Petition for Writ of Certiorari — Alan B. Adams, Petitioner v. United States
Supreme Court briefNov 20, 2017
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App. 1
NOTE: This disposition is nonprecedential.
United States Court of Appeals
for the Federal Circuit
ALAN B. ADAMS,
Plaintiff-Appellant
V.
UNITED STATES,
Defendant-Appellee
2016-2296
Appeal from the United States Court of Federal
Claims in No. 1:11-cv-00418-EDK, Judge Elaine
Kaplan.
JUDGMENT
RAYMOND JEWELL TONEY, Law Office of Raymond J.
Toney, Emeryville, CA, argued for plaintiff-appellant.
Also represented by BRLN D. SCHENK, Midwest Military & Veterans Law, PLLC, Minneapolis, MN.
ERIC LAUFGRABEN, Commercial Litigation Branch,
Civil Division, United States Department of Justice, Washington, DC, argued for defendant-appellee.
Also represented by DOUGLAS K. MICKLE, ROBERT E.
App. 2
KIRSCHMAN, JR., JOYCE R. BRANDA; PATRICK J. HUGHES,
Air Force Legal Operations Agency, United States Department of the Air Force, Joint Base Andrews, MD.
THIS CAUSE having been heard and considered, it is
ORDERED and ADJ1JDGED:
PER CuRI (NEw&N, O'MALLEY, and TARANT0,
Circuit Judges).
AFFIRMED. See Fed. Cir. R. 36.
ENTERED BY ORDER OF THE COURT
August 21, 2017
Date
Is! Peter R. Marksteiner
Peter R. Marksteiner
Clerk of Court
App. 3
In the United States Court of Federal Claims
No. 11-418C
(Filed: May 9, 2016)
* * * * * * * * * * * * * * * **
* Keywords: Judgment on
ALAN B. ADAMS,
* the Administrative Record;
Plaintiff,
* RCFC 52.1(c); 10 U.S.C.
* § 1201; 10 U.S.C. § 1413a;
V.
* Military Retirement Pay;
THE UNITED STATES * Combat-Related Special
OF AMERICA,
* Compensation.
Defendant.
*
* * * * * * * * * * * * * * * **
Eugene R. Fidell, Feldesman Tucker Leifer
Fidell LLP, Washington, DC, for Plaintiff.
Eric Evan Lau/graben, Civil Division, United
States Department of Justice, Washington,
DC, for Defendant. With him on the briefs
were Stuart F Delery, Assistant Attorney
General, Bryant G. Snee, Acting Director, Donald E. Kinner, Assistant Director, and Captain
Bryce G. Poole, USAF AFLOA/JACL Litigation Attorney, Military Personnel Branch, Of
Counsel.
OPINION AND ORDER
Kaplan, Judge.
This case is before the Court on the parties' crossmotions for judgment on the administrative record. The
plaintiff, Alan B. Adams ("Major Adams" or "Plaintiff"),
•
challenges decisions of the Air Force Board of Corrections of Military Records (AFBCMR or "the Board")
denying his requests to have his record corrected to
reflect that he retired from the Air Force with a disability that was "combat related" within the meaning
of 10 U.S.C. § 1413a. Major Adams also challenges the
AFBCMR's conclusion that it lacked the authority to
order the Defense Finance and Accounting Service
(DFAS) to pay him certain additional sums of money
to which he claims entitlement as a result of the
Board's correction of his records to reflect a sixty percent disability rating.
For the reasons stated below, the government's
motion for judgment upon the administrative record is
GRANTED and Plaintiff's cross-motion is DENIED.
BACKGROUND
I.
Statutory and Regulatory Framework
A. Statute
This case involves the interpretation and application of 10 U.S.C. § 1413a and its implementing regulations. Pursuant to that statute, certain "combat-related
disabled uniformed services retiree [s]" are entitled to
elect to receive Combat-Related Special Compensation
(CRCS). 10 U.S.C. § 1413a(a).1 An "eligible combat-related
' Under the statute, a retiree with a combat-related disability is entitled to receive an amount equal to or less than his
length-of-service retirement pay and his Veterans Administration
disability compensation combined. See 10 U.S.C. § 1414(d); see also
Department of Defense, Combat-Related Special Compensation,
App. 5
disabled uniformed services retiree" is "a member of
the uniformed services who," with exceptions not relevant here, is "entitled to retired pay" and "has a combat-related disability." Id. § 1413a(c). In accordance
with section 1413a(e) "the term 'combat-related disability' means a disability that is compensable under
the laws administered by the Secretary of Veterans Affairs" and that is either "attributable to an injury for
which the member was awarded the Purple Heart" or
"was incurred (as determined under criteria prescribed
by the Secretary of Defense)" under the following conditions:
as a direct result of armed conflict;
while engaged in hazardous service;
in the performance of duty under conditions simulating war; or
through an instrumentality of war.
Id. § 1413a(e).
B. DoD Implementing Regulations
As noted) the statute authorizes the Secretary
of Defense to establish the criteria for determining
whether an injury was incurred under one of the four
circumstances identified in 10 U.S.C. § 1413a(e)(2).
httpi/militarypay.defense.gov/Portals/lO7lDocuments/CRSCJnfo_
Paper_May_08.pdf, last visited May 3, 2016. For tax purposes, a
retiree is also entitled to exclude from his gross income any disability payments that he received for combat-related injuries. 26
U.S.C. § 104(b).
App. 6
Those criteria are set forth at Attachment 1-1 to an
April 27, 2004 Directive Type Memorandum entitled
"Revised Guidance on Combat-Related Special Compensation" (hereinafter "Attachment 1-1"), AR at 80910, and in Department of Defense Instruction (DoDI)
1332.38, entitled "Physical Disability Evaluation," see
DoDI § 1332.38 (Nov. 14, 1996).
In accordance with section E3.P5.2.2 of DoDI
1332.38, the "combat-related" standard "covers those
injuries and diseases attributable to the special dangers associated with armed conflict or the preparation
or training for armed conflict." That section further
provides that "[a] physical disability shall be considered combat-related if it makes the member unfit or
contributes to unfitness and was incurred under any of
the circumstances listed in paragraphs E3.P5.2.2.1
through E3.P5.2.2.4." DoDI § 1332.38.
1. Disabilities Incurred as a Direct Result of Armed Conflict
First, under section E3.P5.2.2.1 of DoDI 1332.38,
as well as under Attachment 1-1, physical disabilities
are considered combat related if they aie incurred
"as a direct result of armed conflict." Id.; AR at 809.
Section E3.P5.2.2.1 states that "[t]he criteria [for determining whether disabilities are incurred as a direct
result of armed conflict] are the same as in paragraph
E3.P5.1.2" of the Instruction. The referenced paragraph, E3.P5.1.2, provides as follows:
App. 7
The fact that a member may have incurred a
disability during a period of war or in an area
of armed conflict, or while participating in
combat operations is not sufficient to support
[a] finding [that the physical disability is a
disease or injury incurred in the line of duty
as a direct result of armed conflict]. There
must be a definite causal relationship between the armed conflict and the resulting
unfitting disability.
DoDI § 1332.38; see also Attachment 1-1, AR at 809
(same).
Further guidance on the application of this criterion is set frth in Attachment 1-1. It provides that
"[airmed conflict includes a war, expedition, occupation
of an area or territory, battle, skirmish, raid, invasion,
rebellion, insurrection, guerilla action, riot, or any
other action in which Service members are engaged
with a hostile or belligerent nation, faction, force or
terrorists." AR at 809. In addition, according to the
Attachment, "[airmed conflict may also include such
situations as incidents involving a member while. interned as a prisoner of war or while detained against
his or her will in custody of a hostile or belligerent force
or while escaping or attempting to escape from such
confinement, prisoner of war,or detained status." Id.
2. Disabilities Incurred While Engaged
in Hazardous Service
As noted, 10 U.S.C. § 1413a(e)(2)(B) provides that disabilities incurred while engaged in hazardous service
go am
are combat related. Pursuant to section E3.P5.2.2.2 of
DoDI 1332.38 as well as under Attachment 1-1, "[s]uch
service includes, but is not limited to, aerial flight duty,
parachute duty, demolition duty, experimental stress
duty, and diving duty." DoDI § 1332.38; see also AR at
809. Attachment 1-1 further states that "[a] finding
that a disability is the result of such hazardous service
requires that the injury or disease be the direct result
of actions taken in the performance of such service."
AR at 809. "Travel to or from such service, or actions
incidental to a normal duty status not considered hazardous are not included." Id.
3. Disabilities Incurred Under Conditions Simulating War
Section E3.P5.2.2.3 of DoDI 1332.38, as well as Attachment 1-1, provide criteria for determining whether
a disability was incurred under conditions simulating
war. They state that, "[i]n general, this covers disabilities resulting from military training, such as war
games, practice alerts, tactical exercises, airborne operations, leadership reaction courses; grenade and live
fire weapons practice; bayonet training; hand-to-hand
combat training; repelling, and negotiation of combat
confidence and obstacle courses. It does not include
physical training activities, such as calisthenics and
jogging or formation running and supervised sport activities." DoDI § 1332.38; AR at 809.
App. 9
4. Disabilities Incurred Through an
Instrumentality of War
Section E3.P5.2.2.4 of DoDI 1332.38, as well as Attachment 1-1, provide criteria for determining whether
a disability was caused by an instrumentality of war.
The Instruction states that:
Incurrence during a period of war is not required. A favorable determination is made if
the disability was incurred during any period
of service as a result of such diverse causes as
wounds caused by a military weapon, accidents involving a military combat vehicle, injury, or sickness caused by fumes, gases, or
explosion of military ordnance, vehicles, or
material. However, there must be a direct
causal relationship between the instrumentality of war and the disability. For example,
an injury resulting from a Service member
falling on the deck of a ship while participating in a sports activity would not normally be
considered an injury caused by an instrumentality of war (the ship) since the sports activity and not the ship caused the fall. The
exception occurs if the operation of the ship
caused the fall.
DoDI § 1332.38 at E3.P5.2.2.4.
Attachment 1-1 contains similar language and
also explains that:
An instrumentality of war is a vehicle, vessel,
or device designed primarily for Military Service and intended for use in such Service at
App. 10
the time of the occurrence or injury. It may
also include such instrumentalities not designed primarily for Military Service if use of
or occurrence involving such instrumentality
subjects the individual to a hazard peculiar to
Military Service. Such use or occurrence differs from the use or occurrence under similar
circumstances in civilian pursuits.
AR at 810.
II. Major Adams's Service and Health Problems
Major Adams served as an officer in the United
States Air Force from May 31, 1995 until his honorable
discharge on July 1, 2006. AR at 97; Am. Compl. 1134. Having completed his required service, Major Adams
was separated pursuant to his own January 23, 2006
request. AR at 79.
As noted by the Board's medical consultant, Dr.
Horace Carson, Major Adams's "record of performance
from the start reflects nothing less than a stellar Air
Force officer and KC-135 pilot destined for a bright career," which was demonstrated in his performance reports "from day one until his final evaluation." Id. at
87. Unfortunately, however, Major Adams's career was
ultimately cut short as a result of the continuing effects of an accident that occurred in February of 1997,
when he was struck by a car while riding his bicycle.
Id. at 16, 33, 68, 87. After the accident, Major Adams
experienced chronic neck and back pain. Id. at 16 (observing that as a result of the accident he "required
App. 11
medication and frequent physical therapy to treat increasing low back and neck pain"). Beginning in 2004,
as a result of an incident in which he fell in his bathroom, his condition worsened. Id. at 68 (noting that
"[f]ollowing the fall, he has had severe weakness of the
left upper and left lower extremity with intermittent
numbness and paresthesias"). Major Adams still suffers from these disabilities today. See Oral Arg. Tr. 2-3
(counsel explaining that Major Adams may need to
stand up periodically during oral argument as a result
of back pain).
Despite his reported pain, Major Adams continued
to perform as a pilot after receiving a series of medical
waivers from his flight surgeon, beginning on October
27, 1999, and renewed on periodic basis, with the last
one granted for a three-year period beginning on October 13, 2005. Id. at 87. Major Adams was accordingly
not restricted from performing flying duties until May
15, 2006, approximately six weeks before he was discharged. Id. This restriction was imposed "due to his
chronic recurrent pain (neck, back, ischial tuberosity
area) and inability to sit for extended periods of time
(at a desk or in a cockpit)." Id. at 189.
Notwithstanding his continuing pain, Major Adams was not referred to a medical evaluation board
before his discharge. See id. at 189 (Board Medical
Consultant observing that Major Adams's "reported
intolerance to sitting for prolonged periods (flying
or otherwise) and the ineffectiveness of conservative
treatment measures prior to his discharge should have
alerted his health care provider and/or commander to
App. 12
consider an MEB (or a review-in-lieu of an MEB if his
condition(s) were believed to have no duty impact); followed by a referral to a Physical Evaluation Board if
appropriate"). As noted, Major Adams was honorably
discharged at his own request on July 1, 2006. Id. at
97.
III. Major Adams's First Request for Correction of His Records
On November 9, 2007, Major Adams submitted an
application to the AFBCMR for the correction of his
military records to reflect a disability. retirement. Id.
at 12. In his application, Major Adams sought assistance from the Board "in receiving a medical retirement, recovery of medical expenses and retroactive
pay/promotions.2 Id. He alleged that the Air Force had
improperly separated him "with unstable and worsening conditions without a military medical retirement,"
and that "these problems were directly attributable to
[his] aerial flight duty over Iraq and Afghanistan." Id.
at
2
Major Adams subsequently withdrew his claim for a promotion. Am. Compl. 116.
In support of his application, Major Adams submitted a
letter summarizing his medical condition and the reasons he
believed that he should have been medically retired, AR at 13;
a letter from the VA denying his request for vocational rehabilitation and employment services, which stated that he was "not
suitable for employment until [he gets his] medical conditions
treated," id. at 14; a medical summary that he prepared, id. at 16;
letters from his doctors indicating that he suffered from "degenerative back and neck conditions," id. at 17-18; a letter from the
App. 13
The Air Force Separation Branch, as well [sic] the
Board's medical consultant, Dr. Carson, initially recommended that Major Adams's request for correction
of his military records be denied. Id. at 79-80. In response, Major Adams submitted additional documentation, including a report prepared by Dr. Craig Bash,
dated October 7, 2008. Id. at 139-56. In that report, Dr.
Bash opined that Major Adams "was clearly not fit for
duty, particularly to fly an aircraft, when the Air Force
separated him." Id. at 139. He further stated that it
was "very clear medically that this patient was very ill
prior to his separation from the Air Force and the fact
that he was separated and not medically boarded with
MEB/PEB process represents a logical disconnect." Id.
Dr. Bash concluded that, pursuant to his own review of
Major Adams's medical records, Major Adams should
be retired with at least a fifty-percent disability rating.
Id.
Thereafter, Dr. Carson reconsidered his opinion
and recommended that Major Adams receive a disability retirement with a combined disability rating of
thirty percent to account for neck, back, and ischial
pain. Id. at 188-90. According to Dr. Carson, Major Adams should have received disability ratings of ten percent for his neck pain, ten percent for his back pain,
and ten percent for his ischial pain. Id. at 6. Major
VA assigning Major Adams an overall or combined rating of sixty
percent for service-connected disability compensation for a variety of conditions, id. at 19; an "Injury History and Progression"
chart prepared by Major Adams, detailing his a [sic] continuing
history of back pain, id. at 21; and additional records, id. at 33-77.
App. 14
Adams then submitted a second letter from Dr. Bash,
dated May 5, 2009, this time opining that Major Adams's disability should be rated at a minimum of sixty
percent. Id. at 200.
IV. The Air Force Corrects Major Adams's Military Record to Reflect a Disability Retirement
On April 15, 2010, the AFBCMR issued a decision
finding that Major Adams was the victim of an error or
injustice and recommending that corrections be made
to Major Adams's military record to reflect a disability
retirement, with a thirty percent combined disability
rating as had been recommended by Dr. Carson. Id. at
8-9. On June 10, 2010, after reviewing the information
submitted by Major Adams and consulting with Dr.
Carson, the Director of the Air Force Review Boards
Agency further modified the recommended relief. As
further modified, the record was corrected to show that
Major Adams was permanently medically retired, effective July 2, 2006, with a combined disability rating
of sixty percent, based on findings of cervical degenerative disc disease, bilateral upper extremity radiculopathy, lumbar intervertebral disc syndrome, and left
sciatic nerve neuritis. Id. at 10-11. The corrected record
further states "that the degree of impairment was permanent; that the disability was not due to intentional
misconduct or willful neglect; that the disability was
not incurred during a period of unauthorized absence;
and that the disability was not received in the line of
App. 15
duty as a direct result of armed conflict or caused by
an instrumentality of war." Id. at 11.
In his June 10, 2010 letter, the Director explained
that "[aifter correction, the records will be reviewed to
determine if you are entitled to any monetary benefits
as a result of the correction of records." Id. at 1. "This
determination," he stated, "is made by [DFASI and involves the assembly and careful checking of finance
records." Id.
V. Request for Reconsideration and the Filing
of This Suit
By letter of February 25, 2011, Major Adams
sought clarification and/or reconsideration from the
Board of several items that were not encompassed in
the "final settlement" payment that had been forwarded to him by DFAS in the wake of the Board's decision on his initial claim. Id. at 362. In addition, Major
Adams claimed for the first time in his February 25,
2011 letter that he should be entitled to treat his medical retirement pay as tax exempt pursuant to 10
U.S.C. § 1413a because his "disability was received in
the line of duty as a direct result of armed conflict or
caused by an instrumentality of war." Id. He also demanded that the Board order the following additional
relief: (1) immediate TRICARE coverage and coverage
retroactive to July 2, 2006; (2) payment of medical and
dental bills, including health care insurance premiums; (3) reimbursement in the amount of $1,031.63 for
his first move after his retirement. Id.
App. 16
In his request for reconsideration, Major Adams
stated that he would not cash the back-pay check that
DFAS had sent to him "until these items are addressed." Id. According to Major Adams, he was concerned that if he cashed the check he would be deemed
to have accepted the amount provided in the check in
full settlement of his claims. Am. Compl. 11 21-22. Major Adams similarly did not cash another check in the
amount of $5,598 which DFAS issued to reimburse him
for past insurance premiums. Id. 1 23.
On June 23, 2011, Major Adams filed this suit.
ECF No. 1. Thereafter, on August 3, 2011, the case
was stayed at Major Adams's request pending the
AFBCMR's decision on his request for reconsideration.
ECF Nos. 5-6.
VI. Board Decisions Rejecting Requests for
Reconsideration
A. The First Addendum
After Major Adams requested reconsideration, Dr.
Carson reviewed the records Major Adams submitted
to determine whether his disability was "the direct resuit of armed conflict or was caused by an instrumentality of war." AR at 506; see also id. at 508 (observing
that he sought to determine "whether the applicant's
clinical presentations represented the expected natural progression of the underlying pathology, likely emanating from his 1997 (and possibly 2004) injuries [or
the natural aging process] or whether they could reasonably be considered permanently aggravated by or
App. 17
caused by the applicant's combat flying missions"). Dr.
Carson noted that the records before him showed that
Major Adams "experienced varying degrees of pain
(neck, lower back, and ischial area) during his military
service" and that "the evidence shows that pain, particularly in the ischial region and buttocks was 'exacerbated' or flared every time he flew missions." Id. at
509.
Dr. Carson stated that, in his opinion, "an exacerbation of pain upon sitting in the cockpit does not necessarily infer that a permanent worsening of the
underlying defect has occurred; in this case the appliand degenerative disc discant's ischial bursitis
He
further
noted,
however, that "due to the
ease." Id.
repetitive nature and duration of the applicant's flying
missions, which ultimately resulted in permanent disqualification for flying duties, [he] could not rule out a
permanent worsening, or aggravation, of his ischial
pain overtime." Id. at 509-10.
.
.
.
Dr. Carson then turned to a review of the radiographic evidence, which he characterized as insufficient to show that the "underlying defect[s]" i.e.,
Major Adams's ischial bursitis and degenerative disc
disease were accelerated by or resulted from his combat flying missions, "as may be implicated in high
performance aircraft and the effect of associated sustained high-gravitational forces over a several year period upon the cervical, thoracic, and lumbar spine." Id.
at 510. Dr. Carson noted that "[s]everal clinicians have
introduced the notion that the applicant's flying duties
indeed caused a worsening of one or more of his painful
-
-
App. 18
conditions." Id. "However," he stated, "in the absence of
a discrete, significant traumatic event productive of
biomechanically significant change of anatomic structure, conditions such as degenerative arthritis, degenerative disc disease or chronic mechanical pain, which
are also common in the general population," Dr. Carson
"found no direct causal relationship between the applicant's underlying medical condition[s] (manifested by
acute exacerbations of pain with sitting) and [1 combat
or an instrumentality of war." Id. (emphasis in original). In short, according to Dr. Carson, "the exacerbation of the applicant's pain incident to assuming a
prolonged seated position for extended periods of time,
in flight or otherwise, is insufficient to meet the standard of direct causality that his condition was the direct
result of combat or the direct result of the Instrumentality of War which [sic] in which he flew." Id.
On April 2, 2012, Major Adams submitted a response to the Board in which he expressed disagreement with Dr. Carson's opinion. Id. at 512-15. Major
Adams cited evidence in Dr. Carson's report and the
reports of his doctors, both of which he claimed showed
that his flight duties had worsened his underlying condition. Id. at 513.
On May 21, 2012, the AFBCMR issued a decision
on Major Adams's request for reconsideration in its Addendum to the Record of Proceedings (First Addendum). Id. at 358-61. Without specifying any particular
dollar amount that Major Adams was entitled to receive, the Board administratively corrected his military record to reflect that Major Adams should be
App. 19
reimbursed for his first move after his retirement date.
Id. at 359. As to his other claims, the Board denied Major Adams's request for reconsideration. Id. at 360.
First, with respect to Major Adams's claim for
CRSC, the Board referred to Dr. Carson's comments
and his rationale as the basis for its conclusion that
Major Adams had not been a victim of an error or
injustice. Id. Thus, it cited Dr. Carson's observations:
1) that Major Adams's pain was exacerbated every
time he flew missions; 2) that, nonetheless, "an exacerbation of pain upon sitting in the cockpit does not
necessarily infer that a permanent worsening of the
underlying defect has occurred, such as the applicant's
ischial bursitis and degenerative disc disease;" and
that 3) "the radiographic evidence alone is insufficient
to show that [Major Adams's degenerative disc disease] was accelerated by or resulted from the applicant's combat flying missions." Id. at 359. Further, it
observed that Dr. Carson "found no direct causal relationship between the applicant's underlying medical
condition(s)" and that he had determined that those
conditions "are neither combat-related nor an instrumentality of war" [sic]. Id. at 359-60. Finally, the Board
adopted Dr. Carson's rationale that "the exacerbation
of the applicant's pain (incident to assuming a prolonged seated position for extended periods of time, in
flight or otherwise) is insufficient to meet the standard
of direct causality that his condition was a direct result
of combat or the direct result of the instrumentality of
war in which he flew." Id. at 360.
App. 20
The AFBCMR further denied Major Adams's continued request for reimbursement of certain expenses
and for benefits, ruling again that its power was limited to correcting Major Adams's military records, and
reiterating that "[dietermining the benefits and entitlements that are a consequence of such corrections is
the responsibility of TRICARE and [DFAS] ."Id. In conclusion, the Board found that "relief beyond that already granted administratively is not warranted." Id.
B. The Second Addendum
On June 21, 2012, Major Adams again applied
for reconsideration of the Board's decision. Id. at 52426. Major Adams requested reconsideration on the
grounds that the Board did not consider Major Adams's April 2, 2012 submissions in making its decision;
that the April 2, 2012 submissions and his medical and
combat deployment records supported his claim that
his injuries were combat related; and that he was having difficulty obtaining reimbursement and other benefits from DFAS and/or TRICARE. Id. at 525. He also
noted that he had yet to receive the reimbursement for
his first move after retirement, which the Board had
ordered in the First Addendum. Id. at 524. Major Adams also submitted additional documents, including a
chronology of events regarding back surgery that he
underwent in Germany after his discharge on the recommendation of his doctor and at his own expense, see
id. at 527, and emails reflecting his efforts to receive
medical and dental benefits, id. at 545-57.
App. 21
In light of the additional documentation provided
by Major Adams, the AFBCMR requested that Dr. Carson reconsider his opinion. Id. at 504. Although Dr.
Carson reviewed the additional documentation provided by Major Adams, he "determined another medical opinion was not necessary and indicated that he
stood by his original recommendation and had nothing
further to add." Id.
Accordingly, on December 28, 2012, the AFBCMR
issued its Second Addendum to the Record of Proceedings (Second Addendum) denying Major Adams's second request for reconsideration. Id. at 502-05. With
respect to Major Adams's claim that his disability was
combat related, the Second Addendum affirmed the
Board's prior conclusion that the medical evidence did
not establish "a clear linkage between his existing conditions and a combat-related injury." Id. at 504. With
respect to Major Adams's request for reconsideration
of his claims "for reimbursement of his medical/dental
bills and health insurance premiums," the AFBCMR
stated that "while every effort is made to make an applicant whole when it is determined that he has been
the victim of an error or injustice, we believe the relief
previously provided by the Board, to include granting
him a medical retirement with TRICARE eligibility
constitutes full and fitting relief." Id.
C. The Third Addendum
On January 23, 2013, Major Adams requested
reconsideration by the Board for the third time,
App. 22
primarily to seek a modification of its decision that he
must seek any relief concerning reimbursements or
benefits from DFAS or TRICARE. Am. Compi. ¶ 30.
The AFBCMR issued a decision finding that Major
Adams's request did not meet the criteria for reconsideration by the Board. Id. 1 31. After receiving this decision, Major Adams moved this Court to remand the
case back to the AFBCMR, directing the Board to address the issues raised in his January 23, 2013 request
for reconsideration. ECF No. 32. On May 6, 2013, the
Court granted Major Adams's motion and remanded
the case to the AFBCMR for further development of
the administrative record. ECF No. 35.
In accordance with the Court's Order, on August 1,
2013, the AFBCMR considered the points raised in Major Adams's January 23, 2013 letter and issued a Third
Addendum to its Record of Proceedings (Third Addendum). AR at 559-63. In the Third Addendum, the Board
reaffirmed its prior determination that Major Adams
had already received all of the relief that the Board is
authorized by statute to provide and clarified certain
prior points made in the First Addendum and Second
Addendum to the extent that they were unclear. Id. at
561. It explained as follows:
[Tihe Board cannot enter an order to direct
TRICARE (or DFAS for that matter) to pay
the applicant a specific amount. The Board is
a creature of statute. Under Title 10, Section
1552, the Board is empowered only to correct
military records for the removal of error or injustice. The Board has no authority to issue
App. 23
orders to enforce its own corrections. On the
other hand, Section 1552(a)(4) of Title 10
states, "[e]xcept when procured by fraud, a
correction under this section is final and conclusive on all officers of the United States." So,
to the extent the Board has already granted
relief to the applicant, other federal agencies
have a duty to provide that relief.
Id. at 562.
Pursuant to the Court's remand order, the AFBCMR
also evaluated its previous finding that "there was insufficient evidence to warrant corrective action in regard to the applicant's request that his injuries be
rated as combat-related." Id. at 561-62. The AFBCMR
found that Major Adams "has not provided any additional information" or evidence "to specifically substantiate his entitlement to the requested relief or
to overturn [the Board's] earlier decision." Id. at 562.
Given these circumstances, the Board again concluded
that there was "no basis upon which to recommend"
correcting Major Adams's record to show that his medical condition was combat related. Id. Major Adams's
subsequent motion in Court to remand the case to the
AFBCMR for further consideration was denied on October 7, 2013. ECF No. 40.
D. The Fourth Addendum
On January 16, 2015, after briefing on cross-motions for judgment on the administrative record was
complete and oral argument was scheduled, the government filed a consent motion to remand the matter
App. 24
back to the Board yet again. ECF No. 72. The remand
was requested to allow the Board to obtain an advisory
opinion from the Director of Compensation, Office of
the Deputy Under Secretary of Defense (Military Personnel Policy) (hereinafter ODUSD) as provided in Department of Defense Directive 1332.41 ¶ 3.3 for cases
involving combat-related special compensation. Id. The
Court granted the government's consent motion. ECF
No. 73.
Because the Air Force Personnel Center (AFPC) is
the Air Force's office of primary responsibility regarding claims for combat-related special compensation,
the Board initiated its request for an advisory opinion
through the AFPC. After noting that Major Adams had
not previously submitted an application for combatrelated special compensation, the AFPC directed the
Board to request that Major Adams submit such an
application, which he did on February 21, 2015, along
with a detailed memorandum for the ODUSD. AR at
765-85.
AFPC's Combat-Related Special Compensation
Board (CRSC Board) then conducted a review of Major
Adams's application and, on April 15, 2015, determined
that Major Adams was entitled to combat-related special compensation for tinnitus and fibromyalgia at a
rating of ten percent, but was not entitled to such compensation for the disabilities reflected in his corrected
military record. Id. at 786-91.
App. 25
The CRSC Board explained its conclusion as follows:
To be approvable for compensation, clear
documentation must be provided to indicate
that an injury/disability occurred and/or was
caused by a specific combat-related factor
rather than from routine causes or your particular physical make-up. Your claim and documentation received contained no definitive
evidence to confirm these disabilities were the
direct result of a combat-related event. Additionally, the fact that a member incurred a
disability in an area of armed conflict or while
participating in dombat operations is not sufficient by itself to support a combat related
determination. There must be a definite, documented, causal relationship between the
armed conflict and the resulting disability. Alter reviewing your documentation we were
unable to identify a combat-related event as
the cause of your disabilities.
Id. at 787.
The CRSC Board's determination, Major Adams's
application and memorandum, along with the entire
record of proceedings, were then transmitted to the
ODUSD for an advisory opinion concerning Major Adams's claim. On June 1, 2015, the ODUSD provided the
Board and Major Adams with an advisory opinion. Id.
at 814. In the opinion, ODUSD stated that it conducted
a review of the case using the guidance found in the
DTM dated April 27, 2004 and in the Supplemental
Guidance on Combat-Related Special Compensation,
App. 26
dated June 3, 2008. Id. at 814. Based on its review, the
ODUSD advised the Board of its view that Major Adams's disabilities (other than tinnitus and flbromyalgia) were not combat related within the meaning of 10
U.S.C. § 1413a. Rather, the ODUSD concluded, "[tihe
evidence shows that the applicant's other health issues
were incurred as a result of being hit by a car while
riding a bicycle in 1997 and falling in a bathroom in
2004." Id. Although the ODUSD observed that Major
Adams's medical condition appeared to have deteriorated over time, it opined that the evidence did not
show that these issues "were incurred while engaged
in hazardous service, in the performance of duty under
conditions simulating war, or through an instrumentality of war." Id. at 815. "In addition," the ODUSD
noted, "the evidence does not show that the applicant's
other health issues were incurred as a direct result of
armed conflict." Id. It concluded that "[tihe fact that
the applicant deployed numerous times and flew numerous missions does not demonstrate that his other
health issues were incurred in the requisite manner to
qualify for CRSC benefits." Id.
Major Adams was provided with a copy of the advisory opinion and submitted a response to the Board
on June 9, 2015. Id. at 821. On September 8, 2015, the
Board issued a decision in which it affirmed its earlier
determination declining to correct Major Adams's records to show that his degenerative disc disease of the
cervical spine, cervical radiculopathy of the left upper
extremity, thoracolumbar sprain, bilateral ischial tuberosity/bursitis, and radiculopathy involving the left
App. 27
lower extremity were combat related. Id. at 623-31.
The Board also affirmed the partial relief provided by
the CRSC Board, which granted Major Adams a ten
percent combat disability rating for fibromyalgia and
tinnitus. Id. at 631.
DISCUSSION
I.
Jurisdiction of the Court
The Tucker Act empowers this court to hear "any
claim against the United States founded either upon
the Constitution, or any Act of Congress or any regulation of an executive department, or upon any express
or implied contract with the United States, or for liquidated or unliquidated damages in cases not sounding
in tort." 28 U.S.C. § 1491(a)(1) (2012). While the Tucker
Act waives the sovereign immunity of the United
States to allow a suit for money damages, United
States v. Mitchell, 463 U.S. 206, 212 (1983), it does not
confer any substantive rights on a plaintiff. United
States v. Testan, 424 U.S. 392, 398 (1976). Therefore, a
plaintiff seeking to invoke the court's Tucker Act jurisdiction must identify an independent source of a substantive right to moiley damages from the United
States arising out of a contract, statute, regulation, or
constitutional provision. Jan's Helicopter Serv., Inc. v.
Fed. Aviation Admin., 525 F.3d 1299, 1306 (Fed. Cir.
2008).
A statute may serve as an independent source of a
substantive right to money damages where it "can
fairly be interpreted as mandating compensation by
App. 28
the Federal Government for the damage sustained."
Roberts v. United States, 745 F.3d 1158, 1162 (Fed. Cir.
2014) (quoting United States v. White Mountain Apache
Tribe, 537 U.S. 465, 472 (2003)). In that regard, "[ut is
enough 'that a statute creating a Tucker Act right be
reasonably amenable to the reading that it mandates
a right of recovery in damages." Id. (quoting White
Mountain Apache Tribe, 537 U.S. at 473).
It is well established that Section 1201 of title 10
of the United States Code, which governs military disability retirement, is a money-mandating statute because the Secretary of Defense "has no discretion
whether to pay out retirement funds once a disability
is found qualifying." Fisher v. United States, 402 F.3d
1167, 1174 (Fed. Cir. 2005) (citing Sawyer v. United
States, 930 F.2d 1577 (Fed. Cir. 1991)). The same lack
of discretion exists under 10 U.S.C. § 1413a, which pro-,
vides that "[tihe Secretary concerned shall pay to each
eligible combat-related disabled uniformed services retiree who elects benefits under this section a monthly
amount for the combat-related disability of the retiree
determined under subsection (b)." Accordingly, 10 U.S.C.
§ 1413a is a money mandating statute and this Court
has jurisdiction to hear Major Adams's claim that the
AFBCMR erred when it found that he was not entitled
to combat-related special compensation.
App. 29
II. Standard of Review for Motion for Jüdgment on the Administrative Record
RCFC 52.1 governs motions for judgment on the
administrative record. See RCFC 52.1(c). Therefore,
the standard of review for a motion for judgment on
the administrative record differs from that for a motion for summary judgment. Bannum, Inc. v. United
States, 404 F.3d 1346, 1354-55 (Fed. Cir. 2005). Unlike
summary judgment, for instance, "a genuine dispute of
material fact does not preclude a judgment on the administrative record." Sierra Nevada Corp. v. United
States, 107 Fed. Cl. 735, 751 (2012) (citing Bannum,
Inc., 404 F.3d at 1355-56). To the contrary, "[tlo review
a motion or cross-motions under RCFC 52.1(c), the
court asks whether, given all the disputed and undisputed facts, a party has met its burden of proof based
on the evidence in the record." Jordan Pond Co., LLC
v. United States, 115 Fed. Cl. 623, 630 (2014) (citing
Bannum, Inc., 404 F.3d at 1356-57); see also RCFC 52.1
Rules Committee Note (2006). ("Summary judgment
standards are not pertinent to judicial review upon an
administrative record."). "The existence of a question
of fact thus neither precludes the granting of a motion
for judgment on the administiative record nor requires
this court to conduct a full blown evidentiary proceeding." CRAssociates, Inc. v. United States, 102 Fed. Cl.
698, 710 (2011) (citing, inter alia, Bannum, Inc., 404
F.3d at 1356).
App. 30
III. Scope of Review of Military Correction
Board Decisions
The scope of judicial review of military correction
board decisions is a narrow one. Thus, this Court is
"'limited to determining whether a decision of the Correction Board is arbitrary; capricious, unsupported by
substantial evidence, or contrary to applicable statutes
and regulations.'" Melendez Camilo v. United States,
642 F.3d 1040, 1044 (Fed. Cir. 2011) (quoting Heisig v.
United States, 719 F.2d 1153, 1156 (Fed. Cir. 1983)).
The arbitrary and capricious standard of review "does
not require a reweighing of the evidence, but a determination whether the conclusion being reviewed is supported by substantial evidence." Heisig, 719 F.2d at
1157 (emphasis in original). "Substantial evidence" is
"such relevant evidence as a reasonable mind might
accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389,401 (1971) (quoting Consol.
Edison Co. v. NL.R.B., 305 U.S. 197, 229 (1938)). The
court is limited to a review of the record that was before the corrections board. Metz v. United States, 466
F.3d 991, 998 (Fed. Cir. 2006); see also Walls v. United
States, 582 F.3d 1358, 1368 (Fed. Cir. 2009). Finally, it
may not "substitute [its] judgment for that of the military departments when reasonable minds could reach
differing conclusions on the same evidence." Heisig,
719 F.2d at 1156.
App. 31
IV. Merits
A. Board's Conclusion that Major Adams's
Disability Was Not Combat-Related
As explained above, Major Adams's corrected records reflect that, at the time he was separated, he was
unfit to perform the duties of his position as a result of
the combination of several disabling conditions: cervical degenerative disc disease, associated with bilateral
upper extremity radiculopathy; lumbar intervertebral
disc syndrome; and left sciatic nerve neuritis. AR at 11.
It is undisputed that all of these conditions originated
from causes unrelated to combat. See id. at 139 (report
of Plaintiff's expert Dr. Craig Bash, observing that
"[a]ll of [Major Adams's] medical problems stem from
the primary and secondary complications of his in-service bicycle accident"); id. at 152 (Dr. Bash noting that
"[b] eginning after a car hit him while riding his bike to
work, degenerative cervical and lumbar degenerative
conditions progressed and increasingly impaired his
ability to perform his flying duties culminating in permanent disqualification by the Air Force and medical
denial of FAA flying privileges"). It is also undisputed
that the pain Major Adams suffered as a result of these
conditions was exacerbated during and after his combat flight duty. Id. at 152 (Dr. Bash opining that "[e]xtended sitting while flying in combat deployments
worsened his symptoms of radiculopathy").
In finding that Major Adams had failed to establish that his disability was combat related, the Board
relied upon Dr. Carson's opinion that "an exacerbation
App. 32
of pain upon sitting in the cockpit does not necessarily
infer that a permanent worsening of the underlying
defect has occurred, such as the applicant's ischial bursitis and degenerative disc disease," and that "the radiographic evidence alone is insufficient to show that
[Major Adams's degenerative disc disease] was accelerated by or resulted from the applicant's combat flying missions." Id. at 359. For the reasons set forth
below, the Court concludes that the Board did not act
unreasonably in relying upon the opinion of its medical
consultant, and that its decision finding that Major Adams's disability was not combat related was neither arbitrary, capricious, nor contrary to law.
As described above, the statute and the relevant
provisions of DoDI 1332.38 specify that "a physical disability shall be considered combat-related if it makes
the member unfit or contributes to unfitness and was
[w]hile engaged in hazardous service," inincurred.
cluding while engaged in "aerial flight duty." DoDI
1332.38 §§ E3.P5.2.2, E3.P5.2.2.2; see also 10 U.S.C.
§ 1413a(e). Attachment 1-1 further specifies that "[a]
finding that a disability is a result of such hazardous
service requires that the injury or disease be the direct
result of actions taken in performance of such service."
AR at 809.
.
.
.
In this case, as noted, it is undisputed that Major
Adams was not fit for duty at the time of his discharge. The Board found, however, that the underlying
conditions/disabilities that caused or contributed to
his unfitness were not "incurred" as a result of Major
Adams's flight duty. Instead, the Board concluded that
App. 33
the medical conditions that caused Major Adams's
pain and discomfort were incurred years earlier as a
result of the bicycle accident that took place in 1997.
See AR at 623-31.
The Board's conclusion in this regard was supported by substantial evidence and, in fact, as noted
above, Major Adams does not dispute that his underlying conditions were not combat related. Thus, the real
point of contention between the parties is not whether
Major Adams's underlying medical conditions were
caused in the first instance by his flight duties. Rather,
the issue before the Court is whether substantial
evidence supports the Board's decision that Major
Adams's flight duties did not aggravate his noncombat-related medical conditions.4
After oral argument in this case, this Court requested briefing on a subsidiary question: whether, as a matter of law, the aggravation of a pre-existing non-combat-related condition can
serve as the basis for an award of combat-related special compensation, given that 10 U.S.C. § 1413a(e) speaks in terms of disabilities "incurred" as a result of combat, as opposed to disabilities
"incurred or aggravated" as a result of combat. ECF No. 89; cf 38
U.S.C. § 101(16) (defining "service-connected" for purposes of Title 38 as meaning, "with respect to disability or death, that such
disability was incurred or aggravated, or that the death resulted
from a disability incurred or aggravated, in line of duty in the active military, naval, or air service"). Major Adams took the position that the concept of "aggravation" of a pre-existing disability
was encompassed within the word "incurred." Pl.'s Suppi. Br. at
2-8, ECF No. 92. The government, however, argued that DoD's
regulations foreclose .a finding of eligibility based on the aggravation of a non-combat-related disability because they require direct
causation between a service member's disability and one of the
App. 34
In his March 5, 2012 opinion, Dr. Carson observed
that Major Adams experienced varying degrees of
neck, low back, and ischial area (lower and back part
of the hip bone) pain during his military service, and
that such pain was "exacerbated" or "flared-up" when
Major Adams flew missions. Id. at 509. Dr. Carson considered whether these flare-ups represented the "expected natural progression of the underlying pathology
[a 1997 bike accident and/or a 2004 fall in his bathroom]" or whether they could be "reasonably considered permanently aggravated by or caused by the
applicant's combat flying missions." Id. at 508.
Having reviewed the medical evidence, Dr. Carson
stated that he was "of the opinion that an exacerbation
circumstances set forth in 10 U.S.C. § 1413a(e)(2). Def.'s Corrected Suppi. Br. at 2-12, ECF No. 103.
The court notes that the government's position in this litigation appears inconsistent with the views of the Board itself, which
seems to have assumed that the aggravation of a pre-existing disability as a result of combat would be sufficient to support eligibility for CRSC. AR at 359 (noting Dr. Carson's observation that
exacerbation of pain does not necessarily imply that there has
been "a permanent worsening of the underlying defect"). The
Court is also skeptical of the government's argument that there
is an inconsistency between the direct causation requirement in
the DoD instructions and guidance, and the notion that the aggravation of a disability as a direct result of combat constitutes a
combat-related disability. But in any event, the Court need not
resolve the legal question of whether the aggravation of a noncombat-related disability meets the statutory and regulatory
standards given its conclusion, set forth below, that the Board's
decision that Major Adams failed to prove that his disability was
aggravated by his flight duties was supported by substantial evidence.
App. 35
of pain upon sitting in the cockpit does not necessarily
infer.. a permanent worsening of the underlying defect." Id. at 509. Effectively, Dr. Carson determined
that Major Adams's back pain when seated in the cockpit represented the expected, natural consequences of
the injury that Major Adams sustained in his 1997 bicycle accident, and perhaps his fall in the bathroom in
2004— neither of which was combat related. Id. at 508.
Dr. Carson found that there was insufficient medical
evidence to show that Major Adams's underlying disability was "accelerated by or resulted from [his] flying
missions." Id. at 359; see also id. at 510. Moreover, Dr.
Carson considered the possibility suggested by several
of Major Adams's doctors that Major Adams's flying
duties caused a worsening of one or more of his painful
conditions, but found that "in the absence of a discrete,
significant traumatic event productive of biomechanically significant change of anatomic structure," there
was insufficient evidence to establish a "direct causal
relationship between [Major Adams's] underlying condition[s] (manifested by acute exacerbations of pain
with sitting) and [e] ither combat or an instrumentality
of war." Id. at 510.
.
Major Adams contends nonetheless that his disabilities should be considered combat-related because
the medical records showed (and Dr. Carson concurred)
The Court takes Dr. Carson's reference to the absence of a
nexus between Major Adams's underlying medical conditions and
"combat or an instrumentality of war" to encompass as conclusion
that there was no nexus between his underlying medical conditions and the "hazardous service" in which Major Adams was engaged, namely, his aerial flight duties.
App. 36
that Major Adams experienced an "exacerbation" of
pain during and after flying. Pl.'s Resp. and Cross-Mot.
for J. on the Admin. R. (Pl.'s Cross-Mot.) at 28, ECF No.
58. He argues that "exacerbation is obviously within
the scope of the 'contributes to' clause of the regulation." Id. Further, Major Adams contends, the AFBCMR
(and Dr. Carson) misread the statute by assuming that
he was required to prove a causal relationship between
his disability and the hazardous service he performed.
He distinguishes the provision of the statute upon
which he relies, covering disabilities incurred "while engaged in hazardous service," 10 U.S.C. § 1413a(e)(2)(B),
from the statutory provision stating that a physical
disability is combat-related if it was incurred "[a]s a direct result of armed conflict," 10 U.S.C. § 1414a(e)(2)(A).
Id. at 27. These contentions are unpersuasive.
First, there is no merit to Major Adams's contention that he has met the statutory criteria for establishing the existence of a combat-related disability
because an exacerbation of pain resulting from his
flight duty contributed to his unfitness. Pl.'s CrossMot. at 26 (observing that the "only question" concerning his entitlement to CRSC is whether his flight duty
"either made him unfit or contributed to his unfitness"); see also id. at 28. This contention conflates two
separate inquiries. The question is not as Major Adams contends whether his flight duty contributed to
his unfitness. It is whether he 1) had a disability that
he incurred while engaged in service as a pilot, and
2) whether that disability contributed to his unfitness.
As described above, substantial evidence supports the
-
-
App. 37
Board's conclusion that Major Adams failed to satisfy
the first of these criteria because his underlying disabling condition was incurred as a result of a bicycle
accident and because that condition itself was not aggravated by his flight duty.
Critically, there is a legally recognized distinction
between the exacerbation of pain caused by the requirement that Major Adams sit for extended periods
of time in the cockpit and the aggravation or increase
of his underlying disability as a result of his confinement to the cockpit. See Davis v. Principi, 276 F.3d
1341, 1346-47 (Fed. Cir. 2002) (holding that "evidence
of temporary flare-ups symptomatic of an underlying
to
preexisting condition, alone, is not sufficient
1153
[deshow increased disability under 38 U.S.C. §
fining "aggravation" of a disability under veterans benefits statute for purposes of determining whether a
disability is service-connected] unless the underlying
condition is worsened"). Thus, proof that Major Adams's flying duties caused an exacerbation or flare-up
of his symptoms (i.e., pain when sitting for prolonged
periods of time) is not enough to establish that his underlying disability was aggravated (i.e., increased) as
a result of his time in the cockpit.
...
Finally, Major Adams's argument that the statute
does not require a causal relationship between a service member's hazardous service and his disability is
inherently implausible. The entire purpose of CRSC is
to provide service members who incur their disability
as a result of combat with benefits above and beyond
those which they would receive in any event for other
App. 38
service-connected disabilities. And it seems inconsistent with that statutory purpose to suppose that
Congress would have intended a service member to receive enhanced benefits for disabilities that were not
the direct result of actions taken in conditions of combat set forth in the statute.
Indeed, Major Adams's argument is inconsistent
with the instructions and guidance issued by the Secretary of Defense, to whom Congress delegated the authority to prescribe criteria for determining whether a
disability has been "incurred" under one of the four
conditions set forth in 10 U.S.C. § 1413a(e)(2). Attachment 1-1 to the DTM, as well as section E3.P5.2.2.2 of
DoDI 1332.38, provide that "[a] finding that a disability is the result of. hazardous service requires that
the injury or disease be the direct result of actions
taken in the performance of such service." AR at 809;
DoDI 1332.38.
.
.
As described above, the scope of this Court's review of the Board's decision regarding whether Major
Adams's disability was combat related is a narrow one.
The Federal Circuit has held that a service member
"who has sought relief from a correction board is bound
by its decision unless he can demonstrate by 'cogent
and clearly convincing evidence that the correction
board acted arbitrarily, capriciously, contrary to law, or
that its determination was unsupported by substantial
evidence.'"Dodson v. US. Gov't, Dept ofArmy, 988 F.2d
1199, 1204-05 (Fed. Cir. 1993) (quoting Arens v. United
States, 969 F.2d 1034, 1037 (Fed. Cir. 1992)). Further,
questions of medical causation are uniquely within the
App. 39
competence of medical professionals. Here, the Board
relied upon the opinion of its consulting physician, Dr.
Carson, when it concluded that Major Adams's conditions were not incurred (i.e., acquired or aggravated)
as a result of his flight duty, even if the symptoms of
those conditions were exacerbated by such flight duty.
Its reliance was not unreasonable. The Court, therefore, must affirm the Board's ruling denying Major
Adams's request for combat-related special compensation.
B. The AFBCMR's Determination That It
Was Not Authorized to Provide Major
Adams With Additional Relief Beyond
the Correction of His Records
Major Adams next contends that the requirement
that the Board grant "full and fitting relief" or "thorough and fitting relief," empowers it to issue an order
to TRICARE and DFAS to afford Major Adams certain
additional monetary relief he seeks. See Pl.'s CrossMot. at 29. Specifically, he contends that as a member
on active duty he was entitled to receive medical and
dental care in any facility of any uniformed service,
but that he was denied this right "because he was
separated in 2006 rather than taken into the DES
and afforded the disability retirement the AFBCMR
granted him retroactively in 2010." Id. (citing 10 U.S.C.
§ 1074(a)(1)-(2)(A)). Therefore, Major Adams argues,
the Board should have ordered reimbursement of outof-pocket expenses he incurred to pay for back surgery,
dental work, medications, and private insurance. Id.
App. 40
He challenges the AFBCMR's conclusion that it lacked
the authority to "direct DFAS, TRICARE and/or Delta
Dental to pay [him] the sums he has claimed." Am.
Compl. 1 47.
Major Adams's contentions lack merit. First, the
Board's authority is, in fact, limited to directing the
correction of a service member's records. See 10 U.S.C.
§ 1552(a)(1) ("The Secretary of a military department
may correct any military record of the Secretary's department when the Secretary considers it necessary to
[Sluch corcorrect an error or remove an injustice.
rections shall be made by the Secretary acting through
boards of civilians of the executive part of that military
department.); see also 32 C.F.R. §§ 865.1, et seq. (detailing the function and responsibilities of the AFBCMR).
And once the Board has corrected a record, other agencies have a duty to provide the monetary and other relief due to a service member in light of the corrected
record. 10 U.S.C. § 1552(a)(4) ("Except when procured
by fraud, a correction under this section is final and
conclusive on all officers of the United States."). Thus,
DFAS is charged with the resolution of "claims on the
basis of the corrected military record" and "[c] omputation of the amount due, if any [based on a Board decision], is a function of DFAS." 32 C.F.R. § 865.7(b)(2).
.
.
.
In this case, in response to the AFBCMR's correction of Major Adams's record, DFAS has sent him the
back retirement pay he was due. Am. Compi. 121. It
has also sent him reimbursement for his insurance
premiums. Id. ¶ 23. In addition, the Third Addendum
explicitly states that Major Adams is eligible to receive
App. 41
moving expenses and advises Major Adams that he
should contact DFAS to obtain reimbursement for
those expenses. AR at 562.
Further, there is no merit to Major Adams's argument that the AFBCMR should have directed that he
receive reimbursement for medical expenses incurred
for his back surgery and other procedures; because he
would have received free medical care as a matter of
right pursuant to 10 U.S.C. § 1074 had he been kept on
active duty to undergo the medical evaluation process.
That argument is foreclosed by the court of appeals'
decision in Barnick v. United States, 591 F.3d 1372
(Fed. Cir. 2010). In that case, the court of appeals held
that a service member who is voluntarily separated
from the service cannot secure monetary relief based
on a theory of constructive service where he claims
that "he should have been retained on active duty
merely for disability evaluation." Id. at 1379-80.
Moreover, 10 U.S.C. § 1552(c)(1) provides that "the
Secretary concerned may pay, from applicable current
appropriations, a claim for the loss of pay, allowances,
compensation, emoluments, or other pecuniary benefits, or for the repayment of a fine or forfeiture, if, as a
result of correcting a record under this section, the
amount is found to be due the claimant on account of
his or another's [military] service." Thus, in light of the
Board's correction of Major Adams's record to reflect a
disability retirement in May 2006, he was entitled to
receive the "pay, allowances, compensation, emoluments, or other pecuniary benefits" that he would have
received had he been medically retired on that date.
App. 42
But because "the availability of medical care for retired
personnel of the uniformed services is discretionary
with the services, retired personnel who fail to receive
such care cannot successfully maintain an action for
money damages based on such failure." Lord v. United
States, 2 Cl. Ct. 749, 757 (1983) (citing 10 U.S.C.
§ 1074(b)).
Similarly, with respect to Major Adams's claims
for reimbursement of medical expenses, TRICARE has
advised him that he is entitled to coverage under its
health care and dental programs as a result of the corrections made to his record. AR at 545, 556. As such,
the AFBCMR properly found that the corrections
made, including "granting [Major Adams] a medical
retirement, with TRICARE eligibility[,} constitute [d]
full and fitting relief." AR at 504. To the extent that
Major Adams believes that he has been wrongfully
denied benefits by TRICARE, his resort is not to the
AFBCMR it is to the administrative scheme set forth
in DoD regulations for challenging TRICARE coverage
determinations. See 32 C.F.R. § 199.10.
-
For these reasons, the Board's decision that it provided Major Adams with all the relief it is authorized
to provide was neither arbitrary and capricious, an
abuse of discretion, nor unsupported by substantial evidence on the whole record.6
Plaintiff requests that the Court issue a judgment for the
amount of back retired pay and moving expenses due to him. Pl.'s
Cross-Mot. at 42-43. But, as noted above, the government has already issued Major Adams checks for back pay, and counsel for
6
App. 43
CONCLUSION
For the reasons discussed above, the government's
motion for judgment on the administrative record is
GftANTED and Plaintiff's motion for judgment on the
administrative record is DENIED. The Clerk shall enter judgment accordingly.
IT IS SO ORDERED.
s/Elaine D. Kaplan
ELAINE D. KAPLAN
Judge, U.S. Court of
Federal Claims
the government indicated at the oral argument that DFAS would
reissue those checks at Major Adams's request. Oral Arg. Tr. at
78. The status of Major Adams's request for reimbursement of
moving expenses is unclear, but the government has acknowledged his entitlement to submit a claim for reimbursement for
such expenses to DFAS. Def.'s Reply at 10 n.7, ECF No. 63. Until
he does so, and until DFAS makes its determination, his claim for
reimbursement is not ripe for review.
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.