Statement of Principles concerning mesenteric panniculitis (Reasonable Hypothesis) (No. 49 of 2018)

Administered by Department of Veterans' Affairs

Legislation au F2018L00528 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

STATEMENT OF PRINCIPLES CONCERNING

MESENTERIC PANNICULITIS

(REASONABLE HYPOTHESIS) (NO. 49 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 (Reasonable Hypothesis) (No. 49 of 2018).

Background

2.             The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(2) of the Veterans' Entitlements Act 1986 (the VEA), Statement of Principles concerning mesenteric panniculitis (Reasonable Hypothesis) (No. 49 of 2018).

3.             The Authority is of the view that there is sound medical-scientific evidence that indicates 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(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 mesenteric panniculitis or death from mesenteric panniculitis, 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 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 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. 49 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 as a minimum exist, before it can be said that a reasonable hypothesis has been raised, connecting mesenteric panniculitis 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 (Reasonable Hypothesis) (No. 49 of 2018) was introduced by the Repatriation Medical Authority under subsection 196B(2) of the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). This legislation was enacted to address the need for a comprehensive framework that specifies the minimum conditions necessary to establish a reasonable hypothesis connecting mesenteric panniculitis, or death from the condition, with particular kinds of service. This Statement of Principles is designed to facilitate claims and assessments under the VEA and MRCA by clearly outlining the required factors that must be related to specific service conditions. The policy objective is to ensure that eligible claimants receive appropriate medical treatment and compensation by providing a transparent and evidence-based approach to linking mesenteric panniculitis with service-related circumstances.

Scope and Application

The Statement of Principles concerning mesenteric panniculitis (Reasonable Hypothesis) (No. 49 of 2018), issued under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, outlines the medical and scientific criteria required to establish a reasonable hypothesis that mesenteric panniculitis or death from this condition is related to specific types of military service. This determination by the Repatriation Medical Authority is based on available sound medical-scientific evidence and is designed to assist in the assessment of claims for pensions, liability, or compensation. The principles apply to claims lodged after 1 June 1994 for the Veterans' Entitlements Act and after 1 July 2004 for the Military Rehabilitation and Compensation Act. The legislation specifies the types of service that can be considered, including operational, peacekeeping, hazardous, British nuclear test defence service, warlike, and non-warlike service, and sets out the necessary factors that must be related to these services to support a claim. The application of this Statement of Principles is crucial as it determines the eligibility of veterans and service personnel for benefits related to mesenteric panniculitis. Additionally, the instrument is compatible with human rights, as it does not infringe upon any rights and promotes the human rights of veterans and their dependents by ensuring fair and transparent assessment and determination of benefits.

Key Provisions

The Statement of Principles concerning mesenteric panniculitis (Reasonable Hypothesis) (No. 49 of 2018) sets out the specific factors that must exist, and which of those factors must be related to certain kinds of service, before it can be said that a reasonable hypothesis has been raised connecting mesenteric panniculitis or death from mesenteric panniculitis with the service rendered by a person (section 5). This Statement of Principles applies to claims under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA) (section 4). The kinds of service relevant to this Statement include operational service, peacekeeping service, hazardous service, British nuclear test defence service, warlike service, and non-warlike service (section 5). The Statement of Principles is applicable to claims lodged after 1 June 1994 for the VEA and after 1 July 2004 for the MRCA (sections 6, 120A(3) of the VEA, and 338(3) of the MRCA). The obligations imposed by this Statement of Principles on the parties governed by the VEA and MRCA include the necessity for claimants to meet the specified factors outlined in the Statement to establish a reasonable hypothesis connecting their mesenteric panniculitis or death from it with their service. This involves demonstrating that the relevant medical condition or death is related to their service under one or more of the specified kinds of service. Additionally, the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, and Administrative Appeals Tribunal must adhere to the criteria set forth in this Statement when assessing claims related to mesenteric panniculitis or death from it. Any claim for pension or compensation related to mesenteric panniculitis or death from it that does not meet the criteria set out in this Statement of Principles is not valid under the VEA or MRCA (sections 6, 120A(3) of the VEA, and 338(3) of the MRCA). There are no specific offences, penalties, or civil/criminal consequences mentioned in the Statement of Principles itself. However, failure to comply with the provisions of the VEA or MRCA in the context of making or assessing claims could potentially lead to legal consequences under those Acts, which may include fines or other penalties as provided by the respective Acts.

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