Financial Sector (Collection of Data) (reporting standard) determination No. 2 of 2024

This instrument, Financial Sector (Collection of Data) (reporting standard) determination No. 2 of 2024, revokes the previous Determination No. 33 of 2015 and replaces Reporting Standard HRS 603.0 Statistical Data on Prosthetic Benefits with a new Reporting Standard HRS 603.0 Statistical Data on Medical Devices or Human Tissue Products Benefits (instrument preamble; Schedule heading). The delegate of APRA, Andrew Robertson, makes the determination under paragraph 13(1)(a) of the Financial Sector (Collection of Data) Act 2001 and subsection 33(3) of the Acts Interpretation Act 1901 (instrument preamble). The instrument declares that the new reporting standard and the revocation take effect at the start of the day after the instrument is registered on the Federal Register of Legislation, and that the instrument commences at that same time (instrument preamble).

Mechanically, the Reporting Standard:

Is issued under APRA’s authority (Schedule, Authority para 1) and has an explicit objective to enable provision of information to APRA to permit publication of aggregate statistics on the use of medical devices or human tissue products by State and Territory (Schedule, Objective).
Applies to all private health insurers (Schedule, Application para 3).
Applies for reporting periods ending on or after 31 March 2024 (Schedule, Application para 4).
Requires private health insurers to submit Form HRF 603.0 Statistical Data on Medical Devices or Human Tissue Products Benefits (HRF 603.0) in respect of each reporting period and for each health benefits fund of the insurer (Schedule, Information required paras 5-6).
Prescribes method of electronic submission via an APRA website method or other method notified by APRA (Schedule, Method of submission para 7).

Commonwealth Coat of Arms of Australia

Reporting Standard HRS 603.0 Statistical Data on Medical Devices or Human Tissue Products Benefits

Financial Sector (Collection of Data) Act 2001

I, Andrew Robertson, delegate of APRA, under paragraph 13(1)(a) of the Financial Sector (Collection of Data) Act 2001 (the Act) and subsection 33(3) of the Acts Interpretation Act 1901:

(a) revoke Financial Sector (Collection of Data) (reporting standard) determination No. 33 of 2015, including Reporting Standard HRS 603.0 Statistical Data on Prosthetic Benefits made under that Determination; and

(b) determine Reporting Standard HRS 603.0 Statistical Data on Medical Devices or Human Tissue Products Benefits, in the form set out in the Schedule, which applies to the financial sector entities to the extent provided in paragraph 3 of the reporting standard.

Under section 15 of the Act, I declare that the reporting standard shall begin to apply to those financial sector entities, and the revoked reporting standard shall cease to apply, at the start of the day after the instrument is registered on the Federal Register of Legislation.

This instrument commences at the start of the day after the day that the instrument is registered on the Federal Register of Legislation.

Dated: 1 February 2024

Andrew Robertson

General Manager – Chief Data Officer

Technology and Data Division

Interpretation

In this Determination:

APRA means the Australian Prudential Regulation Authority.

Federal Register of Legislation means the register established under section 15A of the Legislation Act 2003.

financial sector entity has the meaning given by section 5 of the Act.

Schedule

Reporting Standard HRS 603.0 Statistical Data on Medical Devices or Human Tissue Products Benefits comprises the document commencing on the following page.

Commonwealth Coat of Arms of Australia

Reporting Standard HRS 603.0

Statistical Data on Medical Devices or Human Tissue Products Benefits

Objective of this Reporting Standard

This Reporting Standard sets out the requirements for the provision of information to APRA allowing for the publication of aggregate statistics on the use of medical devices or human tissue products by State and Territory.

It includes Form HRF 603.0 Statistical Data on Medical Devices or Human Tissue Products Benefits and associated specific instructions.

Authority

This Reporting Standard is made under section 13 of the Financial Sector (Collection of Data) Act 2001.

Purpose

Information collected under this Reporting Standard, as set out in Form HRF 603.0 Statistical Data on Medical Devices or Human Tissue Products Benefits (HRF 603.0), is used for the purposes of assisting the Department of Health in performing its functions and for publication by APRA.

Application

3. This Reporting Standard applies to all private health insurers.

4. This Reporting Standard applies for reporting periods ending on or after 31 March 2024.

Information required

A private health insurer must provide APRA with the information required by HRF 603.0 in respect of each reporting period.
The information required by this Reporting Standard, as set out in HRF 603.0, must be provided for each health benefits fund of the private health insurer.

Method of submission

The information required by this Reporting Standard must be given to APRA:

(a) in electronic format using an electronic method available on APRA’s website; or

(b) by a method notified by APRA prior to submission.

Reporting periods and due dates

A private health insurer to which this Reporting Standard applies must provide the information required by this Reporting Standard in respect of each calendar quarter (i.e. the periods ending 30 September, 31 December, 31 March and 30 June).
The information required by this Reporting Standard must be provided to APRA within 28 calendar days after the end of the reporting period to which the information relates.[1]
APRA may, in writing, grant a private health insurer an extension of a due date, in which case the new due date for the provision of the information will be the date on the notice of extension.

Quality control

All information provided by a private health insurer under this Reporting Standard must be subject to systems, processes and controls developed by the private health insurer for the internal review and authorisation of that information. It is the responsibility of the Board and senior management of the private health insurer to ensure that an appropriate set of policies and procedures for the authorisation of information submitted to APRA is in place.

Authorisation

A person who submits the information required under this Reporting Standard must be suitably authorised by an officer of the private health insurer.

Variations

APRA may, in writing, vary the reporting requirements of this Reporting Standard in relation to a private health insurer.

Transitional

An insurer must report under the old reporting standard in respect of a transitional reporting period. For these purposes:

old reporting standard means the reporting standard revoked in the determination making this Reporting Standard; and

transitional reporting period means a reporting period under the old reporting standard:

(a) which ended before 31 March 2024; and

(b) in relation to which the insurer was required, under the old reporting standard, to report by a date on or after the date of revocation of the old reporting standard.

Note: For the avoidance of doubt, if an insurer was required to report under an old reporting standard, and the reporting documents were due before the date of revocation of the old reporting standard, the insurer is still required to provide any overdue reporting documents in accordance with the old reporting standard.

Interpretation

In this Reporting Standard:

(a) unless the contrary intention appears, words and expressions have the meanings given to them in Prudential Standard HPS 001 Definitions (HPS 001); and

(b) APRA means the Australian Prudential Regulation Authority established under the Australian Prudential Regulation Authority Act 1998;

officer has the meaning in the Private Health Insurance (Prudential Supervision) Act 2015;

private health insurer has the meaning in the Private Health Insurance (Prudential Supervision) Act 2015; and

reporting period means a period mentioned in paragraph 8.

HRF_603_0_1: Statistical Data on Medical Devices or Human Tissue Products Benefits - NSW

Australian Business Number	Institution Name

Reporting Period	Scale Factor
Quarterly	Whole dollars to two decimal places
Reporting Consolidation
Health Benefits Fund

Medical devices or human tissue products benefits paid by registered private health insurer

<table cellspacing="0" cellpadding="0" style="width:694.98pt; margin-left:4.65pt; border-collapse:collapse"><tbody><tr style="height:15.85pt"><td style="width:52.35pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold"></span></p></td><td colspan="5" style="width:304.95pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Private hospitals and day hospitals</span></p></td><td colspan="5" style="width:304.9pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Public hospitals</span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Medical devices or human tissue products category</span></p></td><td style="width:52.4pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Number of no gap medical devices or human tissue products</span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">No gap benefits paid</span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Number of gap permitted medical devices or human tissue products</span></p></td><td style="width:52.3pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Gap permitted charge</span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Gap permitted benefits paid</span></p></td><td style="width:52.3pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Number of no gap medical devices or human tissue products</span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">No gap benefits paid</span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Number of gap permitted medical devices or human tissue products</span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Gap permitted charge</span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Gap permitted benefits paid</span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(1)</span></p></td><td style="width:52.4pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(2)</span></p></td><td style="width:52.35pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(3)</span></p></td><td style="width:52.35pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(4)</span></p></td><td style="width:52.3pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(5)</span></p></td><td style="width:52.35pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(6)</span></p></td><td style="width:52.3pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(7)</span></p></td><td style="width:52.35pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(8)</span></p></td><td style="width:52.35pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(9)</span></p></td><td style="width:52.35pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(10)</span></p></td><td style="width:52.35pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(11)</span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.4pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border-top:0.75pt solid #000000; border-right:0.75pt dotted #000000; border-left:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">1 - Ophthalmic</span></p></td><td style="width:52.4pt; border-top:0.75pt solid #000000; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">2 - Ear, Nose &amp; Throat</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">3 - General Miscellaneous</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">4 - Neurosurgical</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">5 - Urogenital</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">6 - Specialist Orthopaedic</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">7 - Plastic and Reconstructive</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">8 - Cardiac</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">9 - Cardiothoracic</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">10 - Vascular</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">11 - Hip</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">12 - Knee</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; border:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center; font-size:10pt"><span style="font-family:Arial, sans-serif">13 - Spinal</span></p></td><td style="width:52.4pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:52.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="text-align:center"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:15.85pt"><td style="width:52.35pt; 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Total

	Number	Benefits
	(1)	(2)
2. Total public and private hospital

[1] For the avoidance of doubt, APRA’s expectation is that if the due date for a particular reporting period falls on a day other than a usual business day, a private health insurer will submit the information required no later than the due date.

1 Financial Sector (Collection of Data) (reporting standard) determination No. 2 of 2024

Financial Sector (Collection of Data) (reporting standard) determination No. 2 of 2024

Reporting Standard HRS 603.0 Statistical Data on Medical Devices or Human Tissue Products Benefits

Financial Sector (Collection of Data) Act 2001

I, Andrew Robertson, delegate of APRA, under paragraph 13(1)(a) of the Financial Sector (Collection of Data) Act 2001 (the Act) and subsection 33(3) of the Acts Interpretation Act 1901:

This instrument commences at the start of the day after the day that the instrument is registered on the Federal Register of Legislation.

Dated: 1 February 2024

Andrew Robertson

General Manager – Chief Data Officer

Technology and Data Division

Interpretation

In this Determination:

APRA means the Australian Prudential Regulation Authority.

Federal Register of Legislation means the register established under section 15A of the Legislation Act 2003.

financial sector entity has the meaning given by section 5 of the Act.

Schedule

Reporting Standard HRS 603.0 Statistical Data on Medical Devices or Human Tissue Products Benefits comprises the document commencing on the following page.

Reporting Standard HRS 603.0

Statistical Data on Medical Devices or Human Tissue Products Benefits

Objective of this Reporting Standard

The primary statutory and practical concepts in the instrument are reporting scope, reporting frequency and content, governance and authorisation, submission mechanics, APRA discretion, and transitional treatment of pre-existing obligations. Each concept is defined or established in the Reporting Standard text in the Schedule.

Reporting scope: The Reporting Standard applies to "all private health insurers" (Schedule, Application para 3) and requires data in respect of each "health benefits fund of the private health insurer" (Schedule, Information required para 6). The HRF 603.0 form repeats that requirement and collects data by health benefits fund and (implicitly) by State and Territory, consistent with the stated objective to enable "publication of aggregate statistics on the use of medical devices or human tissue products by State and Territory" (Schedule, Objective). The Schedule also cross-references definitions in Prudential Standard HPS 001 and the Private Health Insurance (Prudential Supervision) Act 2015, so key terms such as "private health insurer", "officer" and possibly "reporting consolidation" are to be read with those instruments (Schedule, Interpretation para 15).

Reporting frequency and due dates: Reporting is quarterly, i.e., for calendar quarters ending 30 September, 31 December, 31 March and 30 June (Schedule, Reporting periods and due dates para 8). The information must be provided within 28 calendar days after the end of the reporting period unless APRA grants an extension in writing (Schedule, Reporting periods and due dates paras 9-10). APRA also clarifies its expectation about submissions falling on non-business days in a footnote to para 9.

Reporting content and form: The Schedule requires submission using HRF 603.0 (Schedule, Information required para 5), and includes the HRF 603.0 form itself. The form is granular: it distinguishes between private and public hospital settings (two major column groups), captures counts of "no gap" and "gap permitted" devices or products, records monetary values (benefits paid, gap permitted charge, gap permitted benefits paid), and lists device/product categories labelled 1-13 and "Other", plus a "Total" row (Schedule, HRF 603.0 form).

Governance, systems and authorisation: The Reporting Standard mandates that all information provided must be subject to insurer systems, processes and controls for internal review and authorisation and expressly makes it "the responsibility of the Board and senior management" to ensure appropriate policies and procedures for authorisation are in place (Schedule, Quality control para 11). Additionally, the person who submits must be "suitably authorised by an officer" of the private health insurer (Schedule, Authorisation para 12). The Standard also cross-references the statutory meaning of "officer" in the Private Health Insurance (Prudential Supervision) Act 2015 (Schedule, Interpretation para 15).

Submission mechanics and APRA discretion: The required submission method is electronic via an APRA website method or other APRA-notified method (Schedule, Method of submission para 7). APRA can vary reporting requirements in writing in relation to a particular insurer (Schedule, Variations para 13), and may grant extensions of due dates in writing (Schedule, Reporting periods and due dates para 10). Transitional arrangements require certain insurers to report under the old standard for specific prior reporting periods even after revocation (Schedule, Transitional para 14).

Authority and commencement: The Reporting Standard is made under s 13 of the Financial Sector (Collection of Data) Act 2001 (Schedule, Authority para 1). The instrument declares commencement at the start of the day after registration on the Federal Register of Legislation and the replacement/ceasing of the old reporting standard at that time (instrument preamble). The Reporting Standard applies to reporting periods ending on or after 31 March 2024 (Schedule, Application para 4).

These concepts interact: the granularity of the HRF 603.0 form and the requirement to report by health benefits fund and by hospital setting are the key drivers of collection effort; the cross-references to other instruments mean definitional questions will require consulting HPS 001 and the Private Health Insurance (Prudential Supervision) Act 2015; and APRA’s ability to vary requirements and specify submission methods introduces an on‑going regulatory interface that insurers must manage (Schedule paras 7, 13, 15).

The Reporting Standard explicitly applies to "all private health insurers" (Schedule, Application para 3). That is the primary class of regulated entities required to comply. The obligation is to provide the information "in respect of each reporting period" and "for each health benefits fund of the private health insurer" (Schedule, Information required paras 5-6). Therefore, affected parties include:

Private health insurers regulated under the Private Health Insurance (Prudential Supervision) Act 2015 and captured by the cross-reference in the Reporting Standard (Schedule, Interpretation para 15). The insurer-level obligation is broadened to the fund level, meaning that entities running multiple health benefits funds must supply separate HRF 603.0 submissions for each fund listed on the form.
Board members and senior management of those insurers, who are assigned responsibility for ensuring appropriate systems, processes and controls for internal review and authorisation of submitted data (Schedule, Quality control para 11). The text thereby allocates governance responsibility upwards within the firm, not merely to the operational data team.
Officers within insurers who authorise submissions. The Standard requires the person who submits to be "suitably authorised by an officer of the private health insurer" and defines "officer" by reference to the Private Health Insurance (Prudential Supervision) Act 2015 (Schedule, Authorisation para 12; Interpretation para 15). The applicable definition in that Act will determine who may give authorisation.
Information technology, actuarial and reporting teams within insurers responsible for extracting, mapping and aggregating data to match the HRF 603.0 fields, including state/territory and hospital-setting breakdowns indicated by the form and the Objective (Schedule, Objective; HRF 603.0 form).
Legal, compliance and risk functions that will advise on whether legacy reporting obligations under the revoked reporting standard still require submission for transitional reporting periods (Schedule, Transitional para 14).
APRA as collector and publisher of aggregate statistics and the Department of Health as a stated recipient/utiliser of the collected information (Schedule, Purpose para 2).

The HRF 603.0 form shows state-specific labelling (the sample form heading includes "NSW"), and the Reporting Standard’s Objective refers to publication by State and Territory (Schedule, Objective). That suggests insurers must provide data disaggregated by the jurisdictional unit that the form demands, or at least by health benefits fund with state indicators on the form; the form itself includes fields for reporting period and health benefits fund and the table is presented as state-specific (Schedule, HRF 603.0 form). Insurers operating nationally or with members across multiple states or with multiple funds that span jurisdictions will therefore be required to segment their reporting by the relevant State/Territory for each fund.

APRA’s ability to "vary the reporting requirements of this Reporting Standard in relation to a private health insurer" (Schedule, Variations para 13) means that compliance obligations can differ by insurer if APRA exercises that discretion. Similarly, APRA’s authority to notify the method of submission (Schedule, Method of submission para 7) means insurers must monitor APRA channels for implementation details. Transitional provisions (Schedule, Transitional para 14) affect insurers that had outstanding reporting obligations under the old standard for periods ending before 31 March 2024 but with due dates on or after the revocation date; those insurers must still comply with the old standard for those transitional reporting periods.

Entities outside the "private health insurer" definition are not brought within the Reporting Standard by its text. The Reporting Standard cross-references statutory definitions in HPS 001 and the Private Health Insurance (Prudential Supervision) Act 2015 (Schedule, Interpretation para 15), so whether an entity is captured depends on those definitions; the Reporting Standard itself does not expand the class beyond "private health insurers" as defined.

Duties

Submission obligation: A private health insurer must provide APRA with the information required by HRF 603.0 for each reporting period (Schedule, Information required para 5). The duty is fund-specific: the information must be provided "for each health benefits fund of the private health insurer" (Schedule, Information required para 6). The Reporting Standard prescribes the content and structure through HRF 603.0.
Reporting frequency and timeliness: Insurers must submit quarterly (calendar quarters) and within 28 calendar days after the reporting period ends (Schedule, Reporting periods and due dates paras 8-9). APRA’s explicit expectation about due dates falling on non-business days is recorded in a footnote to para 9.
Method of submission: Insurers must submit electronically using APRA’s electronic method or by a method notified by APRA (Schedule, Method of submission para 7). This creates a duty to adopt APRA’s specified platform or method and to maintain capability to use notifications from APRA.
Governance and quality control: All information provided must be subject to internal systems, processes and controls for review and authorisation. The Board and senior management are responsible for ensuring an appropriate set of policies and procedures for authorisation of information submitted to APRA is in place (Schedule, Quality control para 11). That duty includes operationalising data quality controls, audit trails, and sign-off protocols.
Authorisation of submitter: The submitter must be suitably authorised by an officer of the private health insurer (Schedule, Authorisation para 12). Who qualifies as an "officer" is defined by the Private Health Insurance (Prudential Supervision) Act 2015 per the Interpretation paragraph (Schedule, Interpretation para 15).
Transitional reporting: Insurers with transitional reporting periods (old reporting standard periods that ended before 31 March 2024 but had due dates on or after revocation) must report under the old standard (Schedule, Transitional para 14). Overdue reports due before the revocation date must still be provided under the old standard (Schedule, Transitional para 14 Note).
Compliance with definitions: Insurers must apply definitions as provided by HPS 001 and in the Private Health Insurance (Prudential Supervision) Act 2015 where the Reporting Standard cross-references those instruments (Schedule, Interpretation para 15).

Rights and regulator discretions

Extension of due date: APRA may grant an extension of a due date in writing; such an extension becomes the new due date (Schedule, Reporting periods and due dates para 10). Insurers therefore have a procedural right to seek and potentially obtain extensions, but the grant is at APRA’s discretion.
Variation by APRA: APRA may, in writing, vary reporting requirements of the Reporting Standard "in relation to a private health insurer" (Schedule, Variations para 13). This gives APRA unilateral capacity to tailor or modify an insurer’s obligations. For insurers this is both a right (to receive a written variation) and a source of regulatory uncertainty because APRA may exercise this discretion variably.
Method of submission notifications: APRA may notify an insurer of a different method of submission prior to submission (Schedule, Method of submission para 7(b)), which affords insurers the procedural right to receive advance notice of technical changes to submission modalities.

Duties placed on governance rather than individual data staff (Schedule, Quality control para 11) mean the Reporting Standard imposes an organisational duty to adopt policies and procedures; it does not specify penalties or enforcement actions within the text of the Standard (there are no penalty provisions stated in the Schedule). The Reporting Standard is made under section 13 of the Act (Schedule, Authority para 1), and the instrument references its making under the Act (instrument preamble), but the Schedule does not itself set out infringement or penalty provisions. The Standard therefore establishes substantive reporting and governance obligations and procedural rights regarding extensions and APRA variations, while leaving enforcement mechanisms (if any) outside the text of this instrument.

The Reporting Standard text in the Schedule does not specify civil or criminal penalties, infringement notices, or specific enforcement mechanisms. The Schedule sets out the reporting obligations, submission methods, governance expectations and APRA's discretions, but contains no express penalty clauses, monetary fines, or enforcement processes within the Standard itself.

What the instrument does state:

It is made under section 13 of the Financial Sector (Collection of Data) Act 2001 (Schedule, Authority para 1). The instrument preamble refers to paragraph 13(1)(a) of the Act and section 15 of the Act concerning the declaration of when the reporting standard begins to apply (instrument preamble). Those references indicate the statutory basis for the collection, but the text included here does not reproduce the Act’s enforcement provisions, if any. To determine specific statutory penalties or enforcement processes that attach to non‑compliance with reporting standards requires consulting the Financial Sector (Collection of Data) Act 2001 itself and any consequential provisions it contains; those provisions are not within the Schedule in this instrument.
APRA has the administrative powers to accept electronic submissions via its website or another method it notifies (Schedule, Method of submission para 7), to grant extensions of due dates in writing (Schedule, Reporting periods and due dates para 10), and to vary reporting requirements in writing for a particular insurer (Schedule, Variations para 13). The presence of these procedural powers indicates APRA will manage compliance interactions administratively, but the Schedule contains no detail on how APRA will handle late or erroneous submissions.
The Standard assigns responsibility to the insurer’s Board and senior management for having appropriate policies and procedures for authorisation of information (Schedule, Quality control para 11), and requires that the person who submits is "suitably authorised" (Schedule, Authorisation para 12). Those governance duties could form the basis for internal or external remedial action by APRA under other supervisory frameworks, but the Reporting Standard itself is silent about the consequences of failing to meet those governance obligations.
The Standard includes transitional rules (Schedule, Transitional para 14) that require insurers to continue reporting under the old standard for specified prior periods. That transitional duty could create exposure for insurers who fail to file overdue reports, but the Standard does not set out enforcement steps here.

In short, the Schedule specifies the content of reporting obligations and APRA’s administrative discretions (extensions, variations, submission methods), but it does not set out enforcement mechanisms or penalties. For enforcement consequences and statutory powers to enforce non‑compliance, the text references the enabling Act (Financial Sector (Collection of Data) Act 2001) as the statutory source (Schedule, Authority para 1; instrument preamble referencing paragraph 13(1)(a) of the Act). Practitioners should therefore consult the parent Act and APRA’s published enforcement policies to identify the applicable powers, potential sanctions, and the procedures APRA will follow for non-compliance. The Reporting Standard’s governance and authorisation requirements, however, create clear obligations that APRA may rely upon administratively or in supervisory action, and the ability of APRA to vary requirements by insurer suggests it retains tools to address specific compliance issues (Schedule, Variations para 13).

This Reporting Standard is a statutory instrument made under the Financial Sector (Collection of Data) Act 2001 (Schedule, Authority para 1; instrument preamble referencing paragraph 13(1)(a) of the Act). The Reporting Standard explicitly cross-references other instruments and statutes for definitions and terms. The relevant interactions recorded in the Schedule are:

Prudential Standard HPS 001 Definitions: The Reporting Standard directs that, "unless the contrary intention appears, words and expressions have the meanings given to them in Prudential Standard HPS 001 Definitions (HPS 001)" (Schedule, Interpretation para 15(a)). That cross-reference means that many technical terms used in HRF 603.0 or the Reporting Standard will take their meaning from HPS 001. Practitioners must therefore interpret obligations in light of HPS 001’s definitions. Any evolution of HPS 001 (including redefinitions) may change how the Reporting Standard applies without amendment to the Reporting Standard itself, subject to the "unless the contrary intention appears" caveat.
Private Health Insurance (Prudential Supervision) Act 2015: The Reporting Standard adopts the statutory meanings of "officer" and "private health insurer" from that Act (Schedule, Interpretation para 15). That means entities or persons captured as "private health insurers" or "officers" under the Private Health Insurance (Prudential Supervision) Act 2015 are brought into the scope of the Reporting Standard, and the allocation of authorisation duties and board responsibilities depends on those statutory definitions.
Federal Register of Legislation and Legislation Act 2003: The instrument’s commencement is tied to registration on the Federal Register of Legislation, the register established under section 15A of the Legislation Act 2003 (instrument preamble; Definitions in instrument). Compliance timing (when the revocation of the old standard and the commencement occur) is therefore linked to administrative registration processes under the Legislation Act. That means the operational start date of obligations is the day after registration.
Relationship to the revoked Determination: The new Determination revokes Financial Sector (Collection of Data) (reporting standard) determination No. 33 of 2015, including the earlier Reporting Standard HRS 603.0 Statistical Data on Prosthetic Benefits (instrument preamble). Transitional provisions require reporting under the old reporting standard for "transitional reporting periods" as defined (Schedule, Transitional para 14). Practitioners must therefore coordinate reporting obligations across the two regimes for periods that straddle 31 March 2024.
APRA’s broader regulatory powers and prudential standards: The Reporting Standard is made under the Financial Sector (Collection of Data) Act 2001, and APRA’s ability to vary the reporting requirements in writing (Schedule, Variations para 13), to notify submission methods (Schedule, Method of submission para 7), and to require governance and internal control systems (Schedule, Quality control para 11) operates alongside APRA’s powers under prudential supervision frameworks. The cross-reference to HPS 001 embeds a link between data collection rules and APRA’s prudential standards architecture.
Use by Department of Health and public dissemination: The Reporting Standard states the information is used "for the purposes of assisting the Department of Health in performing its functions and for publication by APRA" (Schedule, Purpose para 2). That creates an information flow from insurers to APRA and from APRA to the Department of Health, and to public aggregate publication. Privacy, confidentiality, and data-sharing rules in other statutes (not reproduced in this instrument) may therefore be relevant to how APRA publishes aggregate statistics; however, the Reporting Standard itself does not stipulate publication thresholds or confidentiality exemptions.
Practical interoperability: The HRF 603.0 form requires data by health benefits fund and by hospital setting and device categories. Data mapping between insurers’ internal systems and APRA’s required format will interact with insurers’ obligations under other regulatory reporting regimes, accounting standards, or industry codes of practice. The Schedule’s cross-references to HPS 001 and the Private Health Insurance (Prudential Supervision) Act 2015 mean insurers must reconcile definitions and reporting granularity to meet multiple legal obligations.

In sum, the Reporting Standard sits within a network of APRA prudential standards and private health insurance legislation. Its legal effect is shaped by definitions in HPS 001 and the Private Health Insurance (Prudential Supervision) Act 2015 (Schedule, Interpretation para 15), its timing and validity connect to the Legislation Act and the Federal Register (instrument preamble), and its operational use feeds the Department of Health and APRA’s public reporting (Schedule, Purpose para 2). To understand enforcement mechanisms, confidentiality constraints on publication, and related supervisory actions, practitioners must review the Financial Sector (Collection of Data) Act 2001 and the other instruments referenced; the Reporting Standard itself provides the data specification and procedural obligations but not the wider legal enforcement or information‑sharing framework.

This instrument is the immediate amendment movement in the reporting-standard series for HRS 603.0. The instrument’s preamble states that the delegate of APRA revokes Financial Sector (Collection of Data) (reporting standard) determination No. 33 of 2015, including Reporting Standard HRS 603.0 Statistical Data on Prosthetic Benefits, and determines Reporting Standard HRS 603.0 Statistical Data on Medical Devices or Human Tissue Products Benefits in its place (instrument preamble). The instrument is dated 1 February 2024 and is signed by Andrew Robertson, General Manager - Chief Data Officer, Technology and Data Division (instrument preamble).

Key amendment actions recorded in this instrument:

Revocation: The predecessor Determination No. 33 of 2015 is expressly revoked, and its corresponding reporting standard (previously focused on prosthetic benefits) ceases to apply from the start of the day after registration on the Federal Register of Legislation (instrument preamble). The text does not reproduce the extant content of the revoked standard, but the revocation is categorical.
Replacement: The Schedule sets out a new Reporting Standard HRS 603.0 with a changed title and focus: from "Statistical Data on Prosthetic Benefits" to "Statistical Data on Medical Devices or Human Tissue Products Benefits" (Schedule heading). The new standard provides a new form (HRF 603.0) and new instructions, including a broader set of device/product categories and a table mapping benefits paid in private and public hospital settings.
Commencement timing: The instrument declares the new reporting standard will begin to apply and the revoked reporting standard will cease to apply at the start of the day after the instrument is registered on the Federal Register of Legislation. The instrument also states it "commences at the start of the day after the day that the instrument is registered" on that register (instrument preamble). These commencement mechanics ensure the revocation and replacement are synchronised with the register date, rather than a fixed calendar date within the instrument text.
Transitional provisions: The Schedule includes transitional rules to avoid unintended gaps or duplication: insurers must report under the old reporting standard for "transitional reporting periods", defined as reporting periods under the old reporting standard that ended before 31 March 2024 where the insurer was required to report under the old standard by a date on or after the date of revocation (Schedule, Transitional para 14). The Schedule’s note clarifies that overdue reporting documents due before revocation must still be provided in accordance with the old reporting standard. This transitional mechanism preserves obligations that would otherwise lapse due to revocation.

Other procedural or administrative elements of amendment history:

The Reporting Standard cross-references Prudential Standard HPS 001 for definitions and the Private Health Insurance (Prudential Supervision) Act 2015 for statutory terms (Schedule, Interpretation para 15). This indicates that future changes to definitions in HPS 001 or amendments to the Private Health Insurance (Prudential Supervision) Act 2015 could have immediate effect on the interpretation of the Reporting Standard without further amendment to the Reporting Standard text, unless the Reporting Standard expressly provides otherwise.
The Schedule does not itself record prior amendments to the instrument beyond the revocation of the 2015 Determination. For a full legislative amendment trail, practitioners must consult the Federal Register of Legislation’s instrument record, which will show the registration date and any subsequent variations or revocations.

In summary, this instrument is a replacement/amendment directly revoking the 2015 Determination and substituting a new HRS 603.0 with broadened scope and a new data collection form, with commencement tied to registration and transitional rules preserving certain pre‑existing reporting obligations (instrument preamble; Schedule, Transitional para 14). For a chronological history beyond this immediate change (e.g. earlier revisions to HRS 603.0 pre-2015), the statutory instrument register is the authoritative source.

The text of the instrument and the Reporting Standard included in the Schedule contain no references to litigation, adjudication, or judicial interpretation. The Schedule does not cite any case law, and none of the provisions refer to court decisions or dispute-resolution procedures specific to the Reporting Standard. The instrument is an administrative statutory instrument made under the Financial Sector (Collection of Data) Act 2001 (instrument preamble; Schedule, Authority para 1) and the Schedule’s content focuses on reporting obligations, form specifications and administrative procedures.

Because the instrument does not provide an explicit dispute-resolution mechanism or appeal pathway within its text, questions of enforcement, contested variations of reporting requirements, or disputes over APRA’s exercise of discretion (for example, APRA’s grant or refusal of a variation under Schedule, Variations para 13; or the grant or denial of an extension under Schedule, Reporting periods and due dates para 10) would be handled under the procedural and legal frameworks that govern APRA’s administrative decisions and the Financial Sector (Collection of Data) Act 2001. The instrument itself does not invoke tribunal or court processes.

For practitioners assessing litigation risk or precedent, the following observations flow from the instrument text:

The Reporting Standard’s cross-reference to HPS 001 and the Private Health Insurance (Prudential Supervision) Act 2015 (Schedule, Interpretation para 15) means any legal disputes about scope, definitions or who qualifies as an "officer" may require referencing those instruments and their judicial interpretation. The Reporting Standard does not itself define these terms beyond the cross-reference.
The instrument authorises APRA to vary requirements in writing for particular insurers (Schedule, Variations para 13). Litigation risk may arise if an insurer disputes whether an APRA variation is lawful or properly exercised; since the instrument confers the power in express terms, disputes would turn on statutory construction, administrative law principles and the scope of APRA’s powers under the parent Act, none of which are reproduced in this instrument.
The Reporting Standard places governance responsibility on board and senior management for the authorisation of information (Schedule, Quality control para 11) and requires suitably authorised submitters (Schedule, Authorisation para 12). If APRA were to take action based on reporting deficiencies, any contested enforcement would likely engage prudential supervisory discretion and the remedies in the primary statute, not the Reporting Standard text alone.

This instrument therefore contains no litigation history and does not record any judicial treatment. For actual litigation history concerning reporting standards made under the Financial Sector (Collection of Data) Act 2001 or APRA’s exercise of data-collection powers, practitioners must consult court records and case law databases and cross-check any relevant proceedings against the parent Act and related prudential standards. The absence of litigation references in the instrument means it does not itself disclose prior adjudicated disputes about its content.

This Reporting Standard contains multiple practical and legal traps for practitioners that arise from its form, cross-references, and operational expectations. The following are concrete items to flag, each grounded in the instrument text.

Fund-level reporting requirement: The Standard requires that HRF 603.0 be provided "for each health benefits fund of the private health insurer" (Schedule, Information required para 6). Many insurers operate multiple funds; failure to report at the fund level (for example, submitting a consolidated return without specifying per‑fund breakdowns) would not comply with the explicit text.
State and Territory publication objective: The Reporting Standard’s Objective is to enable "publication of aggregate statistics on the use of medical devices or human tissue products by State and Territory" (Schedule, Objective). The HRF 603.0 sample form is state-labelled (e.g. "NSW") and requests granular hospital-setting and device‑category information. Insurers that do not maintain state‑tagged transactions at the fund level will face data mapping and extraction challenges.
Narrow time window and calendar-day computation: Reporting is quarterly with a due date "within 28 calendar days after the end of the reporting period" (Schedule, Reporting periods and due dates para 9). The Standard uses calendar days, not business days. APRA’s footnote clarifies its expectation for submissions that fall on non-business days, but that is an expectation, not a substitution in the operative text. Insurers must operationalise quarter-end close and data validation to meet the 28‑calendar-day limit.
Electronic submission dependency and method changes: The Reporting Standard requires electronic submission via an APRA website method or another method notified by APRA (Schedule, Method of submission para 7). If APRA changes the electronic interface or notifies a new method, insurers must adapt quickly. The Standard does not include a transitional tolerance for late submission caused by a method change.
Ambiguity around "Reporting Consolidation" field: The HRF 603.0 form includes a "Reporting Consolidation" field but the Reporting Standard does not define it (HRF 603.0 form and Schedule, Interpretation para 15 cross-referencing HPS 001). Insurers must consult HPS 001 or APRA guidance to determine acceptable values and consolidation rules; failing to do so risks data rejection.
Definitions outsourced to other instruments: The Reporting Standard incorporates definitions from Prudential Standard HPS 001 and the Private Health Insurance (Prudential Supervision) Act 2015 (Schedule, Interpretation para 15). If those instruments define key terms differently from insurers’ internal terminology (for example, the meaning of "health benefits fund" or "officer"), insurers may face misalignment. Changes to HPS 001 could alter obligations without amendment to this Standard.
Governance liability and board responsibility: Paragraph 11 places responsibility on the Board and senior management for ensuring appropriate policies and procedures for authorisation of information submitted to APRA (Schedule, Quality control para 11). This is not a mere operational requirement; it elevates risk to the board level and may trigger internal escalation and sign‑off processes. Boards should document the establishment and approval of relevant policies to evidence fulfilment of this duty.
APRA’s variation power: APRA may vary reporting requirements in writing for a private health insurer (Schedule, Variations para 13). That may lead to insurer‑specific obligations or phased compliance. Insurers must have a process to track and implement APRA’s written variations to avoid inconsistency between their internal reporting and APRA’s expectations.
Transitional reporting overlap: The transitional provision requires some insurers to continue reporting under the old reporting standard for certain prior periods (Schedule, Transitional para 14). Firms must identify whether any reporting periods that ended before 31 March 2024 but had due dates on or after the revocation require reporting under the old standard. This can create overlapping filing processes and requires record-keeping of due dates and standards applied.
No penalty detail in the Standard: The Reporting Standard does not specify penalties or enforcement measures (Schedule). Insurers cannot infer tolerance or enforcement practice from silence and should assume APRA will apply its supervisory, administrative and statutory powers under the Financial Sector (Collection of Data) Act 2001 when addressing non‑compliance.
Map device categories to internal coding: The HRF 603.0 form lists device or product categories numerically (1-13 and Other) but does not provide the clinical or tariff codes that must map to those categories in the form text included here. Insurers must obtain APRA or Department of Health guidance on category definitions (unless HPS 001 clarifies them) to ensure consistent categorisation across reporting periods and with other insurers’ submissions.
Publication and confidentiality: The Reporting Standard states the information is used to assist the Department of Health and for publication by APRA (Schedule, Purpose para 2). Insurers should be aware that APRA will publish aggregate statistics and should ask APRA about aggregation thresholds, small‑cell suppression and confidentiality protections if the insurer believes disaggregated data could identify individual hospitals or providers.

Each of these "gotchas" flows directly from the Standard’s operative text and form. The practical consequences are increased operational workload, potential need for system changes to capture and validate state‑tagged, fund‑level data, governance sign‑off processes, and close monitoring of APRA communications. Failing to resolve these items before the start date for reporting periods ending on or after 31 March 2024 (Schedule, Application para 4) risks late or inadequate filings.

This section sets out a practical, source‑grounded compliance checklist and notes for private health insurers required to submit HRF 603.0 returns under the Reporting Standard. Each step references the relevant paragraph(s) of the Reporting Standard.

Confirm applicability and scope (Schedule, Application para 3; Interpretation para 15):
- Verify that your entity qualifies as a "private health insurer" under the Private Health Insurance (Prudential Supervision) Act 2015, since the Reporting Standard applies to that class (Schedule, Application para 3; Interpretation para 15).
- Identify all health benefits funds operated by the insurer. The Reporting Standard requires submission "for each health benefits fund" (Schedule, Information required para 6).
Determine reporting periods and due dates (Schedule, Reporting periods and due dates paras 8-9; footnote):
- Prepare to report quarterly for calendar quarters ending 30 Sept, 31 Dec, 31 Mar and 30 Jun (Schedule, Reporting periods and due dates para 8).
- Calendarise the 28‑calendar‑day due date after each quarter end and embed APRA’s non‑business day expectation into submission planning (Schedule, Reporting periods and due dates para 9 and footnote).
Map data to HRF 603.0 fields (Schedule, Information required paras 5-6; HRF 603.0 form):
- Use the HRF 603.0 form as the data specification: collect ABN, institution name, reporting period, scale factor, reporting consolidation, health benefits fund and the columns required for private/public hospital settings and device categories.
- Map internal product and transaction codes to the 1-13 device/product categories on the form. If category labelling or clinical mappings are unclear, seek APRA or Department of Health guidance.
Ensure state/territory tagging and hospital-setting attribution (Schedule, Objective; HRF 603.0 form):
- Capture State/Territory for each claim or benefit so the aggregate statistics APRA publishes by State/Territory can be produced (Schedule, Objective).
- Attribute benefits to "Private hospitals and day hospitals" or "Public hospitals" as required by the two column groupings in the HRF 603.0 table.
Implement systems, processes and controls (Schedule, Quality control para 11):
- Develop and document policies and procedures for data extraction, validation, reconciliation, and internal authorisation consistent with paragraph 11.
- Set up internal review and authorisation workflows with evidence of sign-off by responsible officers; the Reporting Standard makes it "the responsibility of the Board and senior management" to ensure appropriate policies and procedures (Schedule, Quality control para 11).
Authorise submitters (Schedule, Authorisation para 12; Interpretation para 15):
- Identify who within the insurer is authorised to submit the report and ensure they are "suitably authorised by an officer" as required (Schedule, Authorisation para 12).
- Confirm the statutory meaning of "officer" under the Private Health Insurance (Prudential Supervision) Act 2015 to formalise authorisation authority lines.
Set up electronic submission process (Schedule, Method of submission para 7):
- Monitor APRA’s website and communications to determine the exact electronic method to be used; APRA may also notify a different submission method prior to submission (Schedule, Method of submission para 7(b)).
- Test file formats and connectivity with APRA interfaces ahead of the first due date.
Monitor for APRA variations and extensions (Schedule, Variations para 13; Reporting periods and due dates para 10):
- Maintain a process to receive, review and implement any written variations APRA issues to your insurer (Schedule, Variations para 13).
- If timing constraints or system rollout issues occur, prepare timely written extension requests to APRA; APRA’s grant of an extension in writing establishes the new due date (Schedule, Reporting periods and due dates para 10).
Manage transitional reporting obligations (Schedule, Transitional para 14):
- Identify any "transitional reporting periods" as defined by the Standard, i.e., reporting periods under the old reporting standard that ended before 31 March 2024 but had due dates on or after the revocation date (Schedule, Transitional para 14).
- Continue to submit under the old reporting standard for those transitional periods as required; for any overdue reports due before revocation, provide them in accordance with the old standard (Schedule, Transitional para 14 Note).
Document and retain evidence for audit and supervisory review (Schedule, Quality control para 11):
- Retain audit trails, data reconciliations, authorisation records and submission receipts to demonstrate compliance with governance responsibilities and the authorisation requirements.
- Consider internal or external assurance on reporting processes given the Board‑level responsibility for ensuring appropriate procedures.
Coordinate with business units and external parties:
- Engage actuarial, claims, IT, compliance, and legal teams early to align systems, mappings and controls with the HRF 603.0 requirements.
- Where necessary, coordinate with third‑party administrators, service providers or hospitals to obtain data on hospital setting and gap/no‑gap classification.
Prepare for publication and confidentiality risks (Schedule, Purpose para 2):
- Because the Standard states APRA will use the information to assist the Department of Health and for publication (Schedule, Purpose para 2), identify any commercially sensitive or small‑cell risks and raise them with APRA to understand aggregation thresholds and suppression policies prior to submission.
Maintain change‑management processes:
- Because the Standard draws definitions from HPS 001 (Schedule, Interpretation para 15(a)), implement a monitoring process for changes to HPS 001 and the Private Health Insurance (Prudential Supervision) Act 2015, as those may affect interpretation and ongoing obligations.
Seek clarifications in writing and document responses:
- Where the Reporting Standard’s form or fields are unclear (for example, "Reporting Consolidation" or device-category mappings), obtain APRA guidance in writing and retain those communications as part of your compliance record.

By following these steps, insurers will align operational and governance processes with the Reporting Standard’s requirements (Schedule paras 5-15). The key practical priorities are fund-level data segmentation, state tagging, board-approved authorisation procedures, and establishing robust electronic submission procedures to meet the 28‑calendar‑day deadlines (Schedule, Information required paras 5-6; Reporting periods and due dates paras 8-9; Method of submission para 7; Quality control para 11).

Financial Sector (Collection of Data) (reporting standard) determination No. 2 of 2024

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Financial Sector (Collection of Data) (reporting standard) determination No. 2 of 2024

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1 Financial Sector (Collection of Data) (reporting standard) determination No. 2 of 2024

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