{"id":"F2011L02163","name":"Health Insurance (Prescribed Pathology Services) Determination 2011","slug":"health-insurance-prescribed-pathology-services-determination-2011","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"repealed","isInForce":false,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":87605,"registerId":"commonwealth-F2011L02163-current","compilationNumber":null,"startDate":"2026-04-02","status":"Repealed","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Health Insurance (Prescribed Pathology Services) Determination 2011","content":"![](image.001.png)\n\nHealth Insurance (Prescribed Pathology Services) Determination 2011\n\nI, NICOLA ROXON, Minister for Health and Ageing, make this Determination under section 4BB of the Health Insurance Act 1973.\n\nDated 1st August 2011\n\nNICOLA ROXON\n\nMinister for Health and Ageing\n\n1 Name of Determination\n\nThis Determination is the Health Insurance (Prescribed Pathology Services) Determination 2011.\n\n2 Commencement and Revocation\n\nThis Determination is taken to have commenced on 1 November 2010 and revokes the Health Insurance (Prescribed Pathology Services) Determination 2000.\n\n3 Definition\n\nIn this Determination:\n\n> Act means the Health Insurance Act 1973.\n\n4 Prescribed pathology services\n\nFor paragraph 4BB (a) of the Act, a pathology service specified in an item in Group P9 of the pathology services table is a prescribed pathology service for the purposes of that Act.\n\n5 Prescribed pathology services rendered by participating nurse practitioners\n\nSubsection 16A (7A) of the Act applies to a pathology service mentioned in any of items 73828 to 73837 if the service is rendered by a participating nurse practitioner.\n\n> Note\n\n> Note: 1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See http://www.frli.gov.au.","sortOrder":0}],"analysis":{"kimi_summary":{"_metrics":{"model":"kimi-k2.5","source":"moonshot-batch","completionTokens":1578},"content_quality":"ok","complexity_score":1,"scope_assessment":{"changed":false,"description":"This determination operates within its original intended scope as a machinery instrument under section 4BB of the Health Insurance Act 1973. It simply prescribes which pathology services qualify for Medicare benefits without expanding beyond that statutory purpose."},"complexity_factors":["Only 1 defined term ('Act') in the interpretation section","No conditional logic or nested exceptions","Minimal cross-referencing (only to parent Act sections 4BB and 16A)","Short length (5 operative sections)","Simple item number referencing without complex calculations"],"plain_english_summary":"This Determination specifies which pathology (lab) tests are covered by Medicare and which ones can be ordered by nurse practitioners.\n\n**What it does:**\n- **Lists covered services**: Identifies pathology services in 'Group P9' of the Medicare pathology table as eligible for government rebates (prescribed pathology services).\n- **Covers nurse practitioners**: Allows specific pathology tests (items 73828 through 73837) to be claimed under Medicare when ordered by a 'participating nurse practitioner' (a nurse practitioner approved to provide services under Medicare).\n\n**Why it matters:**\nThis ensures patients can claim Medicare rebates for standard pathology tests and expands access by allowing nurse practitioners—not just doctors—to order certain tests with Medicare coverage. It replaced an older 2000 determination and technically took effect from November 2010, even though it was signed in August 2011."}},"importantCases":[],"_links":{"self":"/api/acts/health-insurance-prescribed-pathology-services-determination-2011","history":"/api/acts/health-insurance-prescribed-pathology-services-determination-2011/history","analysis":"/api/acts/health-insurance-prescribed-pathology-services-determination-2011/analysis","conflicts":"/api/acts/health-insurance-prescribed-pathology-services-determination-2011/conflicts","importantCases":"/api/acts/health-insurance-prescribed-pathology-services-determination-2011/important-cases","documents":"/api/acts/health-insurance-prescribed-pathology-services-determination-2011/documents"}}