Statement of Principles concerning Scheuermann's disease (Reasonable Hypothesis) (No. 75 of 2016)

Administered by Department of Veterans' Affairs

Legislation au F2016L01344 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

STATEMENT OF PRINCIPLES CONCERNING

SCHEUERMANN'S DISEASE

(REASONABLE HYPOTHESIS) (NO. 75 OF 2016)

 

VETERANS’ ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Statement of Principles concerning Scheuermann's disease (Reasonable Hypothesis) (No. 75 of 2016).

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 Scheuermann's disease (Reasonable Hypothesis) (No. 75 of 2016).

3.             The Authority is of the view that there is sound medical-scientific evidence that indicates that Scheuermann's disease and death from Scheuermann's disease can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning Scheuermann's disease 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 Scheuermann's disease or death from Scheuermann's disease, 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 Scheuermann's disease or death from Scheuermann's disease 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 9 December 2015 concerning Scheuermann's disease 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 Scheuermann's disease in the Government Notices Gazette of 9 December 2015, 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 Scheuermann's disease as advertised in the Government Notices Gazette of 9 December 2015.

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. 75 of 2016

Kind of Injury, Disease or Death: Scheuermann's disease

 

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 Scheuermann's disease;
  • 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 Scheuermann's disease 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 Scheuermann's disease (Reasonable Hypothesis) (No. 75 of 2016) was determined by the Repatriation Medical Authority under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (VEA) and applies to claims under the VEA and the Military Rehabilitation and Compensation Act 2004 (MRCA). This legislative instrument was enacted to address the gap in recognising the relationship between Scheuermann's disease and certain kinds of service rendered by veterans and Defence Force members, as supported by sound medical-scientific evidence. The purpose of this Statement of Principles is to outline the minimum factors that must exist to establish a reasonable hypothesis connecting Scheuermann's disease with the service circumstances, thereby facilitating the assessment and determination of claims for compensation and benefits. This legislative instrument promotes various human rights, including the right to social security and an adequate standard of living for veterans and Defence Force members, as well as the rights of persons with disabilities. The Repatriation Medical Authority conducted an investigation into Scheuermann's disease, advertising its intention to investigate in the Government Notices Gazette of 9 December 2015 and inviting submissions from relevant organisations and experts. After reviewing the available medical-scientific evidence, the Authority determined this Statement of Principles, finalising the investigation. The instrument is compatible with the human rights recognised or declared in the International Instruments listed in Section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011, ensuring that the rights of veterans and Defence Force members will be exercised without discrimination.

Scope and Application

The Statement of Principles concerning Scheuermann's disease (Reasonable Hypothesis) (No. 75 of 2016) applies to claims for pension, liability, or compensation for Scheuermann's disease or death from Scheuermann's disease made under the Veterans’ Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004. This legislative instrument outlines the medical and scientific criteria that must be met to establish a reasonable hypothesis connecting the disease with specific types of service rendered by a person, such as operational, peacekeeping, hazardous, British nuclear test defence, warlike, or non-warlike service. The instrument aims to facilitate claims and assessments by setting out minimum factors that must exist and be related to the specified kinds of service. It is applicable nationally within Australia, affecting veterans and service personnel who might have contracted Scheuermann's disease as a result of their service. Notably, claims lodged on or after 1 June 1994 under the Veterans’ Entitlements Act 1986 and 1 July 2004 under the Military Rehabilitation and Compensation Act 2004 cannot be accepted unless the Statement of Principles upholds them. The instrument concludes an investigation into Scheuermann's disease, ensuring that claims are evaluated based on sound medical-scientific evidence, and is compatible with human rights as it promotes various rights, including social security, adequate living standards, and health, without discrimination.

Key Provisions

The Statement of Principles concerning Scheuermann's disease (Reasonable Hypothesis) (No. 75 of 2016), detailed in this Explanatory Statement, sets out the conditions that must exist to establish a reasonable hypothesis connecting Scheuermann's disease to particular kinds of service under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). These kinds of service include operational service, peacekeeping service, hazardous service, British nuclear test defence service, warlike service, and non-warlike service (sections 4 and 5). The determination of this Statement of Principles is essential for any claim related to Scheuermann's disease or death from the disease that was lodged after 1 June 1994 under the VEA, or after 1 July 2004 under the MRCA (section 6). The Statement of Principles imposes obligations on claimants and relevant authorities. Claimants must ensure that their claims align with the factors outlined in the Statement of Principles to be considered valid. Authorities such as the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, and Administrative Appeals Tribunal must apply the Statement of Principles in assessing and reviewing claims (section 6). The Repatriation Medical Authority is responsible for determining such Statements of Principles based on sound medical-scientific evidence (sections 2 and 10). Breach of the provisions outlined in this Statement of Principles can lead to civil and administrative consequences. Claims that do not meet the criteria specified in the Statement of Principles will not be accepted by the relevant authorities (subsections 120A(3) of the VEA and 338(3) of the MRCA). The precise penalties for non-compliance are not detailed in the Explanatory Statement, but generally, failing to adhere to the legislative requirements could result in the dismissal of claims, thereby denying claimants the benefits and compensation to which they might otherwise be entitled. This could have significant personal and financial impacts on veterans and their families. The Statement of Principles, while facilitating the assessment and determination of claims, ensures that the rights of veterans and Defence Force members are protected. This includes the right to social security, an adequate standard of living, and the highest attainable standard of physical and mental health (sections 2 and 4). Importantly, the Statement of Principles is compatible with human rights as it does not derogate from any human rights and promotes several human rights by ensuring that the qualifying conditions for benefits are reasonable, proportionate, and transparent (section 4).

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