Raymond GALLEGOS, Appellant, v. Hershel W. GOBER, Acting Secretary of Veterans Affairs, Appellee.
No. 99-106
United States Court of Appeals for Veterans Claims.
Decided Aug. 11, 2000.
50-62
STEINBERG, Judge
[L]ay evidence submitted by the veteran ... is probative also to the extent that it suggests a continuity of symptomatology from the veteran‘s military service.
38 C.F.R. § 3.303(b) . However, ... [i]t is not sufficient to show that the veteran reported problems with his vision or even that he wore corrective lenses. In this case, competent medical evidence is needed to identify the reason for the symptoms described.... The veteran must submit competent medical evidence associating his current eye symptomatology with injury or disease during his active service.
R. at 5 (emphasis added). However, Savage and
III. Conclusion
Upon consideration of the foregoing analysis, the ROA, and the submissions of the parties, the Court vacates the December 16, 1997, BVA decision and remands the matter for expeditious further proceedings and issuance of a readjudicated decision supported by an adequate statement of reasons or bases, see
VACATED AND REMANDED.
Leigh A. Bradley, General Counsel; Ron Garvin, Assistant General Counsel; Mary Ann Flynn, Acting Deputy Assistant General Counsel; and Gregory W. Fortsch, all of Washington, D.C., were on the brief for the appellee.
Before NEBEKER, Chief Judge, and FARLEY and STEINBERG, Judges.
STEINBERG, Judge, filed the opinion of the Court. FARLEY, Judge, filed a dissenting opinion.
STEINBERG, Judge:
The appellant, Vietnam veteran Raymond Gallegos, appeals through counsel a December 9, 1998, Board of Veterans’ Appeals (BVA or Board) decision that denied entitlement to an earlier effective date for the award of Department of Veterans Affairs (VA) service connection for post-traumatic stress disorder (PTSD). Record (R.) at 9. The appellant has filed a brief, and the Secretary has filed a brief. This appeal is timely and the Court has jurisdiction pursuant to
I. Background
The veteran served on active duty from September 1966 to May 1970. R. at 12.
After review of this veteran‘s claims file and the current rating decision, it is our opinion that denial of the veteran‘s claim for [PTSD] was a little bit premature. Further development, i.e., review of the Social Worker‘s statement in regards to referral to the Environment Support Group for verification of specific incidents for stressors would prove beneficial to fair evaluation of this veteran‘s claim.
We suggest careful gleaning of the information from the Social Worker‘s statement would give sufficient detail without delay to request thorough investigation. Please do not forward this veteran the standard stressor development letter. Your appropriate attention is appreciated.
R. at 228.
The claim lay dormant until February 20, 1997, when the veteran, through attorney James W. Stanley, Jr., filed an application to reopen the disallowed service-connection claim for PTSD. R. at 272. In October 1997, the RO granted service connection for PTSD and assigned a February 20, 1997, effective date. R. at 332-35. Also in October 1997, the veteran filed a Notice of Disagreement (NOD) as to the assigned effective date. R. at 339. At a March 1998 hearing, Mr. Stanley indicated that an issue was whether the DAV letter was an NOD as to the September 1994 RO decision. R. at 367.
In the December 1998 BVA decision here on appeal, the Board determined that the appellant was not entitled to an effective date earlier than February 20, 1997. R. at 1-10. The BVA concluded that, because the September 1994 rating decision had become final when the appellant failed to file a valid NOD, an effective date of August 31, 1993, the date of receipt of the appellant‘s original claim for PTSD service connection, was not warranted. R. at 4. The Board decided that the DAV letter was not a valid NOD as to the September 1994 RO decision because, although it could reasonably be construed as disagreeing with the RO decision, it “could not be reasonably construed to indicate the appellant‘s desire for appellate review“. R. at 8. The BVA stated that a note attached to the letter reflected that the RO had understood it to be a request for further development. Ibid. In their briefs, the appellant and the Secretary both indicate that they are unable to locate this note. Appellant‘s Brief (Br.) at 8; Secretary‘s Br. at 7. The note is not part of the record on appeal (ROA) before the Court.
II. Analysis
A. Effective-Date Law
The determination of the effective date for an original claim is governed by
Unless specifically provided otherwise in this chapter, the effective date of an award based on an original claim, a claim reopened after final adjudication, or a claim for increase, of compensation, dependency and indemnity compensa-
tion, or pension, shall be fixed in accordance with the facts found, but shall not be earlier than the date of receipt of application therefor.
See also
B. NOD Statute and Regulation
Section 7105 of title 38 of the U.S.Code provides as follows in pertinent part:
(a) Appellate review will be initiated by a notice of disagreement and completed by a substantive appeal after a statement of the case is furnished as prescribed in this section. Each appellant will be accorded hearing and representation rights pursuant to the provisions of this chapter and regulations of the Secretary.
(b)(1) Except in the case of simultaneously contested claims, notice of disagreement shall be filed within one year from the date of mailing of notice of the result of initial review or deter-mination. Such notice, and appeals, must be in writing and be filed with the activity which entered the determination with which disagreement is expressed (hereafter referred to as the “agency of original jurisdiction” [(AOJ)]). A notice of disagreement postmarked before the expiration of the one-year period will be accepted as timely filed.
(2) Notices of disagreement, and appeals, must be in writing and may be filed by the claimant, the claimant‘s legal guardian, or such accredited representative attorney, or authorized agent as may be selected by the claimant or legal guardian. Not more than one recognized organization, attorney, or agent will be recognized at any one time in the prosecution of a claim.
(c) If no notice of disagreement is filed in accordance with this chapter within the prescribed period, the action or determination shall become final and the claim will not thereafter be reopened or allowed, except as may otherwise be provided by regulations not inconsistent with this title.
(d)(1) Where the claimant, or the claimant‘s representative, within the time specified in this chapter, files a notice of disagreement with the decision of the agency of original jurisdiction, such agency will take such development or review action as it deems proper under the provisions of regulations not inconsistent with this title. If such action does not resolve the disagreement either by granting the benefit sought or through withdrawal of the notice of disagreement, such agency shall prepare a statement of the case....
(Emphasis added.)
The Secretary has promulgated the following regulation implementing
A written communication from a claimant or his or her representative express-
ing dissatisfaction or disagreement with an adjudicative determination by the agency of original jurisdiction and a desire to contest the result will constitute a Notice of Disagreement. While special wording is not required, the Notice of Disagreement must be in terms which can be reasonably construed as disagreement with that determination and a desire for appellate review. If the agency of original jurisdiction gave notice that adjudicative determinations were made on several issues at the same time, the specific determinations with which the claimant disagrees must be identified....
C. Relationship Between Statute and Regulation
In its December 1998 decision, the BVA determined that the DAV letter was not a valid NOD because, although it may be read as expressing disagreement with the September 1994 RO decision, it “could not be reasonably construed to indicate the appellant‘s desire for appellate review” by the Board, as the Board construed the regulation (§ 20.201) to require. The specific requirement that an NOD “must be in terms which can be reasonably construed as ... a desire for appellate review” by the BVA is not stated in section 7105 or anywhere else in statute. Thus, the Court must consider the validity of this regulatory provision. See Gardner v. Derwinski, 1 Vet.App. 584, 586 (1991), aff‘d sub nom. Gardner v. Brown, 5 F.3d 1456 (Fed.Cir. 1993), aff‘d, 513 U.S. 115 (1994).
““The starting point in interpreting a statute is its language.“” Lee (Raymond) v. West, 13 Vet.App. 388, 394 (2000) (quoting Good Samaritan Hospital v. Shalala, 508 U.S. 402, 409 (1993)).
The “plain meaning [of a statute] must be given effect unless a ‘literal application of [the] statute [or regulation] will produce a result demonstrably at odds with the intention of its drafters.‘” Gardner [, supra]; Fagan [v. West], 13 Vet.App. [48,] 52 [(1999)]; Curtis [v. West], 11 Vet.App. [129,] 133 [(1998)]. “If the intent of Congress is clear, that is the end of the matter“. Skinner v. Brown, 27 F.3d 1571, 1572 (Fed.Cir. 1994) (quoting Chevron, U.S.A., Inc. v. Natural Resources Defense Council, Inc., 467 U.S. 837, 842 (1984)), aff‘g 4 Vet.App. 141 (1993) (mem.).
Lee (Raymond), supra. Here, the statute provides clearly on its face that appellate review is initiated by a “notice of disagreement“. The statute specifies the five elements for such an NOD: That it must (1) express disagreement with a specific determination of the agency of original jurisdiction (generally a decision by an RO [hereinafter referred to as “RO decision“]) (
Here, a plain reading of
The clarity and completeness of the statute has been determined by our opinion in Tomlin v. Brown, 5 Vet.App. 355 (1993). In applying
[W]e find that the oral statement of appellant‘s accredited representative at the May 1988 hearing, that appellant continued to claim a 20% rating, meets the statutory definition of an NOD. It was timely, it was addressed to the AOJ, and it was presented by appellant‘s accredited representative. When it was transcribed on July 25, 1988, it met the remaining statutory requirement that it be “in writing.” We must conclude that, having met all statutory requirements, the statement in question was the NOD as to the claim now on appeal. The date of certification of the transcript by VA is the date of filing.
Id. at 357-58 (emphasis added).
In other words, Tomlin required only that the NOD be timely filed with the RO and express disagreement by seeking a higher rating (thereby implying dissatisfaction with the lower rating assigned by the RO), be filed by or for the claimant, and be “in writing“. It did not require—or even refer to—an expression of a desire for appellate review, or a reasonable implication of such a desire, as the regulation appears to call for. Indeed, we can find no precedential action of this Court that has held that a document that satisfied the five statutory elements was not a valid NOD solely because it did not express “a desire for appellate review“. Cf. Fenderson v. West, 12 Vet.App. 119, 128 (1999) (NOD sustained that included statement “[p]lease send me a statement of the case“, i.e., reference to appeal process); Buckley, 12 Vet.App. at 79 (NOD sustained that stated “please accept this as a Notice of Disagreement“, i.e., called itself NOD); Beyrle, 9 Vet.App. at 27 (NOD sustained that requested “new SSOC be issued and that there be an ‘expeditious transfer of the file to the [Board]’ “, i.e., included reference to appeal process). The Court in Tomlin thus, by implication, read out of the regulation any added requirement of an expression of a desire for appellate review; indeed, as we noted above, the Court made no reference to that part of the regulation although it quoted the other decisive portions of it. Tomlin, 5 Vet.App. at 357.
The difficulty with
How then can it be reasonable for the Secretary to require that every denied VA claimant must, at the time he or she files an NOD, express a desire for BVA review? The answer is quite simply that it cannot be reasonable and that, accordingly, such a regulatory requirement would not be “consistent with” the statutory provisions, as it must be in order to be a valid regulatory requirement promulgated under
The deficiency in the Secretary‘s contention that the statute leaves a “gap” for him to fill in becomes all the more apparent when we apply the injunction that “when interpreting statutes, the court is required to look at the context and provisions of the law as a whole.” Degmetich v. Brown, 104 F.3d 1328, 1332 (Fed.Cir.1997).
Lee (Raymond), 13 Vet.App. at 395. Regarding
Moreover, in considering the validity of the Secretary‘s NOD regulation, we must bear in mind that we are expounding upon an adjudication system deliberately designed by Congress to be pro-claimant. See Hensley v. West, 212 F.3d 1255, 1262 (Fed.Cir.2000); Hayre v. West, 188 F.3d 1327, 1333 (Fed.Cir.1999); Hodge v. West, 155 F.3d 1356, 1362-64 (Fed.Cir.1998). Consequently, even were we to find some ambiguity in the statute, which we do not, we would be compelled to resolve ” ‘interpretative doubt ... in the veteran‘s favor’ “. Boyer v. West, 210 F.3d 1351, 1355 (Fed.Cir.2000) (quoting McKnight v. West, 131 F.3d 1483, 1485 (Fed.Cir.1997) (quoting Brown v. Gardner, 513 U.S. 115, 118 (1994))); see Allen v. Brown, 7 Vet.App. 439, 448 (en banc) (1995) (applying Gardner to resolve interpretative doubt in veteran‘s favor).
Finally, we must not lose sight of the forest as we examine the trees in it. An NOD operates not only as the linchpin to a VA claimant‘s obtaining full administrative review from the Secretary but also as the indispensable ticket to judicial review in this Court. Congress specifically provided in Veterans’ Judicial Review Act (VJRA) section 402 that judicial review would be available when an NOD “filed under
D. Application of Law to Facts of Case
In the instant case, the Board interpreted the “appellate review” language in
The purpose of the Notice of Disagreement is to initiate appellate review by informing VA, within one year from the date of VA‘s mailing of the notice of the result of a determination by an RO[,] of the claimant‘s intent to appeal to the Board. Tomlin [], 5 Vet.App. [at] 357....
The Board finds that the October 1994 letter can be construed by a broad and favorable interpretation to indicate that the appellant was in disagreement with the September 1994 rating decision. The representative indicated the decision was “premature” and asked for further development of the [PTSD] stressors, which can be construed to indicate his dissatisfaction with the denial of service connection.
However, the letter cannot be reasonably construed to indicate the appellant‘s desire for appellate review. The letter submitted by an accredited representative did not give the VA notice of intent to appeal to the Board. It was in every way a request that the RO take further action in developing stressor evidence. The note attached to the letter reflects the RO‘s understanding that it was a request for further development and that there was no actual notice of intent to appeal.
R. at 7-8 (emphasis added). As our foregoing discussion demonstrates, the Board was mistaken in its interpretation of
Therefore, insofar as
It is this very same further development and review by the RO that the DAV letter was requesting in this case. Because such further preparation is contemplated by
E. DAV Letter Constituted NOD
It is undisputed that the DAV letter fulfilled the five
III. Conclusion
Upon consideration of the ROA and the pleadings of the parties, the Court reverses the December 9, 1998, BVA decision and remands the matter to the BVA for proceedings consistent with this opinion. The Court notes that a remand by this Court and by the Board confers on an appellant the right to VA compliance with the terms of the remand order and imposes on the Secretary a concomitant duty to ensure compliance with those terms. See Stegall, 11 Vet.App. at 271. A final decision by the Board following the remand herein ordered will constitute a new decision that, if adverse, may be appealed to this Court only upon the filing of a new Notice of Appeal with the Court not later than 120 days after the date on which notice of the new Board final decision is mailed to the appellant. See Marsh, 11 Vet.App. at 472.
REVERSED AND REMANDED.
FARLEY, Judge, dissenting:
Section 7105 of title 38, U.S.Code, provides that
“[a]ppellate review will be initiated by a notice of disagreement ... [which] shall be filed within one year from the date of mailing of notice of the result of initial review or determination. Such notice ... must be in writing and be filed with the activity which entered the determination with which disagreement is expressed.... Notices of disagreement ... must be in writing and may be filed by the claimant, the claimant‘s legal guardian, or such accredited representative attorney, or authorized agent. If no notice of disagreement is filed in accordance with this chapter within the prescribed period, the action or determination shall become final....”
The term “notice of disagreement” is not defined further either by section 7105 or by section 101 of title 38 U.S.Code, which provides the definitions “[f]or the purposes of this title.” However, pursuant to
The Secretary has authority to prescribe all rules and regulations which are necessary or appropriate to carry out the laws administered by the Department and are consistent with those laws, including—
(2) the forms of application by claimants under such laws....
To ensure that his agencies of original jurisdiction would be able to facilitate the Congressional mandate that “[a]ppellate review will be initiated by a notice of disagreement,” the Secretary, in the exercise of this
As the majority noted, when reviewing a statute, if the Congressional intent is clear, the matter is ended. “If, however, the court determines Congress has not directly addressed the precise question at issue ... if the statute is silent or ambiguous with respect to the specific issue, the question for the court is whether the agency‘s answer is based on a permissible construc-
the court need not conclude that the agency construction was the only one it permissibly could have adopted to uphold the construction, or even the reading the court would have reached if the question initially had arisen in a judicial proceeding.
Id. at 843 note 11. An agency‘s administration of a program created by Congress “necessarily requires the formulation of policy and the making of rules to fill any gap left, implicitly or explicitly, by Congress.” Id. at 843 (quoting Morton v. Ruiz, 415 U.S. 199, 231 (1974)). Where “Congress has explicitly left a gap for the agency to fill, there is an express delegation of authority to the agency to elucidate a specific provision of the statute by regulation.” These types of regulations are controlling “unless they are arbitrary, capricious, or manifestly contrary to the statute.” Id. at 843-44. Where the “legislative delegation to an agency on a particular question is implicit rather than explicit ... a court may not substitute its own construction of a statutory provision for a reasonable interpretation” made by an agency. Id. at 844.
In Chevron, the Supreme Court noted that an agency‘s construction of a statutory scheme should be given “considerable weight” and that where the meaning of a statute involves “reconciling conflicting policies, and a full understanding of the force of the statutory policy” (id.), if the “choice represents a reasonable accommodation of conflicting policies that were committed to the agency‘s care by the statute, [the Court] should not disturb it unless it appears from the statute or its legislative history that the accommodation is not one that Congress would have sanctioned.” Id. at 845 (quoting United States v. Shimer, 367 U.S. 374, 382, 383 (1961)). The Federal Circuit, in reviewing a decision from this Court, recently noted that where the “statute is silent or ambiguous about a matter, the court gives deference to interpretations of the agency charged with the duty to administer it.” Meeks, 216 F.3d at 1366; see also NationsBank v. Variable Annuity Life Ins. Co., 513 U.S. 251, 256 (1995) (“It is settled that courts should give great weight to any reasonable construction of a regulatory statute adopted by the agency charged with the enforcement of that statute.“) (quoting Clarke v. Securities Industry Assn., 479 U.S. 388, 403-04 (1987) (quoting Investment Company Institute v. Camp, 401 U.S. 617, 626-27 (1971))).
Congress did not specifically address the question this appeal raises: what constitutes an NOD? Although it can be concluded from the language of
Just like the statutory language, the legislative history does not help to answer the question of what an NOD must contain. The portion of the legislative history cited by the majority does not define an NOD but describes its purpose, i.e., “to fully
The majority purports to find support for its views in Tomlin v. Brown, but its analysis cannot withstand scrutiny. In Tomlin the portion of the regulation at issue was that part which required that an NOD be a “written communication.” The Court found that the statements of the appellant‘s representative at an RO hearing which had been transcribed satisfied the requirement that an NOD be in writing. In my view, Tomlin stands only for the proposition that, to the extent that
The portion of the regulation at issue here does not run afoul of the maxim set forth in Tomlin, and relied upon by the majority, that the Secretary by regulation cannot impose any specific technical requirements not authorized by the statute. Tomlin, 5 Vet.App. at 357. The provision that the terms of the NOD be capable of being construed as seeking appellate review imposes no such technical requirement. The regulation does not require certain words or phrases; in fact, it recognizes that “special wording is not required.”
In its decision, the majority points to the fact that the system of veterans benefits is
Turning to the facts, and presuming the continuing vitality of
Kenneth B. Mason, Jr., Intervenor.
No. 97-875.
United States Court of Appeals for Veterans Claims.
Argued June 7, 2000. Decided August 14, 2000.
