Statement of Principles concerning chloracne No. 20 of 2000

Administered by Department of Veterans' Affairs

Legislation au F2005B01658 Not in force Legislative Instrument

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Instrument No.20 of 2000

 

Revocation and Determination

of

Statement of Principles

concerning

 

CHLORACNE

 

ICD-10-AM CODE: L70.8

 

Veterans’ Entitlements Act 1986

 

 

1. The Repatriation Medical Authority under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the Act):

 

(a) revokes Instrument No.70 of 1994 and Instrument No.280 of 1995; and

 

(b) determines in their place the following Statement of Principles.

 

Kind of injury, disease or death

2. (a) This Statement of Principles is about chloracne and death from chloracne.

 

(b) For the purposes of this Statement of Principles, “chloracne” means a dermatologic condition with cysts, comedones and pustules appearing on the head, neck, chest, back, groin or buttocks associated with exposure to halogenated organochlorine or halogenated organobromine compounds, attracting ICD-10-AM code L70.8.

 

Basis for determining the factors

3. On the sound medical-scientific evidence available, the Repatriation Medical Authority is of the view that it is more probable than not that chloracne and death from chloracne can be related to relevant service rendered by veterans or members of the Forces.

 

Factors that must be related to service

4. Subject to clause 6, at least one of the factors set out in clause 5 must be related to any relevant service rendered by the person.

 

Factors

5. The factors that must exist before it can be said that, on the balance of probabilities, chloracne or death from chloracne is connected with the circumstances of a person’s relevant service are:

 

(a) being exposed to halogenated organochlorine compounds or halogenated organobromine compounds within the 14 days before the clinical onset of chloracne; or

 

(b) inability to obtain appropriate clinical management for chloracne.

 

Factors that apply only to material contribution or aggravation

6. Paragraph 5(b) applies only to material contribution to, or aggravation of, chloracne where the person’s chloracne was suffered or contracted before or during (but not arising out of) the person’s relevant service; paragraph 8(1)(e), 9(1)(e) or 70(5)(d) of the Act refers.

 

Inclusion of Statements of Principles

7. In this Statement of Principles if a relevant factor applies and that factor includes an injury or disease in respect of which there is a Statement of Principles then the factors in that last mentioned Statement of Principles apply in accordance with the terms of that Statement of Principles.

 

Other definitions

8. For the purposes of this Statement of Principles:

 

death from chloracne” in relation to a person includes death from a terminal event or condition that was contributed to by the person’s chloracne;

 

“halogenated organochlorine compounds” means polychlorinated biphenyls (PCBs), polychlorinated dibenzodioxins (PCDDs), or polychlorinated dibenzofurans (PCDFs);

 

“halogenated organobromine compounds” means polybrominated biphenyls (PBBs);

 

“ICD-10-AM code” means a number assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, 10th revision, Australian Modification (ICD-10-AM), Second Edition, effective date of 1 July 2000, copyrighted by the National Centre for Classification in Health, Sydney, NSW, and having ISBN 1 86487 271 3;

 

“relevant service” means:

 

(a) eligible war service (other than operational service); or

(b) defence service (other than hazardous service);

 

“terminal event” means the proximate or ultimate cause of death and includes:

 

a) pneumonia;

b) respiratory failure;

c) cardiac arrest;

d) circulatory failure; or

e) cessation of brain function.

 

Application

9. This Instrument applies to all matters to which section 120B of the Act applies.

 

 

Dated this Twelfth  day of  July 2000

 

 

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, enacted by the Australian Parliament, establishes the legislative framework governing entitlements for veterans and their families. The Act was introduced to address the need for a comprehensive and consistent system to provide benefits and support to individuals who have served in the Australian Defence Force, including the Australian Imperial Force, the Second Australian Imperial Force, and the Australian Regular Army. The Act aims to ensure that veterans receive appropriate recognition and support for any injuries, diseases, or disabilities incurred during their service. In 2000, the Repatriation Medical Authority, under subsection 196B(3) of the Veterans’ Entitlements Act 1986, issued an instrument that revoked previous statements of principles concerning chloracne and determined new principles in their place. This revision was enacted to accurately reflect the medical-scientific evidence available at the time, establishing that chloracne and death from chloracne can be related to relevant service rendered by veterans, subject to certain conditions. This update was essential to ensure that affected veterans could access the necessary support and recognition for their conditions under the Act.

Scope and Application

The Repatriation Medical Authority, under subsection 196B(3) of the Veterans’ Entitlements Act 1986, has issued a legislative instrument that revokes previous instruments and determines a new Statement of Principles concerning chloracne and death from chloracne. This instrument applies to veterans and members of the Australian Defence Force who have contracted chloracne or died from chloracne, where these conditions are linked to their service. Specifically, the instrument provides a definition of chloracne as a dermatological condition associated with exposure to halogenated organochlorine or halogenated organobromine compounds. The Authority has determined that it is more probable than not that these conditions can be related to relevant service, provided that certain factors are met, such as exposure to the specified compounds within 14 days before the onset of chloracne, or the inability to obtain appropriate clinical management for chloracne. The instrument also outlines the jurisdictional scope by applying to all matters to which section 120B of the Veterans’ Entitlements Act 1986 applies, thus ensuring that the determination is binding within the framework of the Act.

Key Provisions

The main sections of this legislation (Instrument No. 20 of 2000) involve the revocation of previous instruments (Instrument No. 70 of 1994 and Instrument No. 280 of 1995) and the establishment of a new Statement of Principles concerning chloracne and death from chloracne under section 196B(3) of the Veterans’ Entitlements Act 1986 (section 1). The new Statement of Principles defines chloracne as a dermatologic condition with cysts, comedones, and pustules appearing on specific body parts associated with exposure to halogenated organochlorine or halogenated organobromine compounds, which is coded as L70.8 in the ICD-10-AM (section 2). The Repatriation Medical Authority has determined that chloracne and death from chloracne can be related to relevant service by veterans or members of the Forces based on available medical-scientific evidence (section 3). The connection between chloracne or death from chloracne and the person’s relevant service must include exposure to halogenated compounds within 14 days before the onset of chloracne or inability to obtain appropriate clinical management for chloracne (section 5). These factors apply unless otherwise specified in the legislation (section 6). The Act imposes obligations on parties such as veterans or members of the Forces who seek to claim entitlements related to chloracne or death from chloracne. They must demonstrate that their condition is connected to relevant service by providing evidence of exposure to halogenated compounds or lack of appropriate clinical management (section 5). If the chloracne was suffered or contracted before or during relevant service but not arising out of it, then the inability to obtain appropriate clinical management can only be considered for material contribution to or aggravation of the condition (section 6). Additionally, if the condition includes an injury or disease covered by another Statement of Principles, the factors in that Statement of Principles must also be satisfied (section 7). Breach of the requirements or misrepresentation of facts in claims related to chloracne or death from chloracne can lead to various legal consequences. Under the Veterans’ Entitlements Act 1986, fraudulent claims or providing false information can result in both civil and criminal penalties. Civil penalties may include the recovery of any benefits already paid, fines, and the requirement to repay amounts received through fraudulent means. Criminal penalties can include imprisonment, with the maximum penalty varying depending on the severity and intent of the offence. These penalties are intended to deter fraudulent claims and ensure the integrity of the veterans’ entitlement system.

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