AST GVT Associated Fees re Health


On Aug. 10, AST GVT issued private health insurance amendments.


  • AST GVT registered Private health insurance (medical devices and human tissue products) amendment rules (no. 1) 2023, to update associated fees for assessments.
  • In addition, AST GVT also published an explanatory statement regarding the same.
  • Follows AST PRL Dec. 2022 modernizing private health insurance bills, see #155332.
  • Also follows AST ASIC Jun. 28 cost recovery implementation statement, see #177596.
  • Amendments
  • These amendment rules amend Private health insurance (medical devices and human tissue products) rules (no. 1) 2023; namely, amends associated fees for assessments.
  • That is, associated fees for assessments required for listing and variation applications to list/vary an item on prescribed list of medical devices and human tissue products.
  • They also amend time for when associated cost-recovery fees become due, payable.
  • In addition, amendments correct inadvertent errors, decrease certain fees to align with those advised to industry in relevant cost recovery implementation statement (CRIS).
  • Effectiveness
  • These amendment rules commence on Sep. 1, 2023.
  • Sep. 2023 First Compilation Registered
  • On Sep. 13, 2023, AST GVT registered compilation no. 1 of Private health insurance (medical devices and human tissue products) rules (no. 1) 2023, setting out the text of the rules as amended as detailed above and in force on Sep. 1, 2023.
  • Oct. 2023 Instrument Registered
  • On Oct. 18, 2023, AST GVT registered the Private health insurance (medical devices and human tissue products) rules (no. 2) 2023, which commence on Nov. 1, 2023.
  • These rules update the list of the kinds of medical devices and human tissue products for which a benefit must be paid, where the listed item is provided as per the Private health insurance act 2007, and set out minimum benefit payable for each listed item.
  • Nov. 2023 Additional Amendments
  • On Nov. 10, 2023, AST GVT registered Private health insurance (medical devices and human tissue products) amendment rules (no. 2) 2023, to amend the Private health insurance (medical devices and human tissue products) rules (no. 2) 2023 above.
  • Corrects errors in benefits and changes the condition on 37 billing codes in schedule.
  • Issued explanatory statement; AST GVT considered feedback from stakeholders in making amendments, i.e., from hospitals, private health insurers, and medical devices sponsors re the 37 codes, advice from sponsors of billing codes re incorrect benefits.
  • The whole of this amendment instrument commences on/from Nov. 11, 2023.
  • Jul. 2024 Additional Instrument Registered
  • On Jul. 30, 2024, AST GVT registered Private health insurance (medical devices and human tissue products) amendment (no. 1) rules 2024, to replace sch 1 to Private health insurance (medical devices and human tissue products) rules (no. 1) 2024.
  • Replaces it with a new schedule, rectifies errors; sch 1 is known as prescribed list of medical devices and human tissue products; amendment takes effect Aug. 8, 2024.
  • Oct. 2024 Instrument Registered
  • On Oct. 24, 2024, AST GVT registered Private health insurance (medical devices and human tissue products) amendment (no. 2) rules 2024 and explanatory statement.
  • The rules remake the rules registered on Jul. 30 above, to update the list of medical devices and human tissue products for which a benefit must be paid.
  • In accordance with section 2, the updated rules commence on Nov. 1, 2024.

Regulators AST GVT
Entity Types IB; Ins
Reference Info, RF F2024L01355, 10/24/2024; RF F2024L00939, 7/30/2024; Info, RF F2023L01487, 11/10/2023; RF F2023L01399, 10/18/2023; RF F2023C00801, 9/13/2023; RF F2023L01073, 8/10/2023; Private health insurance (medical devices and human tissue products) rules (no. 2) 2023; Private health insurance (medical devices and human tissue products) amendment rules (no. 2) 2023; Private health insurance (medical devices and human tissue products) rules (no. 1) 2024; Private health insurance (medical devices and human tissue products) amendment (no. 2) rules 2024;
Functions Compliance; Legal; Product Administration; Treasury
Countries Australia
Category
State
Products Insurance; Insurance-Health
Regions AP
Rule Type Final
Rule Date 8/10/2023
Effective Date 11/1/2024
Rule Id 181815
Linked to Rule :155332
Reg. Last Update 10/24/2024
Report Section International

Last substantive update on 10/28/2024