austlii:cth/ARTA/2025/2724
General information, not legal advice.
ARTA
2025-12-18
Original judgment source is linked above.
For the purposes of specifying, in a statement of participant supports, the general supports that will be provided, and the reasonable and necessary supports that will be funded, the CEO must be satisfied of all of the following in relation to the funding or provision of each support:
(aa) the support is necessary to address needs of the participant arising from an impairment in relation to which the participant meets the disability requirements (see section 24) or the early intervention requirements (see section 25);
(a) the support will assist the participant to pursue the goals, objectives and aspirations included in the participant's statement of goals and aspirations;
(b) the support will assist the participant to undertake activities, so as to facilitate the participant's social and economic participation;
(c) the support represents value for money in that the costs of the support are reasonable, relative to both the benefits achieved and the cost of alternative support;
(d) the support will be, or is likely to be, effective and beneficial for the participant, having regard to current good practice;
(e) the funding or provision of the support takes account of what it is reasonable to expect families, carers, informal networks and the community to provide;
(f) the support is a NDIS support for the participant.[9]
(a) methods or criteria to be applied, or matters to which the CEO is to have regard, in deciding, the reasonable and necessary supports or general supports that will be funded or provided under the National Disability Insurance Scheme; and
(b) reasonable and necessary supports or general supports that will not be funded or provided under the National Disability insurance Scheme; and
(c) reasonable and necessary supports or general supports that will or will not be funded or provided under the National Disability Insurance Scheme for prescribed participants.
(1) Subject to subsections (4) and (9), a support is an NDIS support for a person who is a participant or prospective participant if the support is declared by National Disability Insurance Scheme rules made for the purposes of this subsection to be an NDIS support for :
(a) participants or prospective participants generally; or
(b) a class of participants or prospective participants that includes the person.
The National Disability Insurance Scheme rules may declare that a support is not an NDIS support for:
(a) participants or prospective participants generally; or
(b) a class of participants or prospective participants.
(a) fall within one of the categories in Schedule 1; and > > (b) not fall within one of the categories in Schedule 2.
(a) fees or payments for outside school hours care, including before school, after school, student free days, vacation care and school holiday programs;
(b) education and tuition fees across all education settings;
(c) standard school uniforms, shoes, lunchboxes, drink bottles or other school equipment;
(d) personalised learning or supports for students that primarily relate to their educational attainment;
(e) aids and equipment for educational purposes, including modified computer hardware, education software, and braille textbooks;
(f) assistive products which are fixed or non‑transportable in schools that enable a student access to education, including hoists and specially adapted furniture;
(g) reasonable adjustments to education campuses, including capital works, including ramps, lifts, and hearing loops;
(h) services from a person employed by the participant's school or the relevant authority or Department of State for a State or Territory with responsibility for school education;
(i) textbooks and teaching aids, including in alternative formats;
(k) educational supports associated with home schooling;
(n) transport between school activities, including excursions and sporting carnivals;
(o) work experience generally provided as part of a school program.
However, I will first discuss the relevant evidence before addressing those questions more directly.
(a) In addition to ASD, he considered that the Applicant was "a child with a severe intellectual impairment, even though this diagnosis has not been formalised".[11] He expressed the view that in most areas of development the Applicant was functioning at "an approximate 2-3 year age equivalent level", though his motor skills were more advanced;[12]
(b) He thought the next 12 months should be focussed on preparing the Applicant "functionally for adult life". He noted that seemingly "small gains (e.g. in mood, attention and behaviour regulation, learning safe behaviours, toileting, requesting) will make a major difference to the supports necessary for him in adult life, and their associated costs";[13]
(c) He commented that "education enabling support and life skills capacity building are fundamentally the same for DDDS. Intellectually his level falls at/ below kindergarten curriculum level. He can learn foundation literacy and numeracy, however this is at rote level and (to my understanding) is not accompanied by equivalent levels of comprehension (e.g. he does not understand the concept of 'quantity' which counting presupposes). This means that the proposition of enabling education has lost much of its meaning";[14]
(d) He considered separating the components of intervention and support required by the Applicant that were educational from those that were "NDIS" was "fundamentally irresolvable" for a child in the Applicant's developmental situation. However, he also indicated he thought it would be reasonable if a third of the QUADRA program was directed toward "educational preparation" and "the rest life skills";[15]
(e) He expressed qualified support for ABA and the QUADRA program, stating "I would like to think of ABA for DDDS as continuous, ecologically constructed behaviourally based learning for intellectual impairment, rather than as a specialist methodology for ASD. DDDS learns through behaviourally incentivised repetition. Constructed this way, I believe ABA would optimise his learning over time".[16]
"Mainstream and specialist schools in Western Australia are not equipped to provide the level of intensive, one-to-one behavioural intervention [the Applicant] requires to succeed. While schools are mandated to deliver curriculum-based education, [DDDS's] needs are habilitative: building foundational communication, safety, and self-care skills before academic curriculum can be accessed in any meaningful way".[22]
Dr Smith's oral evidence was entirely consistent with this statement. 11. As to whether the Applicant was likely to be able to attend a mainstream school in the future, Dr Smith indicated it was possible that at some point he may be able to attend a mainstream school for perhaps an hour a day. However, in her opinion this was still 2-3 years away. She also added that the only purpose of this would be social. Currently, she said the Applicant was part of a community at QUADRA in which he was being supported to develop his social skills. 12. Dr Smith stated that currently, the Applicant is unable to learn in a group setting and requires one to one tuition. For that reason, it would not be feasible for him to attend even a specialist school, as that would still require him to engage and learn in a small group, which was currently beyond him.
DOES THE REQUESTED SUPPORT FALL WITHIN SCHEDULE 1?
7.13 The NDIS will be responsible for supports that a student requires that are associated with the functional impact of the student's disability on their activities of daily living (that is, those not primarily relating to education or training attainment), such as personal care and support, transport to and from school and specialist supports for transition from school education to further education, training or employment that are required because of the student's disability. Any supports funded by the NDIS will recognise the operational requirements and educational objectives of schools.
7.14 The NDIS will not be responsible for personalising either learning or supports for students that primarily relate to their educational attainment (including teaching, learning assistance and aids, school building modifications and transport between school activities).
This category captures tuition fees as well as any supports that schools are responsible for providing for children. This includes making reasonable adjustments to personalise learning and support for students that primarily relate to their educational attainment (including teaching, learning assistance and aids, school building modifications and transport between school activities).
DOES THE SUPPORT MEET THE OTHER CRITERIA SPECIFIED IN S 34(1) OF THE NDIS ACT?
Section 34(1)(aa) - needs arising from a relevant impairment
(a) the evidence suggests the nature of the Applicant's impairments has remained the same since he was granted access to the NDIS in 2018;[36]
(b) even if it was assumed that the impairments from the suspected intellectual disability were distinct from the impairments upon which he was granted access to the Scheme, the impairments on the basis of which the Applicant was granted access to the Scheme are "affected" by the intellectual impairments;[37]
(c) the requested support "deals with" the Applicant's needs arising from his intellectual disability.[38]
"Educational programming should be individualised, focusing on functional academics,
- Encourage the development of pre-vocational and adaptive routines through hands on,
- Incorporate life-skills training into his program, including basic hygiene, food
- Participation in structured community activities, swimming, or adapted recreation
programs is recommended to build routine tolerance and social familiarity.
- Safety training should remain a core focus, including personalised strategies for elopement prevention, road safety, and emergency responses."[40]
Mr Christopher Murphy for and on behalf of Moray and Agnew Lawyers
[4] Respondent's Statement of Facts, Issues and Contentions (SOFIC) at [16].
[9] Section 34 was amended by the National Disability Insurance Scheme Amendment (Getting the NDIS Back on Track No. 1) Act 2024 by insertion of '(aa)' and '(f)'.
[23] Respondent's Written Closing, at [60] (c).
[25] Supplementary Hearing Book (SHB) pp 19-24.
[34] I note the Applicant was exempted from schooling in the Australian Capital Territory before moving to Western Australia.
[35] Respondent's Written Closing, at [63]-[77].
[36] Respondent's Written Closing, at [72].
[37] Respondent's Written Closing at [65], note 2 to s 34(1).
[38] Respondent's Written Closing, at [76].
[43] Beezley v Repatriation Commission [2015] FCAFC 165 at [68].