REPATRIATION MEDICAL AUTHORITY
INSTRUMENT No 193 of 1995
VETERANS’ ENTITLEMENTS ACT 1986
EXPLANATORY NOTES FOR TABLING
The Repatriation Medical Authority has determined, under subsection 196B(2) of the Veterans’ Entitlements Act 1986, the attached instrument Number 193 of 1995.
2. This instrument amends Instrument No.109 of 1995 (Statement of Principles concerning sickle-cell disease) as the result of a review by the Repatriation Medical Authority of the ICD coding used in the original instrument.
3. The new instrument amends the previous instrument by:
inserting in the heading an additional ICD code; and
inserting in paragraph 4 a revised definition of “sickle-cell disease” to reflect the change in ICD coding.
4. The additional ICD code 282.5 expands the aspects of the condition, sickle-cell disease, included in this instrument, and replaces the more restrictive coding previously used.
Overview
The Veterans’ Entitlements Act 1986, enacted by the Parliament of Australia, is the foundational legislation that provides various benefits and services to veterans, including healthcare, pensions, and other forms of assistance. The Act was introduced to address the need to provide comprehensive support to veterans and their families, recognising the sacrifices made by individuals who have served in the Australian Defence Force. One of the tools used to administer the Act is the Repatriation Medical Authority Instrument, which includes various amendments and clarifications to ensure the benefits are accurately and fairly applied. Instrument No 193 of 1995, for instance, amends the Statement of Principles concerning sickle-cell disease to better align with updated International Classification of Diseases (ICD) coding. This amendment reflects the Authority’s commitment to ensuring that medical conditions are correctly identified and that the appropriate benefits are accessible to those who need them. The policy objective behind these adjustments is to provide precise and effective healthcare provisions for veterans suffering from specific medical conditions, thereby ensuring their well-being and recognising their service-related health issues.
Scope and Application
The Veterans’ Entitlements Act 1986, as amended by Instrument No 193 of 1995, applies to veterans and their dependents who are seeking benefits under the Act, particularly in relation to medical conditions that may have arisen from their service. The Act operates nationally, applying to all veterans who have served in the Australian Defence Force and who meet the eligibility criteria under the Act. The Act is administered by the Repatriation Medical Authority, which has the power to determine and revise instruments that define specific conditions for the purposes of entitlement to benefits. This particular amendment, which expands the coding for sickle-cell disease, ensures that the definition of the condition is comprehensive and reflective of current medical classifications. The amendment does not alter the jurisdictional scope or the eligibility criteria for benefits, but rather refines the classification of a specific medical condition to provide clearer guidance on entitlements. The Act and its instruments are subject to change through further instruments issued by the Repatriation Medical Authority as necessary.
Key Provisions
The main operative sections of this instrument, No 193 of 1995, involve amendments to Instrument No.109 of 1995 (Section 2), which pertains to the Statement of Principles concerning sickle-cell disease. These amendments are a result of the Repatriation Medical Authority's review of the International Classification of Diseases (ICD) coding used in the original instrument (Section 3). Specifically, the new instrument introduces an additional ICD code and revises the definition of "sickle-cell disease" to better reflect the expanded coding (Section 4).
The obligations and requirements imposed by this Act primarily concern the updating and clarification of medical criteria for the condition sickle-cell disease. The Repatriation Medical Authority must ensure that the ICD coding accurately reflects the scope of the condition as recognised in medical practice, and this is achieved by incorporating the additional ICD code 282.5. The revised definition of sickle-cell disease in paragraph 4 is intended to provide clarity and comprehensiveness, ensuring that all relevant aspects of the condition are covered under the instrument.
The instrument does not explicitly state any offences, penalties, or civil/criminal consequences for breaches. However, the underlying legislation, the Veterans' Entitlements Act 1986, does provide a framework for penalties related to non-compliance with legislative requirements. Under the Act, penalties for breaches can include fines and other civil or criminal sanctions, though the specific penalties would depend on the nature and severity of the breach. For instance, wilful misrepresentation or fraud related to veterans' entitlements could result in significant penalties, including imprisonment, as outlined in other sections of the Act. The Repatriation Medical Authority's role is to ensure that the legislative intent is met through accurate and comprehensive coding and definitions.