Contents

Part 1--Preliminary                                                                                                             2

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

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

3............ Simplified outline of this Act.............................................................. 2

4............ Extension to external Territories.......................................................... 3

5............ Definitions.......................................................................................... 3

Part 2--Treatment                                                                                                                6

Division 1--Introduction                                                                                            6

6............ Simplified outline of this Part.............................................................. 6

Division 2--Eligibility to be provided with treatment                                 7

7............ Eligibility............................................................................................. 7

8............ Procedures for making claims etc........................................................ 7

9............ Claims for eligibility............................................................................ 8

10.......... Withdrawal of claims.......................................................................... 8

11.......... Determination of claims...................................................................... 8

12.......... Revocation of determination of eligibility............................................ 8

Division 3--Provision of treatment                                                                       9

13.......... Provision of treatment......................................................................... 9

14.......... Approval of treatment already provided.............................................. 9

15.......... Commission may accept financial responsibility for costs in relation to treatment not arranged by Commission     10

16.......... Limits on provision of treatment....................................................... 10

17.......... Treatment at hospitals and other institutions...................................... 10

18.......... Application and modification of the Treatment Principles................. 11

19.......... Application and modification of the Repatriation Private Patient Principles             12

20.......... Application and modification of Repatriation Pharmaceutical Benefits Scheme       14

Part 3--Travelling expenses                                                                                          16

21.......... Simplified outline of this Part............................................................ 16

22.......... Entitlement to travelling expenses..................................................... 16

23.......... Advances of travelling expenses....................................................... 17

24.......... Claims for travelling expenses.......................................................... 17

25.......... Withdrawal of claims........................................................................ 18

26.......... Determination of claims.................................................................... 18

Part 4--Pharmaceutical supplement                                                                        19

27.......... Simplified outline of this Part............................................................ 19

28.......... Eligibility for pharmaceutical supplement.......................................... 19

29.......... Pharmaceutical supplement not payable in some circumstances........ 19

30.......... Rate of pharmaceutical supplement................................................... 21

31.......... Payment of pharmaceutical supplement............................................. 21

Part 5--Review of decisions                                                                                          22

Division 1--Introduction                                                                                          22

32.......... Simplified outline of this Part............................................................ 22

Division 2--Review by Commission                                                                   23

33.......... Request for review............................................................................ 23

34.......... Review by Commission.................................................................... 23

35.......... Commission must make written record of review decision and reasons.. 24

36.......... Person who requested review to be notified of decision................... 24

37.......... Withdrawal of request for review...................................................... 24

Division 3--Review by Administrative Appeals Tribunal                      25

38.......... Review by Administrative Appeals Tribunal.................................... 25

Part 6--Administration and enforcement                                                            26

Division 1--Introduction                                                                                          26

39.......... Simplified outline of this Part............................................................ 26

Division 2--General                                                                                                    27

40.......... Additional functions of Commission................................................ 27

41.......... Commission not bound by technicalities........................................... 27

42.......... Delegation......................................................................................... 27

Division 3--Obtaining and giving information etc.                                    29

43.......... Commission may obtain information etc........................................... 29

44.......... Failure to comply with a notice......................................................... 30

45.......... Self-incrimination.............................................................................. 30

46.......... Giving information............................................................................ 31

Division 4--Offences                                                                                                   32

47.......... False or misleading statements or documents relating to treatment.... 32

48.......... Medical service providers causing detriment to others...................... 33

49.......... Medical service providers threatening detriment............................... 33

50.......... Bribery by medical service providers................................................ 34

51.......... Practitioners receiving bribes etc....................................................... 34

52.......... Pathology practitioners making payments to requesting practitioners 35

53.......... Pathology practitioners providing pathology services to persons with whom they have arrangements    35

54.......... Providing staff to be used in pathology services............................... 36

55.......... Counselling statements inadmissible as evidence.............................. 37

Division 5--Recovery of amounts paid because of false or misleading statements         38

56.......... Recovery of amounts paid because of false or misleading statements 38

57.......... Interest payable on amounts paid because of false or misleading statements            38

58.......... Reduction in payments because of previous overpayments............... 40

Division 6--Recovery of cost of treatment                                                     41

59.......... Recovery of cost of treatment............................................................ 41

Division 7--Recovery of overpayments of pharmaceutical supplement               42

60.......... Recovery of overpayments of pharmaceutical supplement................ 42

Part 7--Miscellaneous                                                                                                       43

61.......... Simplified outline of this Part............................................................ 43

62.......... Appropriation.................................................................................... 43

63.......... Rules................................................................................................. 43

 

 

 

Treatment Benefits (Special Access) Act 2019

No. 41, 2019

 

An Act to provide for treatment for eligible Australian civilians, and for other purposes

[Assented to 5 April 2019]

The Parliament of Australia enacts: