1Short title
This Act may be cited as the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007.
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Bill homepage (APH)This Act may be cited as the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007.
Each provision of this Act specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.
Commencement information | ||
|---|---|---|
Column 1 | Column 2 | Column 3 |
Provision(s) | Commencement | Date/Details |
1. Sections 1 to 3 and anything in this Act not elsewhere covered by this table | The day on which this Act receives the Royal Assent. | 30 March 2007 |
2. Sections 4 to 56 | At the same time as the Private Health Insurance Act 2007 commences. | 1 April 2007 |
3. Schedule 1, items 1 to 61 | At the same time as the Private Health Insurance Act 2007 commences. | 1 April 2007 |
4. Schedule 1, item 62 | 1 July 2008. | 1 July 2008 |
5. Schedule 2, item 1 | At the same time as the Private Health Insurance Act 2007 commences. | 1 April 2007 |
6. Schedule 2, item 2 | 1 July 2008. | 1 July 2008 |
7. Schedule 2, items 3 to 108 | At the same time as the Private Health Insurance Act 2007 commences. | 1 April 2007 |
8. Schedule 3, items 1 to 9E | 1 July 2007. | 1 July 2007 |
12. Schedule 3, items 10 to 16 | At the same time as the Private Health Insurance Act 2007 commences. | 1 April 2007 |
13. Schedule 3, items 17 and 18 | 1 July 2007. | 1 July 2007 |
This table relates only to the provisions of this Act as originally passed by both Houses of the Parliament and assented to. It will not be expanded to deal with provisions inserted in this Act after assent.
Column 3 of the table contains additional information that is not part of this Act. Information in this column may be added to or edited in any published version of this Act.
Each Act that is specified in a Schedule to this Act is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this Act has effect according to its terms.
In this Act:
ancillary health benefits means ancillary health benefits within the meaning of section 67 the National Health Act 1953 as in force immediately before the commencement time.
applicable benefits arrangement means an applicable benefits arrangement within the meaning of the National Health Act 1953 as in force immediately before the commencement time.
commencement time means the time when the Private Health Insurance Act 2007 commences.
complying health insurance policy has the meaning given by the new Act.
contributor means a contributor within the meaning of the National Health Act 1953 as in force immediately before the commencement time.
Council has the meaning given by the new Act.
fund has the meaning given in section 82Q of the National Health Act 1953 as in force immediately before the commencement time.
new Act means the Private Health Insurance Act 2007.
registered organization means an organization that was registered under Part VI of the National Health Act 1953 as in force immediately before the commencement time.
Part 2‑2 of the new Act applies in relation to financial years beginning on or after 1 July 2007.
The Private Health Insurance Incentives Act 1998 is amended by this Act so that it applies only to financial years ending on or before 30 June 2007. The Act will be repealed on 30 June 2008. (See Schedules 1 and 3.)
During the period beginning at the commencement time and ending at the time at which the Private Health Insurance Incentives Act 1998 (the 1998 Act) is repealed, a reference in the 1998 Act to a matter specified for an item in column 2 of the table is taken to be a reference to the matter specified for that item in column 3 of the table.
Operation of the 1998 Act between commencement time and repeal | ||
|---|---|---|
Item | A reference in the 1998 Act to ... | is taken to be a reference to ... |
1 | ancillary cover | cover for general treatment within the meaning of the new Act. |
2 | appropriate private health insurance policy | (a) a complying health insurance policy; or (b) if the reference is in section 4‑12 or 12‑7 of the 1998 Act—a complying health insurance policy or an appropriate private health insurance policy within the meaning of the 1998 Act. |
3 | dependent child | (a) a dependent child within the meaning of the new Act; or (b) if the reference is in section 4‑12 or 12‑7 of the 1998 Act—a dependent child within the meaning of the 1998 Act or a dependent child within the meaning of the new Act. |
4 | health fund | a private health insurer. |
5 | hospital cover | hospital cover within the meaning of the new Act. |
Subsection (1) also applies in relation to a provision of the 1998 Act that continues to operate after the repeal of that Act because of:
this Part; or
section 8 of the Acts Interpretation Act 1901.
Section 11‑50 of the Private Health Insurance Incentives Act 1998 continues to apply, after 30 June 2008, to a private health insurer to whom an application was made under section 11‑50 of that Act, as if it had not been repealed.
The Chief Executive Medicare (within the meaning of the Human Services (Medicare) Act 1973) may continue to approve forms under section 11‑50 for the purposes of subsection (1), as if the references in that section to the Medicare Australia CEO were references to the Chief Executive Medicare.
Part 2‑3 of the new Act applies to an amount of premiums worked out on or after the commencement time.
Schedule 2 to the National Health Act 1953 continues to apply in relation to any amount of premiums worked out before the commencement time.
For the purposes of paragraph 34‑10(1)(b) of the new Act:
the reference to permitted days without cover includes a reference to days before the commencement time that were permitted days without hospital cover within the meaning of Schedule 2 to the National Health Act 1953 as in force before the commencement time; and
the reference to periods during which the adult was taken to have had hospital cover includes periods during which the adult was taken to have had hospital cover under subclause 4(2) of that Schedule.
Applicable benefits arrangements
If, immediately before the commencement time, contributors to a health benefits fund conducted by a registered organization were covered by an applicable benefits arrangement of the organization, then:
at the commencement time, the arrangement is, to the extent to which it covered a particular contributor and his or her dependants (if any), taken to be a complying health insurance policy under which that contributor and those dependants (if any) are insured; and
that part of the arrangement continues to be taken to be a complying health insurance policy until the earlier of:
1 July 2008; and
the day on which a relevant change (see subsection (3)) to that part of the arrangement takes effect.
Tables of ancillary benefits
If, immediately before the commencement time, contributors to a health benefits fund conducted by a registered organization were covered by a table of ancillary health benefits of the organization, then:
at the commencement time, the table is, to the extent to which it covered a particular contributor and his or her dependants (if any), taken to be a complying health insurance policy under which that contributor and those dependants (if any) are insured; and
that part of the table continues to be taken to be a complying health insurance policy until the earlier of:
1 July 2008; and
the day on which a relevant change (see subsection (3)) to that part of the table takes effect.
Relevant change
If, more than 15 days after the commencement time, a private health insurer makes a change to its rules, or to anything else, in a way that affects:
the amount of premiums payable under an arrangement or table that is taken to be a complying health insurance policy because of subsection (1) or (2); or
the treatments covered by such a policy; or
a benefit for treatment covered by such a policy;
the change is a relevant change to each part of the arrangement or table.
An insurance policy is taken to meet the premium requirement in section 66‑5 of the new Act if:
the policy was taken to be a complying health insurance policy because of section 10; and
at the end of a day, the policy ceases to be taken to be a complying health insurance policy; and
at the start of the next day, the policy would be a complying health insurance policy except that it does not meet the premium requirement in section 66‑5 of the new Act; and
the amount of premiums payable under the policy for the period starting on that day is the same as the amount that would have been payable under the policy for the same period if it had started on the previous day.
If, immediately before the commencement of the new Act, a prosthesis was:
a no gap prosthesis; or
a gap permitted prosthesis;
for the purposes of the National Health Act 1953, the Minister may list the prosthesis in Private Health Insurance (Medical Devices and Human Tissue Products) Rules made for the purposes of item 4 of the table in subsection 72‑1(2) of the new Act, without an application being made in relation to the prosthesis under subsection 72‑10(2) of the new Act.
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