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Health Insurance (Section 19AB Exemptions Guidelines) Determination 2019
Health Insurance Act 1973

I, Amber Mardon, delegate for the Minister for Health, make the following determination.

Dated 14 June 2019

Amber Mardon
Acting Director
Access Policy Section
Health Workforce Division

Contents
Part 1  Preliminary...........................................1
1 Name
2 Commencement
3 Authority
4 Definitions and interpretation.................................1
5 Schedules.............................................4
Part 2 Exemptions...........................................4
6 Considerations for exemption - general............................4
7 Considerations for exemption - provision of services at Commonwealth funded Aboriginal and Torres Strait Islander primary health care organsisations              5
8 Considerations for exemption - spouses...........................6
9 Considerations for exemption - provision of locum services...............6
10 Considerations for class exemptions.............................7
11 Conditions............................................7
12 Period of exemption.......................................8

Schedule 1—Repeals 9
    Health Insurance (Section 19AB Exemptions) Guidelines 2017              9

    Part 1 Preliminary

    1   Name
  This instrument is the Health Insurance (Section 19AB Exemptions Guidelines) Determination 2019.

    2   Commencement
  This instrument commences on 1 July 2019.

    3   Authority
  This instrument is made under subsection 19AB(4B) of the Health Insurance Act 1973.

    4   Definitions and interpretation
       (1) In this instrument:

       Aboriginal and Torres Strait Islander specific primary health care service means a health service that is funded principally to provide medical services to a predominantly Aboriginal and Torres Strait Islander population and in respect of which a direction under subsection 19(2) of the Act is in force.

       Act means the Health Insurance Act 1973.

       after hours means:
       (a)  all day on a Saturday, Sunday or public holiday; and
            (b) before 8:00 am or after 6:00 pm on any day other than a Saturday, Sunday or public holiday.

       application means an application for an exemption under subsection 19AB(3) of the Act

       ASGS means the geographical framework known as the Australian Statistical Geography Standard, July 2016 edition, published by the Australian Bureau of Statistics.

       average working hours for a practitioner means total working time for that practitioner divided by their total days worked.

       Distribution Priority Area means, in respect of general practitioners and other medical practitioners who are not specialists (non-specialists):
       (a)           the Northern Territory; or
       (b)           any area located in Modified Monash Model areas 5, 6 or 7; or
            (c)           a GP catchment area, which is a measure determined by the Department of Health (the Department), in which the number of non-specialist services provided in the GP catchment area is less than the benchmark, which is not classified as an inner metropolitan location by the Department.

         Note 1: Distribution Priority Area status for non-specialists is determined annually for the purposes of paragraph (c) of the definition of Distribution Priority Area by the Department by comparing the services provided in a GP catchment area with the services needed (ie. the benchmark).
         Note 2: Maps of current Distribution Priority Areas are at