Professional Documents
Culture Documents
Healthcare Identifiers Bill 2010
Healthcare Identifiers Bill 2010
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A Bill for an Act to provide for healthcare identifiers, and for related purposes
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A Bill for an Act to provide for healthcare identifiers, and for related purposes The Parliament of Australia ena)ts* Part 1Preliminary
1 hort title
This A)t ma+ ,e )ite- as the Healthcare Identifiers Act 2010.
2 !ommencement
This A)t )ommen)es on the -a+ after this A)t re)ei/es the o+al Assent.
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)orre)tl+ mat)he- to health information that is )reate- when health)are is 2ro/i-e-. 021 This 2ur2ose is to ,e a)hie/e- ,+ assi3nin3 a uni5ue i-entif+in3 num,er to ea)h health)are 2ro/i-er an- health)are re)i2ient.
021 This A)t -oes not ma6e the Crown lia,le to ,e 2rose)ute- for an offen)e.
& 'efinitions
"n this A)t* data source has the meanin3 3i/en ,+ su,se)tion 12021. date of birth accuracy indicator means a -ata element that is useto in-i)ate how a))urate a re)or-e- -ate of ,irth is. date of death accuracy indicator means a -ata element that is useto in-i)ate how a))urate a re)or-e- -ate of -eath is. employee4 of an entit+4 in)lu-es* 0a1 an in-i/i-ual who 2ro/i-es ser/i)es for the entit+ un-er a )ontra)t for ser/i)es8 or 0,1 an in-i/i-ual whose ser/i)es are ma-e a/aila,le to the entit+ 0in)lu-in3 ser/i)es ma-e a/aila,le free of )har3e1. entity means* 0a1 a 2erson8 or 0,1 a 2artnershi28 or 0)1 an+ other unin)or2orate- asso)iation or ,o-+8 or 0-1 a trust8 or 0e1 a 2art of another entit+ 0un-er a 2re/ious a22li)ation of this -efinition1. healthcare means health ser/i)e within the meanin3 of su,se)tion '011 of the Privac Act 1!"".
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healthcare identifier has the meanin3 3i/en ,+ se)tion 9. healthcare provider means* 0a1 an in-i/i-ual who* 0i1 has 2ro/i-e-4 2ro/i-es4 or is to 2ro/i-e4 health)are8 or 0ii1 is re3istere- ,+ a re3istration authorit+ as a mem,er of a 2arti)ular health 2rofession8 or 0,1 an entit+4 or a 2art of an entit+4 that has )on-u)te-4 )on-u)ts4 or will )on-u)t4 an enter2rise that 2ro/i-es health)are 0in)lu-in3 health)are 2ro/i-e- free of )har3e1.
E9am2le* A 2u,li) hos2ital4 or a )or2oration that runs a me-i)al )entre.
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healthcare recipient means an in-i/i-ual who has re)ei/e-4 re)ei/es4 or ma+ re)ei/e4 health)are. health information has the meanin3 3i/en ,+ su,se)tion '011 of the Privac Act 1!"". Human Research Ethics Committee has the meanin3 3i/en ,+* 0a1 the !ational Statement on Ethi)al Con-u)t in Human esear)h issue- in 7ar)h 200( ,+ the Chief E9e)uti/e Offi)er of the !ational Health an- 7e-i)al esear)h Coun)il un-er the National Health and $edical %esearch &o'ncil Act 1!!28 or 0,1 if that Statement is amen-e-:that Statement as amen-e-.
!ote* "n 20104 the te9t of the Statement was a))essi,le throu3h the !ational Health an- 7e-i)al esear)h Coun)il we,site 0www.nhmr).3o/.au1.
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identified healthcare provider means a health)are 2ro/i-er who has ,een assi3ne- a health)are i-entifier un-er se)tion 9. identifying information has the meanin3 3i/en ,+ se)tion (. law in)lu-es* 0a1 an A)t or le3islati/e instrument8 or 0,1 an A)t or le3islati/e instrument of a State or Territor+. Ministerial Council has the meanin3 3i/en ,+* 0a1 the !ational Partnershi2 A3reement on E-Health ma-e on ( ;e)em,er 2009 ,etween the Commonwealth4 the States4 the Australian Ca2ital Territor+ an- the !orthern Territor+8 or 0,1 if that A3reement is amen-e-:that A3reement as amen-e-.
!ote* "n 20104 the te9t of the A3reement was a))essi,le throu3h the Coun)il of Australian <o/ernments we,site 0www.)oa3.3o/.au1.
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National Privacy Principle has the meanin3 3i/en ,+ the Privac Act 1!"". national registration authority has the meanin3 3i/en ,+ se)tion 8. public body4 of a State or Territor+4 means* 0a1 the Crown in ri3ht of the State or Territor+8 or 0,1 a State or Territor+ authorit+ of that State or Territor+8 or 0)1 the hea- 0howe/er -es)ri,e-1 of a ;e2artment of State of the State or Territor+8 or 0-1 the Parliament of the State4 or the le3islature of the Territor+ 0whi)he/er is a22li)a,le18 or 0e1 a mem,er of the Parliament of the State4 or of the le3islature of the Territor+ 0whi)he/er is a22li)a,le1. registration authority means an entit+ that is res2onsi,le un-er a law for re3isterin3 mem,ers of a 2arti)ular health 2rofession. service operator has the meanin3 3i/en ,+ se)tion '. State or Territory authority has the meanin3 3i/en ,+ the Privac Act 1!"". eterans! "ffairs #epartment means the ;e2artment that* 0a1 -eals with matters arisin3 un-er* 0i1 se)tion 1 of the A'stralian Partici)ants in British N'clear *ests (*reatment) Act 200+8 or 0ii1 se)tion 1 of the $ilitar %eha,ilitation and &om)ensation Act 200#8 or 0iii1 se)tion 1 of the -eterans. /ntitlements Act 1!"+8 an0,1 is a-ministere- ,+ the 7inister who a-ministers that se)tion.
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the 2ur2ose of 2erformin3 the ser/i)e o2erator=s fun)tions un-er this A)t in relation to the health)are 2ro/i-er* 0a1 the name of the health)are 2ro/i-er8 0,1 the a--ress of the health)are 2ro/i-er8 0)1 the -ate of ,irth4 an- the -ate of ,irth a))ura)+ in-i)ator4 of the health)are 2ro/i-er8 0-1 the se9 of the health)are 2ro/i-er8 0e1 the t+2e of health)are 2ro/i-er that the in-i/i-ual is8 0f1 if the health)are 2ro/i-er is re3istere- ,+ a re3istration authorit+:the re3istration authorit+=s i-entifier for the health)are 2ro/i-er an- the status of the re3istration 0su)h as )on-itional4 sus2en-e- or )an)elle-18 031 other information that is 2res)ri,e- ,+ the re3ulations for the 2ur2ose of this 2ara3ra2h. 021 Ea)h of the followin3 is identifying information of a health)are 2ro/i-er that is not an in-i/i-ual4 if the ser/i)e o2erator re5uires it for the 2ur2ose of 2erformin3 the ser/i)e o2erator=s fun)tions un-er this A)t in relation to the health)are 2ro/i-er* 0a1 the name of the health)are 2ro/i-er8 0,1 the a--ress of the health)are 2ro/i-er8 0)1 if a22li)a,le4 the A>! 0within the meanin3 of the A Ne0 *a1 2 stem (A'stralian B'siness N'm,er) Act 1!!!1 of the health)are 2ro/i-er8 0-1 if a22li)a,le4 the AC! 0within the meanin3 of the &or)orations Act 20011 of the health)are 2ro/i-er8 0e1 other information that is 2res)ri,e- ,+ the re3ulations for the 2ur2ose of this 2ara3ra2h. 0$1 Ea)h of the followin3 is identifying information of a health)are re)i2ient4 if the ser/i)e o2erator re5uires it for the 2ur2ose of 2erformin3 the ser/i)e o2erator=s fun)tions un-er this A)t in relation to the health)are re)i2ient* 0a1 if a22li)a,le4 the 7e-i)are num,er of the health)are re)i2ient8 0,1 if a22li)a,le4 the #eterans= Affairs ;e2artment file num,er of the health)are re)i2ient8 0)1 the name of the health)are re)i2ient8 0-1 the a--ress of the health)are re)i2ient8 0e1 the -ate of ,irth4 an- the -ate of ,irth a))ura)+ in-i)ator4 of the health)are re)i2ient8 0f1 the se9 of the health)are re)i2ient8
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031 for a health)are re)i2ient who was 2art of a multi2le ,irth: the or-er in whi)h the health)are re)i2ient was ,orn8
E9am2le* The 2n- of twins.
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0h1 if a22li)a,le4 the -ate of -eath4 an- the -ate of -eath a))ura)+ in-i)ator4 of the health)are re)i2ient.
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0%1 "n e9er)isin3 a 2ower un-er su,se)tion 0114 the ser/i)e o2erator is not re5uire- to )onsi-er whether a health)are 2ro/i-er or health)are re)i2ient a3rees to ha/in3 a health)are i-entifier assi3ne- to the health)are 2ro/i-er or health)are re)i2ient. 0&1 The re3ulations ma+ 2res)ri,e re5uirements for assi3nin3 a health)are i-entifier to a health)are 2ro/i-er or to a health)are
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re)i2ient4 in)lu-in3 2ro/i-in3 for re/iew of -e)isions ma-e un-er this se)tion. 0'1 A health)are i-entifier is an i-entifier for the 2ur2ose of !ational Pri/a)+ Prin)i2le (.
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0,1 information that the national re3istration authorit+ has that relates to a health)are i-entifier8 to the ser/i)e o2erator for the 2ur2ose of the ser/i)e o2erator esta,lishin3 or maintainin3 the re)or- mentione- in se)tion 10. 021 The ser/i)e o2erator is authorise-* 0a1 to )olle)t the health)are i-entifier or information8 an0,1 to use the health)are i-entifier or information for the 2ur2ose of esta,lishin3 or maintainin3 the re)or- mentione- in se)tion 10.
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021 Su,se)tion 011 -oes not a22l+ if the 2erson uses or -is)loses the information for* 0a1 the 2ur2ose for whi)h the information was -is)lose- to the 2erson8 or 0,1 a 2ur2ose that is authorise- un-er another law.
!ote* A -efen-ant ,ears an e/i-ential ,ur-en in relation to the matters in su,se)tion 021* see su,se)tion 1$.$0$1 of the &riminal &ode.
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0$1 A 2erson )ommits an offen)e if* 0a1 information was -is)lose- to the 2erson in )ontra/ention of su,se)tion 0118 an-
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0,1 the 2erson 6nows that the -is)losure of the information to the 2erson )ontra/ene- that su,se)tion8 an0)1 the 2erson* 0i1 uses the information8 or 0ii1 -is)loses the information. Penalt+* "m2risonment for 2 +ears or 120 2enalt+ units4 or ,oth.
!ote* "f a ,o-+ )or2orate is )on/i)te- of an offen)e a3ainst su,se)tion 0$14 su,se)tion %>0$1 of the &rimes Act 1!1# allows a )ourt to im2ose a fine of u2 to '00 2enalt+ units.
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0%1 Su,se)tion 0$1 -oes not a22l+ if the 2erson -is)loses the information for the 2ur2ose of an a22ro2riate authorit+ in/esti3atin3 the )ontra/ention mentione- in 2ara3ra2h 0$10,1.
!ote* A -efen-ant ,ears an e/i-ential ,ur-en in relation to the matter in su,se)tion 0%1* see su,se)tion 1$.$0$1 of the &riminal &ode.
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0a1 for the 2ur2ose of )ommuni)atin3 or mana3in3 health information4 as 2art of the 2ro/ision of health)are to a health)are re)i2ient8 or 0,1 for )ertain other 2ur2oses. !ote 2* Se)tion 2& authorises a health)are 2ro/i-er to a-o2t the health)are i-entifier of a health)are re)i2ient as the health)are 2ro/i-er=s own i-entifier of the health)are re)i2ient.
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0a1 to )olle)t the health)are i-entifier8 an0,1 to use the health)are i-entifier for the 2ur2ose of ena,lin3 the health)are 2ro/i-er=s i-entit+ to ,e authenti)ate- in ele)troni) transmissions.
21 Access controls
The re3ulations ma+ 2res)ri,e rules a,out the -is)losure of health)are i-entifiers ,+ the ser/i)e o2erator4 in)lu-in3 rules a,out re5uests to the ser/i)e o2erator to -is)lose health)are i-entifiers.
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0$1 A health)are 2ro/i-er to whi)h a health)are i-entifier is -is)loseun-er 2ara3ra2h 0210,1 is authorise- to )olle)t the health)are i-entifier.
!ote 1* Su,se)tion 011 authorises the health)are 2ro/i-er to use4 or to -is)lose4 the health)are i-entifier. Se)tion 2& authorises the health)are 2ro/i-er to a-o2t the health)are i-entifier. An entit+ ma+ also use4 or -is)lose4 a health)are i-entifier for a 2ur2ose that is authorise- un-er another law* see 2ara3ra2h 2'0210,1.
!ote 2*
&ertain )'r)oses e1cl'ded 0%1 This se)tion -oes not authorise the use or -is)losure of the health)are i-entifier of a health)are re)i2ient for the 2ur2ose of )ommuni)atin3 or mana3in3 health information as 2art of* 0a1 un-erwritin3 a )ontra)t of insuran)e that )o/ers the health)are re)i2ient8 or 0,1 -eterminin3 whether to enter into a )ontra)t of insuran)e that )o/ers the health)are re)i2ient 0whether alone or as a mem,er of a )lass18 or 0)1 -eterminin3 whether a )ontra)t of insuran)e )o/ers the health)are re)i2ient in relation to a 2arti)ular e/ent8 or 0-1 em2lo+in3 the health)are re)i2ient.
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021 Howe/er4 su,se)tion 011 -oes not a22l+ if* 0a1 the 2erson* 0i1 is authorise- to use4 or to -is)lose4 the health)are i-entifier for a 2ur2ose that is authorise- un-er this A)t8 an0ii1 uses or -is)loses the health)are i-entifier for that 2ur2ose8 or 0,1 the 2erson uses or -is)loses the health)are i-entifier for a 2ur2ose that is authorise- un-er another law8 or 0)1 the 2erson uses or -is)loses the health)are i-entifier onl+ for the 2ur2ose of4 or in )onne)tion with4 the 2erson=s 2ersonal4 famil+ or househol- affairs 0within the meanin3 of se)tion 1'E of the Privac Act 1!""1.
!ote* A -efen-ant ,ears an e/i-ential ,ur-en in relation to the matters in su,se)tion 021* see su,se)tion 1$.$0$1 of the &riminal &ode.
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021 For the 2ur2ose of a22l+in3 Part # of that A)t 0"n/esti3ations1 in relation to the a)t or 2ra)ti)e4 treat a State or Territor+ authorit+ as if it were an or3anisation 0within the meanin3 of that A)t1. A'dits 0$1 For the 2ur2ose of 2ara3ra2h 2(0110h1 of the Privac Act 1!"" 0a,out au-its14 a health)are i-entifier is ta6en to ,e 2ersonal information.
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0$1 The 7inister must ta,le a )o2+ of the re2ort in ea)h House of Parliament within 1& sittin3 -a+s after the Pri/a)+ Commissioner 3i/es a )o2+ of the re2ort to the 7inister.
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021 The ser/i)e o2erator must )om2l+ with a -ire)tion 3i/en un-er su,se)tion 011.
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Part +)iscellaneous
"( 56tent of authorisation
An authorisation un-er this A)t to an entit+ for a 2arti)ular 2ur2ose is an authorisation to an in-i/i-ual* 0a1 who is an em2lo+ee of the entit+8 an0,1 whose -uties in/ol/e the im2lementation of that 2ur2ose.
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0'1 The 7inister ma+4 ,+ le3islati/e instrument4 re/o6e the -e)laration if* 0a1 a 7inister of the State4 ,+ written noti)e4 re5uests the 7inister to -o so8 or 0,1 a 2ro/ision in the State or Territor+ law4 whi)h ha- ,een a3ree- to ,+ the 7inisterial Coun)il4 is amen-e- without the a3reement of the 7inisterial Coun)il. 0(1 !either se)tion %2 0-isallowan)e1 nor Part ' 0sunsettin31 of the 6egislative Instr'ments Act 2003 a22lies to a -e)laration or re/o)ation ma-e un-er su,se)tion 0&1 or 0'1 of this se)tion.
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0'1 Parts $ an- % also ha/e the effe)t the+ woul- ha/e if their o2eration in relation to a )olle)tion4 use or -is)losure of information were e92ressl+ )onfine- to a )olle)tion4 use or -is)losure ,+4 or to4 a tra-in34 forei3n or finan)ial )or2oration 0within the meanin3 of 2ara3ra2h &10991 of the Constitution1. 0(1 Parts $ an- % also ha/e the effe)t the+ woul- ha/e if their o2eration in relation to a )olle)tion4 use or -is)losure of information were e92ressl+ )onfine- to a )olle)tion4 use or -is)losure in relation to the 2ro/ision of* 0a1 si)6ness or hos2ital ,enefits8 or 0,1 me-i)al or -ental ser/i)es 0,ut not so as to authorise an+ form of )i/il )ons)ri2tion18 0within the meanin3 of 2ara3ra2h &1099iiiA1 of the Constitution1. 081 Parts $ an- % also ha/e the effe)t the+ woul- ha/e if their o2eration in relation to a )olle)tion4 use or -is)losure of information were e92ressl+ )onfine- to a )olle)tion4 use or -is)losure* 0a1 in relation to whi)h the Commonwealth is un-er an o,li3ation un-er an international a3reement4 in)lu-in34 the "nternational Co/enant on Ci/il an- Politi)al i3hts4 an- in 2arti)ular Arti)le 1( of the Co/enant8 or
!ote* The te9t of the Co/enant is set out in Australian Treat+ Series 1980 !o. 2$ 0B1980C ATS 2$1. "n 20104 a te9t of a Co/enant in the Australian Treaties Series was a))essi,le throu3h the Australian Treaties Di,rar+ on the AustD"" we,site 0www.austlii.e-u.au1.
2' 2( 28 29 $0 $1
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0,1 that is of international )on)ern4 in)lu-in3 the international )on)ern refle)te- ,+ the <ui-elines <o/ernin3 the Prote)tion of Pri/a)+ an- Trans,or-er Flows of Personal ;ata4 re)ommen-e- ,+ the Coun)il of the Or3anisation for E)onomi) Co-o2eration an- ;e/elo2ment on 2$ Se2tem,er 1980.
!ote* "n 20104 the te9t of the <ui-elines was a))essi,le throu3h the Or3anisation for E)onomi) Co-o2eration an- ;e/elo2ment we,site 0www.oe)-.or31.
$& $' $( $8 $9 %0 %1 %2
091 Parts $ an- % also ha/e the effe)t the+ woul- ha/e if their o2eration in relation to a )olle)tion4 use or -is)losure of information were e92ressl+ )onfine- to a )olle)tion4 use or -is)losure ,+4 or to4 the Commonwealth or a Commonwealth authorit+. 0101 Parts $ an- % also ha/e the effe)t the+ woul- ha/e if their o2eration in relation to a )olle)tion4 use or -is)losure of information were e92ressl+ )onfine- to a )olle)tion4 use or -is)losure ta6in3 2la)e in a Territor+.
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"- 1e*ulations
011 The <o/ernor-<eneral ma+ ma6e re3ulations 2res)ri,in3 matters* 0a1 re5uire- or 2ermitte- to ,e 2res)ri,e- ,+ this A)t8 or 0,1 ne)essar+ or )on/enient to ,e 2res)ri,e- for )arr+in3 out or 3i/in3 effe)t to this A)t.
!ote* >efore the <o/ernor-<eneral ma6es a re3ulation for the 2ur2ose of this A)t4 the 7inister must )onsult with the 7inisterial Coun)il* see se)tion $$.
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021 Aithout limitin3 su,se)tion 0114 the re3ulations ma+ 2ro/i-e for the im2osition of a 2enalt+ of not more than &0 2enalt+ units for )ontra/ention of a re3ulation.
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