Opinion

Vola M. Brown v. R. James Nicholson

  • 21 Vet. App. 290
  • 2007 U.S. Vet. App. LEXIS 827
  • 2007 WL 1579465
Court
United States Court of Appeals for Veterans Claims
Filed
May 31, 2007
Status
Published
On the bench
Greene, Kasold, Hagel, Moorman, Lance, Davis, Schoelen
Cited by
3 cases
Authority
More cited than 25.4%

finding that a medical examination that ignores lay assertions regarding continued symptomatology is inadequate because it fails to take into account the veteran's prior medical history

How later courts described this case

  • finding that a medical examination that ignores lay assertions regarding continued symptomatology is inadequate because it fails to take into account the veteran's prior medical history
  • holding that the amendment to § 3.309(c) recognized for the first time a causal connection between localized edema during captivity and ischemic heart disease
  • considering 38 C.F.R. § 3.309 (c) (2006)

Written by the judges who cited it.

The opinion

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

No. 04-0418

VOLA M. BROWN , APPELLANT ,

V.

R. JAMES NICHOLSON ,

SECRETARY OF VETERANS AFFAIRS, APPELLEE.

On Appeal from the Board of Veterans' Appeals

(Argued October 17, 2005 Decided May 31, 2007 )

Donald E. Purcell, of Washington, D.C., for the appellant.

Pamela Nash, with whom Tim S. McClain, General Counsel; R. Randall Campbell, Assistant

General Counsel; Richard Mayerick, Deputy Assistant General Counsel; and Robert W. Legg were

on the brief, all of Washington, D.C., for the appellee.

Before GREENE, Chief Judge, and KASOLD, HAGEL, MOORMAN, LANCE, DAVIS,

and SCHOELEN, Judges.

DAVIS, Judge, filed the opinion of the Court. SCHOELEN, Judge, filed a dissenting

opinion in which HAGEL, Judge, joined.

DAVIS, Judge: Appellant Vola M. Brown, through counsel, appeals from a November 18,

2003, Board of Veterans' Appeals (Board or BVA) decision that denied entitlement to an effective

date earlier than April 19, 2001, for her award of dependency and indemnity compensation (DIC)

benefits. A three-judge panel of the Court heard oral argument on October 17, 2005. On November

14, 2006, this case was submitted to the en banc Court. On appeal, the Court must determine

whether the Board erred by failing to address the effective-date provision contained in 38 C.F.R.

§ 3.114(a)(3) (2006), which provides for an effective date of one year prior to the date of the claim

if benefits are awarded pursuant to a liberalizing law. For the reasons set forth below, the Court will

affirm the November 2003 Board decision.

I. BACKGROUND

The veteran, Johnnie C. Brown, served on active duty from July 1948 to November 1953 and

from December 1953 to August 1968. Between November 1950 and September 1953, during the

Korean War, he was a prisoner of war (POW). He died on November 10, 1978, as a result of "acute

myocardial infarction" due to "atherosclerotic heart disease." Record (R.) at 33.

The appellant is the veteran's surviving spouse. In November 1981, the Board denied her

original claim for service connection for the cause of the veteran's death. In May 1994, the Chicago,

Illinois, VA regional office (RO) denied the appellant's attempt to reopen her claim. She appealed

that decision to the Board. While her appeal was pending, in July 1994, § 3.309(c) of title 38, Code

of Federal Regulations, was amended effective August 24, 1993. That amendment provided for

presumptive service connection for certain diseases manifesting in former POWs and stated:

"NOTE: For purposes of this section, the term beriberi heart disease includes ischemic heart

disease in a former prisoner of war who had experienced localized edema during captivity."1 59 Fed.

Reg. 35,464 (1994).

Following an appeal, in a February 1997 decision, the Board concluded that new and

material evidence had not been presented sufficient to reopen her claim. In reaching its conclusion,

the Board reviewed the evidence submitted since the previous denial, including numerous

declassified service department records that were, ultimately, not relevant to the appellant's claim,

and statements, dated May 1994 and January 1995, in which the appellant claimed that the veteran

suffered from beriberi disease. With respect to the evidence provided after the previous denial, the

Board stated:

The appellant has suggested that the veteran may have had beri-beri heart disease,

a disease for which presumptive service connection for former [POW]s is

recognized. 38 C.F.R. § 3.309(c). Available records, however, make no mention of

this condition, and none have [been] presented to support this contention.

R. at 20. The appellant did not appeal that decision.

On April 19, 2001, she again sought to reopen her claim. She submitted an April 2001

statement from Henry E. Nix, a serviceman who was a POW with the veteran. Mr. Nix reported

1

"Ischemic heart disease" is a synonym for "arteriosclerotic heart disease." D O RLA N D 'S I LLU STR ATED M ED IC AL

D IC TIO N A R Y 528 (30th ed. 2003).

2

that, while he and the veteran were POWs, he saw the veteran's "feet, ankles and lower legs swell

and crack open on several occasions." R. at 39.

In July 2001, the RO granted the appellant's claim because the new evidence showed

localized edema in service and established a presumption of ischemic heart disease. The RO noted

that the appellant's claim had been reviewed after the amendment to 38 C.F.R. § 3.309(c), but

concluded that, at that time, no evidence had been presented showing beriberi or localized edema,

and thus, the claim had been denied. However, the RO noted that new evidence showed localized

edema, thus implicating a presumption of ischemic heart disease. The RO concluded that the

veteran's death was service connected. Regarding the effective date, the RO decision stated:

Service connection for the cause of death is now established based upon the new and

material evidence received in April of this year. The effective date of entitlement to

[DIC] and [educational benefits] is the date of the current claim [(i.e., April 19,

2001)]. Consideration for an earlier effective date under 38 C.F.R. § 3.114(a) has

been given, but the change in the decision is based upon new evidence received after

the liberalizing changes in the law and regulations.

R. at 44. The appellant filed a Notice of Disagreement as to the effective date. The RO

subsequently issued a Statement of the Case (SOC), noting that

[a]lthough the claim was reviewed after the change in laws with respect to POWs

and heart disease, no evidence had been furnished to suggest the presence of beriberi

and/or localized edema during captivity, and the claim remained in denied status.

The new evidence from the veteran's fellow POW established a new factual basis for

reconsideration of the claim. . . . Consideration of an earlier effective date under

38 C.F.R. § 3.114 has been given but the change in the decision is based upon new

evidence received after the liberalizing changes in law and regulations.

R. at 74.

On November 18, 2003, the Board issued the decision here on appeal. Therein, the Board

upheld the April 19, 2001, effective date, noting that the effective date cannot be earlier than the date

of the appellant's claim to reopen. R. at 8-9 (citing 38 U.S.C. § 5110(a) and 38 C.F.R.

§ 3.400(q)(1)(ii) (2003)).2 The Board determined that the RO had reopened the previously denied

claim based on both the statement of Mr. Nix and the amendment to § 3.309(c). The Board

2

Generally, section 5110(a) and § 3.400(q)(1)(ii) provide that, if an award for benefits is made as a result of new

and material evidence, the claimant is entitled to an effective date no earlier than the date of the claim. See 38 U.S.C.

§ 5110(a), 38 C.F.R. § 3.400(q)(1)(ii) (2006).

3

concluded that the effective date could be no earlier than the date of the April 19, 2001, claim to

reopen because the claim was eventually granted based on the new and material evidence submitted

on that date. As to the appellant's argument that the liberalizing law ultimately resulted in the grant

of her claim, the Board reasoned:

[I]t is noted in that regard that the liberalizing amendment in question was

considered in the Board's February 1997 decision which determined that new and

material evidence had not been submitted showing that the requirements of amended

38 C.F.R. § 3.309(c) had been met. The Board's 1997 decision remains final.

R. at 8. Thus, the Board determined that, absent a motion for revision based on clear and

unmistakable error (CUE) in a prior decision, "or unless the new and material evidence resulted from

correction of military records," the effective date is set by section 5110(a) and § 3.400(q)(1)(ii), and

the RO decision as to the effective date must be upheld. R. at 8-9. This appeal ensued.

II. CONTENTIONS ON APPEAL

Before the Court, the appellant argues that she may be entitled to an earlier effective date

pursuant to 38 C.F.R. § 3.114(a)(3). She contends that, because her appeal involved the effective

date of her claim, the Board in 2003 provided inadequate reasons or bases by failing to address the

liberalizing-law effective-date regulation. Therefore, she argues that this Court should vacate the

Board decision, "with an instruction that the Board consider whether Mrs. Brown is entitled to an

earlier effective date of April 19, 2000, pursuant to 38 C.F.R. § 3.114(a)(3)." Appellant's Brief (Br.)

at 9.

In response, the Secretary argues that, as a matter of law, the Board decision should be

affirmed. The Secretary submits that the liberalizing amendment to § 3.309(c) was considered in

the Board's February 1997 decision, however, the Board denied the appellant's claim because, even

with the favorable change in the law, there was insufficient evidence of the veteran's edema in

service. Thus, the Secretary contends that, when the claim was finally granted in July 2001 after the

submission of new and material evidence, "[t]he effective[-]date regulation governing a grant based

upon new and material evidence, found at 38 C.F.R. § 3.400(q)(1)(ii) controls, and not the effective

[-]date regulation that governs a grant based upon a change in regulation, 38 C.F.R. § 3.114."

Secretary's Br. at 5-6.

4

III. ANALYSIS

A. Law

In general, the effective date for an award of benefits will be based on the date of the claim

that resulted in that award. See Williams v. Principi, 15 Vet.App. 189, 195 (2001) (en banc), aff'd,

310 F.3d 1374 (Fed. Cir. 2002); Lalonde v. West, 12 Vet.App. 377, 380 (1999). However, section

5110(g), title 38, U.S. Code, provides an exception to the general rule that, in relevant part, states:

[W]here compensation, [DIC], or pension is awarded or increased pursuant to any

Act or administrative issue, the effective date of such award or increase shall be fixed

in accordance with the facts found but shall not be earlier than the effective date of

the Act or administrative issue. In no event shall such award or increase be

retroactive for more than one year from the date of application therefor or the date

of administrative determination of entitlement, whichever is earlier.

38 U.S.C. § 5110(g).

VA's implementing regulations reflect the exceptions to the general rule, setting forth, under

38 C.F.R. § 3.400, various effective-date provisions. Pertinent to the instant case, 38 C.F.R.

§ 3.400(q)(1)(ii) governs the effective date of a claim reopened "after final disallowance" based

upon the submission of new and material evidence–it is either the "[d]ate of receipt of the new claim,

or [the] date entitlement arose, whichever is later." 38 C.F.R. § 3.400(q)(1)(ii) (2006) (emphasis

added); see Link v. West, 12 Vet.App. 39, 46 (1998). Also relevant here, § 3.400(p) directs that, in

order to determine the appropriate effective date of a claim granted as a result of a favorable change

in the law, the reader must "[s]ee [38 C.F.R. ]§ 3.114." In turn, § 3.114 dictates that the effective

date for a claim granted based on that favorable change in law cannot be earlier than the effective

date of the liberalizing law or VA regulation; however, where a claimant requests review of the

claim more than a year after the amendment, "benefits may be authorized" for up to one year prior

to VA's receipt of the claim. 38 C.F.R. § 3.114.

The Board's effective-date determination is reviewed under the "clearly erroneous" standard

of review set forth in 38 U.S.C. § 7261(a)(4). See Bonner v. Nicholson, 19 Vet.App. 188, 193

(2005); Hanson v. Brown, 9 Vet.App. 29, 32 (1996). "'A finding is "clearly erroneous" when

although there is evidence to support it, the reviewing court on the entire evidence is left with the

definite and firm conviction that a mistake has been committed.'" Gilbert v. Derwinski, 1 Vet.App.

49, 52 (1990) (quoting United States v. U.S. Gypsum Co., 333 U.S. 364, 395 (1948)). If the Board's

5

"'account of the evidence is plausible in light of the record viewed in its entirety, the court of appeals

may not reverse it.'" Gilbert, 1 Vet.App. at 52 (quoting Anderson v. City of Bessemer City, 470 U.S.

564, 573-74 (1985)).

B. Application of § 3.114(a)(3)

In its 2003 decision, the Board determined that the effective date for the appellant's DIC

benefits could be no earlier than the date of the claim in accordance with the new-and-material-

evidence effective-date regulation (as opposed to the liberalizing-law effective-date regulation,

which would have allowed an effective date one year prior to the date of the claim). In support of

its determination, the Board reasoned that the claim was granted on the basis of the new and material

evidence provided.

As noted above, the Secretary promulgated regulations in accordance with section 5110(g),

which allow an effective date one year earlier than the date of the claim if benefits were granted

"pursuant to a liberalizing law." 38 C.F.R. § 3.114(a). Although the term "liberalizing law" remains

undefined in VA regulations, this Court and the United States Court of Appeals for the Federal

Circuit have determined that a liberalizing law is "one which brought about a substantive change in

the law creating a new and different entitlement to a benefit." Spencer (Donald) v. Brown, 17 F.3d

368, 372 (Fed. Cir. 1994); see also Routen v. West, 142 F.3d 1434, 1441 (Fed. Cir. 1998) ("If a new

law provides for benefits not previously available, even though grounded on some but not all of the

same facts adjudicated under an earlier law, a new cause of action is created along with a new

entitlement to a remedy."); Green v. Brown, 10 Vet.App. 110, 116 (1997); Spencer (Jesse) v. Brown,

4 Vet.App. 283, 288-89 (1993), aff'd, 17 F.3d 368 (Fed. Cir. 1994).

The Board decision here on appeal recognized that the 1994 amendment to § 3.309(c) was

"liberalizing," because it "recognized for the first time a causal connection between episodes of

localized edema during captivity and the subsequent development of ischemic heart disease in

former [POWs], such as the veteran[,] and permitted presumptive service connection for ischemic

heart disease of a former [POW]." R. at 6. We agree.

However, the Court's analysis cannot end there. The plain language of the statute and its

implementing regulation require two specific findings: A finding that a liberalizing law or

administrative issue was implemented, as well as a determination that the ultimate grant of benefits

was "pursuant to" such a favorable change in the law. Because the appellant's previous attempt to

6

reopen her claim was rejected despite promulgation of the liberalizing amendment to § 3.309(c), the

Court is presented with a question as to whether the grant of benefits was "pursuant to" the 1994

amendment, or, simply, the submission of new and material evidence. 38 U.S.C. § 5110(g);

38 C.F.R. § 3.114(a). Specifically, the Court must consider whether the intervening 1997 Board

decision rendered § 3.114(a)(3), and the retroactive assignment of an effective date, inapplicable.

For the following reasons, the Court holds that § 3.114 was not applicable to the appellant's claim,

and it was not error for the Board to omit discussion of an earlier effective date in accordance with

that regulation.

The view that there is an indefinite duration for the applicability of section 5110(g) and

§ 3.114(a) is contrary to this Court's precedent. In Link, 12 Vet.App. at 41, the appellant filed a

service-connection claim for an eye condition in 1963, which was denied because the RO noted that

the eye condition had not been aggravated during service. In March 1985, the VA General Counsel

issued an opinion recognizing service connection for congenital disorders. Id. at 42. On the basis

of that opinion, Mr. Link sought to reopen his claim; a hearing officer denied that claim, and a 1989

RO decision, a 1989 Board decision, and a 1990 Board reconsideration decision affirmed that denial,

determining that Mr. Link had not presented new and material evidence to reopen his claim. Id. The

appellant again sought to reopen his claim in 1991 by providing new and material evidence, and in

1992, the claim was reopened and an effective date of March 1991 was established. Id. at 42-43.

The Link Court noted that, even if there were liberalizing changes in the law between 1985 and

1990, prior to the 1991 claim to reopen, the appellant's claim had previously been considered in light

of such liberalizing changes. Id. at 46. The Court concluded that, "to the extent that the appellant

was entitled to an adjudication based upon any liberalizing change, the 1990 Board decision, not the

Board decision presently on appeal, provided him with such an adjudication." Id. The Court thus

determined that section 5110(g) and § 3.114(a) were inapplicable. Id.

To receive the benefit of section 5110(g) and § 3.114, a claim must be granted "pursuant to"

a liberalizing law. Section 5110(g) states, in pertinent part: "[W]here . . . [DIC] . . . is awarded

. . . pursuant to any Act or administrative issue, the effective date of such award or increase shall

be fixed in accordance with the facts found . . . ." 38 U.S.C. § 5110(g) (emphasis added). In other

words, the plain language of the statute and implementing regulation § 3.114(a)(3) contemplate a

cause-and-effect relationship between the passage or promulgation of a liberalizing law, and a

7

subsequent review of a prior final decision on a claim for benefits. Pertinent to this case, this Court

consistently has held that where there is no additional change in law following a final decision that

has considered a liberalizing regulation, a subsequent award would not have been made "pursuant

to" the act or administrative issue that is the subject of a claimant's challenge under § 3.114(a)(3).

See Spencer (Jesse), 4 Vet.App. at 289 ("The use of the words 'pursuant to' clearly indicates that the

benefits of this provision adhere only where the 'Act or administrative issue' is one which provides

a substantive basis for establishing entitlement to benefits."); see also Bonner, supra; Green,

10 Vet.App. at 116. In other words, where there is no change in law following a final decision,

section 5110(g) cannot apply, because an award has not been made "pursuant to" an act or

administrative issue.

Based on the facts of the present case, the Court concludes that § 3.114(a)(3) was not

available for application because benefits were not awarded in 1997 when the amended regulation

was first considered, and also, that there was no additional change in law following the 1997

decision denying the appellant's claim. There is no dispute that her claim to reopen her DIC claim

was denied in a 1997 Board decision, three years after promulgation of the amendment to § 3.309(c).

The Board in 1997 cited to § 3.309(c) in its decision (see R. at 19-20), and there is no evidence that

the 1994 liberalizing changes to that regulation were not applied by the 1997 Board to Mrs. Brown's

claim.3 See Dolan v. Brown, 9 Vet.App. 358, 362 (1996) (concluding that VA has duty to consider

any presumption that may be applicable to a veteran's claim and, in the absence of "clear evidence"

to the contrary, is presumed to have done so); see also Schafrath v. Derwinski, 1 Vet.App. 589, 593

(1991) (Board must consider all potentially applicable laws and regulations); 38 U.S.C. § 7104(a)

(Board decision to be based on consideration of all "applicable provisions of law and regulation").

There is also no dispute that the appellant did not appeal that decision and it became final. As in

Link, an earlier decision provided the appellant with an adjudication based on the liberalizing

change. See Link, supra.

3

The dissent contends that "there is absolutely no indication that the Board considered the 1994 amendment to

38 C.F.R. § 3.309(c)"; however, in the absence of clear evidence that the Board did not consider that regulation, we must

presume that by citing § 3.309(c), the Board considered the whole and correct version of the regulation, including the

1994 amendment. See Marsh v. Nicholson, 19 Vet.App. 381 (2005) ("There is a presumption of regularity that public

officers perform their duties 'correctly, fairly, in good faith, and in accordance with law and governing regulations.'"

(quoting Ala. Airlines, Inc. v. Johnson, 8 F.3d 791, 795 (Fed. Cir. 1993))).

8

The only difference between the Board's 1997 decision and the decision on appeal is the

consideration of the new evidence supplied by the appellant. While the appellant derived some

benefit from the liberalizing amendment to § 3.309(c), the ultimate award of benefits was not

"pursuant to" the change in law; rather, the award was made pursuant to the submission of the new

evidence–evidence that was not before the Board in 1997–that her husband suffered from localized

edema while a POW.4 Based on that new evidence, the RO granted service connection and assigned

the earliest possible effective date for the award of DIC benefits–April 19, 2001. Based on the

foregoing, the 2003 Board's affirmance of that date was not clearly erroneous.

C. Statement of Reasons or Bases

The Board is required to consider all evidence of record and to consider, and discuss in its

decision, all "potentially applicable" provisions of law and regulation. Schafrath v. Derwinski,

1 Vet.App. 589, 593 (1991); see 38 U.S.C. § 7104(a); Charles v. Principi, 16 Vet.App. 370, 373

(2002); Weaver v. Principi, 14 Vet.App. 301, 302 (2001) (per curiam order); Sanden v. Derwinski,

2 Vet.App. 97, 100 (1992). The appellant argues that the Board provided an inadequate statement

of reasons or bases because it failed to address § 3.114. Because the Court concludes that

§ 3.114(a)(3) was inapplicable when determining the effective date for the award of DIC benefits

because of the intervening Board decision, the Board did not err in failing to discuss that regulation.

IV. CONCLUSION

On the basis of the foregoing, the record on appeal, and the parties' submissions and

presentations at oral argument, the November 18, 2003, Board decision is AFFIRMED.

SCHOELEN, Judge, with whom HAGEL, Judge, joins, dissenting: I respectfully dissent

from the majority's decision because it is based on the erroneous determination that the 1997 Board

decision considered the effect of the 1994 liberalizing amendment to 38 C.F.R. § 3.309(c) on Mrs.

Brown's DIC claim. Furthermore, I disagree with the majority's statement that Mrs. Brown was not

awarded DIC "pursuant to" a liberalizing change in the law, because it is clear that her claim was

4

The dissent contends that we should afford deference to VA's determination that 38 U.S.C. § 5110(g) applies

in claims to reopen, and we disagree with neither that proposition, nor with the proposition that VA's regulations become

ambiguous when both the liberalizing-law effective-date provision and the new-and-material-evidence provision apply.

However, because the appellant's claim was ultimately granted based solely on new and material evidence, only the new-

and-material-evidence effective-date provision applies here.

9

granted both on the basis of the liberalizing change in the law and the new and material evidence

she presented. Finally, I believe that the statutory authority for determining which effective-date

provision applies in cases such as this one is ambiguous and I would resolve that ambiguity in favor

of Mrs. Brown.

The majority relies almost exclusively on the Court's decision in Link v. West, 12 Vet.App.

39, 46 (1998), which, without citation to authority or legal analysis, concluded that, because an

earlier Board decision had considered the effect of a liberalizing law, 38 U.S.C. § 5110(g) and

38 C.F.R. § 3.114(a) were inapplicable to a later claim. In Link, the Court considered the scope of

its prior decision in Spencer (Jesse) v. Brown, 4 Vet.App. 283 (1993), aff'd, 17 F.3d 368 (Fed. Cir.

1994). In Spencer, the Court determined that 38 U.S.C. § 5110(g) and 38 C.F.R. § 3.114(a) "require

VA to conduct de novo review of a previously and finally denied claim, regardless of whether new

and material evidence has been presented or secured, when there has been an intervening liberalizing

law or VA issue which may affect the disposition of the claim." Id. at 288. Although those

provisions do not, on their face, require such a de novo readjudication, the Court held that section

5110(g) "presuppose[d] the existence of such a right," and, thus, provided an exception to the rule

of finality contained in 38 U.S.C. § 7104(b). Id.; see also Routen v. West, 142 F.3d 1434, 1441-42

(Fed. Cir. 1998) (finding that, "if a new law provides for benefits not previously available, even

though grounded on some but not all of the same facts adjudicated under an earlier law, a new cause

of action is created along with a new entitlement to a remedy").

In relying upon Link, the majority bases its decision on the erroneous finding in the Board

decision on appeal that the 1997 Board decision considered the effect of the 1994 change in law.

See ante at __, slip op. at 8-9. Because there is no prior decision that considered the effect of the

1994 amendment to § 3.309(c), Link is inapplicable here and Spencer allows for the application of

section 5110(g) and § 3.114(a) to this case.

The majority's opinion and the Board decision on appeal inaccurately describe the 1997

Board decision as having considered the 1994 liberalizing amendment to § 3.309(c). To reach this

conclusion, the majority relies upon the Board's consideration of Mrs. Brown's argument that her

husband suffered from beriberi heart disease. Ante at __, slip op. at 2 (citing R. at 20). Although

the Board clearly considered whether Mr. Brown suffered from beriberi heart disease, at no point

10

did the Board consider the amendment to § 3.309(c) stating that beriberi heart disease includes

ischemic heart disease in a former POW who had experienced localized edema while in captivity.

The mere consideration of Mrs. Brown's argument that her husband had beriberi heart

disease does not demonstrate that the Board considered the 1994 liberalizing amendment to

§ 3.309(c) because that amendment did not add beriberi heart disease to the list of conditions for

which presumptive service connection is warranted. Presumptive service connection for beriberi

heart disease in former POWs has been recognized by statute since 1970. See Pub. L. No. 91-376,

§ 3, 84 Stat. 787, 788-89 (1970) (adding 38 U.S.C. § 312(b) and (c) (now 38 U.S.C. § 1112(b)) and

creating a presumption of service connection for beriberi heart disease in former POWs held in

captivity for six months or more). Rather, the liberalizing amendment to § 3.309(c) was based upon

scientific studies that recognized the specific connection between localized edema experienced by

POWs while in captivity and their later development of beriberi heart disease. 59 Fed. Reg. 35,464-

65 (July 12, 1994). Based on a review of the entire 1997 Board decision, there is absolutely no

indication that the Board considered the 1994 amendment to 38 C.F.R. § 3.309(c). The majority also

notes that the 1997 Board decision cited to § 3.309(c). However, that citation refers only to Mrs.

Brown's argument that her husband suffered from beriberi heart disease and not to the 1994

liberalizing amendment. To the extent the Board's decision on appeal states otherwise (R. at 8), its

finding is unsupported by the record and is clearly erroneous.

Further, the 1997 Board decision merely found that Mrs. Brown had not submitted new and

material evidence to reopen the Board's November 1981 denial of her claim for service connection

for the cause of her husband's death. R. at 21. A determination that new and material evidence was

not submitted is not a readjudication of the claim on the merits. In fact, where a claimant does not

submit new and material evidence to reopen a previously denied claim, readjudication of that claim

is generally precluded by statute. See 38 U.S.C. § 5108; Spencer, 4 Vet.App. at 286-88. It

necessarily follows that a determination that no new and material evidence had been received by VA

is not a de novo readjudication of the claim. As interpreted by Spencer, 4 Vet.App. at 288,

38 U.S.C. § 5110(g) and § 3.114(a) entitle Mrs. Brown to de novo readjudication of her claim on

the merits based on the liberalizing change in the law. Because it was merely a determination that

she had not submitted new and material evidence, the 1997 Board decision was not a de novo

11

readjudication of her claim.5 The present claim is the first de novo review of Mrs. Brown's claim

after the enactment of the liberalizing amendment to § 3.309(c), and she is entitled to the application

of section 5110(g) and § 3.114(a), pursuant to the Court's holding in Spencer.

Although, under the caselaw, this finding alone is a sufficient basis to find that section

5110(g) and § 3.114(a) govern the effective date of the award of DIC to Mrs. Brown, analysis of the

applicable statutes and regulations provides further support for this view. To begin my analysis, I

must respectfully disagree with the majority's assertion that Mrs. Brown was not awarded DIC

"pursuant to" a liberalizing change in the law. This holding stands in contrast to the RO's decision

awarding DIC that, as the Board observed, found that service connection was granted both on the

basis of the liberalizing change in the law and the new and material evidence submitted by Mrs.

Brown. R. at 7-8 ("The stated basis of the grant of service connection was the application of the

liberalizing amendment to 38 C.F.R. § 3.309(c) to the new and material evidence submitted by the

appellant."); R. at 44 (explicitly stating that the RO considered 38 C.F.R. § 3.114(a) in its decision).

The new and material evidence described localized edema and was the evidentiary basis on which

entitlement to DIC was granted. This evidence only became material because of the liberalizing law,

which provided the "substantive basis for establishing entitlement to benefits." Spencer 4 Vet.App.

at 289; see 59 Fed. Reg. 35,464-65 (allowing presumptive service connection for former POWs with

ischemic heart disease "who had experienced localized edema during captivity").

Based upon the finding that Mrs. Brown's claim was granted both on the basis of the

liberalizing law and the new and material evidence she submitted, two separate effective-date

provisions are brought into play. The majority's opinion, ante at __, slip op. at 5, sets forth the

relevant effective-date provisions, and I need only summarize them here. Under 38 U.S.C. § 5110(a)

and 38 C.F.R. § 3.400(q)(1)(ii), the effective date of an award of DIC in a claim to reopen based

upon new and material evidence is the date of receipt of the claim or the date the entitlement arose,

5

The failure by the Board to readjudicate M rs. Brown's claim on the merits was not itself error. Because there

was no evidence of record at the time indicating that Mr. Brown suffered from localized edema while in captivity and

because Mrs. Brown did not argue that the liberalizing change was applicable, there was no reason for the Board in 1997

to consider the 1994 liberalizing amendment to § 3.309(c). The liberalizing amendment to § 3.309(c) did not become

relevant until Mrs. Brown submitted the statement of Mr. Nix in 2001. Because the 1994 liberalizing amendment was

not relevant to the Board's 1997 decision, the Board had no obligation to consider the amendment in its 1997 decision,

and the presumption of administrative regularity is not applicable. See ante at __ & n.3, slip op. at 8 & n.3 (relying on

the presumption of administrative regularity to hold that the Board considered the 1994 liberalizing amendment).

12

whichever is later. Under 38 U.S.C. § 5110(g) and 38 C.F.R. § 3.114(a)(3), the effective date of an

award of DIC pursuant to a change in the law and where a claim was filed more than one year after

the law took effect is one year prior to the date of the claim. In this case, both the effective-date

provisions related to new and material evidence and to liberalizing laws are relevant.

As always, the first question in statutory interpretation is "whether Congress has directly

spoken to the precise question at issue." Chevron U.S.A., Inc. v. Natural Res. Def. Council, Inc., 467

U.S. 837, 842-43 (1984). "If the intent of Congress is clear, that is the end of the matter; for the

court, as well as the agency, must give effect to the unambiguously expressed intent of Congress."

Id. When Congress leaves "a gap for an agency to fill," the agency is authorized to create rules to

account for disparities between statutes. See Gallegos v. Principi, 283 F.3d 1309, 1312 (Fed. Cir.

2002) (citing Morton v. Ruiz, 415 U.S. 199, 231 (1974) ("The power of an administrative agency

to administer a congressionally created and funded program necessarily requires the formulation of

policy and the making of rules to fill any gap left, implicitly or explicitly, by Congress.")).

Similarly, if Congress "does not directly address the precise question at issue," this Court must give

deference to the Secretary's interpretation of the law. Id. (citing Chevron, 467 U.S. at 843).

In this case, applying the two relevant statutory provisions individually, the result is clear.

Applying 38 U.S.C. § 5110(a), the effective date of Mrs. Brown's award of DIC would be the date

of her claim, April 19, 2001. Applying 38 U.S.C. § 5110(g), the effective date of Mrs. Brown's

award of DIC would be one year prior to the date of her claim, April 19, 2000. Although the

application of the two effective-date provisions individually is clear, it is not clear what the

appropriate effective date is where an award is based on both the new and material evidence and the

liberalizing law. In isolation, each subsection, 38 U.S.C. § 5110(a) and (g), is clear on its face; in

a case such as this where both are implicated, the statutory structure becomes ambiguous.6

The Secretary's regulations do nothing to resolve this ambiguity. For the purpose of

determining which effective date provision controls, the regulations do little more than parrot the

statutory language. Compare 38 U.S.C. § 5110(a) and (g) with 38 C.F.R. §§ 3.400(q)(1)(ii) and

6

This case provides further evidence that "statutory ambiguity is not an absolute conclusion, but is a case-by-

case determination as to whether the language answers the particular question presented. Hence, statutory language that

plainly answers one question may still be ambiguous when applied to another." Haas v. Nicholson, 20 Vet.App. 257,

262 n.2 (2006).

13

3.114(a)(3).7 Moreover, none of this Court's cases applying section 5110(g) and § 3.114(a) address

these circumstances. See, e.g., Bonner v. Nicholson, 19 Vet.App. 188 (2005); Link and Spencer,

both supra. But see Routen, 142 F.3d at 1441 ("[I]f a new law provides for benefits not previously

available, even though grounded on some but not all of the same facts adjudicated under an earlier

law, a new cause of action is created along with a new entitlement to a remedy." (emphasis added)).

The only guidance provided regarding the applicability of section 5110(g) in claims to reopen is a

1995 opinion of the VA General Counsel, who stated the following:

We note initially that section 5110(a) places the same general restriction on reopened

claims and claims for increase as it does on original claims. Section 5110(g)

provides a specific exception to this general rule in cases involving liberalizing laws.

Since, as discussed above, section 5110(g) draws no distinction between original

claims and previously[ ]denied claims or claims for increase, it provides an exception

to section 5110(a) applicable to all three types of claims.

VA Gen. Coun. Prec. 5-94, ¶ 9 (Feb. 18, 1994). In the absence of any statutory or regulatory

guidance to the contrary, I find the view of the VA General Counsel that section 5110(g) applies to

claims to reopen to be persuasive. See United States v. Mead Corp., 533 U.S. 218, 234-35 (2001)

(holding, where Chevron deference did not apply, that an agency's interpretation may be given

deference "proportional to its 'power to persuade'" (citing Skidmore v. Swift & Co., 323 U.S. 134,

140 (1944))); Auer v. Robbins, 519 U.S. 452, 461-62 (1997) (holding that an agency's interpretation

of its own regulations is entitled to substantial deference by courts); Smith v. Nicholson, 451 F.3d

1344, 1351 (Fed. Cir. 2006) (deferring to VA's interpretation of its regulations in an opinion of the

VA General Counsel). In fact, at oral argument, counsel for the Secretary conceded that section

5110(g) would apply to claims to reopen and tempered her concession only by the Secretary's (as

well as the Board's and the majority's) erroneous belief that Mrs. Brown was not awarded DIC

pursuant to a liberalizing law.

Finally, this resolution of the ambiguity between the effective-date provisions in section 5110

is consistent with the view of the U.S. Supreme Court that interpretive doubt in veterans benefits

statutes is to be resolved in the favor of those beneficiaries. See Brown v. Gardner, 513 U.S. 115,

7

One notable difference between 38 U.S.C. § 5110(g) and 38 C.F.R. § 3.114(a)(3) is that the regulation uses

discretionary language, whereas the statute contains no discretionary language. The regulation provides no guidance

on when an earlier effective date "may be authorized" and when it may not. It is not clear that, by regulation, the

Secretary may grant himself discretion where Congress has expressly used the word "shall" in section 5110(g).

14

118 (1994); King v. St. Vincent's Hosp., 502 U.S. 215, 220-21 n.9 (1991); Fishgold v. Sullivan

Drydock & Repair Corp., 328 U.S. 275, 285 (1946). In this case, it is beyond question that

application of this principle would mean that, in the absence of a regulation or other interpretive

guidance to the contrary, section 5110(g) and § 3.114(a) would trump section 5110(a) and

§ 3.400(q)(1)(ii) where they conflict.

Because section 5110(g) is applicable to claims to reopen, following the opinion of the VA

General Counsel and resolving interpretive doubt in favor of Mrs. Brown, it becomes clear that

section 5110(g) and § 3.114(a) control the award of an effective date in this case. In the absence of

any interpretive guidance to the contrary and following the Court's precedent in Link and Spencer,

section 5110(g) and § 3.114(a) govern the award of an effective date for benefits granted pursuant

to a liberalizing law, regardless of whether new and material evidence has been submitted, so long

as the first de novo readjudication of the claim (meaning an adjudication on the merits) results in

the award of benefits.8

During his 15 years of service, including service during the Korean War, Johnnie Brown was

held as a POW for nearly three years. The statement of Mr. Nix describes the conditions under

which he and Mr. Brown were held:

For our food[,] we were given only cracked corn, millet and some rice. There were

some 1,602 prisoners [who] died during this period. Johnn[ie] was seriously ill

during the Spring[] of 1951 for several weeks and his medical conditions went

8

Sitting en banc, however, I note that we are not necessarily bound by the Court's holding in Link. See Harms

v. Nicholson, 20 Vet.App. 238, 245 n.7 (2006) (en banc) (noting that the full Court is not bound by prior decisions of

this Court); Bethea v. Derwinski, 2 Vet.App. 252, 254 (1992) ("Only the en banc Court may overturn a panel decision.").

W ere it necessary to decide this case, I believe reconsideration of the Court's holding in Link would be warranted. As

I stated above, in holding that section 5110(g) and § 3.114(a) only provide a single opportunity to receive an effective

date of one year prior to the date of claim, the Court in Link failed to cite to any authority or to engage in any legal

analysis to support its holding. The majority's opinion follows Link and similarly does not cite to any authority or engage

in legal analysis to support its conclusion. I believe that the statutory analysis in this dissenting opinion would apply

regardless of whether there was a prior adjudication of a claim that considered the liberalizing law because there is

nothing in section 5110(g) or § 3.114(a) that limits the scope of those effective-date provisions to the first readjudication

of the claim after the enactment of the liberalizing law. Nonetheless, because my entire analysis is based upon the

premise that the intent of Congress is ambiguous in cases where benefits are awarded based on both a liberalizing law

and new and material evidence, the Secretary is free to issue regulations to fill this gap in the statute and the Court must

defer to such regulations so long as they are reasonable interpretations of the applicable statutes. See Chevron, 467 U.S.

at 844-45; Gallegos, 283 F.3d at 1312. In this case, there is no doubt that the result reached by the Court in Link and

by the majority in this case would be a reasonable interpretation of the statute had it been issued by the Secretary.

However, 38 U.S.C. § 501(a) leaves those policy determinations to the Secretary and not to the Court.

15

unattended. I saw his feet, ankles and lower legs swell and crack open on several

occasions while we were prisoners of war.

R. at 39. In 1978, 25 years after his release, Mr. Brown died, presumably as a result of the

conditions under which he was held as a POW. See 59 Fed. Reg. 35,464-65. For over 21 years,

Mrs. Brown filed multiple claims with VA seeking service connection for the cause of her husband's

death. R. at 49. The RO finally awarded service connection based upon both the statement of Mr.

Nix and the liberalizing change to § 3.309(c). The RO's July 2001 decision was the first de novo

adjudication of Mrs. Brown's claim after the relevant liberalizing change in the law. Based upon

section 5110(g) and § 3.114(a), Mrs. Brown is entitled to an effective date of one year prior to the

date she filed her claim. In fact, with the benefit of Mr. Nix's statement and VA's recognition of the

connection between localized edema in captivity and ischemic heart disease, we now know that Mrs.

Brown factually met the requirements for DIC since she first filed her claim in 1980. Under the law,

we cannot grant Mrs. Brown retroactive entitlement to DIC back to the date of her original claim.

However, she is entitled to the benefit of section 5110(g) and § 3.114(a). Based upon the foregoing,

I would reverse the Board's effective-date determination and direct the Board to award an effective

date of April 19, 2000, for the award of service connection for Mr. Brown's cause of death.9 I

respectfully dissent from the majority's contrary decision.

9

I would reverse the Board's decision notwithstanding M rs. Brown's counsel's statements at oral argument

expressly seeking vacatur and remand rather than reversal. See also Appellant's Br. at 9 (requesting that the Court

"vacate the Board's decision and remand with an instruction that the Board consider whether Mrs. Brown is entitled to

an earlier effective date of April 19, 2000, pursuant to 38 C.F.R. § 3.114(a)(3)"); Reply Br. at 3 (stating essentially the

same). Whether section 5110(g) and § 3.114(a) are applicable to this case is purely a question of law. Once that is

decided, there are no disputed facts pertinent to the application of those provisions. If they do not apply (as the majority

holds), Mrs. Brown is entitled to DIC effective no earlier than the date of her claim to reopen as a matter of law. If they

do apply (as I would hold), Mrs. Brown is entitled to DIC effective one year prior to the date of her claim based on an

application of the undisputed facts of this case to § 3.114(a)(3). Thus, reversal, not vacatur, would be the appropriate

remedy for the Board's error. Remand for the Board to apply the regulation in the first instance to the undisputed facts

of this case "would result in this Court's unnecessarily imposing additional burdens on the B[oard] and [the Secretary]

with no benefit flowing to the [claimant]." Soyini v. Derwinski, 1 Vet.App. 540, 546 (1991); see Cantu v. Principi,

18 Vet.App. 92, 99-100 (2004) (applying the plain meaning of a regulation to undisputed facts to determine that the

appellant met the eligibility criteria for VA health care, notwithstanding the appellant's argument that vacatur was

warranted because the Board did not make pertinent findings of fact regarding the issue).

16

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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