Statement of Principles concerning malignant neoplasm of the testis and paratesticular tissues No. 16 of 2004

Administered by Department of Veterans' Affairs

Legislation au F2005B02469 Not in force Legislative Instrument

Legislation content

Instrument No. 16 of 2004

 

Revocation and Determination

of

Statement of Principles

concerning

MALIGNANT NEOPLASM OF THE TESTIS AND PARATESTICULAR TISSUES

 

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. 4 of 1997; and

 

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

 

Kind of injury, disease or death

2. (a) This Statement of Principles is about malignant neoplasm of the testis and paratesticular tissues and death from malignant neoplasm of the testis and paratesticular tissues.

(b)                For the purposes of this Statement of Principles, “malignant neoplasm of the testis and paratesticular tissues” means a primary malignant neoplasm arising from the cells of the testis or paratesticular tissues including the rete testis, epididymis, and spermatic cord, but excluding the tunica vaginalis. This definition excludes soft tissue sarcoma, non-Hodgkin’s lymphoma and Hodgkin’s disease.

(c)                Malignant neoplasm of the testis and paratesticular tissues attracts ICD-10-AM code C62, C63.0, or C63.1.

(d)              In the application of this Statement of Principles, the definition of malignant neoplasm of the testis and paratesticular tissues” is that given at paragraph 2(b) above.

 

Basis for determining the factors

3. After examining the available sound medical-scientific evidence the Repatriation Medical Authority is of the view that it is more probable than not on the sound medical-scientific evidence available, that the only factor that can be related to the cause of or material contribution to or aggravation of malignant neoplasm of the testis and paratesticular tissues or death from malignant neoplasm of the testis and paratesticular tissues and which can be related to relevant service is that set out in clause 4.

 

Factors that must be related to service

4. The factor that must exist before it can be said that, on the balance of probabilities, in relation to the circumstances of a person’s relevant service causing or materially contributing to or aggravating malignant neoplasm of the testis and paratesticular tissues or death from malignant neoplasm of the testis and paratesticular tissues is inability to obtain appropriate clinical management for malignant neoplasm of the testis and paratesticular tissues.

 

Other definitions

5. For the purposes of this Statement of Principles:

 

“death from malignant neoplasm of the testis and paratesticular tissues” in relation to a person includes death from a terminal event or condition that was contributed to by the person’s malignant neoplasm of the testis and paratesticular tissues;

 

“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), Third Edition, effective date of 1 July 2002, copyrighted by the National Centre for Classification in Health, Sydney, NSW, and having ISBN 1 86487 413 9;

 

“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

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

 

Dated this 24th  day of  May 2004

 

The Common Seal of the    )

Repatriation Medical Authority   )

was affixed to this instrument  )

in the presence of:    )

 

KEN DONALD

CHAIRMAN

Overview

The Instrument No. 16 of 2004 under the Veterans’ Entitlements Act 1986 is a legislative instrument that revokes the previous Statement of Principles concerning malignant neoplasm of the testis and paratesticular tissues and replaces it with a new Statement of Principles. The Repatriation Medical Authority, established under the Veterans’ Entitlements Act 1986, was tasked with this revision to address the evolving understanding of the medical conditions related to service and to ensure that veterans receive appropriate recognition and support. The policy objective behind this revision is to provide clarity and precision in the medical-scientific evidence related to the specific conditions affecting veterans, ensuring that their claims are assessed based on the most current and accurate information available. The new Statement of Principles specifically defines malignant neoplasm of the testis and paratesticular tissues and its associated ICD-10-AM codes, clarifying the conditions that attract these codes and those that are excluded. It establishes that the only factor related to the cause or material contribution to the malignant neoplasm or death from such conditions, which can be linked to relevant service, is the inability to obtain appropriate clinical management. This legislative instrument applies to all matters to which section 120B of the Veterans’ Entitlements Act 1986 applies, ensuring that the updated principles are uniformly applied across relevant cases.

Scope and Application

The Legislative Instrument No. 16 of 2004 under the Veterans’ Entitlements Act 1986, specifically pertains to the revocation and determination of the Statement of Principles concerning malignant neoplasm of the testis and paratesticular tissues. This legislative instrument applies to veterans who have served in eligible war service or defence service and have subsequently developed malignant neoplasm of the testis and paratesticular tissues, or who have died from such a condition. The scope of the Act includes the revocation of the previous Instrument No. 4 of 1997 and the establishment of a new Statement of Principles to define the conditions under which malignant neoplasm of the testis and paratesticular tissues, as well as death from such conditions, are related to relevant service. This legislation sets out specific criteria and definitions, such as the exclusion of soft tissue sarcoma, non-Hodgkin’s lymphoma, and Hodgkin’s disease from the definition of the neoplasm. The application of the Instrument extends to all matters governed by section 120B of the Veterans’ Entitlements Act 1986.

Key Provisions

This legislative instrument (F2005B02469) primarily revokes a previous Statement of Principles concerning malignant neoplasm of the testis and paratesticular tissues, and establishes a new Statement of Principles under section 196B(3) of the Veterans’ Entitlements Act 1986 (section 2). The new Statement of Principles addresses malignant neoplasm of the testis and paratesticular tissues and death from such neoplasms (section 2(a)). It specifies that the term "malignant neoplasm of the testis and paratesticular tissues" refers to a primary malignant neoplasm arising from specific cells of the testis or related tissues, but excludes certain types of cancers such as soft tissue sarcoma, non-Hodgkin's lymphoma, and Hodgkin's disease (sections 2(b) and (d)). This definition is used for the purposes of this Statement of Principles and is assigned the ICD-10-AM codes C62, C63.0, or C63.1 (section 2(c)). The Repatriation Medical Authority has determined, after reviewing available medical-scientific evidence, that the only factor related to the cause or material contribution to malignant neoplasm of the testis and paratesticular tissues or death from such neoplasms, which can be linked to relevant service, is the inability to obtain appropriate clinical management (section 3). For the purposes of this Statement of Principles, "relevant service" is defined as eligible war service (excluding operational service) or defence service (excluding hazardous service) (section 5(a) and (b)). Additionally, "death from malignant neoplasm of the testis and paratesticular tissues" includes death from a terminal event or condition that was contributed to by the neoplasm (section 5(a)). The parties or entities governed by this legislation must adhere to the specified definitions and factors outlined in the Statement of Principles. Specifically, the inability to obtain appropriate clinical management for malignant neoplasm of the testis and paratesticular tissues must be related to the relevant service for any claims concerning malignant neoplasm or death from such neoplasms to be considered (section 4). Failure to meet these criteria or provide accurate information can lead to complications in the processing of claims under the Veterans’ Entitlements Act 1986. There are no explicit offences, penalties, or civil/criminal consequences outlined in this legislative instrument for breaches of the Statement of Principles. However, any non-compliance with the provisions of the Veterans’ Entitlements Act 1986, including the new Statement of Principles, may result in the denial of claims or other administrative penalties as prescribed by the Act. The specific consequences for non-compliance would depend on the broader legal context and any relevant case law or regulations.

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