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This is a Bill, not an Act. For current law, see the Acts databases.


HEALTH LEGISLATION AMENDMENT BILL 2005




                        New South Wales




Health Legislation Amendment
Bill 2005


Contents

                                                                   Page
           1   Name of Act                                            2
           2   Commencement                                           2
           3   Amendment of Acts and regulation                       2
  Schedule 1   Amendment of Health Administration Act 1982 No 135     3
  Schedule 2   Amendment of Human Tissue Act 1983 No 164              4
  Schedule 3   Amendment of Podiatrists Act 2003 No 69                8
  Schedule 4   Amendment of Poisons and Therapeutic Goods Act 1966
               No 31                                                  9
  Schedule 5   Amendment of Poisons and Therapeutic Goods Regulation
               2002                                                  11
  Schedule 6   Amendment of Public Health Act 1991 No 10             12
I certify that this PUBLIC BILL, which originated in the LEGISLATIVE ASSEMBLY,
has finally passed the LEGISLATIVE COUNCIL and the LEGISLATIVE ASSEMBLY of
NEW SOUTH WALES.


                                               Clerk of the Legislative Assembly.
                                               Legislative Assembly,
                                               Sydney,                     , 2005




                            New South Wales




Health Legislation Amendment
Bill 2005
Act No      , 2005




An Act to make miscellaneous amendments to various Acts and a regulation that
relate to health and associated matters; and for other purposes.




I have examined this Bill, and find it to correspond in all respects with the Bill
as finally passed by both Houses.


                          Chairman of Committees of the Legislative Assembly.
Clause 1          Health Legislation Amendment Bill 2005




The Legislature of New South Wales enacts:
 1    Name of Act
               This Act is the Health Legislation Amendment Act 2005.
 2    Commencement
         (1)   This Act commences on a day or days to be appointed by proclamation,
               except as provided by subsection (2).
         (2)   Schedule 6 commences on the date of assent to this Act or the
               commencement of section 10AH of the Public Health Act 1991 (as
               inserted by the Podiatrists Act 2003), whichever is the later.
 3    Amendment of Acts and regulation
               The Acts and regulation specified in Schedules 1-6 are amended as set
               out in those Schedules.




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Health Legislation Amendment Bill 2005

Amendment of Health Administration Act 1982 No 135              Schedule 1




Schedule 1             Amendment of Health Administration
                       Act 1982 No 135
                                                                   (Section 3)
      Section 20L Definitions
      Insert ", the Ambulance Service of New South Wales" after "area health
      service" in the definition of relevant health services organisation.




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                 Health Legislation Amendment Bill 2005

Schedule 2       Amendment of Human Tissue Act 1983 No 164




Schedule 2             Amendment of Human Tissue Act 1983
                       No 164
                                                                                    (Section 3)
[1]   Section 4 Definitions
      Omit section 4 (2) (a). Insert instead:
                   (a) a reference to a parent of a person includes a reference to
                          the following:
                           (i)    a step-parent of the person,
                          (ii) an adoptive parent of the person,
                         (iii) the Minister administering the Children and Young
                                 Persons (Care and Protection) Act 1998, if the
                                 Minister has sole parental responsibility in respect
                                 of the person (whether under that Act or otherwise),
[2]   Section 10
      Omit the section. Insert instead:
         10   Consents to removal of regenerative tissue from children
                    A parent of a child may give consent in writing to the removal
                    from the child's body of specified regenerative tissue for the
                    purpose of its transplantation to the body of a parent (being a
                    biological parent, step-parent or adoptive parent), brother or
                    sister of the child.
                    Note. A child must understand the nature and effect of the removal of
                    tissue if a medical practitioner's certificate is to be issued under section
                    11. If a child is not capable of such understanding, a medical
                    practitioner's certificate must be issued under section 11A and only
                    transplantation to the body of a brother or sister is allowed.

[3]   Section 11A
      Insert after section 11:
      11A     Medical practitioners' certificate--child not capable of
              understanding
              (1)   A medical practitioner who is of the opinion that a child is not, by
                    reason of his or her age, capable of understanding the nature and
                    effect of the removal of tissue from his or her body and the
                    intended effect of its proposed transplantation, may certify in
                    writing that:




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Health Legislation Amendment Bill 2005

Amendment of Human Tissue Act 1983 No 164                                  Schedule 2




                    (a)    the consent in writing of a parent of a child, the terms of
                           which consent are set out in the certificate, was given in the
                           presence of the medical practitioner, and
                    (b)    the medical practitioner explained to the parent, before the
                           consent was given, the nature and effect of the removal
                           from the child's body of the tissue specified in the consent
                           and the intended effect of its proposed transplantation, and
                    (c)    the medical practitioner is satisfied that:
                            (i) at the time the consent was given, the parent was of
                                  sound mind, and
                           (ii) at the time the consent was given, the parent
                                  understood the nature and effect of the removal of
                                  the tissue and the intended effect of its proposed
                                  transplantation, and
                          (iii) the consent was freely given, and
                    (d)    the medical practitioner is of the opinion that the following
                           conditions (the pre-conditions for child tissue donation)
                           are satisfied:
                            (i) the child, by reason of his or her age, is not capable
                                  of understanding the nature and effect of the
                                  removal of the tissue and the intended effect of its
                                  proposed transplantation,
                           (ii) the brother or sister of the child is likely to die or
                                  suffer serious and irreversible damage to his or her
                                  health unless the tissue intended to be removed from
                                  the child is used in the treatment of that brother or
                                  sister,
                          (iii) any risk to the child's health (including
                                  psychological and emotional health) caused by the
                                  removal of the tissue is minimal.
             (2)    A certificate by a medical practitioner to the effect that the
                    pre-conditions for child tissue donation are satisfied is effective
                    only if a second medical practitioner, who is a specialist in
                    paediatric medicine or paediatric transplants, also certifies in the
                    certificate that:
                    (a) he or she is of the opinion that those pre-conditions are
                           satisfied, and
                    (b) he or she provides that opinion as an independent medical
                           practitioner, being a medical practitioner:
                            (i) whose primary role in providing an opinion in the
                                  case is to ensure the health of the child from whom
                                  the tissue is to be removed, and


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                Health Legislation Amendment Bill 2005

Schedule 2      Amendment of Human Tissue Act 1983 No 164




                          (ii)   who is not responsible for the care of the brother or
                                 sister in whose treatment the tissue is to be used.
[4]   Section 14 Effect of consent under section 10
      Insert at the end of the section:
             (2)   Except as provided by section 15, a document that purports to be
                   a consent given in accordance with section 10 is, where a
                   certificate has been given in accordance with section 11A in
                   relation to that consent, sufficient authority for a medical
                   practitioner (other than either of the medical practitioners who
                   gave the certificate) to remove the regenerative tissue specified in
                   the consent for the purpose specified in the consent.
[5]   Section 15 Written consent not to be sufficient authority in certain
      circumstances
      Insert "or" at the end of section 15 (a).
[6]   Section 15 (b)
      Omit "or 11". Insert instead ", 11 or 11A".
[7]   Section 15 (c) and (d)
      Omit section 15 (c). Insert instead:
                   (c) if a certificate was given for the purposes of section 11--
                         that the child is no longer in agreement with the proposed
                         removal and transplantation of the tissue, or
                   (d) if a certificate was given for the purposes of section 11A--
                         that the child has at least some understanding of the
                         procedures involved in the removal of tissue from his or
                         her body and has repeatedly and consistently expressed an
                         unwillingness to undergo any such procedure.
[8]   Section 16 Revocation of consent
      Omit "or 11" from section 16 (2) and (5) (b) wherever occurring.
      Insert instead ", 11 or 11A".
[9]   Section 20A Consent to removal of blood from child if child unable to
      agree
      Insert "(being the biological parent, step-parent or adoptive parent)" after
      "treatment of the child's parent".




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Health Legislation Amendment Bill 2005

Amendment of Human Tissue Act 1983 No 164                                 Schedule 2




[10]   Section 26 Certificates required in certain situations
       Insert after section 26 (1):
            (1A)    The 2 medical practitioners referred to in subsection (1) must not
                    include:
                     (a) any medical practitioner who is responsible for, or
                          involved in, the removal of tissue from the person's body
                          for the purpose of its transplantation to the body of another
                          person, or
                    (b) any medical practitioner who is responsible for the care of
                          the person who is the intended recipient of the tissue.
[11]   Section 27 Effect of authority under this Part
       Insert "or the transplantation of musculoskeletal tissue" after "corneal
       transplantation" wherever occurring in section 27 (1A).
[12]   Section 27 (1A) (a)
       Omit "Secretary". Insert instead "Director-General".
[13]   Section 34 Act does not prevent specified removals of tissue
       Insert after section 34 (1) (b2):
                    (b3) the use of small samples of any tissue that is lawfully
                            removed from the body of a person (whether living or
                            deceased) for the purpose of carrying out analyses or tests:
                             (i) that are part of a program (including any quality
                                   assurance program, quality control program, audit
                                   or evaluation) to ensure, or improve, the quality of
                                   services carried out at or by a hospital, a forensic
                                   institution, a laboratory, an educational or research
                                   institution or a supplier of blood or blood products,
                                   or
                            (ii) that are necessary for the delivery of services carried
                                   out at or by a hospital, a forensic institution, a
                                   laboratory, an educational or research institution or
                                   a supplier of blood or blood products or for the
                                   accreditation under any Act of a hospital, a forensic
                                   institution, a laboratory, an educational or research
                                   institution or a supplier of blood or blood products,




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               Health Legislation Amendment Bill 2005

Schedule 3     Amendment of Podiatrists Act 2003 No 69




Schedule 3            Amendment of Podiatrists Act 2003
                      No 69
                                                                          (Section 3)
      Section 132 Regulations
      Insert after section 132 (2) (m):
                     (n) infection control standards to be followed by podiatrists in
                           the practice of podiatry.




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Health Legislation Amendment Bill 2005

Amendment of Poisons and Therapeutic Goods Act 1966 No 31                 Schedule 4




Schedule 4             Amendment of Poisons and Therapeutic
                       Goods Act 1966 No 31
                                                                             (Section 3)
[1]   Section 28
      Omit the section. Insert instead:
       28    Prohibition on prescribing drugs of addiction in certain cases
             (1)    A medical practitioner or nurse practitioner must not, without the
                    proper authority, prescribe for or supply to any person a type A
                    drug of addiction.
             (2)    A medical practitioner or nurse practitioner must not, without the
                    proper authority, prescribe or supply a type B drug of addiction:
                    (a) for continuous therapeutic use by a person for a period
                          exceeding 2 months, or
                    (b) for a period that, together with any other period for which
                          that drug or any other type B drug of addiction has been
                          prescribed or supplied by the medical practitioner or nurse
                          practitioner or has, to the medical practitioner's or nurse
                          practitioner's knowledge, been prescribed or supplied by
                          any other medical practitioner or nurse practitioner, would
                          result in that drug, or that drug together with any other such
                          drug, being prescribed or supplied for continuous
                          therapeutic use for a period exceeding 2 months.
             (3)    A medical practitioner or nurse practitioner must not, without the
                    proper authority, prescribe for or supply to a person who, in the
                    opinion of the medical practitioner or nurse practitioner, is a drug
                    dependent person a type C drug of addiction.
             (4)    For the purposes of this section, the proper authority means an
                    authority under section 29 that authorises the medical practitioner
                    or nurse practitioner to prescribe or supply the drug of addiction
                    to the person concerned.
             (5)    A drug of addiction may be prescribed for or supplied to a person
                    by a medical practitioner or nurse practitioner without the proper
                    authority if the medical practitioner or nurse practitioner is
                    authorised by the regulations to prescribe or supply the drug
                    without an authority under section 29.




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               Health Legislation Amendment Bill 2005

Schedule 4     Amendment of Poisons and Therapeutic Goods Act 1966 No 31




             (6)   In this section:
                   type A drug of addiction means a drug of addiction prescribed by
                   the regulations under this section as a type A drug of addiction.
                   type B drug of addiction means a drug of addiction prescribed by
                   the regulations under this section as a type B drug of addiction.
                   type C drug of addiction means any drug of addiction (other than
                   a type A drug of addiction).
[2]   Section 29 Director-General may authorise prescription or supply of
      drugs of addiction
      Omit "shall" wherever occurring in section 29 (5) (a) and (b).
      Insert instead "may".




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Health Legislation Amendment Bill 2005

Amendment of Poisons and Therapeutic Goods Regulation 2002             Schedule 5




Schedule 5             Amendment of Poisons and Therapeutic
                       Goods Regulation 2002
                                                                           (Section 3)
      Clauses 121 and 121A
      Omit clause 121. Insert instead:
      121    Prescribed type A drugs of addiction
                    For the purposes of section 28 of the Act, each of the following
                    is prescribed as a type A drug of addiction:
                     (a) amphetamine,
                    (b) dexamphetamine,
                     (c) methylamphetamine,
                    (d) methylphenidate,
                     (e) phendimetrazine,
                     (f) phenmetrazine.
    121A     Prescribed type B drugs of addiction
                    For the purposes of section 28 of the Act, each of the following
                    is prescribed as a type B drug of addiction:
                     (a) a drug of addiction that is packaged and labelled in a
                           manner that is consistent with the drug being intended for
                           administration by injection,
                    (b) buprenorphine,
                     (c) dextromoramide,
                    (d) flunitrazepam,
                     (e) hydromorphone,
                     (f) methadone.




                                                                            Page 11
               Health Legislation Amendment Bill 2005


Schedule 6     Amendment of Public Health Act 1991 No 10




Schedule 6            Amendment of Public Health Act 1991
                      No 10
                                                                          (Section 3)
[1]   Section 10AH Certain foot care services not to be provided by
      unregistered persons (as inserted by the Podiatrists Act 2003)
      Insert at the end of section 10AH (2) (b):
                           , or
                     (c) registered nurse and the debridement is carried out to the
                           extent necessary to provide immediate relief from pain or
                           discomfort.
[2]   Section 10AH (5) (as inserted by the Podiatrists Act 2003)
      Omit the subsection.




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