Instrument No.205 of 1995
Statement of Principles
concerning
MALIGNANT NEOPLASM OF THE CEREBRAL MENINGES
ICD CODE: 192.1
Veterans’ Entitlements Act 1986
subsection 196B(2)
1. Being of the view that there is sound medical-scientific evidence that indicates that malignant neoplasm of the cerebral meninges and death from malignant neoplasm of the cerebral meninges can be related to operational service rendered by veterans, peacekeeping service rendered by members of Peacekeeping Forces and hazardous service rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting malignant neoplasm of the cerebral meninges or death from malignant neoplasm of the cerebral meninges with the circumstances of that service, are:
(a) for sarcoma of the cerebral meninges only, undergoing a course of therapeutic radiation to the head or neck before the clinical onset of malignant neoplasm of the cerebral meninges; or
(b) inability to obtain appropriate clinical management for malignant neoplasm of the cerebral meninges.
2. Subject to clause 3 (below) at least one of the factors set out in paragraphs 1(a) to 1(b) must be related to any service rendered by a person.
3. The factor set out in paragraph 1(b) applies only where:
(a) the person’s malignant neoplasm of the cerebral meninges developed before a period, or part of a period, of service to which the factor is related; and
(b) the relationship suggested between malignant neoplasm of the cerebral meninges and the particular service of a person is a relationship set out in paragraph 8(1)(e), 9(1)(e), 70(5)(d) or 70(5A)(d) of the Act.
4. For the purposes of this Statement of Principles:
“a course” means five or more episodes of treatment within a 125 day period;
“ICD code” means a number assigned to a particular kind of injury or disease in the tenth edition of the International Classification of Diseases 9th Revision, effective date of 1 October 1993, copyrighted by the US Commission on Professional and Hospital Activities, and having the Library of Congress number 77-94472;
“malignant neoplasm of the cerebral meninges” means a malignant tumour arising from any of the cellular constituents of the cerebral meninges, which are the membranes surrounding the brain, attracting ICD code 192.1;
“sarcoma of the cerebral meninges” means a malignant sarcoma arising from the cerebral meninges;
“therapeutic radiation” means medical treatment by irradiation to the person with gamma rays, x-rays, alpha particles or beta particles.
Dated this First day of June 1995
The Common Seal of the )
Repatriation Medical Authority )
was affixed to this instrument )
in the presence of: )
KEN DONALD
CHAIRMAN
Overview
The Statement of Principles concerning Malignant Neoplasm of the Cerebral Meninges, enacted in 1995, addresses the issue of establishing a connection between malignant neoplasm of the cerebral meninges and certain types of service rendered by veterans, peacekeeping forces, and members of the armed forces. This legislative instrument was developed by the Repatriation Medical Authority under subsection 196B(2) of the Veterans’ Entitlements Act 1986, aiming to provide clear criteria for veterans to claim entitlements related to this condition. The policy objective is to ensure that veterans and service members who have been diagnosed with malignant neoplasm of the cerebral meninges, or who have died from this condition, can establish a reasonable hypothesis linking their condition to their service, thereby qualifying for appropriate benefits and support.
The Statement of Principles outlines specific factors that must exist for such a hypothesis to be considered reasonable, including exposure to therapeutic radiation to the head or neck before the onset of the condition, and the inability to obtain appropriate clinical management. These criteria aim to provide a clear framework for veterans to claim entitlements and for the Repatriation Medical Authority to assess these claims effectively. By setting out these principles, the legislation seeks to address gaps in the recognition and support for veterans suffering from malignant neoplasm of the cerebral meninges, ensuring they receive the necessary benefits and recognition for their service-related conditions.
Scope and Application
The Statement of Principles concerning Malignant Neoplasm of the Cerebral Meninges, as provided under the Veterans’ Entitlements Act 1986, applies to veterans, members of Peacekeeping Forces, and members of the Forces who have developed a malignant neoplasm of the cerebral meninges, specifically a malignant tumour arising from the membranes surrounding the brain. This legislation stipulates the medical-scientific criteria necessary to establish a reasonable hypothesis connecting such a neoplasm or its resultant death to operational, peacekeeping, or hazardous service. It specifies that either a history of therapeutic radiation to the head or neck prior to the onset of the condition or an inability to obtain appropriate clinical management for the condition must be related to the service in question. These criteria are set out to aid in determining eligibility for veterans’ entitlements based on the nature of the service rendered.
The jurisdiction of this legislation extends to the Commonwealth of Australia, with its application potentially impacting a range of individuals including veterans, members of Peacekeeping Forces, and members of the Armed Forces. The scope is defined by the presence of specific service-related factors as outlined in the Statement of Principles, and the legislation provides for the application to be extended or restricted through subordinate instruments. The principles apply to those who meet the defined ICD code for the condition and who can demonstrate the requisite connection to their service, thereby qualifying them for certain entitlements under the Act.
Key Provisions
The Statement of Principles concerning Malignant Neoplasm of the Cerebral Meninges (Instrument No. 205 of 1995) provides key provisions that determine the connection between malignant neoplasm of the cerebral meninges, death from this condition, and service rendered by veterans, peacekeeping forces, or the military. Section 1 outlines the factors that must exist to establish a reasonable hypothesis connecting the condition with the service rendered, such as therapeutic radiation to the head or neck before the onset of the neoplasm or an inability to obtain appropriate clinical management for the condition (sections 1(a) and 1(b)). Clause 2 stipulates that at least one of these factors must be related to the service rendered by the person. Clause 3 adds that the inability to obtain appropriate clinical management applies only under specific conditions, namely if the malignant neoplasm developed before a period of service and if the relationship between the condition and the service falls within certain categories specified in the Act (sections 8(1)(e), 9(1)(e), 70(5)(d), and 70(5A)(d)).
The obligations imposed by the Statement of Principles primarily concern the establishment of a connection between the malignant neoplasm of the cerebral meninges or death from this condition and the relevant service. For instance, veterans, peacekeeping forces, or military members must demonstrate that at least one of the specified factors was related to their service to substantiate their claim. This involves providing evidence of exposure to therapeutic radiation or proving that they were unable to obtain appropriate clinical management due to circumstances arising from their service. The onus is on the claimant to furnish adequate evidence to satisfy the Repatriation Medical Authority that the condition is reasonably connected to their service.
There are no direct offences, penalties, or civil or criminal consequences specified within the Statement of Principles itself. However, the failure to meet the criteria set out in the Statement could result in the denial of benefits or entitlements under the Veterans’ Entitlements Act 1986. Claimants who do not provide sufficient evidence to meet the outlined conditions may face challenges in receiving the benefits to which they might otherwise be entitled. The implications of not meeting these criteria are primarily administrative, impacting the claimant’s eligibility for certain entitlements rather than resulting in direct legal penalties.