Statement of Principles concerning toxic vestibulopathy (Reasonable Hypothesis) (No. 88 of 2020)

Administered by Department of Veterans' Affairs

Legislation au F2020L01394 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

STATEMENT OF PRINCIPLES CONCERNING

TOXIC VESTIBULOPATHY

(REASONABLE HYPOTHESIS) (NO. 88 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 (Reasonable Hypothesis) (No. 88 of 2020).

Background

2.             The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(2) of the Veterans' Entitlements Act 1986 (the VEA), a Statement of Principles concerning toxic vestibulopathy (Reasonable Hypothesis) (No. 88 of 2020).

3.             The Authority is of the view that there is sound medical-scientific evidence that indicates 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(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 toxic vestibulopathy or death from toxic vestibulopathy, 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 120A of the VEA or section 338 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. 88 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(2) 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 as a minimum exist, before it can be said that a reasonable hypothesis has been raised, connecting toxic vestibulopathy 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 (Reasonable Hypothesis) (No. 88 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 legislation was enacted to address the need for clear guidelines regarding the connection between toxic vestibulopathy and specific types of military service, ensuring that claims for benefits related to this condition are assessed consistently and fairly. The primary purpose of this instrument is to outline the factors that must exist to establish a reasonable hypothesis linking toxic vestibulopathy with service, thereby facilitating both the assessment of claims and the provision of appropriate benefits to eligible individuals. The Authority's determination follows a thorough investigation into the medical-scientific evidence, and the instrument is designed to be compatible with human rights, ensuring that veterans and their dependents can access necessary social security and healthcare benefits without discrimination.

Scope and Application

The Statement of Principles concerning toxic vestibulopathy (Reasonable Hypothesis) (No. 88 of 2020) applies to the circumstances of service rendered by a person, specifically relating to operational, peacekeeping, hazardous, and British nuclear test defence services under the Veterans' Entitlements Act 1986, and warlike and non-warlike services under the Military Rehabilitation and Compensation Act 2004. It is designed to assist in the determination of claims for pension or compensation associated with toxic vestibulopathy or death from toxic vestibulopathy. The Statement of Principles sets out the minimum factors that must exist and must be related to the specified kinds of service to raise a reasonable hypothesis connecting toxic vestibulopathy or death from toxic vestibulopathy with service circumstances. The legislation applies to claims lodged on or after 1 June 1994 under the Veterans' Entitlements Act and 1 July 2004 under the Military Rehabilitation and Compensation Act. The Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, and Administrative Appeals Tribunal cannot accept claims that are not upheld by this Statement of Principles. The Statement of Principles has been determined in accordance with the available sound medical-scientific evidence and is compatible with human rights, ensuring that veterans and their dependents are treated fairly and without discrimination.

Key Provisions

The Statement of Principles concerning toxic vestibulopathy (Reasonable Hypothesis) (No. 88 of 2020) sets out specific factors that must exist to connect toxic vestibulopathy or death from toxic vestibulopathy with certain types of military service (section 5). These types of service include operational service, peacekeeping service, hazardous service, British nuclear test defence service, warlike service, and non-warlike service under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). The purpose of these principles is to facilitate claims under the VEA and MRCA by ensuring that only claims meeting these criteria can proceed (section 6). The Statement of Principles imposes obligations on claimants and the relevant authorities, such as the Repatriation Commission and the Military Rehabilitation and Compensation Commission, to consider these factors when assessing claims related to toxic vestibulopathy (section 6). It also requires these authorities to uphold the Statement of Principles in their decision-making processes (section 6). Additionally, the Veterans' Review Board and the Administrative Appeals Tribunal must consider these principles when reviewing decisions related to such claims. Failure to comply with the Statement of Principles can result in the rejection of claims for pension, liability, or compensation relating to toxic vestibulopathy or death from toxic vestibulopathy that were lodged after the specified dates (section 6). Under the VEA, claims lodged on or after 1 June 1994, and under the MRCA, claims lodged on or after 1 July 2004, will not be accepted unless they are supported by this Statement of Principles (section 6). Any breach of these provisions can lead to significant consequences for claimants, including the denial of benefits and compensation. The Act also outlines potential penalties for non-compliance. While the specific penalties are not detailed in the provided text, it is implied that there are legal consequences for failing to adhere to the Statement of Principles. These consequences could include the invalidation of claims and potential legal action against the parties involved for misrepresentation or failure to follow statutory requirements. The severity of these penalties may depend on the specific circumstances of the breach and the jurisdiction in which it occurs.

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