austlii:cth/ARTA/2025/1804
General information, not legal advice.
ARTA
2025-09-16
Original judgment source is linked above.
Kuzio-Barnes and National Disability Insurance Agency (NDIS) [2025] ARTA 1804 (16 September 2025)
Respondent: National Disability Insurance Agency
Decision: The Tribunal sets aside the decision under review and this matter is remitted to the Agency for reconsideration with directions that:
(a) The Applicant's current Statement of Participant Supports is to include the following additional supports, in the form of modifications to the Applicant's residence:
- Construction of a concrete path to the right-hand side of the residence.
- Construction of a concrete path to the left-hand side of the residence.
- The installation of a mobility scooter charging point in the patio area.
- Widening of the rear garage door.
(b) The additional supports are to be constructed/installed as provided in the relevant building quotations as noted in this decision.
(c) All other supports in the Applicant's current Statement of Participant Supports, excepting any one-off assistive technology and home modification supports already provided, are to be replicated from the date on which the supports specified in paragraph (a) are included in the Applicant's Statement of Participant Supports until the reassessment date.
NATIONAL DISABILITY INSURANCE SCHEME - adult participant - reduced functional mobility - reasonable and necessary supports - complex home modifications - construction of concrete pathways - door widening - decision under review set aside and matter remitted to Respondent to include specified supports in Applicant's Statement of Participant Supports.
National Disability Insurance Scheme (Supports for Participants) Rules 2013
National Disability Insurance Scheme (Getting the NDIS back on Track No.1) (NDIS Supports) Transitional Rules 2024
National Disability Insurance Scheme (Getting the NDIS Back on Track No. 1) (Miscellaneous Provisions) Transitional Rules 2024
Beezley v Repatriation Commission [2015] FCAFC 165
Drake v Minister for Immigration and Ethnic Affairs (1979) 2 ALD 60
G v Minister for Home Affairs [2019] FCAFC 79
McGarrigle v National Disability Insurance Agency [2017] FCA 308
National Disability Insurance Agency and Warwick [2025] FCAFC 100
National Disability Insurance Agency v WRMF [2020] FCAFC 79
QGRY and National Disability Insurance Agency [2025] ARTA 598
Re Drake and Minister for Immigration and Ethnic Affairs (No. 2) (1979) 2 ALD 634,
Shi v Migration Agents' Registration Authority [2008] HCA 31; (2008) 235 CLR 286
Sutherland v National Disability Insurance Scheme [2024] AATA 411
Warwick v National Disability Insurance Agency [2024] FCA 16
National Disability Insurance Scheme Operational Guidelines - 'Reasonable and Necessary Supports' and 'Home Modifications'
National Disability Insurance Scheme policy - 'Home modifications - Guidance for builders and designers' Version 2.0, September 2022
PROCEDURAL HISTORY OF THE TRIBUNAL'S REVIEW AND ISSUES IN THE REVIEW
The duty of the Tribunal is to satisfy itself whether a decision in respect of which an application for review is duly instituted is a decision which, in its view, was objectively the right one to be made.[13]
The Tribunal effectively 'stands in the shoes' of the maker of the decision under review.[14] In undertaking its review, the Tribunal may exercise all of the powers and discretions that are conferred on the maker of the decision under review.[15] Also, the Tribunal may consider materials additional to those that were before the decision-maker.[16]
Section 3(3)(b) provides that in giving effect to the objects of the NDIS Act, regard is to be had to the need to ensure the financial sustainability of the NDIS.
Section 4 of the NDIA Act provides a number of general principles to guide actions under the Act. They include the following:
4 General principles guiding actions under this Act
(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.
(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.
(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.
(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.
17A Principles relating to the participation of people with disability
(1A) In performing the CEO's functions and exercising the CEO's powers under this Chapter, the CEO must have regard to the principles in this section.
(1) People with disability are assumed, so far as is reasonable in the circumstances, to have capacity to determine their own best interests and make decisions that affect their own lives.
(2) People with disability will be supported in their dealings and communications with the Agency so that their capacity to exercise choice and control is maximised.
(3) The National Disability Insurance Scheme is to:
(a) respect the interests of people with disability in exercising choice and control about matters that affect them; and
(b) enable people with disability to make decisions that will affect their lives; and
(c) support people with disability to participate in, and contribute to, social and economic life.
(4) The principles in this section are in addition to the principles in section 4 to which the CEO is to have regard in performing the CEO's functions and exercising the CEO's powers under this Act.
... the supports to be provided to a person who qualifies as a participant are intended to accommodate an individual's particular impairments and to assist that particular individual to be a participating member of the Australian community, and to do so on the basis of the values set out in the objects and guiding principle clauses of the Act, as well as the values set out in section 17A of the Act.[21]
31 Principles relating to plans > > The preparation, variation, reassessment and replacement of a participant's plan, and the management of the funding for supports under a participant's plan, should so far as reasonably practicable: > > (a) be individualised; and > > (b) be directed by the participant; and
(c) where relevant, consider and respect the role of family, carers and other persons who are significant in the life of the participant; and
(ca) where relevant, recognise and respect the relationship between participants and their families and carers; and
(d) strengthen and build capacity of families and carers to support participants who are children; and
(da) if the participant and the participant's carers agree - strengthen and build the capacity of families and carers to support the participant in adult life; and
(e) consider the availability to the participant of informal support and other support services generally available to any person in the community; and
(f) support communities to respond to the individual goals and needs of participants; and
(g) be underpinned by the right of the participant to exercise control over his or her own life; and
(h) advance the inclusion and participation in the community of the participant with the aim of achieving his or her individual aspirations; and
(i) maximise the choice and independence of the participant; and
(j) facilitate tailored and flexible responses to the individual goals and needs of the participant; and
(k) provide the context for the provision of disability services to the participant and, where appropriate, coordinate the delivery of disability services where there is more than one disability service provider.
The supports that will be funded or provided under the National Disability Insurance Scheme may be specifically identified in the plan or described generally, whether by reference to a specified purpose or otherwise.
(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 section 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.
(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.
(a) the time at which the disability requirements or the early intervention requirements need to be met is the time the CEO decides to approve the statement of participant supports; and
(b) a participant's disability support needs arising from an impairment in relation to which the participant meets the disability requirements or the early intervention requirements may be affected by a variety of factors, including environmental factors or the impact of another impairment in relation to which the participant does not meet either of those requirements.
Whether a support is "reasonable" requires a different assessment to whether a support is "necessary". Again, it is not necessary in the context of this proceeding to be definitive about the nature and extent of the meaning of the phrase, or its components. It is enough to observe that using the concept of necessity would appear to tie one aspect of the CEO's assessment to an evaluation of the kinds of factors set out in s 34(1)(a) and (b) and (d). The word "reasonable" would appear to be directed at factors such as those set out in s 34(1)(c) and (f). That is not to say the meaning of each word is exhausted by the factors set out in s 34(1): rather, it is to illustrate the different work that each concept does as an adjective in the phrase "reasonable and necessary supports".
Relevantly to this proceeding, the factor set out in s 34(1)(e) ("funding or provision of the support takes account of what it is reasonable to expect families, carers, informal networks and the community to provide") goes to both whether a support is "reasonable" (in the sense of it being subject to provision or funding by the Agency) as well as whether it is "necessary" (in the sense of whether it is a support that cannot be provided by others).
In my opinion, the text and context of s 33(5)(c), read with s 34(1) indicates that the CEO (or the delegate or Tribunal) must either be satisfied that a support has the character of being a reasonable and necessary support, or that it does not. Once a support is identified and described (to take an example away from this case, speech therapy lessons three times a week), then the question for the CEO (or the delegate or Tribunal) is whether she or he is satisfied that support, as identified, is reasonable and necessary for that particular participant. It may be open to the CEO to be satisfied that a differently identified support is reasonable and necessary: in this example, speech therapy lessons once a week. That determination can only be made on the basis of probative evidence.[23]
The phrase is a composite phrase. We accept the Agency's submissions that each limb of the phrase should be given work to do. That task is not difficult, or complicated, with these two particular words, which are readily understood as conveying different meanings. However, the Parliament has chosen to use a composite phrase rather than to stipulate two distinct requirements, and therefore, as Gleeson CJ cautioned in XYZ v Commonwealth [2006 HCA 25; (2006) 227 CLR 532 at [19], '[t]here are many instances where it is misleading to construe a composite phrase simply by combining the dictionary meanings of its component parts'. > > In our opinion, such a danger is present on the construction arguments presented by the Agency. Both adjectives qualify the noun 'support', but they do so as a composite phrase. It is not fruitful to split them off and consider them separately, just as it is neither fruitful nor appropriate to attempt any exhaustive or authoritative judicial definition of them. > > Nevertheless, there is no doubt that the contextual use of the phrase in this Act links it to public funding to be provided to a participant. In that context, the phrase connotes supports which meet a threshold which justifies - by reference to the context, objects and guiding principles of the Act and the facts of the case - the expenditure of public funds for that support, for a particular participant. As we have already explained, the phrase also needs to be understood taking into account what has qualified a person as a participant, and the links between a person's impairment and their full participation in the community, in the same variety of ways as persons without a disability might choose to participate. It is not accidental, in our opinion, that Parliament has chosen the term 'participant' to describe individuals who will receive funded support: the choice of that term reinforces, as we have sought to explain, that the driving objective of this Act is the holistic, improved and increased participation by persons with disability in the life of their communities, and in life itself. > > ... > > Ultimately, as the Full Court in McGarrigle recognised, the statutory task of determining the contents of a participant's plan, and what are the reasonable and necessary supports, is a fact‑intensive exercise. More so than in many legislative schemes that confer an administrative benefit, the circumstances of each participant will vary greatly. The exercise is highly individualised. There will be an area of 'decisional freedom' (Minister for Immigration and Citizenship v Li at [28] (French CJ)) for the decision‑maker, about what supports fall within this description, given the circumstances of a particular individual. Provided no substantive legal error attends the choices made, it is possible for reasonable minds exercising the power under s 33(2) to differ. So too on merits review. [24]
(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.
209 The National Disability Insurance Scheme rules
(1) The Minister may, by legislative instrument, make rules called the National Disability Insurance Scheme rules prescribing matters:
(a) required or permitted by this Act to be prescribed by the National Disability Insurance Scheme rules; or
(b) necessary or convenient to be prescribed in order to carry out or give effect to this Act.
These Rules are made for the purposes of sections 33 and 34 of the Act.
These Rules are about assessment and determination of the reasonable and necessary supports that will be funded for participants under the NDIS.[25]
... to prescribe, in more detail than the broad criteria in section 33 and section 34, matters that may and may not be included in a statement of participant supports, or matters to which regard is to be had in the preparation or approval of the statement.
3.1 In deciding whether the support represents value for money in that the costs of
the supports 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
(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
(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
(a) published and refereed 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
3.4 In deciding whether funding or provision of the support takes account of what it is
reasonable to expect families, carers, informal networks and the community to
provide, the CEO is to consider the following matters:
(i) that it is normal for parents to provide substantial care and support for children; and
(ii) whether, because of the child's disability, the child's care needs are substantially greater than those of other children of a similar age; and
(iii) the extent of any risks to the wellbeing of the participant's family
(iv) whether the funding or provision of the support for a family would
improve the child's capacity or future capacity, or would reduce any risk to the child's wellbeing;
(c) for all participants - the desirability of supporting and developing the
potential contributions of informal supports and networks within their
Part 5 General criteria for supports, and supports that will not be funded or provided
5.1 A support will not be provided or funded under the NDIS if:
(a) it is likely to cause harm to the participant or pose a risk to others; or
(b) it is not related to the participant's disability; or
(c) it duplicates other supports delivered under alternative funding through the NDIS; or
(d) it relates to day-to-day living costs (for example, rent, groceries and utility
fees) that are not attributable to a participant's disability support needs.
5.2 The day-to-day living costs referred to in paragraph 5.1(d) do not include the
following (which may be funded under the NDIS if they relate to reasonable and
(a) additional living costs that are incurred by a participant solely and directly
(b) costs that are ancillary to another support that is funded or provided under
the participant's plan, and which the participant would not otherwise incur.
... (the Rules) are an important element of the legislative scheme, introducing the ability to modify the operation of ss 33 and 34 by, for example, excluding certain kinds of supports from inclusion in participant plans. It is through the Rules that the executive is able to implement, within the federalism constraints imposed in s 209, some policy decision-making about the nature and extent of supports to be provided or funded under the NDIS.[28]
(b) in accordance with reasonable adjustments required under a law dealing with discrimination on the basis of disability.
Her home is spread over two levels, with a garage separate to the primary house, a long driveway from the road/front gate to her front door, an inground pool, and various garden beds/greenhoused areas.[33]
Svetlana currently relies on assistive technology including a Zimmer hopper frame, crutches and wheelchair for all mobility. It is noted that she will also require a powered mobility device. She demonstrates extreme difficulty with all mobility due to rapid fatigue on exertion, reduced range of movement, decreased strength and very high pain levels. She uses a hired mobility scooter to access the outside of her home and requires manual wheelchair for inside access ... Svetlana added that the ability to access the entire perimeter of her home is very important for her health and safety, quality of life and ability to interact with her animals, family and property.[36]
She has extremely high risk of falls/entrapment. There are uneven ground/pebbles on the pathway access to perimeter of dwelling. Difficulty noted using hired scooter over this surface (high risk of tipping noted). Svetlana will require a suitable powered mobility device for all mobility.[37]
OT notes there are several gates that she must negotiate and observed her having extreme difficulty opening/closing and fitting mobility scooter through. OT recommends that 2 gates are modified/widened to allow PMD[38] access. This will ensure that Svetlana is able to continue with the task of caring for her animals with improved safety and independence.
OT also notes that the pathway access around dwelling is gravel/pebbles. OT observed Svetlana using her hired all terrain scooter over this surface and there is concern over scooter tipping on this uneven, moving surface. Provision of suitable 1200mm wide pathways are strongly recommended to allow Svetlana to continue to access her home and surrounding property with improved safety, independence and dignity. There is otherwise a very high risk of tipping and entrapment with potential risk of severe injury.[39]
From these documents it can be seen that, looking from the front of the home:
I would like to continue living in my own home and want to make it secure, safe, hazard free and wheelchair accessible.[44]
I would like to improve my daily function to safely engage in my day-today activities.
I would like to be able to reduce the effects my mental and physical state are having on my life.
I would like to increase my participation in the community to develop a socially valued role and meaningful place in the community.
I would like to retrain and develop my capacity to return to volunteer or employment.
I would like to improve my independence in all aspects of my life.
I would like to improve my health and wellbeing and increase my fitness.
I struggle with debilitating panic attacks, severe distress, memory loss and severe cognitive dysfunction, severe fatigue and severe 10/10 pain every day, there is no break from it all even for a minute! I do not plan my day around normal every-day activities, I plan my day around managing my pain levels, PTSD and cognitive symptoms, fatigue and distress. Dependent on the quality of sleep I had, the fatigue, mental/memory dysfunction and pain are exacerbated.[51]
Pain that I am experiencing on a daily basis 24/7 is UNRELENTING and causes me significant problems in my day to day life and severely impacts my quality of life. I am unable to perform most daily functioning, household and self-care tasks without extreme pain and fatigue/exhaustion, overwhelm and exacerbation of my already severe mental health symptoms. Most tasks cause me too much pain to be able to continue and I cannot complete them safely and efficiently. Inflammation causes fatigue and decline in daily functioning also. AS,[52] PsA (psoriatic Arthritis) are autoimmune inflammatory conditions in which pain is often worse at night, which means that I only get 2-3 hours stretch of sleep and then am awake for several hours each night.[53]
I can't walk without assistive technology (2 crutches, wheelchair, mobility scooter),
have to wear specially designed orthotic shoes at all times and cannot walk without
them at all, am extremely unbalanced and have fallen many times, on the stairs,
around my home, I cannot safely mobilise on any uneven surfaces, including grass, unsurfaced areas around my home, sand.[55]
Overall it is considered that without doubt that Ms Kuzio-Barnes' is severely restricted in all areas of her life due to her extensive, significant, and permanent medical conditions.[58]
I have been seeing Svetlana regularly through the NDIS for physiotherapy to manage her physical impairments, since January 2021 and saw her for a physiotherapy appointment today. I found her to be in severe pain and having great difficulty mobilising with 2 crutches due to the severe pain and inability to weight bear. She reports this is due to a fall which occurred 2 days ago when she was mobilising with 2 crutches on moving gravel outside her house. This is unsafe for her to be walking over moving gravel and is a high falls risk activity, which has now resulted in significant pain and injury, particularly to her sacro-iliac and lumbar spine joints. Ideally, Svetlana should be supervised while mobilising with 2 crutches, and she must never attempt to mobilise on crutches on any uneven, moving ground, particularly gravel, due to her extremely high falls risk.[60]
Anterior tilt - relevant for hip/pelvic positioning. Svetlana's disabilities are associated with permanent changes such as increasing bone fusion to her spine, meaning functionally that her postures are unique. Svetlana's only means to remain with comfortable seating is with
an anterior tilt position. This has been noted upon various trials and other seating (in which Svetlana generally struggles with). An anterior tilt function for Svetlana supports her self-esteem and posture which is unique as per her physical disabilities.
(N.B. Svetlana is aware that the seat height adjustability/i-level feature is unable to be used during travel unless on flat surfaces).[63]
A range of powered wheelchairs have been reviewed however one wheelchair which is able to accommodate all needs is unable to be identified, particularly given the terrains
within her home environment. She has a need for an all-terrain device in context of the outdoor surrounds of her home.[64]
... one of my goals is to continue living at my home and make it secure, hazard-free and wheelchair accessible. I understand that the NDIA is not supposed to provide everything that we request. But what I'm trying to say is my safety and independence and my ability to live my life with dignity and have quality of life is something the NDIA fully supports.
... the particular supports would help me with that and ... align with my goals ... and would allow me to continue living in my home safely and make it accessible with the use of mobility aids.[66]
... it is reasonable and necessary for me to be able to access the entire perimeter of my house, including the essential parts of the house, such as electrical circuit box, the entire garage (it is a separate building), the water pump which supplies water for the entire house, the green house, the water tank, the BBQ for when my daughters visit, the washing machine, etc.
I will be endangering myself on a daily basis if I were to attempt those areas without an adequate 1200mm concrete path.[67]
I have had several falls in the past year, most recent was when I attempted to mobilise from the front door onto loose gravel using two crutches. The crutches moved forward because of moving gravel and I fell backwards hitting concrete pavers with my pelvis, sit bone and lower back really hard. I couldn't get up by myself and it was evening so I had no support worker here.[71]
As stated in numerous reports, my physical and psychosocial disabilities significantly impact my ability to function at home, and my capacity to participate in daily activities. Provision of pathway would improve my daily functioning and improve my health and well-being through much needed social participation with my Social Worker, increased independence and will allow me to safely engage in daily activities with the help of my Social Worker and during the times that I am on my own.[77]
(d) would assist her to meet the goals in her plan; > > (e) would increase her social participation, through being able to engage in more activities on her property, and to engage more effectively with her support workers and therapists at her home.[79] > > (f) represent value for money: > > > (f) Unfortunately, there are no alternative supports with the same benefits achieved that will allow me to navigate my entire perimeter of my home with safety and independence whilst enjoying the social participation, animal therapy, carry out daily activities. I strongly believe, that I am entitled to exercise choice and control in how I spend my day and my disabilities should not prevent me from doing things I love, prevent me from essential social participation and outdoor therapies. Safely navigating the entire perimeter of my home will support me with managing my disabilities, prevent significant rapid functional decline and increase my quality of life. As stated above, it will increase my independence and will allow me to exercise choice and control.[80] > > Further, Ms Kuzio-Barnes noted:
There are significant safety risks involved in leaving me without the requested supports as it is likely to exacerbate my disabilities, extreme fatigue and cause me further decline in function which will cost the NDIS more long term.[81]
(g) would be effective and beneficial for her (for the reasons noted above);
(h) were reasonable and necessary, taking into account what her carers could provide, and noting that she received negligible informal support; and
(i) were most appropriately funded through the NDIS.
(aa) It was accepted that Ms Kuzio-Barnes' mobility restrictions arise from her physical and psychosocial impairments, which meet the disability requirements in section 24 of the NDIs Act. However, for the above reasons none of the supports in issue will assist Ms Kuzio-Barnes to gain any additional enjoyment or benefit from her property and hence the requested supports do not address 'needs' of Ms Kuzio-Barnes arising from those impairments,
(a) As none of the supports in issue will assist Ms Kuzio-Barnes to gain any additional enjoyment or benefit from her property, they will not assist her to pursue her goals, objectives and aspirations.
(b) Each of the home modifications would be used by Ms Kuzio-Barnes in her home, and thus would not facilitate her economic or community participation. While accepting that Ms Kuzio-Barnes' social participation does encompass her engagement in some activities with her support workers while they attend her home, Ms Kuzio-Barnes cannot engage in some of the activities the support workers undertake (such as hanging out the washing), and this inability does not reduce her social participation:
To the extent that her support workers are providing social engagement, that is most appropriately provided during activities in which the Participant can participate without restriction.
Further, as set out above, the Agency contends that the Right Path, Left Path, Patio Modifications and Garage Door Widening will not assist the Participant to engage in any activities with her support workers other than activities which are already accessible to her via other means.
(c) Rule 3.1(a) of the Support Rules requires the Tribunal to assess whether there are comparable supports which would achieve the same outcome at a substantially lower cost. The existing funded supports achieve the same outcome at no additional cost. Provision of the requested supports does not provide value for money.
(d) As none of the supports in issue will assist Ms Kuzio-Barnes to gain any additional enjoyment or benefit from her property, provision of them will not be effective and beneficial for Ms Kuzio-Barnes.
(e) Where the property is prone to becoming boggy or otherwise is of uneven terrain, any person would require paving to ensure safe access. To the extent that the requested supports are required due to the uneven nature of the terrain, providing safe access is a day-to-day living cost (Rule 5.1(d) of the Support Rules), arising for all homeowners, and it is reasonable for Ms Kuzio-Barnes as the homeowner to provide those items.
(f) To the extent that the requested supports are required due to the terrain and weather patterns, they are not 'NDIS supports', as they are day-to-day household living costs.[90] Otherwise it was accepted that the requested supports are NDIS supports, being encompassed in 'home modifications design and construction'.[91]
Additionally, pursuant to section 7 of the Miscellaneous Transitional Rules, the Agency did not contend that the requested supports are more appropriately funded by any general system of service delivery or support service.
I would definitely not be saying that you can mobilise using your walking sticks the way it is at the moment.
If there were to be larger scale modifications to the home, it would likely increase the ability to use a singular form of mobilised transport such as a wheelchair. If there was a path around all aspects of the home, you could navigate around the circumference of the home. If there was a form of threshold ramp at the front so that the wheelchair could wheel in and out, that would improve access, so you don't have to get out of one device and into another when entering or exiting the home.[96]
Home modifications are custom-built changes to your home to help you access and use areas of your home.
Home modifications can be minor changes like widening a doorway. Or they can be more complex, like changes involving a few areas in your home. For example, you might need to combine your bathroom and toilet to give you more room to use a hoist or shower chair.
The Tribunal also notes that the NDIS Home Modifications - Guidance for Builders and Designers policy[100] contains the following section:
To enable participants' safe and continuous access to their home.
If it's supported by clinical evidence, we can fund an external continuous accessible path of travel to enable the participant to safely enter and exit their home. The NDIS funding criteria allow for a pedestrian path of travel from the front boundary or the car parking area, to one accessible entrance of the dwelling.
5.1.1 A new path of travel is recommended to be:
The wheelchair was unable to accommodate functional sitting tolerances due to the anterior tilt not being able to exceed 5 degrees as per the wheelchair design. Svetlana has also noted that a larger degree of anterior tilt would enable her functionality such as an increased ability to experience ease of sit-stand transfers and grasping of items (forward reach).[106]
As per discussion and review of needs, it has specifically been identified that Svetlana has an essential need for the anterior tilt function to support pelvic positioning - this matter is of high relevance and it is noted that despite an array of alternative cushions and wheelchairs having been trialled, the recommended Permobil wheelchair (M3 suitable though M5 of preference due to higher general functionality) is the only wheelchair which is able to address needs. It is noted furthermore that there are currently minimal wheelchairs on the market that are able to accommodate more than 5 degrees of anterior tilt which Svetlana requires.[107]
A specific aid able to address the internal and external environments in one device, as required for Svetlana, has been unable to be identified. Where a wheelchair could be identified, this would not be able to be used in Svetlana's outdoor environment due to terrain limitations.[108]
(N.B. Alternative consideration of concrete footpath facilitation has occurred and been discussed with Svetlana, however has been eliminated due to the large size of her external property and her aims to partake in a range of tasks outdoors which do not align to concrete path facilitation being cost effective. A CHM[109] has elaborated on this matter).[110]
Whilst the Permobil M5 performed beautifully for Svetlana from a seating point of view, and getting around the inside of her home, it was not a practical chair for outdoor use on her property. In leading up to the trial it had rained so the ground was quite moist. This was the best time to do a trial so that we could see how it would handle this. Unfortunately it did not perform well at all. The ground was boggy in sections and the chair actually got stuck in some gravel/rocks not far from the front door.
Also, due to the desired seating position that Svetlana requires, this would not be deemed to be safe to travel around the property in this position.[111]
Excessively high cornering speeds can create the possibility of tipping. Factors which affect the possibility of tipping include, but are not limited to, cornering speed, steering angle (how sharply you are turning), uneven road surfaces, inclined road surfaces, riding from an area of low traction to an area of high traction (such as passing from a grassy area to a paved area - especially at high speed while turning), and abrupt directional changes. High cornering speeds are not recommended. If you feel that you may tip over in a corner, reduce your speed and steering angle (i.e., lessen the sharpness of the turn) to prevent your scooter from tipping.
Your scooter is designed to provide optimum stability under normal driving conditions - dry, level surfaces composed of concrete, blacktop, or asphalt. However, Pride recognises that there will be times when you will encounter other surface types. For this reason, your scooter is designed to perform admirably on packed soil, grass, and gravel. Feel free to use your scooter safely on lawns and in park areas.
Having improved access to the entirety of her home will likely be extremely positive
for her psychological wellbeing, as well as allowing her to engage in activities that she
has avoided (i.e. piano playing) due to an inability to access the appropriate areas of
That conspicuous feature of the examples confirms that one-off, remarkable, unforeseen, infrequent or extraordinary costs will not be excluded by the rule, even if they are costs that all or the majority of persons incur for the purposes of living.[129]
(b) in accordance with reasonable adjustments required under a law dealing with discrimination on the basis of disability.
[t]his would have broad reaching benefits to multiple areas of Ms Kuzio-Barnes' life through improving the ability of support services to engage with Ms Kuzio-Barnes, an improved feeling of safety/security within her home, and lastly in emergency situations would mean Ms Kuzio-Barnes is able to leave her property in a relatively efficient manner which is not the case presently.[131]
Further, the Tribunal notes that during Ms Haberley's evidence and in closing submissions the Agency's Counsel drew attention to the fact that Ms Haberley had not had any opportunity to evaluate alternative options regarding this support, such as moving the circuit box in the garage to a more accessible location, for example, inside Ms Kuzio-Barnes' house. Counsel submitted that the state of the evidence in this respect would present a difficulty in evaluating whether the requested support represented value for money, in that other alternatives might represent better value for money.
While those concerns are acknowledged, the Tribunal is persuaded that the requested support is reasonable and necessary for the reasons that have been noted, which go beyond the accessibility of the circuit box located inside the garage. These concerns do not support a finding that section 34(1)(c) is not met.
Participant will store her mobility scooter in lower level flyscreened patio area. There is no external charging power point that can be utilised.[136]
There is a current rural gate in place which keeps the sheep and chickens from entering the yard closer to the house. It has to stay. I need it automated so I can access the grassy area beyond it on my own, when I do not have support workers (who are with me 6 hrs/day) and/or family visiting. In particular, I want to be able to access this area in the cool of the morning, from 6am (when support workers don't start their shifts until later), and at the end of the day. It overlooks a dam and the sunset is beautiful from this spot. It is part of my property that I want to be able to access, and but for my disabilities I could. It allows me to do activities (exercise, play with my dogs) that keeps me both physically and mentally better (it helps my mental health ) - and good mental health facilitates my participation in community.
(j) The Applicant's current Statement of Participant Supports is to include the following additional supports, in the form of modifications to the Applicant's residence:
(k) The additional supports are to be constructed/installed as provided in the relevant building quotations as noted in this decision. > > (l) All other supports in the Applicant's current Statement of Participant Supports, excepting any one-off assistive technology and home modification supports already provided, are to be replicated from the date on which the supports specified in paragraph (a) are included in the Applicant's Statement of Participant Supports until the reassessment date.
I certify that the preceding one hundred and eighty-three (183) paragraphs are a true copy of the reasons for the decision herein of General Member W Strange.
[1] See section 21, National Disability Insurance Scheme Act 2024 (Cth).
[2] See section 24, National Disability Insurance Scheme Act 2024 (Cth).
[3] Exhibit 2, Joint Hearing Bundle (Hearing Bundle), Document 1, Agency's Statement of Facts, Issues and Contentions (Agency's SFIC), 12 November 2024, [6].
[4] Exhibit 1, T-Documents, Document T35, NDIS Plan (17 November 2022 to 17 November 2023), pages 171-185.
[5] T-Documents, Document T25, Extract of Interaction Notes, Review Request, 24 November 2022, page 143.
[6] T-Documents, Document T2, Internal Review Decision, 18 January 2023, pages 22-30.
[7] T-Documents, Document T1, Application for Review of Decision, 14 February 2023, pages 1-21.
[10] Exhibit 3, Radiology report, Dr Sowoweye, dated 14 February 2025.
[11] Exhibit 4, NDIS policy Home modifications guidance for builders and designers, Version 2.0, September 2022.
[12] This section and some of the following sections regarding the applicable law have been adapted from previous decisions of the Member.
[14] Shi v Migration Agents' Registration Authority [2008] HCA 31; (2008) 235 CLR 286, 324-325, 327 (Kiefel J).
[16] Shi (note 17) 300-301 (Kirby J); 314-315 (Hayne and Heydon JJ); 327-328 (Kiefel J).
[17] Beezley v Repatriation Commission [2015] FCAFC 165 [68], as applied in Sutherland v National Disability Insurance Scheme [2024] AATA 411 [53].
[19] The Agency addressed these matters in its SFIC, page 18.
[20] Item 132 of Schedule 1 of the National Disability Insurance Scheme Amendment (Getting the NDIS Back on Track No 1) Act 2024.
[21] National Disability Insurance Agency v WRMF [2020] FCAFC 79 (WRMF), at [141].
[22] 'General support' is defined in section 13(2) of the NDIS Act.
[23] McGarrigle v National Disability Insurance Agency [2017] FCA 308 (McGarrigle), at [91]-[93].
[25] This section is also repeated in Part 1 of the Support Rules.
[26] Which in turn reflect some of the requirements under section 34(1) of the Act.
[30] G v Minister for Home Affairs [2019] FCAFC 79, [18].
[31] Re Drake and Minister for Immigration and Ethnic Affairs (No. 2) (1979) 2 ALD 634, 645 (President Brennan J).
[32] Evidence of Ms Kuzio-Barnes, 24 March 2025. Other evidence indicated the home was built in 2007, meaning that the period of Ms Kuzio-Barnes residing there was approximately 18 years, rather than 20.
[33] Hearing Bundle, Document R1, Report of Mr Chris O'Dowd, 1 November 2023, pages 1216-1265 (Mr O'Dowd's report), at page 1226.
[34] Hearing Bundle, Document A39, NDIS Complex Home Modification form, completed by Ms Elizabeth Haberley, Occupational Therapist, dated 29 November 2023, pages 792-817.
[35] Hearing Bundle, Document A40, Brief for Building Works Contractor, RAR Therapy (Ms Elizabeth Haberley), dated 29 November 2023, pages 818-826.
[36] Hearing Bundle, Document A39, NDIS Complex Home Modification form, 29 November 2023, page 808.
[39] Hearing Bundle, Document A39, NDIS Complex Home Modification form, page 110.
[40] Hearing Bundle, Document A64, Diagram of Ms Kuzio-Barnes' property, 30 August 2024, page 947.
[42] Hearing Bundle, Agency's SFIC, pages 5-6.
[43] Hearing Bundle, Document R6, NDIS Plan, 11 June 2024, pages 1392-1406.
[45] Hearing Bundle, Document 3, Applicant's Response to the Agency's Statement of Facts, issues and Contentions, pages 26-37.
[46] Hearing Bundle, Document A31, Statement of Participant Lived Experience (Ms Kuzio-Barnes), 22 June 2023, pages 721-763.
[47] Hearing Bundle, Document A1, Report of Clinical Psychologist, 12 May 2020, pages 317-322.
[48] Ms Kuzio-Barnes gave evidence on 24 March 2025 that she was no longer using her walker.
[49] World Health Organisation Disability Assessment.
[50] See (for example) Hearing Bundle documents A10 (Report of Occupational therapist Ms Alana Thorpe, 8 November 2022, pages 364-375); A13 (Report of Psychologist, Ms Yvette Kerr, 25 November 2022, page 396); A19 (Medical reports and records of Ms Kuzio-Barnes' General Practitioner Dr Sarita Gurung, 3 April 2024, pages 409-450); A28 (Physiotherapy Report, Ms Rachael Tassoti, 18 May 2023, pages 690-694); A71 and A72 (two collections of reports from treating doctors and allied health professionals), pages 1005-1059 and 1060-1186; and R1, Mr O'Dowd's report, pages 1216-1265.
[51] Hearing Bundle, Document A31, Statement of Participant Lived Experience (Ms Kuzio-Barnes), 22 June 2023, page 723.
[52] This is a reference to Ankylosing Spondylitis.
[53] Hearing Bundle, Document A31, Statement of Participant Lived Experience (Ms Kuzio-Barnes), 22 June 2023, pages 724-725.
[58] Hearing Bundle, Mr O'Dowd's report, page 1238.
[59] Evidence of Ms Kuzio-Barnes, 24 March 2025.
[60] Hearing Bundle, Document A79, Letter from Physiotherapist (Ms Rachael Tassoti), 4 December 2024, page 1215
[61] Hearing Bundle, Document A56, Ausnorth Building and Construction quote, 19 March 2024, pages 911-920.
[62] Hearing Bundle, Document A48, NDIS Assistive Technology Assessment form, completed by Ms Alana Thorpe, submitted 15 February 2025, pages 854-889.
[64] Hearing Bundle, Document A49, Letter from Occupational Therapist Ms Alana Thorpe, 15 February 2025, pages 890-893, at page 891.
[65] Agency's SFIC, Attachment A, pages 13-14.
[66] Evidence of Ms Kuzio-Barnes, 24 March 2025.
[67] Hearing Bundle, Document A63, Written submissions by Ms Kuzio-Barnes, 30 August 2024, pages 940-946, at page 940.
[68] Ibid, page 941; Ms Kuzio-Barnes gave evidence on 24 March 2025 that she receives support worker assistance in her home for 6 hours per day, between 7am and 1pm.
[69] Evidence of Ms Kuzio-Barnes, 24 March 2025.
[70] Ibid, pages 942-943; Hearing Bundle, Document A3, Ms Kuzio-Barnes' response to the Agency's SFIC, 21 February 2025, pages 26-37, and evidence of Ms Kuzio-Barnes, 24 March 2025.
[71] Hearing Bundle, Document A3, Ms Kuzio-Barnes' response to the Agency's SFIC, pages 29-30.
[72] Hearing Bundle, Document A63, Written submissions by Ms Kuzio-Barnes, pages 942-943.
[73] Evidence of Ms Kuzio-Barnes, 24 March 2025 and Hearing Bundle, Document A3, Ms Kuzio-Barnes' response to the Agency's SFIC, at pages 29-34.
[74] Hearing Bundle, Document A3, Ms Kuzio-Barnes' response to the Agency's SFIC, at page 30; and Hearing Bundle, Document A63, Written submissions by Ms Kuzio-Barnes, page 942.
[75] Evidence of Ms Kuzio-Barnes, 24 March 2025.
[76] Hearing Bundle, Document A3, Ms Kuzio-Barnes' response to the Agency's SFIC, page 37.
[77] Hearing Bundle, Document A63, Written submissions by Ms Kuzio-Barnes, page 945.
[78] Noting that Ms Kuzio-Barnes' written and oral submissions were largely prepared either prior to the October 2024 amendments, or without knowledge of those amendments, and therefore reflected section 34 as it read prior to those amendments.
[79] Hearing Bundle, Document A63, Written submissions by Ms Kuzio-Barnes, pages 945-946.
[80] Hearing Bundle, Document A63, Written submissions by Ms Kuzio-Barnes, page 946.
[82] Hearing Bundle, Document A1, Agency's SFIC, [27], noting Mr O'Dowd's report at page 1243 of the Hearing Bundle.
[90] See the Transitional Rules; Schedule 2, Item 1, supports (c) and (e).
[92] These two documents were respectively Hearing Bundle Documents A39 and A40. Both documents were dated 29 November 2023.
[93] On 13 November 2023 (Hearing Bundle, Document A39, NDIS Assessment template - Complex home modifications, page 794).
[94] Hearing Bundle, Document R1, pages 1216-1265.
[95] Hearing Bundle, Document A79, page 1215.
[96] As noted, during the course of the review the Agency agreed to fund home modifications in the form of ramp access to the front and rear of Ms Kuzio-Barnes' home.
[98] The Guidelines published by the NDIS can be viewed at Our Guidelines | NDIS
[99] QGRY and National Disability Insurance Agency [2025] ARTA 598, at [98].
[101] Hearing Bundle, Document A65, Ausnorth Building and Construction quote, 23 October 2024, pages 948-950.
[102] Evidence of Mr O'Dowd, 24 March 2025.
[103]Hearing Bundle, Document A10, Report of Occupational Therapist (Ms Alana Thorpe) dated 8 November 2022, pages 364-375, at page 374.
[104] Hearing Bundle, Mr O'Dowd's report, page 1246.
[105] Hearing Bundle, Document A48, Assistive Technology Assessment (completed by Ms Alana Thorpe) 15 February 2024, pages 854-889.
[110] Hearing Bundle, Document A48, Assistive Technology Assessment (completed by Ms Alana Thorpe), page 874.
[111] Hearing Bundle, Document A51, Email form Ms Kuzio-Barnes, 21 February 2024, pages 896-900, at page 898.
[113] Hearing Bundle, Document R2, Permobil M3 Owner's Manual. Pages 1266-1341, at page 1295.
[114] Hearing Bundle, Document A3, Ms Kuzio-Barnes' Response to the Agency's SFIC, at pages 32-34.
[115] The full sections of the relevant excerpts from the manual are reproduced, for context.
[116] Hearing Bundle, Document A66, Pathrider 140XL owner's manual, pages 951-997, at pages 962-963. The Tribunal notes also that a specifications document and specifications chart for this scooter were also in evidence, being Hearing Bundle documents R4 and R6, at pages 1389-1390 and 1391 respectively.
[117] There is also an area on the left side of the house that adjoins some gravel - see Hearing Bundle, Document A64, Diagram of Ms Kuzio-Barnes' house, page 947.
[118] Hearing Bundle, Agency's SFIC, page 7.
[119] Closing submissions of Counsel for the Agency, 25 March 2025 and the Agency's SFIC, [43]
[121] Hearing Bundle, Document A63, Written submissions by Ms Kuzio-Barnes, 30 August 2024, at page 945.
[122] Closing submissions of the Applicant, 25 March 2025.
[123] Hearing Bundle, Document R6, NDIS Plan, 11 June 2024, page 1397.
[124] Hearing Bundle, Document A65, Ausnorth Building and Construction quote, 23 October 2024, pages 948-950.
[125] See Hearing Bundle, Document A56, Quote by Ausnorth Building and Construction, 19 March 2024, pages 911-920, at page 917.
[127] The Tribunal notes that some of these costs are now expressly addressed by the National Disability Insurance Scheme (Getting the NDIS back on Track No.1) (NDIS Supports) Transitional Rules 2024.
[128] Warwick v National Disability Insurance Agency [2024] FCA 16, at [15].
[129] National Disability Insurance Agency v Warwick [2025] FCAFC 100, at [66].
[130] Under the National Disability Insurance Scheme (Getting the NDIS back on Track No.1) (NDIS Supports) Transitional Rules 2024 Schedule 2, Item 1, supports (c) and (e).
[132] Hearing Bundle, Document A65, Ausnorth Building and Construction quote, 23 October 2024, page 949.
[133] Agency's SFIC, Item 7 in the table at [20].
[134] Evidence and oral submissions of Ms Kuzio-Barnes, 24 and 25 March 2025.
[135] Evidence of Ms Haberley, 25 March 2025.
[136] Hearing Bundle, Document A40, Report to Builders (Ms Haberley), pages 821-822.
[137] Hearing Bundle, Document 3, Ms Kuzio-Barnes' Response to the Agency's SFIC, page 30.
[138] Hearing Bundle, Document R3, Pathrider 140XL Owner's' Manual, page 975.
[140] See in particular Hearing Bundle, Document A40, Report to Builders (by Ms Elizabeth Haberley) at page 825.
(2008) 235 CLR 286
(2006) 227 CLR 532