Gossett v. Czech ( 2009 )


Menu:
  •                  FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    PAUL GOSSETT,                              No. 06-16973
    Plaintiff-Appellant,
    v.                            D.C. No.
    CV-04-03523-WHA
    AL CZECH, Trust Officer,
    OPINION
    Defendant-Appellee.
    
    Appeal from the United States District Court
    for the Northern District of California
    William H. Alsup, District Judge, Presiding
    Argued and Submitted June 4, 2009
    Pasadena, California
    Filed September 9, 2009
    Before: William A. Fletcher, Richard R. Clifton and
    Milan D. Smith, Jr., Circuit Judges.
    Opinion by Judge Milan D. Smith, Jr.
    12841
    GOSSETT v. CZECH                  12843
    COUNSEL
    Paul Gossett, pro se plaintiff-appellant.
    Charles C. Lifland, Jeremy Maltby, and A. Patricia Klemic,
    O’Melveny & Myers LLP, Los Angeles, California, amicus
    curiae in support of plaintiff-appellant Paul Gossett.
    Tanya L. Jackson, UCLA School of Law Ninth Circuit Clinic,
    Los Angeles, California, amicus curiae in support of plaintiff-
    appellant Paul Gossett.
    Edmund G. Brown, Jr., Attorney General of the State of Cali-
    fornia, and Harry T. Gower, Deputy Attorney General, San
    Francisco, California, for the defendant-appellee Al Czech.
    12844                   GOSSETT v. CZECH
    OPINION
    MILAN D. SMITH, JR., Circuit Judge:
    Paul Gossett (Gossett), a committed inmate at Napa State
    Hospital (the Hospital), appeals from the district court’s sum-
    mary judgment order in his 42 U.S.C. § 1983 action alleging
    that Al Czech (Czech), the Trust Officer of the Hospital,
    unlawfully took a portion of his Department of Veterans
    Affairs (VA) benefits each month and applied the money to
    partially defray the cost of Gossett’s care at the Hospital. Gos-
    sett claims this reimbursement violated the statutory provision
    that makes benefits earned by United States military veterans
    “exempt from the claims of creditors.” 38 U.S.C.
    § 5301(a)(1). Gossett also claims on appeal that Czech vio-
    lated certain conditions and specified procedures contained in
    the regulations implementing this statute. See 38 C.F.R.
    §§ 13.58, 13.71. We affirm and hold that 38 U.S.C.
    § 5301(a)(1), when read in combination with pertinent regula-
    tions such as 38 C.F.R. § 13.71, does not prohibit direct pay-
    ments of VA benefits to a state hospital for ongoing veteran
    patient care.
    FACTUAL AND PROCEDURAL BACKGROUND
    Paul Gossett is a military veteran who is entitled to receive
    VA benefits. In 1982, Gossett was found not guilty of murder
    by reason of insanity and was committed to a state psychiatric
    hospital by court order. Gossett was transferred to the Hospi-
    tal, where he is currently detained, in September of 1996.
    In 1997, the VA found Gossett mentally incompetent to
    manage his own affairs. The VA appointed Czech to serve as
    Gossett’s legal custodian and entered into a fiduciary agree-
    ment providing that the Hospital would be reimbursed from
    VA benefits for the costs it incurs as a result of Gossett’s care.
    Since the agreement has been in effect, Czech has been using
    Gossett’s VA funds to provide Gossett a monthly stipend for
    GOSSETT v. CZECH                        12845
    groceries and sundries and to partially reimburse the Hospital
    for the costs of Gossett’s care.
    On July 15, 2004, Gossett brought this action under 42
    U.S.C. § 1983 in the United States District Court for the
    Northern District of California, claiming that Czech’s use of
    his VA benefits to reimburse the Hospital was unlawful under
    various federal and statutory laws.1 The Complaint sought to
    “permanently enjoin the said state hospitals and their person-
    nel from any future misappropriation of funds, to seek puni-
    tive damages, declaratory relief, and any other relief that is
    just, equitable and proper.” Czech moved for summary judg-
    ment, claiming that he used Gossett’s funds “in a manner
    authorized and required by federal and state law, in particular
    38 C.F.R. section 13.71 and by California Health and Welfare
    Code section 7275, as well as by Departmental policy,” and
    that his actions were proper under Washington State Depart-
    ment of Social and Health Services v. Keffeler, 
    537 U.S. 371
    (2003), a case involving state use of Social Security (SS) ben-
    efits as reimbursement for costs incurred in caring for eligible
    foster children.
    The district court granted Czech’s motion for summary
    judgment and dismissed Gossett’s claim. The court extended
    the logic of the Supreme Court’s Keffeler ruling to veterans’
    benefits, and held that a “representative payee’s” use of VA
    funds for support of the beneficiary does not violate Section
    5301(a)(1). Gossett appeals.
    JURISDICTION AND STANDARD OF REVIEW
    This court has jurisdiction under 28 U.S.C. § 1291. We
    review a grant of summary judgment de novo. See Aguilera
    v. Baca, 
    510 F.3d 1161
    , 1167 (9th Cir. 2007).
    1
    The Complaint also named “Trust Officer of Patton State Hospital” as
    a defendant. Defendant “Trust Officer of Patton State Hospital” was never
    successfully served, and was dismissed from the suit for lack of service.
    See Fed. R. Civ. P. 4(m).
    12846                      GOSSETT v. CZECH
    DISCUSSION
    I
    [1] The Veterans’ Benefits Act (VBA), Pub. L. No. 85-56,
    71 Stat. 83 (1957) (codified as amended at 38 U.S.C. § 301
    et seq.), contains a provision that limits the availability of VA
    benefits for the payment of certain types of claims:
    Payment of benefits due or to become due under any
    law administered by the Secretary shall not be
    assignable except to the extent specifically autho-
    rized by law, and such payments made to, or on
    account of, a beneficiary shall be exempt from taxa-
    tion, shall be exempt from the claim of creditors, and
    shall not be liable to attachment, levy, or seizure by
    or under any legal or equitable process whatever,
    either before or after receipt by the beneficiary.
    38 U.S.C. § 5301(a)(1). This exemption provision protects the
    veteran recipient of the benefits and affords security for his or
    her family. The VBA also dictates the manner in which pay-
    ments of VA benefits are made to fiduciaries, allowing that
    “payment of benefits under any law administered by the Sec-
    retary may be made directly to the beneficiary or to a relative
    or some other fiduciary for the use and benefit of the benefi-
    ciary.” 38 U.S.C. § 5502(a)(1). Here, Gossett brings a Section
    1983 action, claiming that defendant Czech, his legal custo-
    dian authorized to receive and administer his veterans’ bene-
    fits, has been using part of his benefits to reimburse the
    Hospital for Gossett’s care and maintenance in violation of 38
    U.S.C. § 5301(a)(1).2
    2
    In Gossett’s Opening Brief, prepared pro se, he argues that the district
    court’s holding that Czech’s actions did not violate 38 U.S.C. § 5301
    should be reversed because 1) the psychiatric services he is receiving are
    fraudulent, 2) he is not incompetent to manage his own affairs, 3) he was
    uninformed of the consequences of his state court insanity plea, 4) he has
    GOSSETT v. CZECH                          12847
    A
    The district court granted summary judgment for the defen-
    dant in this case, basing its holding on the Supreme Court’s
    decision in Keffeler. 
    537 U.S. 371
    (2003). In Keffeler, the
    State of Washington was appointed to serve as the representa-
    tive payee for foster care children receiving SS benefits. 
    Id. at 379.
    Washington then used the SS benefits to reimburse
    itself for the cost of foster care. 
    Id. at 378-79.
    The plaintiffs
    alleged that the State’s use of their benefits violated 42 U.S.C.
    § 407(a), the “antiattachment” provision contained in the
    Social Security Act (SSA), 49 Stat. 620 (1935), codified as
    amended, 42 U.S.C. § 301 et seq.3 
    Id. at 375.
    The Court, how-
    ever, found that the State’s use of plaintiffs’ SS benefits did
    not amount to an “execution, levy, attachment, [or] garnish-
    ment” within the meaning of Section 407(a). 
    Id. at 382-83.
    The Court further held that the State’s reimbursement scheme
    did not fit within the meaning of “other legal process,” and
    thus did not violate Section 407(a). 
    Id. at 383-86.
    In addition, the Court specifically noted that the State,
    been denied meaningful access to the courts to win his release, and 5) his
    veterans benefits payments are not being properly monitored and he has
    not received a proper accounting. None of these arguments was properly
    raised before the trial court or is relevant to Gossett’s claims of statutory
    violation. Amicus in this case, O’Melveny and Myers LLP and UCLA
    School of Law Ninth Circuit Clinic, has submitted a brief in support of
    Gossett’s position. We refer to the amicus brief’s arguments throughout
    this opinion.
    3
    Section 407(a) reads:
    The right of any person to any future payment under this sub-
    chapter shall not be transferable or assignable, at law or in equity,
    and none of the moneys paid or payable or rights existing under
    this subchapter shall be subject to execution, levy, attachment,
    garnishment, or other legal process, or to the operation of any
    bankruptcy or insolvency law.
    42 U.S.C. § 407(a).
    12848                   GOSSETT v. CZECH
    much like a parent or legal guardian, was “under a legal obli-
    gation to support” the “basic needs” of its foster children, irre-
    spective of whether those children were eligible for SS
    benefits or whether such funds could be used as reimburse-
    ment. See 
    Keffeler, 537 U.S. at 388
    n.11. Similarly, in serving
    as the Commissioner-appointed “representative payee” for the
    foster children’s SS benefits, the State was charged with act-
    ing in their interests. See 
    id. at 376,
    388-89. The Court in Kef-
    feler concluded that Section 407(a) did not apply to the State
    in this context, because just as a parent “ha[s] no obligation
    to exhaust his personal finances in providing for [his child’s]
    support before spending any of [the child’s] social security
    benefits on the child’s maintenance[,]” neither did the State
    have such an obligation to exhaust its own funds first. See 
    id. at 388-89
    & n.11 (internal quotation marks omitted).
    The district court in this case held, and defendant here
    argues, that because of the similarity between the SSA and the
    VBA, “the Keffeler holding should be extended to Veteran’s
    Benefits and Section 5301, meaning that a representative
    payee’s use of the funds for support of the beneficiary does
    not violate Section 5301.”
    [2] We observe that Keffeler does not directly control this
    case, as there are significant differences between the antiat-
    tachment provision for SS benefits analyzed by Keffeler, 42
    U.S.C. § 407(a), and the VA benefits counterpart, 38 U.S.C.
    § 5301(a)(1). We acknowledged similarities between these
    two statutory sections in Nelson v. Heiss, 
    271 F.3d 891
    (9th
    Cir. 2001), but we also noted that the language of the two sec-
    tions “is somewhat different . . . .” 
    Id. at 895.
    While those dif-
    ferences did not affect our decision in Nelson, see 
    id. at 894-
    95 (concluding that VA benefits recipients, like SS benefits
    recipients, cannot consent in advance to an assignment of
    future funds), the differences are significant in this case. Spe-
    cifically, Section 5301(a)(1), unlike Section 407(a), expressly
    exempts veterans’ benefits from the “claim of creditors.” In
    addition, Section 407(a) protects SS benefits only from “exe-
    GOSSETT v. CZECH                    12849
    cution, levy, attachment, garnishment, or other legal process,”
    while Section 5301(a)(1) provides that VA benefits “shall not
    be liable to attachment, levy, or seizure by or under any legal
    or equitable process whatever[.]” Thus, the VBA creates a
    significantly broader preclusion than the corresponding sec-
    tion in the SSA, which the Supreme Court has construed nar-
    rowly as addressing only judicial means of attachment. See
    
    Keffeler, 537 U.S. at 383-86
    .
    [3] Nevertheless, Keffeler provides important guidance
    concerning the principles that should apply when determining
    whether Czech’s use of Gossett’s funds violates federal law.
    Specifically, in Keffeler, the Court focused on the fact that the
    Commissioner of Social Security’s implementing regulations
    construe the SSA as authorizing the appointment of custodial
    institutions like the Washington State Department of Social
    and Health Services as a “representative payee” for the foster
    care children in the State of Washington who are eligible for
    SS benefits. 
    See 537 U.S. at 376
    , 384 n.7. Keffeler thus
    emphasized both “the cardinal rule that a statute is to be read
    as a whole” and the deference and respect that federal courts
    owe to implementing regulations and other administrative
    interpretations. See 
    id. at 382,
    383 n.6, 384 n.7, 385 (internal
    quotation marks omitted).
    B
    The parties in this case devote substantial attention to the
    issue of whether Czech acts as a creditor within the meaning
    of 38 U.S.C. § 5301(a)(1) when he uses Gossett’s VA benefits
    to reimburse the Hospital in part for the costs of Gossett’s
    institutional care. Over the years, numerous jurisdictions have
    interpreted Section 5301(a)(1) not to prohibit such action, dis-
    tinguishing a state’s use of an incompetent veteran’s benefits
    to help pay for that veteran’s subsistence, which the state is
    obligated to provide irrespective of reimbursement, from
    more traditional debt-collecting activities. See Dep’t of Health
    & Rehabilitative Servs., State of Fla. v. Davis, 
    616 F.2d 828
    ,
    12850                  GOSSETT v. CZECH
    830-32 (5th Cir. 1980); Savoid v. Dist. of Columbia, 
    288 F.2d 851
    , 852 (D.C. Cir. 1961); State ex rel. E. State Hosp. v.
    Beard, 
    600 P.2d 324
    , 325-26 (Okla. 1979); Cruce v. Ark.
    State Hosp., 
    409 S.W.2d 342
    , 347-49 (Ark. 1966); State of
    Me. v. Bean, 
    195 A.2d 68
    , 70-72 (Me. 1963); Dep’t of Pub.
    Welfare v. Sevcik, 
    164 N.E.2d 10
    , 11-12 (Ill. 1960); State
    Dep’t of Pub. Welfare v. Baker (In re Guardianship of
    Bemowski), 
    88 N.W.2d 22
    , 23-28 (Wis. 1958); Dep’t of Men-
    tal Hygiene v. Bayly (In re Bayly’s Estate), 
    212 P.2d 587
    ,
    589-91 (Cal. App. 1949); In re Simpson, 
    61 N.Y.S.2d 529
    ,
    529-30 (N.Y. App. Div. 1946); Gundry v. Wiarda (In re
    Lewis’ Estate), 
    283 N.W. 21
    , 22-24 (Mich. 1938).
    The Supreme Court of Michigan explained that in consider-
    ing the situation of a state institution being reimbursed with
    a patient’s VA benefits the court is not concerned with “ac-
    tions by creditors seeking to turn the pension to satisfaction
    of their demands, but only with the question of reimbursement
    of the state for care and maintenance.” In re Lewis’ 
    Estate, 283 N.W. at 24
    . The court further indicated that “[t]he state,
    under humanitarian legislation, has assumed the care and
    maintenance of the insane pension beneficiary and, by statute,
    has provided means and measures for reimbursement and we
    do not think that, under such circumstances, Congress
    intended to consider the state in the class of barred creditors.”
    
    Id. The Supreme
    Court of Oklahoma held that the state “is
    attributed a special status in that it has provided the very sup-
    port for which the veteran’s benefits were intended, and in
    that it had no choice but to accept this veteran and provided
    the necessary support. . . . [The state is] engaged in a govern-
    mental function and could not, as a private individual or insti-
    tution might, refuse services prior to payment.” 
    Beard, 600 P.2d at 326
    .
    The Supreme Court of Wisconsin also concluded, in 1958,
    that because there was a long line of cases permitting reim-
    GOSSETT v. CZECH                   12851
    bursement to the states, and Congress had not made any
    changes to the statute to clarify that this exception did not
    exist, it should be “interpret[ed] . . . as indicating tacit
    approval by Congress of the construction placed upon [the
    exemption statute] by such state court decisions.” In re
    
    Bemowski, 88 N.W.2d at 27
    .
    The two federal cases addressing the issue reached similar
    results. First, in Savoid, the D.C. Circuit held that the District
    of Columbia was entitled to reimbursement for the actual cost
    of the maintenance of an incompetent veteran. The court held
    that “[a]s an instrumentality of Government, the District is not
    a voluntary ‘creditor.’ It had not, unlike a private institution
    or an individual citizen, extended credit to the 
    veteran.” 288 F.2d at 852
    . The court found that because the District was not
    a “creditor” in these circumstances, the District was not
    barred by the statute from securing reimbursement. 
    Id. In Davis,
    the Fifth Circuit held that the exemption status did not
    preclude the Florida Department of Health and Rehabilitative
    Services from recovering reimbursement for past care and
    maintenance provided to an incompetent 
    veteran. 616 F.2d at 832
    . The Fifth Circuit panel found that “[t]he veteran’s bene-
    fits exemption has been held inapplicable where a state sought
    reimbursement for the expenses of continuous hospitalization
    of a mentally ill dependant of a veteran where the depen-
    dants’s entire estate consisted of monthly pension payments
    received by a guardian.” 
    Id. at 831.
    [4] No case within the Ninth Circuit has held similarly, and
    we find it unnecessary to determine in this case whether the
    Hospital is a “creditor” for purposes of 38 U.S.C.
    § 5301(a)(1) when determining whether Czech’s reimburse-
    ment of the Hospital violates federal law. We acknowledge
    that our decision in Nelson contains dicta questioning the con-
    clusion reached by this line of extra-jurisdictional case 
    law. 271 F.3d at 896
    . We do not today rule on the propriety of the
    holdings in these cases but merely observe that they support
    a conclusion that 38 U.S.C. § 5301(a)(1) is ambiguous with
    12852                         GOSSETT v. CZECH
    respect to public medical institutions seeking reimbursement
    for veteran care. Because we conclude that Section 5301(a)(1)
    is ambiguous regarding whether it permits VA benefits to be
    used to reimburse custodial institutions for the costs of caring
    for incompetent veterans like Gossett, we proceed to analyze
    the VA’s corresponding implementing regulations, as urged
    by Keffeler.
    C
    [5] Pursuant to the VBA’s implementing regulations, the
    VA may select and appoint a person best suited to receive VA
    benefits in a fiduciary capacity for a beneficiary who is
    incompetent. 38 C.F.R. § 13.55(a) (“The Veterans Service
    Center Manager [VSCM] is authorized to select and appoint
    . . . the person or legal entity best suited to receive Depart-
    ment of Veterans Affairs benefits in a fiduciary capacity for
    a beneficiary who is mentally ill (incompetent) or under legal
    disability . . . .”). Disbursal of benefits to this fiduciary is sub-
    ject to the condition that he or she use the benefits for the ben-
    eficiary’s “best interests.” 38 C.F.R. § 13.58(b)(2)(i).
    [6] Further, VA regulations provide a specific method
    under which a state medical institution may obtain some por-
    tion of a veteran’s benefits to pay for the costs of his or her
    care and maintenance. First, Section 13.61 indicates that the
    VSCM “may authorize the payment of all or part of the pen-
    sion . . . to the chief officer of the institution wherein the vet-
    eran is being furnished hospital treatment or institutional . . .
    care[.]”4 Second, Section 13.71 indicates that payment of part
    4
    In its entirety, Section 13.61 reads:
    The Veterans Service Center Manager may authorize the pay-
    ment of all or part of the pension, compensation or emergency
    officers’ retirement pay payable in behalf of a veteran rated
    incompetent by the Department of Veterans Affairs to the chief
    officer of the institution wherein the veteran is being furnished
    hospital treatment or institutional, nursing or domiciliary care, for
    GOSSETT v. CZECH                          12853
    of a veteran’s benefits may be paid to a state hospital when
    the veteran has been “rated incompetent by the Department of
    Veterans Affairs[,]” when “[i]t has been determined the vet-
    eran is legally liable for the cost of his or her maintenance,”
    and when the institution’s representative “probably will assert
    a claim for full maintenance costs.” 38 C.F.R. § 13.71(a)(1)-
    (3).5 This regulation imposes further conditions upon the pay-
    the veteran’s use and benefit, when the Veterans Service Center
    Manager has determined such payment (called an institutional
    award) will adequately provide for the needs of the veteran and
    obviate need for appointment of another type of fiduciary.
    38 C.F.R. § 13.61.
    5
    Section 13.71 regulates payment of VA benefits to an institution (such
    as the Hospital):
    (a) The payment of part of compensation, pension or emergency
    officers’ retirement pay for the cost of a veteran’s hospital treat-
    ment, institutional or domiciliary care in an institution operated
    by a political subdivision of the United States may be authorized
    as provided in paragraph (b) of this section when:
    (1) The veteran is rated incompetent by the Department of
    Veterans Affairs.
    (2) It has been determined the veteran is legally liable for the
    cost of his or her maintenance, and
    (3) The institution’s representative has asserted or probably
    will assert a claim for full maintenance costs.
    (b) Subject to these conditions and the further condition that the
    responsible official of the institution or political subdivision will
    agree not to assert against Department of Veterans Affairs bene-
    fits any further claim for maintenance during the veteran’s life-
    time, the Veterans Service Center Manager may agree with such
    official to the payment of the veteran’s benefits through an insti-
    tutional award to be applied to:
    (1) A monthly amount determined by the Veterans Service
    Center Manager to be needed for the veteran’s personal use,
    (2) An amount to be agreed upon to be accumulated to pro-
    vide for the veteran’s rehabilitation upon release from the
    institution, and
    12854                     GOSSETT v. CZECH
    ment of the benefits, including that the director of the institu-
    tion agree “not to assert against [VA] benefits any further
    claim for maintenance during the veteran’s lifetime.” 38
    C.F.R. § 13.71(b).
    [7] Section 13.71 of Title 38 of the Code of Federal Regu-
    lations was promulgated on November 21, 1975, after the
    majority of the “state is not a creditor” cases discussed above
    were decided. 40 Fed. Reg. 54,248 (Nov. 21, 1975). Particu-
    larly in light of this historical backdrop, the promulgation of
    Section 13.71, which specifically contemplates a fiduciary’s
    use of VA benefits to pay for the cost “of a veteran’s hospital
    treatment,” 38 C.F.R. § 13.71(a), supports the conclusion that
    the creditor exemption in 38 U.S.C. § 5301(a)(1) is inapplica-
    ble to a state hospital that reimburses itself for the care and
    maintenance of an incompetent veteran. If VA benefits could
    not lawfully be used to reimburse a state hospital for a veteran
    ward’s care, then 38 C.F.R. § 13.71, which explains the pro-
    cedures for such a reimbursement to occur, would be rendered
    meaningless. This construction would run afoul of the basic
    tenet of statutory and regulatory interpretation which counsels
    that a statute should not be read to render its implementing
    regulations meaningless. See Oregon Natural Resources
    Council v. Allen, 
    476 F.3d 1031
    , 1040-41 (9th Cir. 2007).
    [8] As urged by the Supreme Court in Keffeler, we resolve
    an ambiguity in the VBA exemption provision by construing
    (3) So much of the amount of the benefit as remains not
    exceeding the amount the Veterans Service Center Manager
    determines to be the proper charge as fixed by statute or
    administrative regulation, to the cost of the veteran’s mainte-
    nance.
    (c) Upon execution of an agreement as provided in paragraph (b)
    of this section, the Veterans Service Center Manager will certify
    the total amount to be released to the chief officer of the institu-
    tion.
    GOSSETT v. CZECH                         12855
    this statutory section and its implementing regulations as a
    whole and deferring to the VA’s reasonable interpretation.
    
    See 537 U.S. at 382
    , 383 n.6, 384 n. 7, 385. In so doing, we
    hold that 38 U.S.C. § 5301(a)(1), when read in conjunction
    with pertinent regulations such as 38 C.F.R. § 13.71, does not
    prohibit direct payments of VA benefits to the Hospital for
    Gossett’s ongoing care.6 We affirm the district court’s grant
    of summary judgment on this claim.7
    D
    Gossett also alleges, with the help of amicus in this case,
    that Czech has violated the requirements of Section 13.58 and
    Section 13.71 of Title 38 of the Code of Federal Regulations,
    and thus, that summary judgment should be denied. Gossett
    claims that there remains a material issue of fact regarding
    whether Czech has met the specific conditions outlined in
    Section 13.71 that must be met before an incompetent veter-
    an’s benefits may be used to pay for institutional care.
    We find that Gossett has waived his claims for violations
    of Sections 13.58 and 13.71. Gossett did not raise these
    claims in his complaint, nor did he raise them before the dis-
    trict court. Further, fiduciaries charged with oversight of VA
    pension benefits are subject to the VA’s supervisory author-
    ity, which includes the ability to investigate claims of malfea-
    sance and to take appropriate action. See 38 U.S.C. § 5502(b);
    38 C.F.R. § 13.100. Gossett has not shown that the adminis-
    trative remedy provided by 38 C.F.R. § 13.100(c) is no longer
    available to him, and prudential considerations on balance
    6
    We note that our holding in Nelson v. Heiss is unaltered. If the reim-
    bursements Czech made to the Hospital with Gossett’s benefits had been
    made in pursuit of debt collection activities, they would still be prohibited
    by Section 5301(a)(1). 
    See 271 F.3d at 894-96
    .
    7
    Because we conclude that no violation of federal law has occurred, and
    thus neither monetary damages nor injunctive relief are appropriate, we do
    not address defendant Czech’s qualified immunity defense.
    12856                  GOSSETT v. CZECH
    favor exhaustion of this remedy prior to filing suit in federal
    court. See Puga v. Chertoff, 
    488 F.3d 812
    , 815 (9th Cir.
    2007). Moreover, if Gossett still wishes to pursue such a
    claim after exhausting his administrative remedies, he might
    be required to do so in the United States Court of Appeals for
    Veterans Claims. See 38 U.S.C. §§ 511(b)(4), 7104(a),
    7252(a); see also Estates of Nau v. State of Colo., 
    183 P.3d 626
    , 635-36 (Colo. App. 2007); Judkins v. Veterans Admin.,
    
    415 F. Supp. 2d 613
    , 619-20 (E.D.N.C. 2005).
    We thus do not reach the issue of whether Czech has met
    the conditions and requirements of Section 13.58 and Section
    13.71.
    II
    [9] In his Complaint, Gossett also alleges violations of the
    Civil Rights of Institutionalized Persons Act, Pub. L. No. 96-
    247, 94 Stat. 349 (1980) (codified as amended at 42 U.S.C.
    §§ 1997-1997j), the Americans with Disabilities Act of 1990,
    Pub. L. No. 101-336, 104 Stat. 327 (codified as amended at
    42 U.S.C. § 12101 et seq.), and the Rehabilitation Act of
    1973, Pub.L. No. 93-112, 87 Stat. 355 (codified as amended
    at 29 U.S.C. § 701 et seq). The district court granted summary
    judgment to Czech on these claims, holding that Gossett did
    not produce evidence showing a genuine issue of triable fact.
    Gossett has not identified any such evidence on appeal either,
    and we thus affirm the district court’s summary judgment
    order in favor of Czech on Gossett’s alleged causes of action
    for discrimination.
    CONCLUSION
    We hold that 38 U.S.C. § 5301(a)(1) does not prohibit the
    direct payment of an incompetent inmate’s VA benefits to a
    state hospital for ongoing patient care. While we recognize
    the importance of shielding VA benefits from the claims of
    creditors, we also recognize that the purpose of those benefits
    GOSSETT v. CZECH                  12857
    is to provide for the care and maintenance of veterans. See
    Lawrence v. Shaw, 
    300 U.S. 245
    , 250 (1937). We believe that
    our holding today is consistent with this legislative goal but
    also prevents the somewhat perverse result of taxpayers
    “picking up the bill” twice for the care of an incompetent vet-
    eran. See Crawford v. Gould, 
    56 F.3d 1162
    , 1169 (9th Cir.
    1995) (Trott, J., concurring).
    AFFIRMED.