austlii:cth/ARTA/2025/2732
General information, not legal advice.
ARTA
2025-12-22
Original judgment source is linked above.
Goerlach and CEO, National Disability Insurance Agency (NDIS) [2025] ARTA 2732 (22 December 2025)
Respondent: CEO, National Disability Insurance Agency
Decision: The Tribunal pursuant to section 105(c)(ii) of the Administrative Review Tribunal Act 2024 (Cth), affirms the decision under review.
....................[SGD]..........................
NATIONAL DISABILITY INSURANCE SCHEME - participant supports - reasonable and necessary supports - schedule 2 - standard item - visual impairment - roller blinds - standard fixture or fitting - not an NDIS support.
National Disability Insurance Scheme Amendment (Getting the NDIS back on Track No. 1) Act 2024
National Disability Insurance Scheme (Getting the NDIS Back on Track No.1) (NDIS Supports) Transitional Rules 2024
National Disability Insurance Scheme (Supports for Participants) Rules 2013 (Cth)
Brown and National Disability Insurance Agency (NDIS) [2025] ARTA 2029
Chief Executive Officer, National Disability Insurance Agency and Hyde (Guidance and Appeals Panel) [2025] ARTA 2597
Duse and National Disability Insurance Agency [2025] ARTA 37
Johnson & National Disability Insurance Agency [2025] ATRA 106
National Disability Insurance Agency, Our Guidelines - Reasonable and Necessary Supports
NDIS Amendment (Getting the NDIS Back on Track No.1) Bill 2024 Second Reading speech on 27 March 2024
...glare sensitivity due to his eye condition, necessitating window modifications to enhance the perception of natural colours and shapes in his home environment by minimising glare. High contrast is essential for him to safely navigate and identify objects.[2]
(a) Mr Goerlach's outline of position and response to the NDIA's position, dated 18 March 2025; and
(b) the Respondent's Statement of Facts, Issues and Contentions dated 30 April 2025.
(1) People with disability have the same right as other members of Australian society to realise their potential for physical, social, emotional and intellectual development.
(2) People with disability should be supported to participate in and contribute to social and economic life.
(3) People with disability and their families and carers should have certainty that people with disability will receive the care and support they need over their lifetime.
(4) People with disability should be supported to exercise choice, including in relation to taking reasonable risks, in the pursuit of their goals and the planning and delivery of their supports.
(5) People with disability should be supported to receive reasonable and necessary supports, including early intervention supports.
(6) People with disability have the same right as other members of Australian society to respect for their worth and dignity and to live free from abuse, neglect and exploitation.
(7) People with disability have the same right as other members of Australian society to pursue any grievance.
(8) People with disability have the same right as other members of Australian society to be able to determine their own best interests, including the right to exercise choice and control, and to engage as equal partners in decisions that will affect their lives.
(9) People with disability should be supported in all their dealings and communications with the Agency and the Commission so that their capacity to exercise choice and control is maximised in a way that is appropriate to their circumstances and cultural needs.
(9A) People with disability are central to the National Disability Insurance Scheme and should be included in a co-design capacity.
(10) People with disability should have their privacy and dignity respected.
(11) Reasonable and necessary supports for people with disability should:
(a) support people with disability to pursue their goals and maximise their independence; and
(b) `support people with disability to live independently and to be included in the community as fully participating citizens; and
(c) develop and support the capacity of people with disability to undertake activities that enable them to participate in the community and in employment.
(12) The role of families, carers and other significant persons in the lives of people with disability is to be acknowledged and respected.
(12A) The relationship between people with disability and their families and carers is to be recognised and respected.
(13) The role of advocacy in representing the interests of people with disability is to be acknowledged and respected, recognising that advocacy supports people with disability by:
(a) promoting their independence and social and economic participation; and
(b) promoting choice and control in the pursuit of their goals and the planning and delivery of their supports; and
(c) maximising independent lifestyles of people with disability and their full inclusion in the community.
(14) People with disability should be supported to receive supports outside the National Disability Insurance Scheme, and be assisted to coordinate these supports with the supports provided under the National Disability Insurance Scheme.
(15) In exercising their right to choice and control, people with disability require access to a diverse and sustainable market for disability supports in which innovation, quality, continuous improvement, contemporary best practice and effectiveness in the provision of those supports is promoted.
(16) Positive personal and social development of people with disability, including children and young people, is to be promoted.
(17) It is the intention of the Parliament that the Ministerial Council, the Minister, the Board, the CEO, the Commissioner and any other person or body is to perform functions and exercise powers under this Act in accordance with these principles, having regard to the need to ensure the financial sustainability of the National Disability Insurance Scheme.
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).
(a) 14 block-out roller blinds at a cost of $3,563.76.
I am seeking a review of the decision made by the S100 reviewer to decline funding for window blinds. I believe this decision is inconsistent with the evidence provided and does not align with the principles of reasonable and necessary supports under the NDIS Act.
1. Inconsistency in Application of R&N Criteria:
• The rationale provided in my participant statement, carer impact statement, and occupational therapist report for the window blinds is identical to the rationale previously accepted by the Planner for approving funding for the installation of lights in all internal areas of my home.
• If the same R&N criteria had been consistently applied to the window blinds, they would also have been approved, given the evidence and rationale submitted.
2. Provision of Updated Evidence Prior to Legislative Changes:
• As part of the S100 review request, a new OT assessment and quote were submitted to the appropriate team on September 19, 2024.
• This submission date is prior to the new NDIS legislation changes that came into effect on October 3, 2024. The decision to apply the new legislation to my request is therefore inappropriate, as the review should have been assessed under the legislative framework in place at the time of submission.
• The new NDIS legislation outlines categories of supports and items that are "generally" not funded. However, the term "generally" lacks clear definition, leaving room for discretionary interpretation.
• As my submission included detailed evidence demonstrating the specific need for suitable window blinds in my situation, the broad application of the term "generally" should not have overridden the specific and individualized assessment of my needs.
• In 2022, funding for window blinds was approved for me at a previous property. This indicates prior acknowledgment of the R&N nature of this support in meeting my disability-related needs.[10]
Insufficient lighting inside and outside the house prohibits Jonathan from living independently and this is significantly impacting his ability to parent independently. Jonathan's eyes do not function and operate at full capacity, he requires additional lighting to help him see...
Jonathan is an incredible dad and is highly involved in helping me with the children but I have to guide him with everything we do with the children because the lights inside and outside are not bright enough for his eyes...It is beyond disheartening to watch his vision deteriorate and not being able to stop the deterioration.[11]
standard item for a person means an item that is not modified or adapted to address the person's functional impairments. There are a number of items that are declared not to be NDIS supports because they are 'standard', meaning that they will not be funded by the NDIS because they are not modified or adapted to address a participant's functional impairments. The NDIS does not fund standard products that are the responsibility of any person to purchase for themselves.
that links the requested support to a participant's disability support needs.
... if a support is listed in schedule 2 as 'not an NDIS support', it is irrelevant that it is related either directly or indirectly to a participant's support needs.
(i) standard household (including garden) items, appliances, tools and products;
Consistent with Brown, the correct classification is that my blinds - including motorisation - are modified household items with accessibility features, not "standard fixtures/fittings."
Motorisation is not a luxury; it is a functional adaptation that allows safe, independent, and efficient light control throughout the home. This is particularly essential given my dual sensory disability, multiple young children, and upcoming newborn. The NDIA's reliance on physical capacity to pull a cord overlooks the visual, environmental, and parenting realities that make automated control necessary.
Brown correctly applies this principle: motorised, fit-to-frame block-out blinds are not "standard fixtures", because their functional value lies in their role in mitigating light sensitivity and supporting independence.[14]
[W]e need to have an honest conversation about the scheme. It cannot keep growing at the same rate that it is now. It can keep growing, but it just can't keep growing at 16 per cent annually, as it has in the past few years. The Disability Reform Ministerial Council is on record as saying:
Without timely action to improve outcomes for people with disability, the NDIS is projected to grow more than 1 million participants and cost up to $100 billion a year by 2023.
Costs continue to grow without fairness, rigour and control over this critical investment by the Australian people. We simply have to take steps to get it back on track, and that's what we're doing with this bill.
At first glance, the headings in Schedule 2 which say 'generally are not NDIS supports' do seem to imply that there could be circumstances in which supports that are not generally NDIS supports could however be a support for a specific participant. However, the meaning of 'generally' in this context is informed by the rule-making provision in section 10(4) which states:
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.
When read together with section 10(4), it is clear to that the term 'generally' is used in the sense of applying to all participants as compared to a class of participants, rather than in the sense of applying in 'most circumstances' or similar. Rule 5(2) of the Transitional Rule underscores this interpretation, stating that:
(2) For the purposes of subsection 10(4) of the NDIS Act, a support covered by column 2 of an item in the table in clause 1 of Schedule 2 to this instrument is not an NDIS support for any participant (subject to subsection 10(6) of the NDIS Act) or prospective participant.[16] [emphasis added]
[3] Under the transitional provisions in the Administrative Review Tribunal (Consequential and Transitional Provisions No. 1) Act 2024 (the Transitional Act), applications for review to the AAT that were not finalised before 14 October 2024 are taken to be an application for review to the Tribunal. The Transitional Act gives the Tribunal the authority to continue and finalise any aspect of the review not already completed by the AAT.
[9] Subitem 129(2) of Schedule 1 to National Disability Insurance Scheme Amendment (Getting the NDIS back on Track No. 1) Act 2024.
[14] Applicant email dated 14 November 2025.
[15] Respondent's Submission in relation to Brown dated 14 November 2025, page 4
[16] Member Toohey in Johnson & National Disability Insurance Agency [2025] ATRA 106 at 27- 29.