Commonwealth Consolidated Acts

TREATMENT BENEFITS (SPECIAL ACCESS) ACT 2019

TABLE OF PROVISIONS

           Long Title

   PART 1--PRELIMINARY

   1.      Short title  
   2.      Commencement  
   3.      Simplified outline of this Act  
   4.      Extension to external Territories  
   5.      Definitions  

   PART 2--TREATMENT

           Division 1--Introduction

   6.      Simplified outline of this Part  

           Division 2--Eligibility to be provided with treatment

   7.      Eligibility  
   8.      Procedures for making claims etc.  
   9.      Claims for eligibility  
   10.     Withdrawal of claims  
   11.     Determination of claims  
   12.     Revocation of determination of eligibility  

           Division 3--Provision of treatment

   13.     Provision of treatment  
   14.     Approval of treatment already provided  
   15.     Commission may accept financial responsibility for costs in relation to treatment not arranged by Commission  
   16.     Limits on provision of treatment  
   17.     Treatment at hospitals and other institutions  
   18.     Application and modification of the Treatment Principles  
   19.     Application and modification of the Repatriation Private Patient Principles  
   20.     Application and modification of Repatriation Pharmaceutical Benefits Scheme  

   PART 3--TRAVELLING--EXPENSES

   21.     Simplified outline of this Part  
   22.     Entitlement to travelling expenses  
   23.     Advances of travelling expenses  
   24.     Claims for travelling expenses  
   25.     Withdrawal of claims  
   26.     Determination of claims  

   PART 4--PHARMACEUTICAL--SUPPLEMENT

   27.     Simplified outline of this Part  
   28.     Eligibility for pharmaceutical supplement  
   29.     Pharmaceutical supplement not payable in some circumstances  
   30.     Rate of pharmaceutical supplement  
   31.     Payment of pharmaceutical supplement  

   PART 5--REVIEW--OF DECISIONS

           Division 1--Introduction

   32.     Simplified outline of this Part  

           Division 2--Review by Commission

   33.     Request for review  
   34.     Review by Commission  
   35.     Commission must make written record of review decision and reasons  
   36.     Person who requested review to be notified of decision  
   37.     Withdrawal of request for review  

           Division 3--Review by Administrative Review Tribunal

   38.     Review by Administrative Review Tribunal  

   PART 6--ADMINISTRATION--AND ENFORCEMENT

           Division 1--Introduction

   39.     Simplified outline of this Part  

           Division 2--General

   40.     Additional functions of Commission  
   41.     Commission not bound by technicalities  
   42.     Delegation  

           Division 3--Obtaining and giving information etc.

   43.     Commission may obtain information etc.  
   44.     Failure to comply with a notice  
   45.     Self - incrimination  
   46.     Giving information  

           Division 4--Offences

   47.     False or misleading statements or documents relating to treatment  
   48.     Medical service providers causing detriment to others  
   49.     Medical service providers threatening detriment  
   50.     Bribery by medical service providers  
   51.     Practitioners receiving bribes etc.  
   52.     Pathology practitioners making payments to requesting practitioners  
   53.     Pathology practitioners providing pathology services to persons with whom they have arrangements  
   54.     Providing staff to be used in pathology services  
   55.     Counselling statements inadmissible as evidence  

           Division 5--Recovery of amounts paid because of false or misleading statements

   56.     Recovery of amounts paid because of false or misleading statements  
   57.     Interest payable on amounts paid because of false or misleading statements  
   58.     Reduction in payments because of previous overpayments  

           Division 6--Recovery of cost of treatment

   59.     Recovery of cost of treatment  

           Division 7--Recovery of overpayments of pharmaceutical supplement

   60.     Recovery of overpayments of pharmaceutical supplement  

   PART 7--MISCELLANEOUS

   61.     Simplified outline of this Part  
   62.     Appropriation  
   63.     Rules