Document ID: chunk:federal_register_of_legislation:C2025C00156:section:19aa:p1
Version: federal_register_of_legislation:C2025C00156
Segment Type: section
Provision Reference: s 19AA (pt 1/2)
Character Range: 158530–161325

19AA  Medicare benefits not payable in respect of services rendered by certain medical practitioners
 (1) A medicare benefit is not payable in respect of a professional service, rendered after the commencement of this section, if the person who rendered the service:
 (a) first became a registered medical practitioner on or after 1 November 1996; and
 (b) was not, at the time the service was rendered:
 (i) a specialist (whether or not the service was rendered in the performance of the specialist's specialty); or
 (ii) a consultant physician (whether or not the service was rendered in the performance of the consultant physician's specialty); or
 (iii) a general practitioner; or
Note: For general practitioner, see subsection 3(1).
 (iv) subject to subsection (3), a person registered under section 3GA; or
 (v) a person who is covered by an exemption under subsection 19AB(3), being a person who is neither an Australian citizen nor a permanent resident within the meaning of the Migration Act 1958.
Note: Subsection (5) gives a restricted meaning to the term professional service for the purposes of this section.
 (2) A medicare benefit is not payable in respect of a professional service, rendered after the commencement of this section, if the medical practitioner on whose behalf the service was rendered:
 (a) first became a registered medical practitioner on or after 1 November 1996; and
 (b) was not, at the time the service was rendered:
 (i) a specialist (whether or not the service was rendered in the performance of the specialist's specialty); or
 (ii) a consultant physician (whether or not the service was rendered in the performance of the consultant physician's specialty); or
 (iii) a general practitioner; or
Note: For general practitioner, see subsection 3(1).
 (iv) subject to subsection (3), a person registered under section 3GA; or
 (v) a person who is covered by an exemption under subsection 19AB(3), being a person who is neither an Australian citizen nor a permanent resident within the meaning of the Migration Act 1958.
Note 1: An effect of subsection 3(17) is that a service cannot be taken to be rendered on behalf of a medical practitioner if it is rendered by another medical practitioner.
Note 2: Subsection (5) gives a restricted meaning to the term professional service for the purposes of this section.
 (3) Subparagraphs (1)(b)(iv) and (2)(b)(iv) only apply in relation to a professional service that was rendered:
 (a) during the period in respect of which, and in the location in respect of which, the person is registered under section 3GA; or
 (b) in such other circumstances (which may include circumstances relating to the period during which, or the location in which, services are rendered) as are specified in the regulations.
 (4) For the