Statement of Principles concerning mesenteric panniculitis (Balance of Probabilities) (No. 50 of 2018)

Administered by Department of Veterans' Affairs

Legislation au F2018L00529 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

Statement of Principles concerning

MESENTERIC PANNICULITIS

(Balance of PROBABILITIES) (NO. 50 OF 2018)

 

VETERANS' ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Statement of Principles concerning mesenteric panniculitis (Balance of Probabilities) (No. 50 of 2018).

Background

2.             The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(3) of the Veterans' Entitlements Act 1986 (the VEA), Statement of Principles concerning mesenteric panniculitis (Balance of Probabilities) (No. 50 of 2018).

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

7.             This new Instrument results from an investigation notified by the Authority in the Government Notices Gazette of 14 November 2017 concerning mesenteric panniculitis in accordance with section 196G of the VEA.  The investigation involved an examination of the sound medical-scientific evidence available to the Authority.

Consultation

8.             Prior to determining this Instrument, the Authority advertised its intention to undertake an investigation in relation to mesenteric panniculitis in the Government Notices Gazette of 14 November 2017, 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.  One submission was received for consideration by the Authority during the investigation.

Human Rights

9.             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

10.         The determining of this new Instrument finalises the investigation in relation to mesenteric panniculitis as advertised in the Government Notices Gazette of 14 November 2017.

References

11.         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. 50 of 2018

Kind of Injury, Disease or Death: Mesenteric panniculitis

 

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).  Part XIA of the VEA requires the determination of these instruments outlining the factors linking 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 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 mesenteric panniculitis;
  • 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, mesenteric panniculitis is connected 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 mesenteric panniculitis (Balance of Probabilities) (No. 50 of 2018) was enacted to address the relationship between mesenteric panniculitis and certain types of military service, specifically eligible war service, defence service, and peacetime service under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). The Repatriation Medical Authority determined this statement of principles based on the available medical-scientific evidence, asserting that it is more probable than not that mesenteric panniculitis and death from mesenteric panniculitis can be related to particular kinds of military service. This legislative instrument serves to outline the circumstances under which such claims can be considered, facilitating both the assessment and review of claims by relevant authorities and ensuring that the qualifying conditions for benefits are reasonable, proportionate, and transparent. The policy objective is to enhance the medico-scientific quality of outcomes under the VEA and MRCA while promoting the human rights of veterans and their dependents, including their rights to social security, an adequate standard of living, and the highest attainable standard of physical and mental health.

Scope and Application

The Statement of Principles concerning mesenteric panniculitis (Balance of Probabilities) (No. 50 of 2018) applies to claims made under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004. It specifically outlines the medical and service-related factors that must be present for a claim concerning mesenteric panniculitis or death from mesenteric panniculitis to be considered valid. The Statement of Principles applies to veterans, current and former Defence Force members, and their dependents, providing clarity and guidance on the conditions that must be met for compensation or pension claims to be upheld. This instrument is applicable nationally in Australia and has been determined by the Repatriation Medical Authority under the authority of the respective Acts. It is designed to ensure that claims are assessed based on sound medical-scientific evidence, thereby maintaining the integrity and fairness of the claims process. The application of this Statement of Principles is mandatory for the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, and Administrative Appeals Tribunal when considering claims related to mesenteric panniculitis.

Key Provisions

The main operative sections of the Statement of Principles concerning mesenteric panniculitis (Balance of Probabilities) (No. 50 of 2018) establish the criteria for determining the connection between mesenteric panniculitis, death from mesenteric panniculitis, and specific kinds of service under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). This Statement of Principles (section 4) outlines the specific factors that need to be present, and which must be linked to eligible war service, defence service, or peacetime service, to establish a connection on the balance of probabilities. It is important to note that any claim for pension, liability, or compensation related to mesenteric panniculitis or death from mesenteric panniculitis must be supported by this Statement of Principles if it was lodged after 1 June 1994 under the VEA or 1 July 2004 under the MRCA (sections 6 and 7). The Statement of Principles imposes certain obligations and requirements on parties involved in the claims process. For example, the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, or Administrative Appeals Tribunal cannot accept any claim for pension or compensation relating to mesenteric panniculitis or death from mesenteric panniculitis unless it is upheld by this Statement of Principles (subsection 120B(3) of the VEA or subsection 339(3) of the MRCA). This means that claimants must demonstrate that their condition meets the specified criteria set out in the Statement of Principles to be eligible for benefits. Moreover, the Repatriation Medical Authority is required to consider sound medical-scientific evidence when determining the connection between mesenteric panniculitis and service, ensuring that the decision-making process is evidence-based and transparent. Failure to comply with the provisions of the Statement of Principles can lead to civil or criminal consequences. Although the Statement of Principles itself does not explicitly state penalties for non-compliance, claims that do not meet the criteria outlined in the Statement of Principles are likely to be rejected. In cases where a claim is knowingly or recklessly submitted without meeting the criteria, there could be potential legal ramifications, including the possibility of being charged with fraud, which carries a maximum penalty of five years imprisonment under section 131.1 of the Criminal Code Act 1995 (Cth). Furthermore, if the Repatriation Medical Authority or any other relevant authority is found to have acted unreasonably or in a manner inconsistent with the requirements of the VEA or MRCA, it could face judicial review, which might result in the quashing of decisions and orders for corrective action.

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