Statement of Principles concerning pericarditis (Reasonable Hypothesis) (No. 90 of 2023)

Administered by Department of Veterans' Affairs

Legislation au F2023L01427 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

STATEMENT OF PRINCIPLES CONCERNING

PERICARDITIS

(REASONABLE HYPOTHESIS) (NO. 90 OF 2023)

 

VETERANS' ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Statement of Principles concerning pericarditis (Reasonable Hypothesis) (No. 90 of 2023).

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 pericarditis (Reasonable Hypothesis) (No. 90 of 2023).

3.             The Authority is of the view that there is sound medical-scientific evidence that indicates that pericarditis and death from pericarditis can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning pericarditis 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 pericarditis or death from pericarditis, 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 pericarditis or death from pericarditis 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 3 July 2023 concerning pericarditis 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 pericarditis in the Government Notices Gazette of 3 July 2023, 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, the Military Rehabilitation and Compensation Commission, organisations and persons referred to in section 196E of the VEA, and any person having expertise in the field.  No submissions were received for consideration by the Authority in relation to 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 pericarditis as advertised in the Government Notices Gazette of 3 July 2023.

References

11.         A list of references relating to the above condition is available on the Authority's website at: www.rma.gov.au. Any other document referred to in this Statement of Principles is available on request to the Repatriation Medical Authority at the following address:

              

Email:    info@rma.gov.au

Post:      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. 90 of 2023

Kind of Injury, Disease or Death: Pericarditis

 

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(2) 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 connecting 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 and the Military Rehabilitation and Compensation 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 pericarditis;
  • 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 pericarditis 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, ICESCR; 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, ICESCR 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 pericarditis (Reasonable Hypothesis) (No. 90 of 2023) was enacted under the authority of the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004. This legislative instrument was introduced by the Repatriation Medical Authority (the Authority) to address the need for clear and medically-supported criteria connecting pericarditis and death from pericarditis to particular kinds of service. The Authority determined that there is sufficient medical-scientific evidence to establish these connections, which facilitates the processing of claims under both acts. The primary objective of this Statement of Principles is to ensure that any claim for pension or compensation related to pericarditis or death from pericarditis must be supported by the criteria outlined in the Statement, thereby guiding both claimants and the relevant authorities in their assessments and reviews. This new Instrument aims to clarify and streamline the process for assessing claims related to pericarditis by specifying the minimum factors that must be present and related to specific service types. It ensures that the claims process is transparent and based on sound medical-scientific evidence, thereby promoting fair and consistent outcomes for veterans and service personnel affected by pericarditis.

Scope and Application

The Statement of Principles concerning pericarditis (Reasonable Hypothesis) (No. 90 of 2023) is an instrument determined under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA) by the Repatriation Medical Authority. This instrument outlines the medical and scientific factors necessary to establish a reasonable hypothesis that pericarditis or death from pericarditis is connected to specific service rendered by individuals, including operational, peacekeeping, hazardous, British nuclear test defence service, warlike, and non-warlike service. This legislative instrument applies to claims for pension, liability, or compensation concerning pericarditis or death from pericarditis made under the VEA or MRCA on or after 1 June 1994, and 1 July 2004, respectively. The Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, or Administrative Appeals Tribunal cannot accept any such claims unless they are upheld by this Statement of Principles. The instrument does not specify any exclusions, exemptions, or thresholds but is compatible with human rights as it promotes the rights to social security, an adequate standard of living, and the highest attainable standard of physical and mental health among veterans and current and former Defence Force members, as well as their dependents.

Key Provisions

The main operative sections of the Statement of Principles concerning pericarditis (Reasonable Hypothesis) (No. 90 of 2023) detail the specific circumstances under which pericarditis or death from pericarditis can be reasonably hypothesised to be related to certain types of service. This includes operational service, peacekeeping service, hazardous service, British nuclear test defence service under the Veterans' Entitlements Act 1986 (VEA), and warlike or non-warlike service under the Military Rehabilitation and Compensation Act 2004 (MRCA) (sections 4 and 5). These provisions are designed to facilitate claims and assessments by specifying the required medical-scientific factors that must be present before a reasonable hypothesis can be made connecting pericarditis to eligible service. The Statement of Principles imposes certain obligations on parties involved in the claims process. For instance, claims for pension or compensation related to pericarditis or death from pericarditis lodged on or after 1 June 1994 for the VEA and 1 July 2004 for the MRCA cannot be accepted unless they are upheld by this Statement of Principles (sections 6 and 10). Additionally, the Repatriation Medical Authority is required to determine these Statements of Principles based on sound medical-scientific evidence, as outlined in the VEA (subsection 196B(2)). The legislation does not explicitly detail criminal or civil penalties for breaches within its text. However, the implication of non-compliance with the Statement of Principles could lead to the rejection of claims for pension or compensation, as these claims must be upheld by the Statement for acceptance (subsections 120A(3) of the VEA and 338(3) of the MRCA). The consequences for claimants would be the denial of benefits related to pericarditis or death from pericarditis if their claims do not meet the criteria set out in the Statement of Principles.

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