Health Insurance (Amendment) Act 2015

Amendment of section 6A of Principal Act and consequential amendments

2. (1) Section 6A(1) of the Principal Act is amended—

(a) by the substitution of the following definition for the definition of “hospital bed utilisation credit”:

“ ‘hospital utilisation credit’ means the relevant amount payable from the Fund in respect of each hospital stay (whether on an overnight accommodation or day case basis) in private hospital accommodation, on or after 31 March 2013 if the stay is on an overnight accommodation basis and on or after 1 March 2016 if the stay is on an overnight accommodation or day case basis, by a person who is an insured person under a health insurance contract effected for any period commencing on or after the date concerned;”,

(b) by the substitution of the following definition for the definition of “private hospital accommodation”:

“ ‘private hospital accommodation’ means—

(a) accommodation in a private hospital, whether or not in a hospital bed, or

(b) accommodation in a publicly funded hospital where a charge is payable under section 55 of the Health Act 1970 ;”,

and

(c) in the definition of “relevant amount”, by the substitution of the following paragraph for paragraph (a):

“(a) the amount concerned specified in Schedule 3 for the purposes of that definition multiplied by the number of nights on an overnight accommodation basis, or, as applicable, the number of days on a day case basis, that the insured person stayed in private hospital accommodation which fall within the hospital stay concerned referred to in that definition;”.

(2) The Principal Act is amended by the substitution of “hospital utilisation credit” for “hospital bed utilisation credit” in each place that it occurs.