Frederick C. GAZELLE, Appellant, v. Robert A. MCDONALD, Secretary of Veterans Affairs, Appellee.
No. 14-2272
United States Court of Appeals for Veterans Claims
Feb. 2, 2016
27 Vet. App. 461
Argued Oct. 28, 2015.
Upon consideration of the foregoing, it is
ORDERED that the appellant‘s unopposed motion to amend his June 18, 2015, supplemental EAJA application, to reflect the full amount of attorney fees and expenses requested as $18,000, is GRANTED. It is further
ORDERED that the appellant‘s supplemental EAJA application, as amended, is GRANTED.
Debra L. Bernal, with whom Leigh A. Bradley, General Counsel; Mary Ann Flynn, Assistant General Counsel; and Joan E. Moriarty, Deputy Assistant General Counsel, all of Washington, D.C., were on the brief for the appellee.
Before DAVIS, SCHOELEN, and MOORMAN,1 Judges.
SCHOELEN, Judge:
The appellant, Frederick C. Gazelle, through counsel, appeals a March 18, 2014, Board of Veterans’ Appeals (Board) decision in which the Board denied entitlement to special monthly compensation (SMC) under
I. BACKGROUND
Mr. Gazelle served on active duty in the U.S. Army from March 1962 to March 1965. R. at 489, 1506. In December 2009, a decision review officer (DRO) increased the disability rating for Mr. Gazelle‘s service-connected post-traumatic stress disorder (PTSD) from 50% to 100%, effective July 9, 2007. R. at 118-25. When the decision issued, Mr. Gazelle was also receiving disability compensation for the following: Degenerative disc disease (DDD) and joint disease of the cervical spine rated at 20%; DDD and spondylosis of the thoracolumbar spine rated at 20%; left upper extremity radiculopathy rated at 10%; and left lower extremity radiculopathy rated at 10%. R. at 124-25. In February 2010, Mr. Gazelle filed a Notice of Disagreement (NOD) with the December 2009 decision, asserting that VA failed to award him SMC under the provisions of
A January 2011 Statement of the Case (SOC) denied entitlement to SMC under subsection 1114(s)(1) because, although Mr. Gazelle‘s PTSD was rated at 100%, he did not have “additional service-connected disabilities independently ratable at 60% or more.” R. at 90. The SOC explained that when Mr. Gazelle‘s additional service-connected disabilities were combined under the combined ratings table in
In the March 2014 decision on appeal, the Board denied SMC. R. at 6-8. The Board found that although Mr. Gazelle satisfied the requirement that he have a disability rated as total, his other service-connected disabilities, when combined using the combined ratings table, were only rated at 50%. R. at 6. Therefore, the Board concluded that because Mr. Gazelle did not have additional disabilities “independently ratable at 60% or more,” SMC under subsection 1114(s)(1) was not warranted. Id. This appeal followed.
II. THE PARTIES’ ARGUMENTS
Mr. Gazelle argues that the plain meaning of subsection 1114(s) clearly directs that when considering eligibility for SMC, VA should arithmetically add his additional disabilities to determine whether they are “independently ratable at 60% or more.” Appellant‘s Brief (Br.) at 3. Mr. Gazelle asserts that the Board erred in applying the combined ratings table in § 4.25 because it is used only when a veteran does not have one disability rated at 100%. Id. at 7. Here, Mr. Gazelle‘s PTSD is rated 100%; consequently, he maintains that the combined ratings table does not apply to his claim and that the plain meaning of “independently ratable” directs that his remaining disability ratings should be added together. Reply Br. at 5-7.
Alternatively, Mr. Gazelle asserts that if the Court finds the language of the statute ambiguous, VA‘s interpretation that the combined ratings table applies to subsection 1114(s) is not entitled to deference. Id. at 11. He argues that the Secretary‘s implementing regulation,
The Secretary argues that the plain meaning of the statute directs VA to apply § 4.25 because the only way multiple disabilities may be rated together for purposes of VA disability compensation is by using the combined ratings table. Secretary‘s Br. at 7-8. Alternatively, relying on
III. ANALYSIS
This case calls upon the Court to interpret the statutory and regulatory provisions related to SMC eligibility under
A. Relevant Statutory Provisions
In order to understand how subsection 1114(s) fits into the statutory scheme, the Court must start with three provisions of title 38 that relate to this case. First,
Thus, we begin with the text of subsection 1114(s)(1) and then consider the subsection in concert with the surrounding statutory and regulatory scheme, including statutory provisions that require the Secretary to account for the combination of injuries (
B. Text of 38 U.S.C. § 1114(s)(1)
The Court‘s analysis begins with the language of the specific provision at issue:
Mr. Gazelle argues that the plain language of the phrase “additional disability or disabilities independently ratable at 60% or more” directs that his additional disability ratings be added together and not combined using the combined ratings table in
1. A “Disability Rated As Total”
Mr. Gazelle argues that the Board should not have applied the combined ratings table because a distinction in the mon
Mr. Gazelle‘s attempt to find implicit congressional intent to exclude the application of the combined table to the SMC provisions based on the monetary awards lacks statutory support. First, an implicit blanket requirement for a disability rated as total would render the explicit requirement in subsection 1114(s) superfluous. See Splane, supra. Second, it is clear that the SMC provisions—other than those in subsection 1114(s)—do not impose such a requirement and, in fact, often expressly refer to disabilities that will not necessarily be rated as total.6 There is nothing implicit or explicit in section 1114 that requires § 4.25 be applied to some subsections and not others. Therefore, the Court declines to infer from the monetary awards any congressional intent to premise SMC eligibility for subsections (k) through (t) on a veteran having a disability rated as total and thereby limit application of § 4.25 to only subsections 1114(a) through (j). See Bradley, 22 Vet.App. at 280 (“Where Congress introduces language in one section yet omits it in another, the disparate inclusion or exclusion is deemed intentional.” (quoting Norfolk Dredging Co., Inc. v. United States, 58 Fed.Cl. 167, 176 (2003))).
2. “Disabilities Independently Ratable at 60% or More”
The parties do not dispute that Congress created two criteria in subsection 1114(s) and intended for the disability rated as total satisfying the first criterion to be independent—separate and distinct—from those satisfying the second criterion. See Bradley, 22 Vet.App. at 290 (noting that subsection 1114(s) provides two distinct criteria). Indeed, in briefing and at oral argument, Mr. Gazelle agreed that the word “independently” delineates the two requirements. Appellant‘s Reply Br. at 5 (“The additional independently rated disabilities have no relationship to the veteran‘s totally rated service[-]connected disability total.“); id. at 7 (“An independently ratable single disability at 60 percent is a disability which is rated independently of the disability which the VA has rated totally disabling.“). Thus, once a claimant shows “a disability rated as total,” the first requirement is satisfied, and that disability is taken out of consideration for the second requirement. At that point, the focus is solely whether the veteran has “additional service-connected disability or disabilities independently ratable at 60% or more.”
Focusing on the word “independently,” Mr. Gazelle argues that the statute does not support combining ratings because not
Moreover, Mr. Gazelle confuses “independently rated” with “independently ratable.” Appellant‘s Reply Br. at 8-9; Oral Arg. at 22:53. “Rated” and “ratable” are not interchangeable and the distinction here is significant. Unlike the first criteri7on, which requires a disability “rated” as total, the second criterion requires only that the additional disabilities be “ratable” at 60% or more. Congress recognized that although a veteran with a disability rated as total may not receive a schedular rating greater than 100% for any additional disabilities, if his additional disabilities are sufficiently severe, he may receive SMC. Accordingly, Congress did not require that the additional disabilities be actually rated at 60% or more; it required only that the disabilities be ratable—or capable of being rated—at 60% or more. Reading the word “independently” in context, rather than in isolation, the Court finds that it has one function: The word “independently” essentially walls off the disability rated as total from the remaining disabilities. When considering subsection 1114(s)(1), the question is whether, irrespective of the disability rated as total, these remaining disabilities are capable of being rated at 60% or more. Consequently, the Court must consider how multiple disabilities are capable of being rated together in the VA system, and in particular, what method VA used to rate multiple disabilities when Congress enacted subsection 1114(s). For the reasons discussed below, the Court finds that the combined ratings table is the only method VA employs to rate multiple disabilities together currently, and it was also the method employed when subsection 1114(s) was enacted.
C. Combined Ratings
The Secretary contends that Congress intended VA to apply the combined ratings table because it is the only method VA employs to rate multiple disabilities together for compensation purposes. Oral Arg. at 30:38. Indeed, Mr. Gazelle con
1. Regulatory Backdrop
When Congress enacted subsection 1114(s), the regulatory scheme addressing combined ratings had been in place since at least 1945.8 29 Fed.Reg. 6718-01 (May 22, 1964) (publishing “the Schedule for Rating Disabilities, commonly referred to as the 1945 rating schedule, which became effective April 1, 1946“). Unchanged since 1945, the “Combined Ratings” regulation,
In creating this table, VA recognized that arithmetically adding disability ratings may result in a rating greater than 100%, which is impermissible. Instead, the table is designed to capture “the efficiency of the individual as affected first by the most disabling condition, then by the less disabling condition, then by other less disabling conditions, if any, in the order of severity.”9
2. Statutory Backdrop
As explained above, when interpreting a statute, the Court looks at the context and provisions of law as a whole. See King, 502 U.S. at 221, 112 S.Ct. 570. In 1958, Congress unified the statutory provisions
Construing the statutory and regulatory scheme consistently, the word “combination,” particularly in section 1157, refers to VA‘s method of combining ratings using § 4.25. See King, 502 U.S. at 221, 112 S.Ct. 570 (“The meaning of statutory language, plain or not, depends on context.“). Therefore, the 1958 statutes did not alter VA‘s standard method of rating multiple disabilities by combining them. Instead, section 1157 affirmed the use of § 3.323 and § 4.25 throughout subchapter II to combine ratings. Two years later, against this statutory backdrop, Congress enacted the provision at issue in this case: subsection 1114(s).
D. Subsection 1114(s) In Context
Considering subsection 1114(s) within this statutory and regulatory context, the purpose, placement, and language of subsection 1114(s) evidence congressional intent that subsection 1114(s) should be applied consistently with the existing disability compensation rating scheme, including the provisions related to the combined ratings table. See Holloway v. United States, 526 U.S. 1, 6, 119 S.Ct. 966, 143 L.Ed.2d 1 (1999) (noting that interpreting a statute requires consideration not only of bare meaning of the critical word or phrase “but also its placement and purpose in the statutory scheme“) (citing Bailey v. United States, 516 U.S. 137, 145, 116 S.Ct. 501, 133 L.Ed.2d 472 (1995)). In 1960, Congress identified the need for an intermediate rate of compensation for veterans whose disabilities prevented them from working but did not entitle them to Aid and Attendance. S. Rep. 86-1745 (1960).10 Seeking to fill this gap in the compensation rates, Congress enacted subsection 1114(s). In the act‘s stated purpose, Congress invoked the disability compensation system: “To provide additional disability compensation for certain seriously disabled veterans.” Pub.L. No. 86-663 (July 14, 1960). As discussed above, section 1157 directs that combined ratings apply to the rates set forth in subchapter II, which sets the rates of disability compensation.
Any further argument that Congress implicitly intended subsection 1114(s) to be an exception to the established system is unpersuasive in light of the clear congressional intent evidenced in the statute. As discussed above, the word “independently” delineates the disability rated as total and the additional disabilities used to satisfy the second criterion. Therefore, once the first predicate is satisfied using a disability rated as total, the remaining additional disabilities are evaluated as if the total rated disability did not exist. Subsection 1114(s)(1) allows for the possibility of multiple disability ratings being rated together at 60% or more. The only way multiple disabilities are ratable—or capable of being rated—in the VA system requires combining them using § 4.25. See
This finding is consistent with cases interpreting subsection 1114(s). Both this Court and the U.S. Court of Appeals for the Federal Circuit have construed the phrase “additional disability or disabilities independently ratable at 60% or more” to mean that the disabilities should be combined. See Guerra v. Shinseki, 642 F.3d 1046, 1048 (Fed.Cir.2011) (finding that subsection 1114(s) provides additional monthly compensation to a veteran with a disability rated as total “if the veteran . . . has another independently rated disability or combination of disabilities rated at 60“); Bradley, 22 Vet.App. at 290 (noting that the phrase “‘disability or disabilities independently’ rated at 60% . . . demonstrates congressional understanding that multiple disabilities can be combined into a single rating, as well as congressional authorization for combined ratings to satisfy the second requirement . . .“).11 Interpreting the words “combination” and “combined” consistently with statutes and VA regulations, these decisions support applying the combined ratings table to subsection 1114(s).
Based on the foregoing, the Court must disagree with Mr. Gazelle‘s contention that nothing in section 1114(s) requires the application of § 4.25. The Court finds no support in the text of the statute for his arguments. Instead, when considered in the context of the statutory and regulatory scheme in existence at the time Congress enacted section 1114(s), the plain meaning of subsection 1114(s) clearly requires VA‘s application of the combined ratings table. See John Hancock Mut. Life Ins. Co. v. Harris Trust and Sav. Bank, 510 U.S. 86, 94-95, 114 S.Ct. 517, 126 L.Ed.2d 524 (1993) (statutory language should be interpreted consonant with “the provisions of the whole law, and . . . its object and policy” (internal quotation marks omitted)). Although the Court recognizes Mr. Gazelle‘s serious disabilities, it is compelled to find that the Board properly applied the combined ratings table in § 4.25 in evaluating Mr. Gazelle‘s eligibility for SMC under section 1114(s). Accord Disabled Am. Veterans, 234 F.3d 682, 692 (Fed.Cir.2000) (noting that “a veteran cannot rely upon the generous spirit that suffuses the law generally to override the clear meaning of a particular provision.” (quoting Boyer v. West, 210 F.3d 1351, 1355 (Fed.Cir.2000))).
IV. CONCLUSION
Upon consideration of the foregoing, the March 2014 Board decision is AFFIRMED.
No. 14-2672
United States Court of Appeals for Veterans Claims
Feb. 8, 2016
Before HAGEL, Chief Judge, and KASOLD and DAVIS, Judges.
ORDER
PER CURIAM:
Edward B. Cook appeals through counsel a June 11, 2014, Board of Veterans’ Appeals (Board) decision that denied VA disability benefits for neuropathy of the right hand, to include as secondary to a service-connected disability. In November 2015, the case was referred to a panel for decision and oral argument was scheduled for January 26, 2016.1
On December 10, 2015, the parties filed a joint motion for remand (JMR) in which they agreed that the Board‘s statement of reasons or bases is inadequate. Specifically, the parties agreed that “the Board did not address or otherwise consider whether [Mr. Cook] has a diagnosis of carpel tunnel
