Statement of Principles concerning hyperacusis (Reasonable Hypothesis) (No. 27 of 2021)

Administered by Department of Veterans' Affairs

Legislation au F2021L00028 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

STATEMENT OF PRINCIPLES CONCERNING

HYPERACUSIS

(REASONABLE HYPOTHESIS) (NO. 27 OF 2021)

 

VETERANS' ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Statement of Principles concerning hyperacusis (Reasonable Hypothesis) (No. 27 of 2021).

Background

2.             The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(2) of the Veterans' Entitlements Act 1986 (the VEA), a Statement of Principles concerning hyperacusis (Reasonable Hypothesis) (No. 27 of 2021).

3.             The Authority is of the view that there is sound medical-scientific evidence that indicates that hyperacusis and death from hyperacusis can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning hyperacusis 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 hyperacusis or death from hyperacusis, 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 hyperacusis or death from hyperacusis 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 26 February 2020 concerning hyperacusis in accordance with section 196G of the VEA.  The investigation involved an examination of the sound medical-scientific evidence available to the Authority.

Incorporation

8.             The definition of "acoustic shock symptoms" contained in the Schedule 1 - Dictionary incorporates the Work Health and Safety (Managing Noise and Preventing Hearing Loss at Work) Code of Practice 2015, as in force on 17 December 2015.  This writing is incorporated pursuant to subsection 14(b) of the Legislation Act 2003. 

9.             A copy of this document is available to any person on the website of the Repatriation Medical Authority at www.rma.gov.au or from the Repatriation Medical Authority, Level 8, 259 Queen St, Brisbane, Queensland 4000, by contacting the Registrar on telephone (07) 3815 9404.

Consultation

10.         Prior to determining this Instrument, the Authority advertised its intention to undertake an investigation in relation to hyperacusis in the Government Notices Gazette of 26 February 2020, 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.  Apart from the original correspondence from an organisation representing veterans, service personnel and their dependants requesting an investigation in relation to hyperacusis, no submissions were received for consideration by the Authority in relation to the investigation.

Human Rights

11.         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

12.         The determining of this new Instrument finalises the investigation in relation to hyperacusis as advertised in the Government Notices Gazette of 26 February 2020.

References

13.         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. 27 of 2021

Kind of Injury, Disease or Death: Hyperacusis

 

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 hyperacusis;
  • 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 hyperacusis 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 hyperacusis (Reasonable Hypothesis) (No. 27 of 2021) was determined by the Repatriation Medical Authority (the Authority) under subsection 196B(2) of the Veterans' Entitlements Act 1986 (VEA). This Statement of Principles is designed to address the problem of establishing a connection between hyperacusis, a condition involving sensitivity to normal environmental sounds, and specific kinds of military service. The Authority determined this Statement of Principles based on sound medical-scientific evidence indicating that hyperacusis can be related to particular kinds of service. This legislative instrument will be applied in assessing claims under the VEA and the Military Rehabilitation and Compensation Act 2004 (MRCA), ensuring that a reasonable hypothesis connecting hyperacusis or death from hyperacusis with the circumstances of service must be upheld. The Statement of Principles outlines the minimum factors that must exist and be related to certain types of service before a reasonable hypothesis can be raised, thereby facilitating the assessment and review of claims by relevant authorities and ensuring compliance with human rights principles. The Authority’s determination finalises an investigation into hyperacusis, advertised in the Government Notices Gazette on 26 February 2020. The process involved examining the available sound medical-scientific evidence and seeking limited public consultation. This legislative instrument is compatible with human rights, promoting the rights of veterans, current and former Defence Force members, and their dependents by ensuring reasonable, proportionate, and transparent qualifying conditions for benefits. It facilitates the assessment and determination of social security benefits, and the right to the highest attainable standard of physical and mental health by aiding in the assessment and determination of compensation and benefits for treatment and rehabilitation.

Scope and Application

The Statement of Principles concerning hyperacusis (Reasonable Hypothesis) (No. 27 of 2021) applies to claims made under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, governing the eligibility of veterans and Defence Force members for pensions, benefits, or compensation related to hyperacusis. The Act sets out the minimum factors that must exist, connecting hyperacusis or death from hyperacusis with certain specified types of service, including operational, peacekeeping, hazardous, and British nuclear test defence service under the VEA, and warlike and non-warlike service under the MRCA. Claims for compensation or benefits regarding hyperacusis or death from hyperacusis must be lodged after 1 June 1994 for the VEA and 1 July 2004 for the MRCA, and the Statement of Principles must uphold these claims. The Instrument also incorporates the Work Health and Safety (Managing Noise and Preventing Hearing Loss at Work) Code of Practice 2015, as part of its framework for assessing claims related to acoustic shock symptoms. This legislative instrument ensures that the claims process for veterans and Defence Force members with hyperacusis is grounded in sound medical-scientific evidence, facilitating the assessment and determination of compensation and benefits. It 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, without discrimination. The Statement of Principles is compatible with the human rights and freedoms recognised in international instruments and promotes the rights of veterans, current and former Defence Force members, and their dependents by providing a clear framework for assessing and determining claims.

Key Provisions

The Statement of Principles concerning hyperacusis (Reasonable Hypothesis) (No. 27 of 2021) (the Statement of Principles) is primarily concerned with setting out the minimum factors that must exist in order to establish a reasonable hypothesis that hyperacusis or death from hyperacusis is related to specific kinds of service (section 5). These factors are necessary to validate claims under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). The Statement of Principles applies to operational, peacekeeping, hazardous, British nuclear test defence service, warlike, and non-warlike services (section 5). The Statement of Principles imposes a requirement on claimants to ensure that their claims for pension or compensation related to hyperacusis or death from hyperacusis are supported by the criteria outlined in the Statement of Principles (subsections 120A(3) of the VEA and 338(3) of the MRCA). 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 the Statement of Principles (section 6). The determination of this Statement of Principles also incorporates the definition of "acoustic shock symptoms" from the Work Health and Safety (Managing Noise and Preventing Hearing Loss at Work) Code of Practice 2015, as in force on 17 December 2015 (subsection 14(b) of the Legislation Act 2003). There are no specific offences, penalties, or civil/criminal consequences outlined in the Statement of Principles itself. However, the failure to comply with the requirements for claims under the VEA and MRCA may result in the denial of pension or compensation benefits. The Statement of Principles ensures that claims are assessed based on sound medical-scientific evidence, thereby providing a transparent and reasonable basis for determining eligibility for benefits related to hyperacusis or death from hyperacusis.

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