Background and statutory framework
2 The appellant is a citizen of India. He had a lengthy history of Australian visas and visa applications before he made the application for a medical treatment visa. He first came to Australia in 2008 as the holder of a student visa. It appears that he may have gone back to India and returned to Australia in 2011 on another student visa. Later in 2011, he applied for a skilled graduate visa, which was refused. He unsuccessfully pursued review processes, which ended in 2013. Then, also in 2013, he sought ministerial intervention, which was unsuccessful. After that, again in 2013, he applied unsuccessfully for a protection visa. Review options were pursued unsuccessfully until he withdrew an application or appeal to this Court (the evidence does not make its nature clear) in December 2018. Meanwhile he was also the subject of a short-lived nomination for a Regional Sponsored Migration Scheme (Subclass 187) visa in 2016. He is currently in Australia as the holder of a bridging visa. According to the Tribunal decision, the appellant has breached conditions of previous visas held, remained in Australia unlawfully for several periods of time, and during those periods did not contact the Department to resolve his migration status.
3 The application for a medical treatment visa was made on 21 January 2019. The statutory framework governing the application was as follows.
4 Under s 29 of the Migration Act 1958 (Cth) the Minister may grant a non-citizen a visa to travel to and enter Australia and to remain in Australia. Section 65(1) of the Migration Act relevantly requires the Minister, after considering a valid application for a visa, to determine whether he is satisfied that the criteria prescribed for the visa by the Act or the Migration Regulations 1994 (Cth) are satisfied. If the Minister is not so satisfied, he must refuse the visa. Section 31(1) provides that there are to be prescribed classes of visas. Regulation 2.01(1)(a) relevantly provides that the prescribed classes of visas are such classes as are set out in the respective items in Schedule 1. Item 1214A of Schedule 1 provides for Medical Treatment (Visitor) (Class UB) visas as a class of visa. Under reg 2.02(2), for the purposes of Schedules 1 and 2 'a Part of Schedule 2 is relevant to a particular class of visa if the Part of Schedule 2 is listed under the subitem "Subclasses" in the item in Schedule 1 that refers to that class of visa'. In item 1214A(4) of Schedule 1, the Part of Schedule 2 that is specified as being relevant is Subclass 602 (Medical Treatment). Subclass 602 is comprised of six clauses, numbered 602.1-602.6. Regulation 2.03(1) provides that for the purposes of s 31(3), the prescribed criteria for the grant to a person of a visa of a particular class include the primary criteria set out in a relevant Part of Schedule 2. In relation to Subclass 602, the primary criteria are found in cl 602.2.
5 By that winding path, it emerges that the primary criteria that must be satisfied for the medical treatment visa sought in this case are those in cl 602.2 of Schedule 2 to the Regulations. Only some of those criteria need be described here. Two will be mentioned because they provide context to understand the criterion that is in issue and the Tribunal's decision on it. The first is cl 602.211, which relevantly requires, as an overarching principle, the applicant for the visa to seek to remain in Australia temporarily for the purposes of medical treatment or for related purposes. The second is cl 602.212(2), which sets out criteria about the medical treatment which, if satisfied, will result in satisfaction of the overall criterion of cl 602.212. Broadly, and relevantly to the appellant here, the applicant must seek to obtain medical treatment in Australia, must have concluded arrangements to carry out the treatment, and must have concluded arrangements to pay all costs of the treatment, either without payment of those costs being a charge on any Australian government or public authority or with the approval of a government authority for the payment of the costs. Giving the appellant the benefit of the doubt at several points, the Tribunal found that his application satisfied those criteria in cl 602.212(2) (and some others), so they are not in issue on the appeal. What is in issue is the criteria in cl 602.215. The delegate determined that criteria was not met and the appellant subsequently applied for review of that decision.
6 Clause 602.215 provides:
(1) The applicant genuinely intends to stay temporarily in Australia for the purpose for which the visa is granted, having regard to:
(a) whether the applicant has complied substantially with the conditions to which the last substantive visa, or any subsequent bridging visa, held by the applicant was subject; and
(b) whether the applicant intends to comply with the conditions to which the Subclass 602 visa would be subject; and
(c) any other relevant matter.
(2) However, subclause (1) does not apply if the requirements described in subclause 602.212(6) are met in relation to the applicant.
7 In relation to cl 602.215(2), the appellant did not meet the requirements in cl 602.212(6), including the requirement that he establish that he was medically unfit to depart from Australia due to a permanent or deteriorating disease or health condition as evidenced by a written statement to that effect from a Medical Officer of the Commonwealth. The outcome of the review therefore turned on whether the criterion in cl 602.215(1) was satisfied.
8 As noted above, the delegate determined that it was not, and refused the application for the medical treatment visa on 5 February 2019. The appellant then applied for review to the Tribunal.