Statement of Principles concerning bruxism (Reasonable Hypothesis) (No. 91 of 2016)

Administered by Department of Veterans' Affairs

Legislation au F2016L01672 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

STATEMENT OF PRINCIPLES CONCERNING

BRUXISM

(REASONABLE HYPOTHESIS) (NO. 91 OF 2016)

 

VETERANS’ ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Statement of Principles concerning bruxism (Reasonable Hypothesis) (No. 91 of 2016).

Background

2.             The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the VEA), Statement of Principles concerning bruxism (Reasonable Hypothesis) (No. 91 of 2016).

3.             The Authority is of the view that there is sound medical-scientific evidence that indicates that bruxism and death from bruxism can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning bruxism pursuant to subsection 196B(2) 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 as a minimum exist, and which of those factors must be related to the following kinds of service rendered by a person:

 operational service under the VEA;

 peacekeeping service under the VEA;

 hazardous service under the VEA;

 British nuclear test defence service under the VEA;

 warlike service under the MRCA;

 non-warlike service under the MRCA,

before it can be said that a reasonable hypothesis has been raised connecting bruxism or death from bruxism, 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 bruxism or death from bruxism 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 120A(3) of the VEA or subsection 338(3) of the MRCA).

7.             This new Instrument results from an investigation notified by the Authority in the Government Notices Gazette of 9 December 2015 concerning bruxism 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 bruxism in the Government Notices Gazette of 9 December 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.  No submissions were 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 bruxism as advertised in the Government Notices Gazette of 9 December 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. 91 of 2016

Kind of Injury, Disease or Death: Bruxism

 

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 bruxism;
  • 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 as a minimum exist, before it can be said that a reasonable hypothesis has been raised, connecting bruxism 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 bruxism (Reasonable Hypothesis) (No. 91 of 2016) was introduced to provide a framework for determining claims related to bruxism under the Veterans’ Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). This instrument was enacted by the Repatriation Medical Authority (the Authority) under subsection 196B(2) of the VEA, following an investigation into the medical-scientific evidence supporting a connection between bruxism and certain types of military service. The primary purpose of this Statement of Principles is to establish the minimum factors that must be present to raise a reasonable hypothesis linking bruxism with service in operational, peacekeeping, hazardous, or British nuclear test defence contexts, as well as warlike and non-warlike service under the MRCA. Claims lodged on or after 1 June 1994 under the VEA and 1 July 2004 under the MRCA will be assessed based on these principles to ensure the appropriate extension of pensions, liabilities, or compensations. This legislative instrument not only facilitates the assessment and review processes but also ensures compatibility with human rights, thereby promoting the rights of veterans, service personnel, and their dependents.

Scope and Application

The Statement of Principles concerning bruxism (Reasonable Hypothesis) (No. 91 of 2016) applies to the determination of claims under the Veterans’ Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). It sets out the minimum factors that must exist to establish a reasonable hypothesis connecting bruxism or death from bruxism with certain types of service, including operational, peacekeeping, hazardous, British nuclear test defence, warlike, and non-warlike services. The application of this Statement of Principles is mandatory for claims lodged on or after 1 June 1994 for the VEA and 1 July 2004 for the MRCA. This legislative instrument is a technical instrument that improves the medico-scientific quality of outcomes under the VEA and the MRCA by specifying the circumstances in which medical treatment and compensation can be extended to eligible persons who have bruxism. The instrument has been determined in accordance with subsection 196B(2) of the VEA and is compatible with human rights as it does not derogate from and promotes several human rights, including the right to social security, an adequate standard of living, and the highest attainable standard of physical and mental health.

Key Provisions

The main operative sections of the Statement of Principles concerning bruxism (Reasonable Hypothesis) (No. 91 of 2016) (the Statement of Principles) determine the circumstances under which claims for pension or compensation for bruxism or death from bruxism can be considered under the Veterans’ Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). The Statement of Principles outlines specific factors that must be present and related to particular kinds of service before a reasonable hypothesis can be established connecting bruxism or death from bruxism with the circumstances of that service (Section 5). This includes operational, peacekeeping, hazardous, and British nuclear test defence services under the VEA, and warlike and non-warlike services under the MRCA. The Statement of Principles imposes obligations on claimants and the authorities involved in the assessment and review of claims. For example, any claim for pension or compensation relating to bruxism or death from bruxism lodged after 1 June 1994 under the VEA or 1 July 2004 under the MRCA must be upheld by the Statement of Principles (Section 6). The Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans’ Review Board, or Administrative Appeals Tribunal cannot accept claims that do not meet these criteria. Additionally, the Statement of Principles facilitates the review of decisions by the Veterans’ Review Board and the Administrative Appeals Tribunal, ensuring that the review process is informed by the sound medical-scientific evidence outlined in the Statement. There are no specific offences, penalties, or civil/criminal consequences outlined in the Statement of Principles itself. However, any breach of the provisions of the VEA or the MRCA that relate to the assessment and determination of claims could potentially result in civil or administrative penalties. The Statement of Principles serves as a guideline for these authorities to ensure that claims are assessed fairly and in accordance with the sound medical-scientific evidence available. The compatibility of the Statement of Principles with human rights is also affirmed, ensuring that the rights of veterans, current and former Defence Force members, and their dependents are protected and promoted. The Statement of Principles ensures that claims for pension or compensation for bruxism or death from bruxism are grounded in sound medical-scientific evidence, thereby protecting the rights of claimants and ensuring that the authorities involved in the assessment and review of claims operate within the bounds of the legislation and human rights standards.

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