Larry D. Pinson v. United States ( 2022 )


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  • USCA11 Case: 21-14032    Date Filed: 11/04/2022   Page: 1 of 12
    [DO NOT PUBLISH]
    In the
    United States Court of Appeals
    For the Eleventh Circuit
    ____________________
    No. 21-14032
    Non-Argument Calendar
    ____________________
    LARRY D. PINSON,
    LENNELLE O. PINSON,
    LARRY PINSON, JR.,
    LAWRENCE PINSON,
    LAMAR PINSON,
    LANCE PINSON,
    LAWRSON PINSON,
    LAWRON PINSON,
    Plaintiffs-Appellants,
    versus
    UNITED STATES OF AMERICA,
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    2                       Opinion of the Court                  21-14032
    Defendant-Appellee.
    ____________________
    Appeal from the United States District Court
    for the Northern District of Georgia
    D.C. Docket No. 3:21-cv-00089-TCB
    ____________________
    Before LAGOA, ANDERSON, and HULL, Circuit Judges.
    PER CURIAM:
    Larry D. Pinson, his wife, and his six sons, proceeding pro
    se, appeal the district court’s dismissal of their 15 claims under the
    Federal Torts Claim Act (“FTCA”). On appeal, the Pinsons argue
    that the district court erred by finding that (1) the Veterans’ Judicial
    Review Act (“VJRA”) divested the district court of subject matter
    jurisdiction over their claims for veterans’ benefits, (2) they did not
    exhaust their administrative remedies as to any FTCA claims,
    (3) the intentional tort exception to the FTCA’s waiver of
    sovereign immunity applied, and (4) their FTCA claims were
    time-barred. After review, we affirm the district court’s dismissal
    of the Pinsons’ claims.
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    21-14032                Opinion of the Court                         3
    I.     BACKGROUND
    A.     Facts
    We recount the factual allegations primarily from the
    Pinsons’ complaint. In addition, we consider various documentary
    exhibits attached to the government’s motion to dismiss. A court
    may consider a document attached to a motion to dismiss without
    converting the motion into one for summary judgment if the
    document is (1) central to the plaintiff’s claim and (2) undisputed—
    i.e., its authenticity is not challenged. Horsley v. Feldt, 
    304 F.3d 1125
    , 1134 (11th Cir. 2002). Because the documents are central to
    the Pinsons’ claims and not in dispute, we, as the district court did,
    consider them.
    Pinson, an uninsured, fully disabled veteran, contacted the
    Department of Veterans Affairs (“VA”) several times to request
    three surgeries: rotator cuff surgery, hip surgery, and surgery to
    remove a tumor in his spinal column. The VA neglected to
    respond. Because his health was deteriorating quickly, Pinson
    obtained the three surgeries at other medical facilities in 2007, 2008,
    and 2009.
    In 2014, Pinson sought reimbursement by mailing over 700
    pages of medical records to two VA facilities. His records were not
    returned. Pinson sent multiple letters and spoke to various
    personnel at the VA, inquiring about the location of his records.
    Pinson never received an answer about the whereabouts of his
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    4                      Opinion of the Court                 21-14032
    records. Between 2014 and 2018, Pinson continued to seek
    reimbursement from the VA, but to no avail.
    On April 25, 2018, the VA informed Pinson that he must file
    a Standard Form 95 (“SF-95”) because his letter had alleged that the
    VA negligently destroyed faxed documents relating to his
    reimbursement requests.
    In December 2018, Pinson submitted an SF-95. He
    complained about the VA’s failure to administer medical care and
    denial of reimbursement for his treatment at the other medical
    facilities. He listed the date of injury as 2004 to 2015 and requested
    $500,000 for medical reimbursement. Pinson was the only
    claimant and person to sign the form.
    On August 27, 2019, the VA sent Pinson a letter denying his
    claim because (1) “[a]ccording to the description outlined in
    [Pinson’s] claims,” his requested reimbursement for non-VA care
    involved the administration of VA benefits, rather than a state-law
    tort claim; and (2) his claim was time-barred under 
    28 U.S.C. § 2401
    (b) because it was filed over two years after the claim
    accrued. The VA construed Pinson’s claim as a denial of benefits
    and reimbursement. The VA’s denial letter stated that Pinson
    “fail[ed] to allege a claim cognizable under the FTCA and
    therefore, there [was] no jurisdiction to consider [his] claim under
    the FTCA.” The VA explained that the exclusive avenue for Pinson
    to pursue his claim was through the U.S. Court of Appeals for
    Veterans Claims and then the U.S. Court of Appeals for the Federal
    Circuit.
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    21-14032                   Opinion of the Court                                5
    In February 2020, Pinson asked for reconsideration. On
    December 1, 2020, the VA restated the two grounds for denying
    his claims and added that “[f]urther action on this matter may be
    instituted in accordance with the FTCA.”
    B.      Procedural History
    On June 1, 2021, the Pinsons, proceeding pro se, sued the
    government alleging these 15 counts: (1) “Intentional Infliction of
    Emotional Distress” 1; (2) “Intentional Denial and Rejection of
    Veteran Claim”; (3) “Privacy Violations”; (4) “Los[s] of Medical
    Records”; (5) “Allege No Records”; (6) “Office of Community Care
    Denver Co.”; (7) “Medical Records should have been coded into
    system”; (8) “Medical Records Negligently destroyed”;
    (9) “Muskogee Business Office (VA)”; (10) “File Record in Cabinet,
    Storm Damage Roof Record Disappeared”; (11) “Veteran
    requested date of storm. According to [the] VA in Washington
    D.C. the allege[d] storm occurred on July 14, 2016”;
    (12) “Destruction of Records & Privacy Violation (Jackson M[S])”;
    (13) “VISN-16 Privacy Specialist Confirms Privacy Violation”;
    (14) “VHA Never Received Veteran Records”; and (15) “Court
    Decision 2016 VA Has Short Change [sic] Veteran Since 2009.”
    The government moved to dismiss. The government
    argued that the district court should dismiss the Pinsons’ complaint
    1 The basis of the intentional infliction of emotional distress claim is that the
    VA’s “negligen[t] actions cause[d] [Pinson] and [his] family members
    unnecessary and undue emotional distress.”
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    6                       Opinion of the Court                 21-14032
    for four reasons: (1) lack of subject matter jurisdiction under the
    VJRA, (2) lack of subject matter jurisdiction because the Pinsons
    failed to exhaust their administrative remedies, (3) lack of subject
    matter jurisdiction pursuant to the FTCA’s intentional tort
    exception, and (4) the Pinsons’ claims were time-barred. On
    October 15, 2021, the district court granted the government’s
    motion to dismiss on those four grounds.
    II.    STANDARD OF REVIEW
    We review de novo the dismissal of a complaint for lack of
    subject matter jurisdiction. Motta ex rel. A.M. v. United States, 
    717 F.3d 840
    , 843 (11th Cir. 2013).
    III.    DISCUSSION
    On appeal, the Pinsons argue that the district court erred in
    dismissing their claims because (1) the VJRA does not divest the
    district court of subject matter jurisdiction, (2) they did not fail to
    exhaust their administrative remedies as to the FTCA claims,
    (3) the FTCA’s intentional tort exception does not apply, and
    (4) their FTCA claims are not time-barred. We discuss each ground
    in turn.
    A.     VJRA
    In 1988, Congress enacted the VJRA, Pub. L. No. 100–687,
    
    102 Stat. 4105
     (1988), which sets forth the framework for the
    adjudication of claims for veterans’ benefits. The process begins
    when a claimant files for benefits with a regional office of the
    Department of Veterans Affairs. Decisions from the Department
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    21-14032               Opinion of the Court                        7
    of Veterans Affairs may be appealed to the Board of Veterans’
    Appeals (“Board”), whose ruling becomes the final decision of the
    Secretary. 
    38 U.S.C. § 7104
    (a). Decisions of the Board may then
    be reviewed exclusively by the U.S. Court of Appeals for Veterans
    Claims, an Article I court established by the VJRA. 
    Id.
     §§ 7251,
    7252(a), 7266(a).
    In turn, decisions of the Court of Appeals for Veterans
    Claims are appealable only to the U.S. Court of Appeals for the
    Federal Circuit. Id. § 7292(a), (c). The Federal Circuit’s judgment
    is then subject to certiorari review by the Supreme Court. Id.
    § 7292(c). In short, Congress gave the aforementioned courts
    exclusive jurisdiction over claims affecting veterans’ benefits. See
    Hall v. U.S. Dep’t of Veterans’ Affs., 
    85 F.3d 532
    , 534 (11th Cir.
    1996) (“[J]udicial review of a particular application of the law made
    by the Secretary with respect to a veteran’s entitlement to benefits
    may be had only by appealing to the Board, then to the Court of
    Veterans Appeals, the Federal Circuit Court of Appeals[,] and the
    Supreme Court.”).
    Specifically, the VJRA provides that the VA Secretary’s
    decision as to any “questions of law and fact necessary to a decision
    by the Secretary under a law that affects the provision of
    benefits . . . shall be final and conclusive and may not be reviewed
    by any other official or by any court.” 
    38 U.S.C. § 511
    (a) (emphases
    added). The term “benefit” means “any payment, service,
    commodity, function, or status, entitlement to which is
    determined under laws administered by the Department of
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    8                     Opinion of the Court                21-14032
    Veterans Affairs pertaining to veterans and their dependents and
    survivors.” 
    38 C.F.R. § 20.3
    (e). This Court has explained that the
    VJRA precludes judicial review of not only any substantive benefits
    decision by the Secretary, but also any decision made by the
    Secretary “in the course of” making a benefits determination.
    Smith v. United States, 
    7 F.4th 963
    , 985 (11th Cir. 2021).
    The district court held the VJRA precluded it from
    reviewing the Pinsons’ claims. The district court explained that
    “[e]ach count is based on benefits and reimbursement to which
    Pinson contends he is entitled” and “[t]he crux of [the Pinsons’]
    claims is to recover benefits that were wrongfully denied, and
    damages arising therefrom.” Therefore, the Pinsons needed to
    appeal to the Board, which had exclusive jurisdiction over these
    types of claims.
    The district court did not err in finding it lacked subject
    matter jurisdiction under the VJRA. Each count in the complaint
    is based on benefits and reimbursement to which Pinson contends
    he was entitled. Even though the Pinsons allege tort claims, such
    as intentional infliction of emotional distress and privacy
    violations, these claims arise from the VA denying Pinson’s
    benefits. Accordingly, the Pinsons’ claims can be reviewed only by
    the federal courts that possess exclusive jurisdiction over claims
    affecting veterans’ benefits.
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    21-14032                Opinion of the Court                         9
    B.     Exhaustion of Administrative Remedies
    “The FTCA bars claimants from bringing suit in federal
    court until they have exhausted their administrative remedies.”
    McNeil v. United States, 
    508 U.S. 106
    , 113 (1993). A plaintiff has
    exhausted his administrative remedies when he has “first presented
    the claim to the appropriate Federal agency and his claim [has]
    been finally denied by the agency in writing and sent by certified or
    registered mail.” 
    28 U.S.C. § 2675
    (a).
    “[A] claim shall be deemed to have been presented when a
    Federal agency receives from a claimant . . . an executed Standard
    Form 95 or other written notification of an incident . . . .” 
    28 C.F.R. § 14.2
    (a). The FTCA requires that each claim and each claimant
    meet this prerequisite. See Turner ex rel. Turner v. United States,
    
    514 F.3d 1194
    , 1200 (11th Cir. 2008).
    The district court held that the Pinsons failed to exhaust
    their administrative remedies because only Pinson submitted an
    SF-95 to the VA, the SF-95 did not name his family members as
    claimants, and Pinson failed to appeal the denial of his
    administrative claim to the Board.
    The district court did not err in finding that the Pinsons
    failed to exhaust their administrative remedies under the FTCA.
    Pinson’s SF-95 relates only to the denial of medical care and
    benefits, which is “a classic veteran’s benefits claim . . . over which
    the district court clearly lacked subject matter jurisdiction under
    the VJRA.” Smith, 7 F.4th at 978–79. Consequently, each of
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    10                     Opinion of the Court                 21-14032
    Pinson’s claims either is subject to the VJRA or was not
    administratively exhausted by filing a SF-95 under the FTCA. In
    other words, each of Pinson’s claims either (1) is intertwined with
    the VA’s alleged denial of medical care and benefits to Pinson (in
    which case it is subject to the VJRA and subject matter jurisdiction
    is lacking for that reason) or (2) was not administratively exhausted
    because his SF-95 only covers denial of medical care and benefits.
    Further, Pinson’s wife and six sons failed to present any
    administrative claim to the VA because they did not submit an
    SF-95 or “other written notification of an incident,” and Pinson did
    not include them as claimants on his SF-95. 
    28 C.F.R. § 14.2
    (a).
    Because Pinson’s wife and six sons failed to “individually satisfy the
    jurisdictional prerequisite of filing a proper claim,” Dalrymple v.
    United States, 
    460 F.3d 1318
    , 1325 (11th Cir. 2006) (quotation
    marks omitted), the district court properly found it lacked subject
    matter jurisdiction over their claims.
    C.     Statute of Limitations
    A claimant must present his or her claim to the appropriate
    agency within two years of the date on which the action accrues,
    or it is “forever barred.” 
    28 U.S.C. § 2401
    (b). A cause of action
    accrues, and the statute of limitations clock begins to run, when
    “the facts which would support a cause of action are apparent or
    should be apparent” to a reasonably prudent person. Rozar v.
    Mullis, 
    85 F.3d 556
    , 561–62 (11th Cir. 1996) (quotation marks
    omitted). “This rule requires a court first to identify the alleged
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    21-14032                   Opinion of the Court                              11
    injuries, and then to determine when plaintiffs could have sued for
    them.” 
    Id. at 562
    .
    The district court held that the Pinsons’ claims were
    time-barred. The court explained that Pinson submitted his SF-95
    in December 2018, and he listed the date of his injuries as 2004 to
    2015. Based on those dates, the district court said 2015 was the
    latest his claims could have accrued, and therefore, the latest
    Pinson could have filed his SF-95 was 2017.
    The district court did not err in finding that the Pinsons’
    claims were time-barred under the FTCA’s two-year statute of
    limitations. In his SF-95, Pinson listed the date of his injuries as
    2004 to 2015. Even if we assume arguendo Pinson had some
    brand-new injuries in 2015, the statute of limitations began running
    no later than 2015. Pinson thus exceeded the two-year statute of
    limitations when he filed his SF-95 in December 2018. 2
    2 In their brief, the Pinsons suggest equitable tolling may be appropriate here.
    “Equitable tolling is appropriate when a movant untimely files because of
    extraordinary circumstances that are both beyond [his] control and
    unavoidable even with diligence.” Stamper v. Duval Cnty. Sch. Bd., 
    863 F.3d 1336
    , 1342 (11th Cir. 2017) (quotation marks omitted). The Pinsons bear the
    burden of demonstrating equitable tolling of the limitations period is
    appropriate. Dotson v. United States, 
    30 F.4th 1259
    , 1268 (11th Cir. 2022).
    The Pinsons’ brief has simply included only law related to equitable tolling but
    with no factual explanation of circumstances beyond their control or
    unavoidable with due diligence.
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    12                     Opinion of the Court                21-14032
    D.    FTCA’s Intentional Tort Exception
    As noted above, the Pinsons also appeal the district court’s
    finding that the FTCA’s intentional tort exception does not apply
    to their claims. Because we affirm the dismissal of the Pinsons’
    FTCA claims based on failure-to-exhaust and statute-of-limitations
    grounds, we need not reach this issue.
    IV.    CONCLUSION
    For those reasons, we affirm the district court’s dismissal of
    the Pinsons’ claims.
    AFFIRMED.