Statement of Principles concerning distal biceps brachii tendinopathy (Reasonable Hypothesis) (No. 3 of 2025)

Administered by Department of Veterans' Affairs

Legislation au F2024L01696 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

STATEMENT OF PRINCIPLES CONCERNING

DISTAL BICEPS BRACHII TENDINOPATHY

(REASONABLE HYPOTHESIS) (NO. 3 OF 2025)

 

VETERANS' ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1.              This is the Explanatory Statement to the Statement of Principles concerning distal biceps brachii tendinopathy (Reasonable Hypothesis) (No. 3 of 2025).

Background

  1.              The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(2) of the Veterans' Entitlements Act 1986 (the VEA), Statement of Principles concerning distal biceps brachii tendinopathy (Reasonable Hypothesis) (No. 3 of 2025).
  2.              The Authority is of the view that there is sound medical-scientific evidence that indicates that distal biceps brachii tendinopathy and death from distal biceps brachii tendinopathy can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning distal biceps brachii tendinopathy pursuant to subsection 196B(2) of the VEA.

Purpose and Operation

  1.              The Statement of Principles will be applied in determining claims under the VEA and the Military Rehabilitation and Compensation Act 2004 (the MRCA).
  2.              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 distal biceps brachii tendinopathy or death from distal biceps brachii tendinopathy, with the circumstances of that service.  The Statement of Principles has been determined for the purposes of both the VEA and the MRCA.

  1.              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 distal biceps brachii tendinopathy or death from distal biceps brachii tendinopathy 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).
  2.              This new Instrument results from an investigation notified by the Authority in the Government Notices Gazette of 25 June 2024 concerning distal biceps brachii tendinopathy in accordance with section 196G of the VEA.  The investigation involved an examination of the sound medical-scientific evidence available to the Authority.

Consultation

  1.              Prior to determining this Instrument, the Authority advertised its intention to undertake an investigation in relation to distal biceps brachii tendinopathy in the Government Notices Gazette of 25 June 2024, 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, the Military Rehabilitation and Compensation 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 in relation to the investigation.

Human Rights

  1.              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

  1.          The determining of this new Instrument finalises the investigation in relation to distal biceps brachii tendinopathy as advertised in the Government Notices Gazette of 25 June 2024.

References

  1.          A list of references relating to the above condition is available on the Authority's website at: www.rma.gov.au. Any other document referred to in this Statement of Principles is available on request to the Repatriation Medical Authority at the following address:

              

Email:    info@rma.gov.au

Post:      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. 3 of 2025

Kind of Injury, Disease or Death: Distal biceps brachii tendinopathy

 

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(2) 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 connecting 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 and the Military Rehabilitation and Compensation 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 distal biceps brachii tendinopathy;
  • 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 distal biceps brachii tendinopathy 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, ICESCR; 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, ICESCR 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 Distal Biceps Brachii Tendinopathy (Reasonable Hypothesis) (No. 3 of 2025) was determined by the Repatriation Medical Authority under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004. This legislation was enacted to address the gap in recognising distal biceps brachii tendinopathy as a condition that can be related to particular kinds of military service. The Authority determined that there is sufficient medical-scientific evidence to support this connection, thereby facilitating claims for pension, liability, or compensation for veterans and Defence Force members suffering from this condition. This Statement of Principles outlines the necessary factors that must exist and be related to specific types of service, such as operational, peacekeeping, or warlike service, before a reasonable hypothesis can be raised linking the condition to the service rendered. The policy objective is to ensure that claims for benefits are assessed based on sound evidence, thereby protecting the rights of veterans and their dependents, including their right to social security and the highest attainable standard of physical and mental health. The determination of this Statement of Principles finalises an investigation into distal biceps brachii tendinopathy, ensuring that claims lodged after the specified dates under the respective Acts are assessed in accordance with the outlined factors. This legislative instrument is designed to improve the medico-scientific quality of outcomes under the Acts and is compatible with human rights as it does not derogate from any human rights but promotes several, including the right to social security and adequate living standards.

Scope and Application

The Statement of Principles concerning distal biceps brachii tendinopathy (Reasonable Hypothesis) (No. 3 of 2025) applies to individuals who have served in specific kinds of service as defined by the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). These include operational service, peacekeeping service, hazardous service, British nuclear test defence service under the VEA, and warlike or non-warlike service under the MRCA. The Statement of Principles sets out the minimum factors that must exist and be related to these services to raise a reasonable hypothesis connecting the condition with the service, thereby facilitating claims for pension, liability, or compensation related to distal biceps brachii tendinopathy or death from this condition. Claims lodged on or after 1 June 1994 under the VEA or 1 July 2004 under the MRCA cannot be accepted unless they are upheld by this Statement of Principles. The determination of this Statement of Principles finalises an investigation initiated by the Repatriation Medical Authority, ensuring that all claims are assessed based on sound medical-scientific evidence. The Authority has confirmed that this instrument is compatible with human rights and freedoms as recognised by international instruments, thereby promoting the rights of veterans, current and former Defence Force members, and their dependents.

Key Provisions

The main sections of the Statement of Principles concerning distal biceps brachii tendinopathy (Reasonable Hypothesis) (No. 3 of 2025) set out the criteria that must be met for a veteran or service member to be eligible for claims under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). According to these sections, claims for pension or compensation for distal biceps brachii tendinopathy or death from this condition will only be considered if they are lodged after the specified dates (subsection 120A(3) of the VEA or subsection 338(3) of the MRCA). Furthermore, the claim must be supported by evidence that the condition is reasonably hypothesised to be related to specific kinds of service as outlined in the Statement of Principles (subsection 196B(2) of the VEA). The obligations imposed by the Act on parties or entities it governs include the requirement for the Repatriation Medical Authority (the Authority) to determine the Statement of Principles based on available sound medical-scientific evidence. The Authority must also ensure that the Statement of Principles is compatible with human rights as outlined in international instruments. Additionally, the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, or Administrative Appeals Tribunal must uphold the Statement of Principles when assessing claims under the VEA or MRCA. The Statement of Principles does not impose any direct offences or penalties for breach. However, it sets a legal framework that determines the eligibility criteria for claims related to distal biceps brachii tendinopathy. Any claim not supported by the Statement of Principles may be rejected by the relevant authorities, potentially resulting in the denial of pension or compensation benefits. The determination of this Statement of Principles finalises the investigation into distal biceps brachii tendinopathy, ensuring that all claims are assessed based on consistent and evidence-backed criteria.

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