{"id":"F2007B00445","name":"Health Insurance Determination HS/4/1998","slug":"health-insurance-determination-hs-4-1998","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"repealed","isInForce":false,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":62303,"registerId":"commonwealth-F2007B00445-current","compilationNumber":null,"startDate":"2026-04-02","status":"Repealed","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Health Insurance Determination HS/4/1998","content":"Commonwealth of Australia\n\nHealth Insurance Act 1973\n\nHealth Insurance Determination HS/4/1998\n\nI, MICHAEL RICHARD LEWIS WOOLDRIDGE, Minister for Health and Family Services, make this Determination under subsection 3C(1) of the Health Insurance Act 1973.\n\nDated 23 November 1998\n\nMICHAEL WOOLDRIDGE\n\nMinister for Health and Family Services\n\nCitation\n\n1. This determination may be cited as the Health Insurance Determination HS/4/l998.\n\nCommencement\n\n2. This determination shall come into effect on and from the date of this determination.\n\nHealth services\n\n3.(1) A health service mentioned in the Schedule to this determination is treated as if it were\n\na professional service and a medical service for the following provisions:\n\n(a) Schedule 1 to the National Health Act 1953;\n\n(b) subsections 3(1) and 19(6) and sections 8, 9, l0, 14, 15, 16, 17, 18, 20, 20A, 20B  \nand 20BA of the Health Insurance Act 1973; and\n\n(c) regulations 13, 27, 28, 29, 30 and 31 of the Health Insurance Regulations.\n\n(2) A health service mentioned in the Schedule to this determination is treated as if it were  \nrelated to an item in the general medical services table that specifies the fee mentioned  \nin the Schedule for the health service.\n\n  \n\nSCHEDULE TO DETERMINATION HS/4/1998\n\nUNDER SUBSECTION 3C(l) OF THE\n\nHEALTH INSURANCE ACT 1973\n\nColumn 1 Column 2 Column 3\n\nItem No. Health Service Fee ($)\n\n\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\n\n41880 Tracheostomy by a percutaneous technique using sequential\n\ndilatation or partial splitting method to allow insertion of a cuffed 192.60  \ntracheostomy tube (Anaes. 17708 \\= 6B+2T)","sortOrder":0}],"analysis":{"kimi_summary":{"_metrics":{"model":"kimi-k2.5","source":"moonshot-batch","completionTokens":2096},"content_quality":"ok","complexity_score":3,"scope_assessment":{"changed":false,"description":"This appears to be the original 1998 determination establishing Medicare coverage for percutaneous tracheostomy. It remains tightly scoped to a single health service item with no evidence of expansion beyond the specific surgical procedure described."},"complexity_factors":["Multiple cross-references to primary legislation (15 sections across the National Health Act 1953 and Health Insurance Act 1973) and 6 regulations","Technical medical terminology requiring clinical knowledge to interpret (percutaneous dilatation, cuffed tracheostomy tube, anaesthetic coding)","Deeming provisions creating legal fictions ('treated as if it were') that interact with the Medicare Benefits Schedule","Numerical coding system requiring external knowledge of the MBS item structure (Item 41880, anaesthetic item 17708)"],"plain_english_summary":"This determination adds percutaneous tracheostomy to Australia’s Medicare schedule, declaring it a Medicare‑eligible professional and medical service and setting the scheduled fee at $192.60. It links relevant anaesthetic coverage so associated anaesthetic claims are recognised. It affects patients needing the procedure, clinicians who can now claim Medicare rebates, and insurers coordinating payments."}},"importantCases":[],"_links":{"self":"/api/acts/health-insurance-determination-hs-4-1998","history":"/api/acts/health-insurance-determination-hs-4-1998/history","analysis":"/api/acts/health-insurance-determination-hs-4-1998/analysis","conflicts":"/api/acts/health-insurance-determination-hs-4-1998/conflicts","importantCases":"/api/acts/health-insurance-determination-hs-4-1998/important-cases","documents":"/api/acts/health-insurance-determination-hs-4-1998/documents"}}