14 Vet. App. 280 | Vet. App. | 2001
Lead Opinion
KRAMER, Chief Judge, filed the opinion of the Court. STEINBERG, Judge, filed a concurring opinion.
The appellant appealed pro se a September 30, 1999, decision of the Board of Veterans’ Appeals (BVA or Board) that denied increased VA disability ratings for his service-connected sensory impairment and hyperesthesia with trigeminal nerve damage, residuals of a fracture of the left orbital floor, sinusitis, diplopia, and laceration of the left upper eyelid. Record (R.) at 4, 19. On October 12, 2000, the Court, in a single-judge memorandum decision, affirmed the BVA decision. On November 1, 2000, the appellant filed pro se a timely motion for reconsideration or, in the alternative, for a panel decision. See U.S. Vet. App. R. 35(a). In a December 1, 2000, order, the Court, in view of recent Congressional enactments (discussed below), withdrew the October 12, 2000, single-judge memorandum decision, granted the appellant’s motion for a panel decision, and ordered the parties, and any interested amici curiae, to submit supplemental briefs addressing several enumerated questions. Holliday v. Gober, 14 Vet.App. 197 (2000) (per curiam order). The appellant, through counsel, and the Secretary filed supplemental briefs in response to the Court’s December 1, 2000, order. In his supplemental brief, the Secretary moved for a full court decision and that motion has been denied by the full Court. The Vietnam Veterans of America (WA); the National Organization of Veterans Advocates (NOVA); Clark Evans, Esquire; and the Disabled American Veterans, together with Veterans of Foreign Wars of the United States, each filed an amicus curiae brief in response to that order. Oral argument was held on January 18, 2001, at which counsel for the appellant, the Secretary, the WA, and NOVA presented argument. This appeal is timely, and the Court has jurisdiction pursuant to 38 U.S.C. §§ 7252(a) and 7266(a). For the reasons that follow, the Court will vacate the decision of the Board and remand the matter.
I. BACKGROUND
The appellant served on active duty in the U.S. Navy from June 7, 1973, to November 23, 1973. R. at 22. On June 23, 1973, he struck his left eye on a shower head and fell to the floor. R. at 25, 43. The injuries that he sustained as a result of that incident led to a referral to a Naval medical board that diagnosed him as having the following: (1) “Orbital Blow Out Fracture, Left Eye”; (2) “Fibrosis and/or Entrapment of Left Medial Rectus Muscle and Left Inferior Rectus Muscle”; (3) “Partial Obstruction or Dysfunction of the Lacrimal Drainage System, Left Eye”; (4) “Enophthalmos, Left Eye”; and (5) “Laceration, Left Upper Lid.” R. at 28. Subsequently, a Naval physical evaluation board determined that he was unfit for military duty due to these diagnosed conditions. R. at 29. He was permanently retired from active duty in November 1973 (R. at 22, 31) with a Naval retirement disability rating of 30% (R. at 33).
In March 1974, a VA regional office (RO) granted service connection for the following conditions and assigned the following ratings: (1) Double vision (“diplo-pia”) of the left eye (10%); (2) fracture of the left orbital floor (0%); and (3) laceration of the left upper eyelid (0%). R. at 72. In 1996, the appellant sought increased disability ratings for his service-
Subsequent to the Court’s October 12, 2000, decision, Congress enacted several laws regarding veterans benefits claims. First, on October 30, 2000, the Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001, Pub.L. No. 106-398, 114 Stat. 1654, app. § 1611 (Oct. 30, 2000) [hereinafter NDAA § 1611], amended 38 U.S.C. § 5107 to provide “CLARIFICATION OF DEPARTMENT OF VETERANS AFFAIRS DUTY TO ASSIST.” That amendment to § 5107(a), inter alia, eliminated the well-grounded-claim requirement. Then, on November 1, 2000, the Veterans Benefits and Health Care Improvement Act of 2000, Pub.L. No. 106-419, 114 Stat. 1822 (Nov. 1, 2000), was enacted, with the following coordination provision [hereinafter “coordination provision”]:
If the Veterans Claims Assistance Act of 2000 is enacted before the provisions of the Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001 are enacted into law, section 1611 of the Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001, including the amendments made by that section, shall not take effect. If the Veterans Claims Assistance Act of 2000 is enacted after the provisions of the Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001 are enacted into law, then os of the enactment of the Veterans Claims Assistance Act of2000, the amendments made by section 1611 of the Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001 shall be deemed for all purposes not to have taken effect and that section shall cease to be in effect.
Id. at § 104(c)(2), 114 Stat. at 1828 (emphasis added). Finally, on November 9, 2000, the Veterans Claims Assistance Act of 2000, Pub.L. No. 106-475,114 Stat. 2096 (Nov. 9, 2000) [hereinafter VCAA], was enacted “[t]o amend title 38, United States Code, to reaffirm and clarify the duty of the Secretary of Veterans Affairs to assist claimants for benefits under laws administered by the Secretary, and for other purposes.” 146 Cong. Rec. H9912 (daily ed. Oct. 17, 2000) (statement of Rep. Stump); see 146 Cong. Rec. S9205 (daily ed. Sept. 25, 2000) (statement of Sen. Brownback for Sen. Specter). The VCAA made a series of amendments to chapter 51 (“CLAIMS, EFFECTIVE DATES, AND PAYMENTS”) of title 38, U.S.Code, which, as discussed infra, included adding 38 U.S.C. § 5100 to define the term “claimant”; amending 38 U.S.C. § 5103(a) to address the Secretary’s duty to notify claimants of required information and evidence; adding 38 U.S.C. § 5103A to address the Secre
The full texts of NDAA § 1611, the coordination provision, and the VCAA are set forth in the Appendix (Appx.) to this opinion.
II. ANALYSIS
A. Potential Applicability of New Laws
The first question that the Court will address is whether NDAA § 1611 and any provisions of the VCAA potentially may apply to the appellant’s claims. In this regard, we note that the Court has held in Karnas v. Derwinski, 1 Vet.App. 308, 313 (1991), that
where the law or regulation changes after a claim has been filed or reopened but before the administrative or judicial appeal process has been concluded, the version most favorable to [the] appellant should and we so hold will apply unless Congress provided otherwise or permitted the Secretary of Veterans Affairs to do otherwise and the Secretary did so.
See also 38 U.S.C. § 7291(a) (date after which Court decision becomes final); Taylor v. West, 11 Vet.App. 206, 207 (1998) (appeal remained “pending” before Court after decision was issued but prior to entry of judgment); U.S. Vet.App. R. 35(d)(1), 36.
1. NDAA § 1611
Section 1611 of the NDAA became effective upon its enactment and was enacted before the VCAA. Therefore, the Court must determine whether NDAA § 1611 has any potential applicability to the appellant’s claims. To do so, we examine the italicized operative language in the last sentence of the coordination provision, as shown in the quote in Part I, ante. “ ‘The starting point in interpreting a statute is its language.’” Lee v. West, 13 Vet.App. 388, 394 (2000) (quoting Good Samaritan Hospital v. Shalala, 508 U.S. 402, 409, 113 S.Ct. 2151, 124 L.Ed.2d 368 (1993)). The “plain meaning must be given effect unless a ‘literal application of [the] statute will produce a result demonstrably at odds with the intention of its drafters.’” Gardner v. Derwinski, 1 Vet.App. 584, 586-87 (1991) (citations omitted), aff'd sub nom. Gardner v. Brown, 5 F.3d 1456 (Fed.Cir.1993), aff'd, 513 U.S. 115, 115 S.Ct. 552, 130 L.Ed.2d 462 (1994). Determining the plain meaning of a statute “requires examining the specific language at issue and the overall structure of the statute.” Gardner, 1 Vet.App. at 586 (citing Bethesda Hospital Assn. v. Bowen, 485 U.S. 399, 108 S.Ct. 1255, 99 L.Ed.2d 460 (1988)); see also Degmetich v. Brown, 104 F.3d 1328, 1332 (Fed.Cir.1997) (when interpreting statutes, court is required to look at context and provisions of law as whole). “ ‘If the intent of Congress is clear, that is the end of the matter’ ” (Lee, supra (quoting Skinner v. Brown, 27 F.3d 1571, 1572 (Fed.Cir.1994))), and there would thus be no need to consider legislative history, the absence of which as to the coordination provision is nonetheless noted.
2. 38 U.S.C. § 5107, as amended by the VCAA
In section 7(a) of the VCAA, Congress explicitly provided that “the provisions of section 5107 of title 38, United States Code, as amended by section 4 of [the VCAA], apply to any claim ... filed before the date of the enactment of [the VCAA] and not final as of that date.” VCAA § 7(a)(2); see Luyster v. Gober, 14 Vet.App. 186 (2000) (per curiam order). Thus, there can be no doubt that amended section 5107 applies to the appellant’s claims, which were pending on the date of the VCAA’s enactment.
3. Other provisions of the VCAA
Congress did not, however, explicitly state whether VCAA provisions other than the amendments to section 5107 were to be applied to claims pending on the date of the VCAA’s enactment. See Appx., infra. For the reasons discussed below, the Court concludes that such provisions are potentially applicable retroactively to pending claims.
First, the explicitly stated purpose of the VCAA, without limitation to any category of claimants, including those with pending claims (see infra Part II.B., 14 Vet-App. at 288, (discussion of “Third” reason)), is to “reaffirm and clarify the duty of the Secretary of Veterans Affairs to assist claimants.” 146 Cong. Rec. H9912 (daily ed. Oct. 17, 2000) (statement of Rep. Stump). To that end, the VCAA, inter aha, amended 38 U.S.C. § 5107, which pri- or to its amendment had provided in pertinent part:
(a) Except when otherwise provided by the Secretary in accordance with the provisions of this title, a person who submits a claim for benefits under a law administered by the Secretary shall have the burden of submitting evidence sufficient to justify a belief by a fair and impartial individual that the claim is well grounded. The Secretary shall assist such a claimant in developing the facts pertinent to the claim.
Under that provision, both this Court and the U.S. Court of Appeals for the Federal Circuit (Federal Circuit) had held that the Secretary’s duty to assist a claimant was
Because VCAA § 7(a) made the amendments to section 5107 explicitly retroactive, any claimant whose claim for title 38 benefits was pending on the date of the VCAA’s enactment would be entitled to have that claim readjudicated under new section 5107 if that claim had been denied as not well grounded. See Luyster, supra. However, if the VCAA were construed so that only the amendments to section 5107 were to be applied to a claim pending on the date of the VCAA’s enactment, then upon readjudication of such a claim, the Secretary would have no statutory duty to assist because amended section 5107 does not contain a duty-to-assist provision, that provision having been transferred to new section 5103A. Indeed, the revised section 5107 places upon the claimant “the responsibility to present and support a claim.” VCAA § 4 (amending 38 U.S.C. § 5107(a)). The Court notes especially that, without the applicability of new section 5103A and the other title 38 sections amended or added by the VCAA (other than section 5107), a readjudication under section 5107 would be an exercise in futility because, although the claim could no longer be denied for a lack of well groundedness, without additional development or notification obligations on the part of the Secretary, it would simply be denied on the merits.
Second, Congress clearly provided that those claims that were denied or dismissed, by VA or a court, “because the claim was not well grounded” and the denial or dismissal of which became final “during the period beginning on July 14, 1999, and ending on the date of the enactment of [the VCAA],” may be “readjudicated under chapter 51 of [title 38 ], os amended by [the VCAA ], as if the denial or dismissal had not been made.” VCAA § 7(b)(1), (2) (emphasis added). The italicized language expresses that, as to such finally denied claims, all of the VCAA amendments would apply, not just section 5107. Thus, if the VCAA were to be construed so as to apply only section 5107 to pending claims, a highly incongruous paradox would result in which certain claimants with finally denied claims would be entitled to more favorable treatment than would be claimants with pending claims. Therefore, the conclusion is inescapable that clearly absurd results would obtain unless all provisions of the VCAA are retroactive in their potential applicability. See United States v. X-Citement Video, Inc., 513 U.S. 64, 68-69, 115 S.Ct. 464, 130 L.Ed.2d 372 (1994) (“Some applications of respondents’ position [as to the proper construction of The Protection of Children Against Sexual Exploitation Act] would produce results that were not merely odd, but positively absurd. ... We do not assume that Congress, in passing laws, intended such results.”); Timex V.I., Inc. v. United States, 157 F.3d 879, 886 (Fed.Cir.1998) (“statutory construction that causes absurd results is to be avoided if at all possible” (citing Haggar Co. v. Helvering, 308 U.S. 389, 394, 60 S.Ct. 337, 84 L.Ed. 340 (1940) (reading of statute that “would lead to absurd results is to be avoided when [it] can be given a reasonable application consistent with [its] words and with the legislative purpose”))); Faust v. West, 13 Vet.App. 342, 350 (2000) (VA regulation interpreted so as to avoid absurd result); see also Kaiser Aluminum & Chemical Corp. v. Bonjorno, 494 U.S. 827, 837, 110 S.Ct. 1570, 108 L.Ed.2d 842 (1990) (in determin
Third, as to Karnas, supra, there can be no question that Congress, which is presumed to be aware of that opinion and its progeny at the time of enacting the VCAA, clearly did not provide the specificity required by Kamas to disavow retroactivity. See generally Goodyear Atomic Corp. v. Miller, 486 U.S. 174, 184-85, 108 S.Ct. 1704, 100 L.Ed.2d 158 (1988) (“[w]e generally presume that Congress is knowledgeable about existing law pertinent to legislation it enacts”); Lorillard v. Pons, 434 U.S. 575, 580-81, 98 S.Ct. 866, 55 L.Ed.2d 40 (1978) (“Congress is presumed to be aware of an administrative or judicial interpretation of a statute and to adopt that interpretation when it re-enacts a statute without change. So too, where ... Congress adopts a new law incorporating sections of a prior law, Congress normally can be presumed to have had knowledge of the interpretation given to the incorporated law....” (citations omitted)).
Therefore, the Court holds that all provisions of the VCAA are potentially applicable to claims pending on the date of the VCAA’s enactment. The Court trusts that the Secretary, in promulgating regulations to implement the VCAA, will reconcile the VCAA regulations with any other currently effective VA issuances. See Karnas, supra; Fugere v. Derwinski, 1 Vet.App. 103, 106-08 (1990).
B. Determination of Whether VCAA is Applicable to Appellant’s Claims
Because the VCAA was enacted after issuance of the BVA decision here on appeal (and the BVA thus did not have the opportunity to address the VCAA’s applicability to the appellant’s claims), the preliminary inquiry is whether the Court should decide VCAA applicability in the first instance. In this regard, the Court notes that the appellant essentially requests that the matter be remanded for VA to determine whether his claims fall within the purview of the VCAA’s provisions (Appellant’s Brief (Br.) at 12-16), whereas the Secretary urges the Court to decide in the first instance that the appellant’s claims do fall within the scope of the VCAA, to determine that the VCAA is more favorable to the appellant than pre-VCAA law (see Karnas, supra), and to remand the matter for readjudication under the VCAA’s provisions (Secretary’s Br. at 12-13, 16-18, 21). For the following reasons, the Court holds that, at least at this time, it may not determine VCAA applicability or inapplicability in the first instance.
First, pursuant to 38 U.S.C. § 511(a), “[t]he Secretary shall decide all questions of law and fact necessary to a decision by the Secretary under a law that affects the provision of benefits by the Secretary to veterans or the dependents or survivors of veterans.” (Emphasis added.) Under 38 U.S.C. § 7104(a), “[a]ll questions in a matter which under section 511(a) ... is subject to decision by the Secretary shall be subject to one review on appeal to the Secretary. Final decisions on such appeal shall be made by the Board.” (Emphasis added.) This Court “has exclusive jurisdiction to review decisions of the Board.” 38 U.S.C. § 7252(a) (emphasis added). In reviewing BVA decisions, the Court, in accordance with 38 U.S.C. § 7261, may “hold unlawful and set aside decisions, findings ..., conclusions, rules, and regulations issued or adopted by the Secretary, the [Board], or the Chairman of the Board,” but “[i]n no event shall findings of fact made by the Secretary or the [Board] be subject to trial de novo by the Court.” 38 U.S.C. § 7261(a)(3), (c).
Second, two recent decisions of the Federal Circuit (albeit made in the context of the now repealed doctrine of well ground-edness) strongly suggest that, under the statutory framework referenced in the
[B]oth statute and judicial doctrine constrain the appellate review process.... Appellate courts can “review” only that which has happened in the past, while the term “de novo” may be understood to mean anew, without reference to what has gone before. To the extent that “de novo” connotes judicial review anew and without reference to what has gone before, the term fails to accurately describe the appellate process, and particularly [this is so] when it is applied to review of issues upon which any measure of deference is accorded to the decision under review.
Hensley, 212 F.3d at 1263 (citations omitted). The Hensley court then held:
[Where an] ultimate conclusion is a question of law, but that conclusion rests on factual matters the determination of which by the agency fact-finders is entitled on review to substantial deference, [s]ee, e.g., 38 U.S.C. § 7261(a)[,] ... it is incorrect to describe appellate review of ... [such a conclusion] as “de novo.” ...
The statutory provisions are consistent with the general rule that appellate tribunals are not appropriate fora for initial fact finding. Thus, the Supreme Court has held that when a court of appeals reviews a district court decision, it may remand if it believes the district court failed to make findings of fact essential to the decision; it may set aside findings of fact it determines to be clearly erroneous; or it may reverse incorrect judgments of law based on proper factual findings....
... [T]he proper course [is] to remand the case to the BVA for further development and application of the correct law.
Hensley, 212 F.3d. at 1263-64 (emphasis added).
Further, in Winters, supra, the Federal Circuit noted that, while Mr. Winters’ appeal was pending before this Court, there had been a change in law brought about by Hodge v. West, 155 F.3d 1356 (Fed.Cir.1998), which had overruled the test set forth in Colvin v. Derwinski, 1 Vet.App. 171 (1991), for determining whether new and material evidence had been presented to reopen a previously and finally disallowed claim. Winters, 219 F.3d at 1377. The Federal Circuit reasoned:
[T]his case presents issues similar to those in the recent decision of this court in Maggitt v. West, 202 F.3d 1370 (Fed.Cir.2000). In Maggitt, we ordered the Court of Appeals for Veterans Claims to remand to the Board Mr. Maggitt’s request to reopen his claim. The Board had analyzed Mr. Maggitt’s request to reopen his claim under the Colvin standard, and denied the request because this standard was not met. While his appeal to the Court of Appeals for Veterans Claims was pending, this court issued its decision in Hodge. Mr. Mag-gitt requested a remand for the Board to reconsider his request under the new Hodge standard, but the Court of Appeals for Veterans Claims refused and instead upheld the Board on the merits. On appeal, we held that, because of the change in the law, the Court of Appeals for Veterans Claims should have granted Mr. Maggitt’s request for a remand. See Maggitt, 202 F.3d at 1380. A similar analysis applies to the present case, with the same result: the Court of Appeals for Veterans Claims should have remanded Mr. Winters’s claim to the Board for reconsideration in light of Hodge.
Winters, 219 F.3d at 1379. In other words, the Winters Court admonished that
There is a further reason why the Court of Appeals for Veterans Claims’s action in the present case cannot be affirmed. The reopening statute, 38 U.S.C. § 5108, states that if the veteran presents new and material evidence, “the Secretary shall reopen the claim.” Thus, under the statute, only the DVA (acting on behalf of the Secretary) has the authority to reopen a claim. The statute does not give the Court of Appeals for Veterans Claims that power, and the Court of Appeals for Veterans Claims therefore exceeded its statutory authority when it assumed Mr. Winters’s claim to be reopened in order to make its determination that the reopened claim was not well grounded.... The Court of Appeals for Veterans Claims should not assess whether a claim is well grounded until and unless the DVA rules on the issue after the claim is properly reopened....
Winters, 219 F.3d at 1379-80 (emphasis added) (citations omitted). In Winters, the Federal Circuit then held that “[b]e-cause the Court of Appeals for Veterans Claims exceeded its statutory authority when it addressed whether Mr. Winters had presented a well[-]grounded claim and prejudiced him by basing its decision on a ground different from that relied on by the Board, the decision must be vacated.” Id. at 1380.
Third, the Secretary, in his supplemental brief, invited the Court to decide in the first instance that three classes of cases pending before the Court do not fall within the scope of the VCAA’s provisions. Secretary’s Br. at 13-15. Even assuming that, despite the Federal Circuit doctrine enunciated above, the Court would not be precluded from doing so, at oral argument, the Secretary conceded both that the VCAA potentially applies to all claimants and that any such classifications of nonap-plicability would have to be considerably more narrow than had been asserted in his brief. To the extent that the former concession does not swallow the latter concession, as to the latter the Secretary acknowledged that, contrary to his brief, claims for accrued benefits (under 38 U.S.C. § 5121) and of clear and unmistakable error (CUE) (under 38 U.S.C. §§ 5109A, 7111) could not be universally excluded from coverage under the VCAA’s notice (38 U.S.C. § 5103) and duty-to-assist (38 U.S.C. § 5103A) provisions.
Fourth, pursuant to 38 U.S.C. § 5100, as added by VCAA § 2, a “claimant” includes “any individual applying for, or submitting a claim for, any benefit under the laws administered by the Secretary.” The Secretary, at oral argument, as indicated above, recognized that there is no subset of “claimants” to which the Secretary’s duties under the VCAA would not be potentially applicable. These duties essentially fall into two categories: Involvement in the collection of evidence that could result in a successful claim (see 38 U.S.C. § 5103A) and giving notification to a claimant as to what is required for a claim to be successful (see 38 U.S.C. §§ 5102(b), 5103(a)). As to the first category, the Secretary is directed to prescribe regulations, which he has not yet done, to carry out section 5103A, and that in doing so he is expressly authorized by new section 5103A(g), and thus may decide, to provide more assistance than would otherwise be required by law. See 38 U.S.C. § 5103A(e), (g).
Fifth, as to the second category, even assuming that the Court could divine in the first instance on the particular facts of a particular case that no amount of additional evidence could change an adverse outcome, the Court could not obviate in the first instance the requirement for the Secretary to provide notice. In this regard,
Upon receipt of a complete or substantially complete application, the Secretary shall notify the claimant and the claimant’s representative, if any, of any information, and any medical or lay evidence, not previously provided to the Secretary that is necessary to substantiate the claim. As part of that notice, the Secretary shall indicate which portion of that information and evidence, if any, is to be provided by the claimant and which portion, if any, the Secretary, in accordance with section 5103A of this title and any other applicable provisions of law, will attempt to obtain on behalf of the claimant.
38 U.S.C. § 5103(a) (emphasis added). The Secretary indicated at oral argument that VA has not yet formulated a clear policy as to what the section 5103(a) notice will contain. In that regard, however, the Secretary did state that, in addition to notifying a claimant of any required evidence and routine administrative information (such as date of birth, Social Security number, address), the notice, at least in some circumstances, may be required to include “information” as to the state of the law on a particular issue. The Secretary suggested, for example, that where a claimant asserts CUE, the section 5103(a) notice might have to include an explanation as to what would be required to state a valid CUE claim under Fugo v. Brown, 6 Vet.App. 40, 44 (1993). In addition, the Secretary acknowledged at oral argument that section 5103(a) might require a continuing notice obligation during the pen-dency of a claim, i.e., multiple notices at different stages of the claim rather than just one after the application becomes “complete or substantially complete.” 38 U.S.C. § 5103(a). Until the Secretary has addressed these significant uncertainties regarding who gets what kind of a notice and when pursuant to § 5103(a) (it is the Secretary who “has the 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,” 38 U.S.C. § 501(a)), and we have had the opportunity “to review” (38 U.S.C. § 7252(a)) such a policy for its consistency with section 5103(a), the Court has no basis for rendering a decision as to the applicability (or nonapplicability) of that notice provision to the appellant’s claims.
Sixth, both the Federal Circuit’s and this Court’s caselaw require us to ensure compliance with fair process. See Austin v. Brown, 6 Vet.App. 547, 551 (1994); Thurber v. Brown, 5 Vet.App. 119 (1993) (“entire thrust of the VA’s nonadversarial claims system is predicated upon a structure which provides for notice and an opportunity to be heard at virtually every step in the process”); see also Hayre v. West, 188 F.3d 1327, 1333 (Fed.Cir.1999) (grave procedural error vitiates finality of RO decision); Sutton v. Brown, 9 Vet.App. 553, 566 (1996) (discussing and applying VA procedural protections and remanding for “Board to consider and discuss ... whether the veteran had been given adequate notice of the need to present argument and further evidence on the merits of his claim and an adequate opportunity to appear at a hearing”); Archbold v. Brown, 9 Vet.App. 124, 129 (1996) (fundamental right to receive appellate rights and Statement of the Case); Curry v. Brown, 7 Vet.App. 59, 66-67 (1994) (discussing and applying VA fair' process principles and announcing fair process rules); Bernard v. Brown, 4 Vet.App. 384, 392-94 (1993) (holding that VA claimants must be afforded “full benefits of ... procedural safeguards” afforded by statutory and regulatory provisions establishing “extensive procedural requirements to ensure a claimant’s rights to full and fair assistance and adjudication in the VA claims adjudication process”). In this regard, the Federal Circuit stated as an additional rationale for its decision in Winters:
This result is also supported by fundamental principles of fairness....
*290 Rather than remand Mr. Winters’s case to the DVA, the Court of Appeals for Veterans Claims ... deprived Mr. Winters of his right, under [pre-VCAA] 38 U.S.C. § 5103(a), to an explanation of what evidence was missing from his claim and an opportunity to supply such evidence. Such action by the court is inconsistent with general principles of fairness, and it is particularly unwarranted in view of the fact that “the character of the veterans’ benefits statutes is strongly and uniquely pro-claimant.”
Winters, 219 F.3d at 1379-80; see Nolen v. Gober, 222 F.3d 1356, 1361 (Fed.Cir.2000) (suggesting that failure to provide required notice violates “general principles of fairness, and is particularly unwarranted in view of the fact that ‘the character of the veterans’ benefits statute is strongly and uniquely pro-claimant’ ”). These cases strongly suggest that for this Court to render a determination as to VCAA applicability (or nonapplicability) where no section 5103(a) notice has been provided by VA would violate principles of fair process.
III. CONCLUSION
The Court holds that NDAA § 1611 has no potential applicability to the appellant’s claims. The Court further holds that all provisions of the VCAA are potentially applicable to the appellant’s claims. We conclude, however, at least at this time, that this Court may not determine in the first instance the specific applicability of the VCAA. Because of this Court’s scope of review, the Federal Circuit jurisprudence interpreting that statutory framework, the Secretary’s acknowledgments at oral argument, the “strongly and uniquely pro-claimant” nature of veterans law, the absence of VA implementing regulations, and the concerns of fundamental fairness and fair process, the Court must avoid cutting off an appellant’s rights under the VCAA by prematurely injecting itself into the VA adjudication process and making determinations on issues that were not addressed by VA in the first instance. Moreover, we stress that our concern about not acting precipitously is particularly acute here, where the enactment of the VCAA — which could be the most far-reaching Congressional enactment regarding claims adjudication since the Veterans’ Judicial Review Act, Pub.L. No. 100-687, 102 Stat. 4105 (1988) (which created this Court) — came about largely because Congress perceived that judicial decisions had far too narrowly defined the Secretary’s authority to provide assistance (see Explanatory Statement of Committees on Veterans’ Affairs (Background), 146 Cong. Rec. H9913 (daily ed. Oct. 17, 2000)), and where the Court, by rendering any decision as to the applicability of that law to the appellant’s claims, would risk abridging (or even usurping) the Secretary’s statutory authority to implement that law and to render such decisions under it as the Secretary considers appropriate. See 38 U.S.C. §§ 501(a), 511(a); see also McKart v. United States, 395 U.S. 185, 193-94, 89 S.Ct. 1657, 23 L.Ed.2d 194 (1969) (“The agency, like a trial court, is created for the purpose of applying a statute in the first instance.”). Indeed, for this Court to determine in the first instance who’s in and who’s out under the enormously far-reaching adjudication safeguards enacted in the VCAA would be to act not as a reviewing judicial tribunal but as an executive agency that is promulgating regulations. This we cannot do. Rather, we will vacate the BVA decision and remand for VA to make a determination as to the applicability of the various VCAA provisions to the appellant’s claims.
Upon consideration of the above, the September 30, 1999, BVA decision is VACATED and the matter is REMANDED for proceedings consistent with this opinion.
Concurrence Opinion
concurring:
I join fully in Chief Judge Kramer’s excellent opinion. I wish to amplify several points, however.
The Court’s reading of the language in the effective-date coordination provision is buttressed by similar legislative action by Congress in 1998 in connection with the enactment of 38 U.S.C. § 1103, relating to claims based upon the effects of tobacco products. Internal Revenue Service Restructuring and Reform Act of 1998, Pub.L. No. 105-206, § 9014, 112 Stat. 685, 865-66 (July 22, 1998). The new section 1103 was made effective prospectively, that is, with respect to claims received by VA after the date of that enactment. Id., 112 Stat. at 866 (subsection (b) of new section 8202). Approximately six weeks earlier, Congress had amended 38 U.S.C. §§ 1110 and 1131, dealing somewhat differently with the same subject matter; those amendments were to be effective with respect to any claim for compensation received by VA at any time (except not in a case in which VA had before that enactment awarded service connection based on use of tobacco products). Transportation Equity Act for the 21st Century, Pub.L. No. 105-178, § 8202, 112 Stat. 107, 492-93 (June 9, 1998). In the later enactment, Congress provided that the “amendments made by [the earlier enactment] shall be treated for all purposes as not having been made”. Pub.L. No. 105-206, § 9014(a), 112 Stat. at 865. That rather straightforward and brief coordinating provision effectively nullified the earlier enactment from its very outset.
In contrast, the situation we confront regarding the competing amendments to 38 U.S.C. § 5107 is far more complicated as a result of the fact that Congress elected to place the nullification language (coordination provision) in a law (Pub.L. No. 106-419) that was enacted between the date of enactment of the provision to be nullified (NDAA § 1611) and an anticipated future date of enactment of the superseding provision (VCAA § 4). In order to achieve exactly the same effect as was achieved in the case of the tobacco-products provisions — nullification of the first enactment from its inception — more complicated nullification legislation had to be crafted because not only were there three separate laws involved but also because the provision regarding the effective date of the nullification of NDAA § 1611 was enacted before the superseding provision itself (in the VCAA) and, hence, before any nullification could actually occur. The extra phrases used in the coordination provision, “as of the enactment” and “shall cease to be in effect”, were necessary because of the nine-day period between the enactment of NDAA § 1611 and the VCAA’s enactment date, no matter that the former was later to be retrospectively nullified by operation of the coordination provision as of the date that the VCAA was enacted. Unlike in the current situation, the tobacco-products nullifying provision was enacted in the same law as the coordinating provision, so there was no time gap and, thus, no provision was nec
Second, I wish to expand somewhat on the Court’s cautionary statement at the end of part II.A.3. of the opinion regarding the need for the VCAA regulations to be reconciled with any currently effective VA issuances. Because the VCAA is potentially applicable to pending claims, VA will be required to determine, under Karnas v. Derwinski, in each case whether any regulations that it issues to implement the VCAA provide a more favorable result to a claimant than would have been provided under the law (including binding VA issu-ances) that existed prior to the VCAA, unless VA can demonstrate clearly that as a general matter the VCAA and its subsequent implementing regulations provide a more favorable result in all instances. Karnas, 1 Vet.App. 308, 313 (1991) (“where the law or regulation changes after a claim has been filed or reopened but before the administrative or judicial appeal process has been concluded, the version most favorable to the appellant should apply unless Congress provided otherwise or permitted the [Secretary] to do otherwise and the Secretary did so”). In this regard, I note (without expressing an opinion as to the merits of) the appellant’s position that substantive rights were created by virtue of two “Fast Letters” (Fast Letter, 00-92 (Dec. 13, 2000); Fast Letter 00-87 (Nov. 17, 2000)) issued, subsequent to the VCAA, by the Director of Compensation and Pension in the VA Veterans Benefits Administration to provide VCAA guidance (and that were not subject to notice or comment, see Fugere v. Derwinski, 1 Vet.App. 103, 106-08 (1990) (discussing applicability of Administrative Procedure Act, 5 U.S.C. § 551 et seq., to VA)). If the appellant is correct, then a VA adjudication made in accordance with those VCAA-implement-ing regulations could provide a less favorable result to a claimant than would have been provided by an adjudication in accordance with such preexisting substantive requirements in the Fast Letters. Such a result is also possible as to VA issuances that predate the VCAA, should a VA adjudication under the implementing regulations provide a result less favorable than would have been provided under those pre-VCAA issuances. See, e.g., McCormick v. Gober, 14 Vet.App. 39 (2000) (holding that VBA Letter 20-99-60 was binding VA issuance although not adopted after notice and opportunity for public comment); Morton, supra (as to withdrawal of opinion); Patton v. West, 12 Vet.App. 272, 277-84 (1999) (holding certain parts of VA Adjudication Procedure Manual, M21-1, were binding on VA); Cohen (Douglas) v. Brown, 10 Vet.App. 128, 139 (1997) (same). In this regard, I note the recognition by the Secretary’s representative at oral argument that pre-VCAA duties should be contained in the VCAA implementing regulations.
Finally, I note that, although the appellant has requested a remand under the VCAA, thereby specifically invoking any rights that he may have under the VCAA, the question of waiver of VCAA rights may arise before VA in the adjudication process there following our remand of the case. Cf. 38 C.F.R. § 20.1304(c) (2000) (expressly permitting claimant to waive remand from BVA to RO for issuance of Supplemental Statement of the Case when
APPENDIX
Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001, Pub.L. No. 106-398, 114 Stat. 1654, app. § 1611 (Oct. 30, 2000)
Subtitle B — Veterans Claims Assistance
SEC. 1611. CLARIFICATION OF DEPARTMENT OF VETERANS AFFAIRS DUTY TO ASSIST.
(a)IN GENERAL. — Section 5107 of title 38, United States Code, is amended to read as follows:
Ҥ 5107 Assistance to claimants; benefit of the doubt; burden of proof
“(a) The Secretary shall assist a claimant in developing all facts pertinent to a claim for benefits under this title. Such assistance shall include requesting information as described in section 5106 of this title. The Secretary shall provide a medical examination when such examination may substantiate entitlement to the benefits sought. The Secretary may decide a claim without providing assistance under this subsection when no reasonable possibility exists that such assistance will aid in the establishment of entitlement.
“(b) The Secretary shall consider all evidence and material of record in a case before the Department with respect to benefits under laws administered by the Secretary and shall give the claimant the benefit of the doubt when there is an approximate balance of positive and negative evidence regarding any issue material to the determination of the matter. “(c) Except when otherwise provided by this title or by the Secretary in accordance with the provisions of this title, a person who submits a claim for benefits under a law administered by the Secretary shall have the burden of proof.”.
(b)CLERICAL AMENDMENT. — The table of sections at the beginning of chapter 51 of that title is amended by striking the item relating to section 5017 and inserting the following new item:
“5107 Assistance to claimants; benefit of the doubt; burden of proof.”.
Veterans Benefits and Health Care Improvement Act of 2000, Pub.L. No. 106-419, 114 Stat. 1822 (Nov. 1, 2000)
(c)Coordination Provisions.—
(2) If the Veterans Claims Assistance Act of 2000 is enacted before the provisions of the Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001 are enacted into law, section 1611 of the Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001, including the amendments made by that section, shall not take effect. If the Veterans Claims Assistance Act of 2000 is enacted after the provisions of the Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001 are enacted into law, then as of the enactment of the Veterans Claims Assistance Act of 2000, the amendments made by section 1611 of the Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001 shall be deemed for all purposes not to have taken effect and that section shall cease to be in effect.
Veterans Claims Assistance Act of 2000, Pub.L. No. 106-475, 114 Stat. 2096 (Nov. 9, 2000)
106th Congress — Second Session
An Act
To amend title 38, United States Code, to reaffirm and clarify the duty of the Secretary of Veterans Affairs to assist claimants for benefits under laws administered by the Secretary, and for other purposes.
SECTION 1. SHORT TITLE.
This Act may be cited as the “Veterans Claims Assistance Act of 2000”.
SEC. 2. CLARIFICATION OF DEFINITION OF “CLAIMANT” FOR PURPOSES OF VETERANS CLAIMS.
Chapter 51 of title 38, United States Code, is amended by inserting before section 5101 the following new section:
“§ 5100. Definition of ‘claimant’
“For purposes of this chapter, the term ‘claimant’ means any individual applying for, or submitting a claim for, any benefit under the laws administered by the Secretary.”.
SEC. 3. ASSISTANCE TO CLAIMANTS.
(a) REAFFIRMATION AND CLARIFICATION OF DUTY TO ASSIST.— Chapter 51 of title 38, United States Code, is further amended by striking sections 5102 and 5103 and inserting the following:
Ҥ 5102. Application forms furnished upon request; notice to claimants of incomplete applications
“(a) FURNISHING FORMS. — Upon request made by any person claiming or applying for, or expressing an intent to claim or apply for, a benefit under the laws administered by the Secretary, the Secretary shall furnish such person, free of all expense, all instructions and forms necessary to apply for that benefit.
“(b) INCOMPLETE APPLICATIONS. — If a claimant’s application for a benefit under the laws administered by the Secretary is incomplete, the Secretary shall notify the claimant and the claimant’s representative, if any, of the information necessary to complete the application.
Ҥ 5103. Notice to claimants of required information and evidence
“(a) REQUIRED INFORMATION AND EVIDENCE. — Upon receipt of a complete or substantially complete application, the Secretary shall notify the claimant and the claimant’s representative, if any, of any information, and any medical or lay evidence, not previously provided to the Secretary that is necessary to substantiate the claim. As part of that notice, the Secretary shall indicate which portion of that information and evidence, if any, is to be provided by the claimant and which portion, if any, the Secretary, in accordance with section 5103A of this title and any other applicable provisions of law, will attempt to obtain on behalf of the claimant.
“(b) TIME LIMITATION. — (1) In the case of information or evidence that the claimant is notified under subsection (a) is to be provided by the claimant, if such information or evidence is not received by the Secretary within 1 year from the date of such notification, no benefit may be paid or furnished by reason of the claimant’s application.
“(2) This subsection shall not apply to any application or claim for Government life insurance benefits.
Ҥ 5103A. Duty to assist claimants
“(a) DUTY TO ASSIST. — (1) The Secretary shall make reasonable efforts to assist a claimant in obtaining evidence necessary to substantiate the claimant’s claim for a benefit under a law administered by the Secretary.
“(2) The Secretary is not required to provide assistance to a claimant under this section if no reasonable possibility exists that such assistance would aid in substantiating the claim.
“(3) The Secretary may defer providing assistance under this section pending the submission by the claimant of essential information missing from the claimant’s application.
“(2) Whenever the Secretary, after making such reasonable efforts, is unable to obtain all of the relevant records sought, the Secretary shall notify the claimant that the Secretary is unable to obtain records with respect to the claim. Such a notification shall' — ■
“(A) identify the records the Secretary is unable to obtain;
“(B) briefly explain the efforts that the Secretary made to obtain those records; and
“(C) describe any further action to be taken by the Secretary with respect to the claim.
“(3) Whenever the Secretary attempts to obtain records from a Federal department or agency under this subsection or subsection (c), the efforts to obtain those records shall continue until the records are obtained unless it is reasonably certain that such records do not exist or that further efforts to obtain those records would be futile.
“(c) OBTAINING RECORDS FOR COMPENSATION CLAIMS. — In the case of a claim for disability compensation, the assistance provided by the Secretary under subsection (b) shall include obtaining the following records if relevant to the claim:
“(1) The claimant’s service medical records and, if the claimant has furnished the Secretary information sufficient to locate such records, other relevant records pertaining to the claimant’s active military, naval, or air service that are held or maintained by a governmental entity.
“(2) Records of relevant medical treatment or examination of the claimant at Department health-care facilities or at the expense of the Department, if the claimant furnishes information sufficient to locate those records.
“(3) Any other relevant records held by any Federal department or agency that the claimant adequately identifies and authorizes the Secretary to obtain.
“(d) MEDICAL EXAMINATIONS FOR COMPENSATION CLAIMS. — (1) In the case of a claim for disability compensation, the assistance provided by the Secretary under subsection (a) shall include providing a medical examination or obtaining a medical opinion when such an examination or opinion is necessary to make a decision on the claim.
“(2) The Secretary shall treat an examination or opinion as being necessary to make a decision on a claim for purposes of paragraph (1) if the evidence of record before the Secretary, taking into consideration all information and lay or medical evidence (including statements of the claimant)—
“(A) contains competent evidence that the claimant has a current disability, or persistent or recurrent symptoms of disability; and
“(B) indicates that the disability or symptoms may be associated with the claimant’s active military, naval, or air service; but
“(C) does not contain sufficient medical evidence for the Secretary to make a decision on the claim.
“(e) REGULATIONS. — The Secretary shall prescribe regulations to carry out this section.
“(f) RULE WITH RESPECT TO DISALLOWED CLAIMS. — Nothing in this section shall be construed to require the Secretary to reopen a claim that has been disallowed except when new and material evidence is presented or secured, as described in section 5108 of this title.
(b) REENACTMENT OF RULE FOR CLAIMANT’S LACKING A MAILING ADDRESS. — Chapter 51 of such title is further amended by adding at the end the following new section:
Ҥ 5126. Benefits not to be denied based on lack of mailing address
“Benefits under laws administered by the Secretary may not be denied a claimant on the basis that the claimant does not have a mailing address.”.
SEC. 4. DECISION ON CLAIM.
Section 5107 of title 38, United States Code, is amended to read as follows:
Ҥ 5107. Claimant responsibility; benefit of the doubt
“(a) CLAIMANT RESPONSIBILITY. — Except as otherwise provided by law, a claimant has the responsibility to present and support a claim for benefits under laws administered by the Secretary.
“(b) BENEFIT OF THE DOUBT.— The Secretary shall consider all information and lay and medical evidence of record in a case before the Secretary with respect to benefits under laws administered by the Secretary. When there is an approximate balance of positive and negative evidence regarding any issue material to the determination of a matter, the Secretary shall give the benefit of the doubt to the claimant.”.
SEC. 5. PROHIBITION OF CHARGES FOR RECORDS FURNISHED BY OTHER FEDERAL DEPARTMENTS AND AGENCIES.
Section 5106 of title 38, United States Code, is amended by adding at the end the following new sentence: “The cost of providing information to the Secretary under this section shall be borne by the department or agency providing the information.”.
SEC. 6. CLERICAL AMENDMENTS.
The table of sections at the beginning of chapter 51 of title 38, United States Code, is amended—
(1) by inserting before the item relating to section 5101 the following new item:
“5100. Definition of ‘claimant’.”;
(2) by striking the items relating to sections 5102 and 5103 and inserting the following:
“5102. Application forms furnished upon request; notice to claimants of incomplete applications.
“5103. Notice to claimants of required information and evidence.
“5103A. Duty to assist claimants.”;
(3) by striking the item relating to section 5107 and inserting the following:
“5107. Claimant responsibility; benefit of the doubt.’;
and
(4) by adding at the end the following new item:
“5126. Benefits not to be denied based on lack of mailing address.”.
SEC. 7. EFFECTIVE DATE.
(a) IN GENERAL. — Except as specifically provided otherwise, the provisions of section 5107 of title 38, United States Code, as amended by section 4 of this Act, apply to any claim—
(1) filed on or after the date of the enactment of this Act; or
(2) filed before the date of the enactment of this Act and not final as of that date.
(b) RULE FOR CLAIMS THE DENIAL OF WHICH BECAME FINAL AFTER THE COURT OF APPEALS FOR VETERANS CLAIMS DECISION IN THE MORTON CASE. — (1) In the case of a claim for benefits denied or dismissed as
(2) A denial or dismissal described in this paragraph is a denial or dismissal of a claim for a benefit under the laws administered by the Secretary of Veterans Affairs that—
(A) became final during the period beginning on July 14, 1999, and ending on the date of the enactment of this Act; and
(B) was issued by the Secretary of Veterans Affairs or a court because the claim was not well grounded (as that term was used in section 5107(a) of title 38, United States Code, as in effect during that period).
(3) A claim may not be readjudicated under this subsection unless a request for readjudication is filed by the claimant, or a motion is made by the Secretary, not later than 2 years after the date of the enactment of this Act.
(4) In the absence of a timely request of a claimant under paragraph (3), nothing in this Act shall be construed as establishing a duty on the part of the Secretary of Veterans Affairs to locate and readjudieate a claim described in this subsection.
Approved November 9, 2000.