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AUSTRALIAN GOVERNMENT
DEPARTMENT OF HEALTH AND AGED CARE

HEALTH INSURANCE ACT 1973
Health Insurance (Medicare Benefits Payable in Respect of Professional Services – New South Wales - Medical Services performed under the Single Employer Model Trial) Direction (No. 2) 2024

I, Nigel Murray, Assistant Secretary, MBS Policy and Specialist Programs Branch, Medicare Benefits and Digital Health Division, Health Resourcing Group, delegate for the Minister for Health and Aged Care, acting under subsection 19(2) of the Health Insurance Act 1973 (the Act), hereby:
    1.    REPEAL the Health Insurance (Medicare Benefits Payable in Respect of Professional Services – New South Wales - Medical Services performed under the Single Employer Model Trial) Direction (No. 1) 2024; and
    2.    DIRECT that Medicare Benefits shall be payable in respect of:
            1.    A professional service (as defined in Section 3 of the Act) which has been agreed to be provided under the Rural Generalist Single Employer Model Trial Memorandum of Understanding between the Department of Health and Aged Care (ABN: 83 605 426 759) and the Health Administration Corporation for and on behalf of the NSW Ministry of Health (ABN: 45 100 538 161) in relation to the Rural Generalist Single Employer Model for which:
                   1.       items specified in Schedule A of this Direction; and of the general medical services table (means the table prescribed under subsection 4(1) of the Act), diagnostic imaging services table (means the table prescribed under subsection 4AA(1) of the Act) or pathology services table (means the table prescribed under subsection 4A(1) of the Act) relates: and
            2.    Where the professional service is provided to:
                   1.       an eligible person (as defined in Section 3 of the Act);
                   2.       a patient who is not receiving the service as part of an episode of hospital treatment (as defined in Section 121-5 of the Private Health Insurance Act 2007); and
                   3.       a patient who also is not receiving a service which attracts a payment through the 2020-2025 Addendum to the National Health Reform Agreement for a service rendered to a public patient; and
            3.    The professional services referred to in paragraph (2)(a) must be provided:
                   1.       at a general practice (as defined in Section 7.1.1 of the general medical services table); and
                   2.       at a rural or remote practice location specified in Schedule B in an eligible area (as defined in the Dictionary of the of the general medical services table); and
                   3.       by a participating rural generalist trainee participating in the program mentioned in paragraph (2)(a):
                         1.  who is formally enrolled in a fellowship training program that meets the training standards of either:
                                 1.         the Australian College of Rural and Remote Medicine; and/or
                                 2.       the Royal Australian College of General Practitioners.
                         2.  who is