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Health Legislation Amendment (Medicare and Private Health Insurance) Bill 2003
Schedule 3 General Practice Access Scheme

   

Health Insurance Act 1973

1  After subsection 20A(1)

Insert:

          (1A)  If:

                     (a)  a professional service that is rendered by, or on behalf of, a person (the practitioner ) is covered by an arrangement entered into (whether by the practitioner or another person) with the Managing Director of the Commission under a scheme known as the General Practice Access Scheme; and

                     (b)  a medicare benefit would, apart from this section, be payable to the eligible person or another eligible person in respect of the professional service;

the person to whom the medicare benefit would, apart from this section, be payable may enter into an agreement with the practitioner under which the person assigns his or her right to the payment of the medicare benefit to the practitioner. The agreement must be in accordance with the approved form.

2  Subsection 20B(2)

After “section 20A”, insert “(other than subsection 20A(1A))”.

3  After subsection 20B(2A)

Insert:

          (2B)  A claim for a medicare benefit assigned under subsection 20A(1A) must:

                     (a)  be made in accordance with the approved form; and

                     (b)  unless the Managing Director of the Commission determines otherwise—be sent to the Commission by means of an electronic transmission in such manner as the Managing Director of the Commission determines; and

                     (c)  be sent to the Commission within the period of 6 months, or such longer period as is allowed in accordance with subsection (3A), after the rendering of the professional service to which the benefit relates.

4  Subsection 20B(3)

After “subsection (2)”, insert “or (2B)”.

5  Paragraph 20B(3)(c)

After “20A(1)”, insert “or (1A)”.

6  Paragraph 20B(3)(d)

After “20A(1)”, insert “or (1A)”.

7  Subsection 20B(3A)

After “paragraph (2)(b)”, insert “or (2B)(c)”.

8  Subsection 127(1)

After “under subsection 20A(1)”, insert “or (1A)”.

9  Paragraph 127(1)(a)

After “20A(1)”, insert “or (1A) (as the case requires)”.

10  Application

(1)       Subject to subitem (2), the amendments made by this Schedule apply to expenses incurred on or after 1 February 2004.

(2)       The Minister may, by written notice made before 1 February 2004, provide that amendments made by this Schedule apply to expenses incurred on or after a day specified in the notice.

(3)       The day specified in the notice must not be earlier than the day after the day on which the notice is made and must not be later than 1 July 2004.

(4)       A notice under subitem (2) is a disallowable instrument for the purposes of section 46A of the Acts Interpretation Act 1901 .