Justia U.S. Federal Circuit Court of Appeals Opinion Summaries

Blubaugh served in the Army, 1964-1966 and was a gunner in Vietnam. In 1988, he sought service connection for multiple medical conditions, including post-traumatic stress disorder (PTSD). The VA denied service connection, finding that his VA psychological examination did not support a diagnosis of PTSD. Blubaugh did not appeal, but in 1992, sought to reopen his claim. The VA concluded that a second examination did not support a PTSD diagnosis and noted the “absence of a definitive confirmable stressor.” In 2008, Blubaugh filed a second request to reopen. Unlike his previous submissions, this request included a statement describing his experiences in Vietnam and post-service difficulties. The VA also received, for the first time, medical documentation showing a positive diagnosis of PTSD. The VA granted service connection for PTSD and assigned a 10 percent disability rating effective 2008. The Federal Circuit affirmed. The effective date for a disability rating is generally determined by the date the disabling condition arose, or the date the claim was submitted, whichever is later. An exception for claims granted based on certain service department records that were associated with the veteran’s claims file after the claim was first decided does not apply to Blubaugh’s case. View "Blubaugh v. McDonald" on Justia Law

Systemic juvenile idiopathic arthritis (SJIA), an autoinflammatory disease, has symptoms including arthritis, fever, rash, and muscle and joint pain, caused by dysfunctional production of proteins, which cells release almost immediately after contact with an antigen. Gardasil, a vaccine against HPV administered in three doses, contains virus-like particles created from an HPV protein, and an adjuvant to generate a robust immune response. Vanessia, born in 1995, was healthy until 2008. After receiving two doses of Gardasil, she experienced an all-over rash. Days later, she had joint pain and high fever. The hospital discharged her with a presumptive diagnosis of SJIA. Vanessia’s family history included SJIA. Her rheumatologist communicated these findings to the doctor who administered Vanessia’s third dose of Gardasil on August 19. Vanessia experienced a SJIA flare on August 25. Vanessia’s Vaccine Act injury claim was rejected. Injuries that do not appear on the Vaccine Injury Table, 42 C.F.R. 100.3, require proof of a medical theory causally connecting the vaccination to the injury; a logical sequence of cause and effect; and proximate temporal relationship between the vaccine and injury. The Claims Court and Federal Circuit affirmed, finding that the claim did not meet the burden of demonstrating proximate temporal relationship. View "Koehn v. Sec'y of Health & Human Servs." on Justia Law

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

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

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. View "Spicer v. Shinseki" on Justia Law

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

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

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 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

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