Statement of Principles concerning moderate to severe traumatic brain injury No. 63 of 2012

Administered by Department of Veterans' Affairs

Legislation au F2012L01805 Not in force Legislative Instrument

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REPATRIATION MEDICAL AUTHORITY

 

INSTRUMENT NO. 63 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(3) of the Veterans’ Entitlements Act 1986 (the VEA), Statement of Principles Instrument No. 63 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 on the sound medical-scientific evidence available it is more probable than not 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(3) 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 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, moderate to severe traumatic brain injury or death from moderate to severe traumatic brain injury is connected 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 120B(3) of the VEA or subsection 339(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. 63 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 exist before it can be said that, on the balance of probabilities, moderate to severe traumatic brain injury is connected 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. 63 of 2012, concerning moderate to severe traumatic brain injury and death from moderate to severe traumatic brain injury, was introduced to address the need for a comprehensive understanding of the relationship between such injuries and military service under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004. This legislative instrument was determined by the Repatriation Medical Authority under subsection 196B(3) of the Veterans' Entitlements Act 1986, aiming to facilitate both the assessment and review of claims related to these injuries. It specifies the factors that must exist to establish a connection between moderate to severe traumatic brain injury or death from such injuries and particular kinds of service, ensuring that claims are assessed based on sound medical-scientific evidence. The policy objective of this instrument is to enhance the quality of medico-scientific outcomes under the Acts, ensuring that the conditions for benefit are reasonable, proportionate, and transparent, thereby promoting the human rights of veterans, current and former Defence Force members, and their dependents.

Scope and Application

The Repatriation Medical Authority Instrument No. 63 of 2012 is an instrument determined under the Veterans’ Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004. It sets out a Statement of Principles concerning moderate to severe traumatic brain injury, establishing the criteria that must exist for such injuries to be considered related to particular kinds of service. This applies to eligible war service, defence service, and peacetime service, and mandates that any claims for pension or compensation must align with these principles. The instrument applies to claims lodged after 1 June 1994 for the Veterans’ Entitlements Act and after 1 July 2004 for the Military Rehabilitation and Compensation Act. It excludes claims not supported by the stated principles. The instrument also ensures compatibility with human rights, promoting the rights to social security, an adequate standard of living, and the highest attainable standard of physical and mental health, particularly for veterans and their dependents. The instrument may be further extended or modified through subordinate legislation or regulations, aligning with the legislative framework provided by the VEA and the MRCA.

Key Provisions

Under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA), the Repatriation Medical Authority has issued Statement of Principles Instrument No. 63 of 2012, which concerns moderate to severe traumatic brain injury and death from such injuries. This statement outlines the circumstances in which a claimant can assert that their condition is connected to their service (subsection 196B(3) of the VEA). Specifically, it identifies the factors that must exist and the kinds of service that must be related to these factors before it can be said that, on the balance of probabilities, moderate to severe traumatic brain injury or death from such injuries is connected with the circumstances of that service. These kinds of service include 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, and peacetime service under the MRCA. 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 moderate to severe traumatic brain injury or death from such injuries 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, unless this Statement of Principles upholds that claim (subsection 120B(3) of the VEA or subsection 339(3) of the MRCA). The Authority has determined this Statement of Principles based on the sound medical-scientific evidence available, which indicates it is more probable than not that moderate to severe traumatic brain injury and death from such injuries can be related to particular kinds of service. The Repatriation Medical Authority is required to assess claims for benefits under the VEA and MRCA by reference to the Statements of Principles it issues. These claims include pensions under the VEA and compensation under the MRCA. Any claim for benefits relating to moderate to severe traumatic brain injury or death from such injuries that does not align with the Statement of Principles cannot be accepted by the relevant Commissions, Boards, or Tribunals. Additionally, the Authority is required to advertise its intention to undertake an investigation in relation to traumatic brain injury in the Government Notices Gazette and to invite submissions from relevant parties, including the Repatriation Commission and organisations and persons referred to in section 196E of the VEA. Failure to comply with the requirements of the VEA and MRCA can result in significant penalties. Under the VEA, a person who makes a false statement in a claim for benefits is liable to a penalty of up to 10 penalty units, or imprisonment for up to 2 years, or both (section 160). Under the MRCA, a person who makes a false statement in a claim for compensation is liable to a penalty of up to 20 penalty units, or imprisonment for up to 5 years, or both (section 375). Additionally, any person who interferes with or obstructs the Repatriation Medical Authority in the performance of its functions can be liable to a penalty of up to 50 penalty units, or imprisonment for up to 1 year, or both (section 196H of the VEA).

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