Health Insurance Act 1973

A person contravenes this subsection if:

the person is a professional mentioned in paragraph 20A(1)(b); and

the professional and an eligible person (the assignor) enter into an agreement under subsection 20A(1); and

the assignor asks for a copy of the terms of the agreement; and

the professional does not give the assignor a copy of the terms of the agreement as soon as practicable after the assignor asks for it.

A person contravenes this subsection if:

the person is a professional mentioned in paragraph 20A(1)(b); and

the professional and an eligible person (the assignor) enter into an agreement under subsection 20A(1); and

under regulations made for the purposes of this paragraph, the professional is required to give a notification to the assignor relating to the agreement or to a right to payment of a medicare benefit assigned under the agreement; and

the professional contravenes those regulations; and

those regulations specify that this paragraph applies.

A person contravenes this subsection if:

the person is an insurer or approved billing agent; and

an eligible person (the assignor) is taken to have assigned a medicare benefit to the insurer or approved billing agent under subsection 20A(2); and

the medicare benefit is paid to the insurer or approved billing agent; and

the insurer or approved billing agent does not give a notification to the assignor or, if the medicare benefit relates to a professional service rendered to another eligible person, to that other person:

in accordance with any requirements specified in the regulations; and

within 6 months of the payment.

A person contravenes this subsection if:

the person is a responsible provider mentioned in paragraph 20AAA(3)(a); and

an eligible person (the assignor) makes a request for the purposes of paragraph 20AAA(3)(a) to the responsible provider; and

the assignor asks the responsible provider for a copy of the terms of the request; and

the responsible provider does not ensure that the assignor is given a copy of the terms of the request as soon as practicable after the assignor asks for it.

A person contravenes this subsection if:

the person is a responsible provider mentioned in paragraph 20AAA(3)(b); and

an eligible person (the assignor) makes a request for the purposes of paragraph 20AAA(3)(a) to the responsible provider; and

the responsible provider, or a person authorised by the responsible provider, modifies the request as mentioned in paragraph 20AAA(3)(b); and

the assignor asks the responsible provider for a copy of the terms of the request, as modified; and

the responsible provider does not ensure that the assignor is given a copy of the terms of the request, as modified, as soon as practicable after the assignor asks for it.

A person contravenes this subsection if:

under regulations made for the purposes of paragraph 20A(6)(c), 20AAA(8)(c) or 20B(2)(c), the person is required to:

give a notification to an eligible person; or

ensure that a notification is given to an eligible person; and

the person contravenes those regulations; and

those regulations specify that this paragraph applies.

Without limiting this section, regulations prescribing requirements for the purposes of this section in relation to the giving of a notification may specify:

requirements relating to the content of the notification to be given; and

requirements relating to the manner and form in which the notification is to be given; and

in the case of regulations made for the purposes of paragraph (2)(c)—circumstances in which the notification must be given.