Justia U.S. Federal Circuit Court of Appeals Opinion Summaries
Articles Posted in Public Benefits
O’Bryan v. McDonald
O’Bryan served in the Marine Corps from 1973-1976. His eye problems were not noted upon his entry into service. Upon discharge, he was listed as having 20/20 vision. In 1977, he filed a claim for service-connected optic disease. In medical examinations, he variously reported that his vision started to blur in1974 or 1976. He was legally blind due to Leber’s optic atrophy within one year of discharge. Certain conditions manifesting within one year after discharge are treated as though manifested during service, 38 U.S.C. 1112(a). O’Bryan argued that his symptoms began during service; that he is suffering from a “disease”; and that, because his condition was not noted upon entry, he is entitled to a presumption that the disease was incurred in service, 38 U.S.C. 1111. The VA regional office denied O’Bryan’s claim because Leber’s is not a “disease,” but a “hereditary disorder.” The Board of Veterans’ Appeals affirmed. In 2010, O’Bryan attempted to reopen the case, but the Board rejected his contention that it had committed clear and unmistakable error. The Veterans Court affirmed. The Federal Circuit vacated, holding that the lower court misinterpreted the law on when a congenital or developmental condition is a non-compensable defect. View "O'Bryan v. McDonald" on Justia Law
Posted in:
Military Law, Public Benefits
Wilson v. Gibson
Wilson served in the Navy 1986-1990 and again 1992-1994. He was given a 70% disability rating for several service-connected physical conditions. In 2001, Wilson was found guilty of attempted first degree murder and aggravated battery with a firearm and was sentenced to concurrent life terms. His convictions and sentences were affirmed. Wilson then pursued unsuccessful state and federal collateral attacks. For veterans who have service-connected disabilities rated at 20% or more and who are incarcerated for than 60 days for a felony,” 38 U.S.C. 5313(a)(1) requires reduction in compensation to the level of 10% disability, effective the 61st day of incarceration. The VA informed Wilson by letter that his rate of compensation would be reduced to 10%, effective back to December 20, 2001 and requested refund of overpayment of $15,464.50. The Regional Office Committee on Waivers and Compromises denied a waiver. Wilson was also denied a “total disability evaluation based on individual unemployability due to service-connected disabilities” (TDIU) rating on the basis that his unemployability was due to his incarceration The Board of Veterans’ Appeals applied the multi-factor test from 38 C.F.R. 1.965 to determine that recovery of the overpayment would not be against “equity and good conscience” and agreed that Wilson was not entitled to a TDIU rating. The Veterans Court affirmed. The Federal Circuit upheld the decision.View "Wilson v. Gibson" on Justia Law
Posted in:
Military Law, Public Benefits
Spicer v. Shinseki
Spicer served on active duty in the Navy from 1984 until 1987. In 1986, Spicer fractured his left little finger when a door closed on his hand while aboard ship. The fracture required surgery, which resulted in the finger joint fusing. In 2007, a VA examiner diagnosed Spicer as having degenerative arthritis of the distal interphalangeal joint in that finger. A VA regional office denied Spicer a compensable rating. The Board of Veterans’ Appeals found that although Spicer’s left finger disability was manifested by pain and limitation of motion, he failed to meet the criteria for a compensable evaluation for a left finger disability under either Diagnostic Code (DC) 5227 or 5230. The Veterans Court rejected Spicer’s argument that DC 5003 assigns a 10% rating for either a single affected major joint or a group of affected minor joints and that 38 C.F.R. 4.45(f) does not mandate that multiple minor joints be involved. The Veterans Court stated that “the DIP joint is not a major joint or minor joint group for the purpose of rating disabilities from arthritis.” The Federal Circuit affirmed.
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Carroll v. McDonald
Norma married veteran Glenn Dodson in 1949. They remained married until Glenn’s death in 1992 from cardiac arrhythmia due to amyotrophic lateral sclerosis (ALS). Norma did not seek Dependency and Indemnity Compensation (DIC) benefits as the “surviving spouse” of a veteran whose death resulted from a service-related injury or disease, 38 U.S.C. 1310–1318. Her eligibility for DIC benefits terminated upon her remarriage at age 64 in 1994. The Veterans Benefits Act of 2003 amended Title 38 to authorize DIC benefits for surviving spouses who remarry after attaining age 57 but before enactment of the amendment. Norma, who was over the age of 57 when she remarried in 1994, did not seek DIC benefits during the amendment’s one-year window. During that time, ALS was recognized as a condition that could be service-related, though not presumptively so. In 2008 the VA established a presumption of service connection for ALS. In 2009, Norma filed an application for DIC benefits as Glenn’s widow. The regional office denied the claim. The Board of Veterans’ Appeals, the Veterans Court, and the Federal Circuit affirmed, finding the claim untimely and holding that the amendment did not contemplate shifting circumstances. View "Carroll v. McDonald" on Justia Law
Posted in:
Military Law, Public Benefits
Beraud v. McDonald
Beraud served on active duty in the U.S. Navy, 1974-1977, and in the reserves until 988. In 1985, Beraud filed a claim with a VA Regional Office for a headache disorder, allegedly caused by trauma suffered while on duty. Although Beraud did not appeal the RO’s denial of his claim, he sent a letter, indicating the location of additional service medical records. The RO never responded. The RO reopened the claim, but denied it on the merits in 1990, finding that Beraud did not incur the headache disorder, or aggravation thereof, during service. The RO did not refer to Beraud’s 1985 letter, nor did it mention the medical records that were the subject of the letter. Beraud did not appeal. The RO denied two later requests to reopen, finding that Beraud had not submitted new and material evidence. In 2004, Beraud submitted an informal claim for disability compensation for the same headache disorder. This time, the RO granted Beraud service connection and assigned a 50 percent disability rating, effective 2004. In 2010, the Board denied Beraud’s appeal, finding that the decisions on his 1985, 1990, 1992, and 2002 claims were final, so that an effective date prior to 2004 could not be granted. Beraud argued that his 1985 letter constituted new evidence, giving rise to a pending, unadjudicated claim. The Veterans Court affirmed. The Federal Circuit reversed. Because the VA failed to determine whether evidence Beraud timely submitted in 1985 claim was new and material under 38 C.F.R. 3.156(b), that claim remained pending, despite the subsequent final decision.View "Beraud v. McDonald" on Justia Law
Posted in:
Military Law, Public Benefits
Devlin v. Office of Pers. Mgmt.
Darlene Devlin had been married for more than 40 years when her husband died, then a civilian federal employee for nearly six years, entitling Darlene to Basic Employee Death Benefits (BEDB), 5 U.S.C. 8442(b)(1)(A), 8466(b). However, Darlene died before she could sign or file an application for BEDB. Her son, Devlin, completed, signed, and filed an application for BEDB on her behalf. The Office of Personnel Management (OPM) denied the application, concluding that Darlene was not entitled to BEDB because she failed to submit an application for those benefits before her death. Devlin argued that his appointment as a co-administrator of his mother’s estate permitted him to sign and file the application for BEDB on her behalf. The e Merit Systems Protection Board and Federal Circuit affirmed the denial. View "Devlin v. Office of Pers. Mgmt." on Justia Law
Joyner v. McDonald
Joyner served in the Marine Corps and completed a tour of duty in the Persian Gulf. During service, he was treated twice for neck pain. However, his separation from service examination indicated that his neck was “normal.” Joyner later filed a claim with the VA for disability compensation for chronic neck pain and other conditions. The VA regional office denied his claim for benefits for his neck pain. The Board of Veterans’ Appeals affirmed, concluding that Joyner did not have a diagnosed neck condition and was not entitled to service connection under 38 U.S.C. 1110, a general provision that provides compensation for disabilities suffered in the line of duty. The Court of Appeals for Veterans Claims affirmed. The Federal Circuit vacated, finding that the Veterans Court misinterpreted 38 U.S.C. 1117, an additional disability compensation provision that applies to Gulf War Veterans. Pain can evidence a disability under that section. View "Joyner v. McDonald" on Justia Law
Posted in:
Military Law, Public Benefits
Young v. McDonald
Young served as an Army combat engineer from 1965-1967, including duty in Vietnam. In 1984, Young applied for benefits with the VA Regional Office, describing “‘anxiety,’ ‘bad nerves,’ and ‘unable to adjust to society.’” The RO interpreted the claim as seeking an award of service connection due to PTSD, but denied it after Young failed to report for a VA medical examination. In 1989, a VA psychiatrist submitted a letter, stating that Young had been under his care since 1989 and was suffering from PTSD. The RO denied Young’s claim in 1989, 1990, and 1991 because the record did not establish exposure to an in-service stressor. The Board’s 1991 denial became final because Young did not appeal. Young sought to have his claim reopened. The RO denied the request in 1992, 1993, 1995, and 1997. In 1998, the RO received service department records documenting Young’s exposure to an in-service stressor for PTSD that had not been previously associated with his file and reopened Young’s claim. The agency granted him service connection with a 100% disability rating, effective to August 1992. Young sought an effective date of September 1984. The Veterans Court concluded that the effective date should be March, 1989. The Federal Circuit affirmed. View "Young v. McDonald" on Justia Law
Posted in:
Military Law, Public Benefits
Cronin v. United States
Commander Cronin began active duty with the Navy in 1977. In 1978, she had a calcaneal spur in her heel. She had unsuccessful surgeries in 1979, 1993, 1994, and 1995. She was hospitalized for bipolar disorder in 1995. Beginning in 1998, medical professionals disagreed about whether she suffered from bipolar disorder, anxiety disorder, post-traumatic stress disorder (PTSD), or some combination. She was diagnosed with chronic pain. Cronin alleged that during her service, she was subjected to physical and sexual assaults, stalking, and “extreme sexual harassment.” A social worker described these incidents as supporting a PTSD diagnosis. She had periods of limited duty. The Navy had selected Cronin for promotion, but in a 1994 letter, a Navy physician found her not fit for full duty. Her promotion was delayed. The Physical Evaluation Board assigned her a disability rating of 60% and placed her on the Temporary Disability Retired List. The Board for Correction of Naval Records upheld the promotion delay. In 1996, Cronin was formally placed on the TDRL and promoted. She was reevaluated every 18 months to continue receiving benefits. In 2000, the Board declined to find a compensable claim of PTSD or chronic pain disorder, concluded that her conditions had stabilized, and placed her on the Permanent Disability Retired List. Cronin sued in 2006. On remand, the trial court concluded that the 2003 Relief Act tolls the limitations period during time on the TDRL, so that the claims were timely, but affirmed the refusal to increase her disability rating. The Federal Circuit held that most of her claims were time barred. As to claims alleging PTSD, there was no timeliness issue, but they were properly rejected on the merits.View "Cronin v. United States" on Justia Law
Posted in:
Military Law, Public Benefits
Johnson v. McDonald
Johnson served in the U.S. Army, 1970-197171. Years after leaving the service, he filed a claim for increased disability ratings for his service-connected disabilities, including rheumatic heart disease (then rated 10% disabling), and degenerative changes of the right and left knees (each knee rated 10% disabling). A VA regional office (RO) denied the claims, finding that he was not entitled to a rating of total disability based on individual unemployability. The Board of Veterans’ Appeals affirmed and denied his claim for extra-schedular consideration of the combined impact of his service-connected rheumatic heart disease and right knee disability under 38 CFR 3.321(b)(1). The Veterans Court affirmed, finding the CFR language ambiguous and deferring to the VA’s interpretation. The Federal Circuit reversed, citing plain language. Section 3.321(b)(1) entitles a veteran to consideration for referral for extraschedular evaluation based on an individual disability not adequately captured by the schedular evaluations; it also entitles a veteran to consideration for referral for extra-schedular evaluation based on multiple disabilities, the combined effect of which is exceptional and not captured by scheduler evaluations.View "Johnson v. McDonald" on Justia Law