Amendment of Statement of Principles concerning malignant neoplasm of the prostate No. 78 of 2012

Administered by Department of Veterans' Affairs

Legislation au F2012L02077 Not in force Legislative Instrument

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REPATRIATION MEDICAL AUTHORITY

 

INSTRUMENT NO. 78 OF 2012

 

VETERANS’ ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

EXPLANATORY NOTES FOR TABLING

 

 

  1. The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(10) of the Veterans’ Entitlements Act 1986 (the VEA) Statement of Principles Instrument No. 78 of 2012 concerning malignant neoplasm of the prostate.

 

2.             This instrument amends Statement of Principles Instrument No. 29 of 2005 concerning malignant neoplasm of the prostate as follows:

  • inserting new factor 5(aa) concerning 'smoking';
  • replacing wording in the existing clause 6 to reflect the changes to the factors;
  • inserting a new definition of 'pack-years of cigarettes, or the equivalent thereof in other tobacco products'; and
  • specifying the date of effect of this amendment.

 

3.             The amendments are made at the direction of the Specialist Medical Review Council (SMRC) in accordance with its Declaration No. 17 dated 16 August 2012.  The SMRC Declaration appeared in the Government Notices Gazette of 29 August 2012.

 

4.             In accordance with subsection 196B(13) of the VEA, the amendments as made by Instrument No. 78 of 2012, take effect from 29 August 2012.

 

5.             As this amendment provides an additional basis on which malignant neoplasm of the prostate can be related to relevant service the earlier date of effect does not affect the rights of claimants so as to disadvantage them nor would it impose additional liabilities on them.

 

6.             This instrument is compatible with the Human Rights and Freedoms recognised or declared in the International Instruments listed in Section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011. A Statement of Compatibility with Human Rights follows.

 


Statement of Compatibility with Human Rights

(Prepared in accordance with Part 3 of the Human Rights (Parliamentary Scrutiny) Act 2011)

 

Instrument No.:   Statement of Principles No. 78 of 2012

Kind of Injury, Disease or Death: Malignant neoplasm of the prostate

 

This Legislative Instrument is compatible with the human rights and freedoms recognised or declared in the international instruments listed in section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011.

Overview of the Legislative Instrument

1. This Legislative Instrument is determined pursuant to subsection 196B(10) of the Veterans' Entitlements Act 1986 (the VEA) for the purposes of the VEA and the Military Rehabilitation and Compensation Act 2004 (the MRCA).

2. This Legislative Instrument:-

  • facilitates claimants in making, and the Repatriation Commission and Military Rehabilitation and Compensation Commission in assessing, claims under the VEA and the MRCA respectively, by specifying the circumstances in which medical treatment and compensation can be extended to eligible persons who have malignant neoplasm of the prostate;
  • facilitates the review of such decisions by the Veterans' Review Board and the Administrative Appeals Tribunal;
  • includes a new factor which the current sound medical-scientific evidence indicates must exist before it can be said that, on the balance of probabilities, malignant neoplasm of the prostate is connected with the circumstances of eligible service rendered by a person;
  • amends Instrument No. 29 of 2005; and
  • reflects the Specialist Medical Review Council's review of the available sound medical-scientific evidence concerning malignant neoplasm of the prostate considered by the Repatriation Medical Authority when that earlier instrument was determined. 

3. The Instrument is assessed as being a technical instrument which improves the medico-scientific quality of outcomes under the VEA and the MRCA. 

Human Rights Implications

4. This Legislative Instrument does not derogate from any human rights. It promotes the human rights of veterans, current and former Defence Force members as well as other persons such as their dependents, including:

  • the right to social security (Art 9, International Covenant on Economic, Social and Cultural Rights; Art 26, Convention on the Rights of the Child and Art 28, Convention on the Rights of Persons with Disabilities) by helping to ensure that the qualifying conditions for the benefit are 'reasonable, proportionate and transparent'[1];
  • the right to an adequate standard of living (Art 11, ICSECR; Art 27, CRC and Art 28, CRPD) by facilitating the assessment and determination of social security benefits;
  • the right to the enjoyment of the highest attainable standard of physical and mental health (Art 12, ICSECR and Art 25, CRPD), by facilitating the assessment and determination of compensation and benefits in relation to the treatment and rehabilitation of veterans and Defence Force members; and
  • the rights of persons with disabilities by facilitating the determination of claims relating to treatment and rehabilitation (Art 26, CRPD).

Conclusion

This Legislative Instrument is compatible with human rights as it does not derogate from and promotes a number of human rights.

 

Repatriation Medical Authority

 

 

 

 

 

[1] In General Comment No. 19 (The right to social security), the Committee on Economic, Social and Cultural Rights said (at paragraph 24) this to be one of the elements of ensuring accessibility to social security.

Overview

The Repatriation Medical Authority Instrument No. 78 of 2012 amends the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA) to address the problem of linking malignant neoplasm of the prostate with relevant service, particularly in relation to smoking as a contributing factor. This legislative instrument was enacted by the Repatriation Medical Authority under subsection 196B(10) of the VEA, at the direction of the Specialist Medical Review Council. The policy objective of this instrument is to enhance the medico-scientific quality of outcomes for veterans and Defence Force members by facilitating the assessment and determination of social security benefits, compensation, and treatment related to malignant neoplasm of the prostate. The instrument introduces a new factor concerning smoking and amends the existing Statement of Principles to reflect these changes, without affecting the rights of claimants or imposing additional liabilities on them. It also ensures compatibility with human rights as recognised in international instruments, promoting the rights of veterans and their dependents.

Scope and Application

The Repatriation Medical Authority Instrument No. 78 of 2012 amends Statement of Principles Instrument No. 29 of 2005 concerning malignant neoplasm of the prostate, as directed by the Specialist Medical Review Council. This amendment applies to veterans and current or former Defence Force members who are eligible for compensation under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004. The amendment introduces a new factor regarding smoking and adjusts the definition of 'pack-years of cigarettes' to reflect the latest medical-scientific evidence. The changes are designed to facilitate the assessment and review of claims by the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, and Administrative Appeals Tribunal. The amendments take effect from 29 August 2012, and they do not disadvantage existing claimants or impose additional liabilities on them. This instrument is compatible with human rights, promoting the rights to social security, an adequate standard of living, and the highest attainable standard of physical and mental health.

Key Provisions

The Repatriation Medical Authority Instrument No. 78 of 2012 amends the Statement of Principles Instrument No. 29 of 2005 concerning malignant neoplasm of the prostate under the Veterans’ Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). The key amendment is the introduction of a new factor (5(aa)) related to smoking and the definition of 'pack-years of cigarettes, or the equivalent thereof in other tobacco products'. This change was directed by the Specialist Medical Review Council (SMRC) in accordance with its Declaration No. 17 dated 16 August 2012, which appeared in the Government Notices Gazette of 29 August 2012. These amendments took effect from 29 August 2012, as stipulated in subsection 196B(13) of the VEA. The legislative instrument facilitates claimants and the relevant commissions by specifying the circumstances under which medical treatment and compensation can be extended to eligible persons who have malignant neoplasm of the prostate. This legislative instrument imposes certain obligations on the parties involved. Claimants must provide evidence that aligns with the new criteria, including documentation related to smoking habits and the equivalent of pack-years of tobacco use. The Repatriation Commission and the Military Rehabilitation and Compensation Commission are required to assess claims based on the updated Statement of Principles, ensuring that the new factor concerning smoking is considered in the evaluation process. The Veterans' Review Board and the Administrative Appeals Tribunal also have the responsibility to review decisions made under the VEA and the MRCA, ensuring that the amended criteria are applied correctly. Breaches of the requirements set out in the Repatriation Medical Authority Instrument No. 78 of 2012 may not inherently constitute an offence under the VEA or the MRCA. However, failure to comply with the specified criteria or providing false information in claims can lead to civil consequences, such as the denial of benefits or compensation. While there are no explicit criminal penalties mentioned in the explanatory notes, the integrity of the claims process is critical, and any fraudulent activities could potentially result in legal action under general fraud statutes. The maximum penalties for such actions would depend on the specific circumstances and applicable laws, but they could include fines and imprisonment. The legislative instrument is compatible with human rights as it promotes several rights recognised in international instruments, such as the right to social security, an adequate standard of living, and the highest attainable standard of physical and mental health. By facilitating the assessment and determination of social security benefits and compensation, it supports veterans, current and former Defence Force members, and their dependents. The instrument does not derogate from any human rights and aligns with the principles of reasonableness, proportionality, and transparency in benefit qualification, as highlighted by the Committee on Economic, Social and Cultural Rights.

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