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


HEALTH SERVICES AMENDMENT (AMBULANCE FEES) BILL 2014




                                     New South Wales




Health Services Amendment (Ambulance
Fees) Bill 2014

Explanatory note
This explanatory note relates to this Bill as introduced into Parliament.

Overview of Bill
The object of this Bill is to amend the Health Services Act 1997 (the Act) to establish a scheme
for the charging and recovery of ambulance fees.
Under the new scheme:
(a) an ambulance fee can be charged to any person who is provided with ambulance services
       (including the parent or guardian of a child provided with ambulance services), unless the
       person is exempt, and
(b) an ambulance fee will be charged by way of a fee invoice served on the person liable to pay
       the fee, and
(c) if the fee is not paid, a debt notice (which functions similarly to a reminder notice) will be
       served on the person liable for payment of the fee, and
(d) if the fee is still not paid, the Secretary of the Ministry of Health (the Health Secretary) can
       then refer the matter to the Commissioner of Fines Administration (the Commissioner) for
       fee recovery action, and
(e) the Commissioner will be able to take fee recovery action similar to the civil enforcement
       action available to the Commissioner for fines under the Fines Act 1996.
At present, the Health Services Act 1997 permits the Health Secretary to charge fees for the
provision of ambulance services but does not provide any scheme for how those fees are charged
or recovered in the event of non-payment.




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Health Services Amendment (Ambulance Fees) Bill 2014 [NSW]
Explanatory note



Outline of provisions
Clause 1 sets out the name (also called the short title) of the proposed Act.
Clause 2 provides for the commencement of the proposed Act on a day or days to be appointed
by proclamation.

Schedule 1              Amendment of Health Services Act 1997 No 154
Schedule 1 [4] inserts proposed Parts 3-7 into Chapter 5A of the Act. These Parts set out the new
scheme for the charging of ambulance fees.
Proposed Part 3 of Chapter 5A empowers the Health Secretary to charge fees (ambulance fees)
for the provision of ambulance services by or on behalf of the Health Secretary.
The Health Secretary may charge an ambulance fee to any person who has been provided with
ambulance services, other than a child. If ambulance services are provided to a child, the Health
Secretary may charge an ambulance fee for those services to any parent or guardian of the child.
Fees are to be charged in accordance with a scale of fees approved by the Minister. This is also
the case at present.
An exemption from ambulance fees applies to health benefits fund contributors and concession
card holders. Further exemptions may be provided for by the regulations and by payment rules
issued by the Health Secretary. The payment rules may also make provision for waiver and
reduction of fees, extension of time to pay and payment by instalment.
Proposed Part 4 of Chapter 5A provides for the method by which ambulance fees are to be
charged.
The Health Secretary charges an ambulance fee by issuing an invoice (a fee invoice) for the
ambulance fee and serving the fee invoice on the person liable for payment of the fee.
If the fee is not paid within 7 days of the due date specified in the fee invoice, the Health Secretary
may issue a notice (a debt notice) for the outstanding amount. The debt notice is required to inform
the recipient that, if the fee is not paid, fee recovery action may be taken by the Commissioner and
that, if fee recovery action is taken, the person liable for the fee may also be liable for fee recovery
costs.
Both the fee invoice and the debt notice are required to include information about fee reviews (this
is dealt with by proposed Part 6).
The due date for payment specified in a fee invoice or debt notice must be at least 21 days after it
is served on the person.
Proposed Part 5 of Chapter 5A provides that an ambulance fee specified in a debt notice served
on a person is recoverable by the Health Secretary as a debt in a court of competent jurisdiction.
The provisions permit the Health Secretary, instead of taking court proceedings to recover an
ambulance fee, to refer the ambulance fee to the Commissioner for fee recovery action. The
referral may be made only if the ambulance fee is not paid within 7 days of the due date for
payment specified in the debt notice. The Health Secretary may, at any time, revoke the referral
of an ambulance fee to the Commissioner or request the Commissioner to suspend fee recovery
action.
The provisions permit the Health Secretary to disclose certain information to the Commissioner
in connection with that fee recovery action.
Fee recovery action is dealt with by proposed Schedule 9.
Proposed Part 6 of Chapter 5A allows any person who is charged an ambulance fee to apply to
the Health Secretary for a review of the decision to charge the fee. The Health Secretary is
required to conduct a review if the application is duly made. While an on-time application for
review is before the Health Secretary, fee recovery action is to be suspended. After conducting a


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Health Services Amendment (Ambulance Fees) Bill 2014 [NSW]
Explanatory note



review, the Health Secretary may revoke the decision to charge an ambulance fee, waive payment
of the ambulance fee or confirm the decision to charge an ambulance fee with or without changing
the payment arrangements for the fee.
Proposed Part 7 of Chapter 5A provides for the writing off of unpaid fees and the service and
form of notices under the new scheme.
Schedule 1 [6] inserts proposed Schedule 9 into the Act. This Schedule sets out the new scheme
for the recovery of ambulance fees. The scheme is modelled on parts of the Fines Act 1996, in
particular, the civil enforcement mechanisms for fines under that Act.
Proposed Schedule 9 permits the Commissioner to make a fee recovery order in respect of any
ambulance fee referred to the Commissioner by the Health Secretary. Notice of a fee recovery
order must be served on the person liable for payment of the ambulance fee (the debtor). If the
ambulance fee is not paid in accordance with the fee recovery order, the Commissioner may take
fee recovery action.
The following fee recovery action may be taken by the Commissioner:
(a) the Commissioner may make a property seizure order in relation to any property of the
      debtor,
(b) the Commissioner may make a garnishee order in relation to wages, salary or other amounts
      payable to the debtor,
(c) the Commissioner may have the ambulance fee registered as a charge on land owned by the
      debtor.
Certain ancillary powers may be exercised in connection with those fee recovery actions,
including powers to examine the debtor and to enter land.
If fee recovery action is taken, the Commissioner may charge, and recover from the debtor, fee
recovery costs in addition to the ambulance fee payable by the debtor.
The proposed Schedule also gives the Commissioner discretion to suspend or cancel fee recovery
action, to withdraw a fee recovery order and reverse fee recovery action and to grant further time
to pay. Specific provision is made for hardship. The Hardship Review Board will have similar
functions with respect to ambulance fees as it has with respect to fines under the Fines Act 1996.
The Commissioner may enter into arrangements with the Health Secretary for the payment of
ambulance fees recovered under the new scheme, and may retain a fee for services provided under
the scheme.
The new provisions ensure that personal information obtained by the Commissioner or staff under
the scheme is disclosed and used only in connection with the fee recovery scheme. It is not
permitted to use the information for fines enforcement or taxation purposes.
Other administrative arrangements under the scheme are similar to the administrative
arrangements in relation to fines under the Fines Act 1996, and certain provisions of that Act apply
(with modifications) to the scheme.
Schedule 1 [3] is a consequential amendment.
Schedule 1 [1] defines expressions used in the new provisions and re-enacts existing definitions.
Schedule 1 [2] repeals a provision that is re-enacted in the new scheme.
Schedule 1 [5] provides for transitional matters. Among other things, the provisions enable the
Health Secretary to issue a debt notice for a fee that was charged before the commencement of the
scheme. Accordingly, if the ambulance fee is not paid in accordance with the debt notice, the fee
can be referred to the Commissioner and fee recovery action can be taken under the new scheme.




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Health Services Amendment (Ambulance Fees) Bill 2014 [NSW]
Explanatory note



Schedule 2            Amendment of other Acts
Schedule 2.1 amends the Fines Act 1996 to permit the name "State Debt Recovery" to be used in
connection with fee recovery action under the new scheme.
Schedule 2.2 amends the Law Enforcement (Powers and Responsibilities) Act 2002 to permit
search warrants to be issued in connection with fee recovery action under the new scheme.




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                                                                  First print




                                  New South Wales




Health Services Amendment (Ambulance
Fees) Bill 2014
Contents
                                                                       Page


              1    Name of Act                                            2
              2    Commencement                                           2
     Schedule 1    Amendment of Health Services Act 1997 No 154           3
     Schedule 2    Amendment of other Acts                               24




b2013-181-40.d18
                                 New South Wales




Health Services Amendment (Ambulance
Fees) Bill 2014

No     , 2014


A Bill for
An Act to amend the Health Services Act 1997 to make further provision for the charging and
recovery of ambulance fees; and for related purposes.
Health Services Amendment (Ambulance Fees) Bill 2014 [NSW]




The Legislature of New South Wales enacts:                                         1

 1    Name of Act                                                                  2

            This Act is the Health Services Amendment (Ambulance Fees) Act 2014.   3

 2    Commencement                                                                 4

            This Act commences on a day or days to be appointed by proclamation.   5




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Health Services Amendment (Ambulance Fees) Bill 2014 [NSW]
Schedule 1 Amendment of Health Services Act 1997 No 154



Schedule 1              Amendment of Health Services Act 1997 No 154                                 1

[1]    Chapter 5A, Part 1 and Part 2 (heading)                                                       2

       Omit section 67AA. Insert instead:                                                            3


       Part 1       Preliminary                                                                      4

      67AA   Definitions                                                                             5

                    In this Chapter:                                                                 6
                    ambulance fee means a fee for ambulance services charged by the Health           7
                    Secretary under this Chapter.                                                    8
                    appointed body means a committee, board or other body appointed by the           9
                    Health Secretary under section 67AB.                                            10
                    child means a person under 16 years of age.                                     11
                    Commissioner means the Commissioner of Fines Administration.                    12
                    debt notice means a debt notice issued by the Health Secretary under            13
                    section 67Q.                                                                    14
                    fee invoice means a fee invoice issued by the Health Secretary under            15
                    section 67P.                                                                    16
                    fee recovery order has the meaning given by Schedule 9.                         17
                    fee review means a review of a decision to charge an ambulance fee conducted    18
                    under Part 6.                                                                   19
                    payment rules means the payment rules made by the Health Secretary under        20
                    section 67O.                                                                    21
                    scale of fees means the scale of fees for the provision of ambulance services   22
                    fixed by the Minister under section 67L.                                        23


       Part 2       Provision of ambulance services                                                 24

[2]    Section 67D Scale of fees                                                                    25

       Omit the section.                                                                            26

[3]    Section 67F Unauthorised collections                                                         27

       Insert at the end of section 67F (3) (c):                                                    28
                            , or                                                                    29
                      (d) any person acting as authorised by this Act.                              30

[4]    Chapter 5A, Parts 3-7                                                                        31

       Insert after section 67J:                                                                    32


       Part 3       Fees for ambulance services                                                     33

       67K   Health Secretary may charge fee for ambulance services                                 34

              (1)   The Health Secretary may charge a fee for ambulance services provided by or     35
                    on behalf of the Health Secretary.                                              36

              (2)   An ambulance fee may be charged to any person liable for payment of the         37
                    ambulance fee.                                                                  38




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Schedule 1 Amendment of Health Services Act 1997 No 154



             (3)   An ambulance fee is not to exceed the fee fixed for the relevant service by the          1
                   scale of fees in force at the time that the fee is charged.                              2

     67L    Scale of fees                                                                                   3

                   The Minister may, by order published in the Gazette:                                     4
                   (a) fix a scale of fees in respect of ambulance services provided by the                 5
                        Health Secretary, and                                                               6
                   (b) amend or revoke any scale of fees so fixed.                                          7

     67M    Who is liable for payment of ambulance fee                                                      8

             (1)   A person is liable for payment of an ambulance fee for ambulance services                9
                   provided to the person.                                                                 10

             (2)   A person is not liable for payment of an ambulance fee if the person is a child.        11

             (3)   However, if ambulance services are provided to a child, each parent or                  12
                   guardian of the child is jointly and severally liable for payment of an                 13
                   ambulance fee for the provision of those ambulance services.                            14

             (4)   A parent or guardian of a child who pays an ambulance fee for the provision             15
                   of ambulance services to that child is entitled to recover a contribution from          16
                   any other parent or guardian who is also liable for payment of that fee.                17

             (5)   The contribution payable:                                                               18
                   (a) is to be determined as if each parent or guardian of the child were liable          19
                         for an equal share of the ambulance fee, and                                      20
                   (b) is recoverable as a debt in a court of competent jurisdiction.                      21

             (6)   A court may reduce a person's contribution, or exempt a person from making              22
                   a contribution, if the court considers it just and equitable in the circumstances.      23

     67N    Exemptions                                                                                     24

                   A person is exempt from the requirement to pay an ambulance fee if:                     25
                   (a) a fee is not payable for ambulance services provided to the person under            26
                         section 17 of the Health Insurance Levies Act 1982, or                            27
                   (b) the person is the holder of a concession card of a kind prescribed by the           28
                         regulations, or                                                                   29
                   (c) the person is otherwise exempt from payment under the regulations or                30
                         the payment rules.                                                                31
                   Note. Under section 17 of the Health Insurance Levies Act 1982, a fee is not payable    32
                   if the person was, at the time the service was provided:                                33
                    (a)    a contributor to a health benefits fund conducted by an organisation to which   34
                           section 10 of that Act applies, or                                              35
                    (b)    a contributor to the State Ambulance Insurance Plan.                            36

     67O    Payment rules                                                                                  37

             (1)   The Health Secretary may, by order published in the Gazette, make rules about           38
                   the payment of ambulance fees (payment rules).                                          39

             (2)   The payment rules may provide for the following:                                        40
                   (a) exemptions from the payment of ambulance fees,                                      41
                   (b) waiver or reduction of ambulance fees,                                              42
                   (c) extension of time to pay,                                                           43




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Health Services Amendment (Ambulance Fees) Bill 2014 [NSW]
Schedule 1 Amendment of Health Services Act 1997 No 154



                   (d)   payment by instalments,                                                          1
                   (e)   fee reviews,                                                                     2
                   (f)   any other matters permitted by this Act.                                         3

             (3)   The payment rules must not be inconsistent with this Act or the regulations.           4


      Part 4       How ambulance fees are charged                                                         5

     67P    How fee is charged--fee invoices                                                              6

             (1)   The Health Secretary charges an ambulance fee by:                                      7
                   (a) issuing an invoice (a fee invoice) for the ambulance fee, and                      8
                   (b) serving the fee invoice on a person liable for payment of the fee.                 9

             (2)   The fee invoice must:                                                                 10
                   (a) specify the amount of the ambulance fee and the ambulance services for            11
                         which the fee is payable (including the date on which the services were         12
                         provided), and                                                                  13
                   (b) specify a due date for payment of the ambulance fee, and                          14
                   (c) include the required information about fee reviews, and                           15
                   (d) include any other information that the regulations require to be included         16
                         in the fee invoice.                                                             17

             (3)   The regulations may prescribe a form in which a fee invoice is to be given.           18

             (4)   Information required to be included in a fee invoice may be incorporated in the       19
                   fee invoice or accompany the fee invoice.                                             20

     67Q    Debt notice may be issued if fee not paid                                                    21

             (1)   If an ambulance fee specified in a fee invoice served on a person is not paid in      22
                   full by the date that is 7 days after the due date for payment specified in the fee   23
                   invoice, the Health Secretary may:                                                    24
                    (a) issue a notice (a debt notice) for the outstanding amount, and                   25
                   (b) serve the debt notice on the person.                                              26

             (2)   The debt notice must:                                                                 27
                   (a) specify the amount of the ambulance fee that is unpaid and the                    28
                         ambulance services for which the fee is payable (including the date on          29
                         which the services were provided), and                                          30
                   (b) specify a due date for payment of the ambulance fee, and                          31
                   (c) include advice to the effect that, if the ambulance fee is not paid in full       32
                         by the due date:                                                                33
                          (i) the Health Secretary can refer the fee to the Commissioner for the         34
                                taking of fee recovery action under Schedule 9, and                      35
                         (ii) fee recovery costs may be payable by the person if fee recovery            36
                                action is taken under that Schedule, and                                 37
                   (d) include the required information about fee reviews, and                           38
                   (e) include advice to the effect that the Health Secretary is not required to         39
                         conduct a fee review if the application for review is received after the        40
                         date for payment of the ambulance fee specified in the debt notice, and         41
                   (f) include any other information that the regulations require to be included         42
                         in the debt notice.                                                             43



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Schedule 1 Amendment of Health Services Act 1997 No 154



             (3)   The date specified in a debt notice as the due date for payment of the               1
                   ambulance fee has effect as the due date for payment of the ambulance fee            2
                   instead of the date specified as the due date in the relevant fee invoice.           3

             (4)   The regulations may prescribe a form in which a debt notice is to be given.          4

             (5)   Information required to be included in a debt notice may be incorporated in the      5
                   debt notice or accompany the debt notice.                                            6

     67R    Required information about fee reviews                                                      7

                   For the purposes of a fee invoice or debt notice, the required information           8
                   about fee reviews is the following information:                                      9
                   (a) advice to the effect that the person served with the fee invoice or debt        10
                         notice can apply for a review by the Health Secretary of the decision to      11
                         charge the ambulance fee, in accordance with the payment rules, if the        12
                         person seeks an exemption, waiver or reduction of the fee, extension of       13
                         time to pay or to pay by instalments,                                         14
                   (b) the process for applying for such a review,                                     15
                   (c) the circumstances in which a person is exempt from payment of an                16
                         ambulance fee under this Act or the regulations or the payment rules,         17
                   (d) advice to the effect that any decision to waive or reduce the fee, extend       18
                         the time to pay or permit payment by instalments will be made in              19
                         accordance with the payment rules,                                            20
                   (e) information on how a copy of the payment rules can be obtained.                 21

     67S    Due date for payment of ambulance fee                                                      22

             (1)   The due date for payment of an ambulance fee specified in a fee invoice or          23
                   debt notice must be at least 21 days after it is served on the person.              24

             (2)   A fee invoice or debt notice served by post is not invalid merely because it        25
                   specifies as the due date a date that is less than 21 days after it was served on   26
                   the person.                                                                         27

             (3)   In such a case however, the due date is extended to a date that is 21 days after    28
                   the fee invoice or debt notice was served and the fee invoice or debt notice is     29
                   taken to specify that date as the due date.                                         30

     67T    Change of payment arrangements                                                             31

             (1)   The Health Secretary may, in accordance with the payment rules, change the          32
                   payment arrangements for an ambulance fee charged to a person by:                   33
                   (a) reducing the amount payable, or                                                 34
                   (b) extending the time to pay, or                                                   35
                   (c) permitting the fee to be paid by instalments or reducing instalments.           36

             (2)   The Health Secretary changes the payment arrangements for an ambulance fee          37
                   by serving notice in writing of the change on the person who has been charged       38
                   the fee.                                                                            39

             (3)   Any fee invoice or debt notice served on the person before notice of the change     40
                   is taken to be amended in accordance with the changed payment arrangements.         41

             (4)   If the Health Secretary permits payment of an ambulance fee by instalment           42
                   and an instalment of the ambulance fee is not paid by a due date for payment        43
                   of an instalment, the remaining instalments immediately become payable.             44




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Schedule 1 Amendment of Health Services Act 1997 No 154



             (5)   The Health Secretary must not change payment arrangements for an                    1
                   ambulance fee after the ambulance fee has been referred to the Commissioner         2
                   for the making of a fee recovery order, unless the referral is revoked.             3
                   Note. The Commissioner must withdraw a fee recovery order made in relation to an    4
                   ambulance fee if the referral is revoked.                                           5


      Part 5       Recovery of ambulance fees                                                          6

     67U    Ambulance fee is debt payable to Health Secretary                                          7

             (1)   An ambulance fee specified in a debt notice served on a person is recoverable       8
                   by the Health Secretary as a debt in a court of competent jurisdiction.             9

             (2)   However, the Health Secretary cannot take proceedings to recover the debt if       10
                   the fee is referred to the Commissioner for the making of a fee recovery order,    11
                   unless the referral is revoked.                                                    12

     67V    Referral of fee to Commissioner for fee recovery action                                   13

             (1)   The Health Secretary may, by notice in writing to the Commissioner, refer an       14
                   ambulance fee to the Commissioner for the making of a fee recovery order if:       15
                   (a) a debt notice for the ambulance fee has been served on the person              16
                        charged with the fee, and                                                     17
                   (b) the fee has not been paid in full by the date that is 7 days after the due     18
                        date for payment specified in the debt notice.                                19
                   Note. After making a fee recovery order, the Commissioner can take fee recovery    20
                   action to recover the ambulance fee, and fee recovery costs, under Schedule 9.     21

             (2)   The Health Secretary may at any time, by notice in writing to the                  22
                   Commissioner, revoke the referral of an ambulance fee to the Commissioner.         23
                   Note. The Commissioner must withdraw a fee recovery order made in relation to an   24
                   ambulance fee if the referral is revoked.                                          25

    67W     Provision of information to Commissioner                                                  26

             (1)   The Health Secretary may, for the purpose of enabling the recovery of              27
                   ambulance fees under Schedule 9, provide the following information to the          28
                   Commissioner:                                                                      29
                   (a) identifying information about a person provided with ambulance                 30
                        services and, if that person was a child, about any parent or guardian of     31
                        the child,                                                                    32
                   (b) the date the service was provided,                                             33
                   (c) the time the service was provided,                                             34
                   (d) the location or pick up address at which services were provided,               35
                   (e) the destination to which the person was taken after pick up,                   36
                    (f) the distance travelled as part of the service,                                37
                   (g) the unique identifying number allocated to the service by the Health           38
                        Secretary,                                                                    39
                   (h) any other information of a kind prescribed by the regulations.                 40

             (2)   The following information is identifying information about a person:               41
                   (a) name,                                                                          42
                   (b) date of birth,                                                                 43
                   (c) gender,                                                                        44




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Health Services Amendment (Ambulance Fees) Bill 2014 [NSW]
Schedule 1 Amendment of Health Services Act 1997 No 154



                   (d)   address,                                                                         1
                   (e)   contact telephone details,                                                       2
                   (f)   driver licence number,                                                           3
                   (g)   information declared to be identifying information by the regulations.           4

             (3)   A regulation under this section is to be made only with the concurrence of the         5
                   Attorney General.                                                                      6

             (4)   The Minister administering this Act is not to recommend the making of a                7
                   regulation under this section unless the Minister certifies that:                      8
                    (a) the Attorney General has concurred in the making of the regulation, and           9
                   (b) the Privacy Commissioner was consulted about the proposed                         10
                         regulation.                                                                     11

     67X    Suspension of fee recovery action                                                            12

                   The Health Secretary may, at any time, by notice in writing to the                    13
                   Commissioner:                                                                         14
                   (a) request the Commissioner to suspend fee recovery action in relation to            15
                        an ambulance fee that has been referred to the Commissioner, or                  16
                   (b) request the Commissioner to revoke the suspension of fee recovery                 17
                        action in relation to an ambulance fee referred to the Commissioner.             18
                   Note. Under Schedule 9, the Commissioner is required to suspend fee recovery action   19
                   if such a request is made.                                                            20


      Part 6       Fee reviews                                                                           21

     67Y    Application for review of ambulance fee                                                      22

             (1)   A person who is charged an ambulance fee may apply to the Health Secretary            23
                   for a review of the decision to charge the ambulance fee.                             24

             (2)   An application for a review is to be made in accordance with the payment              25
                   rules.                                                                                26

             (3)   An applicant for review must provide to the Health Secretary, in support of an        27
                   application, any supporting information or evidence that the payment rules            28
                   require.                                                                              29

     67Z    Review by Health Secretary                                                                   30

             (1)   If an application for a fee review is duly made to the Health Secretary, the          31
                   Health Secretary must, subject to this section, conduct a review of the decision      32
                   to charge an ambulance fee.                                                           33

             (2)   The Health Secretary is not required to conduct a review:                             34
                   (a) if a review of the decision has already been conducted under this Part, or        35
                   (b) if the application is received more than 7 days after the due date for            36
                        payment specified in a debt notice served on the person, or                      37
                   (c) if the applicant has failed to provide any supporting information or              38
                        evidence required to be provided by the payment rules, or                        39
                   (d) in such other circumstances as may be prescribed by the regulations.              40

             (3)   The Health Secretary may also conduct a review of a decision to charge an             41
                   ambulance fee of his or her own motion.                                               42




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    67ZA    Extension of time to pay--on-time review application                                               1
             (1)   During the period in which an on-time review application is before the Health               2
                   Secretary:                                                                                  3
                   (a) the Health Secretary must not issue a debt notice for the ambulance fee                 4
                         (if a debt notice has not yet been issued) or refer the fee to the                    5
                         Commissioner for the making of a fee recovery order, and                              6
                   (b) the requirement to pay the ambulance fee is suspended.                                  7

             (2)   The period in which an on-time review application is before the Health                      8
                   Secretary is the period starting on (and including) the day on which the                    9
                   application is received by the Health Secretary and ending on (and including)              10
                   the day on which notice of the outcome of the review application is served on              11
                   the person charged the ambulance fee.                                                      12
                   Note. Notice served by post is taken to be served on the person 7 days after it is sent,   13
                   unless the person establishes otherwise.                                                   14

             (3)   After conducting the review or deciding not to conduct the review, the Health              15
                   Secretary must change the payment arrangements for the ambulance fee by                    16
                   extending the time for payment of the ambulance fee by at least the number of              17
                   days in the period in which the application was before the Health Secretary.               18

             (4)   Subsection (3) does not apply if the Health Secretary decides to revoke the                19
                   decision to charge the ambulance fee or waive the ambulance fee.                           20

             (5)   In this section:                                                                           21
                   on-time review application means an application for review of a decision to                22
                   charge an ambulance fee that is duly made to the Health Secretary and                      23
                   received by the Health Secretary:                                                          24
                    (a) before the issue of a debt notice for the ambulance fee, or                           25
                   (b) no later than 7 days after the due date for payment of the ambulance fee               26
                          specified in a debt notice for the ambulance fee.                                   27
                   Note. If the Health Secretary decides to conduct a review in relation to an application    28
                   that is not an on-time review application, the Health Secretary may request the            29
                   Commissioner to suspend fee recovery action in relation to the ambulance fee.              30

    67ZB    Request for additional information                                                                31

             (1)   The Health Secretary may, for the purpose of conducting a fee review, request              32
                   additional information from an applicant for review.                                       33

             (2)   The applicant must provide the additional information to the Health Secretary              34
                   within 14 days of the request or within such greater period as the Health                  35
                   Secretary specifies.                                                                       36

             (3)   If the information is not provided within the time specified, the review may be            37
                   conducted without that information.                                                        38

    67ZC    Actions to be taken after review                                                                  39

             (1)   After conducting a fee review, the Health Secretary may:                                   40
                   (a) revoke the decision to charge the ambulance fee, or                                    41
                   (b) waive payment of the ambulance fee, or                                                 42
                   (c) confirm the decision to charge the ambulance fee with or without                       43
                         changing the payment arrangements for the fee.                                       44




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Health Services Amendment (Ambulance Fees) Bill 2014 [NSW]
Schedule 1 Amendment of Health Services Act 1997 No 154



             (2)   The Health Secretary must, after conducting a fee review, revoke the decision        1
                   to charge an ambulance fee:                                                          2
                    (a) if the person charged the fee is exempt from payment of the ambulance           3
                         fee under this Act, the regulations or the payment rules, or                   4
                   (b) if the issue of the fee invoice or debt notice involved a mistake of             5
                         identity, or                                                                   6
                    (c) if the amount of the fee charged is incorrect, or                               7
                   (d) in any circumstances prescribed by the regulations.                              8

             (3)   The Health Secretary must, after conducting a fee review, change the payment         9
                   arrangements for the ambulance fee if that action is required by this Act or the    10
                   payment rules.                                                                      11

             (4)   The payment rules may also make provision for circumstances in which the            12
                   Health Secretary may, at his or her discretion, revoke a decision to charge an      13
                   ambulance fee, waive payment of an ambulance fee or change the payment              14
                   arrangements for an ambulance fee.                                                  15

             (5)   If the Health Secretary revokes a decision to charge a person with an               16
                   ambulance fee, or waives payment of an ambulance fee, the Health Secretary          17
                   must:                                                                               18
                    (a) withdraw the fee invoice and any debt notice issued for the fee, and           19
                   (b) if the matter has already been referred to the Commissioner for the             20
                         making of a fee recovery order, revoke the referral.                          21

             (6)   If a decision is revoked because of a mistake of identity, the Health Secretary     22
                   may issue a new fee invoice for the fee to a person who is liable for payment       23
                   of the fee.                                                                         24

             (7)   If a decision is revoked because the amount of the fee charged was incorrect,       25
                   the Health Secretary may issue a new fee invoice for the correct amount.            26

             (8)   The regulations may provide for other circumstances in which a new fee              27
                   invoice can be issued.                                                              28

    67ZD    Notice of outcome of application                                                           29

             (1)   The Health Secretary is to notify an applicant for a fee review in writing of the   30
                   outcome of the application within 42 days of receipt of the application.            31

             (2)   If the Health Secretary requests additional information from the applicant, the     32
                   42-day period is extended by the number of days specified by the Health             33
                   Secretary in the request as the period in which the additional information must     34
                   be provided to the Health Secretary.                                                35

             (3)   A reference to the outcome of an application includes a reference to a decision     36
                   not to conduct a review on an application.                                          37


      Part 7       Miscellaneous                                                                       38

    67ZE    Unpaid fees may be written off                                                             39

             (1)   The Health Secretary may write off an unpaid ambulance fee, in whole or in          40
                   part.                                                                               41

             (2)   If the ambulance fee has already been referred to the Commissioner for the          42
                   making of a fee recovery order, the Health Secretary must not write off the         43
                   unpaid ambulance fee unless the referral has been revoked or fee recovery           44
                   action has been suspended or cancelled.                                             45



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      67ZF    Service of notices                                                                         1
              (1)   A fee invoice, debt notice or notice of the outcome of an application for a fee      2
                    review may be served on a person personally or by post.                              3

              (2)   Any other notice or other document required to be served on a person by this         4
                    Chapter may be served:                                                               5
                    (a) personally, or                                                                   6
                    (b) by post, or                                                                      7
                    (c) by electronic transmission.                                                      8

              (3)   A notice or other document may be served by electronic transmission only if          9
                    the person has consented to service of notices or other documents under this        10
                    Chapter by electronic transmission. If a notice or other document is served         11
                    electronically, the address for service is the address provided by the person.      12

              (4)   It is to be presumed that a notice or other document sent to a person under this    13
                    Chapter by post is served on the person 7 days after it is posted, unless the       14
                    person establishes that it was not served within that 7-day period.                 15

      67ZG    Form of notices given to Commissioner                                                     16

                    Any notice given by the Health Secretary to the Commissioner under this             17
                    Chapter may be given by post, by means of document exchange or by                   18
                    electronic transmission.                                                            19

[5]    Schedule 7 Savings, transitional and other provisions                                            20

       Insert at the end of the Schedule with appropriate Part and clause numbering:                    21


       Part         Provisions consequent on enactment of Health                                        22
                    Services Amendment (Ambulance Fees) Act 2014                                        23

              Scale of fees                                                                             24

                    An order made under section 67D of this Act and in force immediately before         25
                    the repeal of that section by the Health Services Amendment (Ambulance Fees)        26
                    Act 2014 is taken, on that repeal, to have been made under section 67L.             27

              Recovery of fees for services provided before commencement                                28

              (1)   A debt notice may be issued under Part 4 of Chapter 5A in respect of an             29
                    existing ambulance fee, as if a fee invoice had already been served on the          30
                    person by whom the fee is payable, if:                                              31
                    (a) a notice specifying the existing ambulance fee and the person by whom           32
                           it was payable was issued by or on behalf of the Health Secretary before     33
                           the relevant commencement date, and                                          34
                    (b) the person by whom the fee was payable was given a copy of the notice,          35
                           and                                                                          36
                    (c) the fee specified in the notice was not greater than the fee for the            37
                           relevant ambulance services fixed by the scale of fees in force under        38
                           section 67D at the time that the notice was issued, and                      39
                    (d) the fee is not paid in full by the date that is 7 days after the due date for   40
                           payment specified in the notice.                                             41

              (2)   In such a case, the person is taken to have been served with a fee invoice for      42
                    the purposes of this Act.                                                           43




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              (3)   This clause does not prevent the Health Secretary from issuing a fee invoice,    1
                    in accordance with Part 4 of Chapter 5A, for ambulance services provided         2
                    before the relevant commencement date if the Health Secretary charges the fee    3
                    after the relevant commencement date.                                            4

              (4)   This clause is subject to the Limitation Act 1969.                               5

              (5)   In this clause:                                                                  6
                    existing ambulance fee means an ambulance fee charged by the Health              7
                    Secretary before the relevant commencement date.                                 8
                    relevant commencement date means the date of commencement of                     9
                    section 67P (as inserted by the Health Services Amendment (Ambulance Fees)      10
                    Act 2014).                                                                      11

              Charging of parents for services provided to child                                    12

                    Section 67M (3), as inserted by the Health Services Amendment (Ambulance        13
                    Fees) Act 2014, does not apply to ambulance services provided before the        14
                    commencement of that subsection.                                                15

              References to Health Secretary                                                        16

              (1)   In Chapter 5A and Schedule 9, as inserted by the Health Services Amendment      17
                    (Ambulance Fees) Act 2014, and in this Part, a reference to the Health          18
                    Secretary is a reference to the Secretary of the Ministry of Health.            19

              (2)   A reference in this Part to anything done by or on behalf of the Health         20
                    Secretary includes, in relation to anything done before the commencement of     21
                    the Government Sector Employment Act 2013, a reference to anything done by      22
                    or on behalf of the Head of the Government Department or Division               23
                    responsible for charging ambulance fees for ambulance services or a delegate    24
                    of the Head.                                                                    25

[6]   Schedule 9                                                                                    26

      Insert after Schedule 8:                                                                      27


      Schedule 9             Recovery of ambulance fees                                             28


      Part 1        Preliminary                                                                     29

          1   Definitions                                                                           30

              (1)   In this Schedule:                                                               31
                    approved form means a form approved by the Commissioner for the purposes        32
                    of the provision in which the term is used.                                     33
                    Commissioner means the Commissioner of Fines Administration.                    34
                    debtor means a person liable to pay an ambulance fee under a debt notice.       35
                    enforcement officer has the meaning given by clause 31.                         36
                    fee recovery costs means the fee recovery costs payable under a fee recovery    37
                    order, being:                                                                   38
                     (a) the prescribed fee recovery costs, and                                     39
                    (b) the Sheriff's additional costs (if any).                                    40
                    fee recovery order means an order under clause 2.                               41
                    garnishee order means an order under clause 16.                                 42




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                    Hardship Review Board means the Hardship Review Board constituted under                   1
                    the Fines Act 1996.                                                                       2
                    order for examination means an order under clause 18.                                     3
                    pay an ambulance fee or amount means to pay the ambulance fee or amount in                4
                    full by its due date and, if payment by instalments is permitted under this Act,          5
                    includes to pay each instalment in full by its due date.                                  6
                    prescribed fee recovery costs means the fee recovery costs prescribed under               7
                    clause 11.                                                                                8
                    property seizure order means an order under clause 15.                                    9
                    Sheriff's additional costs means the costs payable in respect of the Sheriff             10
                    under clause 12.                                                                         11

              (2)   Other expressions used in this Schedule that are defined in Chapter 5A have              12
                    the same meaning as they have in that Chapter.                                           13


      Part 2        Fee recovery orders                                                                      14


      Division 1           Making of fee recovery orders                                                     15

          2   What is a fee recovery order?                                                                  16

              (1)   The Commissioner may make an order (a fee recovery order) for the recovery               17
                    of an ambulance fee.                                                                     18

              (2)   A single order may be made for the recovery of 2 or more ambulance fees                  19
                    payable by a person.                                                                     20
                    Note. Division 2 provides for the debtor to be notified by the Commissioner of the fee   21
                    recovery order and of the fee recovery action that may be taken if the outstanding       22
                    balance of the ambulance fee (and fee recovery costs) is not paid within 28 days.        23

          3   When an order may be made                                                                      24

              (1)   The Commissioner may make a fee recovery order only if the Health Secretary              25
                    refers the ambulance fee to the Commissioner for the making of a fee recovery            26
                    order under Chapter 5A.                                                                  27
                    Note. Chapter 5A permits a referral only if the ambulance fee has not been paid within   28
                    7 days of the due date for payment.                                                      29

              (2)   A fee recovery order may be made in the absence of, and without notice to, the           30
                    person liable to pay the ambulance fee.                                                  31

              (3)   The Commissioner may, but is not required to, make a fee recovery order if an            32
                    ambulance fee to which it is to apply has previously been the subject of a fee           33
                    recovery order in respect of which any fee recovery action has been taken.               34

              (4)   The Commissioner is not to make a fee recovery order in relation to an                   35
                    ambulance fee if, before an order is made, the Health Secretary revokes the              36
                    referral of the ambulance fee to the Commissioner.                                       37

          4   Form of fee recovery order                                                                     38

                    A fee recovery order must specify the following matters:                                 39
                    (a) the debtor's name, address and date of birth (if known),                             40
                    (b) a description of the services in respect of which the ambulance fee is               41
                          payable,                                                                           42
                    (c) the date or dates on which the services were provided,                               43




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                    (d)   the amount required to be paid, being the amount of the ambulance fee         1
                          that remains to be paid, together with specified fee recovery costs.          2

      Division 2          Service of fee recovery order                                                 3

          5   Service on debtor of notice of order                                                      4

                    As soon as practicable after a fee recovery order is made, the Commissioner is      5
                    to serve notice of the order on the debtor.                                         6

          6   What notice must say                                                                      7

              (1)   The notice of a fee recovery order must inform the debtor that:                     8
                    (a) the order has been made, and                                                    9
                    (b) the debtor has until the final date specified in the notice to pay the         10
                          ambulance fee and fee recovery costs specified in the notice, and            11
                    (c) if the payment is not made by that final date, further fee recovery action     12
                          will be taken against the debtor to recover the ambulance fee in             13
                          accordance with this Schedule, and                                           14
                    (d) if the payment is not made by that final date, further fee recovery costs      15
                          will be payable (indicating the amount of the prescribed fee recovery        16
                          costs and the circumstances in which they are payable), and                  17
                    (e) review options are available relating to the fee recovery order, including     18
                          withdrawal, time to pay and the cancellation of fee recovery action          19
                          because of hardship.                                                         20

              (2)   The notice of a fee recovery order may (but need not) contain information          21
                    relating to the Sheriff's additional costs.                                        22

              (3)   If there is an approved form for such a notice, the notice must be in that form.   23

              (4)   The inclusion in the notice of additional information and directions for the       24
                    assistance or guidance of the person on whom it is served does not affect the      25
                    validity of the notice.                                                            26

          7   Service of notice                                                                        27

              (1)   Notice of a fee recovery order may be served on a person:                          28
                    (a) personally, or                                                                 29
                    (b) by post, or                                                                    30
                    (c) by electronic transmission, or                                                 31
                    (d) by any other manner prescribed by the regulations.                             32

              (2)   The address for service of any such notice includes, subject to this section:      33
                    (a) the address supplied by the person in connection with the provision of         34
                          the service for which the ambulance fee is payable, or                       35
                    (b) the address obtained for the person by the Commissioner under this             36
                          Schedule, if the Commissioner is satisfied that it is the most recent        37
                          address available for the person.                                            38

              (3)   Notice of a fee recovery order may be served by electronic transmission only       39
                    if the person has consented to service of notices or other documents under         40
                    Chapter 5A or this Schedule by electronic transmission. If the notice is served    41
                    electronically, the address for service is the address provided by the person.     42

              (4)   Despite any other provision of this Act, it is presumed that a notice of a fee     43
                    recovery order sent to a person by post is served on the person 7 days after it    44



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                    is posted, unless the person establishes that it was not served within that 7-day        1
                    period.                                                                                  2

          8   Final date for payment in notices                                                              3

              (1)   The final date for payment in a notice of a fee recovery order must be at least          4
                    21 days after it is served on the person.                                                5

              (2)   Accordingly, a notice that is posted may specify a date that is at least 28 days         6
                    after the notice of the fee recovery order is posted as the final date for making        7
                    the payment concerned.                                                                   8

          9   Extension of final date if notice takes more than 7 days                                       9

              (1)   If a notice is served on a person more than 7 days after it was posted, the notice      10
                    is not invalid merely because it specifies as the final date a date that is less than   11
                    21 days after it was served on the person.                                              12

              (2)   In such a case however, the final date is extended to a date that is 21 days after      13
                    the notice was served and the notice is taken to specify that date as the final         14
                    date.                                                                                   15

      Division 3           Cost recovery                                                                    16

       10     Fee recovery costs to be paid                                                                 17

              (1)   Fee recovery costs are payable under a fee recovery order.                              18

              (2)   The following amounts are the only amounts payable as fee recovery costs                19
                    under a fee recovery order:                                                             20
                    (a) the prescribed fee recovery costs,                                                  21
                    (b) the Sheriff's additional costs (if any).                                            22

              (3)   Any amount recovered in consequence of the making of a fee recovery order               23
                    is to be applied firstly towards fee recovery costs and the balance towards the         24
                    ambulance fee.                                                                          25

       11     Prescribed fee recovery costs                                                                 26

              (1)   The regulations may prescribe the fee recovery costs payable under a fee                27
                    recovery order.                                                                         28

              (2)   The regulations may:                                                                    29
                    (a) prescribe an amount as the fee recovery costs payable to the                        30
                          Commissioner on the making of the order, and                                      31
                    (b) prescribe an amount as the fee recovery costs payable into the                      32
                          Consolidated Fund for any fee recovery action taken by the Sheriff or             33
                          other official under Part 3 before payment is made under the order.               34

       12     Sheriff's additional costs                                                                    35

              (1)   The Commissioner may approve any costs and expenses reasonably incurred                 36
                    by the Sheriff in taking fee recovery action under Part 3 as fee recovery costs         37
                    payable by the debtor under the fee recovery order.                                     38

              (2)   The amount of those costs and expenses is to be determined in accordance with           39
                    the scale applicable to the enforcement of judgment debts under the Civil               40
                    Procedure Act 2005, but is to be reduced by the prescribed fee recovery costs           41
                    payable to the Consolidated Fund for any fee recovery action taken by the               42
                    Sheriff or other official under Part 3.                                                 43




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             (3)   For the purposes of this clause, the Commissioner has the functions of the                1
                   registrar of the relevant court with respect to the approval of those costs and           2
                   expenses.                                                                                 3

             (4)   Fee recovery costs recoverable under this clause are payable to the Sheriff and           4
                   not to the Consolidated Fund.                                                             5

             (5)   The power of the Local Court to review a decision of a registrar of the court in          6
                   respect of any such fee recovery costs applies to a decision of the                       7
                   Commissioner under this clause.                                                           8

       13   Fee recovery costs included in ambulance fee                                                     9

             (1)   After a fee recovery order is made, the ambulance fee to which it applies is             10
                   taken to include the fee recovery costs payable under the fee recovery order.            11

             (2)   Accordingly, a reference in Parts 3-6 to an ambulance fee includes a reference           12
                   to any fee recovery costs payable under the fee recovery order.                          13


      Part 3       Fee recovery action                                                                      14


      Division 1          Fee recovery action                                                               15

       14   When fee recovery action can be taken                                                           16

             (1)   Fee recovery action may be taken against a debtor under this Part if:                    17
                   (a) the debtor has not paid the ambulance fee as required by the notice of               18
                         the fee recovery order served on the debtor, and                                   19
                   (b) the ambulance fee remains unpaid.                                                    20

             (2)   Fee recovery action may be taken under this Part by means of a property                  21
                   seizure order, a garnishee order or a charge on land, or by all or any                   22
                   combination of those means.                                                              23

       15   Order to seize property of debtor                                                               24

             (1)   The Commissioner may make an order for the seizure of the property of a                  25
                   debtor for the purpose of levying the ambulance fee payable by the debtor on             26
                   that property. The order is called a property seizure order.                             27
                   Note. The Interpretation Act 1987 defines property to include land as well as personal   28
                   property.                                                                                29

             (2)   The Commissioner may make a property seizure order only if satisfied that fee            30
                   recovery action is authorised against the debtor under this Part.                        31

             (3)   Section 72 of the Fines Act 1996 applies in relation to a property seizure order         32
                   made under this clause in the same way as it applies in relation to a property           33
                   seizure order made under that section.                                                   34

       16   Order to garnishee debts, wages or salary of debtor                                             35

             (1)   The Commissioner may make an order that all debts due and accruing to a                  36
                   debtor from any person specified in the order are attached for the purposes of           37
                   satisfying the ambulance fee payable by the debtor (including an order                   38
                   expressed to be for the continuous attachment of the wage or salary of the               39
                   debtor). The order is called a garnishee order.                                          40

             (2)   The Commissioner may make a garnishee order only if satisfied that fee                   41
                   recovery action is authorised against the debtor under this Part.                        42




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             (3)   Section 73 of the Fines Act 1996 applies in relation to a garnishee order made       1
                   under this clause in the same way as it applies in relation to a garnishee order     2
                   made under that section.                                                             3

       17   Registration of fee recovery order as charge on land                                        4

             (1)   The Commissioner may apply to the Registrar-General for registration of a fee        5
                   recovery order in relation to any land owned by the debtor (including any land       6
                   owned jointly with another person).                                                  7

             (2)   An application may not be made under this clause unless the amount payable           8
                   under the order (or the total amount payable under the orders) to which the          9
                   application relates exceeds $1,000 or such other amount as is prescribed by the     10
                   regulations.                                                                        11

             (3)   Section 74 of the Fines Act 1996 applies in relation to an application under this   12
                   clause, and a charge registered under this clause, in the same way as it applies    13
                   to an application under that section, and a charge registered under that section.   14

      Division 2         Ancillary provisions                                                          15

       18   Examination of debtor                                                                      16

             (1)   The Commissioner may issue an order (an order for examination) under this           17
                   clause for the purpose of enabling fee recovery action to be taken under this       18
                   Part.                                                                               19

             (2)   If a person who is issued with an order for examination fails to attend in          20
                   accordance with the order, the Commissioner may issue a warrant for the             21
                   apprehension of the person and for the person to be brought before the              22
                   Commissioner or other specified enforcement officer, or before a specified          23
                   officer of a court, for examination in accordance with this clause.                 24

             (3)   Sections 75 and 75A of the Fines Act 1996 apply in relation to an order for         25
                   examination, an examination, or warrant of apprehension under this clause in        26
                   the same way as they apply in relation to an order for examination,                 27
                   examination or warrant for apprehension under those sections.                       28

       19   Power of entry to execute property seizure order                                           29

             (1)   The person executing a property seizure order may, at any reasonable time of        30
                   the day or night, enter any premises for the purposes of executing the order.       31

             (2)   Subclause (1) does not authorise any such person to enter any part of premises      32
                   used only for residential purposes without the permission of the occupier of        33
                   the premises or the authority of a search warrant under this clause.                34

             (3)   Any such person may apply to an authorised officer for the issue of a search        35
                   warrant if the person believes on reasonable grounds that there may be              36
                   property liable to seizure under the property seizure order in any premises.        37

             (4)   An authorised officer to whom any such application is made may, if satisfied        38
                   that there are reasonable grounds for doing so, issue a search warrant              39
                   authorising any person who is executing the property seizure order to enter the     40
                   premises and seize property in the premises in accordance with that or any          41
                   other property seizure order.                                                       42

             (5)   Division 4 of Part 5 of the Law Enforcement (Powers and Responsibilities) Act       43
                   2002 applies to a search warrant issued under this clause.                          44




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             (6)   Without affecting the generality of section 71 of the Law Enforcement               1
                   (Powers and Responsibilities) Act 2002, a police officer:                           2
                    (a) may accompany a person executing a search warrant, and                         3
                   (b) may take all reasonable steps to assist the person in the exercise of the       4
                        person's functions under this clause.                                          5

             (7)   This clause does not authorise a person to seize property under any warrant of      6
                   execution or order (other than a property seizure order) while the person is in     7
                   premises in pursuance only of the authority conferred by this clause.               8

             (8)   In this clause:                                                                     9
                   authorised officer has the same meaning as it has in the Law Enforcement           10
                   (Powers and Responsibilities) Act 2002.                                            11
                   premises includes any structure, building, aircraft, vehicle, vessel or place      12
                   (whether built upon or not).                                                       13

       20   Power of person executing order or warrant to demand name and address                     14

             (1)   The Sheriff or other person executing an order or warrant under this Part may      15
                   require a person whom the Sheriff or other person suspects on reasonable           16
                   grounds to be the debtor to state his or her full name and residential address     17
                   and to produce evidence of his or her identity.                                    18

             (2)   A person is not required to comply with such a requirement unless the person       19
                   was warned on that occasion that a failure to comply is an offence.                20

             (3)   A person who, without reasonable excuse, fails to comply with such a               21
                   requirement is guilty of an offence.                                               22
                   Maximum penalty: 10 penalty units.                                                 23

       21   Electronic transmission of documents                                                      24

             (1)   The following directions, orders and warrants under this Part may be               25
                   transmitted electronically to the persons to whom they are given or directed:      26
                    (a) a property seizure order directed to the Sheriff,                             27
                   (b) a garnishee order, or a summons requiring a garnishee under such a             28
                         garnishee order to show cause, given to the Sheriff for service,             29
                    (c) an order for examination given to the Sheriff for service,                    30
                   (d) a warrant of apprehension directed to the Sheriff.                             31

             (2)   For the purpose of executing any such order or warrant, the Sheriff or other       32
                   officer to whom the order or warrant is so transmitted is to cause a copy of the   33
                   order or warrant to be converted into written form and to be endorsed with the     34
                   following words:                                                                   35
                   This document has been transmitted electronically by the Commissioner of           36
                   Fines Administration in accordance with clause 21 of Schedule 9 to the Health      37
                   Services Act 1997.                                                                 38


      Part 4       Suspension, withdrawal and cancellation of fee                                     39
                   recovery action                                                                    40

       22   Fee recovery action may be suspended                                                      41

             (1)   The Commissioner may make an order (a suspension order) for the                    42
                   suspension of fee recovery action in relation to an ambulance fee referred to      43




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                   the Commissioner by the Health Secretary if the Commissioner is satisfied                   1
                   that:                                                                                       2
                    (a) the person charged with the ambulance fee may be exempt from                           3
                         payment of the ambulance fee under Chapter 5A, or                                     4
                   (b) the matter should be referred back to the Health Secretary for some                     5
                         other reason.                                                                         6

             (2)   A suspension order must be made if the Health Secretary requests the making                 7
                   of the suspension order.                                                                    8

             (3)   A suspension order may be made:                                                             9
                   (a) before or after the making of a fee recovery order, and                                10
                   (b) on application or on the Commissioner's own initiative.                                11

             (4)   While a suspension order has effect:                                                       12
                   (a) a fee recovery order is not to be made in relation to the ambulance fee,               13
                         and                                                                                  14
                   (b) if a fee recovery order has already been made in relation to the                       15
                         ambulance fee, any fee recovery action already taken in relation to the              16
                         order is to be suspended.                                                            17

             (5)   Fee recovery action is to be suspended as follows:                                         18
                   (a) any property seizure order that has already been made in relation to the               19
                         ambulance fee that has not been executed is to be cancelled,                         20
                   (b) any garnishee order that has already been made in relation to the                      21
                         ambulance fee is to be cancelled.                                                    22

             (6)   However, any property obtained as a result of fee recovery action is not                   23
                   required to be returned, and a charge on land created under Part 3 need not be             24
                   cancelled, unless the relevant fee recovery order is withdrawn.                            25

             (7)   A suspension order has effect until the Commissioner revokes the suspension                26
                   order or the Health Secretary revokes the referral of the ambulance fee to the             27
                   Commissioner (whichever happens first).                                                    28
                   Note. The Commissioner must withdraw any fee recovery order that has been made             29
                   and reverse any fee recovery action taken if the referral of the fee to the Commissioner   30
                   is revoked.                                                                                31

             (8)   The Commissioner may revoke a suspension order only if the Health Secretary                32
                   requests the revocation of the suspension order.                                           33

             (9)   The Commissioner must give notice in writing of the making or revocation of                34
                   a suspension order:                                                                        35
                   (a) to the Health Secretary, and                                                           36
                   (b) to the Sheriff, but only if a property seizure order has already been made             37
                         in relation to the ambulance fee.                                                    38

            (10)   The suspension of fee recovery action does not prevent further fee recovery                39
                   action being taken after the suspension has ceased to have effect.                         40

       23   Withdrawal of order and reversal of fee recovery action                                           41

             (1)   The Commissioner may, on application or on the Commissioner's own                          42
                   initiative, withdraw a fee recovery order if satisfied that:                               43
                    (a) the person named in the fee recovery order is exempt from payment of                  44
                           an ambulance fee specified in the order under Chapter 5A, or                       45




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                   (b)    the person was not aware that a debt notice had been issued before the      1
                          fee recovery order was served, or                                           2
                   (c)    the person was otherwise hindered by accident, illness, misadventure or     3
                          other cause from taking action in relation to the debt notice, or           4
                   (d)    an ambulance fee to which it applies has previously been the subject of     5
                          a fee recovery order in respect of which any fee recovery action has        6
                          been taken, or                                                              7
                   (e)    the person named in the fee recovery order is not the person by whom        8
                          the ambulance fee is payable, or                                            9
                    (f)   the order was otherwise made in error.                                     10

             (2)   The Commissioner must withdraw a fee recovery order in relation to an             11
                   ambulance fee if the Health Secretary revokes the referral of the ambulance fee   12
                   to the Commissioner.                                                              13

             (3)   A fee recovery order may be withdrawn completely or only to the extent of         14
                   some of the amount or amounts to which it applies.                                15

             (4)   If a fee recovery order is withdrawn completely:                                  16
                    (a) the order then ceases to have effect, and                                    17
                   (b) any fee recovery action already taken is to be reversed, unless the same      18
                          recovery action is authorised under another fee recovery order, and        19
                    (c) fee recovery costs are not payable under the order and, if paid, are         20
                          repayable.                                                                 21

             (5)   If a fee recovery order is withdrawn only to the extent of some of the amount     22
                   or amounts to which it applies:                                                   23
                    (a) the order continues to have effect in respect of the remaining amount or     24
                          amounts to which it applies, and                                           25
                   (b) any amount that has been paid under the order is to be applied to             26
                          payment of the remaining amount or amounts to which it applies and         27
                          any fee recovery costs payable under the order.                            28

             (6)   The withdrawal of a fee recovery order does not prevent the making of a           29
                   further fee recovery order in respect of the ambulance fee.                       30

       24   Cancellation of fee recovery action generally                                            31

             (1)   The Commissioner may cancel any or all fee recovery action in respect of an       32
                   ambulance fee at any time for any good reason.                                    33

             (2)   The Commissioner cancels fee recovery action by cancelling a property             34
                   seizure order, garnishee order or charge on land in respect of the ambulance      35
                   fee.                                                                              36

             (3)   A property seizure order, garnishee order or charge on land under this Part is    37
                   taken to be cancelled on the payment of the ambulance fee concerned.              38

             (4)   The cancellation of a charge on land does not take effect until the               39
                   Registrar-General registers the cancellation of the charge.                       40

             (5)   The Commissioner must give the Health Secretary notice in writing of a            41
                   decision to cancel fee recovery action in respect of an ambulance fee.            42




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Schedule 1 Amendment of Health Services Act 1997 No 154



      Part 5       Hardship and time to pay                                                             1

       25   Cancellation of fee recovery action because of hardship                                     2

             (1)   The Commissioner may, on the application of a debtor or at the                       3
                   Commissioner's own discretion, cancel fee recovery action in respect of the          4
                   whole or part of an unpaid ambulance fee if satisfied that, due to any or all of     5
                   the financial, medical or personal circumstances of the debtor:                      6
                    (a) the debtor does not have sufficient means to pay the ambulance fee and          7
                          is not likely to have sufficient means to pay the ambulance fee, and          8
                   (b) fee recovery action has not been or is unlikely to be successful in              9
                          satisfying the ambulance fee.                                                10

             (2)   The Commissioner must cancel fee recovery action in respect of the whole or         11
                   part of an unpaid ambulance fee if directed to do so by the Hardship Review         12
                   Board.                                                                              13

             (3)   This section does not prevent the Commissioner from making a further fee            14
                   recovery order for an unpaid ambulance fee at any time within 5 years after the     15
                   fee recovery action is cancelled under this clause if:                              16
                    (a) the Health Secretary again refers the matter to the Commissioner for the       17
                          making of a fee recovery order, and                                          18
                   (b) the Commissioner is satisfied that the debtor has sufficient means to pay       19
                          the ambulance fee and that fee recovery action is likely to be successful    20
                          in satisfying the ambulance fee.                                             21

       26   Time to pay                                                                                22

             (1)   A debtor may apply to the Commissioner for time to pay an ambulance fee any         23
                   time after a fee recovery order is made.                                            24

             (2)   The Commissioner may, by order, allow further time to pay the ambulance fee         25
                   if satisfied the application is genuine and it appears expedient to do so.          26

             (3)   Section 100 of the Fines Act 1996 applies in relation to an order made under        27
                   this clause in the same way as it applies in relation to an order made under that   28
                   section.                                                                            29

       27   Functions of Hardship Review Board                                                         30

             (1)   The Hardship Review Board has the same functions with respect to ambulance          31
                   fees as it has with respect to fines under the Fines Act 1996.                      32

             (2)   Section 101B of the Fines Act 1996 applies in relation to reviews by the            33
                   Hardship Review Board under this Schedule in the same way as it applies in          34
                   relation to reviews by the Hardship Review Board under that Act.                    35

             (3)   The Hardship Review Board, a member of the Board, or a person otherwise             36
                   engaged in the administration of this clause, may disclose to the                   37
                   Commissioner, or any other person engaged in the administration of this             38
                   Schedule, information obtained in the administration of this clause.                39


      Part 6       Administration                                                                      40

       28   Form of notices                                                                            41

                   Any notice given by the Commissioner to the Health Secretary under this             42
                   Schedule may be given by post, by means of document exchange or by                  43
                   electronic transmission.                                                            44



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       29   Arrangements with Health Secretary                                                      1
             (1)   The Commissioner may enter into arrangements with the Health Secretary for       2
                   the payment to the Health Secretary of ambulance fees that are recovered         3
                   under this Schedule.                                                             4

             (2)   The arrangements may permit the Commissioner to deduct or retain from any        5
                   amount paid to the Health Secretary a fee or payment for services provided       6
                   under this Schedule.                                                             7

             (3)   An ambulance fee recovered under this Schedule is, when recovered, payable       8
                   in accordance with those arrangements.                                           9

             (4)   This clause does not affect the requirements of this Schedule with respect to   10
                   the payment of fee recovery costs.                                              11

       30   Delegation                                                                             12

             (1)   The Commissioner may delegate to any person employed in the Public Service      13
                   any function of the Commissioner under this Act, other than this power of       14
                   delegation.                                                                     15

             (2)   The Commissioner may delegate to any person any of the following functions      16
                   of the Commissioner:                                                            17
                   (a) the function of serving notice of a fee recovery order on a debtor,         18
                   (b) the function of serving (but not issuing) an order for examination.         19

       31   Exercise of enforcement functions                                                      20

             (1)   An enforcement function may be exercised by the Commissioner or by any          21
                   person employed in the Public Service who is authorised by the Commissioner     22
                   to exercise that function.                                                      23

             (2)   A person authorised to exercise enforcement functions is an enforcement         24
                   officer for the purposes of this Schedule.                                      25

             (3)   The Commissioner and any enforcement officers have, in the exercise of          26
                   enforcement functions, the same protection and immunities as officers of a      27
                   court.                                                                          28

             (4)   In this clause, enforcement function means a function of the Commissioner of    29
                   making or issuing an order or warrant under this Schedule.                      30

       32   Disclosure of information                                                              31

             (1)   The Commissioner, or any other person engaged in the administration of this     32
                   Schedule, may disclose personal information obtained in relation to a person    33
                   in the administration or execution of this Schedule or Chapter 5A:              34
                    (a) in connection with the administration or execution of this Schedule or     35
                          Chapter 5A (including for the purpose of the recovery of an ambulance    36
                          fee), or                                                                 37
                   (b) to the Health Secretary or a delegate of the Health Secretary for the       38
                          purposes of the administration or execution of Chapter 5A, or            39
                    (c) with the consent of the person to whom the information relates or at the   40
                          request of a person acting on behalf of the person to whom the           41
                          information relates, or                                                  42
                   (d) to the Hardship Review Board, or                                            43
                    (e) as authorised or required by or under this Act or any other Act or law.    44




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Schedule 1 Amendment of Health Services Act 1997 No 154



             (2)   Without limiting subclause (1) (a), personal information may be disclosed to       1
                   an employer or past employer of a debtor for the purposes of the                   2
                   administration, enforcement or execution of a garnishee order.                     3

             (3)   A person engaged in the administration of this Schedule must not disclose any      4
                   personal information obtained in relation to any person in the administration      5
                   or execution of this Schedule or Chapter 5A except as authorised or required       6
                   by this Act or any other Act or law.                                               7
                   Maximum penalty: 100 penalty units.                                                8

             (4)   In this clause:                                                                    9
                   personal information means personal information under the Privacy and             10
                   Personal Information Protection Act 1998 or personal information that is          11
                   health information under the Health Records and Information Privacy Act           12
                   2002.                                                                             13

       33   Administrative provisions of Fines Act 1996 apply                                        14

             (1)   The administrative provisions of the Fines Act 1996 apply in respect of the       15
                   exercise of functions under this Schedule in the same way as they apply in        16
                   respect of the exercise of functions under that Act.                              17

             (2)   In this clause, the administrative provisions of the Fines Act 1996 are:          18
                    (a) section 102, and                                                             19
                   (b) Part 8, except sections 116A, 116B, 117A and 117B.                            20

       34   Interpretation of Fines Act 1996 provisions that are applied by this Schedule            21

             (1)   A provision of this Schedule that applies a provision of the Fines Act 1996 is    22
                   to be read subject to the modifications set out in this clause and to any other   23
                   modifications necessary or required under this Act.                               24

             (2)   For the purposes of any such provision, a reference in the Fines Act 1996:        25
                   (a) to the Fines Act 1996 or a provision of that Act includes a reference to      26
                         this Schedule or a corresponding provision of this Schedule, and            27
                   (b) to a fine, fine defaulter or fine enforcement order includes a reference      28
                         to an ambulance fee, debtor or fee recovery order respectively, and         29
                   (c) to enforcement action or other action in respect of a fine includes a         30
                         reference to fee recovery action or other action in respect of an           31
                         ambulance fee, and                                                          32
                   (d) to the writing off of an unpaid fine includes a reference to the              33
                         cancellation of fee recovery action in respect of an unpaid ambulance       34
                         fee, and                                                                    35
                   (e) to an order under that Act includes a reference to a corresponding order      36
                         under this Schedule, and                                                    37
                    (f) to an authorised officer under that Act includes a reference to an           38
                         enforcement officer under this Schedule, and                                39
                   (g) to the regulations under that Act includes a reference to the regulations     40
                         under this Schedule, and                                                    41
                   (h) to a person engaged in the administration of that Act includes a              42
                         reference to a person engaged in the administration of this Schedule.       43

             (3)   References to work and development orders and combined payment                    44
                   arrangements are to be disregarded.                                               45




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Schedule 2 Amendment of other Acts



Schedule 2            Amendment of other Acts                          1


2.1 Fines Act 1996 No 99                                               2

      Section 115 Use of name "State Debt Recovery"                    3

      Insert "or any other Act" after "Act" in section 115 (4).        4

2.2 Law Enforcement (Powers and Responsibilities) Act 2002 No 103      5

      Schedule 2 Search warrants under other Acts                      6

      Insert in alphabetical order:                                    7

                   Health Services Act 1997, clause 19 of Schedule 9   8




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