Statement of Principles concerning popliteal cyst (Balance of Probabilities) (No. 32 of 2018)

Administered by Department of Veterans' Affairs

Legislation au F2018L00190 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

Statement of Principles concerning

POPLITEAL CYST

(Balance of PROBABILITIES) (NO. 32 OF 2018)

 

VETERANS' ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Statement of Principles concerning popliteal cyst (Balance of Probabilities) (No. 32 of 2018).

Background

2.             The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(3) of the Veterans' Entitlements Act 1986 (the VEA), Statement of Principles concerning popliteal cyst (Balance of Probabilities) (No. 32 of 2018).

3.             The Authority is of the view that on the sound medical-scientific evidence available it is more probable than not that popliteal cyst and death from popliteal cyst can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning popliteal cyst pursuant to subsection 196B(3) 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 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, popliteal cyst or death from popliteal cyst is connected 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 popliteal cyst or death from popliteal cyst 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).

7.             This new Instrument results from an investigation notified by the Authority in the Government Notices Gazette of 10 January 2017 concerning Baker's cyst 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 Baker's cyst in the Government Notices Gazette of 10 January 2017, 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.

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 Baker's cyst as advertised in the Government Notices Gazette of 10 January 2017.

References

11.         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. 32 of 2018

Kind of Injury, Disease or Death: Popliteal cyst

 

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).  Part XIA of the VEA requires the determination of these instruments outlining the factors linking 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 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 popliteal cyst;
  • 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, popliteal cyst is connected 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, 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;
  • 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 popliteal cyst (Balance of Probabilities) (No. 32 of 2018) was enacted to address the medical-scientific evidence regarding the connection between popliteal cysts and certain types of military service. This instrument was developed under the authority of the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA) by the Repatriation Medical Authority, which concluded that, based on available sound medical-scientific evidence, it is more probable than not that popliteal cysts and deaths resulting from these cysts can be related to specific kinds of service. The primary objective of this Statement of Principles is to outline the factors that must be present for a claim regarding popliteal cysts or death from popliteal cysts to be considered valid in relation to eligible service, thereby facilitating the assessment and review processes for veterans and service personnel under the VEA and MRCA. This legislative measure ensures that claims can only be accepted if they align with the specified factors outlined in the Statement of Principles.

Scope and Application

The Statement of Principles concerning popliteal cyst (Balance of Probabilities) (No. 32 of 2018) applies to claims under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA), concerning the connection between popliteal cysts, or death from such cysts, and specific types of service rendered by individuals. The Statement of Principles outlines the factors that must exist and be related to eligible war service, defence service, or peacetime service for it to be considered probable that the popliteal cyst or death from such a cyst is connected to the circumstances of that service. The Statement of Principles ensures that claims for pension or compensation relating to popliteal cysts or death from such cysts, lodged after 1 June 1994 for the VEA and 1 July 2004 for the MRCA, can only be accepted if they are upheld by this Statement of Principles. This legislation is applicable on a national level, as it pertains to veterans, current and former Defence Force members, and their dependents, who may be eligible for compensation and benefits under the VEA and MRCA. The legislation does not explicitly state any exclusions, exemptions, or thresholds; however, the determination of eligibility is based on the balance of probabilities and the specific factors outlined in the Statement of Principles. The application of the Statement of Principles may be extended or restricted through subordinate instruments, although no such instruments are mentioned in the explanatory statement.

Key Provisions

The Statement of Principles concerning popliteal cyst (Balance of Probabilities) (No. 32 of 2018), as determined under subsection 196B(3) of the Veterans' Entitlements Act 1986 (VEA), outlines the circumstances under which a popliteal cyst, or death from such a cyst, can be considered connected to certain types of service. The Statement sets out specific factors that must exist, and which of those factors must be related to the service, for a claim to be considered valid under the VEA or the Military Rehabilitation and Compensation Act 2004 (MRCA) (sections 5 and 6). These factors are based on the available sound medical-scientific evidence, which indicates that it is more probable than not that popliteal cysts can be related to particular kinds of service (section 3). The Statement of Principles is intended to guide the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, and Administrative Appeals Tribunal in their assessment of claims related to popliteal cysts lodged after 1 June 1994 under the VEA and after 1 July 2004 under the MRCA (section 6). The Act imposes several obligations on claimants and the relevant authorities. Claimants must ensure that their claims are supported by evidence that aligns with the factors outlined in the Statement of Principles. The Repatriation Commission and Military Rehabilitation and Compensation Commission are required to assess claims based on these factors and determine eligibility for benefits. The Veterans' Review Board and Administrative Appeals Tribunal must review these decisions, ensuring they comply with the provisions of the Statement of Principles (sections 5, 6, and 7). The Repatriation Medical Authority, which determined the Statement of Principles, must also ensure that the evidence considered is sound and scientifically valid, and that the determination process is transparent and inclusive, inviting submissions from relevant stakeholders (sections 8 and 9). Breaches of the provisions outlined in the Statement of Principles can lead to legal consequences. For example, submitting a claim for pension or compensation relating to a popliteal cyst that does not meet the criteria set out in the Statement of Principles may result in the claim being rejected. Under subsection 120B(3) of the VEA and subsection 339(3) of the MRCA, any claim lodged after the specified dates that is not upheld by the Statement of Principles cannot be accepted by the relevant authorities. While the Statement of Principles itself does not specify criminal penalties, any fraudulent submission of claims could lead to criminal charges under other sections of the VEA or MRCA, potentially resulting in fines or imprisonment. The precise penalties would depend on the nature and severity of the fraudulent activity. In summary, the Statement of Principles provides a clear framework for determining the eligibility of claims related to popliteal cysts under the VEA and MRCA, ensuring that such claims are assessed based on sound medical-scientific evidence. It imposes obligations on claimants to provide sufficient evidence and on authorities to assess claims accurately. Failure to comply with these provisions can result in the rejection of claims and, in cases of fraud, potential criminal penalties.

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