Commonwealth Numbered Acts
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
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
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
Hearing Services Administration Act 1997 56
Income Tax Assessment Act 1997 56
Insurance Contracts Act 1984 57
Medibank Private Sale Act 2006 57
National Blood Authority Act 2003 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: