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PRIVATE HEALTH INSURANCE (TRANSITIONAL PROVISIONS AND CONSEQUENTIAL AMENDMENTS) ACT 2007 (NO. 32, 2007) - NOTES

 

No. 32, 2007

 

 

 

 

 

  

  

  


Contents

Part 1—Preliminary                                                                                                               2

1............ Short title............................................................................................ 2

2............ Commencement.................................................................................. 2

3............ Schedule(s).......................................................................................... 3

4............ Definitions.......................................................................................... 3

Part 2—Transitional provisions relating to Chapter 2 of the new Act      5

Division 1—Premiums reduction and incentive payment schemes     5

5............ Application of Part 2‑2 of the new Act............................................. 5

6............ Application of the Private Health Insurance Incentives Act 1998 from the commencement time to repeal           5

7............ Continued application of section 11‑50 of the Private Health Insurance Incentives Act 1998               6

Division 2—Lifetime health cover                                                                         7

8............ Application of Part 2‑3 of the new Act............................................. 7

9............ Calculating 10 years’ continuous cover under section 34‑10 of the new Act          7

Part 3—Transitional provisions relating to complying health insurance products 8

10.......... Status of existing applicable benefits arrangements and tables of ancillary benefits               8

11.......... Premium requirement.......................................................................... 9

12.......... Benefit requirements: listing of no gap and gap permitted prostheses 9

13.......... Waiting periods................................................................................. 10

14.......... Quality assurance requirements........................................................ 10

Part 4—Transitional provisions relating to Chapter 4 of the new Act    11

Division 1—Carrying on health insurance business                                  11

15.......... Hospitals.......................................................................................... 11

16.......... Hospital treatment—outreach services............................................ 12

17.......... Employee health benefits schemes................................................... 13

Division 2—Registration                                                                                          14

18.......... Registered organizations taken to be private health insurers............ 14

19.......... Registered organizations established for profit................................ 14

20.......... Restricted membership organizations............................................... 14

Division 3—Health benefits funds                                                                       16

21.......... Existing health benefits funds........................................................... 16

22.......... Applications for approval of mergers.............................................. 16

Part 5—Transitional provisions relating to Chapter 5 of the new Act    17

Division 1—General enforcement methods                                                   17

23.......... Continued application of Division 5 of Part VI of the National Health Act 1953   17

Division 2—Enforcement of health benefits fund requirements         18

24.......... Investigations into affairs of registered organizations...................... 18

25.......... Administration of funds and registered organizations...................... 19

26.......... Winding up of funds and registered organizations............................ 19

Part 6—Transitional provisions relating to Chapter 6 of the new Act    21

Division 1—Private Health Insurance Ombudsman                                  21

Subdivision A—Preliminary                                                                                   21

27.......... Definitions........................................................................................ 21

Subdivision AA—Conversion of Ombudsman from CAC to FMA body           22

27A....... Conversion of Ombudsman from CAC to FMA body.................... 22

Subdivision B—Assets, liabilities and legal proceedings                                 24

28.......... Vesting of assets of old Ombudsman............................................... 24

29.......... Vesting of liabilities of old Ombudsman........................................... 24

30.......... Certificates relating to vesting of land.............................................. 24

31.......... Certificates relating to vesting of assets other than land.................. 25

32.......... Substitution of Commonwealth as a party to pending proceedings. 25

33.......... Transfer of custody of old Ombudsman records.............................. 25

Subdivision C—Reference to, and things done by or in relation to, old Ombudsman         26

34.......... References in instruments................................................................. 26

35.......... Operation of laws............................................................................. 28

36.......... Financial statements and other reporting requirements.................... 29

Subdivision D—Private Health Insurance Ombudsman and staff                    31

37.......... Private Health Insurance Ombudsman............................................. 31

38.......... Transfer of staff................................................................................ 31

Subdivision E—Miscellaneous                                                                                33

39.......... Appropriation of money.................................................................. 33

40.......... Exemption from stamp duty and other State or Territory taxes...... 33

41.......... Constitutional safety net—acquisition of property......................... 33

42.......... Certificates taken to be authentic..................................................... 34

43.......... Delegation by Minister..................................................................... 34

Division 2—Private Health Insurance Administration Council           35

44.......... Members of the Council................................................................... 35

45.......... Chief Executive Officer..................................................................... 35

46.......... Staff and consultants........................................................................ 35

Division 3—Administration of premiums reduction and incentive payment scheme     36

47.......... Application of Part 6‑4 of the new Act........................................... 36

48.......... Transition to participating insurer under the new Act..................... 36

49.......... Applications to become a participating insurer before 1 July 2007. 36

50.......... Continued application of Division 16.............................................. 37

51.......... Continued application of Division 18.............................................. 37

Division 4—Private health insurance levies                                                  38

52.......... Continued application of Part VID of the National Health Act 1953 in relation to matters arising before commencement of new Act........................................................................................ 38

53.......... Continued application of section 83I of the National Health Act 1953 38

Division 5—Disclosure of information                                                               39

54.......... Transitional provision relating to secrecy obligations...................... 39

Part 7—Miscellaneous                                                                                                       40

55.......... Private Health Insurance (Transition) Rules.................................... 40

56.......... Regulations....................................................................................... 40

Schedule 1—Repeals                                                                                                          41

Part 1—Repeal of provisions                                                                                      41

Health Insurance Act 1973                                                                                      41

National Health Act 1953                                                                                        41

Remuneration Tribunal Act 1973                                                                           46

Part 2—Repeal of Acts                                                                                                 47

Private Health Insurance (ACAC Review Levy) Act 2003                                 47

Private Health Insurance Incentives Act 1998                                                    47

Schedule 2—Amendments                                                                                               48

Age Discrimination Act 2004                                                                                  48

A New Tax System (Goods and Services Tax) Act 1999                                     48

A New Tax System (Medicare Levy Surcharge—Fringe Benefits) Act 1999  48

Australian Securities and Investments Commission Act 2001                          50

Corporations Act 2001                                                                                             50

Education Services for Overseas Students Act 2000                                          50

Financial Sector (Collection of Data) Act 2001                                                 50

Financial Transaction Reports Act 1988                                                             50

Freedom of Information Act 1982                                                                           50

Health Insurance Act 1973                                                                                      51

Hearing Services Administration Act 1997                                                          56

Income Tax Assessment Act 1997                                                                            56

Insurance Act 1973                                                                                                   57

Insurance Contracts Act 1984                                                                                57

Life Insurance Act 1995                                                                                            57

Medibank Private Sale Act 2006                                                                           57

Medical Indemnity Act 2002                                                                                   60

Medicare Levy Act 1986                                                                                           60

National Blood Authority Act 2003                                                                       61

National Health Act 1953                                                                                        61

Veterans’ Entitlements Act 1986                                                                            64

Schedule 3—Amendments relating to transition from Private Health Insurance Incentives Act 1998     65

Income Tax Assessment Act 1936                                                                            65

Income Tax Assessment Act 1997                                                                            66

Private Health Insurance Act 2007                                                                        72

Private Health Insurance Incentives Act 1998                                                    72

Taxation Administration Act 1953                                                                         73

 


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Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007

No. 32, 2007

 

 

 

An Act to provide for transitional matters, and make consequential amendments, relating to the enactment of the Private Health Insurance Act 2007, and for related purposes

Assented to 30 March 2007

The Parliament of Australia enacts: