P A R T C D e c i s i o n u n d e r A p p e a l T h e d e c i s i o n u n d e r a p p e a l i s t h e M i n i s t r y o f S o c i a l " m i n i s t r y " ) r e c o n s i d e r a t i o n d e c i s i o n o f J a n u a r y 8 , 2 0 f u n d i n g f o r a n o x y g e n c o n c e n t r a t o r a n d a c c e s s o r i e s a u t h o r i z e d t o p r o v i d e a n o x y g e n c o n c e n t r a t o r a n d a u n d e r S c h e d u l e C o f t h e E m p l o y m e n t a n d A s s i s t a n P A R T D R e l e v a n t L e g i s l a t i o n E m p l o y m e n t a n d A s s i s t a n c e f o r p e r s o n s w i t h D i s a b E m p l o y m e n t a n d A s s i s t a n c e f o r p e r s o n s w i t h D i s a b A P P E A L # I D e v e l o p m e n t a n d S o c i a l I n n o v a t i o n ( t h e 1 4 , w h i c h d e n i e d t h e a p p e l l a n t ' s r e q u e s t f o r . T h e m i n i s t r y d e t e r m i n e d t h a t i t w a s n o t c c e s s o r i e s b e c a u s e t h e y a r e n o t e l i g i b l e i t e m s c e f o r P e r s o n s w i t h D i s a b i l i t i e s R e g u l a t i o n . i l i t i e s R e g u l a t i o n ( E A P W D R ) , S e c t i o n s 6 2 a n d 6 9 . i l i t i e s R e g u l a t i o n , S c h e d u l e C .
APPEAL I PART E -Summary of Facts The evidence before the ministry at reconsideration consisted of the following: • A 2 page Medical Equipment Request and Justification form dated October 15, 2013 and signed by a family nurse practitioner, which described the appellant's medical condition as very severe Central Sleep Apnea (CSA) and recommended specific medical equipment, -a Nocturnal Oxygen Concentrator. The 2 nd page indicated the following specifications of medical equipment required to meet the appellant's needs -an oxygen concentrator and nasal prongs and is signed by a respiratory therapist on October 16, 2013. • A Sleep Apnea & Oxygen Therapy Referral form for the appellant dated September 25, 2013 by the family nurse practitioner. • A letter dated September 16, 2013 from the respiratory therapist which requests authorization for the purchase of the following: Visionaire stationary concentrator -$2000. Nasal prongs X 3@$ 4 -$12. 25 foot extension tubing X3@$ 5 -$15. Swivel Connector X3 @$4 -$12. Total$ 2039. • A summary of a CPAP overnight polysomnogram from May 31, 2013 in which the physician reported that the ASV device does not appear to be effective for this patient and conversely she has excellent response to supplemental nocturnal oxygen therapy which is strongly recommended. • A 5 page, Laboratory-Treatment Polysomnography Report dated May 31, 2013. • The appellant's Request for Reconsideration dated December 20, 2013 indicated that; although she has been diagnosed with Obstructive Sleep Apnea (OSA) and has completed 4 separate, overnight, in hospital sleep lab studies, her condition was not helped sufficiently by any of the machines (CPAP, BIPAP and VPAP), to be considered successful. The treatment that made the difference during the studies was the Nocturnal Oxygen Supplement, which is recommended by her physician and the respiratory therapists. Without this specific treatment, the appellant stated that her health is compromised. In the Notice of Appeal, the appellant stated that the studies clearly show that normal treatment for OSA does not work in her case and that the supplemental nocturnal oxygen did treat her sleep disorder. The appellant reported that she has serious headaches, fog in her brain due to the amount of oxygen and that she can't remember things, has no energy and always feels tired. The appellant added that it is clear in the report what is needed and that it costs less than the CPAP, BIPAP or VPAP machines.
O r a l T e s t i m o n y T h e a p p e l l a n t t e s t i f i e d t h a t s h e w a s a s t u d e n t a n d s s l e e p a p n e a . A f t e r a t l e a s t 4 l a b o r a t o r y s t u d i e s , u s i n u s i n g d i f f e r e n t m a s k s a n d m a c h i n e s , h e r c o n d i t i o n o n l y m a c h i n e t h a t s u c c e s s f u l l y t r e a t e d h e r m e d i c a l c o n c e n t r a t o r . T h i s m a c h i n e d i f f e r s f r o m t h e C P A P , r o o m , b e f o r e i t d e l i v e r s o x y g e n t o t h e l u n g s . T h e a p c o n c e n t r a t o r a n d a c c e s s o r i e s a r e n o t l i s t e d u n d e r S c o n s i d e r a t i o n f o r h e r s p e c i a l c i r c u m s t a n c e s , t h e m i n a q u e s t i o n , t h e a p p e l l a n t i n d i c a t e d t h a t s h e c o u l d h a m e d i c a l i n f o r m a t i o n . T h e m i n i s t r y s t o o d b y i t s r e c o n s i d e r a t i o n d e c i s i o n . N e w I n f o r m a t i o n T h e p a n e l f i n d s t h a t t h e n e w i n f o r m a t i o n p r o v i d e d b t e s t i m o n y a r e f u r t h e r d e s c r i p t i o n o f t h e a p p e l l a n t ' s m s u p p o r t o f t h e i n f o r m a t i o n a n d r e c o r d s t h a t w e r e b e T h e p a n e l t h e r e f o r e a d m i t s t h e n e w i n fo r m a t i o n a s e E m p l o y m e n t a n d A s s i s t a n c e A c t . F i n d i n g s o f F a c t T h e a p p e l l a n t i s i n r e c e i p t o f d i s a b i l i t y a s s i s t a n c e a n p r o v i d e d u n d e r s e c t i o n 6 2 a n d S c h e d u l e C o f t h e E A A P P E A L # I u f f e r s f r o m b r a i n f o g b e c a u s e o f h e r o b s t r u c t i v e g a C P A P f o r a t r i a l p e r i o d a n d o v e r 2 y e a r s o f w a s n o t r e s o l v e d u n t i l o x y g e n w a s a d d e d . T h e c o n d i t i o n w a s t h e V i s i o n a i r e s t a t i o n a r y B I P A P o r V P A P m a c h i n e s b y f i l t e r i n g t h e a i r i n t h e p e l l a n t u n d e r s t o o d t h a t t h e V i s i o n a i r e s t a t i o n a r y c h e d u l e " C " , h o w e v e r , h o p e d t h a t w i t h i s t r y c o u l d p r o v i d e t h e e q u i p m e n t . I n r e s p o n s e t o v e r e q u e s t e d t h a t h e r p h y s i c i a n p r o v i d e m o r e y t h e a p p e l l a n t i n h e r N o t i c e o f A p p e a l a n d h e r e d i c a l s i t u a t i o n a n d i t s i m p a c t a n d i s t h e r e f o r e i n f o r e t h e m i n i s t r y a t t h e t i m e o f r e c o n s i d e r a t i o n . v i d e n c e p u r s u a n t t o s e c t i o n 2 2 ( 4 ) o f t h e d i s e l i g i b l e t o r e c e i v e h e a l t h s u p p l e m e n t s P W D R .
I APPEAL# PART F -Reasons for Panel Decision The issue in this appeal is whether the ministry reasonably determined that the appellant is ineligible for funding for an oxygen concentrator and accessories as a health supplement, as the criteria pursuant to sections 62 to 69 and Schedule C, of the Employment and Assistance for Persons with Disabilities Regulation were not met. Relevant Legislation Section 69 of the EAPWDR and the relevant sections of Schedule C apply to this appeal: Medical equipment and devices 3 (1) Subject to subsections (2) to (5) of this section, the medical equipment and devices described in sections 3.1 to 3.12 of this Schedule are the health supplements that may be provided by the minister if (a) the supplements are provided to a family unit that is eligible under section 62 [general health supplements] of this regulation, and (b) all of the following requirements are met:(i) the family unit has received the pre-authorization of the minister for the medical equipment or device requested; (ii) there are no resources available to the family unit to pay the cost of or obtain the medical equipment or device; (iii) the medical equipment or device is the least expensive appropriate medical equipment or device. Medical equipment and devices -breathing devices 3.9 (1) Subject to subsection (4) of this section, the f o llowing items are health supplements for the purposes of section 3 of this Schedule: (a) if all of the requirements set out in subsection (2) of this section are met, (i) a positive airway pressure device, (ii) an accessory that is required to operate a positive airway pressure device, or (iii) a supply that is required to operate a positive airway pressure device; (b) if the minister is satisfied that the item is medically essential to monitor breathing, (i) an apnea monitor, (ii) an accessory that is required to operate an apnea monitor, or (iii) a supply that is required to operate an apnea monitor; (c) if the minister is satisfied that the item is medically essential for clearing respiratory airways, (i) a suction unit, (ii) an accessory that is required to operate a suction unit, or (iii) a supply that is required to operate a suction unit; ( d ) if the minister is satisfied that the item is medically essential for clearing respiratory airways, (i) a percussor, (ii) an accessory that is required to operate a percussor, or (iii) a supply that is required to operate a percussor; (e) if the minister is satisfied that the item is medically essential to avoid an imminent and substantial danger to health, (i) a nebulizer, (ii) an accessory that is required to operate a nebulizer, or (iii) a supply that is required to operate a nebulizer; (f) if the minister is satisfied that the item is medically essential to moisturize air in order to allow a tracheostomy patient to breathe, (i) a medical humidifier, (ii) an accessory that is required to operate a medical humidifier, or (iii) a supply that is required to operate a medical humidifier; (g) if the minister is satisfied that the item is medically essential to deliver medication, (i) an inhaler accessory device, (ii) an accessory that is required to operate an inhaler accessory device, or (iii) a supply that is required to operate an inhaler accessory device. (2) The following are the requirements in relation to an item referred to in subsection (1) (a) of this section: (a) the item is prescribed by a medical practitioner or nurse practitioner; (b) a respiratory therapist has performed an assessment that confirms the medical need for the item; ici the minister is satisfied that the item is medicallv essential for the treatment of moderate to severe sleeo aonea.
( 3 ) T h e p e r i o d o f t i m e r e f e r r e d t o i n s e c t i o n 3 ( 3 ) ( b ) o f t h i s S s u b s e c t i o n ( 1 ) o f t h i s s e c t i o n i s a s f o l l o w $ : ( a ) i n t h e c a " e o f a n i t e m r e f e r r e d t o i n s u b s e c t i o n ( 1 ) ( a ) ( i ) , 5 b e i n g r e p l a c e d ; ( b ) i n t h e c a s e o f a n i t e m r e f e r r e d t o i n s u b s e c t i o n ( 1 ) ( a ) ( i i ) o t h e i t e m b e i n g r e p l a c e d ; ( c ) i n t h e c a s e o f a n a p n e a m o n i t o r , s u c t i o n u n i t , p e r c u s s o r , n w h i c h t h e m i n i s t e r p r o v i d e d t h e i t e m b e i n g r e p l a c e d ; ( d ) i n t h e c a s e o f a n i n h a l e r a c c e s s o r y d e v i c e , o n e y e a r f r o m r e p l a c e d ; ( e ) i n t h e c a s e o f a n a c c e s s o r y o r s u p p l y f o r a n i t e m r e f e r r e d t t h e m i n i s t e r p r o v i d e d t h e d e v i c e b e i n g r e p l a c e d . ( 4 ) A v e n t i l a t o r i s n o t a h e a l t h s u p p l e m e n t f o r t h e p u r p o s e s o G e n e r a l h e a l t h s u p p l e m e n t s m e d i c a l s u p p l i e s 2 ( 1 ) T h e f o l l o w i n g a r e t h e h e a l t h s u p p l e m e n t s t h a t m a y b e p e l i g i b l e u n d e r s e c t i o n 6 2 [ g e n e r a l h e a l t h s u p p l e m e n t s ] o f t h i s m i n i s t e r ' s d i s c r e t i o n , e i t h e r d i s p o s a b l e o r r e u s a b l e , i f t h e m i n i s ( i ) t h e s u p p l i e s a r e r e q u i r e d f o r o n e o f t h e f o l l o w i n g p u r p o s e s ( A ) w o u n d c a r e ; ( B ) o n g o i n g b o w e l c a r e r e q u i r e d d u e t o l o s s o f m u s c l e f u n c t i o ( C ) c a t h e t e r i z a t i o n ; ( D ) i n c o n t i n e n c e ; ( E ) s k i n p a r a s i t e c a r e ; ( F ) l i m b c i r c u l a t i o n c a r e . S e c t i o n s 2 . 1 , 2 . 2 , 4 , 4 . 1 , 5 , 6 , 7 , 8 a n d 9 s e t o u t a d d i t i o n a l h e a p r o v i d e d t o a f a m i l y u n i t t h a t i s e l i g i b l e u n d e r s e c t i o n 6 2 [ g e n e a n d d e n t a l , t h a t a r e n o t r e l e v a n t t o t h e r e q u e s t . H e a l t h s u p p l e m e n t f o r p e r s o n s f a c i n g d i r e c t a n d i m m 6 9 T h e m i n i s t e r m a y p r o v i d e t o a f a m i l y u n i t a n y h e a l t h s u p p l e s u p p l e m e n t s ] a n d 3 [ m e d i c a l e q u i p m e n t a n d d e v i c e s ] o f S c h e p e r s o n i n t h e f a m i l y u n i t w h o i s o t h e r w i s e n o t e l i g i b l e f o r t h e h s a t i s f i e d t h a t ( a ) t h e p e r s o n f a c e s a d i r e c t a n d i m m i n e n t l i f e t h p e r s o n ' s f a m i l y u n i t w i t h w h i c h t o m e e t t h a t n e e d , ( b ) t h e h e a l p e r s o n ' s f a m i l y u n i t i s r e c e i v i n g p r e m i u m a s s i s t a n c e u n d e r t h e s p e c i f i e d i n t h e f o l l o w i n g p r o v i s i o n s o f S c h e d u l e C , a s a p p l i c a s e c t i o n s 3 t o 3 . 1 2 , o t h e r t h a n p a r a g r a p h ( a ) o f s e c t i o n 3 ( 1 ) . T h e a p p e l l a n t ' s p o s i t i o n i s t h a t s h e s u f f e r s f r o m v e r y s t u d i e s c l e a r l y h a v e s h o w n t h a t n o r m a l t r e a t m e n t f o c a s e , t h e s u p p l e m e n t a l n o c t u r n a l o x y g e n t h e r a p y d i a p p e l l a n t r e p o r t e d t h a t s h e h a s s e r i o u s h e a d a c h e s , t h a t s h e c a n ' t r e m e m b e r t h i n g s , h a s n o e n e r g y a n d c l e a r i n t h e m e d i c a l r e p o r t s t h a t s h e n e e d s t h e V i s i o a p n e a a n d t h a t i t c o s t s l e s s t h a n t h e C P A P , B I P A P T h e m i n i s t r y ' s p o s i t i o n i s a s f o l l o w s : 1 . t h e c r i t e r i a o f s e c t i o n 3 , 3 . 1 t o 3 . 1 2 w e r e n o t m I A P P E A L # c h e d u l e w i t h r e s p e c t t o r e p l a c e m e n t o f a n i t e m d e s c r i b e d i n y e a r n f r o m t h e d a t e o n w h i c h t h e m i n i s t e r p r o v i d e d t h e i t e m r ( i i i ) , o n e y e a r f r o m t h e d a t e o n w h i c h t h e m i n i " t e r p r o v i d e d e b u l i z e r o r m e d i c a l h u m i d i f i e r , 5 y e a r s f r o m t h e d a t e o n t h e d a t e o n w h i c h t h e m i n i s t e r p r o v i d e d t h e d e v i c e b e i n g o i n p a r a g r a p h ( c ) o r ( d ) , o n e y e a r f r o m t h e d a t e o n w h i c h f s e c t i o n 3 o f t h i s S c h e d u l e . a i d f o r b y t h e m i n i s t e r i f p r o v i d e d t o a f a m i l y u n i t t h a t i s r e g u l a t i o n : ( a ) m e d i c a l o r s u r g i c a l s u p p l i e s t h a t a r e , a t t h e t e r i s s a t i s f i e d t h a t a l l o f t h e f o l l o w i n g r e q u i r e m e n t s a r e m e t : : n ; l t h s u p p l e m e n t s t h a t m a y b e p a i d f o r b y t h e m i n i s t e r i f r a l h e a l t h s u p p l e m e n t s ] o f t h i s r e g u l a t i o n i n c l u d i n g o p t i c a l i n e n t l i f e t h r e a t e n i n g h e a l t h n e e d m e n t s e t o u t i n s e c t i o n s 2 ( 1 ) ( a ) a n d ( f ) [ g e n e r a l h e a l t h d u l e C , i f t h e h e a l t h s u p p l e m e n t i s p r o v i d e d t o o r f o r a e a l t h s u p p l e m e n t u n d e r t h i s r e g u l a t i o n , a n d i f t h e m i n i s t e r i s r e a t e n i n g n e e d a n d t h e r e a r e n o r e s o u r c e s a v a i l a b l e t o t h e t h s u p p l e m e n t i s n e c e s s a r y t o m e e t t h a t n e e d , ( c ) t h e M e d i c a r e P r o t e c t i o n A c t , a n d ( d ) t h e r e q u i r e m e n t s b l e , a r e m e t : ( i ) p a r a g r a p h ( a ) o r ( f ) o f s e c t i o n ( 2 ) ( 1 ) ; ( i i ) s e v e r e C e n t r a l S l e e p A p n e a a n d m e d i c a l r O b s t r u c t i v e S l e e p A p n e a d o e s n o t w o r k . I n h e r d e f f e c t i v e l y t r e a t h e r s l e e p d i s o r d e r . T h e f o g i n h e r b r a i n d u e t o t h e a m o u n t o f o x y g e n a n d a l w a y s f e e l s t i r e d . T h e a p p e l l a n t a r g u e s t h a t i t i s n a i r e s t a t i o n a r y c o n c e n t r a t o r t o t r e a t h e r s l e e p o r V P A P m a c h i n e s . e t b e c a u s e t h e o x y Q e n c o n c e n t r a t o r a n d
a c c e s s o r i e s a r e n o t l i s t e d u n d e r m e d i c a l e q u w h e e l c h a i r , s c o o t e r , a g r a b b a r , a f l o o r o r c e a c u s t o m m a d e o r t h o t i c a n d / o r a h e a r i n g a i d 2 . t h e c r i t e r i o n o f s e c t i o n 3 . 9 w a s n o t m e t b e c a n o t c o n s i d e r e d ; a p o s i t i v e a i r w a y p r e s s u r e d e p e r c u s s o r , a n e b u l i z e r , a m e d i c a l h u m i d i f i e r , 3 . t h e c r i t e r i o n o f s e c t i o n 2 ( 1 ) ( a ) w a s n o t m e t b a r e n o t l i s t e d u n d e r d i s p o s a b l e o r r e u s a b l e m p u r p o s e s s e t o u t i n s e c t i o n 2 ( 1 ) ( a ) ( i ) ; w o u n d i n c o n t i n e n c e , s k i n p a r a s i t e c a r e a n d / o r l i m b c 4 . t h e c r i t e r i a o f s e c t i o n 2 ( 1 ) ( c ) a n d 2 ( 2 ) w e r e n a c c e s s o r i e s a r e n o t r e q u i r e d a s t h e r a p y p r o v m a s s a g e t h e r a p y , n a t u r o p a t h y , n o n s u r g i c a l 5 . t h e c r i t e r i a o f s e c t i o n s 2 . 1 , 2 . 2 , 4 , 4 . 1 , 5 , 6 , 7 , c o n c e n t r a t o r a n d a c c e s s o r i e s a r e n o t l i s t e d u a n d 6 . t h e c r i t e r i o n o f s e c t i o n 6 9 w a s n o t m e t b e c a u n o t r e q u i r e d t o m e e t a l i f e t h r e a t e n i n g h e a l t h T h e p a n e l f i n d s t h a t t h e m i n i s t ry h a s r e a s o n a b l y d e t l e g i s l a t i o n , t h e o x y g e n c o n c e n t r a t o r a n d a c c e s s o r i e s u p p l i e s , u n d e r m e d i c a l e q u i p m e n t a n d d e v i c e s , o r s u p p l e m e n t s s e t o u t i n S c h e d u l e C . A d d i t i o n a l l y , t h e a c c e s s o r i e s w e r e r e a s o n a b l y d e t e r m i n e d b y t h e m i n h e a l t h n e e d a s r e q u i r e d u n d e r s e c t i o n 6 9 w h i c h i s l i s u p p l e m e n t s ] a n d s e c t i o n 3 [ m e d i c a l e q u i p m e n t a n d t h o s e w h o a r e f a c i n g a d i r e c t a n d i m m i n e n t l i f e t h r e a w h o a r e n o t o t h e rw i s e e l i g i b l e t o r e c e i v e t h e m w h i c h t h a t t h e m i n i s t r y h a s n o d i s c r e t i o n t o a p p r o v e f u n d i n T h e p a n e l a c k n o w l e d g e s t h a t t h e a p p e l l a n t ' s p h y s i c r e c o m m e n d e d t h e o x y g e n c o n c e n t r a t o r a n d a c c e s s C e n t r a l S l e e p A p n e a . W h i l e a p o s i t i v e a i rw a y p r e s s a c c o r d i n g t o m e d i c a l e v i d e n c e i s l i s t e d a m o n g b r e a t c o n c e n t r a t o r a s r e c o m m e n d e d b y t h e h e a l t h p r a c t i t i n o t b e a p p r o v e d b y t h e m i n i s t r y . A l t h o u g h t h e p a n e l o x y g e n c o n c e n t r a t o r a n d a c c e s s o r i e s , t h e l e g i s l a t i o n s u p p l e m e n t s f o r t h e p u r p o s e s o f s e c t i o n 3 o f S c h e d u T h e p a n e l f i n d s t h a t t h e m i n i s t r y ' s r e c o n s i d e r a t i o n d f u n d i n g f o r t h e o x y g e n c o n c e n t r a t o r a n d a c c e s s o r i e s e n a c t m e n t i n t h e c i r c u m s t a n c e s o f t h e a p p e l l a n t a n d A P P E A L # I i p m e n t a n d d e v i c e s t o i n c l u d e : a c a n e , w a l k e r , i l i n g l i f t d e v i c e , a p o s i t i v e a i r w a y p r e s s u r e d e v i c e , o r n o n c o n v e n t i o n a l g l u c o s e m e t e r ; u s e t h e o x y g e n c o n c e n t r a t o r a n d a c c e s s o r i e s a r e v i c e , a n a p n e a m o n i t o r , a s u c t i o n u n i t , a a n i n h a l e r a c c e s s o r y d e v i c e a n d / o r a v e n t i l a t o r . e c a u s e t h e o x y g e n c o n c e n t r a t o r a n d a c c e s s o r i e s e d i c a l o r s u r g i c a l s u p p l i e s r e q u i r e d f o r a n y o f t h e c a r e , o n g o i n g b o w e l c a r e , c a t h e t e r i z a t i o n , i r c u l a t i o n c a r e ; o t m e t b e c a u s e t h e o x y g e n c o n c e n t r a t o r a n d i d e d t o i n c l u d e : a c u p u n c t u r e , c h i r o p r a c t i c s e r v i c e , p o d i a t r y a n d / o r p h y s i o t h e r a p y t h e r a p y ; 8 a n d 9 w e r e n o t m e t b e c a u s e t h e o x y g e n n d e r t h e r e m a i n i n g h e a l t h s u p p l e m e n t l e g i s l a t i o n ; s e t h e o x y g e n c o n c e n t r a t o r a n d a c c e s s o r i e s a r e n e e d . e r m i n e d t h a t p u r s u a n t t o t h e a b o v e n o t e d s a r e n o t l i s t e d ; u n d e r m e d i c a l o r s u r g i c a l a s a t h e r a p y o r u n d e r t h e r e m a i n i n g h e a l t h p a n e l f i n d s t h e o x y g e n c o n c e n t r a t o r a n d i s t r y a s n o t r e q u i r e d t o m e e t a l i f e t h r e a t e n i n g m i t e d t o s e c t i o n s 2 ( 1 ) ( a ) t o ( f ) [ g e n e r a l h e a l t h d e v i c e s ] . T h i s l e g i s l a t i o n p r o v i d e s a r e m e d y f o r t e n i n g h e a l t h n e e d f o r t h e s e s u p p l e m e n t s a n d i s n o t t h e a p p e l l a n t ' s s i t u a t i o n . T h e p a n e l n o t e s g f o r t h e r e q u e s t e d i t e m s . i a n a n d r e s p i r a t o ry t h e r a p i s t s h a v e s t r o n g l y o r i e s a s b e i n g e f f e c t i v e a s a t h e r a p y f o r h e r u r e d e v i c e w h i c h d o e s n o t w o r k f o r t h e a p p e l l a n t h i n g d e v i c e s i n s e c t i o n 3 . 9 , a n o x y g e n o n e r i s n o t i n c l u d e d i n t h i s l i s t a n d m a y t h e r e f o r e f i n d s t h a t t h e a p p e l l a n t h a s a n e e d f o r t h e i s v e r y s p e c i f i c t h a t t h e s e i t e m s a r e n o t h e a l t h l e C o f t h e E A P W D R . e c i s i o n t h a t t h e a p p e l l a n t w a s n o t e l i g i b l e f o r w a s a r e a s o n a b l e a p p l i c a t i o n o f t h e a p p l i c a b l e t h e r e f o r e c o n f i r m s t h e m i n i s t r y ' s d e c i s i o n .
You are being directed to the most recent version of the statute which may not be the version considered at the time of the judgment.