any document:

                     (a)  the Medicare Australia CEO; or

                     (b)  the medical practitioner referred to in paragraph 129AAD(1)(b);

knows or believes on reasonable grounds that the document, extract or copy contains clinical details relating to an individual.

What happens

             (2)  Any decision to require the person to produce or copy the document or an extract of the document:

                     (a)  may only be made by the CEO; and 

                     (b)  must be made with oversight by qualified medical advisers.

             (3)  Before requiring the person to produce or copy the document or an extract of the document, the CEO must cause a Privacy Impact Assessment to be prepared, which must address:

                     (a)  whether there is any other way to obtain the information being sought; and

                     (b)  whether the requirement to produce the document is in the public interest; and

                     (c)  whether the information being sought could be gained using de-identified records without undermining the integrity of the audit process.

             (4)  Before requiring the person to produce or copy the document or an extract of the document, the CEO must take all reasonable steps to advise the individual, or the individual’s representative, that his or her personal clinical records are to be accessed for the purpose of a compliance audit.

             (5)  If the individual, or the individual’s representative, objects to the use of the individual’s personal clinical records:

                     (a)  the individual, or the individual’s representative, must be given the opportunity to provides reasons for that objection; and

                     (b)  the CEO must review the decision to seek information by requiring the person to produce or copy the document or an extract of the document; and

                     (c)  if the CEO decides to proceed to require the person to produce or copy the document or an extract of the document—the patient must be provided with written reasons for that decision.

[additional requirements for personal clinical records]

(3)     Schedule 1, page 10 (after line 19), after section 129AAJ, insert:

129AAK  Routine audit requirements

             (1)  The regulations may prescribe requirements for medical practitioners to submit routine records of consultations online for the purposes of Medicare audit processes, including the following:

                     (a)  the purpose of the consultation;

                     (b)  the service or services rendered;

                     (c)  length of time;

                     (d)  referrals made.

             (2)  The regulations may prescribe a timeframe for compliance with the requirement to submit records, reflecting a general intention that records will be submitted online during each consultation as a matter of course.

             (3)  The Minister must take all reasonable steps to ensure that regulations for the purposes of subsection (1) are made before 1 July 2010.

[routine audit requirements]