STATUTORY INSTRUMENT.No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).REPEAL AND REPLACEMENT OF SCHEDULE 1, SCHEDULE 2 & SCHEDULE 3

The Principal Regulation is amendedby repealingand replacing the following Schedules: 1, 2 & 3

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1

The Principal Regulation is amended by repealing and replacing the following Schedules: “ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

“ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

GOVERNOR-GENERAL.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

ARRANGEMENT OF CLAUSES.

Repeal and replacement of Schedule 1.“SCHEDULE 1.SCHEDULE 2.SCHEDULE 3.”

Dental (Charges) (Amendment)

Regulation 2013.

GOVERNOR -GENERAL

29th November

STATUTORY INSTRUMENT.No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).REPEAL AND REPLACEMENT OF SCHEDULE 1, SCHEDULE 2 & SCHEDULE 3

The Principal Regulation is amendedby repealingand replacing the following Schedules: 1, 2 & 3

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1

The Principal Regulation is amended by repealing and replacing the following Schedules: “ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

“ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

GOVERNOR-GENERAL.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

ARRANGEMENT OF CLAUSES.

Repeal and replacement of Schedule 1.“SCHEDULE 1.SCHEDULE 2.SCHEDULE 3.”

Dental (Charges) (Amendment)

Regulation 2013.

No. 09

STATUTORY INSTRUMENTNo of 2013.

Public Hospitals (Amendment)Regulation 2013,Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1.The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.Reg. Sec. 2.FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

ITEM SERVICE SUBSIDIZED FEE

1. Each day in a hospital - for accommodation, meals, drugs,Dressing and general medical and nursing care:

Provincial Public Hospitals; Regional Referral Hospitals.

K20.00 K30.00

Division 2. - Outpatients.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance as an outpatient . K 10.00 2. Each attendance for outpatient consultation. K 20.00 3. Each course of injection as an outpatient. Free 4. Receiving family planning advice. Free 5. Insertion of IUD, Injection of Depo Provera, Supply of

Contraceptive pills or other appropriate methods.K 15.00

6. Each antenatal care. K 20.00 7. Supervision of delivery. K 40.00 8. Each consultation with a health worker other than a Medical

Officer.K 3.00

9. Each consultation with a general medical practitioner. K 8.00 10. Each consultation with a specialist medical officer. K 15.00

PART II - PATHOLOGY SERVICES.

Division 1 - Tests done in Hematology.

ITEM SERVICE SUBSIDIZED FEE

1 HB (1) K 2.00 2 FBE, FBC, WCC, FILM (3) K 7.50 3 Malaria Parasites (1) K 2.00 4 ESR, Erythematosus- L.E. Cells Preparation (1) K 2.00 5 LupuaErythematosus- L.E. Cells Preparation (1) K 2.00 6 Micro-filaria (1) K 2.00 7 Rheumatoid factor R.A. Factor (1) K 5.00 8 Monospot, or Denco IM or Paul Bunnel (1) K 5.00 9 Prothrombin time - P. T. test (1) K 2.00 10 Partial Thromboplastin time Kaolin (PTTKO - (1) K 2.00 11 Glucose - 6 Phosphate Denydrogenase- G6PD (1) K 2.00 12 Haemoglobin Electrophoresis - HB. A, Hb

-F. Strips - (3) K 7.50 13 Platelet Count (1) K 2.00 14 Reticulocytes count or Retic Count (1) K 2.00 15 Packed Cell Volume, or Haematocrit, (PCV)

-Tests - (1) K 2.00 16 Thrombin Time (T. T.) Tests - (1) K 2.00 17 Ham’s Test (1) K 2.00 18 Osmotic Fragility (1) K 2.00 19 Coagulation study -

Bleeding time - test: 8 tests altogether:- Clothing time

X 8 test Prothrombin time (P. T.) Partial Thromboplastin time with Kaolin (PTTK) test

Fibain Degradation Product (FDP) test Clot retraction Fibanogen titer

Division 7. - Blood Bank Charges.

ITEM SERVICE SUBSIDIZED FEE

1 Haemoglobin K 2.00 2 Abo Grouping K 2.00 3 Rhesus Grouping K 2.00 4 Gerbich Grouping K 2.00 5 Cross Matching K 7.50 6 Antibody Screen K 5.00 7 Investigation of Transfusion Free 8 Reaction K 10.00 9 Haemolysin K 2.00 10 Cold Aggluttinin K 2.00 11 Genotyping K 15.00 12 Direct Coombs Test (D. C. T) K 2.00 13 Hepatitis B. Antigen (Hb’s Ag) K 5.00 14 Hepatitis B. Antibody (Hb’sAb) K 5.00 15 Indirect Coombs Test K 5.00

PART III - DIAGNOSTIC AND THERAPY RADIOGRAPHY, CARDIOGRAPHY, ULTRASONOGRAPHY,

ENCEPHALOGRAPHY, MYOGRAPHY AUDIOGRAPHY AND OTHER TESTS.

ITEM SERVICE SUBSIDIZED FEE

1 Minor Radiographic Examination K 7.50 2 Intermediate Radiographic Examination K 10.00 3 Major Radiographic Examination K 15.00 4 Electro/phonon and ballistocardiograph K 10.00 5 Electroencephalography K 15.00 6 Audiography/audiometry K 10.00 7 Ophthalmological examinations/optometry K 10.00 8 Radiotherapy treatment by means of X-Ray, radium, or other

radioactive substances to otherwise covered being: (i) A major course of supervoltagetheraphy (ii) Low voltage radiotherapy (iii) Minor radiotherapy (iv) Follow up consultations

K 45.00 K 30.00 K 15.00 K 10.00

9 CT Scan K150.00 10 Electro convulsive therapy (ECT) K 30.00

PART IV. - PHARMACEUTICAL AND DISPENSING FEES.

ITEM SERVICE SUBSIDIZED FEE

1 Administration of vaccination or prophylactic sera for Travelers. K 10.00 2 Fee for each drug, materials and equipment on the

Outpatient’s prescription on inpatient record. Prevailing Cost

PART V. SURGICAL OPERATIONS.

ITEM SERVICE SUBSIDIZED FEE

1 Provincial Public Hospitals (all operations) with Post Operative Care

K15.00

2 Regional Referral Hospitals (all operations) with Post Operative Care

K30.00

STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Division 4. - Test done in Biochemistry.

ITEM SERVICE SUBSIDIZED FEE

1 Na, K SL, Urea, Creatinine (U/E/C) B) Urea, Creatinine (RFTS)

K 12.50 K 5.00

2 Bilirubine, Protein, Alkaline phosphate, SGOT SGPT and Albumin, LFTS and SGPT

K 17.50

3 Random Blood Sugar (RBSL) a) Fasting Flood sugar, and 2 hour Post Prandial

Blood sugar (fasting and 2 hour Post Prandial b) Glucose tolerance test - fasting, 1hr, 2hr (GTT)only for(Antenatal mothers)

K 5.00

K 10.00

4 Triglyceride K 2.00 5 Cholesterol K 2.00 6 SGOT, CPK, LDH, (Cardiac Enzymes) K 7.50 7 Protein Electrophoresis (EPP) (Australia) K 17.50 8 Calcium K 2.00 9 Inorganic phosphate K 2.00 10 Magnesium K 2. 00 11 Iron and TIBC and Ferratin (Australia) K 17.50 12 Pregnancy test K 2.00 13 Amylase K 2.00 14 Acid phos K 2.00 15 Uric Acid K 2.00 16 HCO3 K 2.00 17 Serum B-12 and Serum RBC folate (Australia) K 17.50 18 Thyroid function tests (PMGH) K 17.50 19 Alpha-feto protein K 2.00 20 Prostatic Specific Antigen (PSA) K 25.00 21 C.K.M.B K 7.50 22 Beta - HCG K 7.50 23 Serum Prolalotin K 7.50 24 L.H K 7.50 25 FSH K 7.50

Division 5. - Tests sent to Royal Brisbane Hospital.

ITEM SERVICE SUBSIDIZED FEE

1 Auto immune Antibodies K 17.50 2 Immunoglobulins K 17.50 3 C-Reactive Protein (CRP) K 17.50 4 Serum Protein electrophoresis or immuno-electrophosis K 17.50 5 Crotisols or Testosterone K 17.50 6 Serum Iron, T/BC, Ferrantin K 17.50 7 Serum B12 and serum or RBC folate K 17.50 8 24-Hour Urinary VMA, Catecholamines K 17.50 9 Alpha-Antitrypsin or Insulin or Lipoproteins K 17.50 10 Drugs assay, per drugs K 17.50 11 HLA/TA/T8: Total Lumphocytes K 17.50 12 Para-thyroid hormones K 17.50 13 Calcitonin K 17.50

PART XI - MEDICAL OTHER.

ITEM SERVICE SUBSIDIZED FEE

1 Medical Report Min – K 8.00 Max - K75.00

2 Medical Examination Min - K 8.00 Max -K 38.00

3 Birth Certificate Free 4 Eye Glass Free 5 Crutches, pair Min.- K15.00

Max -K30.00 6 Post-mortem, police or coroner’s case Min - K22.00

Max -K30.00

PART XII - ADMINISTRATION.

ITEM SERVICE SUBSIDIZED FEE

1 Clinic books sale (expressed as a range) Free 2 Sale of medical equipment Cost x GST at Maximum

Level. 3 Use of photocopier by staff for personal work, per copy K 0.30 4 Use of telephone by staff for personal work , per minute K 0.80 5 Use of fax machine by staff for personal work, per sheet K 0.80 6 Mending of staff clothing, per item by hospital seamstress K 2.00 7 Use of hospital laundry by staff, per load K 3.00 8 Sale of coffin if the hospital has the capacity to

manufacture:- Small coffin Medium coffin Large coffin

Maximum Level

K 225.00 K 375.00 K 525.00

Dated this day of , 2013. STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

ITEM SERVICE SUBSIDIZED FEE

1. Each day in a hospital - for accommodation, meals, drugs,Dressing and general medical and nursing care:

Provincial Public Hospitals; Regional Referral Hospitals.

K20.00 K30.00

Division 2. - Outpatients.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance as an outpatient . K 10.00 2. Each attendance for outpatient consultation. K 20.00 3. Each course of injection as an outpatient. Free 4. Receiving family planning advice. Free 5. Insertion of IUD, Injection of Depo Provera, Supply of

Contraceptive pills or other appropriate methods.K 15.00

6. Each antenatal care. K 20.00 7. Supervision of delivery. K 40.00 8. Each consultation with a health worker other than a Medical

Officer.K 3.00

9. Each consultation with a general medical practitioner. K 8.00 10. Each consultation with a specialist medical officer. K 15.00

PART II - PATHOLOGY SERVICES.

Division 1 - Tests done in Hematology.

ITEM SERVICE SUBSIDIZED FEE

1 HB (1) K 2.00 2 FBE, FBC, WCC, FILM (3) K 7.50 3 Malaria Parasites (1) K 2.00 4 ESR, Erythematosus- L.E. Cells Preparation (1) K 2.00 5 LupuaErythematosus- L.E. Cells Preparation (1) K 2.00 6 Micro-filaria (1) K 2.00 7 Rheumatoid factor R.A. Factor (1) K 5.00 8 Monospot, or Denco IM or Paul Bunnel (1) K 5.00 9 Prothrombin time - P. T. test (1) K 2.00 10 Partial Thromboplastin time Kaolin (PTTKO - (1) K 2.00 11 Glucose - 6 Phosphate Denydrogenase- G6PD (1) K 2.00 12 Haemoglobin Electrophoresis - HB. A, Hb

-F. Strips - (3) K 7.50 13 Platelet Count (1) K 2.00 14 Reticulocytes count or Retic Count (1) K 2.00 15 Packed Cell Volume, or Haematocrit, (PCV)

-Tests - (1) K 2.00 16 Thrombin Time (T. T.) Tests - (1) K 2.00 17 Ham’s Test (1) K 2.00 18 Osmotic Fragility (1) K 2.00 19 Coagulation study -

Bleeding time - test: 8 tests altogether:- Clothing time

X 8 test Prothrombin time (P. T.) Partial Thromboplastin time with Kaolin (PTTK) test

Fibain Degradation Product (FDP) test Clot retraction Fibanogen titer

Division 7. - Blood Bank Charges.

ITEM SERVICE SUBSIDIZED FEE

1 Haemoglobin K 2.00 2 Abo Grouping K 2.00 3 Rhesus Grouping K 2.00 4 Gerbich Grouping K 2.00 5 Cross Matching K 7.50 6 Antibody Screen K 5.00 7 Investigation of Transfusion Free 8 Reaction K 10.00 9 Haemolysin K 2.00 10 Cold Aggluttinin K 2.00 11 Genotyping K 15.00 12 Direct Coombs Test (D. C. T) K 2.00 13 Hepatitis B. Antigen (Hb’s Ag) K 5.00 14 Hepatitis B. Antibody (Hb’sAb) K 5.00 15 Indirect Coombs Test K 5.00

PART III - DIAGNOSTIC AND THERAPY RADIOGRAPHY, CARDIOGRAPHY, ULTRASONOGRAPHY,

ENCEPHALOGRAPHY, MYOGRAPHY AUDIOGRAPHY AND OTHER TESTS.

ITEM SERVICE SUBSIDIZED FEE

1 Minor Radiographic Examination K 7.50 2 Intermediate Radiographic Examination K 10.00 3 Major Radiographic Examination K 15.00 4 Electro/phonon and ballistocardiograph K 10.00 5 Electroencephalography K 15.00 6 Audiography/audiometry K 10.00 7 Ophthalmological examinations/optometry K 10.00 8 Radiotherapy treatment by means of X-Ray, radium, or other

radioactive substances to otherwise covered being: (i) A major course of supervoltagetheraphy (ii) Low voltage radiotherapy (iii) Minor radiotherapy (iv) Follow up consultations

K 45.00 K 30.00 K 15.00 K 10.00

9 CT Scan K150.00 10 Electro convulsive therapy (ECT) K 30.00

PART IV. - PHARMACEUTICAL AND DISPENSING FEES.

ITEM SERVICE SUBSIDIZED FEE

1 Administration of vaccination or prophylactic sera for Travelers. K 10.00 2 Fee for each drug, materials and equipment on the

Outpatient’s prescription on inpatient record. Prevailing Cost

PART V. SURGICAL OPERATIONS.

ITEM SERVICE SUBSIDIZED FEE

1 Provincial Public Hospitals (all operations) with Post Operative Care

K15.00

2 Regional Referral Hospitals (all operations) with Post Operative Care

K30.00

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Division 4. - Test done in Biochemistry.

ITEM SERVICE SUBSIDIZED FEE

1 Na, K SL, Urea, Creatinine (U/E/C) B) Urea, Creatinine (RFTS)

K 12.50 K 5.00

2 Bilirubine, Protein, Alkaline phosphate, SGOT SGPT and Albumin, LFTS and SGPT

K 17.50

3 Random Blood Sugar (RBSL) a) Fasting Flood sugar, and 2 hour Post Prandial

Blood sugar (fasting and 2 hour Post Prandial b) Glucose tolerance test - fasting, 1hr, 2hr (GTT)only for(Antenatal mothers)

K 5.00

K 10.00

4 Triglyceride K 2.00 5 Cholesterol K 2.00 6 SGOT, CPK, LDH, (Cardiac Enzymes) K 7.50 7 Protein Electrophoresis (EPP) (Australia) K 17.50 8 Calcium K 2.00 9 Inorganic phosphate K 2.00 10 Magnesium K 2. 00 11 Iron and TIBC and Ferratin (Australia) K 17.50 12 Pregnancy test K 2.00 13 Amylase K 2.00 14 Acid phos K 2.00 15 Uric Acid K 2.00 16 HCO3 K 2.00 17 Serum B-12 and Serum RBC folate (Australia) K 17.50 18 Thyroid function tests (PMGH) K 17.50 19 Alpha-feto protein K 2.00 20 Prostatic Specific Antigen (PSA) K 25.00 21 C.K.M.B K 7.50 22 Beta - HCG K 7.50 23 Serum Prolalotin K 7.50 24 L.H K 7.50 25 FSH K 7.50

Division 5. - Tests sent to Royal Brisbane Hospital.

ITEM SERVICE SUBSIDIZED FEE

1 Auto immune Antibodies K 17.50 2 Immunoglobulins K 17.50 3 C-Reactive Protein (CRP) K 17.50 4 Serum Protein electrophoresis or immuno-electrophosis K 17.50 5 Crotisols or Testosterone K 17.50 6 Serum Iron, T/BC, Ferrantin K 17.50 7 Serum B12 and serum or RBC folate K 17.50 8 24-Hour Urinary VMA, Catecholamines K 17.50 9 Alpha-Antitrypsin or Insulin or Lipoproteins K 17.50 10 Drugs assay, per drugs K 17.50 11 HLA/TA/T8: Total Lumphocytes K 17.50 12 Para-thyroid hormones K 17.50 13 Calcitonin K 17.50

PART XI - MEDICAL OTHER.

ITEM SERVICE SUBSIDIZED FEE

1 Medical Report Min – K 8.00 Max - K75.00

2 Medical Examination Min - K 8.00 Max -K 38.00

3 Birth Certificate Free 4 Eye Glass Free 5 Crutches, pair Min.- K15.00

Max -K30.00 6 Post-mortem, police or coroner’s case Min - K22.00

Max -K30.00

PART XII - ADMINISTRATION.

ITEM SERVICE SUBSIDIZED FEE

1 Clinic books sale (expressed as a range) Free 2 Sale of medical equipment Cost x GST at Maximum

Level. 3 Use of photocopier by staff for personal work, per copy K 0.30 4 Use of telephone by staff for personal work , per minute K 0.80 5 Use of fax machine by staff for personal work, per sheet K 0.80 6 Mending of staff clothing, per item by hospital seamstress K 2.00 7 Use of hospital laundry by staff, per load K 3.00 8 Sale of coffin if the hospital has the capacity to

manufacture:- Small coffin Medium coffin Large coffin

Maximum Level

K 225.00 K 375.00 K 525.00

Dated this day of , 2013.

Public Hospitals

(Amendment)Regulation

2013

GOVERNOR -GENERAL

29th November

STATUTORY INSTRUMENTNo of 2013.

Public Hospitals (Amendment)Regulation 2013,Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1.The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.Reg. Sec. 2.FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

ITEM SERVICE SUBSIDIZED FEE

1. Each day in a hospital - for accommodation, meals, drugs,Dressing and general medical and nursing care:

Provincial Public Hospitals; Regional Referral Hospitals.

K20.00 K30.00

Division 2. - Outpatients.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance as an outpatient . K 10.00 2. Each attendance for outpatient consultation. K 20.00 3. Each course of injection as an outpatient. Free 4. Receiving family planning advice. Free 5. Insertion of IUD, Injection of Depo Provera, Supply of

Contraceptive pills or other appropriate methods.K 15.00

6. Each antenatal care. K 20.00 7. Supervision of delivery. K 40.00 8. Each consultation with a health worker other than a Medical

Officer.K 3.00

9. Each consultation with a general medical practitioner. K 8.00 10. Each consultation with a specialist medical officer. K 15.00

PART II - PATHOLOGY SERVICES.

Division 1 - Tests done in Hematology.

ITEM SERVICE SUBSIDIZED FEE

1 HB (1) K 2.00 2 FBE, FBC, WCC, FILM (3) K 7.50 3 Malaria Parasites (1) K 2.00 4 ESR, Erythematosus- L.E. Cells Preparation (1) K 2.00 5 LupuaErythematosus- L.E. Cells Preparation (1) K 2.00 6 Micro-filaria (1) K 2.00 7 Rheumatoid factor R.A. Factor (1) K 5.00 8 Monospot, or Denco IM or Paul Bunnel (1) K 5.00 9 Prothrombin time - P. T. test (1) K 2.00 10 Partial Thromboplastin time Kaolin (PTTKO - (1) K 2.00 11 Glucose - 6 Phosphate Denydrogenase- G6PD (1) K 2.00 12 Haemoglobin Electrophoresis - HB. A, Hb

-F. Strips - (3) K 7.50 13 Platelet Count (1) K 2.00 14 Reticulocytes count or Retic Count (1) K 2.00 15 Packed Cell Volume, or Haematocrit, (PCV)

-Tests - (1) K 2.00 16 Thrombin Time (T. T.) Tests - (1) K 2.00 17 Ham’s Test (1) K 2.00 18 Osmotic Fragility (1) K 2.00 19 Coagulation study -

Bleeding time - test: 8 tests altogether:- Clothing time

X 8 test Prothrombin time (P. T.) Partial Thromboplastin time with Kaolin (PTTK) test

Fibain Degradation Product (FDP) test Clot retraction Fibanogen titer

Division 7. - Blood Bank Charges.

ITEM SERVICE SUBSIDIZED FEE

1 Haemoglobin K 2.00 2 Abo Grouping K 2.00 3 Rhesus Grouping K 2.00 4 Gerbich Grouping K 2.00 5 Cross Matching K 7.50 6 Antibody Screen K 5.00 7 Investigation of Transfusion Free 8 Reaction K 10.00 9 Haemolysin K 2.00 10 Cold Aggluttinin K 2.00 11 Genotyping K 15.00 12 Direct Coombs Test (D. C. T) K 2.00 13 Hepatitis B. Antigen (Hb’s Ag) K 5.00 14 Hepatitis B. Antibody (Hb’sAb) K 5.00 15 Indirect Coombs Test K 5.00

PART III - DIAGNOSTIC AND THERAPY RADIOGRAPHY, CARDIOGRAPHY, ULTRASONOGRAPHY,

ENCEPHALOGRAPHY, MYOGRAPHY AUDIOGRAPHY AND OTHER TESTS.

ITEM SERVICE SUBSIDIZED FEE

1 Minor Radiographic Examination K 7.50 2 Intermediate Radiographic Examination K 10.00 3 Major Radiographic Examination K 15.00 4 Electro/phonon and ballistocardiograph K 10.00 5 Electroencephalography K 15.00 6 Audiography/audiometry K 10.00 7 Ophthalmological examinations/optometry K 10.00 8 Radiotherapy treatment by means of X-Ray, radium, or other

radioactive substances to otherwise covered being: (i) A major course of supervoltagetheraphy (ii) Low voltage radiotherapy (iii) Minor radiotherapy (iv) Follow up consultations

K 45.00 K 30.00 K 15.00 K 10.00

9 CT Scan K150.00 10 Electro convulsive therapy (ECT) K 30.00

PART IV. - PHARMACEUTICAL AND DISPENSING FEES.

ITEM SERVICE SUBSIDIZED FEE

1 Administration of vaccination or prophylactic sera for Travelers. K 10.00 2 Fee for each drug, materials and equipment on the

Outpatient’s prescription on inpatient record. Prevailing Cost

PART V. SURGICAL OPERATIONS.

ITEM SERVICE SUBSIDIZED FEE

1 Provincial Public Hospitals (all operations) with Post Operative Care

K15.00

2 Regional Referral Hospitals (all operations) with Post Operative Care

K30.00

STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Division 4. - Test done in Biochemistry.

ITEM SERVICE SUBSIDIZED FEE

1 Na, K SL, Urea, Creatinine (U/E/C) B) Urea, Creatinine (RFTS)

K 12.50 K 5.00

2 Bilirubine, Protein, Alkaline phosphate, SGOT SGPT and Albumin, LFTS and SGPT

K 17.50

3 Random Blood Sugar (RBSL) a) Fasting Flood sugar, and 2 hour Post Prandial

Blood sugar (fasting and 2 hour Post Prandial b) Glucose tolerance test - fasting, 1hr, 2hr (GTT)only for(Antenatal mothers)

K 5.00

K 10.00

4 Triglyceride K 2.00 5 Cholesterol K 2.00 6 SGOT, CPK, LDH, (Cardiac Enzymes) K 7.50 7 Protein Electrophoresis (EPP) (Australia) K 17.50 8 Calcium K 2.00 9 Inorganic phosphate K 2.00 10 Magnesium K 2. 00 11 Iron and TIBC and Ferratin (Australia) K 17.50 12 Pregnancy test K 2.00 13 Amylase K 2.00 14 Acid phos K 2.00 15 Uric Acid K 2.00 16 HCO3 K 2.00 17 Serum B-12 and Serum RBC folate (Australia) K 17.50 18 Thyroid function tests (PMGH) K 17.50 19 Alpha-feto protein K 2.00 20 Prostatic Specific Antigen (PSA) K 25.00 21 C.K.M.B K 7.50 22 Beta - HCG K 7.50 23 Serum Prolalotin K 7.50 24 L.H K 7.50 25 FSH K 7.50

Division 5. - Tests sent to Royal Brisbane Hospital.

ITEM SERVICE SUBSIDIZED FEE

1 Auto immune Antibodies K 17.50 2 Immunoglobulins K 17.50 3 C-Reactive Protein (CRP) K 17.50 4 Serum Protein electrophoresis or immuno-electrophosis K 17.50 5 Crotisols or Testosterone K 17.50 6 Serum Iron, T/BC, Ferrantin K 17.50 7 Serum B12 and serum or RBC folate K 17.50 8 24-Hour Urinary VMA, Catecholamines K 17.50 9 Alpha-Antitrypsin or Insulin or Lipoproteins K 17.50 10 Drugs assay, per drugs K 17.50 11 HLA/TA/T8: Total Lumphocytes K 17.50 12 Para-thyroid hormones K 17.50 13 Calcitonin K 17.50

PART XI - MEDICAL OTHER.

ITEM SERVICE SUBSIDIZED FEE

1 Medical Report Min – K 8.00 Max - K75.00

2 Medical Examination Min - K 8.00 Max -K 38.00

3 Birth Certificate Free 4 Eye Glass Free 5 Crutches, pair Min.- K15.00

Max -K30.00 6 Post-mortem, police or coroner’s case Min - K22.00

Max -K30.00

PART XII - ADMINISTRATION.

ITEM SERVICE SUBSIDIZED FEE

1 Clinic books sale (expressed as a range) Free 2 Sale of medical equipment Cost x GST at Maximum

Level. 3 Use of photocopier by staff for personal work, per copy K 0.30 4 Use of telephone by staff for personal work , per minute K 0.80 5 Use of fax machine by staff for personal work, per sheet K 0.80 6 Mending of staff clothing, per item by hospital seamstress K 2.00 7 Use of hospital laundry by staff, per load K 3.00 8 Sale of coffin if the hospital has the capacity to

manufacture:- Small coffin Medium coffin Large coffin

Maximum Level

K 225.00 K 375.00 K 525.00

Dated this day of , 2013. STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

ITEM SERVICE SUBSIDIZED FEE

1. Each day in a hospital - for accommodation, meals, drugs,Dressing and general medical and nursing care:

Provincial Public Hospitals; Regional Referral Hospitals.

K20.00 K30.00

Division 2. - Outpatients.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance as an outpatient . K 10.00 2. Each attendance for outpatient consultation. K 20.00 3. Each course of injection as an outpatient. Free 4. Receiving family planning advice. Free 5. Insertion of IUD, Injection of Depo Provera, Supply of

Contraceptive pills or other appropriate methods.K 15.00

6. Each antenatal care. K 20.00 7. Supervision of delivery. K 40.00 8. Each consultation with a health worker other than a Medical

Officer.K 3.00

9. Each consultation with a general medical practitioner. K 8.00 10. Each consultation with a specialist medical officer. K 15.00

PART II - PATHOLOGY SERVICES.

Division 1 - Tests done in Hematology.

ITEM SERVICE SUBSIDIZED FEE

1 HB (1) K 2.00 2 FBE, FBC, WCC, FILM (3) K 7.50 3 Malaria Parasites (1) K 2.00 4 ESR, Erythematosus- L.E. Cells Preparation (1) K 2.00 5 LupuaErythematosus- L.E. Cells Preparation (1) K 2.00 6 Micro-filaria (1) K 2.00 7 Rheumatoid factor R.A. Factor (1) K 5.00 8 Monospot, or Denco IM or Paul Bunnel (1) K 5.00 9 Prothrombin time - P. T. test (1) K 2.00 10 Partial Thromboplastin time Kaolin (PTTKO - (1) K 2.00 11 Glucose - 6 Phosphate Denydrogenase- G6PD (1) K 2.00 12 Haemoglobin Electrophoresis - HB. A, Hb

-F. Strips - (3) K 7.50 13 Platelet Count (1) K 2.00 14 Reticulocytes count or Retic Count (1) K 2.00 15 Packed Cell Volume, or Haematocrit, (PCV)

-Tests - (1) K 2.00 16 Thrombin Time (T. T.) Tests - (1) K 2.00 17 Ham’s Test (1) K 2.00 18 Osmotic Fragility (1) K 2.00 19 Coagulation study -

Bleeding time - test: 8 tests altogether:- Clothing time

X 8 test Prothrombin time (P. T.) Partial Thromboplastin time with Kaolin (PTTK) test

Fibain Degradation Product (FDP) test Clot retraction Fibanogen titer

Division 7. - Blood Bank Charges.

ITEM SERVICE SUBSIDIZED FEE

1 Haemoglobin K 2.00 2 Abo Grouping K 2.00 3 Rhesus Grouping K 2.00 4 Gerbich Grouping K 2.00 5 Cross Matching K 7.50 6 Antibody Screen K 5.00 7 Investigation of Transfusion Free 8 Reaction K 10.00 9 Haemolysin K 2.00 10 Cold Aggluttinin K 2.00 11 Genotyping K 15.00 12 Direct Coombs Test (D. C. T) K 2.00 13 Hepatitis B. Antigen (Hb’s Ag) K 5.00 14 Hepatitis B. Antibody (Hb’sAb) K 5.00 15 Indirect Coombs Test K 5.00

PART III - DIAGNOSTIC AND THERAPY RADIOGRAPHY, CARDIOGRAPHY, ULTRASONOGRAPHY,

ENCEPHALOGRAPHY, MYOGRAPHY AUDIOGRAPHY AND OTHER TESTS.

ITEM SERVICE SUBSIDIZED FEE

1 Minor Radiographic Examination K 7.50 2 Intermediate Radiographic Examination K 10.00 3 Major Radiographic Examination K 15.00 4 Electro/phonon and ballistocardiograph K 10.00 5 Electroencephalography K 15.00 6 Audiography/audiometry K 10.00 7 Ophthalmological examinations/optometry K 10.00 8 Radiotherapy treatment by means of X-Ray, radium, or other

radioactive substances to otherwise covered being: (i) A major course of supervoltagetheraphy (ii) Low voltage radiotherapy (iii) Minor radiotherapy (iv) Follow up consultations

K 45.00 K 30.00 K 15.00 K 10.00

9 CT Scan K150.00 10 Electro convulsive therapy (ECT) K 30.00

PART IV. - PHARMACEUTICAL AND DISPENSING FEES.

ITEM SERVICE SUBSIDIZED FEE

1 Administration of vaccination or prophylactic sera for Travelers. K 10.00 2 Fee for each drug, materials and equipment on the

Outpatient’s prescription on inpatient record. Prevailing Cost

PART V. SURGICAL OPERATIONS.

ITEM SERVICE SUBSIDIZED FEE

1 Provincial Public Hospitals (all operations) with Post Operative Care

K15.00

2 Regional Referral Hospitals (all operations) with Post Operative Care

K30.00

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Division 4. - Test done in Biochemistry.

ITEM SERVICE SUBSIDIZED FEE

1 Na, K SL, Urea, Creatinine (U/E/C) B) Urea, Creatinine (RFTS)

K 12.50 K 5.00

2 Bilirubine, Protein, Alkaline phosphate, SGOT SGPT and Albumin, LFTS and SGPT

K 17.50

3 Random Blood Sugar (RBSL) a) Fasting Flood sugar, and 2 hour Post Prandial

Blood sugar (fasting and 2 hour Post Prandial b) Glucose tolerance test - fasting, 1hr, 2hr (GTT)only for(Antenatal mothers)

K 5.00

K 10.00

4 Triglyceride K 2.00 5 Cholesterol K 2.00 6 SGOT, CPK, LDH, (Cardiac Enzymes) K 7.50 7 Protein Electrophoresis (EPP) (Australia) K 17.50 8 Calcium K 2.00 9 Inorganic phosphate K 2.00 10 Magnesium K 2. 00 11 Iron and TIBC and Ferratin (Australia) K 17.50 12 Pregnancy test K 2.00 13 Amylase K 2.00 14 Acid phos K 2.00 15 Uric Acid K 2.00 16 HCO3 K 2.00 17 Serum B-12 and Serum RBC folate (Australia) K 17.50 18 Thyroid function tests (PMGH) K 17.50 19 Alpha-feto protein K 2.00 20 Prostatic Specific Antigen (PSA) K 25.00 21 C.K.M.B K 7.50 22 Beta - HCG K 7.50 23 Serum Prolalotin K 7.50 24 L.H K 7.50 25 FSH K 7.50

Division 5. - Tests sent to Royal Brisbane Hospital.

ITEM SERVICE SUBSIDIZED FEE

1 Auto immune Antibodies K 17.50 2 Immunoglobulins K 17.50 3 C-Reactive Protein (CRP) K 17.50 4 Serum Protein electrophoresis or immuno-electrophosis K 17.50 5 Crotisols or Testosterone K 17.50 6 Serum Iron, T/BC, Ferrantin K 17.50 7 Serum B12 and serum or RBC folate K 17.50 8 24-Hour Urinary VMA, Catecholamines K 17.50 9 Alpha-Antitrypsin or Insulin or Lipoproteins K 17.50 10 Drugs assay, per drugs K 17.50 11 HLA/TA/T8: Total Lumphocytes K 17.50 12 Para-thyroid hormones K 17.50 13 Calcitonin K 17.50

PART XI - MEDICAL OTHER.

ITEM SERVICE SUBSIDIZED FEE

1 Medical Report Min – K 8.00 Max - K75.00

2 Medical Examination Min - K 8.00 Max -K 38.00

3 Birth Certificate Free 4 Eye Glass Free 5 Crutches, pair Min.- K15.00

Max -K30.00 6 Post-mortem, police or coroner’s case Min - K22.00

Max -K30.00

PART XII - ADMINISTRATION.

ITEM SERVICE SUBSIDIZED FEE

1 Clinic books sale (expressed as a range) Free 2 Sale of medical equipment Cost x GST at Maximum

Level. 3 Use of photocopier by staff for personal work, per copy K 0.30 4 Use of telephone by staff for personal work , per minute K 0.80 5 Use of fax machine by staff for personal work, per sheet K 0.80 6 Mending of staff clothing, per item by hospital seamstress K 2.00 7 Use of hospital laundry by staff, per load K 3.00 8 Sale of coffin if the hospital has the capacity to

manufacture:- Small coffin Medium coffin Large coffin

Maximum Level

K 225.00 K 375.00 K 525.00

Dated this day of , 2013.

Public Hospitals

(Amendment)Regulation

2013

No. 08

STATUTORY INSTRUMENTNo of 2013.

Public Hospitals (Amendment)Regulation 2013,Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1.The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.Reg. Sec. 2.FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

ITEM SERVICE SUBSIDIZED FEE

1. Each day in a hospital - for accommodation, meals, drugs,Dressing and general medical and nursing care:

Provincial Public Hospitals; Regional Referral Hospitals.

K20.00 K30.00

Division 2. - Outpatients.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance as an outpatient . K 10.00 2. Each attendance for outpatient consultation. K 20.00 3. Each course of injection as an outpatient. Free 4. Receiving family planning advice. Free 5. Insertion of IUD, Injection of Depo Provera, Supply of

Contraceptive pills or other appropriate methods.K 15.00

6. Each antenatal care. K 20.00 7. Supervision of delivery. K 40.00 8. Each consultation with a health worker other than a Medical

Officer.K 3.00

9. Each consultation with a general medical practitioner. K 8.00 10. Each consultation with a specialist medical officer. K 15.00

PART II - PATHOLOGY SERVICES.

Division 1 - Tests done in Hematology.

ITEM SERVICE SUBSIDIZED FEE

1 HB (1) K 2.00 2 FBE, FBC, WCC, FILM (3) K 7.50 3 Malaria Parasites (1) K 2.00 4 ESR, Erythematosus- L.E. Cells Preparation (1) K 2.00 5 LupuaErythematosus- L.E. Cells Preparation (1) K 2.00 6 Micro-filaria (1) K 2.00 7 Rheumatoid factor R.A. Factor (1) K 5.00 8 Monospot, or Denco IM or Paul Bunnel (1) K 5.00 9 Prothrombin time - P. T. test (1) K 2.00 10 Partial Thromboplastin time Kaolin (PTTKO - (1) K 2.00 11 Glucose - 6 Phosphate Denydrogenase- G6PD (1) K 2.00 12 Haemoglobin Electrophoresis - HB. A, Hb

-F. Strips - (3) K 7.50 13 Platelet Count (1) K 2.00 14 Reticulocytes count or Retic Count (1) K 2.00 15 Packed Cell Volume, or Haematocrit, (PCV)

-Tests - (1) K 2.00 16 Thrombin Time (T. T.) Tests - (1) K 2.00 17 Ham’s Test (1) K 2.00 18 Osmotic Fragility (1) K 2.00 19 Coagulation study -

Bleeding time - test: 8 tests altogether:- Clothing time

X 8 test Prothrombin time (P. T.) Partial Thromboplastin time with Kaolin (PTTK) test

Fibain Degradation Product (FDP) test Clot retraction Fibanogen titer

Division 7. - Blood Bank Charges.

ITEM SERVICE SUBSIDIZED FEE

1 Haemoglobin K 2.00 2 Abo Grouping K 2.00 3 Rhesus Grouping K 2.00 4 Gerbich Grouping K 2.00 5 Cross Matching K 7.50 6 Antibody Screen K 5.00 7 Investigation of Transfusion Free 8 Reaction K 10.00 9 Haemolysin K 2.00 10 Cold Aggluttinin K 2.00 11 Genotyping K 15.00 12 Direct Coombs Test (D. C. T) K 2.00 13 Hepatitis B. Antigen (Hb’s Ag) K 5.00 14 Hepatitis B. Antibody (Hb’sAb) K 5.00 15 Indirect Coombs Test K 5.00

PART III - DIAGNOSTIC AND THERAPY RADIOGRAPHY, CARDIOGRAPHY, ULTRASONOGRAPHY,

ENCEPHALOGRAPHY, MYOGRAPHY AUDIOGRAPHY AND OTHER TESTS.

ITEM SERVICE SUBSIDIZED FEE

1 Minor Radiographic Examination K 7.50 2 Intermediate Radiographic Examination K 10.00 3 Major Radiographic Examination K 15.00 4 Electro/phonon and ballistocardiograph K 10.00 5 Electroencephalography K 15.00 6 Audiography/audiometry K 10.00 7 Ophthalmological examinations/optometry K 10.00 8 Radiotherapy treatment by means of X-Ray, radium, or other

radioactive substances to otherwise covered being: (i) A major course of supervoltagetheraphy (ii) Low voltage radiotherapy (iii) Minor radiotherapy (iv) Follow up consultations

K 45.00 K 30.00 K 15.00 K 10.00

9 CT Scan K150.00 10 Electro convulsive therapy (ECT) K 30.00

PART IV. - PHARMACEUTICAL AND DISPENSING FEES.

ITEM SERVICE SUBSIDIZED FEE

1 Administration of vaccination or prophylactic sera for Travelers. K 10.00 2 Fee for each drug, materials and equipment on the

Outpatient’s prescription on inpatient record. Prevailing Cost

PART V. SURGICAL OPERATIONS.

ITEM SERVICE SUBSIDIZED FEE

1 Provincial Public Hospitals (all operations) with Post Operative Care

K15.00

2 Regional Referral Hospitals (all operations) with Post Operative Care

K30.00

STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Division 4. - Test done in Biochemistry.

ITEM SERVICE SUBSIDIZED FEE

1 Na, K SL, Urea, Creatinine (U/E/C) B) Urea, Creatinine (RFTS)

K 12.50 K 5.00

2 Bilirubine, Protein, Alkaline phosphate, SGOT SGPT and Albumin, LFTS and SGPT

K 17.50

3 Random Blood Sugar (RBSL) a) Fasting Flood sugar, and 2 hour Post Prandial

Blood sugar (fasting and 2 hour Post Prandial b) Glucose tolerance test - fasting, 1hr, 2hr (GTT)only for(Antenatal mothers)

K 5.00

K 10.00

4 Triglyceride K 2.00 5 Cholesterol K 2.00 6 SGOT, CPK, LDH, (Cardiac Enzymes) K 7.50 7 Protein Electrophoresis (EPP) (Australia) K 17.50 8 Calcium K 2.00 9 Inorganic phosphate K 2.00 10 Magnesium K 2. 00 11 Iron and TIBC and Ferratin (Australia) K 17.50 12 Pregnancy test K 2.00 13 Amylase K 2.00 14 Acid phos K 2.00 15 Uric Acid K 2.00 16 HCO3 K 2.00 17 Serum B-12 and Serum RBC folate (Australia) K 17.50 18 Thyroid function tests (PMGH) K 17.50 19 Alpha-feto protein K 2.00 20 Prostatic Specific Antigen (PSA) K 25.00 21 C.K.M.B K 7.50 22 Beta - HCG K 7.50 23 Serum Prolalotin K 7.50 24 L.H K 7.50 25 FSH K 7.50

Division 5. - Tests sent to Royal Brisbane Hospital.

ITEM SERVICE SUBSIDIZED FEE

1 Auto immune Antibodies K 17.50 2 Immunoglobulins K 17.50 3 C-Reactive Protein (CRP) K 17.50 4 Serum Protein electrophoresis or immuno-electrophosis K 17.50 5 Crotisols or Testosterone K 17.50 6 Serum Iron, T/BC, Ferrantin K 17.50 7 Serum B12 and serum or RBC folate K 17.50 8 24-Hour Urinary VMA, Catecholamines K 17.50 9 Alpha-Antitrypsin or Insulin or Lipoproteins K 17.50 10 Drugs assay, per drugs K 17.50 11 HLA/TA/T8: Total Lumphocytes K 17.50 12 Para-thyroid hormones K 17.50 13 Calcitonin K 17.50

PART XI - MEDICAL OTHER.

ITEM SERVICE SUBSIDIZED FEE

1 Medical Report Min – K 8.00 Max - K75.00

2 Medical Examination Min - K 8.00 Max -K 38.00

3 Birth Certificate Free 4 Eye Glass Free 5 Crutches, pair Min.- K15.00

Max -K30.00 6 Post-mortem, police or coroner’s case Min - K22.00

Max -K30.00

PART XII - ADMINISTRATION.

ITEM SERVICE SUBSIDIZED FEE

1 Clinic books sale (expressed as a range) Free 2 Sale of medical equipment Cost x GST at Maximum

Level. 3 Use of photocopier by staff for personal work, per copy K 0.30 4 Use of telephone by staff for personal work , per minute K 0.80 5 Use of fax machine by staff for personal work, per sheet K 0.80 6 Mending of staff clothing, per item by hospital seamstress K 2.00 7 Use of hospital laundry by staff, per load K 3.00 8 Sale of coffin if the hospital has the capacity to

manufacture:- Small coffin Medium coffin Large coffin

Maximum Level

K 225.00 K 375.00 K 525.00

Dated this day of , 2013. STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

ITEM SERVICE SUBSIDIZED FEE

1. Each day in a hospital - for accommodation, meals, drugs,Dressing and general medical and nursing care:

Provincial Public Hospitals; Regional Referral Hospitals.

K20.00 K30.00

Division 2. - Outpatients.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance as an outpatient . K 10.00 2. Each attendance for outpatient consultation. K 20.00 3. Each course of injection as an outpatient. Free 4. Receiving family planning advice. Free 5. Insertion of IUD, Injection of Depo Provera, Supply of

Contraceptive pills or other appropriate methods.K 15.00

6. Each antenatal care. K 20.00 7. Supervision of delivery. K 40.00 8. Each consultation with a health worker other than a Medical

Officer.K 3.00

9. Each consultation with a general medical practitioner. K 8.00 10. Each consultation with a specialist medical officer. K 15.00

PART II - PATHOLOGY SERVICES.

Division 1 - Tests done in Hematology.

ITEM SERVICE SUBSIDIZED FEE

1 HB (1) K 2.00 2 FBE, FBC, WCC, FILM (3) K 7.50 3 Malaria Parasites (1) K 2.00 4 ESR, Erythematosus- L.E. Cells Preparation (1) K 2.00 5 LupuaErythematosus- L.E. Cells Preparation (1) K 2.00 6 Micro-filaria (1) K 2.00 7 Rheumatoid factor R.A. Factor (1) K 5.00 8 Monospot, or Denco IM or Paul Bunnel (1) K 5.00 9 Prothrombin time - P. T. test (1) K 2.00 10 Partial Thromboplastin time Kaolin (PTTKO - (1) K 2.00 11 Glucose - 6 Phosphate Denydrogenase- G6PD (1) K 2.00 12 Haemoglobin Electrophoresis - HB. A, Hb

-F. Strips - (3) K 7.50 13 Platelet Count (1) K 2.00 14 Reticulocytes count or Retic Count (1) K 2.00 15 Packed Cell Volume, or Haematocrit, (PCV)

-Tests - (1) K 2.00 16 Thrombin Time (T. T.) Tests - (1) K 2.00 17 Ham’s Test (1) K 2.00 18 Osmotic Fragility (1) K 2.00 19 Coagulation study -

Bleeding time - test: 8 tests altogether:- Clothing time

X 8 test Prothrombin time (P. T.) Partial Thromboplastin time with Kaolin (PTTK) test

Fibain Degradation Product (FDP) test Clot retraction Fibanogen titer

Division 7. - Blood Bank Charges.

ITEM SERVICE SUBSIDIZED FEE

1 Haemoglobin K 2.00 2 Abo Grouping K 2.00 3 Rhesus Grouping K 2.00 4 Gerbich Grouping K 2.00 5 Cross Matching K 7.50 6 Antibody Screen K 5.00 7 Investigation of Transfusion Free 8 Reaction K 10.00 9 Haemolysin K 2.00 10 Cold Aggluttinin K 2.00 11 Genotyping K 15.00 12 Direct Coombs Test (D. C. T) K 2.00 13 Hepatitis B. Antigen (Hb’s Ag) K 5.00 14 Hepatitis B. Antibody (Hb’sAb) K 5.00 15 Indirect Coombs Test K 5.00

PART III - DIAGNOSTIC AND THERAPY RADIOGRAPHY, CARDIOGRAPHY, ULTRASONOGRAPHY,

ENCEPHALOGRAPHY, MYOGRAPHY AUDIOGRAPHY AND OTHER TESTS.

ITEM SERVICE SUBSIDIZED FEE

1 Minor Radiographic Examination K 7.50 2 Intermediate Radiographic Examination K 10.00 3 Major Radiographic Examination K 15.00 4 Electro/phonon and ballistocardiograph K 10.00 5 Electroencephalography K 15.00 6 Audiography/audiometry K 10.00 7 Ophthalmological examinations/optometry K 10.00 8 Radiotherapy treatment by means of X-Ray, radium, or other

radioactive substances to otherwise covered being: (i) A major course of supervoltagetheraphy (ii) Low voltage radiotherapy (iii) Minor radiotherapy (iv) Follow up consultations

K 45.00 K 30.00 K 15.00 K 10.00

9 CT Scan K150.00 10 Electro convulsive therapy (ECT) K 30.00

PART IV. - PHARMACEUTICAL AND DISPENSING FEES.

ITEM SERVICE SUBSIDIZED FEE

1 Administration of vaccination or prophylactic sera for Travelers. K 10.00 2 Fee for each drug, materials and equipment on the

Outpatient’s prescription on inpatient record. Prevailing Cost

PART V. SURGICAL OPERATIONS.

ITEM SERVICE SUBSIDIZED FEE

1 Provincial Public Hospitals (all operations) with Post Operative Care

K15.00

2 Regional Referral Hospitals (all operations) with Post Operative Care

K30.00

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Division 4. - Test done in Biochemistry.

ITEM SERVICE SUBSIDIZED FEE

1 Na, K SL, Urea, Creatinine (U/E/C) B) Urea, Creatinine (RFTS)

K 12.50 K 5.00

2 Bilirubine, Protein, Alkaline phosphate, SGOT SGPT and Albumin, LFTS and SGPT

K 17.50

3 Random Blood Sugar (RBSL) a) Fasting Flood sugar, and 2 hour Post Prandial

Blood sugar (fasting and 2 hour Post Prandial b) Glucose tolerance test - fasting, 1hr, 2hr (GTT)only for(Antenatal mothers)

K 5.00

K 10.00

4 Triglyceride K 2.00 5 Cholesterol K 2.00 6 SGOT, CPK, LDH, (Cardiac Enzymes) K 7.50 7 Protein Electrophoresis (EPP) (Australia) K 17.50 8 Calcium K 2.00 9 Inorganic phosphate K 2.00 10 Magnesium K 2. 00 11 Iron and TIBC and Ferratin (Australia) K 17.50 12 Pregnancy test K 2.00 13 Amylase K 2.00 14 Acid phos K 2.00 15 Uric Acid K 2.00 16 HCO3 K 2.00 17 Serum B-12 and Serum RBC folate (Australia) K 17.50 18 Thyroid function tests (PMGH) K 17.50 19 Alpha-feto protein K 2.00 20 Prostatic Specific Antigen (PSA) K 25.00 21 C.K.M.B K 7.50 22 Beta - HCG K 7.50 23 Serum Prolalotin K 7.50 24 L.H K 7.50 25 FSH K 7.50

Division 5. - Tests sent to Royal Brisbane Hospital.

ITEM SERVICE SUBSIDIZED FEE

1 Auto immune Antibodies K 17.50 2 Immunoglobulins K 17.50 3 C-Reactive Protein (CRP) K 17.50 4 Serum Protein electrophoresis or immuno-electrophosis K 17.50 5 Crotisols or Testosterone K 17.50 6 Serum Iron, T/BC, Ferrantin K 17.50 7 Serum B12 and serum or RBC folate K 17.50 8 24-Hour Urinary VMA, Catecholamines K 17.50 9 Alpha-Antitrypsin or Insulin or Lipoproteins K 17.50 10 Drugs assay, per drugs K 17.50 11 HLA/TA/T8: Total Lumphocytes K 17.50 12 Para-thyroid hormones K 17.50 13 Calcitonin K 17.50

PART XI - MEDICAL OTHER.

ITEM SERVICE SUBSIDIZED FEE

1 Medical Report Min – K 8.00 Max - K75.00

2 Medical Examination Min - K 8.00 Max -K 38.00

3 Birth Certificate Free 4 Eye Glass Free 5 Crutches, pair Min.- K15.00

Max -K30.00 6 Post-mortem, police or coroner’s case Min - K22.00

Max -K30.00

PART XII - ADMINISTRATION.

ITEM SERVICE SUBSIDIZED FEE

1 Clinic books sale (expressed as a range) Free 2 Sale of medical equipment Cost x GST at Maximum

Level. 3 Use of photocopier by staff for personal work, per copy K 0.30 4 Use of telephone by staff for personal work , per minute K 0.80 5 Use of fax machine by staff for personal work, per sheet K 0.80 6 Mending of staff clothing, per item by hospital seamstress K 2.00 7 Use of hospital laundry by staff, per load K 3.00 8 Sale of coffin if the hospital has the capacity to

manufacture:- Small coffin Medium coffin Large coffin

Maximum Level

K 225.00 K 375.00 K 525.00

Dated this day of , 2013.

Public Hospitals

(Amendment)Regulation

2013

GOVERNOR -GENERAL

29th November

STATUTORY INSTRUMENTNo of 2013.

Public Hospitals (Amendment)Regulation 2013,Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1.The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.Reg. Sec. 2.FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

ITEM SERVICE SUBSIDIZED FEE

1. Each day in a hospital - for accommodation, meals, drugs,Dressing and general medical and nursing care:

Provincial Public Hospitals; Regional Referral Hospitals.

K20.00 K30.00

Division 2. - Outpatients.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance as an outpatient . K 10.00 2. Each attendance for outpatient consultation. K 20.00 3. Each course of injection as an outpatient. Free 4. Receiving family planning advice. Free 5. Insertion of IUD, Injection of Depo Provera, Supply of

Contraceptive pills or other appropriate methods.K 15.00

6. Each antenatal care. K 20.00 7. Supervision of delivery. K 40.00 8. Each consultation with a health worker other than a Medical

Officer.K 3.00

9. Each consultation with a general medical practitioner. K 8.00 10. Each consultation with a specialist medical officer. K 15.00

PART II - PATHOLOGY SERVICES.

Division 1 - Tests done in Hematology.

ITEM SERVICE SUBSIDIZED FEE

1 HB (1) K 2.00 2 FBE, FBC, WCC, FILM (3) K 7.50 3 Malaria Parasites (1) K 2.00 4 ESR, Erythematosus- L.E. Cells Preparation (1) K 2.00 5 LupuaErythematosus- L.E. Cells Preparation (1) K 2.00 6 Micro-filaria (1) K 2.00 7 Rheumatoid factor R.A. Factor (1) K 5.00 8 Monospot, or Denco IM or Paul Bunnel (1) K 5.00 9 Prothrombin time - P. T. test (1) K 2.00 10 Partial Thromboplastin time Kaolin (PTTKO - (1) K 2.00 11 Glucose - 6 Phosphate Denydrogenase- G6PD (1) K 2.00 12 Haemoglobin Electrophoresis - HB. A, Hb

-F. Strips - (3) K 7.50 13 Platelet Count (1) K 2.00 14 Reticulocytes count or Retic Count (1) K 2.00 15 Packed Cell Volume, or Haematocrit, (PCV)

-Tests - (1) K 2.00 16 Thrombin Time (T. T.) Tests - (1) K 2.00 17 Ham’s Test (1) K 2.00 18 Osmotic Fragility (1) K 2.00 19 Coagulation study -

Bleeding time - test: 8 tests altogether:- Clothing time

X 8 test Prothrombin time (P. T.) Partial Thromboplastin time with Kaolin (PTTK) test

Fibain Degradation Product (FDP) test Clot retraction Fibanogen titer

Division 7. - Blood Bank Charges.

ITEM SERVICE SUBSIDIZED FEE

1 Haemoglobin K 2.00 2 Abo Grouping K 2.00 3 Rhesus Grouping K 2.00 4 Gerbich Grouping K 2.00 5 Cross Matching K 7.50 6 Antibody Screen K 5.00 7 Investigation of Transfusion Free 8 Reaction K 10.00 9 Haemolysin K 2.00 10 Cold Aggluttinin K 2.00 11 Genotyping K 15.00 12 Direct Coombs Test (D. C. T) K 2.00 13 Hepatitis B. Antigen (Hb’s Ag) K 5.00 14 Hepatitis B. Antibody (Hb’sAb) K 5.00 15 Indirect Coombs Test K 5.00

PART III - DIAGNOSTIC AND THERAPY RADIOGRAPHY, CARDIOGRAPHY, ULTRASONOGRAPHY,

ENCEPHALOGRAPHY, MYOGRAPHY AUDIOGRAPHY AND OTHER TESTS.

ITEM SERVICE SUBSIDIZED FEE

1 Minor Radiographic Examination K 7.50 2 Intermediate Radiographic Examination K 10.00 3 Major Radiographic Examination K 15.00 4 Electro/phonon and ballistocardiograph K 10.00 5 Electroencephalography K 15.00 6 Audiography/audiometry K 10.00 7 Ophthalmological examinations/optometry K 10.00 8 Radiotherapy treatment by means of X-Ray, radium, or other

radioactive substances to otherwise covered being: (i) A major course of supervoltagetheraphy (ii) Low voltage radiotherapy (iii) Minor radiotherapy (iv) Follow up consultations

K 45.00 K 30.00 K 15.00 K 10.00

9 CT Scan K150.00 10 Electro convulsive therapy (ECT) K 30.00

PART IV. - PHARMACEUTICAL AND DISPENSING FEES.

ITEM SERVICE SUBSIDIZED FEE

1 Administration of vaccination or prophylactic sera for Travelers. K 10.00 2 Fee for each drug, materials and equipment on the

Outpatient’s prescription on inpatient record. Prevailing Cost

PART V. SURGICAL OPERATIONS.

ITEM SERVICE SUBSIDIZED FEE

1 Provincial Public Hospitals (all operations) with Post Operative Care

K15.00

2 Regional Referral Hospitals (all operations) with Post Operative Care

K30.00

STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Division 4. - Test done in Biochemistry.

ITEM SERVICE SUBSIDIZED FEE

1 Na, K SL, Urea, Creatinine (U/E/C) B) Urea, Creatinine (RFTS)

K 12.50 K 5.00

2 Bilirubine, Protein, Alkaline phosphate, SGOT SGPT and Albumin, LFTS and SGPT

K 17.50

3 Random Blood Sugar (RBSL) a) Fasting Flood sugar, and 2 hour Post Prandial

Blood sugar (fasting and 2 hour Post Prandial b) Glucose tolerance test - fasting, 1hr, 2hr (GTT)only for(Antenatal mothers)

K 5.00

K 10.00

4 Triglyceride K 2.00 5 Cholesterol K 2.00 6 SGOT, CPK, LDH, (Cardiac Enzymes) K 7.50 7 Protein Electrophoresis (EPP) (Australia) K 17.50 8 Calcium K 2.00 9 Inorganic phosphate K 2.00 10 Magnesium K 2. 00 11 Iron and TIBC and Ferratin (Australia) K 17.50 12 Pregnancy test K 2.00 13 Amylase K 2.00 14 Acid phos K 2.00 15 Uric Acid K 2.00 16 HCO3 K 2.00 17 Serum B-12 and Serum RBC folate (Australia) K 17.50 18 Thyroid function tests (PMGH) K 17.50 19 Alpha-feto protein K 2.00 20 Prostatic Specific Antigen (PSA) K 25.00 21 C.K.M.B K 7.50 22 Beta - HCG K 7.50 23 Serum Prolalotin K 7.50 24 L.H K 7.50 25 FSH K 7.50

Division 5. - Tests sent to Royal Brisbane Hospital.

ITEM SERVICE SUBSIDIZED FEE

1 Auto immune Antibodies K 17.50 2 Immunoglobulins K 17.50 3 C-Reactive Protein (CRP) K 17.50 4 Serum Protein electrophoresis or immuno-electrophosis K 17.50 5 Crotisols or Testosterone K 17.50 6 Serum Iron, T/BC, Ferrantin K 17.50 7 Serum B12 and serum or RBC folate K 17.50 8 24-Hour Urinary VMA, Catecholamines K 17.50 9 Alpha-Antitrypsin or Insulin or Lipoproteins K 17.50 10 Drugs assay, per drugs K 17.50 11 HLA/TA/T8: Total Lumphocytes K 17.50 12 Para-thyroid hormones K 17.50 13 Calcitonin K 17.50

PART XI - MEDICAL OTHER.

ITEM SERVICE SUBSIDIZED FEE

1 Medical Report Min – K 8.00 Max - K75.00

2 Medical Examination Min - K 8.00 Max -K 38.00

3 Birth Certificate Free 4 Eye Glass Free 5 Crutches, pair Min.- K15.00

Max -K30.00 6 Post-mortem, police or coroner’s case Min - K22.00

Max -K30.00

PART XII - ADMINISTRATION.

ITEM SERVICE SUBSIDIZED FEE

1 Clinic books sale (expressed as a range) Free 2 Sale of medical equipment Cost x GST at Maximum

Level. 3 Use of photocopier by staff for personal work, per copy K 0.30 4 Use of telephone by staff for personal work , per minute K 0.80 5 Use of fax machine by staff for personal work, per sheet K 0.80 6 Mending of staff clothing, per item by hospital seamstress K 2.00 7 Use of hospital laundry by staff, per load K 3.00 8 Sale of coffin if the hospital has the capacity to

manufacture:- Small coffin Medium coffin Large coffin

Maximum Level

K 225.00 K 375.00 K 525.00

Dated this day of , 2013. STATUTORY INSTRUMENT

No of 2013.

Public Hospitals (Amendment)Regulation 2013,

Being a Regulation to amend the Public Hospitals(Charges) Regulation(Chapter 116) to change the current Health Service fees and for related purposes,

MADE by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Public Hospitals (Charges) Act (Chapter 116).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

SCHEDULE 1.

Reg. Sec. 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.

ITEM SERVICE SUBSIDIZED FEE

1 Each admission as an inpatient K5.00 2. Each inpatient day (includes tests,

Treatment Drugs, sheets and food)Free

3. Each pharmacy prescription Free 4. Each attendance care for outpatient

consultationFree

6. Each antenatal care consultation Free 7. Supervision of delivery Free 8. Ambulance – each trip Free 9. Radiology, Ultrasonography Free 10 CT Scan K50.00 11 Electrocardiography Free 12 Each pathology test Free 13 Each attendance for radiotherapy Free 14 Surgery -

Minor Intermediate Major

Free K 7.50 K15.00

SCHEDULE 2.

FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE INPATIENT SECTION OR INTERMEDIATE HOSPITAL OUTPATIENT CLINIC.

PART 1. - HOSPITAL SERVICES.

Division 1.- Inpatients.

Division 6. - Tests sent to serology lab-CPHL.

ITEM SERVICE SUBSIDIZED FEE

1 CSF/Cryptococcal K 5.00 2 VDRL/TPHA Free 3 HIV Free 4 ASOT K 5.00 5 WIDAL K 5.00

TESTS/TB LAB.

ITEM SERVICE SUBSIDIZED FEE

1 Sputum: TB Culture. All free of charge from any doctor’s request.

2 Diabetic Patients: Public; Private.

Free Free

3 Asthmatic, TB and Cardiac. Free 4 Chronic/Terminal Renal, Liver Diseases. Free 5 Mental Diseases. Free

ITEM SERVICE SUBSIDIZED FEE

1. Each day in a hospital - for accommodation, meals, drugs,Dressing and general medical and nursing care:

Provincial Public Hospitals; Regional Referral Hospitals.

K20.00 K30.00

Division 2. - Outpatients.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance as an outpatient . K 10.00 2. Each attendance for outpatient consultation. K 20.00 3. Each course of injection as an outpatient. Free 4. Receiving family planning advice. Free 5. Insertion of IUD, Injection of Depo Provera, Supply of

Contraceptive pills or other appropriate methods.K 15.00

6. Each antenatal care. K 20.00 7. Supervision of delivery. K 40.00 8. Each consultation with a health worker other than a Medical

Officer.K 3.00

9. Each consultation with a general medical practitioner. K 8.00 10. Each consultation with a specialist medical officer. K 15.00

PART II - PATHOLOGY SERVICES.

Division 1 - Tests done in Hematology.

ITEM SERVICE SUBSIDIZED FEE

1 HB (1) K 2.00 2 FBE, FBC, WCC, FILM (3) K 7.50 3 Malaria Parasites (1) K 2.00 4 ESR, Erythematosus- L.E. Cells Preparation (1) K 2.00 5 LupuaErythematosus- L.E. Cells Preparation (1) K 2.00 6 Micro-filaria (1) K 2.00 7 Rheumatoid factor R.A. Factor (1) K 5.00 8 Monospot, or Denco IM or Paul Bunnel (1) K 5.00 9 Prothrombin time - P. T. test (1) K 2.00 10 Partial Thromboplastin time Kaolin (PTTKO - (1) K 2.00 11 Glucose - 6 Phosphate Denydrogenase- G6PD (1) K 2.00 12 Haemoglobin Electrophoresis - HB. A, Hb

-F. Strips - (3) K 7.50 13 Platelet Count (1) K 2.00 14 Reticulocytes count or Retic Count (1) K 2.00 15 Packed Cell Volume, or Haematocrit, (PCV)

-Tests - (1) K 2.00 16 Thrombin Time (T. T.) Tests - (1) K 2.00 17 Ham’s Test (1) K 2.00 18 Osmotic Fragility (1) K 2.00 19 Coagulation study -

Bleeding time - test: 8 tests altogether:- Clothing time

X 8 test Prothrombin time (P. T.) Partial Thromboplastin time with Kaolin (PTTK) test

Fibain Degradation Product (FDP) test Clot retraction Fibanogen titer

Division 7. - Blood Bank Charges.

ITEM SERVICE SUBSIDIZED FEE

1 Haemoglobin K 2.00 2 Abo Grouping K 2.00 3 Rhesus Grouping K 2.00 4 Gerbich Grouping K 2.00 5 Cross Matching K 7.50 6 Antibody Screen K 5.00 7 Investigation of Transfusion Free 8 Reaction K 10.00 9 Haemolysin K 2.00 10 Cold Aggluttinin K 2.00 11 Genotyping K 15.00 12 Direct Coombs Test (D. C. T) K 2.00 13 Hepatitis B. Antigen (Hb’s Ag) K 5.00 14 Hepatitis B. Antibody (Hb’sAb) K 5.00 15 Indirect Coombs Test K 5.00

PART III - DIAGNOSTIC AND THERAPY RADIOGRAPHY, CARDIOGRAPHY, ULTRASONOGRAPHY,

ENCEPHALOGRAPHY, MYOGRAPHY AUDIOGRAPHY AND OTHER TESTS.

ITEM SERVICE SUBSIDIZED FEE

1 Minor Radiographic Examination K 7.50 2 Intermediate Radiographic Examination K 10.00 3 Major Radiographic Examination K 15.00 4 Electro/phonon and ballistocardiograph K 10.00 5 Electroencephalography K 15.00 6 Audiography/audiometry K 10.00 7 Ophthalmological examinations/optometry K 10.00 8 Radiotherapy treatment by means of X-Ray, radium, or other

radioactive substances to otherwise covered being: (i) A major course of supervoltagetheraphy (ii) Low voltage radiotherapy (iii) Minor radiotherapy (iv) Follow up consultations

K 45.00 K 30.00 K 15.00 K 10.00

9 CT Scan K150.00 10 Electro convulsive therapy (ECT) K 30.00

PART IV. - PHARMACEUTICAL AND DISPENSING FEES.

ITEM SERVICE SUBSIDIZED FEE

1 Administration of vaccination or prophylactic sera for Travelers. K 10.00 2 Fee for each drug, materials and equipment on the

Outpatient’s prescription on inpatient record. Prevailing Cost

PART V. SURGICAL OPERATIONS.

ITEM SERVICE SUBSIDIZED FEE

1 Provincial Public Hospitals (all operations) with Post Operative Care

K15.00

2 Regional Referral Hospitals (all operations) with Post Operative Care

K30.00

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Factor XIII Activity K 40.00 20 Full Anaemia Investigations K 35.00 21 Bone Marrow examination - A/ Aspirations

B/ Preparations and Reports K 35.00

Division 2. - Tests done in bacteriology.

ITEM SERVICE SUBSIDIZED FEE

1 Urine-Microscopy (1) each test Urine o MCS (3) (Micros culture and Sensitivity)

K 2.00 K 7.50

2 Faeces/Stool-OCP (1) Faeces/Stool-OCP Microscopy only Faeces/Stool MCS (3)

K 2.00 K 7.50

3 High Vaginal Swab (H. V. S) Microscopy M. C. S

K 2.00 K 7.50

4 CX Swab - Microscopy M. C. S (3)

K 2.00

5 Pus Swab - Microscopy MCS (3)

K 2.00 K 7.50

6 Throat Swab - Microscopy -MCS (3)

K 2.00 K 7.50

7 Cervical Swab - MCS (3) Each culture K 7.50 8 Urethral Swab Microscopy

-MCS (3) (sensitivity) K 3.00 K 7.50

9 All other swabs MCS (3) K 7.50 10 Semen analysis - MCS (3)

Microscopy K 7.50 K 7.50

11 Sputum - MCS (3) -Microscopy

K 7.50 K 2.00

12 Sputum for TB/AFB’s Culture Free 13 CSF Test – MCS (3)

-Microscopy K 7.50 K 2.00

14 a/ Aspirates – MCS (3) b/ Scrapping for Microscopy

K 7.50 K 2.00

15 a/ Scrapping for Microscopy (1) b/ Donovan Bodies - Microscopy (1)

K 2.00 K 2.00

16 Dark Ground Microscopy (1) K 2.00 17 Blood Culture (1) K 7.50 18 Blood Sample test for Australia/Brisbane/Viral Studies (send to

Australia) (1) Sample K15.00

Division 3. - Histopathology and Cytology.

ITEM SERVICE SUBSIDIZED FEE

1 Histopathology (1) K 5.00 2 Cytology (1) K 5.00 3 FNAB (Fine needle Aspiration) (1) K 5.00 4. Immuno histochemistry K 5.00

PART VI. - MIDWIFERY SERVICES.

ITEM SERVICE SUBSIDIZED FEE

1 Antenatal consultation by a general medical practitioner - initial consultation - each subsequent consultations for the same pregnancy

Free

Free 2 Antenatal consultation by a specialist medical practitioner

- initial consultation - each subsequent consultations for the same

pregnancy

Free Free

3 Confinement by a general medical practitioner Free 4 Confinement by a specialist medical practitioner

(includes caesarian section, forceps or vacuum delivery, induction of labor and such procedures that assist in delivery)

Free

PART VII.- PHYSIOTHERAPHY.

ITEM SERVICE SUBSIDIZED FEE

1 Each attendance for treatment of one disability Free 2 Each attendance for treatment of more than one disability Free 3 Plaster work for each half hour or part thereof plus cost

of materials K10.00

4 Group physiotherapy - each course of treatment K12.50

PART VIII. ACUPUNCTURE.

ITEM SERVICE SUBSIDIZED FEE

1. Each attendance for treatment of one condition K 5.00 2. Each attendance for treatment of more than one condition K 7.50

PART IX - PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THECARE OF GOVERNMENT MEDICAL PRACTITIONERS.

ITEM SERVICE SUBSIDIZED FEE

1 Labour Ward fee for private patients (each day) K 80.00 2 Each admission as an inpatient K150.00 3 Each inpatient day (this includes nursing care, food and linen) K 60.00 4 Private practitioner’s patients delivery by Government hospital

Staff K150.00

5 Inpatients for Ante/Post natal and Gynecology Care each day K 80.00 6 Theatre fee with Government Anesthesiologist K150.00 7 Theatre fee without Government Anesthesiologist K100.00 8 Referred private patients to Government Specialist Medical

Officer for special attention K100.00

9 Pharmaceuticals and medical supplies COST X 3

PART X - USE OF GOVERNMENT FACILITIES.

ITEM SERVICE SUBSIDIZED FEE

1. Mortuary fee (each day). K 10.00 2. Boat or dinghy fee (each way). Prevailing Cost

Division 4. - Test done in Biochemistry.

ITEM SERVICE SUBSIDIZED FEE

1 Na, K SL, Urea, Creatinine (U/E/C) B) Urea, Creatinine (RFTS)

K 12.50 K 5.00

2 Bilirubine, Protein, Alkaline phosphate, SGOT SGPT and Albumin, LFTS and SGPT

K 17.50

3 Random Blood Sugar (RBSL) a) Fasting Flood sugar, and 2 hour Post Prandial

Blood sugar (fasting and 2 hour Post Prandial b) Glucose tolerance test - fasting, 1hr, 2hr (GTT)only for(Antenatal mothers)

K 5.00

K 10.00

4 Triglyceride K 2.00 5 Cholesterol K 2.00 6 SGOT, CPK, LDH, (Cardiac Enzymes) K 7.50 7 Protein Electrophoresis (EPP) (Australia) K 17.50 8 Calcium K 2.00 9 Inorganic phosphate K 2.00 10 Magnesium K 2. 00 11 Iron and TIBC and Ferratin (Australia) K 17.50 12 Pregnancy test K 2.00 13 Amylase K 2.00 14 Acid phos K 2.00 15 Uric Acid K 2.00 16 HCO3 K 2.00 17 Serum B-12 and Serum RBC folate (Australia) K 17.50 18 Thyroid function tests (PMGH) K 17.50 19 Alpha-feto protein K 2.00 20 Prostatic Specific Antigen (PSA) K 25.00 21 C.K.M.B K 7.50 22 Beta - HCG K 7.50 23 Serum Prolalotin K 7.50 24 L.H K 7.50 25 FSH K 7.50

Division 5. - Tests sent to Royal Brisbane Hospital.

ITEM SERVICE SUBSIDIZED FEE

1 Auto immune Antibodies K 17.50 2 Immunoglobulins K 17.50 3 C-Reactive Protein (CRP) K 17.50 4 Serum Protein electrophoresis or immuno-electrophosis K 17.50 5 Crotisols or Testosterone K 17.50 6 Serum Iron, T/BC, Ferrantin K 17.50 7 Serum B12 and serum or RBC folate K 17.50 8 24-Hour Urinary VMA, Catecholamines K 17.50 9 Alpha-Antitrypsin or Insulin or Lipoproteins K 17.50 10 Drugs assay, per drugs K 17.50 11 HLA/TA/T8: Total Lumphocytes K 17.50 12 Para-thyroid hormones K 17.50 13 Calcitonin K 17.50

PART XI - MEDICAL OTHER.

ITEM SERVICE SUBSIDIZED FEE

1 Medical Report Min – K 8.00 Max - K75.00

2 Medical Examination Min - K 8.00 Max -K 38.00

3 Birth Certificate Free 4 Eye Glass Free 5 Crutches, pair Min.- K15.00

Max -K30.00 6 Post-mortem, police or coroner’s case Min - K22.00

Max -K30.00

PART XII - ADMINISTRATION.

ITEM SERVICE SUBSIDIZED FEE

1 Clinic books sale (expressed as a range) Free 2 Sale of medical equipment Cost x GST at Maximum

Level. 3 Use of photocopier by staff for personal work, per copy K 0.30 4 Use of telephone by staff for personal work , per minute K 0.80 5 Use of fax machine by staff for personal work, per sheet K 0.80 6 Mending of staff clothing, per item by hospital seamstress K 2.00 7 Use of hospital laundry by staff, per load K 3.00 8 Sale of coffin if the hospital has the capacity to

manufacture:- Small coffin Medium coffin Large coffin

Maximum Level

K 225.00 K 375.00 K 525.00

Dated this day of , 2013.

Public Hospitals

(Amendment)Regulation

2013

No. 08

STATUTORY INSTRUMENT.No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).REPEAL AND REPLACEMENT OF SCHEDULE 1, SCHEDULE 2 & SCHEDULE 3

The Principal Regulation is amendedby repealingand replacing the following Schedules: 1, 2 & 3

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1

The Principal Regulation is amended by repealing and replacing the following Schedules: “ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

“ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

GOVERNOR-GENERAL.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

ARRANGEMENT OF CLAUSES.

Repeal and replacement of Schedule 1.“SCHEDULE 1.SCHEDULE 2.SCHEDULE 3.”

Dental (Charges) (Amendment)

Regulation 2013.

GOVERNOR -GENERAL

29th November

STATUTORY INSTRUMENT.No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).REPEAL AND REPLACEMENT OF SCHEDULE 1, SCHEDULE 2 & SCHEDULE 3

The Principal Regulation is amendedby repealingand replacing the following Schedules: 1, 2 & 3

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1

The Principal Regulation is amended by repealing and replacing the following Schedules: “ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

“ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

GOVERNOR-GENERAL.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

ARRANGEMENT OF CLAUSES.

Repeal and replacement of Schedule 1.“SCHEDULE 1.SCHEDULE 2.SCHEDULE 3.”

Dental (Charges) (Amendment)

Regulation 2013.

No. 09

STATUTORY INSTRUMENT.No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).REPEAL AND REPLACEMENT OF SCHEDULE 1, SCHEDULE 2 & SCHEDULE 3

The Principal Regulation is amendedby repealingand replacing the following Schedules: 1, 2 & 3

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1

The Principal Regulation is amended by repealing and replacing the following Schedules: “ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

“ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

GOVERNOR-GENERAL.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

ARRANGEMENT OF CLAUSES.

Repeal and replacement of Schedule 1.“SCHEDULE 1.SCHEDULE 2.SCHEDULE 3.”

Dental (Charges) (Amendment)

Regulation 2013.

GOVERNOR -GENERAL

29th November

STATUTORY INSTRUMENT.No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).REPEAL AND REPLACEMENT OF SCHEDULE 1, SCHEDULE 2 & SCHEDULE 3

The Principal Regulation is amendedby repealingand replacing the following Schedules: 1, 2 & 3

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1

The Principal Regulation is amended by repealing and replacing the following Schedules: “ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

Being a Regulation to amend the Dental (Charges) Regulation (Chapter 104) and for related purposes,

Made by the Head of State, acting with, and in accordance with, the advice of the National Executive Council under the Dental Charges Act (Chapter 104).

REPEAL AND REPLACEMENT OF SCHEDULE 1. The Principal Regulation is amended by repealing and replacing the following Schedules:

“ SCHEDULE 1.

DENTAL SERVICES FEES FOR INTERMEDIATE PATIENTS IN PUBLIC HOSPITALS.

Reg. Sec. 3(1).

ITEM SERVICESUBSIDIZEDFEE LEVEL

1. Consultations (Routine or Emergency) includes Initial and revision:Examinations Routine prophylaxisEmergency extraction of teethSedative dressings

K 5.00 K12.50 K 7.50 K 5.00

2. X-ray each -Intra OralExtra Oral

K2.50 K4.00

3. Fillings (General) -(a) Amalgam - simple/cavity

complex/cavity(b) Composites - simple/cavity

complex/cavity(c) Glass Ionomer - simple

complex(d) Fissure Seleant/tooth.

K 7.50K10.00K10.00K12.50K 5.00K 7.50K10.00

4. Root canal therapy - Single root Multiple roots

K12.50K60.00

5. Oral Surgery General -(a) Includes simple and complex extraction of teeth

irrespective of anaesthetic charges:- per extraction;

(b) Minor surgical procedures under local AnaestheticApisectomy/Replant per teeth Factures

Factures simple eyelet wiring for fixation operation;

(c) Minor soft tissue and alveolar bone injury for suturing and splints per operation.

K 7.50

K12.50K12.50K12.50

K12.506. Oral Surgery Specialist and major -

(a) General Anaesthesia and Hospitalised are Chargeableunder Public Hospital Charge Act (Chapter 116);

(b) Major operations under general anaesthesia Complex Impactions

Intraosseous wiringMaxillo - facial cases

Splintings

K10.00

K20.00K30.00K50.00K20.00

7. Dentures (false teeth) -(a) Acrylic base dentures -

Full upperFull lowerFull upper and lower

Partial upperPartial upper and lower

(b) Chrome - Cobalt or metal base(excluding technical cost)

(c) Titanium base dentures;(d) Relining per Unit;(e) Repairs per Unit;(f) Remodeling per Unit.

K 42.50K 42.50K 80.00K 17.50K 30.00

K 45.00

K100.00K 7.50K 5.00K 10.00

8. Crown and Bridge Works (excludes technical cost) -(a) Inlays/onlays per Unit;(b) Gold crowns per Unit;(c) Porcelain crowns per Unit;(d) Bridges Single Unit saddle;(e) Bridges Single Unit additional saddles;(f) Bridges multiple Units and saddle;(g) Cementations for crowns and bridges.

K 30.00K 30.00K 40.00K 50.00K 30.00K125.00K 5.00

9. Orthodontic treatment -(a) Serial extractions;(b) Occlusal Equilibrations;(c) Appliances, braces (excludes material cost);(d) Mouth/bite guards.

K10.00K 7.50K30.00K20.00

10. Miscellaneous Services -(a) Medical (Dental) Reports;(b) Medical (Dental) Examination.

K50.00K25.00

SCHEDULE 2.

FEES FOR DENTAL SERVICES FOR PUBLIC PATIENTS IN PUBLIC HOSPITALS.

ITEM SERVICE`SUBSIDIZEDFEE LEVEL

Kina/Unit

1. Consultation (routine or emergency) includes Initial and Revision- Examinations- Scaling and polishing teeth- Extraction of teeth- Sedative dressings

FreeK4.00FreeFree

2. X-ray - Intra Oral each- Extra Oral each

Free Free

3. Fillings (General)(a) Amalgam - Simple each

- Complex each(b) Composites - Simple each

- Complex each(c) Glass Ionomer - Simple each

- Complex each(d) Fissure Seleant each tooth

FreeFreeFreeK2.00FreeFreeFree

4.Root Canal therapy

- Single root- Multiple each root

K3.50K3.00

5. Oral Surgery - General includes - (a) Simple and complex single extraction of teeth -

- Simple - Complex

(b) Impacted teeth per operation;(c) Apisectomy/Replants per operation;(d) Simple fractures including soft;

tissues and alveolar bone splintsand wiring

FreeFreeK2.00K3.00

K7.506. Oral Surgery - major and specialised

operations including those under generalanaesthesia and Hospitalised -

- Complex Impactions- Intra osseous wiring- Cunning full or partial splints- Maxillo facial cases

K7.50 K10.00K10.00K10.00

7. Dentures (False teeth) -(a) Acrylic base dentures -

- partial upper- partial lower- partial upper and lower- Full upper- Full lower- Full upper and lower

(b) Metal base dentures (excludes technical cost) - - partial upper- partial lower- partial upper and lower

(c) Titanium base dentures - - Full upper- Full lower- Full upper and lower

(d) Repair of dentures per Unit/Tooth;(e) Relinning dentures per Unit;(f) Remodelling dentures per Unit.

K 9.00K 9.00K 9.00K15.00K 8.50K 8.50K17.00

K30.00K30.00K55.00

K45.00K45.00K80.00K 3.50K 4.00 K 5.00

8. Crown and Bridge work (excludes technical fees) - (a) Inlays and onlays per Unit;(b) Crowns - Gold per Unit - - porcelain per Unit(c) Bridges - Per Unit bridge -

- per additional Unit - multiple Units each(d) Cementations of crowns and bridges.

K10.00K20.00K30.00K40.00K60.00K90.00K 5.00

9. Orthodontic treatment - (a) Serial extraction of teeth;(b) Occlusal Equilibration;(c) Applicances/braces (excludes materials cost);(d) Mouth/bite guards.

K 5.00K 4.00K12.50K 7.50

10. Miscellaneous Services - (a) Medical (Dental) Reports;(b) Medical (Dental) Examination;

K12.50K 6.00

SCHEDULE 3.

EXEMPTION CRITERION (HOSPITALS).

EXISTING EXEMPTION CATEGORY. PROPOSED EXEMPTION CATEGORY. Tuberculosis TuberculosisLeprosy LeprosySTD/HIV/AIDs STD/HIV/AIDsChildhood immunizations Childhood immunizationsPrisoners Prisoners Destitute DestituteChild 0 - less than7 years Child 0 - less than7 yearsChronic asthmatics Chronic asthmaticsDiabetes Severe or chronic diabetesChronic terminal/renal diseases Chronic terminal/renal diseasesChronic terminal/liver diseases Chronic terminal/liver diseases Chronic heart diseases (including hypertension Chronic heart diseases (including hypertensionChronic mental diseases Chronic mental diseasesCertified charity health workers Certified charity health workersSurgical procedures for family planning purposes Surgical procedures for family planning purposes(Tubiligation, vasectomy, laporoscopic sterilization (Tubiligation, vasectomy, laporoscopic SterilizationFamily Planning Advice Family Planning Advice

Supervision of delivery Antenatal, Labour, Post Natal CareSevere InjuriesSevere HypertensionEpilepsyCancerCataract operationDental checkup and fillingDomestic violence/medical care/rapeMalaria

Dated this day of , 2013.

GOVERNOR-GENERAL.

STATUTORY INSTRUMENT.

No. of 2013.

Dental (Charges) (Amendment) Regulation 2013.

ARRANGEMENT OF CLAUSES.

Repeal and replacement of Schedule 1.“SCHEDULE 1.SCHEDULE 2.SCHEDULE 3.”

Dental (Charges) (Amendment)

Regulation 2013.

No. 09