Commonwealth Consolidated Acts

HEALTH INSURANCE ACT 1973 - SECT 19C

  (1)   This section does not apply in relation to a professional service rendered before the commencement of this section.

  (3)   If:

  (a)   a medical practitioner is not authorised under the practitioner's registration under the National Law to render a particular professional service; and

  (b)   the medical practitioner renders such a service;

a medicare benefit is not payable in respect of that service, unless the Minister otherwise directs.

  (4)   If:

  (a)   a medical practitioner is authorised under the practitioner's registration under the National Law to render a particular professional service only in particular circumstances; and

  (b)   the medical practitioner renders such a service in other circumstances;

a medicare benefit is not payable in respect of that service, unless the Minister otherwise directs.

  (5)   A direction of the Minister under subsection   (3) or (4) must be in accordance with guidelines determined by the Minister, by legislative instrument, for the purposes of this section.

  (7)   If the Minister makes a decision under subsection   (3) or (4) refusing to direct that a medicare benefit is payable in respect of a professional service, a notice of that decision must be issued to the person claiming the benefit.