austlii:cth/ARTA/2026/272
General information, not legal advice.
ARTA
2026-02-27
Senior Member J
Original judgment source is linked above.
Rahmani and CEO, National Disability Insurance Agency (NDIS) [2026] ARTA 272 (27 February 2026)
Respondent: CEO, National Disability Insurance Agency
Decision: Pursuant to subsection 105(a) of the _Administrative Review Tribunal Act 2024 (_Cth), the Tribunal affirms the decision under review.
NATIONAL DISABILITY INSURANCE SCHEME - access - physical impairments - psychosocial impairments - whether applicant meets disability requirements - NDIS Act s24(1)(c) - whether impairments substantially reduce functional capacity - communication - social interaction - mobility - learning - self-care - NDIS Act s25 - whether applicant meets early intervention requirements - decision under review affirmed.
National Disability Insurance Scheme Act 2013 (Cth_) sections 21,22, 23, 24, 27, 29_
National Disability Insurance Scheme (Becoming a Participant) Rules 2016 (Cth)
G v Minister for Home Affairs [2019] FCAFC 79
G v Minister for Immigration and Border Protection [2018] FCA 1229
National Disability Insurance Agency v Davis [2022] FCA 1002
Mulligan v National Disability Insurance Agency [2015] FCA 544; (2015) 233 FCR 201
Re Drake and Minister for Immigration and Ethnic Affairs (No 2) [1979] 24 ALR 577
Re Schwass and National Disability Insurance Agency [2019] AATA
Rooney and National Disability Insurance Agency [2021] AATA 3523
PNCB v CEO, National Disability Insurance Agency [2026] ARTA 66
Madelaine v National Disability Insurance Agency [2020] AATA 4025
Kilgallin v National Disability Insurance Agency [2017] AATA 186
Garcia Albiol v National Disability Insurance Agency [2024] AATA 496
Moxham v National Disability Insurance Agency [2025] ARTA 290
National Disability Insurance Agency v Lampard [2025] FCAFC 139
Burrows v CEO, National Disability Insurance Agency [2025] ARTA 607
Sutherland v National Disability Insurance Agency [2026] FCA 3
NDIS - Applying to the NDIS access guidelines - 10 December 2024
International Classification of Functioning Disability and Health
despite all documents i have provided by 2 doctors and 2 spinal surgeon 2 physiotherapists base on my disability and permanent injury that i have which have stopped me from any activities they have rejected me and claim they don't think injury is permanent and all available treatment option has been done. I would like to talk on the phone or in person to get in details about that. Thanks'
(1) A person meets the access criteria if:
(a) the CEO is satisfied that the person meets the age requirements (see section 22); and
(b) the CEO is satisfied that, at the time of considering the request, the person meets the residence requirements (see section 23); and
(c) the CEO is satisfied that, at the time of considering the request:
(i) the person meets the disability requirements (see section 24); or
(ii) the person meets the early intervention requirements (see section 25).
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(a) the person has a disability that is attributable to one or more intellectual, cognitive, neurological, sensory or physical impairments or the person has one or more impairments to which a psychosocial disability is attributable; and
(b) the impairment or impairments are, or are likely to be, permanent; and
(c) the impairment or impairments result in substantially reduced functional capacity to undertake one or more of the following activities:
(i) communication;
(ii) social interaction;
(iii) learning;
(iv) mobility;
(v) self-care;
(vi) self-management; and
(d) the impairment or impairments affect the person's capacity for social or economic participation; and
(e) the person is likely to require support under the National Disability Insurance Scheme for the person's lifetime.
(a) the person: > > > (i) has one or more identified intellectual, cognitive, neurological, sensory, or physical impairments that are, or are likely to be, permanent; or > > > > (ii) has one or more identified impairments to which a psychosocial disability is attributable and that are, or are likely to be, permanent; or > > > > (iii) is a child who has developmental delay; and > > (b) the CEO is satisfied that provision of early intervention supports for the person is likely to benefit the person by reducing the person's future needs for supports in relation to disability; and > > (c) the CEO is satisfied that provision of early intervention supports for the person is likely to benefit the person by: > > > (i) mitigating or alleviating the impact of the person's impairment upon the functional capacity of the person to undertake communication, social interaction, learning, mobility, self-care or self-management; or; > > > > (ii) preventing the deterioration of such functional capacity; or > > > > (iii) improving such functional capacity; or > > (d) strengthening the sustainability of informal supports available to the person, including through building the capacity of the person's carer.
(1A) For the purposes of subparagraph (1)(a)(i) or (ii), an impairment or impairments that are episodic or fluctuating may be taken to be permanent despite the episodic or fluctuating nature of the impairments.
(2) The CEO is taken to be satisfied as mentioned in paragraphs (1)(b) and (c) if one or more of the person's impairments are prescribed by the National Disability Insurance Scheme rules for the purposes of this subsection.
(3) Despite subsections (1) (2), the person does not meet the early intervention requirements if the CEO is satisfied that the early intervention support for the person is not most appropriately funded or provided through the National Disability Insurance Scheme and is more appropriately funded or provided through other general systems of service delivery or support services offered by a person, agency or body, or through systems of service delivery or support services offered:
(a) as part of a universal service obligation; or
(b) in accordance with reasonable adjustments required under a law dealing with discrimination of the basis of disability.
Justice or injustice is not found within a policy. It is found by looking at the overall circumstances of an individual's case with the principal focus bring on the purpose and context of the statutory power, not the executive policy framed to guide it.[12]
(a) A psychosocial impairment as a direct result of chronic pain which involves the following impairments: > > * a reduced capacity to engage in activities of daily living, including work, study or manage his life; > * severe depression and anxiety; > * adjustment disorder with depressed mood; > * a reduced capacity to socialise.[15] > > (b) physical impairments due to chronic and severe lower back pain with right-sided radiculopathy (nerve pain radiating down leg) as a consequence of Grade 1 spondylolisthesis of L4 on L5, with severe bilateral foraminal narrowing compressing the exiting nerve roots.[16]
(a) Mr Rahmani's physical and psychosocial impairments are permanent for the purposes of subsection 24(1)(b) of the NDIS Act;[24] > > (b) Any of Mr Rahmani's impairments result in a reduced functional capacity in the activities of social interaction, self-care, self-management, learning, communication and mobility for the purposes of subsection 24(1)(c) of the NDIS Act;[25] > > (c) Mr Rahmani is likely to require support under the scheme for his lifetime for the purposes of subsection 24(1)(e) of the NDIS Act.[26]
In my opinion, Mr Rahmani would benefit from prescription of the serotonergic and noradrenergic reuptake inhibitor (SSRI), Duloxetine, since this drug has been shown to be of benefit in treating patients suffering from mood disturbance associated with chronic pain.'
Mr Rahmani should remain on the dose of this drug which brings about full remission in symptoms of Adjustment Disorder with depressed mood for 12 months thereafter. It is therefore likely that the course of treatment with Duloxetine will be at least 16 months. [44](Tribunal emphasis)
Mr Rahami would benefit from treatment with a hypnotic agent, for example Zopiclone, in order to assist him with sleep'.[45]
'feels he has a strong understanding of his pain and what is likely to help his situation, and as a result was unwilling to consider the supports that PRC has to offer...'
'When asked what he would like/thinks would work Soheil reports that home help (cooking, cleaning, transport, finances) would be of most assistance, and as a result he is pursuing NDIS application and appeal.
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After a long discussion we agreed that there was nothing further the persistent pain team could offer him at this time.
He was content with this outcome and did not wish to attend further follow up.
**_Does Mr Rahmani have a disability which is attributable to one or more intellectual, cognitive, neurological, sensory or physical impairments?
Does Mr Rahmani have one or more impairments to which a psychosocial disability is attributable?_**
Subsection 24(1)(c): Do Mr Rahmani's impairments result in a 'substantially reduced functional capacity' for him to engage in the activities of communication, social interaction, learning, mobility, self-care and self-management?
Using the concept of impairment enables assessment of the severity and permanency of a person's condition, and of the effects of that condition through not only the evidence of an applicant, but also medical and clinical evidence. The legislative scheme contemplates a relatively high degree of precision by decision-makers (see, for example, the six activities in s 24(1)(c)) in assessing what a person can or cannot do. The assessment to be undertaken is avowedly functional, and multi-faceted. > > ------ > > ... No decision-maker need be satisfied a person's impairment is "serious", or more serious than another person's. No qualitative judgments in that sense are called for. Rather, the legislative scheme is based on a functional, practical assessment of what a person can and cannot do. (Tribunal emphasis)
While it is necessary to assess the person's functional capacity with respect to "the bundle of tasks and actions forming the concept of 'self-care'" (Foster at [65]), the fact that the person remains capable of carrying out some tasks and actions does not itself prevent him or her from meeting s 24(1)(c).[55]
a "functional, practical assessment" of what Ms Sutherland could and could not do in relation to various tasks and actions within the concept of self-care'[56]
'assume that there is a dichotomy between the tasks or actions that may be relevant to the activities of mobility and self-care respectively.'[57]
'In assessing whether Ms Sutherland had substantially reduced functional capacity to undertake the activity of self-care, it was permissible for the Tribunal to have regard to the impact of her limited mobility on the bundle of tasks that comprise self-care, which include personal care, hygiene, showering or bathing, and going to the toilet (see, for example, the description set out in the Operational Guidelines extracted at T [90])[58]
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Accordingly, the effect of an impairment on a person's mobility may be relevant to the ability to carry out tasks or actions that form part of the activity of self-care. The fact that the impairment does not result in a substantially reduced functional capacity to undertake the activity of "mobility" per se (which was described in the Operational Guidelines as encompassing "how easily you move around your home and community, and how you get in and out of bed or a chair" or "how you get out and about and use your arms and legs" (T [80])) does not mean that any such limitations on mobility must be ignored when considering whether the person has substantially reduced functional capacity to undertake "self-care".[59]
When considering whether a fluctuating or episodic impairment results in substantially reduced functional capacity to undertake relevant activities, the NDIA will consider the impact on the person's ability to function in the periods between acute episodes.
Your needs might go up and down each day or each month. Progressive Multiple Sclerosis (MR) can be a good example of this. We consider your ability over time, taking into account your ups and downs.
You may be eligible under the disability requirements if you have one or more impairments that are likely to be permanent and this substantially impacts your ability to do daily life activities. > > ................ > > Your impairment means you have a substantially reduced functional capacity to do one or more daily life activities. These activities include moving around, communicating, socialising, learning, undertaking self-care, or self-management tasks.
I do have a substantial reduction in functional capacity in all areas of my life. The Agency's position relies almost entirely on a single, flawed functional capacity assessment, while ignoring a mountain of contradictory evidence from my treating doctors, specialists, and physiotherapists who have known me for years.[69]
Communicating - how you speak, write, or use sign language and gestures, to express yourself compared to other people your age. We also look at how well you understand people, and how others understand you.
- expressive language tasks (how you speak, write or use sign languages and gestures to express yourself and how others understand you); and
- receptive language tasks (how well you understand people).
Socialising - how you make and keep friends or interact with the community...We also look at your behaviour, and how you cope with feelings and emotions in social situations.
Social interaction as referred to in 24(1)(c)(ii) doesn't, in our view, mean social interaction with the whole of the community. It means social interaction with elements of the community, sections of the community.
- tasks associated with making and keeping friends,
- tasks associated with interacting with other people in the community (who are not friends),
- tasks associated with behavioural and emotional regulation in a social context.
Learning - how you learn, understand and remember new things, and practise and use new skills
- tasks associated with acquiring knowledge, skills or understanding (how you learn, how you practice and use new skills),
- tasks associated with cognition (how you understand),
- tasks associated with memory (how you remember things).
Mobility, or moving around - how easily you move around your home and community, and how you get in and out of a bed or a chair. We consider how you get out and about and use your arms or legs.
A person has functional capacity if they can move about their home, get in and out of a bed or a chair, and mobilise in the community. Movement in the home does not need to be achieved by walking, a person might even crawl from room to room. The Concise Oxford Dictionary defines mobile as moveable, not fixed, free to move. > > The use of the phrase move around ... to undertake ordinary activities of daily living in the Guideline is significant. It implies some expectation of how far a person needs to be able to move to undertake ordinary daily activities, say, getting to the bathroom to wash or toilet, getting to the kitchen to prepare food, perhaps getting to the front letterbox to collect mail. Implicit in this concept is that the distances involved will be relatively short. Significantly, the concept does not include being able to move around in the community for the purpose of accessing services, such as shops, the bus stop or the local park - the phrase moving about in the community is not qualified in the same way that move about the home is qualified by to undertake ordinary activities of daily living. To define mobility by the ability to reach local services would be to make it a function of where one lived. A better application of the concept is to ask whether a person can move about in shops or a park once they have reached them, say by car or public transport. > > No particular distance is specified in the Guideline as defining this level of mobility, but it seems reasonable to suggest that a person who can travel 50 m by herself has the capacity to do the things referred to in the Guideline.
- tasks associated with moving around within the home,
- tasks associated with moving around within the community (how you get out and about),
- tasks associated with getting in and out of bed, and
- tasks associated with getting in and out of a chair.
Self-care - personal care, hygiene, grooming, eating and drinking, and health. We consider how you get dressed, shower or bathe, eat or go to the toilet.
Self-management - how you organise your life. We consider how you plan, make decisions, and look after yourself. This might include day-today tasks at home, how you solve problems, or manage your money. We consider your mental or cognitive ability to manage your life, not your physical ability to do these tasks.
- cognitive tasks associated with personal organisation,
- cognitive tasks associated with personal planning,
- cognitive tasks associated with personal decision-making,
- cognitive tasks associated with problem solving, and
- cognitive tasks associated with personal financial management.
Conclusion - subsection 24(1)(c) of the NDIS Act
Section 25 NDIS Act: The Early Intervention Requirements
[3] National Disability Insurance Agency v Lampard [2025] FCAFC 139 at [19].
[4] Subsection 21(1)(a) of the NDIS Act, Respondent's FSIC at [17].
[5] Subsection 21(1)(b) of the NDIS Act, Respondent's FSIC at [17].
[7] National Disability Insurance Agency v Foster [2023] FCAFC 11 at [62], National Disability Insurance Agency v Lampard [2025] FCAFC 139 at [40].
[8] National Disability Insurance Agency, Applying to the NDIS 10 December 2024.
[9] G v Minister for Home Affairs [2019] FCAFC 79 at [18].
[10] Re Drake and Minister for Immigration and Ethnic Affairs (No 2) [1979] 24 ALR 577 at [590].
[11] G v Minister for Immigration and Border Protection [2018] FCA 1229.
[13] National Disability Insurance Agency v Davis [2022] FCA 1002 at [42].
[14] Mulligan v National Disability Insurance Agency [2015] FCA 544; (2015) 233 FCR 201 at [55] cited in Re Schwass and National Disability Insurance Agency [2019] AATA 28 at [29]; National Disability Insurance Agency v Davis [2022] FCA 1002 at [61].
[15] Applicant's statement dated 17 September 2025, Applicant's confirmation Day 1 of hearing.
[16] Applicant's confirmation Day 1 of hearing.
[17] Opening submissions by Applicant - Day 1 of hearing.
[18] Opening submissions by Applicant - Day 1 of hearing.
[19] Applicant's statement dated 17 September 2025 at 1.3.1.
[21] Exhibit 3 - List of Impairments. Report Dr Michael Likely - T13.
[22] Burrows v CEO NDIA [2025] ARTA 607 at [26].
[24] Respondent's SFIC at [26] and [36].
[26] Respondent's SFIC at [88], Respondent's opening submissions.
[41] Shower chair at approximately $100-$150; long handled sponge at $10.00
[52] NDIA v Lampard [2025] FCAFC 139 at [51].
[53] NDIA v Lampard [2025] FCAFC 139 at [41]
[54] Burrows v NDIA at [87] cited with approval in National Disability Insurance Agency v Lampard [2025] FCAFC 139 (10 October 2025), [41].
[55] NDIA v Sutherland [2026] FCA 3 at [57].
[63] Mulligan [2015] FCA 544 at [101], Sutherland at [89]
[64] Sutherland v NDIA [2026] FCA 3 at [42]
[65] Sutherland v NDIA [2026] FCA 3 at [42], Sutherland v National Disability Insurance Agency [2024] AATA 411 at [83]
[67] Garcia Albiol v NDIA [2024] AATA 496.
[68] Moxham v CEO,NDIA [2025] ARTA 290_; Foster v NDIA_ [2025] ARTA 718_; TZQP v CEO, NDIA_ [2025] ARTA 839_; Coffey v CEO, NDIA_ [2025] ARTA 634_; Burrows v CEO,NDIA_ [2025] ARTA 607_; BFYK v NDIA_ [2025] ARTA 1006_; KNNW v NDIA_ [2025] ARTA 1033_; Foster v NDIA_ [2025] ARTA 718_._
[69] Applicants statement dated 17 September 2025
[71] Madelaine v National Disability Insurance Agency [2020] AATA 4025 at [79].
[73] Burrows v NDIA [2025] ARTA 697 at 87
[75] Kilgallin and NDIA [2017] AATA 186 at [18].
[76] [2023] AATA 2835, [79].also Madelaine at [87]
(2015) 233 FCR 201