Application of section 24 where there are both
pre- and post-1 June 1994 claims or applications
If an applicant has an application to the AAT in respect of the assessment of disability pension for disabilities A, B and C; the claim or application from which that assessment arose was made before 1 June 1994; and after 1 June 1994, but before the AAT application was heard, the applicant, who was over 65 years of age, made a successful claim for pension in respect of disability D, then the question arises as to the law that applies in respect of the period from the first application day until the date of the AAT's hearing. That is, do the post- or pre-1 June 1994 special rate provisions apply to the assessment of pension?
Subsection 2(2) of the Veterans' Affairs (1994-95 Budget Measures) Legislation Amendment Act 1994 provides:
(2)
Divisions 1 and 4 of Part 2 are taken to have commenced on 1 June 1994.Section 3 of that Act provides:
3.
The amendments made by Division 4 of Part 2:(a) apply to claims for pension under section 14 of the Veterans' Entitlements Act 1986 that are made on or after 1 June 1994; and
(b) apply to applications for an increase in the rate of pension under section 15 of the Veterans' Entitlements Act 1986 that are made on or after 1 June 1994.
Division 4 of Part 2 of that Act amended sections 23 and 24 of the Veterans' Entitlements Act 1986 to provide new criteria for the assessment of pension at the intermediate and special rates of pension.
The relevant amendments to section 24 were to make the previous subsections (1) and (2) apply to veterans who had not turned 65 years of age when the claim or application was made, and that new subsections (2A) and (2B) would apply to veterans who had turned 65 years of age when the claim or application was made. This was achieved by inserting paragraphs (aa) and (aab) into subsection (1), and by paragraphs (a) and (b) of the new subsection (2A).
Paragraphs (1)(aa) and (1)(aab) provide:
(1) This section applies to a veteran if:
(aa) the veteran has made a claim under section 14 for a pension, or an application under section 15 for an increase in the rate of the pension that he or she is receiving; and
(aab) the veteran had not yet turned 65 when the claim or application was made; and ...
Paragraphs (2A)(a) and (2A)(b) provide:
(2A) This section applies to a veteran if:
(aa) the veteran has made a claim under section 14 for a pension, or an application under section 15 for an increase in the rate of the pension that he or she is receiving; and
(aab) the veteran had turned 65 before the claim or application was made; and ...
The Explanatory Memorandum to the Bill does not directly address the situation currently being considered, but it says, at p.23:
"Clause 17 amends section 24 of the Principal Act by providing in effect that the current criteria for the special rate of pension must be met where claims or applications are made by a veteran before he or she turns 65 and that the new criteria must be met where claims and applications are made by a veteran on or after he or she turns 65 years of age.
"Thus, which of the criteria that must be met for section 24 to apply to a veteran, depends on the age of the veteran at the date on which he or she makes the claim or application that is being considered by the Commission."
At page 25, the Explanatory Memorandum to the Bill states:
"The proposed amendments will be taken to have commenced on 1 June 1994 (see subclause 2(2)) and will apply to all claims for pension under section 14 of the Principal Act or applications for increase in pension under section 15 of that Act made on or after 1 June 1994 (see clause 3)." (underlining omitted)
The method of assessment of pension is broadly stated in section 19 of the Veterans' Entitlements Act 1986. The specific criteria by which pension is assessed is set out in sections 21A to 29 and the Guide to the Assessment of Rates of Veterans' Pensions (GARP), made under section 29.
Subsection 13(1) provides that:
Where ... a veteran has become incapacitated from a war-caused injury or a war-caused disease; the Commonwealth is, subject to this Act, liable to pay: ... in the case of the incapacity of the veteran-pension by way of compensation to the veteran.
The relevant subsections in section 19 are as follows:
(3)
The Commission shall determine a claim for a pension as follows:(a) first, the Commission shall determine whether the claimant is entitled to be granted a pension in respect of:
(i) the incapacity of a veteran from war-caused injury or war-caused disease, or both; or
(ii) the death of a veteran that was war-caused;
(b) then, if the Commission determines that the claimant is so entitled, the Commission shall proceed as set out in subsection (5).
(4) The Commission shall determine an application for a pension at an increased rate in accordance with subsection (5).
(5) Where paragraph (3)(b) applies in respect of a claim or subsection (4) applies in respect of an application, the Commission shall assess, in accordance with whichever of sections 22, 23, 24, 25, 27 and 30 are applicable:
(a) the rate or rates at which the pension would have been payable from time to time during the assessment period; and
(b) subject to subsection (6), the rate at which the pension is payable from the date of the determination;
and shall make a determination approving the payment of pension in accordance with that assessment.
(6) Where the Commission has, pursuant to paragraph (5)(a), assessed that the pension was payable at some time during the assessment period at the rate provided by section 23 or 24 then, subject to section 24A, the rate at which the pension is payable from the date of the determination shall not be lower than the rate provided by whichever of those sections applied, or applied most recently, during the assessment period.
(7) Where:
(a) the Commission, upon considering a claim for a pension in respect of the incapacity of a veteran from injury or disease determines, or is satisfied, that the veteran suffered the injury or contracted the disease as claimed and that the injury is a war-caused injury or the disease is a war-caused disease, as the case may be; and
(b) the Commission is also satisfied a determination under this Act is in force determining that the veteran has suffered an injury or contracted a disease (not being the injury or disease referred to in paragraph (a)) and that:
(i) that injury is a war-caused injury, or is, in accordance with subsection 70(3), a defence-caused injury for the purposes of subsection 70(1); or
(ii) that disease is a war-caused disease, or is, in accordance with subsection 70(3), a defence-caused disease for the purposes of subsection 70(1);
as the case may be, whether or not a pension under Part II or Part IV, as the case requires, has been granted in respect of that injury or disease;
the Commission shall not, in a case where the claimant is in receipt of a pension under Part II or Part IV in respect of incapacity resulting from the injury or disease referred to in paragraph (b), grant a separate and additional pension to the claimant in respect of incapacity resulting from the injury or disease referred to in paragraph (a), but the Commission shall, having regard to any incapacity resulting from the injury or disease referred to in paragraph (a) and any incapacity resulting from the injury or disease referred to in paragraph (b) and treating any such defence-caused injury as war-caused injury and any such defence-caused disease as war-caused disease:
(c) if the claimant is not in receipt of a pension under Part II or Part IV-determine whether the claimant is entitled to be granted a pension under Part II and, if it determines that the claimant is entitled to be granted such a pension, assess the rate of the pension to be granted to the claimant in accordance with the preceding provisions of this section; or
(d) if the claimant is in receipt of a pension under Part II or Part IV-re-assess the rate of that pension in accordance with the preceding provisions of this section.
...
(9) In this section:
"application" means an application made in accordance with section 15;
"application day", in relation to a person who has made a claim or application or on whose behalf a claim or application has been made, means:
(a) the day on which the claim or application was received at an office of the Department in Australia; or
(b) if subsection 20(2) or 21(2) applies to the person - the day on which the claim or application referred to in paragraph 20(2)(a) or 21(2)(a) was so received;
"assessment period", in relation to a claim or application relating to a pension, means the period starting on the application day and ending when the claim or application is determined;
"claim" means a claim made in accordance with section 14; ...
Thus, in assessing pension, the Commission (and the AAT when "standing in its shoes") must determine the rate or rates at which pension would have been payable from time to time during the assessment period, and the rate at which pension is payable from the date of the determination. If the rate of pension is determined, at some time during the assessment period, at the intermediate or special rate, then, subject to section 24A (ie, the veteran's capacity for work improves, etc), the rate at which pension is payable from the date of the determination shall not be lower than whichever of those rates applied, or applied most recently, during the assessment period.
Section 21A provides that the Commission must determine the degree of incapacity of a veteran "from war-caused injury or war-caused disease, or both, in accordance with GARP". Thus, there is only one "incapacity" relevant for the purpose of payment of pension-his or her incapacity from all war-caused disabilities. Pension is not paid separately in respect of each war-caused injury or disease. Instead, it is the combined incapacity from all war-caused disabilities that is assessed over the assessment period for the purpose of assessing a rate of pension that is payable. This is also the clear effect of subsection 19(7), which provides that the Commission shall not grant a separate and additional pension in respect of incapacity resulting from a newly accepted war-caused injury or disease:
Repatriation Commission v. Maloney.application of the law to the facts
If it had not been for the 1994 amendments, the AAT, in assessing pension for disabilities A, B, C and D, would have:
·
first, determined the rate of pension that applied in respect of disabilities A, B and C (as if they were the only war-caused disabilities) from the beginning of the assessment period in respect of the claim or application giving rise to the application for review; and·
then, would have determined the rate of pension that applied in respect of disabilities A, B, C, and D from the beginning of the assessment period in respect of the claim for disability D until the date of the AAT's decision: Repatriation Commission v. Maloney.Thus, if pension would not be payable at the special rate by reason of A, B and C alone, but would be payable once the incapacity from D could be taken into account, then special rate would be granted from the date of the grant of D. The effect is that it is because of the claim in respect of D that pension would be payable at the special rate.
The result would have been no different if the assessment of A, B and C had been finally determined prior to the acceptance of the claim in respect of D. (Indeed, there should be no valid reason for delaying the assessment of pension pending the grant of a new claim because the assessment of disabilities accepted as the result of a new claim must always take into account previously accepted disabilities.)
In the current circumstances, the 1994 amendments provide new criteria for the assessment of pension arising out of claims made on or after 1 June 1994. As with the usual situation described above, the result should be no different if the final assessment of A, B and C were undertaken before the claim in respect of D is determined. The old law is applied to A, B and C, then the new law is applied to the assessment of A, B, C and D. If there is any overlap of assessment periods, then the later determination (assessing A, B, C and D) overtakes the effect of the earlier determination (assessing A, B and C) in relation to the overlapping period because it covers a war-caused disability that had not been covered by the earlier determination.
The difficulty appears to be the fact that if both assessments are made by the AAT at the same time, there must be an overlap of assessment periods, both affected by different law-the first period must take account of the old law, while the second is in respect of a claim affected by the new law.
However, in reality, because an assessment period arises out of a particular claim or application (see the definition of "assessment period" in subsection 19(9)) the first assessment period is one which arises only in respect of those disabilities covered by the first claim or application. When determining a matter that deals with two assessment periods, the first period is cut short by the fact that it is overtaken and supplanted by the second assessment period arising out of the second claim-a type of "novus actus interveniens"-such that there is no "overlap" as such. There cannot be any overlap because subsection 19(7) precludes the granting of a separate and additional pension. The first assessment period has come to an end by the creation of a second assessment period caused by the making of the second claim.
This separation of the assessment periods arising out of the different claims enables both the old law and the new law to be applied in the manner envisaged by the amending legislation. The old law must be applied to the assessment period arising out of the pre-1 June 1994 claim, while the new law must be applied to the assessment period arising out of the post-1 June 1994 claim.