Statement of Principles concerning antiphospholipid syndrome (Balance of Probabilities) (No. 70 of 2016)

Administered by Department of Veterans' Affairs

Legislation au F2016L01352 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

Statement of Principles concerning

ANTIPHOSPHOLIPID SYNDROME

(Balance of PROBABILITIES) (NO. 70 OF 2016)

 

VETERANS’ ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Statement of Principles concerning antiphospholipid syndrome (Balance of Probabilities) (No. 70 of 2016).

Background

2.             The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the VEA), Statement of Principles concerning antiphospholipid syndrome (Balance of Probabilities) (No. 70 of 2016).

3.             The Authority is of the view that on the sound medical-scientific evidence available it is more probable than not that antiphospholipid syndrome and death from antiphospholipid syndrome can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning antiphospholipid syndrome pursuant to subsection 196B(3) of the VEA.

Purpose and Operation

4.             The Statement of Principles will be applied in determining claims under the VEA and the Military Rehabilitation and Compensation Act 2004 (the MRCA).

5.             The Statement of Principles sets out the factors that must exist, and which of those factors must be related to the following kinds of service rendered by a person:

 eligible war service (other than operational service) under the VEA;

 defence service (other than hazardous service and British nuclear test defence service) under the VEA;

 peacetime service under the MRCA,

before it can be said that, on the balance of probabilities, antiphospholipid syndrome or death from antiphospholipid syndrome is connected with the circumstances of that service.  The Statement of Principles has been determined for the purposes of both the VEA and the MRCA.

6.             The Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans’ Review Board or Administrative Appeals Tribunal cannot accept any claim for pension; or a claim for liability or compensation relating to antiphospholipid syndrome or death from antiphospholipid syndrome that was lodged on or after 1 June 1994 in the case of the VEA, or 1 July 2004 in the case of the MRCA respectively, unless this Statement of Principles upholds that claim (subsection 120B(3) of the VEA or subsection 339(3) of the MRCA).

7.             This new Instrument results from an investigation notified by the Authority in the Government Notices Gazette of 1 September 2015 concerning antiphospholipid syndrome in accordance with section 196G of the VEA.  The investigation involved an examination of the sound medical-scientific evidence available to the Authority.

Consultation

8.             Prior to determining this Instrument, the Authority advertised its intention to undertake an investigation in relation to antiphospholipid syndrome in the Government Notices Gazette of 1 September 2015, and circulated a copy of the notice of intention to investigate to a wide range of organisations representing veterans, service personnel and their dependants.  The Authority invited submissions from the Repatriation Commission, organisations and persons referred to in section 196E of the VEA, and any person having expertise in the field.  One submission was received for consideration by the Authority during the investigation.

Human Rights

9.             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.

Finalisation of Investigation

10.         The determining of this new Instrument finalises the investigation in relation to antiphospholipid syndrome as advertised in the Government Notices Gazette of 1 September 2015.

References

11.         A list of references relating to the above condition is available to any person or organisation referred to in subsection 196E(1)(a) to (c) of the VEA.  Any such request must be made in writing to the Repatriation Medical Authority at the following address:

The Registrar

Repatriation Medical Authority

GPO Box 1014

BRISBANE    QLD    4001


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. 70 of 2016

Kind of Injury, Disease or Death: Antiphospholipid syndrome

 

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(8) of the Veterans' Entitlements Act 1986 (the VEA) for the purposes of the VEA and the Military Rehabilitation and Compensation Act 2004 (the MRCA).  Part XIA of the VEA requires the determination of these instruments outlining the factors linking particular kinds of injury, disease or death with service such being determined solely on the available sound medical-scientific evidence.

2. This Legislative Instrument:-

  • facilitates claimants in making, and the Repatriation 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 antiphospholipid syndrome;
  • facilitates the review of such decisions by the Veterans' Review Board and the Administrative Appeals Tribunal; and
  • outlines the factors which the current sound medical-scientific evidence indicates must exist before it can be said that, on the balance of probabilities, antiphospholipid syndrome is connected with the circumstances of eligible service rendered by a person, as set out in clause 5 of the Explanatory Statement.

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;
  • the rights of persons with disabilities by facilitating the determination of claims relating to treatment and rehabilitation (Art 26, CRPD); and
  • ensuring that those rights "will be exercised without discrimination of any kind as to race, colour, sex, language, religion, political or other opinion, national or social origin, property, birth or other status" (Art 2, ICESCR).

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 Statement of Principles concerning antiphospholipid syndrome (Balance of Probabilities) (No. 70 of 2016), enacted under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, addresses the issue of establishing a link between antiphospholipid syndrome and military service. The Repatriation Medical Authority determined this Statement of Principles after considering available medical-scientific evidence, aiming to facilitate claims for benefits related to antiphospholipid syndrome by outlining specific factors that must be present for a connection to be considered probable. This legislative instrument was introduced to ensure that claims for compensation or benefits related to antiphospholipid syndrome are assessed in a fair and evidence-based manner, protecting the rights of veterans and service personnel. The determination process included consultation with relevant organisations and stakeholders, ensuring the instrument aligns with human rights standards.

Scope and Application

The Statement of Principles concerning antiphospholipid syndrome (Balance of Probabilities) (No. 70 of 2016) was determined by the Repatriation Medical Authority under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (VEA) and applies to claims under both the VEA and the Military Rehabilitation and Compensation Act 2004 (MRCA). It specifies the medical factors that must exist to establish a connection between antiphospholipid syndrome and certain kinds of service, including eligible war service, defence service, and peacetime service. This determination is crucial for claimants to be eligible for pensions or compensation related to antiphospholipid syndrome. Any claims for pension or compensation regarding antiphospholipid syndrome or death from antiphospholipid syndrome must be assessed against this Statement of Principles, which became effective from 1 June 1994 for the VEA and 1 July 2004 for the MRCA. The Statement of Principles facilitates the assessment and review processes by clearly outlining the required medical and service-related factors, ensuring that decisions made by the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans’ Review Board, or Administrative Appeals Tribunal are based on sound medical-scientific evidence. This legislative instrument is designed to be compatible with human rights, ensuring that veterans, current and former Defence Force members, and their dependents can exercise their rights without discrimination.

Key Provisions

The Statement of Principles concerning antiphospholipid syndrome (Balance of Probabilities) (No. 70 of 2016) is a legislative instrument determined by the Repatriation Medical Authority under the Veterans’ Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). This Statement sets out the criteria that must be met to establish a connection between antiphospholipid syndrome or death from antiphospholipid syndrome and particular kinds of service, including eligible war service, defence service, and peacetime service (sections 5 and 6). The Authority determined this Statement based on the available sound medical-scientific evidence, concluding that it is more probable than not that antiphospholipid syndrome can be related to the specified service (section 3). The primary obligation imposed by the Statement of Principles is that it must be upheld for any claims relating to antiphospholipid syndrome or death from antiphospholipid syndrome that were lodged after 1 June 1994 under the VEA or 1 July 2004 under the MRCA. This means that any claim for pension, liability, or compensation must be assessed in accordance with the criteria outlined in the Statement, and any decision by the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans’ Review Board, or Administrative Appeals Tribunal must consider these criteria (subsections 120B(3) of the VEA and 339(3) of the MRCA). This ensures that the claims are evaluated based on the established medical-scientific evidence and not on arbitrary or unsupported assertions. Failure to adhere to the criteria outlined in the Statement of Principles can result in claims being rejected or deemed invalid. While the legislation does not explicitly outline criminal or civil penalties for non-compliance, the refusal to recognise claims that do not meet the criteria can have significant legal and financial implications for claimants. Claimants who have their claims rejected may pursue further review or appeal, but unless the criteria are met, their claims will not be upheld. This places the burden on claimants to provide sufficient evidence that their condition meets the specified criteria to establish a connection with their service. The Statement of Principles also promotes several human rights by ensuring that the qualifying conditions for benefits are reasonable, proportionate, and transparent, and by facilitating the assessment and determination of social security benefits, compensation, and treatment for veterans and Defence Force members. It ensures that these rights are exercised without discrimination of any kind, aligning with international human rights standards. The compatibility of the Statement with human rights is further affirmed by the Statement of Compatibility with Human Rights, which confirms that the instrument does not derogate from any human rights and promotes the rights of veterans, current and former Defence Force members, and their dependents.

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Veterans' Law
Instrument
Legislative Instrument
Concepts
Definitions & Interpretation
Reporting & Disclosure Obligations
Consultation Requirements
Human Rights Law
Catchwords
antiphospholipid syndrome

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