Skoczen v. ShinsekiSkoczen v. Shinseki
In this vеterans appeal, we are asked to provide the proper interpretation of
BACKGROUND
Henry J. Skoczen, a World War II veteran, saw active military service from May 1943 to December 1945. Skoczen filed a claim for VA benefits in 2000 for various conditions including post-traumatic stress disorder (“PTSD”). He completed a VA psychiatric examination in 2002, and the Regional Office (“RO”) granted service connection for PTSD, assigning an initial 50 percent rating. Skoczen then filed a notice of disagreement (“NOD”) in which he claimed total impairment due to his PTSD symptoms and that he was therefore entitled to a higher rating. The RO issued a statement of the case (“SOC”), which Skoczen then appealed to the Board of Veterans’ Appeals (“Board”). The following year, in November 2003, the Board remanded Skoczen’s clаim for further development, including another psychiatric examination. In 2004, after additional development, the RO denied the request for an increased rating in a supplemental SOC. Skoczen appealed. After the 2004 supplemental SOC, Skoczen’s spouse submitted a statement, indicating that Skoc-zen’s PTSD had worsened. In response, the Board again remanded for additional development of his claim.
Following additional development, the RO again denied the claim, but, upon review, the Board increased the rating to 70 percent. Although the Board increased the rating, it also found that the record lacked evidence of manifestations meeting the criteria for a 100 percent rating under VA’s schedule for rating disabilities.
Skoczen appealed this Board decision to the Veterans Court. He argued that he was due a 100 percent rating “because VA did not carry its alleged burden to affirmatively prove that the 100 percent rating requirements had not been met.” He further argued that statutory and regulatory changеs effected by the Veterans Claims Assistance Act, Pub.L. No. 106-475, 114 Stat.2096 (2000) (“VCAA”), “removed any
The Veterans Court disagreed and, on December 21, 2007, affirmed the Board’s decision. The court rejected Skoczen’s contentions that a veteran need only submit a facially valid claim. The Veterans Court observed that, “after a comprehensive review of the medical evidence concerning [Skoczen’s] PTSD, the Board found that the evidence satisfied the criteria for a 70% disability, but not a 100% disability.”
The Veterans Court entered judgment оn January 15, 2008. On March 10, 2008, Skoczen timely filed his appeal.
ANALYSIS
I. Jurisdiction and Standard of Review
We have authority to review decisions of the Veterans Court regarding the “validity of any statute or regulation or any interpretation thereof’ and to “interpret constitutional and statutory provisions, to the extent presented and necessary to a decision.”
II. Interpretation of
A. Statutory Text and Framework
In statutory interpretation, we begin with the text.
Barnhart v. Sigmon Coal Co.,
In this case, the statutory section at issue reads as follows:
(a) Claimant Responsibility. — Except as otherwise provided by law, a claimant has the responsibility to present and support а claim for benefits under laws administered by the Secretary.
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. Such assistance shall include requesting information as described in section 5106 of this titlе.
In the more general context, when we ask a party tо support a legal claim, we generally expect the party to provide some factual basis that would allow us to conclude the claim is valid. Thus, “a plaintiff must plead factual allegations that
support
a facially ‘plausible’ claim to relief in order to avoid dismissal for failure to state a claim.”
Cambridge v. United States,
At times during this appeal, Skoczen argues that
The government seems to argue that “claimants seeking VA benefits ultimately bear the burdеn of establishing that they are entitled to such benefits.” Resp’t Br. 9. The government states that “there can be no doubt that the claimant bears the burden to prove his claim.”
Id.
With that summary, we can see the point of disagreement over the meaning of
Part of the difficulty with the briefing in this case is the inflexible application of traditional legal terminology to a unique administrative procedure that doesn’t easily succumb to concepts from adversary litigation such as burden of proof.
See
H.R.Rep. No. 100-963, at 13 (1988), U.S.Code Cong. & Admin.News 1988, pp.
Many of the cases we cite use the terms “burden of proof’ and “burden of persuasion” interchangeably. Yet the two concepts are not identical. The burden of proof comprises the burdens of production and persuasion. The former is the obligation to come forward with evidence of a litigant’s necessary propositions of fact. It often matters most before trial because plaintiffs who have not come forward with hard evidence to support their necessary allegations cannot survive a summary judgment motion by the defense. The burden of persuasion, on the other hand, is the obligation to convince the factfinder at trial that a litigant’s necessary propositions of fact are indeed true.
El v. Se. Pa. Transp. Auth. (“SEPTA”),
To the extent Skoczen argues that
The claimant, however, will at times have some responsibility to submit evidence corroborating his eligibility for a claimed benefit. Section 5103(a) requires VA to notify the veteran of “any informаtion, and any medical or lay evidence, not previously provided to the Secretary that is necessary to substantiate the claim.” With the notice, VA “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
Additionally,
Certain presumptions mandated by Title 38 further erode the foundation of Skoczen’s position. A veteran is generally presumed to be “in sound condition when examined, accepted, and enrolled for service.”
B. Legislative History
The government points to the legislative history of the VCAA as support for its position. In its brief, the government cites an excerpt from House Report No. 106-781, which accompanied H.R. 4864, an earlier version of the bill which became law. See Resp’t Br. 12 (citing H.R.Rep. No. 106-781, at 11 (July 24, 2000)). The cited language from the House Report reads as follows:
The revisedsection 5107 restates without any substantive change the requirements in existing law that the claimant still has the burden of proving entitlement to benefits, and that the Secretary must provide the benefit of the doubt to the claimant when there is an approximate balance of positive and negative evidence regarding any material issue.
We reject, however, the government’s overreliance on this particular excerpt from the legislative history. When one compares the quoted sentence with the version of H.R. 4864 that аccompanied the cited House Report, it is clear that the proposed amendment to
(a) Burden of Proof.-Except when otherwise provided by this title or by the Secretary in accordance with the provisions of this title, a claimant shall have the burden of proving entitlement to benefits.
H.R. 4864, 106th Cong. § 4 (as reported by H. Comm. on Veterans’ Affairs, July 24, 2000). This proposed amendment, however, never became law. The House Report, purpоrting to explain the nonsubstantive modification of the statute, at least with respect to the claimant’s burden, was actually referring to the bill as it emerged from the House Committee but before it became law. On October 17, 2000, Representative Bob Stump, then Chairman of the House Committee on Veterans’ Affairs, moved to amend H.R. 4864, which brought the Senate and House versions into agreement and contained the language now
Compromise Agreement
Proposedsection 5107(a) of the compromise agreement provides that a claimant has the responsibility to present and support a claim for the benefit sought. As under current law, the Secretary would be required to consider all information and lay and medical evidence of record, and when there is an approximate balance of positive and negative evidence regarding an issue material to the determination of a matter, the Secretary would be required to give the benefit of the doubt to the claimant.
Id. at 22,889. This summary of the compromise agreement makes no mention of how the enacted revision of 5107(a) affects a veteran’s burden to prove his or hеr claim.
In our view, the government’s emphasis of the House Report as being dispositive is misplaced. One might infer that, subsequent to the House Report, Congress changed the language in
It is the Committees’ intent that the verb “to substantiate,” as used in this subsection and throughout the compromise bill (cf., proposed 5103A(a), 5103A(2), 5103A(g)) be construed to mean “tending to prove” or “to support.” Information or evidence necessary to substantiate a claim need not necessarily prove a claim — although it eventually may do so when a decision on a claim is made — but it needs to support a claim or give form and substance to a claim.
146 Cong. Rec. at 22,887. All this merely illustrates that seemingly determinative language from the House Report may or may not be on point. Our review underscores why divining a statute’s meaning from legislative history may be “akin to ‘looking over a crowd and picking out your friends.’ ” Patricia M. Wald, Some Observations on the Use of Legislative History in the 1981 Supreme Court Term, 68 Iowa L.Rev. 195, 214 (1983) (quoting a conversation with Harold Levanthal).
Perhaps the only clear intention discernible from the legislativе history that is relevant to the present case is Congress’s goal of eliminating the “well-grounded claim” requirement. In doing so, Congress explained its objective: VA “would be obligated to assist a claimant in obtaining evidence that is necessary to establish eligibility for the benefit being sought” and “would not be contingent on the claimant filing a claim that is ‘well-grounded.’ ” H.R.Rep. No. 106-781, at 9-10. At the same time, Congress understood that:
certain claims, including those that on their face seek benefits for ineligible claimants (such as a veteran who sеeks pension benefits but lacks wartime service), or claims which have been previously decided on the same evidence canbe decided without providing any assistance or obtaining any additional evidence, and authorizes the Secretary to decide those claims without providing any assistance under this subsection.
Id. at 10.
In sum, unlike the government, we do not find the legislative history to decisively illuminate the specific issue before us. The thrust of the VCAA’s enactment, nevertheless, corroborates that VA’s responsibility in the claims adjudication process “is and has been to assist veterans in developing claims and receiving benefits for which they are eligible.” H.R.Rep. No. 106-781, at 9. Our interpretation of
C. Policy Rationale
Invoking policy-based reasons, Skoczen also contends that the government’s interpretation of the statute is contrary to Congress’s desire of providing a non-adversarial, pro-veteran process for adjudicating benefit claims. Asserting that a burden of proof is “consistent with an adversarial proceeding and not with а non-adversarial proceeding,” Pet. Br. 6, Skoczen writes that “[t]he imposition of any burden of proof on a claimant seeking VA benefits violates the express intent of Congress to create a non-adversarial adjudication process,” id. at 7.
For us to disregard in our analysis the uniquely pro-veteran, non-adversarial nature of the veterans’ claims process would be wrong.
See
H.R.Rep. No. 100-963, at 13, U.S.Code Cong. & Admin.News 1988, at p. 5794 (“Congress has designed and fully intends to maintain a beneficial non-adversarial system of veterans benefits.”). Numerous procedural protections guarantee that the claims process is far less adversarial than general civil litigation. For example, a claimant has wide latitude, compared to general civil litigation, to reopen final claims based on new and material evidence, thus removing the traditional strictures of
res judicata. See
Nothing in our decision today runs afoul of Congress’s intention of providing a non-adversarial system of deciding veterans’ claims for benefits. Our interpretation of
Our decision today is also consistent with our prior discussion of
In the end, Skoczen argues for a system in which a veteran can, for example, file a claim for 100 percent disability for PTSD and, unless VA produces affirmative evidence that refutes the claim, then the veteran must be awarded the benefits fоr 100 percent disability. We cannot agree that this is what Congress intended with
As applied to the facts of this case, it is quite apparent that neither VA nor the Veterans Court misconstrued
CONCLUSION
For the foregoing reasons, the judgment of the Veterans Court is
AFFIRMED
Notes
. Prior to the VCAA, the duty to assist was formerly codified in