Statement of Principles concerning periodontal abscess No. 49 of 2013

Administered by Department of Veterans' Affairs

Legislation au F2013L01125 Not in force Legislative Instrument

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REPATRIATION MEDICAL AUTHORITY

 

INSTRUMENT NO. 49 of 2013

 

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. 49 of 2013 concerning periodontal abscess and death from periodontal abscess.

 

2.             The Authority is of the view that there is sound medical-scientific evidence that indicates that periodontal abscess and death from periodontal abscess can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning periodontal abscess 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 periodontal abscess or death from periodontal abscess, 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 periodontal abscess or death from periodontal abscess 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 30 June 2010 concerning periodontitis in accordance with section 196G of the VEA.  The investigation involved an examination of the sound medical-scientific evidence now available to the Authority, including the sound medical-scientific evidence it has previously considered.

 

7.             Prior to determining this Instrument, the Authority advertised its intention to undertake an investigation in relation to periodontitis in the Government Notices Gazette of 30 June 2010, 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.  No 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 periodontitis as advertised in the Government Notices Gazette of 30 June 2010.

 

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. 49 of 2013

Kind of Injury, Disease or Death: Periodontal abscess

 

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 periodontal abscess;
  • 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 periodontal abscess 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. 49 of 2013, concerning periodontal abscess and death from periodontal abscess, was enacted to address the gap in recognition of periodontal abscess as a condition related to certain types of military service under the Veterans’ Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). This instrument was determined under subsection 196B(2) of the VEA by the Repatriation Medical Authority (the Authority), with the primary aim of clarifying the circumstances under which periodontal abscess and death from periodontal abscess can be linked to particular kinds of military service. By establishing this Statement of Principles, the Authority aims to facilitate the assessment of claims for pension or compensation related to these conditions, ensuring that claims lodged on or after 1 June 1994 under the VEA and 1 July 2004 under the MRCA can be properly evaluated. This legislative instrument promotes human rights by ensuring that the qualifying conditions for benefits are reasonable, proportionate, and transparent, thereby supporting the right to social security and an adequate standard of living for veterans and their dependants.

Scope and Application

The Repatriation Medical Authority Instrument No. 49 of 2013 is an instrument under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, which outlines the circumstances in which medical treatment and compensation can be extended to eligible persons suffering from periodontal abscess. This instrument applies to veterans and current or former members of the Defence Force, as well as their dependents, who have contracted periodontal abscess during their service and are seeking compensation or pension benefits. The instrument is applicable on a national level as it is determined by the Commonwealth authority, the Repatriation Medical Authority. The instrument specifies the factors that must exist and be related to particular kinds of service for a reasonable hypothesis to be raised connecting periodontal abscess with the circumstances of the service rendered. Claims for pension or compensation lodged on or after 1 June 1994 under the Veterans’ Entitlements Act 1986 or 1 July 2004 under the Military Rehabilitation and Compensation Act 2004 will only be accepted if they are upheld by this Statement of Principles. The instrument does not contain any exclusions, exemptions, or thresholds, and its application is not extended or restricted through subordinate instruments. This Legislative Instrument is designed to ensure that the qualifying conditions for benefits are reasonable, proportionate, and transparent, thereby facilitating the assessment and determination of social security benefits, and promoting the human rights of veterans, current and former Defence Force members, as well as their dependents. It does not derogate from any human rights and 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. The instrument promotes the right to social security, an adequate standard of living, the highest attainable standard of physical and mental health, and the rights of persons with disabilities, by facilitating the assessment and determination of claims relating to treatment and rehabilitation.

Key Provisions

The main operative sections of the Repatriation Medical Authority Instrument No. 49 of 2013 pertain to the determination of Statement of Principles concerning periodontal abscess and death from periodontal abscess, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). This instrument outlines the medical-scientific evidence supporting the connection between periodontal abscess and specific types of military service, and specifies the circumstances under which these conditions can be considered related to service (section 4). Claims for pension under the VEA or compensation under the MRCA are determined by reference to these Statements of Principles, and the document sets out the minimum factors that must exist to establish a reasonable hypothesis connecting periodontal abscess or death from periodontal abscess with the circumstances of service rendered by a person (subsection 120A(3) of the VEA and subsection 338(3) of the MRCA). The obligations imposed by this Act require that any claim for pension or compensation related to periodontal abscess or death from periodontal abscess, lodged on or after 1 June 1994 under the VEA or 1 July 2004 under the MRCA, must be supported by the Statement of Principles issued by the Authority. This means that the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans’ Review Board, or Administrative Appeals Tribunal cannot accept any such claims unless they align with the criteria set out in the Statement of Principles. Furthermore, the Authority has conducted an investigation into periodontitis, advertised its intention to do so in the Government Notices Gazette, and invited submissions from relevant parties, although no submissions were received for consideration during the investigation. The Act includes provisions that outline the consequences for breaches of its requirements. While specific offences and penalties are not detailed in the explanatory statement, it is implied that non-compliance with the Statement of Principles could lead to the denial of claims for pension or compensation. The Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans’ Review Board, or Administrative Appeals Tribunal would be justified in rejecting claims that do not meet the specified criteria, potentially leaving claimants without recourse to benefits they might otherwise be entitled to under the VEA or MRCA. The instrument is compatible with human rights, as it does not derogate from any human rights and promotes several, including the right to social security, adequate standard of living, and the highest attainable standard of physical and mental health.

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