This instrument commences immediately following the commencement of the following instruments: a) the Amendment to the Declarations made under sections 85(2) and 85(2AA) and amendment determination under subsection 85(2A) of the National Health Act 1953 - being amending instrument number PB 108 of 2008; b) the Amendment to Determinations made under sections 85, 85A and 88 of the National Health Act 1953 – being amending instrument number PB 109 of 2008. Note: Both of the amending instruments mentioned in a) and b) above are expressed to commence at 11.59 pm on 30 November 2008. It is intended that this instrument commence immediately after that time and before the expiration of 30 November 2008.