Petition for Writ of Certiorari — Blair Coleman, Petitioner v. Frank Kendall, Secretary of the Air Force
Supreme Court briefDec 18, 2023
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In The
Supreme Court of the United States
---------------------------------♦--------------------------------BLAIR COLEMAN,
Petitioner,
v.
FRANK KENDALL, SECRETARY OF THE AIR FORCE,
Respondent.
---------------------------------♦--------------------------------On Petition For Writ Of Certiorari
To The United States Court Of Appeals
For The Fourth Circuit
---------------------------------♦--------------------------------PETITION FOR WRIT OF CERTIORARI
---------------------------------♦--------------------------------JOHN W. BROOKER
Counsel of Record
UNIVERSITY OF NORTH CAROLINA
SCHOOL OF LAW CLINICAL PROGRAMS
102 Ridge Road
Chapel Hill, NC 27514-4387
(919) 869-6578
jbrooker@email.unc.edu
================================================================================================================
COCKLE LEGAL BRIEFS (800) 225-6964
WWW.COCKLELEGALBRIEFS.COM
i
QUESTIONS PRESENTED
The United States Court of Appeals for the Fourth
Circuit held that a veteran who was constructively and
retroactively placed on the Temporary Disability Retired List (“TDRL”) at a 50% disability rating was not
entitled to a medical examination prior to removal
from the TDRL and medical separation at a 10% disability rating. The court also found that the decision of
the Physical Disability Board of Review (“PDBR”) to
separate the veteran at a 10% disability rating was not
arbitrary and capricious.
Does 10 U.S.C. § 1210 or 38 C.F.R. § 4.129 require
a medical examination prior to removal from the TDRL
or the reduction of a disability rating? If not, was the
PDBR’s determination of a 10% disability rating arbitrary and capricious?
ii
RELATED CASES
The following proceedings are directly related to
this case within the meaning of Rule 14.1(b)(iii):
•
Coleman v. Wilson, 2022 U.S. Dist. LEXIS
58806, 2022 WL 966857 (W.D.N.C. Mar. 30,
2022).
•
Coleman v. Kendall, 74 F.4th 610 (2023) (judgment entered July 26, 2022; petition for rehearing en banc denied September 22, 2023).
iii
TABLE OF CONTENTS
Page
QUESTIONS PRESENTED ................................
i
RELATED CASES ...............................................
ii
TABLE OF CONTENTS ......................................
iii
TABLE OF AUTHORITIES .................................
v
PETITION FOR A WRIT OF CERTIORARI .......
1
OPINIONS BELOW.............................................
1
JURISDICTION ...................................................
1
STATEMENT OF THE CASE..............................
1
REASONS FOR GRANTING THE WRIT............
5
I.
This case is one of exceptional importance
because it improperly denies benefits to
disabled veterans who were separated because of a trauma-based mental health
condition but who do not have a diagnosis
of Posttraumatic Stress Disorder (PTSD)
by not applying the required statutory
protections .................................................
5
II.
The U.S. Court of Appeals for the Fourth
Circuit failed to apply applicable statutes
and regulations, to include 10 U.S.C.
§ 1210(a), 10 U.S.C. § 1216(a), and 38
C.F.R. § 4.129 ............................................. 12
III.
The disability rating of 10% was arbitrary
and capricious ............................................ 16
CONCLUSION..................................................... 22
iv
TABLE OF CONTENTS—Continued
Page
APPENDIX
OPINION OF THE U.S. COURT OF APPEALS
FOR THE FOURTH CIRCUIT, DECIDED
JULY 26, 2023 .................................................. App. 1
OPINION OF THE U.S. DISTRICT COURT
FOR THE WESTERN DISTRICT OF NORTH
CAROLINA, FILED MARCH 30, 2022 ......... App. 21
MEMORANDUM AND RECOMMENDATION,
UNITED STATES MAGISTRATE JUDGE,
U.S. DISTRICT COURT FOR THE WESTERN DISTRICT OF NORTH CAROLINA,
SIGNED APRIL 16, 2021 .............................. App. 42
DENIAL OF PETITION FOR REHEARING EN
BANC, U.S. COURT OF APPEALS FOR THE
FOURTH CIRCUIT, FILED SEPTEMBER
22, 2023 .......................................................... App. 67
v
TABLE OF AUTHORITIES
Page
CASES
Coleman v. Kendall, 74 F.4th 610 (2023) ( judgment entered July 26, 2022; petition for rehearing en banc denied September 22, 2023) ..........1
Coleman v. Wilson, 2022 U.S. Dist. LEXIS 58806,
2022 WL 966857 (W.D.N.C. Mar. 30, 2022) ..............1
Cook v. U.S., 123 Fed. Cl. 277 (2015) ...................... 9, 15
Keltner v. U.S., 165 Fed. Cl. 484 (2023) .............. 7, 9, 14
Ohio Valley Env’t Coal., Inc. v. Aracoma Coal Co.,
556 F.3d 188 (4th Cir. 2009) .............................. 16, 17
Petri v. U.S., 104 Fed. Cl. 537 (2012) ..........................14
Sabo v. U.S., 102 Fed. Cl. 619 (2011) ........ 6, 7, 9, 10, 12
Stine v. U.S., 92 Fed. Cl. 776 (2010)............................11
STATUTES
5 U.S.C. § 706 .......................................................... 3, 17
10 U.S.C. § 1201 ................................................ 3, 17, 20
10 U.S.C. § 1202 ..........................................................17
10 U.S.C. § 1210 ............................ 3, 9, 10, 12-15, 18-21
10 U.S.C. § 1216a ................................ 11, 12, 15, 16, 18
10 U.S.C. § 1554a .............................................. 9, 10, 16
28 U.S.C. § 1254(1) ........................................................1
vi
TABLE OF AUTHORITIES—Continued
Page
REGULATIONS
38 C.F.R. § 4.3 .............................................................21
38 C.F.R. § 4.129 .......................................3, 9-16, 18-21
38 C.F.R. § 4.130 ...........................................................7
OTHER AUTHORITIES
Findings of the Veterans’ Disability Benefits
Commission: Hearing Before the Committee
on Veterans Affairs, 110 Cong. 52 (Oct. 10,
2007) ...................................................................... 5, 8
Joint Motion for Final Approval of Class Action
Settlement Agreement, Sabo v. U.S., Case No.
08-899 C (Dec. 1, 2011) ......................................... 6, 7
Office of the Under Secretary of Defense for
Personnel and Readiness, Memorandum for
Secretary of the Army et al., Requests for
Correction of Military Records Relating to
Disability Ratings for Post Traumatic Stress
Disorder (July 17, 2009) ..........................................14
U.S. DEP’T OF DEF., INSTR. 1332.18, DISABILITY
EVALUATION SYSTEM (Nov. 10, 2022) ..........................7
1
PETITION FOR A WRIT OF CERTIORARI
Petitioner Blair Coleman respectfully petitions for
a writ of certiorari to review the judgment of the U.S.
Court of Appeals for the Fourth Circuit.
---------------------------------♦---------------------------------
OPINIONS BELOW
The opinion of the U.S. Court of Appeals for the
Fourth Circuit (Pet. App. 1) is reported at 74 F.4th 610
(2023). An earlier opinion from the U.S. District Court
for the Western District of North Carolina (Pet. App.
21), entitled Coleman v. Wilson, is reported at 2022 U.S.
Dist. LEXIS 58806, 2022 WL 966857 (W.D.N.C. Mar.
30, 2022).
---------------------------------♦---------------------------------
JURISDICTION
The U.S. Court of Appeals for the Fourth Circuit
entered its judgment on July 26, 2023. The U.S. Court
of Appeals for the Fourth Circuit denied a petition for
rehearing en banc on September 22, 2023. The Court
has jurisdiction under 28 U.S.C. § 1254(1).
---------------------------------♦---------------------------------
STATEMENT OF THE CASE
Mr. Coleman enlisted in the Air Force on March 2,
1997. During a deployment in Iraq, Mr. Coleman was
involved in a rocket attack in which he witnessed the
dismemberment of a fellow airman, whom he tried to
2
assist. In 2005, the Air Force decided that Mr. Coleman’s severe anxiety rendered him unfit for further
military service. There were seven major pertinent
events which followed:
(1) August 12, 2005: The Medical Evaluation Board Narrative Summary (“NARSUM”) was issued, detailing Plaintiff ’s postcombat mental health condition which warranted separation from the military;
(2) September 8, 2005: The Informal
Physical Evaluation Board (“IPEB”) convened
and recommended discharge with severance
pay and a disability rating of 10% for his anxiety disorder, utilizing the U.S. Department of
Veterans Affairs (“VA”) schedule for Rating
Disabilities (“VASRD”);
(3) October 24, 2005: The Air Force initially medically separated Mr. Coleman with
severance pay and a 10% disability rating, utilizing the VASRD;
(4) February 22, 2006: Mr. Coleman underwent a VA Compensation and Pension Examination (“VA C&P Examination”);
(5) March 15, 2006: VA rated Mr. Coleman’s anxiety disorder at 30%, applying the
VASRD to the VA C&P Examination;
(6) April 24, 2006: The new date of separation designated by the Physical Disability
Board of Review (“PDBR”) (following a constructive and retroactive placement on the
3
Temporary Disability Retired List (“TDRL”)
as described below); and
(7) May 17, 2012: The PDBR found the
Air Force’s decision to separate Mr. Coleman
on October 24, 2005, was erroneous. Mr. Coleman was constructively and retroactively
placed on the TDRL with a disability rating of
50% effective October 24, 2005. He was then
constructively and retroactively separated on
April 24, 2006, with a disability rating of 10%,
despite the Air Force having never conducted
a new examination as required by 38 U.S.C.
§ 1210 and 38 C.F.R. § 4.129. The PDBR also
determined that a 10% disability rating was
proper despite VA concluding that a 30% rating was proper. A 30% rating from the Air
Force would make Mr. Coleman entitled to
military retirement benefits pursuant to 10
U.S.C. § 1201.
On June 8, 2017, Plaintiff brought a claim for injunctive relief in the U.S. District Court for the Western District of North Carolina against Defendant for
only event number seven listed above—when on May
17, 2012, the PDBR decided that Mr. Coleman’s disability rating should remain 10%—pursuant to the
Administrative Procedure Act, 5 U.S.C. § 706. Mr. Coleman believes a rating that would entitle him to military retirement benefits is required.
On August 11, 2017, Defendant filed a motion to
dismiss. On April 1, 2018, the District Court adopted
the Magistrate Judge’s Memorandum and Recommendation and granted the Defendant’s motion to dismiss.
4
On May 30, 2018, Plaintiff filed a notice of appeal from
the District Court’s Order granting the motion to dismiss. On December 21, 2018, the U.S. Court of Appeals
for the Fourth Circuit remanded the matter back to the
District Court. On February 22, 2021, Defendant filed
a renewed Motion to Dismiss and a Motion for Summary Judgment. On March 29, 2021, Plaintiff filed a
Memorandum of Law in Opposition to Defendant’s
Motion. On April 5, 2021, the Defendant filed a Reply.
On March 30, 2022, the District Court adopted the
Magistrate Judge’s Memorandum and Recommendation, denying the Motion to Dismiss and granting the
Motion for Summary Judgment.
On May 28, 2022, Plaintiff filed a timely notice of
appeal with the U.S. Court of Appeals for the Fourth
Circuit. The U.S. Court of Appeals for the Fourth Circuit decided the case on July 26, 2023, denying Mr.
Coleman relief. The court found that Mr. Coleman was
not required to undergo a physical examination prior
to being removed from the TDRL and being given a
10% disability rating. The court also found that the
PDBR’s decision to separate Mr. Coleman with a 10%
disability rating was not arbitrary and capricious. On
September 8, 2023, Plaintiff filed a petition for rehearing en banc. On September 22, 2023, the U.S. Court of
Appeals for the Fourth Circuit denied Mr. Coleman’s
petition for a rehearing en banc.
---------------------------------♦---------------------------------
5
REASONS FOR GRANTING THE WRIT
I.
This case is one of exceptional importance
because it improperly denies benefits to
disabled veterans who were separated because of a trauma-based mental health
condition but who do not have a diagnosis
of Posttraumatic Stress Disorder (PTSD)
by not applying the required statutory
protections.
At a hearing before the Committee on Veterans’
Affairs of the U.S. House of Representatives on October
10, 2007, members of the Veterans Disability Commission (established pursuant to Public Law 108-136) presented findings and recommendations that, in part, led
to the Wounded Warrior Act of 2008 and the creation
of the Physical Disability Board of Review (PDBR).
Findings of the Veterans’ Disability Benefits Commission: Hearing Before the Committee on Veterans’ Affairs, 110 Cong. 52 (Oct. 10, 2007). As one of its eight
underlying principles, the Commission stated, “Benefits to our Nation’s service-disabled veterans must be
delivered in a consistent, fair, equitable, and timely
manner.” Id. (Statement of Lieutenant General James
Scott Terry, USA (Ret.), Chairman, Veterans’ Disability Commission). This petition is of exceptional importance because it is critical to ensure that this Court
upholds its role in enforcing applicable laws that Congress passed in order take care of disabled veterans
like Mr. Coleman, as such laws result in ensuring that
this inarguable ideal is met.
6
While there is not yet a Circuit Court split on the
issues presented in this case, it is important for this
Court to consider why such a split likely does not exist.
The class action settlement in Sabo v. U.S., 102 Fed. Cl.
619 (2011), obviated any need for many of those separated because of PTSD to ever seek further relief. According to the approved settlement, a majority of the
2,176 disabled veterans who were separated at least in
part for Posttraumatic Stress Disorder (PTSD) and
who fell into the class received at least the option to
receive a disability rating that resulted in placement
on the Permanent Disability Retired List (PDRL). See
id. at 624-25; Joint Motion for Final Approval of Class
Action Settlement Agreement, 3-6, Sabo v. U.S., Case
No. 08-899 C (Dec. 1, 2011). All 792 class members who
were similarly situated to Mr. Coleman, which includes
“Class Members separated with severance pay without
first being placed on the TDRL, but who had received
a disability rating from VA,” pursuant to the same disability rating section as Mr. Coleman received a medical retirement. See Sabo, 102 Fed. Cl. at 625; Joint
Motion for Final Approval of Class Action Settlement
Agreement, 3, Sabo v. U.S., Case No. 08-899 C (Dec. 1,
2011).
As a result, Mr. Coleman and any other similarly
situated disabled veterans who were medically separated for a mental health other than Posttraumatic
Stress Disorder (PTSD) that was induced by traumatic
stress have been treated differently by the military
branches than those who were medically separated because of PTSD. While this disparity is not a traditional
7
circuit split, it is an arbitrary, capricious, and illogical
practical split based on a legally and medically irrelevant difference in the nature of the mental health diagnosis.
If Mr. Coleman had been diagnosed with PTSD
instead of Generalized Anxiety Disorder (GAD), he
would have been a part of the class in the settlement
in Sabo and been medically retired by the Department
of the Air Force. See Sabo, 102 Fed. Cl. at 624-25;
Joint Motion for Final Approval of Class Action Settlement Agreement, 3, Sabo v. U.S., Case No. 08-899 C
(Dec. 1, 2011). Further, if Mr. Coleman had been separated using the Integrated Disability Evaluation System (IDES) that came into being just a few years
following his separation, he would have been medically retired. See U.S. DEP’T OF DEF., INSTR. 1332.18,
DISABILITY EVALUATION SYSTEM, para. 8.1d(3) (Nov. 10,
2022); Keltner v. U.S., 165 Fed. Cl. 484, 488-94 (2023)
(providing an outline of the Disability Evaluation System Processes). Given that both the U.S. Department
of Veterans Affairs (VA) and Department of Defense
(DoD) rate all mental health conditions, to include
PTSD and GAD, using the same rating schedule found
at 38 C.F.R. § 4.130, any distinction between PTSD and
GAD is arbitrary and capricious, and improperly values one diagnosis over another.
Any differentiation between PTSD and other
mental health disorders is also factually groundless.
Although the Commission recommended separate rating criteria for those with PTSD, finding that “there is
a disparity in earnings of those with PTSD and other
8
mental disorders” and PTSD claims would be rated
more effectively if a separate rating schedule existed
for PTSD, no separate rating criteria have ever been
developed. Findings of the Veterans’ Disability Benefits Commission: Hearing Before the Committee on
Veterans Affairs, 110 Cong. 52 (Oct. 10, 2007) (Statement of Lieutenant General James Scott Terry, USA
(Ret.), Chairman, Veterans’ Disability Commission).
Further, the Commission Report found that veterans
like Mr. Coleman and those similarly situated are typically not compensated adequately for their disabilities. The Commission states:
The amount of compensation is generally
sufficient to offset loss of earnings except for
three groups of veterans, those whose primary
disability is PTSD or Post Traumatic Stress
Disorder and other mental disorders, and
those who are severely disabled at a young
age, and those who are granted maximum
benefits because their disabilities make them
unemployable.
Id.
While solving the problems of disability compensation systems is not the mission of this Court, this
quote demonstrates that there is no practical difference between those who were separated for PTSD and
those like Mr. Coleman who were separated for a mental health condition other than PTSD. Given that all
branches of DoD have agreed to a settlement providing
benefits to thousands of veterans who were similarly
situated to Mr. Coleman prior to the settlement in
9
Sabo, this Court should not preclude review because
there is a lack of uniformity in decisions.
The wisdom of this Court is necessary given that
the U.S. Court of Appeals for the Fourth Circuit’s (“Fourth
Circuit”) decision upholds this untenable practical
split by finding that the protections set forth in 10
U.S.C. § 1210 do not apply to those placed on the TDRL
constructively and retroactively despite such an exception not existing anywhere in the text of the statute.
Further, there is an actual split at the trial court level
between Cook v. U.S., 123 Fed. Cl. 277 (2015), and
others, to include Petri v. U.S., 104 Fed. Cl. 537 (2012)
and Keltner v. U.S., 165 Fed. Cl. 484 (2023). Given the
unique and complex nature of this case, and the fact
that the U.S. Government has potentially prevented
inconsistencies in judicial opinions by settling a class
action lawsuit in a manner that grants the relief that
Mr. Coleman seeks to those who fell into the class, this
Court should consider Mr. Coleman’s case to ensure
that the lower court’s decision to not apply statutes
that appear to cover Mr. Coleman and his fellow disabled veterans is proper.
While the Fourth Circuit is accurate in stating,
“Coleman pushes for an interpretation that would effectively grant a retroactive 50% rating for years to all
individuals whose disabilities are reviewed by the
Board and fall under § 4.129,” Pet. App. 17, such a result is not inconsistent with 10 U.S.C. § 1554a, as given
that the entire purpose of 10 U.S.C. § 1554a is to review
potentially low disability ratings, applying the protections of the facially applicable 10 U.S.C. § 1210 in a
10
way that results in a higher rating is completely consistent with 10 U.S.C. § 1554a.
The PDBR’s determination that 38 C.F.R. § 4.129
must be applied in a case, in and of itself, satisfies the
purposes of 10 U.S.C. § 1554a. The fact that this court’s
enforcement of protections of 10 U.S.C. § 1210 may result in a higher disability rating compared to what
may have occurred had the Air Force examined Mr.
Coleman as required by 10 U.S.C. § 1210(a) is completely irrelevant, as the entire purpose of the PDBR
is to examine potentially low disability ratings. See 10
U.S.C. § 1554a(b) (setting forth who may apply for relief ); 10 U.S.C. § 1554a(d)(3) (not permitting reductions of prior ratings). Nowhere does 10 U.S.C. § 1554a
require that a disability be reevaluated on a particular
date such as the end of a constructive and retroactive
placement on the TDRL. In effect, the Fourth Circuit’s
decision has written such a requirement into 10 U.S.C.
§ 1554a, which thereby creates a practical split between the benefits that Mr. Coleman receives and
those diagnosed with PTSD who were covered by the
Sabo settlement. This difference makes the question of
how to apply 10 U.S.C. § 1210 one of exceptional importance.
The Fourth Circuit distinguishes between Mr.
Coleman and others placed on the TDRL in real time,
stating, “But a plaintiff like Coleman was not actually
temporarily retired—only constructively and retroactively.” Pet. App. 16. This distinction, however, results
in a judicially-created pseudo-TDRL placement that is
grounded nowhere in statute or the Code of Federal
11
Regulations. This Court should decide whether Mr.
Coleman and similarly situated veterans will be forever denied the statutory protections of having been
placed on the TDRL, as there is no dispute that Mr.
Coleman was placed on the TDRL.
The Court should also determine whether the
Fourth Circuit was correct in holding that the Air
Force was not required to conduct the physical examination set forth in 38 C.F.R. § 4.129, as 10 U.S.C.
§ 1216a(a) states that all disability determinations
“shall, to the extent feasible, utilize the schedule for
rating disabilities in use by the Department of Veterans Affairs. . . .” 10 U.S.C. § 1216a(a). 38 C.F.R. § 4.129
is a part of the VA Schedule for Rating Disabilities
(“VASRD”). Relatedly, given that 10 U.S.C. § 1216a(a)
requires use of the same schedule “to the extent feasible,” this Court should also take the opportunity to
evaluate the Fourth Circuit’s irrelevant differentiation
between Air Force and VA ratings. The court states:
While both the Air Force and VA use the Veterans Affairs Schedule for Rating Disabilities
(“Rating Schedule”), they calculate disability
ratings in different ways. The Air Force looks
only to the disability at the time of separation,
while the VA may consider how it develops over
time. Or, in other words, the Air Force “uses the
[Rating Schedule] to determine what compensation the service member is due for the interruption of his military career, while the [VA] is
more holistically examining the individual’s
ability to engage in civilian employment.”
Pet. App. 4 (quoting Stine v. U.S., 92 Fed. Cl. 776, 795 (2010)).
12
The Fourth Circuit’s assertion that the ratings are
for different purposes is illogical given that 10 U.S.C.
§ 1216a(a) requires use of the VA Schedule for Rating
Disabilities located at 38 C.F.R. Part 4, and no difference between ratings for DoD and VA exist in that
Schedule.
Finally, given that the Sabo settlement resulted in
many disabled veterans diagnosed with PTSD receiving medical retirement benefits, this Court’s decision
will impact those veterans who (1) had a mental health
condition other than PTSD that disqualifies them from
service; and (2) the condition was the result of traumatic stress requiring the application of 38 C.F.R.
§ 4.129. As a result, these overlooked disabled Veterans who had non-PTSD mental health disabilities at
the time of their separation deserve the full wisdom of
this Court given that the Fourth Circuit has held that
the statutory and regulatory protections that apply to
protect and assist disabled veterans should not apply
because systemic military malfeasance was recognized
only after their cases were initially decided.
II.
The U.S. Court of Appeals for the Fourth
Circuit failed to apply applicable statutes
and regulations, to include 10 U.S.C.
§ 1210(a), 10 U.S.C. § 1216(a), and 38 C.F.R.
§ 4.129.
The Fourth Circuit states:
[T]here is no authority indicating that the
physical-examination requirements of [10
13
U.S.C. § 1210] apply to retroactive reviews.
Rather, placement on the Temporary Disability Retirement List is simply how the military
opted to abide by § 4.129’s requirement of a
temporary 50% rating. And § 1210, by its very
terms, does not apply to members like Coleman. Section 1210 refers to physical examinations “to determine whether there has been a
change in the disability for which [a member]
was temporarily retired.” 10 U.S.C. § 1210(a)
(emphasis added). But a plaintiff like Coleman was not actually temporarily retired—
only constructively and retroactively.
Pet. App. 15-16.
There is no statutory difference between being
temporarily retired in real time and being constructively and retroactively temporarily retired. Both require placement upon the TDRL and therefore both are
subject to the TDRL’s controlling statute. Despite the
legislative history, the sole legal reason Coleman was
placed retroactively upon the TDRL for a six-month period and then reevaluated was to determine whether
there has been a change in the severity of the disability
for which he was temporarily retired. With 10 U.S.C.
§ 1210, Congress provides just two ways for the removal of a service member from the TDRL. First, a service member may be removed from the TDRL after a
physical exam where it has been determined their disability “is of a permanent nature and stable.” 10 U.S.C.
§ 1210(a), (c), (d), (f ). Second, a service member may be
removed from the TDRL upon the expiration of 5 years
after the date of placement on the TDRL. 10 U.S.C.
14
§ 1210(b), (c). In other words, Congress created an explicit time-based catch-all provision that removes a
service member from the TDRL if the first method to
remove the service member from the TDRL, which is
following a physical exam, is not possible. If Congress
had wanted to include a third method for the PDBR to
remove a veteran who was constructively or retroactively placed upon the TDRL, it would have done so.
A judicially-created method of removing a service
member from the TDRL is improper and is precisely
why Petri and Keltner should not be followed. These
courts overlook 10 U.S.C. § 1210, and plainly fail to apply the 10 U.S.C. § 1210(b) catch-all provision for removal of a service member from the TDRL without a
physical exam. See, e.g., Petri v. United States, 104 Fed.
Cl. 537 (2012).
Recognizably, the retroactive placement of a veteran on the TDRL creates an obvious dilemma because
a retroactive physical examination at the end of TDRL
placement is potentially impossible. However, DoD created this dilemma by promulgating its 2009 Memorandum and using the TDRL as the mechanism to apply
38 C.F.R. § 4.129. See Office of the Under Secretary of
Defense for Personnel and Readiness, Memorandum
for Secretary of the Army et al., Requests for Correction of Military Records Relating to Disability Ratings
for Post Traumatic Stress Disorder (July 17, 2009). The
impossibility of a retroactive physical examination between Mr. Coleman’s placement on the TDRL and the
subsequent five years from that date does not overcome Mr. Coleman’s entitlement to the application of
15
10 U.S.C. § 1210. The fact that Mr. Coleman’s placement onto the TDRL was constructive and retroactive
is irrelevant.
It was never Congress’s intent to have a disabled
veteran like the appellant shoulder the burden of a
government-created dilemma. The Government cannot
“disregard the statutory and regulatory requirements
that govern the administration of the TDRL.” Cook v.
United States, 123 Fed. Cl. 277, 308. Allowing an unauthorized constructive removal of a service member
from the TDRL is “tantamount to rewarding the [government] for its own error.” Id.
Separate from the physical examination requirement to remove someone from the TDRL pursuant to
10 U.S.C. § 1210(a), Mr. Coleman was entitled to a physical examination requirement pursuant to 38 C.F.R.
§ 4.129 prior to the reduction of his disability rating
from 50% to a lower rating. This regulation, which requires the agency to “assign an evaluation of not less
than 50 percent and schedule an examination within
the six month period following the veteran’s discharge
to determine whether a change in evaluation is warranted,” was applicable to Mr. Coleman’s case not only
because the PDBR stated that it applied, but also by
operation of 10 U.S.C. § 1216a(a)(1)(A). The fact that
the Air Force could not conduct a retroactive examination does not mean that it is infeasible or impossible to
apply 38 C.F.R. § 4.129. If an exam is not possible because the Air Force failed to apply this provision in
2005 and 2006 and schedule the examination at that
time, the provisions of 38 C.F.R. § 4.129 are still
16
satisfied if Mr. Coleman’s disability rating isn’t lowered below 50%. Quite simply, the Air Force was required to conduct an examination to determine
whether a change in evaluation was warranted. The
Air Force failed to do that, therefore any subsequent
reduction in disability rating is arbitrary and capricious because it violates 38 C.F.R. § 4.129, which was
applicable by operation of 10 U.S.C. § 1216a(1)(A). As
stated above, the resulting increase in a disabled veteran’s DoD disability rating is wholly consistent with
10 U.S.C. § 1554a. Nowhere does 10 U.S.C. § 1554a require that a disability be reevaluated on a particular
date.
III. The disability rating of 10% was arbitrary
and capricious.
In upholding Mr. Coleman’s 10% disability rating,
the Fourth Circuit states:
Coleman primarily argues that the Board
erred by placing more weight on the August
2005 evaluation, rather than the evaluation
that was closer to his retroactive discharge
date. But the Board’s decision is not arbitrary
and capricious simply because it considered
all recent evidence in its evaluation. And ultimately, we conclude that its decision was
supported by substantial evidence, with a “rational connection between the facts found and
the choice made.”
Pet. App. 20 (citing Ohio Valley Env’t Coal., Inc. v.
Aracoma Coal Co., 556 F.3d 188, 192 (4th Cir. 2009)).
17
Admittedly, review of agency decisions pursuant to
the Administrative Procedures Act, 5 U.S.C. § 706, is
“highly deferential, with a presumption in favor of
finding the agency action valid.” Ohio Valley Env’t
Coal., Inc. v. Aracoma Coal Co., 556 F.3d 188, 192 (4th
Cir. 2009). Nonetheless, in this case, the Fourth Circuit
made the same mistake as the PDBR by failing to consider the fact that outdated evidence related to a patently unstable condition such as Mr. Coleman’s was
unreliable. Accordingly, the PDBR decision was arbitrary and capricious, and the Fourth Circuit’s holding
is improper.
When upholding the PDBR’s decision, the Fourth
Circuit failed to address the fact that servicemembers
like Mr. Coleman are placed on the TDRL only when
their condition is unstable. 10 U.S.C. § 1202 states:
Upon a determination by the Secretary concerned that a member described in section
1201(c) of this title would be qualified for retirement under section 1201 of this title but
for the fact that his disability is not determined to be of a permanent nature and stable,
the Secretary shall, if he also determines that
accepted medical principles indicate that the
disability may be of a permanent nature,
place the member’s name on the temporary
disability retired list, with retired pay computed under section 1401 of this title.
While the PDBR was not precluded from examining all available medical evidence, undermining reliable medical findings of increased disability severity
18
generated following placement on the TDRL with evidence of a disability’s lesser severity generated prior to
one’s placement on the TDRL is medically and legally
baseless, particularly given the purpose of the TDRL
and the reexamination requirements set forth in 10
U.S.C. § 1210 and 38 C.F.R. § 4.129.
The Fourth Circuit permitted just that by upholding the PDBR’s rationale, which impermissibly permitted the equal weighting of all evidence of the severity
of Mr. Coleman’s disability, regardless of when it was
produced. Given that Mr. Coleman was placed on the
TDRL, the PDBR cannot be legally permitted to give
equal weight to all evidence regardless of when it was
generated, as the evidence that led to a legal and medical determination that the condition was unstable and
worthy of TDRL referral cannot be on par with a subsequent medical evaluation that is significantly closer
to the date of separation that documents a worsening
of symptoms. Permitting the evidence that led to the
instability determination to be weighted equally with
a subsequent reevaluation that documents a worsening of the condition directly contradicts the fundamental purpose of the TDRL as codified in 10 U.S.C. § 1210,
as well as 38 C.F.R. § 4.129 (as required to be applied
by 10 U.S.C. § 1216a), as both provisions require
reevaluation of the disability.
In this case, the Fourth Circuit specifically endorsed the fact that the PDBR considered evidence
about the severity of Mr. Coleman’s condition before
the time it was determined to be unstable by his
placement on the TDRL, stating, “Then, in determining
19
Coleman’s permanent rating at the time of his discharge in April 2006, the Board considered the Medical
Evaluation Board examination performed in August
2005, a commander’s statement from the same month,
and the VA evaluation performed in February 2006.”
Pet. App. 19.
Even assuming the PDBR was permitted to administratively review the medical evidence and determine Mr. Coleman’s disability severity effective April
24, 2006, the PDBR must rely upon the reexamination
that demonstrated the worsening of Mr. Coleman’s
condition to make its determination, as the evidence
from August 2005 led solely to the legal and medical
determination that his condition was unstable. In this
case, the Fourth Circuit has impermissibly endorsed a
finding that invalidates the entire TDRL and 38 C.F.R.
§ 4.129, as it has explicitly determined that the evidence of severity from August 2005 when Mr. Coleman’s condition was not as serious—evidence that led
to a formal determination that the condition must be
examined later—can be used to overturn a subsequent
reliable medical examination that proved a worsening
of the severity of Mr. Coleman’s disability.
While evidence generated prior to Mr. Coleman’s
placement on the TDRL is not blocked from review during a reexamination of any form, to include the PDBR
review, 10 U.S.C. § 1210(c) explains that the severity of
the disability shall be based on the reexamination,
stating:
20
If, as the result of a periodic examination under subsection (a), . . . it is determined that
the member’s physical disability is of a permanent nature and stable and is at least 30
percent under the standard schedule of rating
disabilities in use by the Department of Veterans Affairs at the time of determination
. . . , his name shall be removed from the temporary disability retired list and he shall be
retired under section 1201 or 1204 of this title,
whichever applies.
10 U.S.C. § 1210(c). The statutory requirement to
evaluate the severity of the disability upon the periodic physical reexamination is logical given the unstable nature of the condition requiring use of the
TDRL. It is also logical given the purpose of 38 C.F.R.
§ 4.129, which recognizes the typically unstable nature of trauma-based mental health conditions. In this
case, the only evidence that could be held to be within
the reexamination period is the VA C&P Examination.
Because Mr. Coleman’s medical condition was
deemed unstable upon his placement on the TDRL on
October 24, 2005, it also makes no medical or logical
sense to permit evidence prior to that date to overrule
the evidence from a subsequent examination, such as
the VA C&P Examination that Mr. Coleman underwent on February 22, 2006. Using evidence from August 2005—evidence generated two months prior to
when Mr. Coleman’s condition was deemed unstable by
his placement on the TDRL—undermines the entire
purpose of any reevaluation of any type, as it permits
the use of evidence that is both medically and legally
21
stale to rebut more reliable and timely medical evidence obtained during the period of reevaluation
contemplated under 10 U.S.C. § 1210 and 38 C.F.R.
§ 4.129.
Given that the only proper medical evidence related to the severity of Mr. Coleman’s disability was
from his VA C&P Examination, an examination which
led to a 30% VA rating and from which the PDBR itself
stated, “Social and occupational impairment consistent with a 30% evaluation (“occupational and social
impairment with occasional decrease in work efficiency and intermittent periods of inability to perform
occupational tasks . . . ”) could be surmised from some
of the documented symptoms at the time of the post
separation C&P examination . . . ,” any rating less than
30% is arbitrary and capricious.
Such language from the PDBR itself precludes a
10% rating, particularly when applying the rating
principles that the PDBR itself cited. 38 C.F.R. § 4.3
states, “It is the defined and consistently applied policy
of the Department of Veterans Affairs to administer
the law under a broad interpretation, consistent, however, with the facts shown in every case. When after
careful consideration of all procurable and assembled
data, a reasonable doubt arises regarding the degree of
disability such doubt will be resolved in favor of the
claimant.” 38 C.F.R. § 4.3.
The Fourth Circuit expressly endorsed what was
legally and medically stale evidence that was generated from prior to the Plaintiff ’s placement on the
22
TDRL to serve as the basis for Mr. Coleman’s 10% rating. If a 10% final disability rating was possible based
on evidence from the VA C&P Examination alone, the
PDBR would have been proper in adjudging it and the
Fourth Circuit would have been proper in upholding it,
but such was not the case here. The Fourth Circuit expressly permitted the 10% rating to be based solely on
legally and medically stale evidence, which is fundamentally arbitrary and capricious.
---------------------------------♦---------------------------------
CONCLUSION
The petition for a writ of certiorari should be
granted.
Respectfully submitted,
JOHN W. BROOKER
Counsel of Record
UNIVERSITY OF NORTH CAROLINA
SCHOOL OF LAW CLINICAL PROGRAMS
102 Ridge Road
Chapel Hill, NC 27514-4387
(919) 869-6578
jbrooker@email.unc.edu
Counsel for Petitioner
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.