Statement of Principles concerning concussion No. 65 of 2012

Administered by Department of Veterans' Affairs

Legislation au F2012L01810 Not in force Legislative Instrument

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REPATRIATION MEDICAL AUTHORITY

 

INSTRUMENT NO. 65 of 2012

 

VETERANS’ ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

EXPLANATORY NOTES FOR TABLING

 

 

  1. The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the VEA), Statement of Principles Instrument No. 65 of 2012 concerning concussion and death from concussion.

 

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

 

3.             Pursuant to the provisions of the VEA and the Military Rehabilitation and Compensation Act 2004 (the MRCA), claims for pension under the VEA or compensation under the MRCA are determined by the Repatriation Commission or the Military Rehabilitation and Compensation Commission by reference to Statements of Principles issued by the Authority pursuant to the VEA.

 

4.             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, concussion or death from concussion is connected with the circumstances of that service.

 

5.             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 concussion or death from concussion 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).

 

6.             This new Instrument results from an investigation notified by the Authority in the Government Notices Gazette of 14 December 2011 concerning traumatic brain injury in accordance with section 196G of the VEA.  The investigation involved an examination of the sound medical-scientific evidence available to the Authority.

 

7.             Prior to determining this Instrument, the Authority advertised its intention to undertake an investigation in relation to traumatic brain injury in the Government Notices Gazette of 14 December 2011, 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.  Three submissions were received for consideration by the Authority during the investigation.

 

8.             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.

 

9.             The determining of this new Instrument finalises the investigation in relation to traumatic brain injury as advertised in the Government Notices Gazette of 14 December 2011.

 

10.         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. 65 of 2012

Kind of Injury, Disease or Death: Concussion

 

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).

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 concussion;
  • 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, concussion is connected with the circumstances of eligible service rendered by a person, as set out in clause 4 of the Explanatory Notes.

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; and
  • the rights of persons with disabilities by facilitating the determination of claims relating to treatment and rehabilitation (Art 26, CRPD).

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 Veterans’ Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004 established the legislative framework for veterans' compensation and rehabilitation. However, there was a need to clarify the criteria for assessing claims related to concussion and death from concussion, which led to the creation of the Repatriation Medical Authority Instrument No. 65 of 2012. This instrument was enacted to address the problem of establishing a definitive link between service and concussion, ensuring that claims could be assessed based on sound medical-scientific evidence. The Repatriation Medical Authority determined this Statement of Principles to guide the Repatriation Commission and Military Rehabilitation and Compensation Commission in their assessments. This legislative instrument aims to facilitate claims processing and ensure that benefits are awarded on reasonable, proportionate, and transparent grounds, promoting the human rights of veterans and their dependents.

Scope and Application

The Statement of Principles Instrument No. 65 of 2012, issued under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, pertains to the recognition of concussion and death from concussion as conditions linked to particular kinds of service, namely eligible war service (other than operational service), defence service (other than hazardous service and British nuclear test defence service), and peacetime service. This Instrument applies to veterans and current or former Defence Force members seeking pension under the VEA or compensation under the MRCA. Its geographic reach is across Australia as it is a Commonwealth instrument. Any claims for pension or compensation concerning concussion or death from concussion lodged after 1 June 1994 for the VEA and after 1 July 2004 for the MRCA must be supported by this Statement of Principles to be considered by the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans’ Review Board, or Administrative Appeals Tribunal. The Statement of Principles outlines the medical-scientific evidence required to establish a connection between the service and the condition, ensuring that the claims process is both transparent and evidence-based. The legislative instrument is designed to improve the medico-scientific quality of outcomes under the VEA and MRCA, and it does not derogate from any human rights, instead promoting the rights of veterans and their dependents by facilitating the assessment and determination of benefits.

Key Provisions

Statement of Principles Instrument No. 65 of 2012 under the Veterans’ Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA) focuses on concussion and death from concussion related to military service. The Repatriation Medical Authority (RMA) has established this Statement of Principles to address the connection between concussion, death from concussion, and specific military services. The key provisions include outlining the factors necessary to link concussion or death from concussion to eligible war service, defence service, and peacetime service (sections 2-4). According to the VEA and MRCA, claims for pension or compensation regarding concussion or death from concussion can only be accepted if they are supported by this Statement of Principles (subsections 120B(3) and 339(3)). This requirement applies to claims lodged after 1 June 1994 for the VEA and 1 July 2004 for the MRCA. The RMA's determination process involved an investigation into traumatic brain injury, with public notification and submission solicitation as outlined in the Government Notices Gazette of 14 December 2011 (section 6). The RMA received three submissions during this investigation, which informed the final determination. The Statement of Principles imposes specific obligations on claimants, the Repatriation Commission, the Military Rehabilitation and Compensation Commission, the Veterans’ Review Board, and the Administrative Appeals Tribunal. Claimants must ensure their claims for pension or compensation are supported by this Statement of Principles, which specifies the necessary factors linking their condition to their service. The Repatriation Commission and the Military Rehabilitation and Compensation Commission are mandated to assess claims based on these specified factors and the evidence provided. The Veterans’ Review Board and the Administrative Appeals Tribunal have the responsibility to review decisions made by the Repatriation Commission and the Military Rehabilitation and Compensation Commission, ensuring that the assessments comply with the established Statement of Principles. Violations of the requirements set forth in the Statement of Principles may lead to significant consequences. For instance, claims for pension or compensation that do not meet the criteria outlined in the Statement of Principles may be rejected by the Repatriation Commission or the Military Rehabilitation and Compensation Commission (subsections 120B(3) and 339(3)). Furthermore, the RMA's determination is binding, and failure to adhere to it could result in the invalidity of claims. While the document does not specify exact penalties for non-compliance, the implications are severe, as they affect the eligibility and validity of claims for benefits under the VEA and MRCA. This stringent adherence ensures that benefits are only granted when there is sufficient medical-scientific evidence supporting the connection between the claimed condition and the service rendered.

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Area of Law
Veterans’ Law
Instrument
Regulation
Concepts
Definitions & Interpretation
Offence Provisions
Reporting & Disclosure Obligations
Catchwords
Concussion
Compensation

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