Instrument No.297 of 1995
Statement of Principles
concerning
ACCOMMODATION DISORDER
ICD CODES: 367.5, 367.89, 367.9
Veterans’ Entitlements Act 1986
subsection 196B(3)
1. Being of the view that on the sound medical-scientific evidence available to the Repatriation Medical Authority, it is more probable than not that accommodation disorder and death from accommodation disorder can be related to eligible war service (other than operational service) rendered by veterans and defence service (other than hazardous service) rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must exist before it can be said that, on the balance of probabilities, accommodation disorder or death from accommodation disorder is connected 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) or 70(5)(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 Statement of Principles concerning Accommodation Disorder ICD Codes: 367.5, 367.89, 367.9 was enacted in 1995 by the Repatriation Medical Authority under subsection 196B(3) of the Veterans’ Entitlements Act 1986. This statement was introduced to address the problem of determining the link between accommodation disorder and service rendered by veterans and members of the Australian Defence Force, excluding operational and hazardous service. The Repatriation Medical Authority was tasked with establishing criteria for a connection between accommodation disorder and the relevant service, based on sound medical-scientific evidence. The primary objective of these principles is to provide a clear framework for evaluating the relationship between the disorder and the service, ensuring that veterans and members of the Forces receive appropriate recognition and support for conditions that may be service-related. This legislative instrument aims to ensure that claims related to accommodation disorder can be assessed fairly and accurately, considering the specific factors outlined in the statement.
Scope and Application
The Statement of Principles under the Veterans’ Entitlements Act 1986 specifies the conditions under which accommodation disorder and death from accommodation disorder can be connected to eligible war service or defence service. This legislative instrument applies to veterans and members of the Forces who have rendered war service or defence service, respectively, and who suffer from accommodation disorder as defined in the ICD codes 367.5, 367.89, or 367.9. The determination applies to cases where there is a lesion affecting the oculomotor nerve of the affected eye immediately before the clinical onset of the disorder or where appropriate clinical management was unavailable. The instrument is subject to the specific relationship between the disorder and the service, as outlined in the Act. It should be noted that the inability to obtain clinical management only applies if the disorder was suffered or contracted before the service, and the relationship between the disorder and the service must be as specified in certain subsections of the Act. This statement of principles provides a framework for assessing the connection between accommodation disorder and military service for the purpose of entitlement under the Veterans’ Entitlements Act.
Key Provisions
The primary operative sections of this legislative instrument establish the criteria that must be met to determine if accommodation disorder or death from accommodation disorder can be linked to certain war or defence service. According to section 1(a), a veteran or member of the Forces must have suffered a lesion affecting the oculomotor nerve of the affected eye immediately before the clinical onset of accommodation disorder, or section 1(b) must apply, which is the inability to obtain appropriate clinical management for accommodation disorder. Section 2 stipulates that at least one of these factors must be related to the service rendered by the person. Additionally, section 3 clarifies that the factor in section 1(b) applies only if the accommodation disorder was suffered or contracted before a period of service and if the relationship between the disorder and the service falls within the specified subsections of the Act.
The Act imposes several obligations and requirements on parties and entities it governs. Primarily, it requires that any claims regarding the connection between accommodation disorder or death from accommodation disorder and war or defence service must be substantiated by the specified medical evidence. This involves proving that the individual suffered a lesion affecting the oculomotor nerve immediately before the onset of accommodation disorder or could not obtain appropriate clinical management for the disorder. The claimants must provide evidence that aligns with the criteria outlined in the Act. Furthermore, if the disorder was contracted before the service, the relationship between the disorder and the service must be one of the relationships set out in specific subsections of the Act.
The legislative instrument also outlines the potential consequences of breach or non-compliance. While the instrument itself does not explicitly state penalties, the Veterans’ Entitlements Act 1986, under which this instrument operates, provides for civil and criminal penalties for providing false information or documents in support of a claim. For civil penalties, the Act allows for fines and recovery of payments made. Criminal penalties may include imprisonment and fines, depending on the severity and intent of the breach. The maximum penalties for providing false documents or information can be significant, reflecting the seriousness with which the Act treats fraudulent claims.