austlii:cth/ARTA/2026/9
General information, not legal advice.
ARTA
2026-01-05
Original judgment source is linked above.
Assistance with Daily Life (support worker assistance with personal tasks such as house and yard work)
Assistance with social economic and community participation (support worker assistance to engage in community, social, recreational or economic activities)
Consumables (low-cost assistive technology and minor repairs thereto)
Psychologist, occupational therapist and speech therapist
(1) 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 such 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 an NDIS support for the participant.
(2) The National Disability Insurance Scheme rules may prescribe methods or criteria to be applied, or matters to which the CEO is to have regard, in deciding whether or not he or she is satisfied as mentioned in any of paragraphs (1)(aa) to (f).
3.1 In deciding whether 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, the CEO is to consider the following matters:
(a) whether there are comparable supports which would achieve the same outcome at a substantially lower cost;
(b) whether there is evidence that the support will substantially improve the life stage outcomes for, and be of long-term benefit to, the participant;
(c) whether funding or provision of the support is likely to reduce the cost of the funding of supports for the participant in the long term (for example, some early intervention supports may be value for money given their potential to avoid or delay reliance on more costly supports);
(d) for supports that involve the provision of equipment or modifications:
(i) the comparative cost of purchasing or leasing the equipment or modifications; and
(ii) whether there are any expected changes in technology or the participant's circumstances in the short-term that would make it inappropriate to fund the equipment or modifications;
(e) Whether the cost of the support is comparable to the cost of supports of the same kind that are provided in the area in which the participant resides;
(f) whether the support will increase the participant's independence and reduce the participant's need for other kinds of supports (for example, some home modifications may reduce a participant's need for home care).
Effective and beneficial and current good practice
3.2 In deciding whether the support will be, or is likely to be, effective and beneficial for a participant, having regard to current good practice, the CEO is to consider the available evidence of the effectiveness of the support for others in like circumstances. That evidence may include:
(a) published and referred literature and any consensus of expert opinion;
(b) the lived experience of the participant or their carers; or
(c) anything the Agency has learnt through delivery of the NDIS.
3.3 In deciding whether the support will be, or is likely to be, effective and beneficial for a participant, having regard to current good practice, the CEO is to take into account, and if necessary seek, expert opinion.
3.4 in deciding whether funding or provision of the support takes account of what is reasonable to expect families, carers, informal networks and the community to provide, the CEO is to consider the following matters:
(i) the extent of any risks to the well-being of the participant arising from the participant's reliance on the support of family members, carers, informal networks and the community:
(ii) the suitability of family members, carers, informal networks and the community to provide the supports that the participant requires, including such factors as:
(iii) the extent to which informal supports contribute to or reduce a participants level of independence and other outcomes;
(c) for all participants-the desirability of supporting and developing the potential contributions of informal supports and networks within their communities.
(5) In deciding whether or not to approve a statement of participant supports under subsection (2), the CEO must:
(a) have regard to the participant's statement of goals and aspirations; and
(b) have regard to relevant assessments conducted in relation to the participant; and
(c) be satisfied as mentioned in section 34 in relation to the reasonable and necessary supports that will be funded and the general supports that will be provided; and
(d) apply the National Disability Insurance Scheme rules (if any) made for the purposes of s 35; and
(e) have regard to the principle that a participant should manage his or her plan to the extent that he or she wishes to do so; and
(f) have regard to the operation and effectiveness of any previous plans of the participant; and
(g) have regard to whether section 46 (acquittal of NDIS amounts) was complied with in relation to any previous plan for the participant.
In relation to these functional issues, Ms Bowkett was not asked to make specific recommendations with respect to modifications to be made to the bathroom/toilet.[29]
(i) Eliminate all walking steps from her power wheelchair to the toilet. > > (ii) Reduce the walking steps from her power wheelchair to the shower from 4 to 1-2. > > (iii) Fix the drainage problem in her shower. > > (iv) Enable easier access to vanity. > > (v) Enable easier access to walk-in robe. > > (vi) Provide more space in bathroom to manoeuvre wheelchair.
Are the proposed bathroom modifications reasonable and necessary?
The Tribunal accepts that the Applicant's request for the proposed bathroom modifications may be consistent with her first and third stated goals. That is, the support is directed to conserving the Applicant's energy so that she can spend more time with her children. It is also directed to allowing her to be more independent with her toileting, showering and grooming activities and to continue to live safely in her home and reduce the burden on her husband who at times assists her with these tasks.
[9] Drake v Minister for Immigration and Ethnic Affairs [1979] 24 ALR 577 at 589.
[10] Shi v Migration Agent's Registration Authority [2008] HCA 31; (2008) 235 CLR 286 at [45] - [46].
[11] National Disability Insurance Agency v Davis [2022] FCA 1002 at [60].
[12] Beezley v Repatriation Commission [2015] FCAFC 165 (2015); 150 ALD 11 at [68]; HPSC and National Disability Insurance Agency [2021] AATA 727 at [85].
[13] Section 129(2) of Schedule 1 of the Amendment Act provides that if a statement of participant supports is approved or varied on or after 3 October 2024, the amendments apply irrespective of whether the Applicant's plan came into effect before, or on or after commencement.
[14] National Disability Insurance Agency v WRMF [2020] FCAFC 79 at [201].
[15] Drake v Minister for Immigration and Ethnic Affairs [1979] 24 ALR 577 at 590
[51] See Forrest and National Disability Insurance Agency (NDIS) [2025] ARTA 1131.
[61] Sayadi and National Disability Insurance Agency [2025] ARTA 1217 at [81].
Drake
Minister for Immigration and Ethnic Affairs
Shi v Migration Agent's Registration Authority [2008] HCA 31; (2008) 235 CLR 286
National Disability Insurance Agency v Davis [2022] FCA 1002
Beezley v Repatriation Commission [2015] FCAFC 165 (2015); 150 ALD 11
HPSC and National Disability Insurance Agency [2021] AATA 727
National Disability Insurance Agency v WRMF [2020] FCAFC 79
Forrest and National Disability Insurance Agency [2025] ARTA 1131
Sayadi and National Disability Insurance Agency [2025] ARTA 1217
(2008) 235 CLR 286