DECLARATION UNDER SUBSECTION 196B(9)
OF THE VETERANS’ ENTITLEMENTS ACT 1986
CONCERNING HORSESHOE KIDNEY
FEBRUARY 2024
The Repatriation Medical Authority (the Authority), under subsection 196B(9) of the Veterans' Entitlements Act 1986 (the Act), makes the following declaration in respect of the investigation concerning horseshoe kidney notified in the Commonwealth of Australia Gazette of 10 May 2022.
The Authority declares that it does not propose to make a Statement of Principles concerning horseshoe kidney, for the purposes of subsection 196B(2) or (3) of the Act. The reason is that the Authority is of the view that the sound medical and scientific evidence is insufficient to enable the Authority to determine factors for horseshoe kidney which might be related to service. The sound medical and scientific evidence is therefore insufficient in order to determine Statements of Principles for horseshoe kidney either on the basis of reasonable hypothesis or balance of probability.
The Common Seal of the ) Repatriation Medical Authority ) was affixed at the direction of: ) | |
| PROFESSOR TERENCE CAMPBELL AM CHAIRPERSON 22 February 2024 |
Overview
The Veterans' Entitlements Act 1986 was enacted to provide for the payment of pensions and other benefits to veterans, their partners, and dependants. The Act was introduced to address the need for a comprehensive framework that recognises and compensates the sacrifices made by veterans and their families. The enacting body for this legislation is the Parliament of Australia, which aims to ensure that veterans and their dependants are appropriately supported and compensated for any disabilities or hardships arising from their service. The policy objective is to provide equitable and timely benefits to those who have served in the defence forces, thereby acknowledging their contribution and facilitating their transition back into civilian life.
In February 2024, the Repatriation Medical Authority, acting under the authority granted by subsection 196B(9) of the Veterans' Entitlements Act 1986, declared its decision not to proceed with a Statement of Principles concerning horseshoe kidney. This decision was based on the Authority's assessment that the available medical and scientific evidence is insufficient to determine factors related to horseshoe kidney that might be attributable to military service. Consequently, the Authority concluded that it could not establish a reasonable hypothesis or balance of probability necessary for such a determination. This declaration underscores the importance of robust evidence in the recognition and compensation of service-related conditions under the Act.
Scope and Application
The Veterans’ Entitlements Act 1986 applies to veterans and their families, encompassing various conduct and transactions related to veterans' benefits and entitlements. Specifically, this Act governs the provision of medical, financial, and other forms of assistance to veterans, including the establishment of Statements of Principles that determine whether particular medical conditions are related to service. The Act extends throughout the Commonwealth of Australia, applying uniformly across all states and territories. However, certain exclusions and exemptions may apply based on the nature of the veteran's service or the specific condition in question. The Repatriation Medical Authority, acting under the Act, has the authority to make declarations regarding the medical conditions of veterans, and this can include making Statements of Principles for certain conditions. In this case, the Authority has determined that the evidence concerning horseshoe kidney is insufficient to warrant a Statement of Principles, thereby affecting the eligibility for related entitlements. The application and scope of the Act may also be extended or restricted through subordinate instruments issued by the Authority or other relevant authorities.
Key Provisions
The primary operative sections of the declaration under subsection 196B(9) of the Veterans' Entitlements Act 1986 (the Act) pertain to the decision-making process regarding the investigation of horseshoe kidney. Specifically, subsection 196B(9) empowers the Repatriation Medical Authority (the Authority) to declare that it does not propose to make a Statement of Principles concerning a particular medical condition, in this case horseshoe kidney (subsections 196B(2) and 196B(3)). This declaration is made based on the Authority's assessment that there is insufficient sound medical and scientific evidence to determine factors that might be related to service. The declaration effectively means that the Authority has decided not to proceed with establishing a Statement of Principles for horseshoe kidney at this time due to the lack of conclusive evidence.
The obligations imposed by this Act on the parties involved, particularly the Authority, are to thoroughly review and assess the available medical and scientific evidence concerning the medical condition in question. In this instance, the Authority has a duty to evaluate whether there is enough evidence to support a reasonable hypothesis or a balance of probability that horseshoe kidney is related to service. If the evidence is deemed insufficient, the Authority is obligated to declare that it will not make a Statement of Principles concerning the condition, as outlined in the declaration. This process ensures that the Authority's decisions are grounded in robust scientific and medical analysis, thereby maintaining the integrity and fairness of the veterans' entitlements system.
In terms of consequences for breaches, the Act does not explicitly outline specific offences or penalties for non-compliance with its provisions. However, the Authority's decisions and declarations are subject to review and potential legal challenge, which could lead to judicial review if a party believes the Authority has acted outside its powers or in an unreasonable manner. Additionally, if the Authority fails to follow the required processes or make decisions based on sound evidence, this could result in civil consequences such as compensation claims or other legal actions by affected veterans or their representatives. While the Act does not specify maximum penalties for breaches, the potential for legal repercussions underscores the importance of the Authority adhering to its obligations and conducting its assessments with due diligence.