Statement of Principles concerning accommodation disorder No. 296 of 1995

Administered by Department of Veterans' Affairs

Legislation au F2008B00278 Not in force Legislative Instrument

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Instrument No.296 of 1995

Statement of Principles

concerning

ACCOMMODATION DISORDER

icd codes: 367.5, 367.89, 367.9
Veterans’ Entitlements Act 1986
subsection 196B(2)

1. Being of the view that there is sound medical-scientific evidence that indicates that accommodation disorder and death from accommodation disorder can be related to operational service rendered by veterans, peacekeeping service rendered by members of Peacekeeping Forces and hazardous service rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting accommodation disorder or death from accommodation disorder with the circumstances of that service, are:

 

(a) suffering a lesion affecting the oculomotor nerve of the affected eye immediately before the clinical onset of accommodation disorder; or

 

(b) inability to obtain appropriate clinical management for accommodation disorder.

 

2. Subject to clause 3 (below) at least one of the factors set out in paragraphs 1(a) to 1(b) must be related to any service rendered by a person.

 

3. The factor set out in paragraph 1(b) applies only where:

 

(a) the person's accommodation disorder was suffered or contracted before a period, or part of a period, of service to which the factor is related; and

 

(b) the relationship suggested between the accommodation disorder and the particular service of a person is a relationship set out in paragraph 8(1)(e), 9(1)(e), 70(5)(d) or 70(5A)(d) of the Act.

 

4. For the purposes of this Statement of Principles:

 

“accommodation disorder” means the inability to adjust the lens of the eye to various distances, attracting ICD code 367.5, 367.89, or 367.9;

 

“ICD code” means a number assigned to a particular kind of injury or disease in the Australian Version of The International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM), effective date of 1 July 1995, copyrighted by the National Coding Centre, Faculty of Health Sciences, University of Sydney, NSW, and having ISBN 0 642 22235 5;

 

 “lesion affecting the oculomotor nerve” means a pathological process affecting the brain stem or the oculomotor nerve anywhere along its course (including the oculomotor nucleus, fascicles, subarachnoid space, cavernous sinus or orbit) that leads to a disturbance in the oculomotor nerve function, or ciliary muscle function, causing impairment of accommodation, and which can be due to:

 

(a) inflammation (eg, systemic lupus erythematosus or sarcoidosis);or

(b) infection (eg, syphilis, meningitis, encephalitis, diphtheria, herpes zoster); or

(c) neoplasm; or

(d) head trauma; or

(e) toxin (eg, botulism); or

(f) metabolic (eg, diabetes mellitus); or

(g) vascular lesion (eg, ischaemia or haemorrhage).

 


 

Dated this  Eighteenth day of  July  1995

 

 

 

The Common Seal of the    )

Repatriation Medical Authority   )

was affixed to this instrument  )

in the presence of:    )

 

KEN DONALD

CHAIRMAN

Overview

The Veterans’ Entitlements Act 1986 was enacted by the Commonwealth Parliament to provide a range of benefits and services to Australian veterans, their partners, and their children. The Act was designed to address the needs of veterans who have served in various capacities, including hazardous service, operational service, and peacekeeping service. In 1995, the Repatriation Medical Authority issued a Statement of Principles concerning Accommodation Disorder, which aimed to provide guidance on the medical criteria that link the disorder to service rendered by veterans, peacekeeping forces, and hazardous service members. This statement was created to ensure that veterans who suffer from accommodation disorder, which is the inability to adjust the lens of the eye to various distances, can be appropriately compensated under the Act. The primary policy objective of the Statement of Principles is to ensure that a reasonable hypothesis can be raised connecting accommodation disorder or death from accommodation disorder with the service rendered by a person, based on specific medical factors outlined in the document.

Scope and Application

The Statement of Principles concerning Accommodation Disorder under the Veterans’ Entitlements Act 1986 applies to veterans, members of Peacekeeping Forces, and members of the Australian Defence Force who have rendered operational, peacekeeping, or hazardous service. The principles aim to establish a connection between accommodation disorder, or death from accommodation disorder, and the service rendered by these individuals. This connection is considered if either a lesion affecting the oculomotor nerve of the affected eye existed immediately before the onset of the disorder, or if appropriate clinical management for the disorder was not obtained. The principles apply to services rendered by individuals, and the relationship between the disorder and the service must align with specific categories outlined in the Act. The jurisdictional reach of this Statement of Principles is determined by the provisions of the Veterans’ Entitlements Act 1986, which operates at the Commonwealth level, thereby extending its application across Australia. The Statement of Principles does not explicitly state exclusions or exemptions, but it does specify that the factors related to the service must meet certain criteria as outlined in the Act. The application and interpretation of these principles may be further refined or extended through subordinate instruments issued under the authority of the Act.

Key Provisions

The legislative instrument outlines the Statement of Principles concerning Accommodation Disorder, established by the Repatriation Medical Authority under the Veterans’ Entitlements Act 1986. The primary focus of this instrument is to provide a framework for determining the connection between accommodation disorder, death from accommodation disorder, and certain types of service rendered by veterans, members of Peacekeeping Forces, or members of the Defence Force. The key provisions of this legislation (sections 1-4) establish the conditions under which a reasonable hypothesis can be raised to connect these disorders with service, defining the essential factors that must be present. The Act stipulates that, for a reasonable hypothesis to be raised, at least one of the factors must be related to the service of a person. These factors include suffering a lesion affecting the oculomotor nerve of the affected eye immediately before the onset of the disorder (section 1(a)) or the inability to obtain appropriate clinical management for accommodation disorder (section 1(b)). The latter factor applies only if the disorder was suffered or contracted before a period or part of the service in question, and if the relationship between the disorder and the service is one specified in the Act (section 3). This legislative framework ensures that claims for benefits related to accommodation disorder are based on a thorough examination of the circumstances and medical evidence. The obligations imposed on parties by this Act include the necessity for veterans or their representatives to provide evidence that meets the criteria set out in the Statement of Principles. This evidence must demonstrate that the factors outlined in the legislation are met and that there is a reasonable hypothesis linking the disorder to the service in question. The Repatriation Medical Authority is tasked with assessing this evidence to determine eligibility for benefits. The Act also requires that any claims be substantiated with medical documentation and other relevant information that supports the connection between the disorder and the service rendered. Breaches of the requirements or misrepresentations in the claims process can lead to serious consequences. Under the Veterans’ Entitlements Act 1986, offences related to false statements or fraudulent claims can result in civil or criminal penalties. The maximum penalties for such offences can include fines and imprisonment, depending on the severity of the breach. It is crucial for claimants and their representatives to adhere to the stipulated requirements to avoid these penalties and to ensure a fair and transparent claims process.

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