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🏛 House of Representatives3 readingsAmendments circulated
Health Insurance Amendment (Professional Services Review Scheme) 2023
✦ Plain-English Summary
# Health Insurance Amendment (Professional Services Review Scheme) 2023
## What it does
This bill expands the Professional Services Review scheme — the body that investigates whether doctors are providing appropriate medical services under Medicare — by allowing the appointment of Associate Directors to help the main Director. Currently there's only one Director managing these investigations, so this change spreads the workload across multiple medical practitioners appointed as Associate Directors.
## Why it matters
The Professional Services Review scheme exists to protect Medicare's integrity and ensure taxpayers aren't funding unnecessary or inappropriate medical procedures. Adding more Associate Directors means investigations can happen faster and more cases can be handled, potentially catching problematic billing practices more efficiently.
## Key details
- The Health Minister can now appoint medical practitioners as Associate Directors (previously only a single Director could operate)
- Associate Directors will have largely the same powers as the Director, though they're excluded from certain high-level decisions about the scheme's overall direction
- The law comes into effect the day after it receives Royal Assent
- This applies the same investigation and review powers across multiple people rather than concentrating everything with one person
Official Description
Amends the Health Insurance Act 1973 to: remove the requirement for the Australian Medical Association to agree to the appointment of the Director of the Professional Services Review (PSR); amend consultation requirements for appointing other statutory office holders of the PSR to enable consultation with relevant peak bodies directly; establish the statutory office of Associate Director of the PSR; remove the requirement for the Chief Executive Medicare to consult with stakeholder groups prior to issuing a notice to produce documents; and make minor amendments to update the wording of provisions relating to the termination of certain appointments.
Committee Referrals
Senate Community Affairs Legislation Committee
Audit History
Last updated on APH
10 Apr 2026
Last checked by Crossbench
yesterday
Full text indexed
yesterday
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