Statement of Principles concerning periodic limb movement disorder No. 26 of 2014

Administered by Department of Veterans' Affairs

Legislation au F2014L00313 Not in force Legislative Instrument

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REPATRIATION MEDICAL AUTHORITY

 

INSTRUMENT NO. 26 of 2014

 

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. 26 of 2014 concerning periodic limb movement disorder and death from periodic limb movement disorder.

 

2.             The Authority is of the view that there is sound medical-scientific evidence that indicates that periodic limb movement disorder and death from periodic limb movement disorder can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning periodic limb movement disorder 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 periodic limb movement disorder or death from periodic limb movement disorder, 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 periodic limb movement disorder or death from periodic limb movement disorder 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 periodic limb movement disorder 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 periodic limb movement disorder 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.  One submission was 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 periodic limb movement disorder 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. 26 of 2014

Kind of Injury, Disease or Death: Periodic limb movement disorder

 

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 periodic limb movement disorder;
  • 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 periodic limb movement disorder 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. 26 of 2014 is an instrument under the Veterans’ Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, aimed at addressing the issue of periodic limb movement disorder (PLMD) and death from PLMD in veterans and current or former Defence Force members. The Authority determined this Statement of Principles to outline the minimum factors that must exist, which must be related to specific kinds of service, to raise a reasonable hypothesis connecting PLMD or death from PLMD with the circumstances of that service. This instrument facilitates claims for pension or compensation related to PLMD, ensuring that the claims are assessed based on the outlined medical-scientific evidence. It is compatible with human rights, promoting rights such as social security, an adequate standard of living, and the highest attainable standard of physical and mental health. The instrument improves the medico-scientific quality of outcomes under the VEA and the MRCA, providing a transparent framework for assessing claims and ensuring that benefits are reasonable, proportionate, and accessible.

Scope and Application

The Repatriation Medical Authority Instrument No. 26 of 2014, issued under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, establishes the Statement of Principles concerning periodic limb movement disorder, which applies to the determination of claims for pension under the Veterans' Entitlements Act or compensation under the Military Rehabilitation and Compensation Act. The instrument is designed to facilitate the assessment and review of claims by clearly outlining the medical-scientific evidence required to connect periodic limb movement disorder with certain types of military service, such as operational, peacekeeping, hazardous, British nuclear test defence, warlike, and non-warlike service. The instrument is applicable to claims lodged after 1 June 1994 for the Veterans' Entitlements Act and 1 July 2004 for the Military Rehabilitation and Compensation Act. This legislative instrument is compatible with human rights as it promotes rights such as social security, adequate living standards, and health, and ensures that the qualifying conditions for benefits are reasonable, proportionate, and transparent. The Authority cannot accept any claim that does not align with this Statement of Principles.

Key Provisions

The main operative sections of this legislative instrument, as detailed in the explanatory notes, focus on the establishment of Statement of Principles Instrument No. 26 of 2014 concerning periodic limb movement disorder. This instrument is determined under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (VEA) and aims to facilitate both the making and assessment of claims for pension under the VEA or compensation under the Military Rehabilitation and Compensation Act 2004 (MRCA). The instrument outlines the minimum factors that must exist for a reasonable hypothesis to be raised connecting periodic limb movement disorder or death from periodic limb movement disorder with the circumstances of particular kinds of service. Claims for pension or compensation relating to periodic limb movement disorder or death from periodic limb movement disorder lodged on or after 1 June 1994 for the VEA, or 1 July 2004 for the MRCA, must be upheld by this Statement of Principles (subsection 120A(3) of the VEA or subsection 338(3) of the MRCA). The obligations and requirements imposed by this instrument on the parties and entities it governs include the necessity for claims to adhere to the criteria set out in the Statement of Principles. The Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans’ Review Board, and Administrative Appeals Tribunal must reject any claims that do not meet these criteria. The instrument facilitates the review of decisions by ensuring that the factors connecting periodic limb movement disorder with service are clearly defined. This aids both claimants and decision-makers by providing a clear framework for assessing eligibility for benefits. Furthermore, the instrument emphasizes transparency and fairness in the assessment process, promoting the rights of veterans and other eligible individuals to social security and health-related benefits. In terms of breaches and penalties, the instrument does not explicitly state any specific criminal or civil penalties for non-compliance. However, the failure to adhere to the criteria set out in the Statement of Principles could result in the rejection of claims, thereby denying eligible individuals their entitlements. The emphasis on compliance with the instrument ensures that benefits are awarded based on sound medical-scientific evidence, maintaining the integrity of the compensation and pension systems under the VEA and MRCA. Additionally, the instrument’s compatibility with human rights, as outlined in the Statement of Compatibility, underscores the importance of respecting and upholding the rights of veterans and their dependents. This includes the right to social security, an adequate standard of living, and the highest attainable standard of physical and mental health.

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