Statement of Principles concerning popliteal cyst (Reasonable Hypothesis) (No. 31 of 2018)

Administered by Department of Veterans' Affairs

Legislation au F2018L00188 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

STATEMENT OF PRINCIPLES CONCERNING

POPLITEAL CYST

(REASONABLE HYPOTHESIS) (NO. 31 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 (Reasonable Hypothesis) (No. 31 of 2018).

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 popliteal cyst (Reasonable Hypothesis) (No. 31 of 2018).

3.             The Authority is of the view that there is sound medical-scientific evidence that indicates 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(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 popliteal cyst or death from popliteal cyst, 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 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 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. 31 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 as a minimum exist, before it can be said that a reasonable hypothesis has been raised, connecting popliteal cyst 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 (Reasonable Hypothesis) (No. 31 of 2018) was enacted to address the gap in the existing legislative framework concerning the connection between popliteal cysts and service-related factors. The Repatriation Medical Authority, under the Veterans' Entitlements Act 1986, determined this Statement of Principles following an investigation that examined the sound medical-scientific evidence linking popliteal cysts to specific types of service, such as operational, peacekeeping, hazardous, British nuclear test defence service, warlike, and non-warlike service. This Statement of Principles facilitates the assessment and review of claims for pensions, liabilities, or compensation related to popliteal cysts or death from such cysts. It ensures that any claims lodged after 1 June 1994 under the Veterans' Entitlements Act or 1 July 2004 under the Military Rehabilitation and Compensation Act 2004 must be upheld by these principles to be accepted. The policy objective of this legislation is to enhance the medico-scientific quality of outcomes under both acts, ensuring that claimants receive appropriate treatment and compensation based on the best available evidence.

Scope and Application

The Statement of Principles concerning popliteal cyst (Reasonable Hypothesis) (No. 31 of 2018) applies to claims under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). It sets out the circumstances in which a reasonable hypothesis can be raised that a popliteal cyst or death from a popliteal cyst is related to service rendered by a person. Specifically, it applies to operational service, peacekeeping service, hazardous service, British nuclear test defence service under the VEA, and warlike or non-warlike service under the MRCA. This Statement of Principles is intended to facilitate the assessment and determination of claims by specifying the factors that must exist and be related to the service to support a reasonable hypothesis. Claims for pension or compensation relating to popliteal cyst or death from popliteal cyst lodged on or after 1 June 1994 under the VEA and 1 July 2004 under the MRCA cannot be accepted unless this Statement of Principles upholds the claim. The Instrument does not derogate from any human rights and promotes the rights of veterans and their dependents by facilitating the assessment and determination of social security benefits and compensation in relation to treatment and rehabilitation.

Key Provisions

The Statement of Principles concerning popliteal cyst (Reasonable Hypothesis) (No. 31 of 2018), as detailed in the Explanatory Statement, is a legislative instrument determined under subsection 196B(2) of the Veterans' Entitlements Act 1986 (VEA) (paragraphs 2-3). This Statement of Principles outlines the minimum factors that must exist to establish a reasonable hypothesis linking popliteal cysts, or death from such cysts, to specific types of military service. These service types include operational, peacekeeping, hazardous, and British nuclear test defence service under the VEA, and warlike or non-warlike service under the Military Rehabilitation and Compensation Act 2004 (MRCA) (paragraph 5). The determination of these principles is based on sound medical-scientific evidence, aiming to facilitate both the assessment of claims and the review of decisions by relevant authorities (paragraphs 4-7). The obligations imposed by this Act on parties and entities it governs include ensuring that any claims for pensions or compensation related to popliteal cysts or death from such cysts, lodged after 1 June 1994 for the VEA and 1 July 2004 for the MRCA, must align with the factors set out in the Statement of Principles (subsection 120A(3) of the VEA or subsection 338(3) of the MRCA) (paragraph 6). Furthermore, the Act mandates that these claims cannot be accepted unless they are supported by the Statement of Principles, thereby establishing a direct link between the service rendered and the condition or death in question (paragraph 6). Under this Act, there are no specific offences or penalties outlined for breach of the Statement of Principles itself. However, the implications of not adhering to the criteria set out in the Statement of Principles could lead to the rejection of claims for benefits or compensation. Such rejections are governed by the respective Acts (VEA and MRCA) and could result in the denial of social security benefits, medical treatment, or compensation that veterans and Defence Force members might otherwise be entitled to receive. The human rights implications of this Act are also considered, with the Statement of Principles being assessed as compatible with human rights, promoting various rights including the right to social security, an adequate standard of living, and the highest attainable standard of physical and mental health (paragraphs 8-9).

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