Document ID: chunk:federal_register_of_legislation:C2025C00097:section:5:p24
Version: federal_register_of_legislation:C2025C00097
Segment Type: section
Provision Reference: s 5 (pt 24/56)
Character Range: 143249–146104

into an agreement with a *medical practitioner for the provision of treatment to persons insured by the insurer, the agreement must not limit the medical practitioner's professional freedom, within the scope of accepted clinical practice, to identify and provide appropriate treatments.

Practitioner agreements
 (2) If a hospital or day hospital facility enters into an agreement with a *medical practitioner, under which treatment is provided to persons insured by the insurer, the agreement must not limit the medical practitioner's professional freedom, within the scope of accepted clinical practice, to identify and provide appropriate treatments.
Note: Medical practitioners may, in dealings with private health insurers, be able to take advantage of the collective bargaining provisions of Subdivision B of Division 2 of Part VII of the Competition and Consumer Act 2010.

172‑10  Private health insurers to give information to Secretary
 (1) The Private Health Insurance (Data Provision) Rules may specify kinds of information, relating to treatment of persons insured under *complying health insurance products that are *referable to *health benefits funds, that private health insurers are to give to the Secretary of the Department.
 (2) A private health insurer must, in accordance with the Private Health Insurance (Data Provision) Rules, give to the Secretary of the Department any information of that kind that the insurer receives from a *hospital.

172‑15  Restrictions on payment of pecuniary penalties etc.
  A private health insurer must not:
 (a) use its money, or permit the use of its money, for:
 (i) the payment of a pecuniary penalty imposed on a *director or *officer of the insurer because of an offence under this Act; or
 (ii) the payment of an amount that a director or officer of the insurer, or a person who has been such a director or officer, is liable to pay under Division 203; or
 (b) reimburse:
 (i) a director or officer of the insurer in respect of a pecuniary penalty imposed on the director or officer because of an offence under this Act; or
 (ii) a director or officer of the insurer, or a person who has been such a director or officer, in respect of a liability imposed on the director under Division 203.

Chapter 5—Enforcement

Part 5‑1—Introduction

Division 180—Introduction

180‑1  What this Chapter is about
      Private health insurers who do not comply with this Act may have action taken against them under this Chapter.
Note: The methods set out in this Chapter are not the only enforcement methods available (see for example Division 84).

Part 5‑2—General enforcement methods

Division 185—What this Part is about

185‑1  Introduction

      This Part gives the Minister powers to enable him or her to find out whether a private health insurer is complying with its enforceable obligations and