Statement of Principles concerning umbilical hernia (Reasonable Hypothesis) (No. 93 of 2016)

Administered by Department of Veterans' Affairs

Legislation au F2016L01673 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

STATEMENT OF PRINCIPLES CONCERNING

UMBILICAL HERNIA

(REASONABLE HYPOTHESIS) (NO. 93 OF 2016)

 

VETERANS’ ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Statement of Principles concerning umbilical hernia (Reasonable Hypothesis) (No. 93 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 umbilical hernia (Reasonable Hypothesis) (No. 93 of 2016).

3.             The Authority is of the view that there is sound medical-scientific evidence that indicates that umbilical hernia and death from umbilical hernia can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning umbilical hernia 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 umbilical hernia or death from umbilical hernia, 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 umbilical hernia or death from umbilical hernia 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 umbilical hernia 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 umbilical hernia 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 umbilical hernia 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. 93 of 2016

Kind of Injury, Disease or Death: Umbilical hernia

 

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 umbilical hernia;
  • 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 umbilical hernia 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 umbilical hernia (Reasonable Hypothesis) (No. 93 of 2016) was enacted to address the issue of establishing a reasonable hypothesis connecting umbilical hernia or death from umbilical hernia with the service circumstances of veterans under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004. The Repatriation Medical Authority, under subsection 196B(2) of the Veterans’ Entitlements Act 1986, determined this Statement of Principles based on sound medical-scientific evidence that links umbilical hernia to particular kinds of service. This Statement of Principles will apply to claims for pension, liability, or compensation concerning umbilical hernia or death from umbilical hernia lodged after the specified dates of 1 June 1994 for the VEA and 1 July 2004 for the MRCA. The purpose of this instrument is to facilitate the assessment and review of claims by specifying the minimum factors required to establish a reasonable hypothesis and ensuring these processes are reasonable, proportionate, and transparent, thereby promoting various human rights such as the right to social security and adequate standard of living.

Scope and Application

The Statement of Principles concerning umbilical hernia (Reasonable Hypothesis) (No. 93 of 2016) applies to individuals who have served in particular kinds of military service and have developed umbilical hernia as a result of that service, including operational, peacekeeping, hazardous, and British nuclear test defence service under the Veterans’ Entitlements Act 1986, as well as warlike and non-warlike service under the Military Rehabilitation and Compensation Act 2004. This legislative instrument sets out the minimum factors that must exist to establish a reasonable hypothesis connecting umbilical hernia with the relevant service, facilitating claims for pensions or compensation related to this condition. It has a national reach, applying across Australia under both the Commonwealth and state/territory jurisdictions. The application of this instrument is limited to claims lodged after 1 June 1994 under the VEA and after 1 July 2004 under the MRCA, and it cannot be used to uphold claims made before these dates unless the Statement of Principles is retroactively applied. The instrument may be extended or further specified through subordinate legislation, which would be subject to the same compatibility with human rights as outlined in the document.

Key Provisions

The main operative sections of the Statement of Principles concerning umbilical hernia (Reasonable Hypothesis) (No. 93 of 2016) establish the criteria necessary for a reasonable hypothesis to be raised connecting umbilical hernia or death from umbilical hernia with certain kinds of military service (Section 5). This statement outlines the minimum factors that must exist and be related to specified types of service, including operational, peacekeeping, hazardous, British nuclear test defence, warlike, and non-warlike service, as defined under the Veterans’ Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). Claims for pension or compensation for umbilical hernia or death from umbilical hernia lodged on or after 1 June 1994 under the VEA and 1 July 2004 under the MRCA will only be accepted if they are supported by this Statement of Principles (Section 6). The Act imposes several obligations on the parties involved. The Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans’ Review Board, and Administrative Appeals Tribunal must adhere to this Statement of Principles when assessing claims. They cannot accept any claims for pension or compensation relating to umbilical hernia or death from umbilical hernia unless the claim is upheld by the Statement of Principles (Section 6). Additionally, the Repatriation Medical Authority is obligated to ensure that any determinations are based on sound medical-scientific evidence and to consult with relevant organisations and individuals during the investigation process (Section 8). There are no explicit offences, penalties, or civil/criminal consequences outlined in the Statement of Principles itself. However, the VEA and MRCA do provide for penalties related to the making of false statements or providing false information in relation to claims. Under Section 120A(3) of the VEA and Section 338(3) of the MRCA, individuals who lodge claims not supported by the relevant Statement of Principles may face legal consequences for making false claims, including potential fines and imprisonment. The specific penalties would be determined under the general provisions of the VEA and MRCA, which include fines and imprisonment for offences related to false statements or fraudulent claims.

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