{"id":"tas:sr-2017-067","name":"Health (Fees) Regulations 2017","slug":"health-fees-regulations-2017","collection":"regulation","jurisdiction":"tas","status":"in_force","isInForce":true,"actNumber":"67 of 2017","makingDate":null,"administeringDepartment":null,"currentVersion":{"id":186159,"registerId":"tas-tas:sr-2017-067-current","compilationNumber":null,"startDate":"2026-04-05","status":"InForce","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Short title","content":"### 1 Short title\n\n> These regulations may be cited as the [Health (Fees) Regulations 2017](/view/html/inforce/2026-04-12/sr-2017-067) .","sortOrder":0},{"sectionNumber":"2","sectionType":"section","heading":"Commencement","content":"### 2 Commencement\n\n> These regulations take effect on 17 October 2017.","sortOrder":1},{"sectionNumber":"3","sectionType":"section","heading":"Interpretation","content":"### 3 Interpretation\n\n> In these regulations –[*\\[Regulation 3 Amended by No. 23 of 2022, s. 15, Applied:24 Oct 2022\\]*](/view/html/inforce/2022-10-24/act-2022-023#GS15@Hpa@EN)\n> \n> > ***compensable patient*** means an admitted patient, or a non-admitted patient, who is receiving care or treatment for an injury, illness or disease for which he or she –\n> > \n> > > > (a) has received or established his or her right to receive payment for care or treatment by way of a settled or unsettled claim for compensation or damages under –\n> > > > \n> > > > > > (i) a law that is or has been in force in a State or a Territory; or\n> > > > > \n> > > > > > (ii) the [Workers Rehabilitation and Compensation Act 1988](/view/html/inforce/2026-04-12/act-1988-004) ; or\n> > > > > \n> > > > > > (iii) the [Asbestos-Related Diseases (Occupational Exposure) Compensation Act 2011](/view/html/inforce/2026-04-12/act-2011-029) ; or\n> > > > > \n> > > > > > (iv) the [Motor Accidents (Liabilities and Compensation) Act 1973](/view/html/inforce/2026-04-12/act-1973-071) ; or\n> > > \n> > > > (b) on attendance at a public hospital, appears to have the right to receive a payment referred to in [paragraph (a)](#GS3@Nd37418476712963@Hpa@EN) ;\n> \n> > ***day-admitted patient*** has the same meaning as in the Pharmaceutical Reform Agreement, dated 21 December 2010, in force between the Commonwealth and the State, as amended from time to time;\n> \n> > ***diagnostic imaging services table*** means the table prescribed under section 4AA of the Commonwealth Act;\n> \n> > ***EFC arrangement*** means the National Health (Efficient Funding of Chemotherapy) Special Arrangement 2011 made under section 100(1) of the *National Health Act 1953* of the Commonwealth, relating to pharmaceuticals specified in the Schedule of Pharmaceutical Benefits Efficient Funding of Chemotherapy supplement as amended or substituted from time to time;\n> \n> > ***general medical services table*** means the table prescribed under section 4 of the Commonwealth Act;\n> \n> > ***Health Care Card*** means a health care card –\n> > \n> > > > (a) within the meaning of the *Social Security Act 1991* of the Commonwealth; and\n> > > \n> > > > (b) issued to a person eligible under that Act;\n> \n> > ***hospital*** means a public hospital or a private hospital;\n> \n> [*\\[Regulation 3 Amended by No. 23 of 2022, s. 15, Applied:24 Oct 2022\\]*](/view/html/inforce/2022-10-24/act-2022-023#GS15@Hpb@EN)\n> \n> > ***ineligible person*** means a person who is not an eligible person;\n> \n> [*\\[Regulation 3 Amended by No. 23 of 2022, s. 15, Applied:24 Oct 2022\\]*](/view/html/inforce/2022-10-24/act-2022-023#GS15@Hpc@EN)\n> \n> > ***nursing-home-type patient*** – see regulation 4;\n> \n> > ***pathology services table*** means the table prescribed under section 4A of the Commonwealth Act;\n> \n> > ***Pensioner Concession Card*** means a pensioner concession card –\n> > \n> > > > (a) within the meaning of the *Social Security Act 1991* of the Commonwealth; and\n> > > \n> > > > (b) issued to a person eligible under that Act;\n> \n> > ***private hospital*** means a private hospital within the meaning of the Commonwealth Act;\n> \n> > ***public hospital*** means a hospital maintained and operated by the State;\n> \n> > ***public patient*** means an eligible person who receives or elects to receive a public hospital service, free of charge;\n> \n> > ***Seniors Health Card*** means a seniors health card –\n> > \n> > > > (a) within the meaning of the *Social Security Act 1991* of the Commonwealth; and\n> > > \n> > > > (b) issued to a person eligible under that Act.","sortOrder":2},{"sectionNumber":"4","sectionType":"section","heading":"Meaning of nursing-home-type patient","content":"### 4 Meaning of nursing-home-type patient\n\n> > (1)  For the purposes of these regulations, a person is a nursing-home-type patient on a day if he or she is in a public hospital being provided with accommodation and nursing care on that day and the day is a chargeable day.\n> \n> > (2)  For the purposes of [subregulation (1)](#GS4@Gs1@EN) , a person is in a public hospital being provided with accommodation and nursing care on a day that is a chargeable day if he or she is a patient in a public hospital being provided with accommodation and nursing care on that day and the day –\n> > \n> > > > (a) occurs in a continuous period of more than 35 days in which the patient is in a hospital being provided with accommodation and nursing care; and\n> > > \n> > > > (b) is not a day in the first 35 days of that continuous period; and\n> > > \n> > > > (c) is not a day to which relates a certificate from a medical practitioner to the effect that the patient is in need of acute care.\n> \n> > (3)  For the purpose of ascertaining whether a patient is in a public hospital being provided with accommodation and nursing care on a day that occurs in a continuous period, there is to be taken into account –\n> > \n> > > > (a) any period, during which that patient was provided with accommodation and nursing care as a patient in that hospital, or in another hospital, that occurs before that day and that forms one continuous period with that day; or\n> > > \n> > > > (b) if there are 2 or more periods, during which that patient was provided with accommodation and nursing care as a patient in that hospital, or in another hospital, that occur before that day and that form one continuous period with one another and with that day – those earlier periods.\n> \n> > (4)  For the purposes of [subregulation (3)(a)](#GS4@Gs3@Hpa@EN) and [(b)](#GS4@Gs3@Hpb@EN) , 2 periods –\n> > \n> > > > (a) that are periods during which a patient isprovided with accommodation and nursing care as a patient in a hospital (whether or not the same hospital); and\n> > > \n> > > > (b) that are separated from each other by a period of not more than 7 days during which the patient was not provided with accommodation and nursing care as a patient in any hospital –\n> > \n> > are to be taken to form one continuous period with one another.","sortOrder":3},{"sectionNumber":"5","sectionType":"section","heading":"Fees for non-nursing-home-type patients","content":"### 5 Fees for non-nursing-home-type patients\n\n> > (1)  The fees specified in [Parts 1](#JS1@HS1@EN) , [2](#JS1@HS2@EN) and [4](#JS1@HS4@EN) of Schedule 1 are prescribed as the fees payable by or on behalf of a person for hospital services provided to the person in a public hospital on a day on which the person is not a nursing-home-type patient.\n> \n> > (2)  The fees specified in Part 3 of Schedule 1 are prescribed as the fees payable by or on behalf of a person for pharmaceutical items supplied to the person in a public hospital on a day on which the person is not a nursing-home-type patient.","sortOrder":4},{"sectionNumber":"6","sectionType":"section","heading":"Fees for nursing-home-type patients","content":"### 6 Fees for nursing-home-type patients\n\n> The fees specified in Schedule 2 are prescribed as the fees payable by or on behalf of a patient for hospital services provided in a public hospital to the patient on a day on which the patient is a nursing-home-type patient.","sortOrder":5},{"sectionNumber":"7","sectionType":"section","heading":"Fees for surgically implanted prostheses","content":"### 7 Fees for surgically implanted prostheses\n\n> > (1)  In this regulation –\n> > \n> > > ***gap-permitted prosthesis*** means a gap-permitted prosthesis within the meaning of the *Private Health Insurance (Prostheses) Rules (No. 1) 2017* of the Commonwealth;\n> > \n> > > ***no-gap prosthesis*** means a no-gap prosthesis within the meaning of the *Private Health Insurance (Prostheses) Rules (No. 1) 2017* of the Commonwealth.\n> \n> > (2)  The fees payable by or on behalf of a person for providing the person in a public hospital with –\n> > \n> > > > (a) a surgically implanted prosthesis that is a no-gap prosthesis, is an amount not exceeding the minimum amount specified in relation to the no-gap prosthesis in the Schedule to the *Private Health Insurance (Prostheses) Rules (No. 1) 2017* of the Commonwealth; or\n> > > \n> > > > (b) a surgically implanted prosthesis that is a gap-permitted prosthesis, is an amount not exceeding the maximum amount specified in relation to the gap-permitted prosthesis in the Schedule to the *Private Health Insurance (Prostheses) Rules (No. 1) 2017* of the Commonwealth.","sortOrder":6},{"sectionNumber":"8","sectionType":"section","heading":"Fees for dental services","content":"### 8 Fees for dental services\n\n> > (1)  In this regulation –\n> > \n> > > ***prescribed fee schedule*** means the Fee Schedule of Dental Services for Dentists and Dental Specialists published by the department administering the *Veterans’ Entitlements Act 1986* of the Commonwealth on 1 November 2010, as amended or substituted from time to time.\n> \n> > (2)  The fees payable by or on behalf of a person for dental services provided to the person in a public hospital are –\n> > \n> > > > (a) for a person who holds a valid Health Care Card or Pensioner Concession Card, the greater of the following:\n> > > > \n> > > > > > (i) [*\\[Regulation 8 Subregulation (2) amended by S.R. 2018, No. 30, Applied:01 Jul 2018\\]*](/view/html/inforce/2018-07-01/sr-2018-030#GS4@EN) [*\\[Regulation 8 Subregulation (2) amended by S.R. 2019, No. 40, Applied:01 Jul 2019\\]*](/view/html/inforce/2019-07-01/sr-2019-040#GS4@EN) [*\\[Regulation 8 Subregulation (2) amended by S.R. 2025, No. 7, Applied:26 Mar 2025\\]*](/view/html/inforce/2025-03-26/sr-2025-007#GS4@EN) $47;\n> > > > > \n> > > > > > (ii) 40% of the fees set out in relation to the dental services in the prescribed fee schedule; or\n> > > \n> > > > (b) for any other person, 100% of the fees set out in relation to the dental services in the prescribed fee schedule.","sortOrder":7},{"sectionNumber":"9","sectionType":"section","heading":"Fees not payable by certain asylum seekers","content":"### 9 Fees not payable by certain asylum seekers\n\n> > (1)  In this regulation –\n> > \n> > > ***medicare-ineligible asylum seeker*** means a person who –\n> > > \n> > > > > (a) has applied for a protection visa under the *Migration Act 1958* of the Commonwealth and whose application has not been withdrawn or finally determined in accordance with that Act; and\n> > > > \n> > > > > (b) is not entitled to medicare benefits under the Commonwealth Act; and\n> > > > \n> > > > > (c) is not entitled to a pension, benefit or allowance under the *Social Security Act 1991* of the Commonwealth; and\n> > > > \n> > > > > (d) is not permitted under the conditions of the person's visa granted under the *Migration Act 1958* of the Commonwealth to engage in work in Australia;\n> > \n> > > ***protection visa*** means a permanent or temporary visa included in a class of visas under Part 4 of Schedule 1 to the *Migration Regulations 1994* of the Commonwealth.\n> \n> > (2)  A medicare-ineligible asylum seeker is not required to pay a fee prescribed by these regulations for any facility or service provided by or on behalf of the State.","sortOrder":8},{"sectionNumber":"SCHEDULE 1 - Fees payable by n","sectionType":"part","heading":"SCHEDULE 1 - Fees payable by non-nursing-home-type patients","content":"# SCHEDULE 1 - Fees payable by n SCHEDULE 1 - Fees payable by non-nursing-home-type patients\n\n[Regulation 5](#GS5@EN)","sortOrder":9},{"sectionNumber":"Part 1","sectionType":"part","heading":"Admitted patients","content":"# Part 1 Admitted patients\n\n[*\\[Part 1 of Schedule 1 Substituted by S.R. 2018, No. 30, Applied:01 Jul 2018\\]*](/view/html/inforce/2018-07-01/sr-2018-030#GS5@EN) [*\\[Part 1 of Schedule 1 Substituted by S.R. 2019, No. 40, Applied:01 Jul 2019\\]*](/view/html/inforce/2019-07-01/sr-2019-040#GS5@EN) [*\\[Part 1 of Schedule 1 Substituted by S.R. 2020, No. 60, Applied:30 Sep 2020\\]*](/view/html/inforce/2020-09-30/sr-2020-060#GS4@Hpa@EN) [*\\[Part 1 of Schedule 1 Substituted by S.R. 2021, No. 46, Applied:01 Jul 2021\\]*](/view/html/inforce/2021-07-01/sr-2021-046#GS4@Hpa@EN) [*\\[Part 1 of Schedule 1 Amended by S.R. 2022, No. 39, Applied:01 Jul 2022\\]*](/view/html/inforce/2022-07-01/sr-2022-039#GS4@Hpa@EN) [*\\[Part 1 of Schedule 1 Amended by S.R. 2023, No. 49, Applied:01 Jul 2023\\]*](/view/html/inforce/2023-07-01/sr-2023-049#GS4@Hpa@EN) [*\\[Part 1 of Schedule 1 Amended by S.R. 2024, No. 29, Applied:01 Jul 2024\\]*](/view/html/inforce/2024-07-01/sr-2024-029#GS4@Hpa@EN) [*\\[Part 1 of Schedule 1 Substituted by S.R. 2025, No. 31, Applied:01 Jul 2025\\]*](/view/html/inforce/2025-07-01/sr-2025-031#GS4@EN)\n\n| Item | Service provided | Fee |  |\n|  |  | Shared ward (each day) | Single ward (each day) |\n| 1. | For a patient other than a public patient who is an eligible person and who is – |  |  |\n|  | (a) an advanced surgical patient – |  |  |\n|  | (i) the first 14 days | $540 | $811 |\n|  | (ii) each subsequent day | $376 | $635 |\n|  | (b) a surgical/obstetric patient – |  |  |\n|  | (i) the first 14 days | $501 | $779 |\n|  | (ii) each subsequent day | $376 | $635 |\n|  | (c) a psychiatric patient – |  |  |\n|  | (i) the first 42 days | $501 | $779 |\n|  | (ii) the next 23 days | $435 | $696 |\n|  | (iii) each subsequent day | $376 | $635 |\n|  | (d) a rehabilitation patient – |  |  |\n|  | (i) the first 49 days | $501 | $779 |\n|  | (ii) the next 16 days | $435 | $696 |\n|  | (iii) each subsequent day | $376 | $635 |\n|  | (e) a same-day patient – |  |  |\n|  | Band 1: Gastro-intestinal endoscopy, certain minor surgical items and non-surgical procedures that do not normally require an anaesthetic | $314 | - |\n|  | Band 2: Procedures (other than Band 1) carried out under local anaesthetic, no sedation, if actual time in theatre is less than one hour | $375 | - |\n|  | Band 3: Procedures (other than Band 1) carried out under general or regional anaesthetic or intravenous sedation, if actual time in theatre is less than one hour | $432 | - |\n|  | Band 4: Procedures carried out under general or regional anaesthetic or intravenous sedation, if actual time in theatre is one hour or more | $501 | - |\n|  | (f) any other patient – |  |  |\n|  | (i) the first 14 days | $435 | $696 |\n|  | (ii) each subsequent day | $376 | $635 |\n| 2. | For an admitted patient who is a compensable patient | $1 198 | - |\n| 3. | For a person whose injury or disease is one for which the Defence Forces of the Commonwealth accept responsibility | $521 | - |\n| 4. | For an ineligible person who is a non-resident of Australia and who is – |  |  |\n|  | (a) a same-day patient | $2 591 |  |\n|  | (b) an overnight patient | $3 052 |  |\n|  | (c) a Coronary Care Unit patient | $5 503 |  |\n|  | (d) an Intensive Care Unit patient | $7 921 |  |\n|  | (e) a Neonatal Intensive Care Unit patient | $7 921 | - |\n|  | (f) a High Dependency Unit patient | $4 543 |  |\n|  | (g) a Neonatal Special Care Nursery patient | $4 543 | - |\n|  | (h) a sub-acute care patient | $1 797 |  |\n|  | (i) a non-acute (maintenance) care patient | $1 300 | - |\n| 5. | For a person receiving a medical service specified in the general medical services table | the fee specified in that table for that service (in addition to any fee payable under item 1, 2, 3 or 4 of this Part) |  |\n| 6. | For a person receiving a pathology service specified in the pathology services table | the fee specified in that table for that service (in addition to any fee payable under item 1, 2, 3, 4 or 5 of this Part) |  |\n| 7. | For a person receiving a diagnostic imaging service specified in the diagnostic imaging services table | the fee specified in that table for that service (in addition to any fee payable under item 1, 2, 3, 4, 5 or 6 of this Part) |  |","sortOrder":10},{"sectionNumber":"Part 2","sectionType":"part","heading":"Non-admitted patients","content":"# Part 2 Non-admitted patients\n\n[*\\[Part 2 of Schedule 1 Substituted by S.R. 2018, No. 30, Applied:01 Jul 2018\\]*](/view/html/inforce/2018-07-01/sr-2018-030#GS5@EN) [*\\[Part 2 of Schedule 1 Substituted by S.R. 2019, No. 40, Applied:01 Jul 2019\\]*](/view/html/inforce/2019-07-01/sr-2019-040#GS5@EN) [*\\[Part 2 of Schedule 1 Amended by S.R. 2020, No. 60, Applied:30 Sep 2020\\]*](/view/html/inforce/2020-09-30/sr-2020-060#GS4@Hpb@EN) [*\\[Part 2 of Schedule 1 Amended by S.R. 2021, No. 46, Applied:01 Jul 2021\\]*](/view/html/inforce/2021-07-01/sr-2021-046#GS4@Hpb@EN) [*\\[Part 2 of Schedule 1 Amended by S.R. 2022, No. 39, Applied:01 Jul 2022\\]*](/view/html/inforce/2022-07-01/sr-2022-039#GS4@Hpb@EN) [*\\[Part 2 of Schedule 1 Amended by S.R. 2023, No. 49, Applied:01 Jul 2023\\]*](/view/html/inforce/2023-07-01/sr-2023-049#GS4@Hpb@EN) [*\\[Part 2 of Schedule 1 Amended by S.R. 2024, No. 29, Applied:01 Jul 2024\\]*](/view/html/inforce/2024-07-01/sr-2024-029#GS4@Hpb@EN) [*\\[Part 2 of Schedule 1 Substituted by S.R. 2025, No. 31, Applied:01 Jul 2025\\]*](/view/html/inforce/2025-07-01/sr-2025-031#GS4@EN)\n\n| Item | Service provided | Fee |\n| 1. | For a non-admitted patient who is a compensable patient | $121 (per service) |\n| 2. | For a non-admitted patient who is – |  |\n|  | (a) an ineligible person and a non-resident of Australia | $392 (per service) |\n|  | (b) an ineligible person, and a non-resident of Australia, who attends an emergency department | $684 (per service) |\n| 3. | For a person whose injury or disease is one for which the Defence Forces of the Commonwealth accept responsibility | $121 (per service) |\n| 4. | For a person receiving a medical service specified in the general medical services table | the fee specified in that table for that service (in addition to any fee payable under item 1 of this Part) |\n| 5. | For a person receiving a pathology service specified in the pathology services table | the fee specified in that table for that service (in addition to any fee payable under item 1 or 3 of this Part) |\n| 6. | For a person receiving a diagnostic imaging service specified in the diagnostic imaging services table | the fee specified in that table for that service (in addition to any fee payable under item 1, 3 or 4 of this Part) |\n| 7. | For the provision of a non-consumable aid or appliance or orthotic services to – |  |\n|  | (a) a person who holds a valid Health Care Card, Pensioner Concession Card or Seniors Health Card | no fee |\n|  | (b) any other person | the cost of both providing the item and the service |","sortOrder":11},{"sectionNumber":"Part 3","sectionType":"part","heading":"Supply of pharmaceutical items","content":"# Part 3 Supply of pharmaceutical items\n\n| Item | Service provided | Fee |\n| 1. | For the supply of a pharmaceutical item, specified in the EFC arrangement, to an eligible person who is a day-admitted patient or a non-admitted patient | the fee for that pharmaceutical item as specified in the EFC arrangement |\n| 2. | For the supply of a pharmaceutical item to an eligible person who is not an admitted patient | the fee specified in section 87 of the National Health Act 1953 of the Commonwealth, as adjusted from time to time under section 99G of that Act |\n| 3. | For the supply of a pharmaceutical item to a compensable patient or an ineligible person | the cost of providing the item |\n|  |  |  |","sortOrder":12},{"sectionNumber":"Part 4","sectionType":"part","heading":"Other services","content":"# Part 4 Other services\n\n| Item | Service provided | Fee |\n| 1. | For the provision of an appliance, aid, plaster cast, custom or customised footwear, splint, limb, prosthetic or orthotic service to a person – | the cost of providing the item or service |\n|  | (a) who is not a public patient; and |  |\n|  | (b) who is not eligible for assistance in respect of the provision of such aids and appliances under a program administered by the Department; and |  |\n|  | (c) who is referred to a public hospital or public healthcare facility by a medical, nursing or allied health professional |  |","sortOrder":13},{"sectionNumber":"SCHEDULE 2 - Fees payable by n","sectionType":"part","heading":"SCHEDULE 2 - Fees payable by nursing-home-type patients","content":"# SCHEDULE 2 - Fees payable by n SCHEDULE 2 - Fees payable by nursing-home-type patients\n\nRegulation 6\n\n> **1.   **Interpretation****\n> \n> > In this Schedule –\n> > \n> > > ***prescribed formula***, in relation to the calculation of a payable fee, means –\n> > > \n> > > > > (a) in the case of the patient contribution payable by all nursing-home-type patients, the following formula:\n> > > > > \n> > > > > [![graphic image](/image/hlthf052.gif)](/image/hlthf052.gif)\n> > > > > \n> > > > > | where – |  |\n> > > > > | \"F\" | is the fee rounded down to the nearest 5 cents; |\n> > > > > | \"B\" | is the daily equivalent of the maximum basic rate of age pension prescribed for the purposes of section 1064 of the Social Security Act 1991 of the Commonwealth plus the maximum rate of rent assistance prescribed for the purposes of that section of that Act; and |\n> > > > \n> > > > > (b) in the case of the default benefit payable by health funds on behalf of their privately insured contributors, the following formula:\n> > > > > \n> > > > > [![graphic image](/image/hlthf051.gif)](/image/hlthf051.gif)\n> > > > > \n> > > > > | where – |  |\n> > > > > | \"F\" | is the fee rounded down to the nearest 5 cents; |\n> > > > > | \"B\" | is the daily equivalent of the maximum basic rate of age pension prescribed for the purposes of section 1064 of the Social Security Act 1991 of the Commonwealth plus the maximum rate of rent assistance prescribed for the purposes of that section of that Act. |\n\n> **2.   **Fees payable by nursing-home-type patients in public hospitals****\n> \n> > The fee payable for hospital services for each day that a nursing-home-type patient is an admitted patient in a public hospital is to be calculated in accordance with the prescribed formula.\n\nDisplayed and numbered in accordance with the *[Rules Publication Act 1953](/view/html/inforce/current/act-1953-050)*.\n\nNotified in the *Gazette* on 17 October 2017\n\nThese regulations are administered in the Department of Health and Human Services.","sortOrder":14}],"analysis":{"flash_summary":{"complexity_score":6,"scope_assessment":{"changed":true,"description":"The instrument as published has been amended multiple times: definitions and key Parts have been varied or substituted (see Reg 3 amendment notes and repeated substitutions/amendments to Schedule 1 Parts and Reg 8). Amendments updated fee tables, introduced or clarified categories (e.g. ineligible persons, compensable patients), and added the Schedule 2 formula linking nursing‑home‑type fees to Social Security pension/rent‑assistance rates."},"complexity_factors":["Multiple patient categories with different charging rules (non‑nursing vs nursing‑home‑type; admitted vs non‑admitted; compensable; ineligible non‑residents) (Regs 4–6; Schs 1–2).","Extensive cross‑references to Commonwealth instruments and fee tables (general medical services table, pathology and diagnostic imaging tables, EFC arrangement, Private Health Insurance Rules) (Reg 3; Sch 1 Pt 1 items 5–7; Reg 7; Sch 1 Pt 3).","Schedule 2 uses a numeric formula linked to Social Security Act pension rates to calculate daily patient contributions and insurer default benefits (Sch 2 cl 1).","Tiered schedules with time‑dependent bands and ward‑type differentials (e.g. first 14 days vs subsequent days; shared vs single ward) increase billing rules complexity (Sch 1 Pt 1).","Frequent historical amendments and substituted Parts noted in the instrument increase interpretive and compliance risk (amendment notes to Reg 3 and Sch 1 Parts).","Discrete pricing methods (fixed fees, percentage of external fee schedules, cost‑recovery for some items) require different data sources and accounting treatments (Sch 1 Pts 2–4; Reg 8).","Continuity rules for defining nursing‑home‑type patients (7‑day gap rule; 35‑day threshold; acute‑care certificate exception) create factual determinations hospitals must apply (Reg 4).","Exemptions (medicare‑ineligible asylum seekers) and special categories (Defence responsibility; compensable patients) create administrative checks and documentation burdens (Reg 9; Sch 1 Pt 1 items 2–3)."],"plain_english_summary":"Prescribes the fees payable for public hospital services in the State by setting specific daily and per-service charges and by distinguishing nursing‑home‑type patients from other admitted and non‑admitted patients (Regs 5–6; Schedules 1–2). Some fees are fixed, others reference Commonwealth fee tables or price‑setting rules, and a formula ties nursing‑home‑type contributions to age‑pension rates (Sch 2).\n\nWho pays: patients, insurers or compensating parties as specified; certain medicare‑ineligible asylum seekers are exempt (Reg 9). This determines hospital billing, eligibility rules and administrative billing complexity."},"kimi_summary":{"content_quality":"ok","complexity_score":6,"scope_assessment":{"changed":false,"description":"The legislation appears consistent with its original purpose of setting hospital fees. While there have been numerous amendments updating fee amounts (as noted in the amendment history), the core structure and scope remain focused on hospital fee regulation. The addition of the asylum seeker exemption (Regulation 9) represents a policy expansion but within the existing framework of fee-setting."},"complexity_factors":["Multiple patient categories with different fee structures (public, private, compensable, ineligible, nursing-home-type, asylum seekers)","Extensive cross-referencing to Commonwealth legislation (National Health Act 1953, Social Security Act 1991, Migration Act 1958, Private Health Insurance Prostheses Rules)","Complex definition of 'nursing-home-type patient' involving 35-day continuous periods, certificates of acute care need, and 7-day gap rules for calculating continuity","Nested conditional logic in fee tables (different rates for first 14 days vs subsequent days, different surgical bands, different ward types)","Formula-based fee calculation in Schedule 2 referencing external pension rates","Multiple amendment references indicating frequent updates to fee amounts","Incorporation by reference of external documents (Pharmaceutical Reform Agreement, EFC arrangement, Veterans' Affairs dental fee schedule, Commonwealth medical services tables)"],"plain_english_summary":"These regulations set out the fees that people must pay when they receive healthcare services at public hospitals in Tasmania (this appears to be Tasmanian legislation based on the specific Acts referenced, such as the Workers Rehabilitation and Compensation Act 1988 and Motor Accidents Act 1973, which are Tasmanian statutes).\n\n**Who it affects:**\n- **Public patients**: Eligible people who choose to receive free public hospital services (they pay no fees under these regulations)\n- **Private patients**: People with private health insurance or who choose to pay for services, including:\n  - Admitted patients staying overnight or for day surgery\n  - Non-admitted patients visiting emergency departments or outpatient clinics\n- **Compensable patients**: People receiving treatment for injuries covered by workers compensation, motor accident claims, or asbestos-related disease compensation\n- **Nursing-home-type patients**: Long-stay patients in hospital who no longer need acute medical care but remain in hospital for accommodation and nursing care (typically after 35+ days)\n- **Ineligible persons**: Overseas visitors and others not entitled to Medicare\n- **Medicare-ineligible asylum seekers**: Specific category of asylum seekers who are exempt from all fees\n\n**What it does:**\n- **Sets daily fees** for hospital accommodation based on patient type (surgical, psychiatric, rehabilitation, etc.) and room type (shared or single)\n- **Charges higher fees** for compensable patients and overseas visitors\n- **Caps fees** for surgically implanted prostheses (like hip replacements or pacemakers) at rates set by Commonwealth private health insurance rules\n- **Sets dental fees** at reduced rates for concession card holders\n- **Exempts certain asylum seekers** from all fees if they have applied for protection visas, aren't eligible for Medicare, and aren't allowed to work\n- **Calculates fees for long-stay patients** (nursing-home-type patients) using a formula based on the age pension rate\n\n**Why it matters:**\nThese regulations determine how much people pay when they use public hospitals. They balance universal access (public patients pay nothing) with cost recovery from those who can pay—particularly private patients, insurance companies, and workers compensation schemes. The nursing-home-type patient rules are particularly important because they prevent people from staying in expensive acute hospital beds indefinitely when they need residential care instead."},"flash_summary_failed":{"failed":true,"reason":"Unauthenticated. Configure AI_GATEWAY_API_KEY or use a provider module. Learn more: https://ai-sdk.dev/unauthenticated-ai-gateway","source":"analysis-cron"},"issue_detection":{"absurdities":[],"contradictions":[]},"summary":{"complexity_score":2,"scope_assessment":{"changed":false,"description":"Based on the available information, this regulation appears to remain within its original intended scope — prescribing fees for health-related matters under Tasmanian health legislation. The annual update to fee amounts (as of 1 July 2025) is standard practice and does not represent a change in scope."},"complexity_factors":["The regulation is a straightforward fees schedule instrument — typically one of the simplest forms of delegated legislation (laws made under a parent Act)","Complexity is minimal as fee regulations generally consist of tables listing services and corresponding dollar amounts with little interpretive ambiguity","The full text with actual fee schedules was not provided, which limits full assessment — hidden complexity may exist in how fees interact with the parent Health Act provisions","Periodic amendments mean users must verify currency, adding a minor practical complexity"],"plain_english_summary":"The Health (Fees) Regulations 2017 (Tasmania) sets the legally binding schedule of government fees for health-related services, licences, registrations and applications administered by the state health department. It affects anyone in Tasmania who must pay a fee under those health laws.\n\nThis version took effect 1 July 2025 (aligning with the usual annual/CPI update). It matters because agencies can only charge the listed amounts and the schedule is subject to amendment, so check the current regulation for precise fees."}},"importantCases":[],"_links":{"self":"/api/acts/health-fees-regulations-2017","history":"/api/acts/health-fees-regulations-2017/history","analysis":"/api/acts/health-fees-regulations-2017/analysis","conflicts":"/api/acts/health-fees-regulations-2017/conflicts","importantCases":"/api/acts/health-fees-regulations-2017/important-cases","documents":"/api/acts/health-fees-regulations-2017/documents"}}