Statement of Principles concerning toxic vestibulopathy (Balance of Probabilities) (No. 89 of 2020)

Administered by Department of Veterans' Affairs

Legislation au F2020L01396 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

Statement of Principles concerning

TOXIC VESTIBULOPATHY

(Balance of PROBABILITIES) (NO. 89 OF 2020)

 

VETERANS' ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Statement of Principles concerning toxic vestibulopathy (Balance of Probabilities) (No. 89 of 2020).

Background

2.             The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(3) of the Veterans' Entitlements Act 1986 (the VEA), a Statement of Principles concerning toxic vestibulopathy (Balance of Probabilities) (No. 89 of 2020).

3.             The Authority is of the view that on the sound medical-scientific evidence available it is more probable than not that toxic vestibulopathy and death from toxic vestibulopathy can be related to particular kinds of service. The Authority has therefore determined this Statement of Principles concerning toxic vestibulopathy 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, toxic vestibulopathy or death from toxic vestibulopathy 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 toxic vestibulopathy or death from toxic vestibulopathy 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 (section 120B of the VEA or section 339 of the MRCA).

7.             This new Instrument results from an investigation notified by the Authority in the Government Notices Gazette of 23 April 2020 concerning toxic vestibulopathy 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 toxic vestibulopathy in the Government Notices Gazette of 23 April 2020, 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, the Military Rehabilitation and Compensation 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 in relation to 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 toxic vestibulopathy as advertised in the Government Notices Gazette of 23 April 2020.

References

11.         A list of references relating to the above condition is available on the Authority’s website at: www.rma.gov.au. Any other document referred to in this Statement of Principles is available on request to the Repatriation Medical Authority at the following address:

              

  Email:    info@rma.gov.au

  Post:      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. 89 of 2020

Kind of Injury, Disease or Death: Toxic vestibulopathy

 

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(3) 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 connecting 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 and the Military Rehabilitation and Compensation 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 toxic vestibulopathy;
  • 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, toxic vestibulopathy 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 Toxic Vestibulopathy (Balance of Probabilities) (No. 89 of 2020) was determined by the Repatriation Medical Authority under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). This legislative instrument addresses the problem of establishing the connection between toxic vestibulopathy and specific types of service, facilitating the assessment and determination of claims for benefits and compensation for veterans and Defence Force members. The objective is to ensure that claims are assessed based on the sound medical-scientific evidence available, thereby improving the quality of medico-scientific outcomes under the VEA and MRCA. The Statement of Principles specifies the circumstances in which toxic vestibulopathy can be considered connected to service, guiding the assessment process and ensuring that claimants' rights, including the right to social security and health, are protected. The determination of this Statement of Principles is aimed at providing clarity and consistency in the evaluation of claims related to toxic vestibulopathy, ensuring that the process is transparent, reasonable, and proportionate. By setting out the factors that must exist for a connection to be made, the instrument supports the review of decisions by relevant authorities and ensures that human rights are upheld. The compatibility of this instrument with human rights is affirmed, as it does not derogate from and promotes the rights of veterans, Defence Force members, and their dependents.

Scope and Application

The Statement of Principles concerning Toxic Vestibulopathy (Balance of Probabilities) (No. 89 of 2020), determined by the Repatriation Medical Authority under the Veterans' Entitlements Act 1986 (VEA) and applicable to the Military Rehabilitation and Compensation Act 2004 (MRCA), outlines the specific conditions under which toxic vestibulopathy and death from such condition can be linked to particular kinds of service. The Statement applies to eligible war service, defence service, and peacetime service, and specifies the medical-scientific factors that must be present for a claim to be substantiated. It mandates that any claims for pension or compensation related to toxic vestibulopathy or death from it, filed after 1 June 1994 under the VEA and after 1 July 2004 under the MRCA, must be supported by this Statement of Principles. The application of the Statement is integral in facilitating claims and reviews by the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, and Administrative Appeals Tribunal, ensuring that the assessment of claims aligns with the sound medical-scientific evidence available.

Key Provisions

The Statement of Principles concerning toxic vestibulopathy (Balance of Probabilities) (No. 89 of 2020) provides the criteria for determining claims under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). The Repatriation Medical Authority has determined this Statement of Principles under subsection 196B(3) of the VEA, concluding that it is more probable than not that toxic vestibulopathy and death from toxic vestibulopathy can be related to specific kinds of service (section 2). The Statement outlines the factors that must exist for a connection to be made between the service and toxic vestibulopathy, detailing the circumstances of eligible war service, defence service, and peacetime service (section 5). The Statement of Principles imposes 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. The Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, and Administrative Appeals Tribunal are required to apply this Statement when assessing claims. No claim for pension or compensation related to toxic vestibulopathy or death from toxic vestibulopathy lodged on or after 1 June 1994 under the VEA or 1 July 2004 under the MRCA will be accepted unless it is upheld by this Statement of Principles (section 6). The determination of this Statement of Principles does not carry specific offences or penalties but ensures that claims are assessed based on sound medical-scientific evidence. Non-compliance with the requirements of the Statement of Principles could lead to the dismissal of claims. Additionally, the failure to adhere to the criteria set forth could result in protracted legal disputes, with claimants needing to demonstrate that their circumstances align with the specified factors for a successful claim. The compatibility of this instrument with human rights, as outlined in the Human Rights (Parliamentary Scrutiny) Act 2011, ensures that the rights of veterans and their dependents are upheld, without discrimination.

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