PHI 60/26 Private Health Insurance Legislation Amendment Rules (No. 6) 2026

Private health insurance clinical category and procedure type updates following Medicare Benefits Schedule (MBS) item changes from 1 August 2026.

Date published:
PHI circular type:
Hospital announcement

The Private Health Insurance Legislation Amendment Rules (No. 6) 2026 (the Amendment Rules) make consequential changes to Private Health Insurance (Benefit Requirement) Rules 2011. These reflect changes commencing from 1 August 2026 to MBS items in the General Medical Services Table (GMST) and Pathology Services Table (PST).

Further information on changes to the MBS for 1 August 2026 including fact sheets and quick reference guides, is available at MBS Online.

The Amendment Rules registered on 30 July 2026 on the Federal Register of Legislation and commence from 1 August 2026. Further details on the Amendment Rules can be found in the accompanying Explanatory Statement.

Information and spreadsheets for MBS items assigned to a procedure type are available through the Private health insurance clinical category and procedure type resource collection.

Information on MBS item changes can be found at www.mbsonline.gov.au.