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PRIVATE HEALTH INSURANCE (TRANSITIONAL PROVISIONS AND CONSEQUENTIAL AMENDMENTS) ACT 2007 - SCHEDULE 2

Amendments

 

Age Discrimination Act 2004

1   Schedule   2 (after table item   9)

Insert:

9A

Private Health Insurance Act 2007

sections   23 - 1, 23 - 10, 26 - 1 and 26 - 5 and Part   2 - 3

2   Schedule   2 (table item   10)

Repeal the item.

A New Tax System (Goods and Services Tax) Act 1999

2A   Section   195 - 1 (at the end of the definition of hospital treatment )

Add "(as in force immediately before the commencement of the Private Health Insurance Act 2007 )".

3   Section   195 - 1 (definition of private health insurance )

Repeal the definition, substitute:

"private health insurance" means insurance provided under a contract of insurance that was entered into by a private health insurer (within the meaning of the Private Health Insurance Act 2007 ) in the course of carrying on health insurance business (within the meaning of Division   121 of that Act).

A New Tax System (Medicare Levy Surcharge--Fringe Benefits) Act 1999

4   Subsections   4(1) to (3)

Repeal the subsections, substitute:

  (1)   For the purposes of this Act, a person is covered by an insurance policy that provides private patient hospital cover if:

  (a)   the policy is a complying health insurance policy (within the meaning of the Private Health Insurance Act 2007 ) that covers hospital treatment (within the meaning of that Act); and

  (b)   any excess payable in respect of benefits under the policy is no more than:

  (i)   $500 in any 12 month period, in relation to a policy under which only one person is insured; and

  (ii)   $1,000 in any 12 month period, in relation to any other policy.

  (2)   Paragraph   (1)(b) does not apply in relation to an insurance policy under which a person has been insured continuously since the end of 24   May 2000, as long as the amount of any excess payable under the policy has not increased since that time.

5   Paragraph   4(4)(a)

Omit "applies", substitute "applied immediately before the commencement of the Private Health Insurance Act 2007 ".

6   Paragraph   4(4)(b)

Repeal the paragraph, substitute:

  (b)   in a case where the person referred to in paragraph   (a) had been, immediately before that commencement, a registered organization within the meaning of the National Health Act 1953 --the policy would have been, immediately before that commencement, an applicable benefits arrangement, within the meaning of section   5A of that Act, to which paragraph   5A(1)(a) of that Act would apply.

7   Paragraph   4(5)(b)

Repeal the paragraph, substitute:

  (b)   any excess payable in respect of benefits under the policy is more than:

  (i)   $500 in any 12 month period, in relation to a policy under which only one person is insured; and

  (ii)   $1,000 in any 12 month period, in relation to any other policy.

8   Subsection   4(6)

Repeal the subsection   (including the example).

Australian Securities and Investments Commission Act 2001

8A   Paragraphs 12BAA(7)(d) and (8)(b)

Omit "subsection   67(4) of the National Health Act 1953 ", substitute "Division   121 of the Private Health Insurance Act 2007 ".

Corporations Act 2001

8B   Paragraph   765A(1)(c)

Omit "subsection   67(4) of the National Health Act 1953 ", substitute "Division   121 of the Private Health Insurance Act 2007 ".

Education Services for Overseas Students Act 2000

9   Paragraph   7(2)(b)

Omit "registered health benefits organization (within the meaning of the National Health Act 1953 )", substitute "private health insurer (within the meaning of the Private Health Insurance Act 2007 )".

Financial Sector (Collection of Data) Act 2001

10   Paragraph   7(2)(d)

Repeal the paragraph, substitute:

  (d)   the corporation is a private health insurer within the meaning of the Private Health Insurance Act 2007 ; or

Financial Transaction Reports Act 1988

11   Subsection   3(1) (paragraph   (a) of the definition of insurance business )

Repeal the paragraph, substitute:

  (a)   health insurance business within the meaning of Division   121 of the Private Health Insurance Act 2007 carried on by a private health insurer within the meaning of that Act; or

Freedom of Information Act 1982

12   Schedule   3

Insert in its appropriate alphabetical position, determined on a letter - by - letter basis:

 

Private Health Insurance Act 2007 , sections   323 - 1 and 323 - 40

Health Insurance Act 1973

13   Subsection   3(1)

Insert:

"complying health insurance policy" has the meaning given by section   63 - 10 of the Private Health Insurance Act 2007 .

14   Subsection   3(1) (definition of hospital )

Repeal the definition, substitute:

"hospital" has the meaning given by subsection   121 - 5(5) of the Private Health Insurance Act 2007 .

15   Subsection   3(1)

Insert:

"hospital service" means a health service of a kind provided in a hospital and includes:

  (a)   accommodation in a hospital for the purposes of receiving treatment; and

  (b)   nursing care and treatment; and

  (c)   medical care and treatment including diagnostic services; and

  (d)   outpatient, accident and emergency services.

16   Subsection   3(1)

Insert:

"hospital-substitute treatment" has the same meaning as in the Private Health Insurance Act 2007 .

17   Subsection   3(1) (definition of hospital treatment )

Repeal the definition, substitute:

"hospital treatment" has the meaning given by section   121 - 5 of the Private Health Insurance Act 2007 .

18   Subsection   3(1) (definition of nursing - home type patient )

Repeal the definition, substitute:

"nursing-home type patient" , in relation to a hospital, means a patient in the hospital who has been provided with accommodation and nursing care, as an end in itself, for a continuous period exceeding 35 days.

19   Savings provision relating to nursing - home type patients

Despite any amendment made by this Schedule, a person who was, immediately before the commencement of this item, a nursing - home type patient within the meaning of the Health Insurance Act 1973 is taken, after that commencement, to continue to be a nursing - home type patient within the meaning of that Act.

20   Subsection   3(1) (paragraph   (b) of the definition of patient contribution )

Omit "(other than a State referred to in paragraph   (a))".

21   Subsection   3(1)

Insert:

"private health insurer" has the same meaning as in the Private Health Insurance Act 2007 .

22   Subsection   3(1) (definition of private hospital )

Repeal the definition, substitute:

"private hospital" means a hospital in respect of which there is in force a statement under subsection   121 - 5(8) of the Private Health Insurance Act 2007 that the hospital is a private hospital.

23   Subsection   3(1)

Insert:

"public hospital service" means a hospital service provided in:

  (a)   a recognised hospital; or

  (b)   a hospital in respect of which the Commonwealth, or a State, provides funding for the provision of hospital services to public patients.

24   Subsection   3(1) (definition of recognized hospital )

Repeal the definition, substitute:

"recognised hospital" means a hospital in respect of which there is in force a statement under subsection   121 - 5(8) of the Private Health Insurance Act 2007 that the hospital is a public hospital.

25   Subsection   3(1A) (note)

Repeal the note.

26   Subsections   3(1B), (11) and (12)

Repeal the subsections.

27   Paragraph   10(2)(a)

Repeal the paragraph, substitute:

  (a)   in the case of a service provided:

  (i)   as part of an episode of hospital treatment; or

  (ii)   as part of an episode of hospital - substitute treatment in respect of which the person to whom the treatment is provided chooses to receive a benefit from a private health insurer;

    an amount equal to 75% of the Schedule fee; or

28   Subsection   10AC(1) (definition of relevant service )

Omit "a service of the kind referred to in subparagraph   (a)(ii) and paragraph   (b) of the definition of applicable benefits arrangement in subsection   5A(1) of the National Health Act 1953 ", substitute "a service rendered to a person while hospital treatment, or hospital - substitute treatment in respect of which the person chooses to receive a benefit from a private health insurer, is provided to the person".

29   Subsection   10ACA(1) (definition of relevant service )

Omit "a service of the kind referred to in subparagraph   (a)(ii) and paragraph   (b) of the definition of applicable benefits arrangement in subsection   5A(1) of the National Health Act 1953 ", substitute "a service rendered to a person while hospital treatment, or hospital - substitute treatment in respect of which the person chooses to receive a benefit from a private health insurer, is provided to the person".

30   Paragraph   14(2)(a)

Omit "a medical purchaser - provider agreement", substitute "an agreement between a private health insurer and another person".

31   Subparagraphs   16A(5AA)(d)(iv) and (e)(i)

Omit ", or a day hospital facility,".

32   Subsections   20A(2A) to (2D)

Repeal the subsections, substitute:

  (2A)   If:

  (a)   a medicare benefit would, apart from this section, be payable to an eligible person in respect of a professional service rendered to the eligible person or another person while hospital treatment or hospital - substitute treatment is provided to the eligible person or other person; and

  (b)   the eligible person has entered into a complying health insurance policy with a private health insurer under which he or she is covered (wholly or partly) for liability to pay fees and charges in respect of that professional service;

the eligible person and the insurer, an approved billing agent or another person may enter into an agreement, in accordance with the approved form, under which the eligible person assigns his or her right to the payment of the medicare benefit to the insurer, approved billing agent or other person.

33   Paragraph   20B(2)(b)

Omit "6 months", substitute "2 years".

34   Subsection   20B(3A)

Omit "or the period of 6 months referred to in paragraph   (2)(b), as the case may be", substitute "or (2)(b)".

35   Section   39 (definition of eligible person )

Omit "contributor to an applicable benefits arrangement", substitute "holder (within the meaning of the Private Health Insurance Act 2007 ) of a complying health insurance policy that covers hospital treatment or hospital - substitute treatment".

36   Subsection   124W(1) (subparagraph   (a)(i) of the definition of quality assurance activity )

Omit "Part   II, III or IV", substitute "Part   II or IV".

37   Subsection   126(5A)

Repeal the subsection, substitute:

  (5A)   This section does not apply in relation to a contract of insurance entered into by a private health insurer in so far as the contract is a complying health insurance policy that covers hospital treatment or hospital - substitute treatment.

38   Subsection   126(7)

Insert:

"cover" has the meaning given by section   69 - 5 of the Private Health Insurance Act 2007 .

39   Subsection   128C(1)

Omit "(1)".

40   Subsection   128C(2)

Repeal the subsection   (not including the penalty).

41   At the end of section   128C

Add:

Note:   For public hospital service see subsection   3(1).

42   Subsection   129AA(1A)

Omit "registered organization", substitute "private health insurer".

43   Subsection   129AA(1B)

Omit "registered organization", substitute "private health insurer".

44   Subsection   129AA(5A)

Repeal the subsection, substitute:

  (5A)   If a person is convicted of an offence against this section by virtue of subsection   (1A) or (1B) in relation to the admission of a person as a patient in a hospital, the court may, in addition to imposing a penalty in respect of the offence, order the person to pay a private health insurer an amount equal to the sum of any benefits paid by the insurer in respect of that patient.

45   Paragraph   130(6)(f)

Omit "registered organization", substitute "private health insurer".

46   Paragraph   130(7)(d)

Omit "registered organization" (wherever occurring), substitute "private health insurer".

47   Paragraph   130(7)(d)

Omit "registered organizations", substitute "private health insurers".

48   Paragraph   130(7)(h)

Omit "registered organization", substitute "private health insurer".

49   Paragraph   130(9)(d)

Omit "registered organization", substitute "private health insurer".

50   Paragraph   130(9)(d)

Omit "the organization", substitute "the insurer".

Hearing Services Administration Act 1997

51   Paragraph   5(2)(e)

Repeal the paragraph.

Income Tax Assessment Act 1997

52   Section   50 - 30 (cell at table item   6.3, column headed "Exempt entity")

Repeal the cell, substitute:

private health insurer within the meaning of the Private Health Insurance Act 2007

Insurance Act 1973

53   Subsection   3(1) (paragraph   (k) of the definition of insurance business )

Repeal the paragraph, substitute:

  (k)   health insurance business within the meaning of Division   121 of the Private Health Insurance Act 2007 carried on by a private health insurer within the meaning of that Act.

Insurance Contracts Act 1984

54   Paragraph   9(1)(b)

Repeal the paragraph, substitute:

  (b)   of insurance entered into, or proposed to be entered into, by a private health insurer within the meaning of the Private Health Insurance Act 2007 in respect of its health insurance business within the meaning of Division   121 of that Act; or

Life Insurance Act 1995

55   Subsection   16ZB(2) (note)

Omit " National Health Act 1953 ", substitute " Private Health Insurance Act 2007 ".

56   Schedule (definition of health insurance business )

Omit "section   67 of the National Health Act 1953 ", substitute "Division   121 of the Private Health Insurance Act 2007 ".

Medibank Private Sale Act 2006

57   Item   1 of Schedule   2 (definition of contributor )

Repeal the definition, substitute:

contributor , in relation to a health benefits fund:

  (a)   has the same meaning as it had in the National Health Act 1953 immediately before the commencement of the Private Health Insurance Act 2007 ; or

  (b)   if the rules of the registered health benefits organization conducting the fund do not provide for who are the contributors to the fund--means a policy holder of the fund within the meaning of the Private Health Insurance Act 2007 .

58   Item   1 of Schedule   2 (definition of registered health benefits organization )

Repeal the definition, substitute:

registered health benefits organization has the same meaning as it had in the National Health Act 1953 immediately before the commencement of the Private Health Insurance Act 2007 .

59   Item   1 of Schedule   2 (definition of rules )

Repeal the definition, substitute:

rules :

  (a)   in relation to a registered health benefits organization, has the same meaning as it had in the National Health Act 1953 immediately before the commencement of the Private Health Insurance Act 2007 ; and

  (b)   if Medibank Private's rules have been modified as provided for in paragraph   5(6)(k), means, in relation to Medibank Private, those rules as so modified.

60   After paragraph   9(7)(b) of Schedule   2

Insert:

  (ba)   a provision of the Private Health Insurance Act 2007 ; or

61   Subitem   10(8) of Schedule   2

Omit "section   73AAC or 73AAD of the National Health Act 1953 ", substitute "section   137 - 10 of the Private Health Insurance Act 2007 ".

62   After paragraph   12(5)(b) of Schedule   2

Insert:

  (ba)   a provision of the Private Health Insurance Act 2007 ; or

63   At the end of subitem   14(1) of Schedule   2

Add:

  ; or (d)   a provision of the Private Health Insurance Act 2007 .

64   At the end of subitem   14(2) of Schedule   2

Add:

  ; or (d)   a provision of the Private Health Insurance Act 2007 .

65   After paragraph   15(3)(b) of Schedule   2

Insert:

  (ba)   a provision of the Private Health Insurance Act 2007 ; or

66   Subitem   16(2) of Schedule   2

Omit "section   73AAC or 73AAD of the National Health Act 1953 ", substitute "section   137 - 10 of the Private Health Insurance Act 2007 ".

67   Subitem   20(10) of Schedule   2

Omit "section   78 of the National Health Act 1953 ", substitute "section   169 - 10 of the Private Health Insurance Act 2007 ".

68   After subparagraph   20(11)(c)(ii) of Schedule   2

Insert:

  (iia)   a provision of the Private Health Insurance Act 2007 ; or

69   Subitem   21(2) of Schedule   2

Omit "section   73AAC or 73AAD of the National Health Act 1953 ", substitute "section   137 - 10 of the Private Health Insurance Act 2007 ".

70   After paragraph   22(3)(b) of Schedule   2

Insert:

  (ba)   a provision of the Private Health Insurance Act 2007 ; or

71   Subitem   23(2) of Schedule   2

Omit "section   73AAC or 73AAD of the National Health Act 1953 ", substitute "section   137 - 10 of the Private Health Insurance Act 2007 ".

72   Subitem   57(1) and (3) of Schedule   2

Omit "section   73AAD of the National Health Act 1953 ", substitute "section   137 - 10 of the Private Health Insurance Act 2007 ".

73   Subitem   58(8) of Schedule   2

Omit "section   73AAC or 73AAD of the National Health Act 1953 ", substitute "section   137 - 10 of the Private Health Insurance Act 2007 ".

Medical Indemnity Act 2002

74   At the end of paragraph   77(2)(c)

Add:

  ; or (v)   the Private Health Insurance Act 2007 .

Medicare Levy Act 1986

75   Subsections   3(5) to (5B)

Repeal the subsections, substitute:

  (5)   For the purposes of this Act, a person is covered by an insurance policy that provides private patient hospital cover if:

  (a)   the policy is a complying health insurance policy (within the meaning of the Private Health Insurance Act 2007 ) that covers hospital treatment (within the meaning of that Act); and

  (b)   any excess payable in respect of benefits under the policy is no more than:

  (i)   $500 in any 12 month period, in relation to a policy under which only one person is insured; and

  (ii)   $1,000 in any 12 month period, in relation to any other policy.

  (5A)   Paragraph   (5)(b) does not apply in relation to an insurance policy under which a person has been insured continuously since the end of 24   May 2000, as long as the amount of any excess payable under the policy has not increased since that time.

76   Paragraph   3(6)(a)

Omit "applies", substitute "applied immediately before the commencement of the Private Health Insurance Act 2007 ".

77   Paragraph   3(6)(b)

Repeal the paragraph, substitute:

  (b)   in a case where the person referred to in paragraph   (a) had been, immediately before that commencement, a registered organization within the meaning of the National Health Act 1953 --the policy would have been, immediately before that commencement, an applicable benefits arrangement, within the meaning of section   5A of that Act, to which paragraph   5A(1)(a) of that Act would apply.

78   Paragraph   3(7)(b)

Repeal the paragraph, substitute:

  (b)   any excess payable in respect of benefits under the policy is more than:

  (i)   $500 in any 12 month period, in relation to a policy under which only one person is insured; and

  (ii)   $1,000 in any 12 month period, in relation to any other policy.

79   Subsection   3(8)

Repeal the subsection   (including the example).

National Blood Authority Act 2003

80   Paragraph   10(3)(a)

Omit "section   23E of".

National Health Act 1953

81   Subsection   4(1)

Insert:

"complying health insurance policy" has the meaning given by section   63 - 10 of the Private Health Insurance Act 2007 .

82   Subsection   4(1)

Insert:

"hospital" has the meaning given by subsection   121 - 5(5) of the Private Health Insurance Act 2007 .

83   Subsection   4(1)

Insert:

"hospital-substitute treatment" has the same meaning as in the Private Health Insurance Act 2007 .

84   Subsection   4(1)

Insert:

"hospital treatment" has the meaning given by section   121 - 5 of the Private Health Insurance Act 2007 .

85   Subsection   4(1)

Insert:

"private health insurer" has the same meaning as in the Private Health Insurance Act 2007 .

86   Subsection   4(1)

Insert:

"public hospital" means a hospital in respect of which there is in force a statement under subsection   121 - 5(8) of the Private Health Insurance Act 2007 that the hospital is a public hospital.

87   Subsection   4(1)

Insert:

"public hospital authority" means the governing body of a public hospital.

88   Subsection   4(1) (definition of rules )

Repeal the definition, substitute:

"rules" , in relation to a private health insurer, has the same meaning as in the Private Health Insurance Act 2007 .

89   Subsection   50(1)

Omit "registered organization", substitute "private health insurer".

90   Subsection   50(4)

Omit "registered hospital benefits organization", substitute "private health insurer".

91   Subsection   84(1) (definition of public hospital )

Repeal the definition.

92   Subsection   84(1) (definition of public hospital authority )

Repeal the definition.

93   Paragraph   84AAA(1)(c)

Omit "(within the meaning of the Health Insurance Act 1973 ) or a day hospital facility".

94   Subsection   84AAA(1) (note)

Omit " day hospital facility ", substitute " hospital ".

95   Subsection   92B(2)

Repeal the subsection, substitute:

  (2)   This section does not prevent a private health insurer from entering into a complying health insurance policy under which the insurer covers the cost of pharmaceutical benefits dispensed to a person as part of an episode of hospital treatment or hospital - substitute treatment covered by the policy.

96   Subsection   135A(5)

Omit "or organization", substitute "or private health insurer".

97   Paragraph   135A(6)(j)

Omit "registered organization", substitute "private health insurer".

98   Paragraph   135A(7)(f)

Omit "registered organization" (wherever occurring), substitute "private health insurer".

99   Paragraph   135A(7)(f)

Omit "registered organizations", substitute "private health insurers".

100   Paragraph   135A(7)(m)

Omit "registered organization", substitute "private health insurer".

101   Paragraph   135A(9)(d)

Omit "registered organization", substitute "private health insurer".

102   Paragraph   135A(9)(d)

Omit "the organization", substitute "the insurer".

103   Subsection   140(1)

Omit "(1)".

Veterans' Entitlements Act 1986

104   Subsection   93A(1)

Repeal the subsection, substitute:

  (1)   In this section:

"contributor" , in relation to a private health insurer, means a person who is a holder (within the meaning of the Private Health Insurance Act 2007 ) of a complying health insurance policy (within the meaning of section   63 - 10 of that Act) entered into with the insurer.

"private health insurer" has the same meaning as in the Private Health Insurance Act 2007 .

105   Paragraph   93A(2)(b)

Omit "registered organisation", substitute "private health insurer".

106   Paragraph   93A(3)(b)

Omit "registered organisation", substitute "private health insurer".

107   Subsection   93A(3)

Omit "the registered organisation" (wherever occurring), substitute "the insurer".

108   Subsection   93A(4)

Omit "registered organisation", substitute "private health insurer".



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