Richard D. SIMMONS, Appellant, v. Anthony J. PRINCIPI, Secretary of Veterans Affairs, Appellee.
No. 98-354.
United States Court of Appeals for Veterans Claims.
June 4, 2003.
17 Vet. App. 104
Before FARLEY, STEINBERG, and GREENE, Judges.
I concur in the opinion of the Court except for part II.D. The Court is not called upon to address the VCAA here because “neither party ... has argued that application of the VCAA could be beneficial to the appellant.” Williams (Shirley) v. Principi, 15 Vet.App. 189, 199 (2001) (en banc) (Kramer, C.J., with whom Steinberg, J., joined, stating separately).
Tim S. McClain, General Counsel; R. Randall Campbell, Assistant General Counsel; Thomas A. McLaughlin, Special Assistant to the Assistant General Counsel; and Cristine D. Senseman, all of Washington, D.C., were on the pleadings, for the appellee.
STEINBERG, Judge:
The appellant, veteran Richard D. Simmons, through counsel, seeks review of a January 1998 Board of Veterans Appeals (Board or BVA) decision that denied as legally insufficient a claim of clear and unmistakable error (CUE) in an April 1977 decision by a Department of Veterans Affairs (VA) regional office (RO) that had denied VA service connection for arthritis and a nervous disorder. Record (R.) at 3. The relevant filings of the parties, along with the protracted procedural history of this case, will be detailed below. For the reasons that follow, the Court will vacate the Board decision and remand the matter.
I. Relevant Background
The veteran served in the U.S. Navy from November 1968 to January 1970. R. at 14. His service medical records (SMRs) reported that he had suffered from depression (R. at 23, 27) but contained no indication of his having in-service arthritis (see R. at 17-32). A February 1972 private hospitalization discharge report noted that the veteran had complained of “arthritis of large joints since 12/20/71“; he was diagnosed as having “[p]olyarthritis, probably rheumatoid, seronegative“. R. at 34.
In September 1972, the veteran filed with the VARO an application for VA compensation or pension based on arthritis. R. at 38-42. He submitted a private medical record, dated September 1972, that described treatment on “December 20, 1971, [for] painful swelling ... near the right sacro iliac [sic] joint.” R. at 45. In November 1972, a VA examining physician diagnosed the veteran as having “[p]olyarthritis, cause undetermined“. R. at 62. The RO in December 1972 awarded the veteran non-service-connected pension
In June 1974, the veteran filed a claim for VA service connection for rheumatoid arthritis; he asserted that his arthritis was a “direct result of his mental depression in service.” R. at 80. In July 1974, he submitted, inter alia, an April 1974 private hospitalization summary, which diagnosed “[r]heumatoid arthritis, seronegative“. R. at 86. An August 1974 VA psychiatric examination report noted the veteran‘s account that he had “developed rheumatoid arthritis in December 1971” and diagnosed “[a]nxiety reaction with depressive features, moderate only, secondary to arthritis condition.” R. at 123. The RO in September 1974 denied the veteran‘s “reopened claim” because his arthritis and anxiety reaction “were not incurred in or aggravated by his period of military [service;] nor [was] it shown that he had arthritis manifested within the first year following service.” R. at 128-29.
In November 1974, the veteran submitted a letter from Dr. Herion, a private physician, stating:
On the basis of information contained in [m]edical [r]ecords covering [the veteran‘s] illness while in the United States Navy from August 1968 to January 1970, it is reasonable to presume that his illness then, which appeared as mental depression, was the same as that presenting as polyarthritis when I saw him in February 1972.... The brief interval between his discharge from the military and the onset of his polyarthritis would, I believe, make it likely that Mr. Simmons[‘] chronic disease was present even while he was in the United States Navy.
R. at 149. In December 1974, the RO confirmed its earlier denial of service connection for arthritis; the RO concluded: “Dr. Herion‘s statement provides no basis to establish that rheumatoid arthritis developed during [the veteran‘s] active military service or within the [one-]year presumpti[on] period following separation from service.” R. at 156.
In April 1977, the veteran submitted to the RO a private medical record from Dr. Ford that contained a May 1970 diagnosis of “[a]rthritis (type undetermined) ... [and n]ervous anxiety“. R. at 182. Later that month, the RO confirmed its prior denial of both claims. R. at 184. In May 1977, the RO notified the veteran of its decision in a letter that stated: “Dr. Ford‘s statement provides no basis to establish service connection for arthritis and nervous condition.” Ibid. The veteran did not appeal to the Board any of the above RO decisions.
In September 1994, the veteran filed a claim asserting CUE as to that April 1977 RO decision. R. at 316. It is unclear whether the RO in 1977 reopened the veteran‘s claims and then denied them on the merits or whether the RO denied the veteran‘s attempt to reopen as to the previously disallowed claims. For the purposes of this decision, the Court need not decide that question, because, pursuant to Crippen v. Brown, 9 Vet.App. 412, 421 (1996) (stating that in either scenario the claimant must establish that the merits “would have ‘manifestly’ been changed” and also quoting Mason (Sangernetta) v. Brown, 8 Vet.App. 44, 52 (1995)), “it does not matter whether a particular RO decision was or was not a merits adjudication, because the disposition of the CUE claim would ultimately turn on the same question.” In July 1995, the veteran submitted a statement in which he asserted that in April 1977 he had been entitled to a presumption of service connection under
The appellant filed his brief in this case in January 1999, and in April 1999 the Secretary filed a motion for single-judge affirmance. In October 1999, the Court ordered the parties to file supplemental memoranda as to the opinion of the U.S. Court of Appeals for the Federal Circuit (Federal Circuit) in Hayre v. West, 188 F.3d 1327 (Fed.Cir.1999). The appellant filed his supplemental memorandum in November 1999, and the Secretary filed his response to the appellant‘s supplemental memorandum in February 2000. On August 30, 2000, a panel of the Court issued an opinion in this case affirming the January 1998 Board decision. Simmons v. West, 14 Vet.App. 84, 91-92 (2000). The Court entered its judgment on September 21, 2000. On November 13, 2000, the Court recalled its judgment, noting that the enactment of the Veterans Claims Assistance Act of 2000,
On December 5, 2000, the appellant, through counsel, filed a motion to vacate the Court‘s August 30, 2000, opinion. On December 21, 2000, the Court ordered the parties to file supplemental briefs addressing the effect of the changes in law enacted in the VCAA. Simmons v. Gober, 14 Vet.App. 226 (2000) (per curiam order). In January 2001, the Court also ordered that the appellant‘s motion to vacate the August 30, 2000, opinion be held in abeyance pending receipt of the supplemental briefs. Simmons v. Gober, No. 98-354, 2001 WL 122226 (Vet.App. Jan. 31, 2001) (per curiam order). On April 5, 2001, the Secretary filed a response in which he asserted that a remand of the matters on appeal was required pursuant to Holliday v. Principi, 14 Vet.App. 280 (2001), in order for the case to be readjudicated in light of the enactment of the VCAA. The Court construed the Secretary‘s response as a motion for remand. On August 31, 2001, the Court revoked a July 13, 2000, order that had submitted this appeal to a panel for a decision and returned the matter to the single judge for disposition.
On September 10, 2001, in a single-judge order, the Court vacated the Board decision and remanded the matters for readjudication in accordance with the Secretary‘s unopposed, construed motion. Simmons v. Principi, No. 98-354, 2001 WL 1167536, at *2 (Vet.App. Sept. 10, 2001). On that same date, however, the Secretary (1) filed an opposed motion to withdraw his April 2001 response and the construed motion for remand, (2) moved to file a substitute response that he appended to his motion, and (3) further moved for reinstatement of the Court‘s September 2000 judgment, based on the Court‘s opinion in Livesay v. Principi, 15 Vet.App. 165 (2001) (en banc) (holding that VCAA does not apply to CUE claim as to prior BVA decision), of the judgment of affirmance.
On September 17, 2001, the appellant filed, through counsel, a motion for clarification of the Court‘s August 31, 2001, order. He noted, among other things, that the Court had not ruled on his motion to vacate the panel opinion of August 30, 2000. Motion at 2. He also inquired whether, given the significant changes in the law represented by this Court‘s opinion in Livesay, supra, and opinions of the Federal Circuit in Roberson v. Principi, 251 F.3d 1378 (Fed.Cir.2001), and Cook v. Principi, 258 F.3d 1311 (Fed.Cir.2001) [hereinafter Cook I], opinion withdrawn, 275 F.3d 1365 (Fed.Cir.2002) [hereinafter Cook II], the parties would be provided an
On September 19, 2001, the appellant filed a response in opposition to the Secretary‘s motion to file a substituted response. He asserted that the holding in Livesay is not dispositive of the CUE claim in this case because Livesay involved the assertion of CUE as to a Board decision under
In a June 7, 2002, per curiam order, the Court (1) sua sponte withdrew the September 10, 2001, order; (2) submitted the matter to the instant panel; (3) sua sponte withdrew the Court‘s August 30, 2000, panel opinion; (4) denied the Secretary‘s motion to withdraw his April 5, 2001, response and to substitute his September 30, 2001, response, but accepted the September 2001 filing as a supplemental response; and (5) ordered the appellant to file a supplemental memorandum addressing the Secretary‘s September 2001 supplemental response, as well as the effect, if any, of the opinions in Roberson, Hayre, and Livesay, all supra, as well as Disabled American Veterans v. Gober, 234 F.3d 682, 704 (Fed.Cir.2001) [hereinafter DAV v. Gober], cert. denied, 532 U.S. 973 (2001), on this matter. Simmons v. Principi, 16 Vet.App. 153, 155 (2002) (per curiam order).
The appellant filed a supplemental memorandum on June 24, 2002. Therein, he argues (1) that under Livesay, the VCAA was inapplicable to his case (Supplemental Memorandum (Mem.) at 2) but that ”Livesay is applicable regarding the question of dealing with the ‘grave procedural error’ allegation made by the [a]ppellant in this matter” (Mem. at 10); (2) that the Federal Circuit‘s holding in DAV v. Gober that a case asserting CUE as to a prior final Board decision should be dismissed rather than denied where the appellant‘s arguments fail to comply with specific-pleading requirements for CUE claims, DAV v. Gober, 234 F.3d at 699, should be expanded to cases alleging CUE as to a prior final RO decision (Mem. at 2); (3) that Roberson, 251 F.3d at 1384, requires the Court to remand his case to the Board with instructions to remand the case to the RO, in order to address whether the April 1977 RO decision complied with the duty to assist (Mem. at 5-6); and (4) that Hayre should require a remand in this case, but that “the parties and this Court may be well served if the proceedings in this matter were stayed pending the en banc decision in Cook” (Mem. at 10).
The Secretary responded to the appellant‘s supplemental memorandum on September 23, 2002. Therein, the Secretary requests a stay of proceedings pending the outcome of Cook II, supra (Response (Resp.) at 1), and argues (1) that Livesay, 15 Vet.App. at 176, supports the Secretary‘s position in this case and does not require a remand for consideration of an asserted “grievous [sic] procedural error” (Resp. at 4); (2) that Roberson, supra, should be narrowly construed and does not dictate a remand in this case (Resp. at 5-7); and (3) that the Court should affirm the instant Board decision, because “[a] denial or termination under such conditions would not be a merits determination,
On December 20, 2002, the Federal Circuit issued its opinion in Cook v. Principi, 318 F.3d 1334 (Fed.Cir.2002) [hereinafter Cook III]. On January 10, 2003, the appellant filed a motion to stay proceedings pending a decision by the U.S. Supreme Court on a petition for a writ of certiorari, which his counsel, who was also counsel in Cook, contemplated filing in Cook III, supra. On February 11, 2003, the Court dissolved the November 13, 2002, stay of proceedings and denied the appellant‘s December 20, 2002, motion to stay proceedings any further.
II. Analysis
A. VCAA
In Livesay, this Court held that the VCAA was inapplicable to a CUE claim as to a prior final Board decision. Livesay, 15 Vet.App. at 178. Also, in Parker v. Principi, 15 Vet.App. 407, 412 (2002), we held, in a case involving a CUE claim as to a prior final RO decision, that the Secretary‘s VCAA remand motion “has no merit following this Court‘s decision in Livesay.” See also Juarez v. Principi, 16 Vet.App. 518, 521 (2002) (per curiam order) (citing Parker as “holding VCAA inapplicable to claim that RO decision contained CUE“). Hence, the Court will not further discuss this issue.
B. Grave-Procedural-Error Claim
The appellant, in his supplemental memorandum, relies on Hayre and Livesay, both supra, to support his contention that this matter should be remanded on the basis that a “grave procedural error” was committed during the adjudication of his claim. Mem. at 10. The Federal Circuit recently held in Cook III that the finality of a VA decision could not be vitiated by a “grave procedural error” on the part of VA. Cook III, 318 F.3d at 1341 (overruling holding of Hayre, supra, that finality of RO decision was vitiated when VA committed “grave procedural error” by failing to obtain service medical records requested several times by appellant). In Cook III, the asserted “grave procedural error” was an RO‘s failure to provide the veteran with a proper medical examination. Ibid. Similarly, in the instant case, the appellant has argued that “VA‘s failure to obtain a comprehensive medical evaluation to determine whether the 10% threshold under
C. Roberson Development
The appellant argues the following as to Roberson, supra:
The [a]ppellant would assert that the Federal Circuit‘s decision in Roberson requires that this matter be remanded to the Board with instructions to remand to the [RO] for readjudication of the [a]ppellant‘s claim of VARO CUE in
light of the Federal Circuit‘s decision regarding the standard to be utilized in the review of claims of CUE.... In the instant matter, the Board should be instructed by the Court to instruct the [RO] to determine whether the April 1977 [RO decision] fully developed the [a]ppellant‘s claims for service connection for arthritis and a nervous condition before deciding it on the merits. Specifically, whether the [RO] had fully developed whether there were symptoms or manifestations of a chronic condition of rheumatoid arthritis during the presumpti[on] period provided in
38 C.F.R. § 3.307(a)(3) .
Mem. at 5-6 (emphasis in original).
In Roberson, the Federal Circuit held that if a veteran submits evidence of a medical disability for which he is then awarded service connection, makes a claim for the highest rating possible, and submits evidence of unemployability, as had the veteran in that case, then VA must consider a rating of total disability based upon individual unemployability (TDIU), even if not specifically requested by the veteran. Roberson, 251 F.3d at 1382-85. The Federal Circuit stated:
In Hodge v. West, 155 F.3d 1356 (Fed.Cir.1998), we ... determined that Congress has mandated that ... VA is “to fully and sympathetically develop the veteran‘s claim to its optimum before deciding it on the merits.” We see no basis for applying a different standard to a CUE claim, and we hold that ... [V]A is thus required to consider a CUE claim using the standard of Hodge.
The appellant‘s Roberson arguments appear to rely on the Federal Circuit‘s statement that the “standard of Hodge” should apply to CUE claims. However, in Lane v. Principi, 16 Vet.App. 78, 86-87 (2002), this Court explained the limited application of Roberson, which “involved a situation where the Federal Circuit applied the Hodge standard in addressing the CUE determination that was before it in order to find and require development of a non-CUE claim that was still open and pending before VA.” Lane, 16 Vet.App. at 86-87. The Court went on to hold that “because ... the appellant has not raised any argument as to a pending non-CUE claim, any Hodge standard of development is inapplicable.” Id. at 87. Furthermore, the Federal Circuit, in Cook III, stated that “[i]n Roberson, a critical issue was whether, in addressing Roberson‘s claim that there was CUE as to the 1984 rating decision, ... VA and the [Court of Appeals for Veterans Claims] had erred by failing to recognize that in his original claim, Roberson has sought [TDIU].” Cook III, 318 F.3d at 1347.
In the instant case, the appellant has neither raised nor asserted that he had sought TDIU at the time of his original April 1977 RO decision. Furthermore, there are no pending non-CUE claims related to that RO decision; the only arguments raised by the appellant in that respect, i.e., assertions that his claim is nonfinal due to a “grave procedural error“, were rejected in part II.B., above. Therefore, as we held in Lane, “any Hodge standard of development” and Roberson are inapplicable to this case. Lane, supra.
D. CUE Claim
1. Relevant Law
An RO decision that has become final, as had the April 1977 RO decision, generally may not be reversed or amended in the absence of CUE. See
VA regulatory
Where evidence establishes [CUE], the prior decision will be reversed or amended. For the purpose of authorizing benefits, the rating or other adjudicative decision which constitutes a reversal of a prior decision on the grounds of [CUE] has the same effect as if the corrected decision had been made on the date of the reversed decision.
In Russell v. Principi, the Court defined CUE as follows:
Either the correct facts, as they were known at the time, were not before the adjudicator or the statutory or regulatory provisions extant at the time were incorrectly applied.... [CUE is] the sort of error which, had it not been made, would have manifestly changed the outcome ..., an error that is undebatable, so that it can be said that reasonable minds could only conclude that the original decision was fatally flawed at the time it was made.
Russell, 3 Vet.App. 310, 313-14 (1992) (en banc); see also Bustos v. West, 179 F.3d 1378, 1380 (Fed.Cir.1999) (expressly adopting the “manifestly changed the outcome” language in Russell, supra), cert. denied, 528 U.S. 967 (1999). “A determination that there was a ‘[CUE]’ must be based on the record and the law that existed at the time of the prior ... decision.” Id. at 314. “In order for there to be a valid claim of [CUE], ... [t]he claimant, in short, must assert more than a disagreement as to how the facts were weighed or evaluated.” Id. at 313; see also Damrel v. Brown, 6 Vet.App. 242 (1994). Moreover, a CUE motion must identify the alleged error(s) with “some degree of specificity.” Crippen, 9 Vet.App. at 420; Fugo, 6 Vet.App. at 44 (“to raise CUE there must be some degree of specificity as to what the alleged error is and ... persuasive reasons must be given as to why the result would have been manifestly different“). On appeal of a BVA determination that there was no CUE as to a prior final RO decision, the Court‘s review is limited to determining whether the Board‘s conclusion is “arbitrary, capricious, an abuse of discretion, or otherwise not in accordance with law“,
2. Preclusive Effect of Board Denial
In DAV v. Gober, supra, the Federal Circuit addressed a VA regulation,
(b) Specific allegations required. The motion must set forth clearly and specifically the alleged clear and unmistakable error, or errors, of fact or law in the Board decision, the legal or factual basis for such allegations, and why the result would have been manifestly different but for the alleged error. Nonspecific allegations of failure to follow regulations or failure to give due process, or any other general, nonspecific allegations of error, are insufficient to
satisfy the requirement of the previous sentence. Motions which fail to comply with the requirements set forth in this paragraph shall be denied.
[These paragraphs] operate together to insulate from CUE review any issue in a prior Board decision that was the subject of a CUE motion that was found to be defective for any of the reasons set forth in [§ 20.]1404(b). Consequently, the Board decision on the issue the claimant attempted to challenge in the defective CUE motion is not subject to revision due to CUE. See
38 C.F.R. § 20.1409(c) [(2000)].
DAV v. Gober, 234 F.3d at 698. After noting the
[Regulatory § 20.]1404(b)‘s requirement that a claimant specify the basis for his CUE claim is reasonable.... VA is correct that Congress directed the Board to promulgate rules to require CUE claims to be plead with specificity in order to “make consideration of appeals raising [CUE] less burdensome.” H.R. [REP.] No. 105-52, at 3. At the same time, however, as just explained, the effect of the last sentence of [§ 20.]1404(b), in conjunction with [§ 20.]1404(c), is to shield from CUE review any issue that is the subject of a CUE motion that is “denied” because the motion does not comply with the pleading requirements of [§ 20.]1404(b). As a result, the Board may never decide a particular CUE claim “on the merits,” as required by
38 U.S.C. § 7111(e) , not because the claimant failed to establish, substantively, his CUE claim, but, rather, because of pleading defects in the motion in which the claim is first advanced. For this reason, we believe that [§ 20.]1404(b), in the manner it operates in tandem with [§ 20.]1404(c), is contrary to the requirement of38 U.S.C. § 7111(e) that the Board decide a CUE claim on the merits. We therefore hold, as it operates with [§ 20.]1409(c), [§ 20.]1404(b) is invalid.
DAV v. Gober, 234 F.3d at 699. Subsequent to the Federal Circuit‘s opinion in DAV v. Gober, the Secretary amended
In the instant case, the appellant brought a claim of CUE as to the April 1977 RO decision. R. at 9. The Board, in its January 1998 decision under review, discussed the Fugo specific-pleading requirements for CUE claims and concluded that “the appellant‘s claim of CUE ... must be denied as legally insufficient.” R. at 10. In Fugo, this Court determined that the appellant had “not reasonably
Here, the appellant‘s claim of CUE as to a prior final RO decision was denied by the Board, rather than simply not adjudicated, as in Fugo. R. at 12. Furthermore, this denial appears to have been based on the “legal insufficien[cy]” of the appellant‘s claim. R. at 10. Pursuant to
In reviewing BVA decisions on CUE claims, under
As stated above, the Federal Circuit, in DAV v. Gober, 234 F.3d at 699, held that a CUE claim as to a prior final Board decision could not be denied for failure to meet pleading requirements, and, indeed, the Secretary in current
3. Reasons or Bases
It is a well-established principle that a Board decision must be written with “reasonable clarity“. Gilbert v. Derwinski, 1 Vet.App. 49, 57 (1990). As noted above, the Board in this case denied the appellant‘s CUE motion on the grounds that it was “legally insufficient“. R. at 10. However, it is not clear whether the Board‘s denial was based on a pleading insufficiency under Fugo, supra, or whether the Board attempted, rather inexactly, to address the merits of the appellant‘s CUE motion. Indeed, the Board decision in this case is, as we described the Board decision in Luallen v. Brown, which also addressed an allegation of CUE from a prior final RO decision, “a model of imprecision.” Luallen, 8 Vet.App. 92, 95 (1995). In Luallen, the Court determined that the “imprecision” of the Board decision was “of little significance“, because the Court there affirmed the Board decision. Ibid. In light of the above discussion, however, we cannot reach the same conclusion here. Indeed, the “imprecision” of the Board decision on appeal could lead to two divergent results, i.e., dismissal without prejudice (if the basis of the decision was a pleading insufficiency) or denial (if the basis of the decision was the merits of the CUE allegation), depending upon the interpretation given to that “imprecision“.
It would be pure speculation for us to conclude that the Board did not deny the appellant‘s claim on the basis of a pleading insufficiency. Rather, because the Board may well have preclusively denied the claim on the basis of a pleading insufficiency, we must vacate the Board decision and remand the matter for compliance with
These [Board] decisions must contain clear analysis and succinct but complete explanations. A bare conclusory statement, without both supporting analysis and explanation, is neither helpful to the veteran, nor ‘clear enough to permit effective judicial review‘, nor in compliance with statutory requirements.
Gilbert, supra (emphasis added) (quoting Int‘l Longshoremen‘s Assoc. v. Nat‘l Mediation Bd., 870 F.2d 733, 735 (D.C.Cir.1989)); see also
III. Conclusion
On the basis of the above analysis, the Court vacates the January 1998 Board decision and remands the matter for issuance of a readjudicated decision supported by an adequate statement of reasons or bases, see
VACATED AND REMANDED.
Michael D. COTANT, Appellant, v. Anthony J. PRINCIPI, Secretary of Veterans Affairs, Appellee.
No. 00-2382.
United States Court of Appeals for Veterans Claims.
June 6, 2003.
