Document ID: chunk:federal_register_of_legislation:F2025C00201:front:0:p2
Version: federal_register_of_legislation:F2025C00201
Segment Type: other
Provision Reference: 
Character Range: 2805–5735

Health Insurance Act 1973.

     Pharmaceutical Benefits Scheme means the scheme for the supply of pharmaceutical benefits established under Part VII of the National Health Act 1953.
     relevant provisions means all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.

     relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.

     Schedule means a Schedule to this instrument.

     Note: The following terms are defined in subsection 3(1) of the Act:

              clinically relevant service;

              general medical services table;

              item;

              professional service.

     (2) Unless the contrary intention appears, a reference in this instrument to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.

5.  Treatment of relevant services

    For subsection 3C(1) of the Act, a relevant service, provided in accordance with this instrument and as a clinically relevant service, is to be treated, for the relevant provisions, as if:

           (a) it were both a professional service and a medical service; and

           (b) there were an item in the general medical services table that:
            (i) related to the service; and
               (ii) specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.

6.  Requirements on the rendering practitioner
    (1)  Clause 1.2.7 of the general medical services table shall have effect as if the items contained in the Schedule of the Determination were also specified in the clause.
    (2)  Clause 1.2.11 of the general medical services table shall have effect as if the items contained in the Schedule of the Determination were also specified in the clause.

7.  Application of treatment cycle and session

     (1) For an item in the Schedule, treatment cycle means treatment that is required to deliver extracorporeal photopheresis that:

           (a) begins on the day in which the treatment begins; and

           (b) ends 12 weeks after the day specified in paragraph (a).

     (2) For an item in the Schedule, treatment session means a single extracorporeal photopheresis treatment in a series of sessions that make up a treatment cycle.

8.  Restriction on items

Services rendered in certain circumstances or for certain purposes
    (1)  Clause 1.2.9 of the general medical services table