Raymond Gallegos, Claimant-Appellee v. Anthony J. Principi, Secretary of Veterans AffairsRaymond Gallegos, Claimant-Appellee v. Anthony J. Principi, Secretary of Veterans Affairs
Lead Opinion
The Court of Appeals for Veterans Claims determined that
I.
In March 1992, Raymond Gallegos applied for service connection for disability due to diabetes and chloracne (acne-like eruptions on the face, linked to dioxin exposure). In August 1993, Mr. Gallegos amended his claim to include a claim for service connection for Post Traumatic Stress Disorder (PTSD). In September 1994, the regional office (RO) denied his PTSD claim. Mr. Gallegos’s representative, the Disabled American Veterans (DAV), submitted a letter entitled “Memo to Rating Board” to the VA on October 11, 1994. This 1994 DAV letter stated: “[I]t is our opinion that denial of the veteran’s claim for [PTSD] was a little bit premature. Further development [i.e., a review of other documents] ... would prove beneficial to fair evaluation of this veteran’s claim.” The record does not indicate what action the VA took in response to that letter.
Mr. Gallegos took no further action on his claim until February 20, 1997, when he filed an application to reopen his disallowed claim for service connection for PTSD. In October 1997, the RO granted that claim effective February 20, 1997, the date of Mr. Gallegos’ application to reopen the claim. Soon after, Mr. Gallegos filed an NOD disagreeing with the 1997 effective date. In that NOD, Mr. Gallegos sought an effective date of August 31, 1993, the date on which he first claimed service connection for PTSD.
In December 1998, the Board held that Mr. Gallegos was not entitled to the earlier effective date. In re Gallegos, C 25 623 426, slip op. at 9 (Dec. 9, 1998). Applying
The Court of Appeals for Veterans Claims reversed the Board’s decision. Specifically, the Court of Appeals for Veterans Claims determined that
II.
When reviewing an agency’s construction of a statute that it administers, this court first determines “whether Congress has directly spoken to the precise question at issue.” Chevron,
In other words, this court defers to the VA’s reasonable interpretation of a statutory provision when the law does not directly address the precise question at issue, in other words, when the law leaves “a gap for an agency to fill.” Chevron,
III.
Under
(1) [A] notice of disagreement shall be filed unthin one year from the date of mailing of notice of the result of initial review or determination. Such notice, and appeals, must be in uniting and be filed with the activity which entered the determination with which disagreement is expressed ....
(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.
This statutory language supplies some requirements for a valid NOD. For instance, title 38 requires a written NOD. In addition, the claimant or his representative must file this writing with the “activity which entered the determination with which disagreement is expressed” — the regional office in this case — within one year of notice of an initial determination. The statute does not, however, define “notice of disagreement” or suggest sufficient expressions to make a writing an NOD. The statute also does not suggest that its specifications for an NOD — writing, one-year time limit from notice, etc. — are the only requirements for a valid NOD. In sum,
Indeed, the Veterans Department had supplied a regulatory definition of the term “notice of disagreement” as early as 1963. In that earlier regulatory definition, the former
Thus,
The VA promulgated
A written communication from a claimant or his or her representative expressing 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 that can be reasonably construed as disagreement with that determination and a desire for appellate review.
Thus, under
Although “initiating” the appeal process, an NOD may or may not actually lead to an appellate review. After receiving the NOD, the regional office reviews the claim again. If the regional office can resolve the disagreement at that point, no appeal ensues. If the regional office cannot resolve the disagreement, it proceeds to prepare a “statement of the case.”
In any event,
CONCLUSION
In sum, the Court of Appeals for Veterans Claims erred in not applying Chevron
COSTS
Each party shall bear its own costs.
REVERSED and REMANDED.
Dissenting Opinion
dissenting.
This court should affirm the Court of Appeals for Veterans Claims in Gallegos v. Gober,
I believe, however, that the plain meaning and structure of
The plain meaning of the term “notice of disagreement” does not allow for the addition of procedural requirements, such as expanding the NOD definition to require that claimants also express a desire for appellate review, in order for their NOD to be valid. The plain meaning is not only clear, but obvious. The term “notice” denotes “giv[ing] legal notice to or of ... [t]o realize or give attention to.” Black’s Law Dictionary 1088 (7th ed. 1999). The term “disagreement” specifies the type of notice required in a NOD: “[a] difference of opinion; a lack of agreement.” Id. at 475.
Thus, by plain meaning, “notice of disagreement” means giving attention to a lack of agreement. In the context of
The Court of Appeals for Veterans Claims found, and the majority does not contest, that the letter sent on Mr. Gallegos behalf by the DAV expresses notice of disagreement, i.e., gives attention to a lack of agreement, with the initial decision on Mr. Gallegos’ PTSD claim. Gallegos at 58. Thus, but for the additional regulatory procedural requirement erroneously added by the VA, the DAVs actions on Mr. Gallegos behalf would have entitled him to the earlier effective date for his claim. The alleged “gap” in
We have more, however, than the plain meaning of “notice of disagreement” to inform the term NOD. In various subsections of
The relevant sections of
(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.
(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 determination.
(2) Notices of disagreement, and appeals, must be in writing ....
(c)....
(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.
(2) ....
(3) Copies of the “statement of the case” prescribed in paragraph (1) of this subsection will be submitted to the claimant and to the claimant’s representative, if there is one. The claimant will be afforded a period of sixty days from the date the statement of the case is mailed to file the formal appeal. This may be extended for a reasonable period on request for good cause shown. The appeal should set out specific allegations of error of fact or law, such allegations related to specific items in the statement of the case.
From the claimant’s perspective,
In particular, the use of the word “and” in the title of
I fail to see how Congress could have specified this multi-step micro procedure for initiating an appeal and have not specified the meaning of a NOD within the process. It is clear within the procedure described that the NOD does not express the desire for appellate review because that is the purpose of filing the appeal, a separate step as clearly contemplated by
The majority contends, on the one hand, that it considered the “pro-claimant nature of the veteran adjudication system,” while on the other, upheld a requirement that “serves administrative efficiency.” Maj. Op. at 1314-15. While undoubtedly both policies are important, the majority’s holding unnecessarily elevates the latter over the former. This is squarely against our precedent, which has consistently emphasized the Congressionally-mandated pro-claimant nature of the VA system.
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. Gober,131 F.3d 1483 , 1485 (Fed.Cir.1997) (quoting Brown v. Gardner,513 U.S. 115 , 118,115 S.Ct. 552 ,130 L.Ed.2d 462 (1994))); see Allen v. Brown,7 Vet.App. 439 , 448 (en banc) (applying Gardner to resolve interpretative doubt in veteran’s favor).
Gallegos at 56.
The interpretative guidance expressed by this pro-claimant policy further informs our job at step one of the Chevron analysis. Compounded with the plain meaning and structure of
For the foregoing reasons, I would affirm the Court of Appeals of Veterans Claims.
Notes
. The majority additionally contends that
. See Skinner v. Brown,
. As pul by the Court of Appeals for Veterans Claims: "we conclude that there is no 'gap' in this statutory scheme and that the Secretary, rather than having filled in the gap conjured up by the dissenting opinion, has by regulation raised a barrier to appellate review where none exists in
. This court has previously reviewed
. For example:
"The filing of a NOD triggers a reexamination of the claim at the AOJ.If disagreement persists, the appellate machinery moves forward, with the AOJ assisting the veteran in preparing a Statement of the Case (SOC) to present to the Board. The SOC contains a summary of the evidence and factual issues, a statement of the applicable statutes and regulations, and a discussion of their application to the facts. The SOC also sets out the AOJ's determinations on each of the issues that were determined adversely to the veteran. The veteran then selects the issues upon which he seeks to appeal to the Board, and specifies arguments relating to errors of fact or law made by the AOJ in reaching the determination being appealed.”
Smith v. Brown,
. As stated by the Court of Appeals for Veterans Claims:
All that a NOD-filing claimant need desire is review and development by the RO followed by its issuance of an SOC (or SSOC) if the claimant's disagreement is not resolved by the RO. This is the process required bysection 7105(d)(1) . Ultimately, if the claimant is still dissatisfied after receiving the SOC (or SSOC), he or she then may pursue an appeal to the BVA by filing a Substantive Appeal, and only then does the case go forward to the Board for its review. In other words, after a NOD is filed, it is quite possible that it may not become necessary to transmit the case to the BVA. How then can it be reasonable for the Secretary to require that every denied VA claimant must, at the time he or she files a 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 under38 U.S.C. § 501(a) .
Gallegos at 56.
. The government argues that the legislative history associated with the Veteran’s Judicial Review Act (VJRA), Pub. L. No. 100-687, 102 Stat. 4105, 4113-4121 (1988) (codified as amended at
. As put by the Court of Appeals for Veterans Claims:
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 a[] 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”]) (§ 7105(d)(2) ); (2) be filed in writing (§ 7105(b)(1) , (b)(2)); (3) be filed with the RO (§ 7105(b)(1) ); (4) be filed within one year after the date of mailing of notice of the RO decision (§ 7105(b)(1) ); and (5) be filed by the claimant or the claimant's authorized representative (§ 7105(b)(2) ). The only content requirement is an expression of “disagreement” with the decision of the RO.
Gallegos at 54. The court further states that in Tomlin it noted the "clarity and completeness of the statute,” which, by implication, "read out of the regulation any added requirement of an expression of a desire for appellate review.” Id. at 55.
.For example, in Hensley v. West,
a low evidentiary threshold is particularly appropriate in the veterans context because in the early stages of the application process, the veteran is almost always unassisted by legal counsel. See38 U.S.C. § 5904(c)(1) (attorneys and agents prevented from charging for services rendered pri- or to date of final decision from BVA). Since significant if not essential evidence regarding the merits of a claim often resides in the DVA's files, it would be fundamentally unfair to erect a steep evidentiary hurdle in front of an unassisted veteran before allowing the veteran to receive assistance from the DVA. The low threshold is also appropriate in light of the uniquely pro-claimant nature of the veterans compensation system. See Hodge v. West,155 F.3d 1356 , 1362-64 (Fed.Cir.1998) (recognizing that the veterans benefit system is "uniquely pro-claimant”); Hayre v. West,188 F.3d 1327 , 1333-34 (Fed.Cir.1999) (pointing out Congress’s recognition of "the strongly and uniquely pro-claimant system of awarding benefits to veterans”).
Id. at 1262 (emphasis added). This same fundamental unfairness attaches to the addi