Frank L. Gallegos, Jr. v. James B. Peake
Frank L. GALLEGOS, Jr., Appellant, v. James B. PEAKE, M.D., Secretary of Veterans Affairs, Appellee
Attorneys
Kenneth M. Carpenter, of Topeka, Kansas, for the appellant., Paul J. Hutter, General Counsel, with whom R. Randall Campbell, Assistant General Counsel, Carolyn F. Washington, Deputy Assistant General Counsel, and James B. Cowden, all of Washington, D.C., for the appellee.
Full Opinion (html_with_citations)
Before the Court is an appeal by the appellant, Frank L. Gallegos, Jr., of a June 16, 2005, Board of Veteransâ Appeals (Board) decision that denied entitlement to service connection for post-traumatic stress disorder (PTSD). Record (R.) at 1-16. This appeal is timely, and the Court has jurisdiction to review the Boardâs decision pursuant to 38 U.S.C. §§ 7252(a) and 7266(a). For the following reasons, the Court will affirm the Boardâs decision.
I. BACKGROUND
The appellant served on active duty in the U.S. Anmy from December 1966 to January 1970. R. at 19. His service rec
In October 1997, a clinical social worker diagnosed the appellant with PTSD and depression. R. at 343; see also R. at 518 (clinical diagnosis of PTSD and major depressive disorder). Thereafter, in July 2000, the appellant filed a claim seeking service connection for both disorders. R. at 555-57. To support his claim, the appellant submitted a stressor statement in which he attested that his PTSD originated from two rapes that he suffered while imprisoned for his court-martial sentence. R. at 556, 669. The appellant said that he did not report the incidents out of shame, and that after they occurred, he felt suicidal, isolated, distrustful of others, and he performed his military duties poorly. Id. He also attested that the assaults prompted him to request a transfer to Vietnam, but that the Army sent him to Alaska instead.
In December 2000, pursuant to the version of 38 C.F.R. § 3.304(f)
The appellant underwent a VA medical examination in October 2001. R. at 750-54. Upon review of the appellantâs claims file, including letters from his family detailing postservice behavioral changes (R. at 272-75), Charles Oppegard, M.D., opined that â[t]he symptoms [the appellant] gives are quite consistent with a highly traumatized experience of sexual rape to a man.â R. at 753. The RO denied the appellantâs claim in November 2001, finding no evidence of an in-service stressor.
On March 7, 2002, while his claim was pending at the Board, VA published a final rule amending 38 C.F.R. § 3.304(f). 67 Fed.Reg. 10,330 (Mar. 7, 2002). Specifically, VA added the following to the existing text:
If a post-traumatic stress disorder claim is based on in-service personal assault, evidence from sources other than the veteranâs service records may corroborate the veteranâs account of the stres-sor incident. Examples of such evidence include, but are not limited to: records from law enforcement authorities, rape crisis centers, mental health counseling centers, hospitals, or physicians; pregnancy tests or tests for sexually transmitted diseases; and statements from family members, roommates, fellow service members, or clergy. Evidence of behavior changes following the claimed assault is one type of relevant evidence that may be found in these sources. Examples of behavior changes that may constitute credible evidence of the stres-sor include, but are not limited to: a request for a transfer to another military duty assignment; deterioration in work performance; substance abuse; episodes of depression, panic attacks, or anxiety without an identifiable cause; or unexplained economic or social behavior changes. VA will not deny a post-traumatic stress disorder claim that is based on in-service personal assault without first advising the claimant that evidence from sources other than the veteranâs service records or evidence of behavior changes may constitute credible supporting evidence of the stressor and allowing him or her the opportunity to furnish this type of evidence or advise VA of potential sources of such evidence. VA may submit any evidence that it receives to an appropriate medical or mental health professional for an opinion as to whether it indicates that a personal assault occurred.
38 C.F.R. § 3.304(f)(3) (2002).
In September 2002, the RO sent the appellant a Statement of the Case (SOC) containing the full text of the amended regulation. R. at 804-18. In June 2003, the appellant submitted a statement from his ex-wife, which described his substance abuse, cheating, and violent tendencies. R. at 866, 871. That same month, the appellant testified at a Board hearing, during which his representative cited the amended version of § 3.304(f)(3) and pointed to examples of the appellantâs behavioral changes claimed to be indicative of an in-service assault. R. at 842-56. The appellant and his representative also discussed with the Board chairman various alternative sources of evidence that allegedly offered support for the appellantâs claim. R. at 853-55.
The Board issued a decision in December 2003 remanding the appellantâs claim for further development in light of the changes to 38 C.F.R. § 3.304(f). R. at 858-63. Citing the amended regulation, the Board found that although âthe RO noted in its November 2001 rating decision that the veteran could establish service connection through alternate sources of evidence which document behavioral changes after the alleged incident, the RO did not actually determine if such evidence was present.â R. at 860. Accordingly, the Board ordered the RO to afford the appellant the opportunity to submit additional supporting evidence and to subsequently readjudicate the claim. R. at 861-62. In January 2004, the appellant provided a statement to the RO detailing his destructive behavior following the alleged in-service assault. R. at 875.
In January 2005, the RO issued a Supplemental Statement of the Case (SSOC) that readjudicated, and ultimately denied, the appellantâs claim for service connection. R. at 927-33. The following month, the appellant asked VA to provide him a copy of his service records, which he alleged would show hospitalizations for fighting and the loss of his military driverâs license on account of bad behavior. R. at 937. The appellantâs February 2005 statement also quoted verbatim a portion of the amended version of 38 C.F.R. § 3.304(f). See id.
The Board affirmed the adverse RO determination in the June 2005 decision here on appeal. R. at 16. Applying the amended version of § 3.304(f), the Board determined that the appellant âha[d] been informed that he could submit evidence from sources other than the service records in support of his PTSD claim.â R. at 12. However, the Board noted, credible evidence did not exist to corroborate the appellantâs account of his in-service stressor. R. at 13. The Board pointed out that the appellantâs testimony alone, as a matter of law, could not establish the event, and that his service records contained no reference to sexual assault or evidence of behavioral changes. R. at 6, 11-12 (citing Moreau v. Brown, 9 Vet.App. 389, 395 (1996); Dizoglio v. Brown, 9 Vet.App. 163, 166 (1996)). Further, the Board stated that the appellant lacked any other form of outside evidence that corroborated his account. R. at 8-10, 13-14. Accordingly, the Board concluded that, in the absence of a confirmed stressor, the appellant could not receive an award of service connection for PTSD. R. at 15.
II. CONTENTIONS OF THE PARTIES
On appeal to the Court, the appellant asserts that the March 2002 amendment of 38 C.F.R. § 3.304(f) is favorable to him, and that Karnas v. Derwinski, 1 Vet.App. 308 (1991), requires that the version of an amended regulation most favorable to the claimant be applied to pending claims. Appellantâs Brief (Br.) at 4-6; Appellantâs Supplemental (Supp.) Br. at 3-4. The appellant recognizes that his argument depends on the continuing viability of the rule of retroactivity set forth in Kamas. Appellantâs Br. at 6. However, he contends that, while overruled in other respects, Kamas remains the law in cases where a regulation is amended in a manner favorable to the veteran while the claim is pending. Appellantâs Supp. Br. at 3-4. The appellant further argues that, should the Court find that the amended version of 38 C.F.R. § 3.304(f) applies to his claim, it should also determine that VA failed to provide notice that complied with the amended regulation. Appellantâs Br. at 6-13; Reply Br. at 1-8. According to the appellant, after VA promulgated the amended version of 38 C.F.R. § 3.304(f), it was required to advise him that he could submit sources of evidence other than service records or evidence of postassault behavioral changes to corroborate his account of the in-service stressor; to inform him of the types of evidence that could constitute âcredible supporting evidenceâ
The Secretary agrees that the amended version of § 3.304(f) applies to the appellantâs claim (Secretaryâs Supp. Br. at 10), though his reasoning differs from that of the appellant. The Secretary disputes that the Courtâs holding in Kamas, supra, may be employed to determine whether an amended regulation has impermissible retroactive effects when applied to a pending claim, as he argues that Kamas was overruled by the United States Court of Appeals for the Federal Circuit (Federal Circuit) in Dyment v. Principi, 287 F.3d 1377 (Fed.Cir.2002), Bernklau v. Principi, 291 F.3d 795 (2002), and Kuzma v. Principi, 341 F.3d 1327 (Fed.Cir.2003). Secretaryâs Supp. Br. at 5. Rather, under the test set forth by the Federal Circuit in Princess Cruises, Inc. v. United States, 397 F.3d 1358 (Fed.Cir.2005), which the Secretary argues is the appropriate test to determine whether a regulation has an impermissibly retroactive effect, the amended version of § 3.304(f) may be properly applied to the appellantâs claim. Id. at 2, 9-10 (citing Rodriguez v. Peake, 511 F.3d 1147 (Fed.Cir.2008)). Moreover, the Secretary alleges, VA did in fact apply the amended regulation to the appellantâs claim: he was informed of the alternative forms of evidence that could be used to establish an in-service stressor in the September 2002 SOC and December 2003 Board remand order, and his claim was subsequently re-adjudicated in the January 2005 SSOC. Secretaryâs Br. at 11-13. The Secretary also contends that the appellant demonstrated actual knowledge of the contents of the amended § 3.304(f), thereby rendering any notice defect that may have occurred nonprejudicial. Id. at 11-12 (citing Sanders v. Nicholson, 487 F.3d 881, 889 (Fed.Cir.2007), cert. granted sub nom., Peake v. Sanders, - U.S. -, 128 S.Ct. 2935, 171 L.Ed.2d 863 (2008)).
On June 12, 2008, the Court ordered supplemental briefing to address the impact of the Federal Circuitâs decision in Rodriguez, supra, which was decided after initial briefing. In particular, the Court requested that the parties analyze what impact, if any, the Federal Circuitâs holding in Rodriguez has on the rule of retro-activity set forth in Karnas, supra.
III. ANALYSIS
The Court recognizes, as an initial matter, the questions raised by the parties with regard to the continuing viability of the Courtâs holding in Kamas, supra. However, it is not necessary to resolve those matters here today, as both parties agree that the amended version of 38 C.F.R. § 3.304(f) may be properly applied to the appellantâs claim. As an Article I Court, we are ânot constitutionally bound by the case or controversy restraints on the judicial power of Article III courts.â Nolan v. Nicholson, 20 Vet.App. 340, 348 (2006) (citing 38 U.S.C. § 7251; Mokal v. Derwinski, 1 Vet.App. 12, 14 (1990)). As a matter of policy, however, the Court adheres to the case or controversy requirements followed by the Article III courts, and thus will not decide hypothetical cases. Id. (citing Mokal, 1 Vet.App. at 15); see United States v. Johnson, 319 U.S. 302, 305, 63 S.Ct. 1075, 87 L.Ed. 1413 (1943) (noting that Article III requires an â âhon
Accordingly, the only question remaining before the Court is whether the appellant did, in fact, receive the benefit of the regulatory changes to § 3.304(f). In order to answer this question, we must first determine what, specifically, is required of YA under the revised regulation and then assess whether VA satisfied those requirements.
A. The 38 C.F.R. § 3.304(f)(3) Notice Requirement
With the addition of § 3.304(f)(3) in March 2002, VA codified its existing internal policies that provided for additional development assistance in claims for PTSD based on personal assault. See M21-1 Manual, pt. III, para. 5.14(c) (Feb. 20, 1996). By doing so, VA recognized that âin personal assault cases[,] the Secretary has undertaken a special obligation to assist a claimant ... in producing corroborating evidence of an in-service stressor.â Patton v. West, 12 Vet.App. 272, 280 (1999). In accordance with this âspecial obligation,â § 3.304(f)(3) places a heightened burden of notification on VA in claims for service connection for PTSD based on in-service personal assault. First, the RO must inform the claimant that he may submit alternative forms of evidence, that is, evidence other than service records, to corroborate his account of an in-service assault, and suggest potential sources for such evidence. 38 C.F.R. § 3.304(f)(3); see Bradford v. Nicholson, 20 Vet.App. 200, 206 (2006); Patton, 12 Vet.App. at 281-82 (noting that the RO must send the claimant a âspecial PTSD personal-assault letterâ and questionnaire to assist VA in identifying alternative sources of evidence to establish an in-service stressor (citing M21-1, pt. III, para. 5.14(c)(6)-(7))). The claimant should also be notified that, alternatively, evidence of behavioral changes following the alleged in-service assault may constitute âcredible supporting evidence of the stressorâ under § 3.304(f)(3). 38 C.F.R. § 3.304(f)(3); see Bradford, 20 Vet.App. at 206. Second, VA must assist the claimant in the submission of alternative sources of evidence, by providing additional time for the claimant to submit such evidence after receipt of the personal-assault letter and, where appropriate, by obtaining evidence on the claimantâs behalf. 38 C.F.R. § 3.304(f)(3); Patton, 12 Vet.App. at 282.
In the Courtâs view, the notification requirement of § 3.304(f)(3) is akin to the notification requirement set forth in the VCAA. In November 2000, Congress enacted the Veterans Claims Assistance Act of 2000 (VCAA), Pub.L. No. 106-475, 114 Stat.2096 (codified as amended at 38 U.S.C. §§ 5100, 5102, 5103, 5103A, 5106, 5107, 5126). Section 5103 of the VCAA, codified at 38 U.S.C. § 5103, imposes a âduty of affirmative notification on VA,â requiring that the Agency inform the claimant âprior to the initial decision in the case as to the evidence that is needed.â Mayfield v. Nicholson, 444 F.3d 1328, 1333 (Fed.Cir.2006) (citing Paralyzed Veterans of Am. v. Secây of Veterans Affairs, 345 F.3d 1334, 1344-45 (Fed.Cir.2003); 66 Fed. Reg. 45,620 (Aug. 29, 2001)); see H.R. REP. 106-781, at 9 (2000), 2000 WL 1097456. In Mayfield, the Federal Circuit noted that the purpose of section 5103 notification is âto ensure that the claimantâs case is presented to the initial decisionmaker with whatever support is available.â Mayfield, 444 F.3d at 1333; see 146 CONG. REC. H9912-01, H9914 (Oct. 17, 2000), 2000 WL 1532572.
Like 38 U.S.C. § 5103, § 3.304(f)(3) contemplates that a claimant seeking service connection for PTSD based on in-service
VA will not deny a post-traumatic stress disorder claim that is based on in-service personal assault without first advising the claimant that evidence from sources other than the veteranâs service records or evidence of behavior changes may constitute credible supporting evidence of the stressor and allowing him or her the opportunity to furnish this type of evidence or advise VA of potential sources of such evidence.
38 C.F.R. § 3.304(f)(3) (emphasis added). Similarly, in VAâs comments accompanying the publication of the final rule in the Federal Register, VA explained the addition of the language in § 3.304(f)(3) as ânecessary to ensure that VA does not deny such claims simply because the claimant did not realize that certain types of evidence may be relevant to substantiate his or her claim.â 67 Fed.Reg. at 10,300. Thus, because, like the VCAA, § 3.304(f)(3) provides for preadjudicatory notification with the hope that the claimant can be an informed participant in his claim and that his claim will be adjudicated in light of all potentially relevant evidence, see 67 Fed.Reg. at 10,331, the Court believes that VAâs compliance with that provision is properly and analogously guided by the Federal Circuitâs decision in Mayfield, supra.
That decision provides that VAâs
duty of affirmative notification is not satisfied by various post-decisional communications from which a claimant might have been able to infer what evidence the VA found lacking in the claimantâs presentation.
This is not to say that ... notification must always be contained in a single communication from the VA What the statute and regulation require is that the claimant be given the required information prior to the VAâs decision on the claim and in a form that enables the claimant to understand the process, the information that is needed, and who will be responsible for obtaining that information.
Mayfield, 444 F.3d at 1333; see also Wilson v. Mansfield, 506 F.3d 1055, 1059 (Fed.Cir.2007); Pelegrini v. Principi, 18 Vet.App. 112, 119-20 (2004).
The Court acknowledges that while 38 U.S.C. § 5103 requires notification prior to the initial adjudication of the claim, â[u]pon receipt of a complete of substantially complete application,â see Pelegrini, 18 Vet.App. at 120, this timing may not be feasible in claims for service connection for PTSD based on an allegation of in-service assault. Rather, it may not be evident until after the initial adjudication of a claim that the alleged stressors relate to a personal assault. Therefore, unlike the notification requirement of 38 U.S.C. § 5103, § 3.304(f)(3) is not applicable to a claim for service connection for PTSD until VA knows or has reason to know of the existence of evidence raising the possibility of an in-service assault. At that point, VA must (1) furnish a âdeliberate act of notificationâ informing the appellant of the content of the amended law and of his ability to submit new evidence in accordance with that provision, and (2) subsequently adjudicate the appellantâs claim in fight of any new evidence submitted. See Mayfield, 444 F.3d at 1333. This notification may be properly issued either before or after the initial adjudication of the veteranâs claim, contingent upon the timing of VAâs knowledge that the claim
B. VAâs Compliance with § 3.304(f)(3)
The Boardâs determination that a communication satisfies the notice requirement of 38 U.S.C. § 5103 is a factual finding that the Court reviews under the âclearly erroneousâ standard of review. See Prickett, 20 Vet.App. at 378. The Court in this case must make a similar factual inquiry, namely, whether a given communication provides adequate notification to the appellant under 38 C.F.R. § 3.304(f)(3). As such, we believe that, as in Prickett, the Court should employ the âclearly erroneousâ standard of review when reviewing the Boardâs determination that a communication fulfills the § 3.304(f)(3) regulatory notice requirement. VAâs failure to provide compliant notice may constitute remandable error. See Quartuccio v. Principi, 16 Vet.App. 183, 187-88 (2002).
Analyzing the appellantâs claim under the standards delineated in Mayfield, supra, the Court holds that VA did not provide the appellant adequate notice under the terms of the amended § 3.304(f). The Court recognizes that the appellant could not receive § 3.304(f)(3) notification prior to the initial adjudication of his claim, because when the amended regulation took effect in March 2002, his claim had already been denied by the RO (R. at 759-62) and was pending on appeal to the Board. Once the amended regulation took effect, however, VA was obligated to issue fully compliant notice and readjudicate the appellantâs claim in fight of any new evidence that had been submitted. Mayfield, 444 F.3d at 1333-34; Prickett, supra; Pelegrini, 18 Vet.App. at 122-24. VA failed to do so in this case.
From the text of its decision, it is not entirely clear which documents the Board relied upon as providing the requisite notice under § 3.304(f)(3). Rather, the Board stated, without elaboration, that â[t]he veteran has been informed that he could submit evidence from sources other than the service records in support of his PTSD claimâ (R. at 12), and that âthe RO made an attempt to verify the veteranâs alleged stressors, but there is no credible supporting evidence to corroborate his statements regarding the alleged sexual traumaâ (R. at 13). Upon review of these factual determinations, however, the Court finds that they are clearly erroneous.
To be adequate, notice â whether in the context of the VCAA or not â has two core elements: (1) It must give the appellant notice of the content of the law, and (2) explicitly provide the claimant the opportu
Although the September 2002 SOC transcribed the text of the amended § 3.304(f) (R. at 813-14), by its nature, an SOC cannot provide compliant notification under that provision. Rather, the SOC is a deci-sional document that provides notification to the veteran in the context of an adjudication of his claim. Thus, the timing of such a communication prevents the Court from plausibly construing it as the âdeliberate act of notificationâ contemplated by Mayfield. Further, the contents of the September 2002 SOC are also deficient, in that they did not explicitly advise the appellant that § 3.304(f) had been recently amended, nor did they inform him that he could submit new evidence pursuant to the changed provision. See R. at 804-18. The December 2003 Board remand order (R. at 858-863) and the January 2005 SSOC (R. at 926-33) suffer similar defects, as both are also decisional documents. Moreover, the January 2005 SSOC contained no mention of the amended regulation. The March 2004 letter (R. at 883-87), while not a decisional document, is not content-compliant notice under § 3.304(f)(3). Like the September 2002 SOC and the January 2005 SSOC, the March 2004 letter did not inform the appellant of the amended terms of § 3.304(f)(3) or give him the opportunity to furnish additional evidence in accordance with that provision. The Court therefore finds that VA did not provide adequate notice to the appellant under 38 C.F.R. § 3.304(f)(3).
The Court, however, is statutorily obligated to âtake due account of the rule of prejudicial error.â
In this case, it is evident that VAâs failure to provide notice in accordance with 38
Moreover, in December 2003, the appellant received a Board remand for the specific purpose of affording him the opportunity to support additional evidence in light of the changes to § 3.304(f). R. at 861-62. He subsequently submitted new evidence in support of his claim. See, e.g., R. at 875. The Court recognizes that a decisional document such as the December 2003 remand order cannot serve as the âdeliberate act of notificationâ contemplated by Mayfield, 444 F.3d at 1333. However, because it contained the full text of the amended regulation (R. at 859-60) and afforded the appellant the opportunity to submit further evidence in accordance with the new provision, the Board remand order is a factor to be considered when concluding that there was no prejudicial error in this case. Ultimately, the record makes clear that the appellant knew what type of evidence, pursuant to the revised regulation, could be submitted to substantiate his stressor, that he was aware that he could submit such evidence, and that he did furnish additional evidence in support of his claim. Therefore, the Court cannot hold that the process is âessentially unfairâ simply because the evidence submitted was ultimately found by the Board to be insufficient to corroborate his stressor and prove his claim. Overton, 20 Vet.App. at 435. As such, the June 2005 Board decision must be affirmed on appeal. See 38 U.S.C. § 7261(b)(2); Newhouse and Conway, both supra.
IV. CONCLUSION
After consideration of the appellantâs and the Secretaryâs pleadings, and a review of the record, the Boardâs June 16, 2005, decision is AFFIRMED.
. The record indicates that the appellant actually volunteered to transfer to Alaska in May 1967, prior to receiving his court-martial sentence. R. at 19, 126, 176.
. The version of 38 C.F.R. § 3.304(f) in effect prior to March 7, 2002, provided:
Service connection for post-traumatic stress disorder requires medical evidence diagnosing the condition in accordance with § 4.125(a) of this chapter; a link, established by medical evidence, between current symptoms and an in-service stressor; and credible supporting evidence that the claimed in-service stressor occurred. If the evidence establishes that the veteran engaged in combat with the enemy and the claimed stressor is related to that combat, in the absence of clear and convincing evidence to the contrary, and provided that the claimed stressor is consistent with the circumstances, conditions, or hardships of the veteran's service, the veteranâs lay testimony alone may establish the occurrence of the claimed in-service stressor. If the evidence establishes that the veteran was a prisoner-of-war under the provisions of § 3.1(y) of this part and the claimed stres-sor is related to that prisoner-of-war experience, in the absence of clear and convincing evidence to the contrary, and provided that the claimed stressor is consistent with the circumstances, conditions, or hardships of the veteranâs service, the veteranâs lay testimony alone may establish the occurrence of the claimed in-service stressor.
38 C.F.R. § 3.304(f) (2001).
. Although our concurring colleague would hold that a decisional document can provide notice that complies with the regulation, the guidance provided by the Federal Circuit in Mayfield makes clear that notice is not properly provided through this type of document. Accordingly, the effect of relevant information in decisional documents is better analyzed when dealing with the issue of prejudice.