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Health Insurance Regulations 2018
made under the

Health Insurance Act 1973

Compilation No. 22

Compilation date: 1 March 2025

                Includes amendments: F2025L00092

About this compilation

This compilation

This is a compilation of the Health Insurance Regulations 2018 that shows the text of the law as amended and in force on 1 March 2025 (the compilation date).

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Register (www.legislation.gov.au). The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the Register for the compiled law.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Editorial changes

For more information about any editorial changes made in this compilation, see the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the Register for the compiled law.

Self‑repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

Contents
Part 1—Preliminary
1 Name
3 Authority
4 Definitions
Part 2—Definitional material
Division 3—Definition of services
9 Professional services—medical services rendered by approved dental practitioners
10 Meaning of specialist trainee
11 Professional services rendered by specialist trainees
12 Health service not specified in an item—meaning of health service
Division 4—Recognition of medical practitioners as specialists and consultant physicians
13 Recognition of medical practitioner domiciled in Australia as specialist—meaning of relevant organisation and relevant qualification
Division 5—General practitioners
16 Medical practitioners who were on Vocational Register of General Practitioners
Division 6—Register of Approved Placements
26 Specified bodies, courses and programs
27 Removal from the Register
Part 3—Medicare benefits
Division 1—Amount of medicare benefit
28 Entitlement to medicare benefit—services for which medicare benefit is 100% of Schedule fee
Division 2—Medicare benefits in relation to pathology services
Subdivision A—Simplified outline of this Division
29 Simplified outline of this Division
Subdivision B—Specifying services
30 Pathology service determined to be necessary by participating midwife
31 Pathology service determined to be necessary by participating