William A. Smith, Claimant-Appellee v. Jesse Brown, Secretary of Veterans AffairsWilliam A. Smith, Claimant-Appellee v. Jesse Brown, Secretary of Veterans Affairs
The Secretary of Veterans Affairs appeals the decision of the United States Court of Veterans Appeals (Veterans Court) in
Smith v. Principi
I
We have jurisdiction over this appeal by virtue of
Our standard of review is set out at
II
The question we face lies near the end of a long trail that one veteran has followed seeking benefits for various serious medical ailments. William A. Smith served on active duty from February 1952 to January 1956. Smith’s medical records reveal treatment from 1956 through the 1980s by Veterans Administration (VA) hospital physicians and private physicians for, among other things, back disability and cervical spine disability. In March 1980, Smith applied to the VA Regional Office (RO) in Atlanta, Georgia (an agency of original jurisdiction (AOJ)) for benefits, claiming entitlement to service connection for a back injury. Service connection was subsequently established for residuals of a back injury, with lumbosacral strain and lower back syndrome, degenerative disc disease with spondylosis. Smith’s adverse health conditions were rated at 60% disabling and Smith became entitled to commensurate benefits. In November 1980, Smith resigned his job as a maintenance employee at Savannah State College because of his back condition. Thereafter, Smith returned to the RO, claiming a total disability rating based on individual unemployability by reason of his service connected disability. Following a hearing before a rating board in July 1982, Smith’s claim for total disability was denied. Smith appealed that decision to the Board.
The Board on July 1, 1983, affirmed the rating board’s decision on Smith’s total disability claim. At subsequent rating board hearings, Smith complained of continuing back problems, as well as multiple joint pains
With respect to his cervical spinal and shoulder disabilities, Smith again attempted to establish service connection in 1988 and 1989, claiming that new and material evidence established the necessary service connection. The RO and Board, however, concluded that Smith had failed to assert any such new and material evidence. Consequently, on June 20, 1989, the Board denied Smith’s request to reopen the spine and shoulder disability claims earlier decided finally by the Board on July 10, 1987. •
On September 6,1989, Smith again applied to the RO to reopen his twice denied claim for service connection for his cervical spine disabilities and his once denied claim for a total disability rating based on individual un-employability. On January 4, 1990, the RO concluded that Smith had failed to adduce any new and material evidence to establish a relationship between his service connected lower back disability, rated at 60%, and a cervical spine condition. The RO also concluded that Smith’s service connected disability did not render him unemployable. Smith appealed these two adverse decisions to the Board. His appeal also contended that the Board had committed CUE in its June 20, 1989, decision denying Smith’s request to reopen his previously denied claim to service connection for the cervical spine disability. The CUE alleged was the Board’s failure to appreciate the meaning of testimony given by a doctor at a RO hearing which Smith contended would establish the necessary service connection.
The Board on March 11,1991, affirmed the RO’s denial of Smith’s claim to enhanced disability rating on account of the cervical spine ailment and his claim to a 100% disability rating due to the asserted unemployability that the lower back ailment alone had caused. The Board characterized Smith’s allegation of CUE as an assertion of obvious error, such as Smith had alleged in his formal request for reconsideration of the Board’s August 8, 1986, decision. But since Smith had made no formal request for reconsideration because of obvious error, the Board ruled that the allegations of error in its June 20,1989, decision were not properly before it and rendered no decision thereon.
Smith appealed the March 11, 1991, decision of the Board to the Veterans Court. In a memorandum decision, Associate Judge Steinberg concluded that Smith’s cervical spine disability claim, to the extent it sought an increased disability rating for his previous service connected disability, was not properly before the Veterans Court because it had not been raised as such before the Board.
Smith,
Ill
The Veterans Court’s discussion and resolution of the question now on appeal is contained in a single paragraph of its decision:
However, the veteran clearly did raise to the Board a claim that the Board in 1989 had committed clear and unmistakable error by failing then to consider relevant medical evidence of record supporting his claim for service connection for the cervical spine disability.... Therefore, the Board was required to adjudicate that claim and determine whether the 1989 [Board] decision contained clear and unmistakable error requiring revision under38 C.F.R. § 3.105(a) (1991). See Russell v. Principi, [3 Vet.App. 310 , 812-14, 318-20] (1992) (consolidated with Collins v. Principi, No. 90-416) (Board required to adjudicate claim of clear and unmistakable error in prior Board decision’s failure to consider all the evidence); EF v. Derwinski,1 Vet.App. 324 , 326 (1991) (Board must address all issues reasonably raised to it by appellant). Therefore, remand is required for the Board to consider whether clear and unmistakable error was committed in the 1989 [Board] decision denying the veteran’s claim for service connection for a cervical spine disability.
Smith,
In
Collins,
the widow of a veteran was denied death pension benefits in a 1978 RO decision. She was successful in reopening her claim on the basis of new and material evidence in 1989, and she was awarded benefits effective in 1989. The widow, however, contended that the denial of her benefits in 1978 was due to CUE committed then by the RO, and that she consequently should have an effective benefit entitlement date of 1978. On appeal to the Board, she raised her CUE contention, and the Board without citing reasons or bases concluded that no CUE had been committed by the RO in 1978.
See Russell,
IV
Before proceeding to an explication of the arguments made on appeal by the Secretary, Smith, and The American Legion, appearing as amicus curiae, we pause to sketch the background of statutes and regulations pertinent to this appeal.
Veterans initiate claims for benefits by filing a claim at an AOJ, normally the nearest RO.
The filing of a NOD triggers a reexamination of the claim at the AOJ.
Regardless of whether a hearing is held, the Board is obliged to consider all the arguments made by the veteran and to construe those arguments liberally in determining whether the veteran has raised any appeal-able issues.
As a general proposition, decisions of the Board are final.
The regulations concerning reconsideration and finality of Board decisions are contained in Subparts K (Reconsideration) and L (Finality) of 38 C.F.R. part 20, (Board of Veterans’ Appeals: Rules of Practice). Subpart K defines the circumstances in which reconsideration may be accorded:
Reconsideration of an appellate decision may be accorded at any time by the [Board] on motion by the appellant or his or her representative or on the Board’s own motion:
(a) Upon allegation of obvious error of fact or law;
(b) Upon discovery of new and material evidence in the form of relevant records or reports of the service department concerned; or
(c) Upon allegation that an allowance of benefits by the Board has been materially influenced by false or fraudulent evidence submitted by or on behalf of the appellant.
Subpart L specifies in § 20.1100(a) that unless the Chairman of the Board orders reconsideration, with exceptions not applicable to this ease, all Board decisions are final on the date stamped’ on the face of the decision, as are decisions on reconsideration. “Final” decisions may be reopened, however — as opposed to reconsidered — under
The regulation at the heart of this appeal,
A decision of a duly constituted rating agency or other agency of original jurisdiction shall be final and binding on all field offices of the Department of Veterans Affairs _ A final and binding agency decision shall not be subject to revision on the same factual basis except by duly constituted appellate authorities or except as provided in§ 3.105 of this part.
Error. Previous determinations which are final and binding, including decisions of service connection, degree of disability, ... line of duty and other issues, will be accepted as correct in the absence of clear and unmistakable error. Where evidence establishes such error, 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 clear and unmistakable error has the same effect as if the corrected decision had been made on the date of the reversed decision.
The gist of this case is whether the words “previous determinations which are final and binding” and “decisions” in
V
The Secretary observes that Congress has provided expressly that Board decisions shall be final except in the circumstances of reconsideration at the order of the Chairman or when a veteran’s claim is reopened under
Further, the Secretary points out that §§ 3.104 and 3.105 lie in the body of regulations governing “adjudications” at the AOJ level and thus apply only to AOJ decisions. To hold otherwise, the Secretary argues, would create the anomaly of empowering trial-level adjudicators to collaterally review the final decisions of their appellate authorities, perhaps even on cases in which they themselves had been reversed. Besides, applying the CUE standard in
Smith and amicus, on the other hand, assert that a straightforward application of the plain meaning rule,
see, e.g., Weddel v. United States,
VI
The interpretation that Smith and amicus would put on
We now apply these principles to the case at hand. To begin with, the structure of the regulation casts considerable light on whether the general terms “adjudication,” “determination,” and “decision” must be limited in their application to the original stage of veterans’ benefits proceedings.
See National R.R. Passenger Corp. v. Boston & Maine Corp.,
— U.S.—,—,
Section 3.104(a) says that “final and binding agency decision[s]” are “not ... subject to revision on the same factual basis except by ... appellate authorities
or
except as provided in
In sum, the words “final and binding” in § 3.104(a) refer only to rating Board or other AOJ decisions, and such decisions are subject to revision on the same factual basis only by “duly constituted appellate authorities,” such as the Board, or “as provided in
The broader context includes the history of the regulatory language, which provides still more evidence to support this conclusion.
See Smither & Co. v. Coles,
No rating board will reverse or amend, except upon new and material evidence, a decision rendered by the same or any other rating board, ... or of any appellate authority ...: Provided, That the rating board may reverse or amend a decision by the same or any other rating board where such reversal or amendment is obviously warranted by a clear and unmistakable error shown by the evidence in file at the time the prior decision was rendered....
Veterans’ Bureau Reg. 187 § 7155 (1928) (emphasis added),
superseded without amendment by
Veterans’ Bureau Reg. 1074 (1930),
superseded by
Veterans’ Admin.Reg. 1009(A) (1936) (making technical amendments and adding the heading “Revision of Rating Board Decisions”) (codified at
REVISION OF DECISIONS. No rating board or other agency of original jurisdiction will reverse or amend, except upon new and material evidence, a decision rendered by the same or any other rating board, adjudicative agency or by an appellate authority ...: Provided, That a rating board or other adjudicative agency may reverse or amend a decision by the same or any other rating board or adjudicative agency where such reversal is obviously warranted by clear and unmistakable error shown by the evidence in file at the time the prior decision was rendered.
In 1959, the regulation was cast nearly in the form now existing:
Error. Previous determinations on which an action was predicated including decisions of service connection ... will be accepted as correct in the absence of clear and unmistakable error. Where evidence establishes such error, the prior decision will be reversed or amended.
The language in
The Secretary’s regulatory interpretation also seems more harmonious with both the language of the statute governing the finality of Board decisions and the logic of the adjudicatory scheme Congress has created to dispense veterans benefits.
See Martin v. Occupational Safety & Health Review Comm’n,
Congress has considered the degree to which Board decisions shall be final. It has provided expressly in
Furthermore, in the administrative structure Congress has created, the Board is an appellate authority, and the AOJs are trial-level adjudicators. This too tends to preclude the inference that the drafters of
VII
Smith in the end acknowledges the plausibility of the Secretary’s interpretation, but contends that it is not entitled to deference in view of the inconsistent positions taken by the Department’s Office of General Counsel (OGC), which is authorized to issue regulatory interpretations that are binding on the Board.
Generally, once a claim for benefits has been denied, and either the [Board] has rendered a final decision, or the time for appeal [to the Board] has expired without an appeal, the decision on the claim is final and the claim cannot be allowed or reopened except on the basis of new and material evidence.38 U.S.C. §§ 5108 , 7104(b), and 7105(c) (formerly38 U.S.C. §§ 3008 , 4004(b), and 4005(e)). However, claimants for veterans’ benefits are specifically relieved of this finality burden under certain circumstances by, among other provisions, 38 C.F.R. 3.105(a)_
Smith contends that the “However” sentence amounts to an opinion by the General Counsel that the finality of Board decisions is undone by
Furthermore, even if Smith were right that there is a conflict in the body of general counsel opinions, the Secretary has resolved any such conflict by adopting the substance of OGC 11-90 as the policy of the Department of Veterans Affairs. Thus, even if the meaning of
VIII
We thus conclude that the Secretary correctly interpreted the CUE review authority in
REVERSED.