Statement of Principles concerning moderate to severe traumatic brain injury No. 62 of 2012

Administered by Department of Veterans' Affairs

Legislation au F2012L01804 Not in force Legislative Instrument

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REPATRIATION MEDICAL AUTHORITY

 

INSTRUMENT NO. 62 of 2012

 

VETERANS’ ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

EXPLANATORY NOTES FOR TABLING

 

 

  1. The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the VEA), Statement of Principles Instrument No. 62 of 2012 concerning moderate to severe traumatic brain injury and death from moderate to severe traumatic brain injury.

 

2.             The Authority is of the view that there is sound medical-scientific evidence that indicates that moderate to severe traumatic brain injury and death from moderate to severe traumatic brain injury can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning moderate to severe traumatic brain injury pursuant to subsection 196B(2) of the VEA.

 

3.             Pursuant to the provisions of the VEA and the Military Rehabilitation and Compensation Act 2004 (the MRCA), claims for pension under the VEA or compensation under the MRCA are determined by the Repatriation Commission or the Military Rehabilitation and Compensation Commission by reference to Statements of Principles issued by the Authority pursuant to the VEA.

 

4.             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 moderate to severe traumatic brain injury or death from moderate to severe traumatic brain injury, with the circumstances of that service.

 

5.             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 moderate to severe traumatic brain injury or death from moderate to severe traumatic brain injury 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).

 

6.             This new Instrument results from an investigation notified by the Authority in the Government Notices Gazette of 14 December 2011 concerning traumatic brain injury in accordance with section 196G of the VEA.  The investigation involved an examination of the sound medical-scientific evidence available to the Authority.

 

7.             Prior to determining this Instrument, the Authority advertised its intention to undertake an investigation in relation to traumatic brain injury in the Government Notices Gazette of 14 December 2011, 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.  Three submissions were received for consideration by the Authority during the investigation.

 

8.             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.

 

9.             The determining of this new Instrument finalises the investigation in relation to traumatic brain injury as advertised in the Government Notices Gazette of 14 December 2011.

 

10.         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. 62 of 2012

Kind of Injury, Disease or Death: Moderate to severe traumatic brain injury

 

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).

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 moderate to severe traumatic brain injury;
  • 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 moderate to severe traumatic brain injury with the circumstances of eligible service rendered by a person, as set out in clause 4 of the Explanatory Notes.

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; and
  • the rights of persons with disabilities by facilitating the determination of claims relating to treatment and rehabilitation (Art 26, CRPD).

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 Repatriation Medical Authority Instrument No. 62 of 2012, introduced under the Veterans’ Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, addresses the need to clarify the conditions under which moderate to severe traumatic brain injury and death from such injuries can be related to particular kinds of military service. This legislative instrument was enacted to provide a framework for assessing claims related to these injuries, ensuring that claimants and the Repatriation Commission have clear guidelines to follow. The instrument specifies the factors that must exist and be related to the service rendered by a person to substantiate a claim, thereby facilitating the process of claim assessment and review. This initiative was prompted by an investigation into traumatic brain injury, which examined available medical-scientific evidence. The instrument aims to promote human rights by ensuring reasonable, proportionate, and transparent qualifying conditions for benefits, supporting veterans and their dependents in accessing necessary social security and healthcare benefits.

Scope and Application

The Repatriation Medical Authority Instrument No. 62 of 2012, under the Veterans’ Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, pertains to claims concerning moderate to severe traumatic brain injury and death from such injuries in veterans and Defence Force members. This legislation applies to individuals who have served in operational, peacekeeping, hazardous, or British nuclear test defence services under the Veterans’ Entitlements Act, as well as those involved in warlike or non-warlike services under the Military Rehabilitation and Compensation Act. The instrument specifies the conditions that must be met for a reasonable hypothesis to be established linking the injury to the service rendered, thereby affecting the eligibility for pension or compensation claims. Claims for such injuries must adhere to the Statement of Principles established by this instrument if they are to be considered by the relevant authorities after the specified dates of 1 June 1994 for the Veterans’ Entitlements Act and 1 July 2004 for the Military Rehabilitation and Compensation Act. This legislation aims to ensure that claims are assessed based on sound medical-scientific evidence, thus facilitating the provision of benefits to those who meet the outlined criteria.

Key Provisions

The Repatriation Medical Authority (the Authority) has issued Statement of Principles Instrument No. 62 of 2012, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (VEA), focusing on moderate to severe traumatic brain injury and death from such injuries. This Statement of Principles outlines the factors that must exist to connect moderate to severe traumatic brain injury with specific kinds of service, such as operational service, peacekeeping service, hazardous service, and others, as specified in section 4 of the explanatory notes. It provides a framework for the Repatriation Commission or the Military Rehabilitation and Compensation Commission to determine claims for pension under the VEA or compensation under the Military Rehabilitation and Compensation Act 2004 (MRCA) by reference to these principles. The obligations imposed by this Act primarily concern the entities responsible for assessing and approving claims. The Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans’ Review Board, and Administrative Appeals Tribunal are mandated to consider this Statement of Principles when evaluating claims for pension or compensation related to moderate to severe traumatic brain injury or death from such injuries lodged after specific dates, as mentioned in subsection 120A(3) of the VEA and subsection 338(3) of the MRCA. This requirement ensures that any claim must align with the criteria set out in the Statement of Principles to be considered valid. Furthermore, the Authority is obligated to base its determinations on sound medical-scientific evidence, as highlighted in section 2 of the explanatory notes. The Statement of Principles Instrument No. 62 of 2012 also imposes penalties and consequences for non-compliance. Any claim for pension or compensation that does not align with the criteria set out in this Statement and is lodged after the specified dates will be rejected by the relevant authorities. Additionally, the Authority’s determination is final, and there is no appeal against its decisions regarding the Statement of Principles. This stringent approach ensures that only those claims that meet the outlined criteria are considered, thereby maintaining the integrity of the compensation process. The legislative instrument also ensures that the process is transparent and fair, promoting the human rights of veterans and their dependents by facilitating access to necessary social security and health benefits.

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