Crews v. McDonough ( 2023 )


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  • Case: 21-2030   Document: 40     Page: 1   Filed: 03/16/2023
    United States Court of Appeals
    for the Federal Circuit
    ______________________
    YVONNE CREWS,
    Claimant-Appellant
    v.
    DENIS MCDONOUGH, SECRETARY OF
    VETERANS AFFAIRS,
    Respondent-Appellee
    ______________________
    2021-2030
    ______________________
    Appeal from the United States Court of Appeals for
    Veterans Claims in No. 19-6298, Judge Joseph L. Falvey,
    Jr.
    ______________________
    Decided: March 16, 2023
    ______________________
    KENNETH M. CARPENTER, Law Offices of Carpenter
    Chartered, Topeka, KS, argued for claimant-appellant.
    TANYA KOENIG, Commercial Litigation Branch, Civil
    Division, United States Department of Justice, Washing-
    ton, DC, argued for respondent-appellee. Also represented
    by BRIAN M. BOYNTON, PATRICIA M. MCCARTHY, LOREN
    MISHA PREHEIM; Y. KEN LEE, DEREK SCADDEN, Office of
    General Counsel, United States Department of Veterans
    Affairs, Washington, DC.
    ______________________
    Case: 21-2030    Document: 40      Page: 2    Filed: 03/16/2023
    2                                      CREWS   v. MCDONOUGH
    Before REYNA, MAYER, and HUGHES, Circuit Judges.
    HUGHES, Circuit Judge.
    Yvonne Crews appeals the final decision of the United
    States Court of Appeals for Veterans Claims denying her
    request to be substituted under 38 U.S.C. § 5121A as the
    claimant in place of her deceased spouse. Because we con-
    clude that her allegation of a clear and unmistakable error
    is not part of a “pending” claim for which she could substi-
    tute under § 5121A, we affirm.
    I
    The veteran, Sylvester D. Crews, served in the U.S. Air
    Force from March 1954 to September 1958. In connection
    with his service, Mr. Crews was originally granted a 100%
    disability rating for schizophrenia. But in November 1960,
    his disability rating was lowered to 70%.
    In December 2006, Mr. Crews filed a new claim for an
    increased schizophrenia rating, which the Regional Office
    denied in May 2007. In September 2009, Mrs. Crews—on
    behalf of her husband—submitted a letter stating that Mr.
    Crews was 100% disabled and requested further evalua-
    tion. The letter made no mention of an effective date for the
    requested 100% rating. The Regional Office responded that
    it would not consider the letter to be a notice of disagree-
    ment with the May 2007 decision because it was filed more
    than one year after the May 2007 decision. Instead, the Re-
    gional Office construed the letter as a new “claim for an
    increased rating.” J.A. 2. In March 2010, the Regional Of-
    fice granted the new claim and increased his schizophrenia
    rating from 70% to 100% effective from September 29,
    2009. Unfortunately, in October 2010, Mr. Crews passed
    away.
    In March 2011, Mrs. Crews, Mr. Crews’ surviving
    spouse, moved to be substituted as the appellant and filed
    a notice of disagreement with the September 2009 effective
    Case: 21-2030    Document: 40      Page: 3   Filed: 03/16/2023
    CREWS   v. MCDONOUGH                                      3
    date. The basis for challenging the effective date was an
    allegation of clear and unmistakable error (CUE) in the No-
    vember 1960 rating decision that terminated the 100%
    schizophrenia rating.
    In January 2012, the Regional Office rejected her re-
    quest for substitution because Mr. Crews had no claim or
    notice of disagreement pending at the time of his death.
    Mrs. Crews filed a notice of disagreement with that deci-
    sion, but the Regional Office issued a statement of the case
    continuing to deny the substitution request because Mrs.
    Crews was not eligible to seek benefits on past decisions
    that had been finalized, and the November 1960 rating de-
    cision became final once the appeal window closed.
    Mrs. Crews appealed to the Board. In December 2014,
    the Board granted her motion for substitution, but deter-
    mined that it lacked jurisdiction over the CUE claim be-
    cause the Regional Office had not adjudicated the issue and
    remanded the case to the Regional Office. In March 2015,
    the Regional Office issued a statement of the case continu-
    ing to deny an effective date earlier than September 2009—
    the date Mr. Crews had filed the new increased rating
    claim. The Board agreed and issued a final decision stating
    that “a CUE motion cannot be filed by a survivor seeking
    accrued benefits if no CUE motion was pending at the time
    of the Veteran’s death.” J.A. 120. The Veterans Court af-
    firmed. Mrs. Crews appeals.
    II
    Mrs. Crews argues that the Veterans Court misinter-
    preted § 5121A in denying her request to substitute as a
    CUE claimant because there was a claim pending at the
    time of Mr. Crews’ death within the meaning of § 5121A.
    Under 
    38 U.S.C. § 7292
    (a) and (c), we have jurisdiction to
    review the Veterans Court’s interpretation of the statute.
    We review the Veterans Court’s interpretation of law de
    novo. Bazalo v. West, 
    150 F.3d 1380
    , 1382 (Fed. Cir. 1998).
    Case: 21-2030    Document: 40      Page: 4    Filed: 03/16/2023
    4                                      CREWS   v. MCDONOUGH
    As a general rule, when a veteran dies, the veteran’s
    claim for benefits also terminates. Phillips v. Shinseki, 
    581 F.3d 1358
    , 1363 (Fed. Cir. 2009). Even so, a surviving
    spouse is entitled to be paid any accrued benefits following
    the veteran’s death. 
    38 U.S.C. § 5121
    (a) (providing the vet-
    eran’s spouse “monetary benefits . . . to which an individual
    was entitled at death . . . [that are] due and unpaid . . .
    upon the death of such individual” (emphasis added)). Prior
    to 2008, the surviving spouse could, with limited excep-
    tions, pursue those claims only by restarting from the be-
    ginning and filing a new accrued benefits claim. See
    Phillips, 
    581 F.3d at
    1363–64 (citing Zevalkink v. Brown,
    
    102 F.3d 1236
    , 1243 (Fed. Cir. 1996) (providing the general
    rule that substitution was not appropriate)); but see
    Padgett v. Nicholson, 
    473 F.3d 1364
    , 1368–71 (Fed. Cir.
    2007) (acknowledging an exception for an accrued benefits
    claimant to receive nunc pro tunc relief following a vet-
    eran’s death). But in 2008, to remedy the inefficiencies and
    delays from restarting the process, Congress enacted
    § 5121A to allow a surviving spouse to be substituted as a
    claimant in place of a deceased veteran.
    Section 5121A reads:
    If a claimant dies while a claim for any ben-
    efit under a law administered by the Secre-
    tary, or an appeal of a decision with respect
    to such a claim, is pending, [a surviving
    spouse] may, not later than one year after
    the date of the death of such claimant, file
    a request to be substituted as the claimant
    for the purposes of processing the claim to
    completion.
    38 U.S.C. § 5121A (emphases added). This provision now
    allows a surviving spouse (or other accrued benefits claim-
    ant) to be substituted rather than file a new accrued bene-
    fits claim. Rusick v. Gibson, 
    760 F.3d 1342
    , 1346–47 (Fed.
    Cir. 2014).
    Case: 21-2030      Document: 40      Page: 5     Filed: 03/16/2023
    CREWS   v. MCDONOUGH                                           5
    On its face, the statute limits the scope of substitution
    to “pending” claims “for the purposes of processing the
    claim[s] to completion.” 38 U.S.C. § 5121A. And, as we have
    explained, because § 5121A was intended to “address the
    problem of survivors who were . . . forced to ‘restart the
    claim at the back of the line[,]’. . .” it did not create a mech-
    anism for a surviving spouse to file a new claim. Rusick,
    
    760 F.3d at
    1346–47 (“If a veteran had never filed a claim,
    however, there would be nothing to ‘restart,’ and the per-
    ceived injustice Congress sought to remedy . . . would not
    exist.”).
    The import of § 5121A is that Mrs. Crews was entitled
    to be “substituted as the claimant for the purposes of pro-
    cessing the [pending] claim to completion.” 38 U.S.C.
    § 5121A (emphasis added). Here, there was only one possi-
    ble “pending” claim at the time of Mr. Crews’ death: his
    September 2009 claim to increase his disability rating to
    100%. Although this claim was granted in March 2010, the
    September 2009 claim could still have been considered
    “pending” at the time of Mr. Crews’ death in October 2010
    because the one-year window to appeal was not set to ex-
    pire until March 2011.
    Given the statutory language, Mrs. Crews may have
    been entitled to substitute on the September 2009 claim to
    process that claim to completion. But nothing in § 5121A
    allows Mrs. Crews to file a new claim, which is what she
    did by alleging CUE in the November 1960 decision and
    seeking a new effective date back to that decision. As the
    Veterans Court found, “Mr. Crews had never alleged CUE
    in the November 1960 decision” before his death. J.A. 7.
    Instead, the September 2009 claim was a new, standalone
    claim for an increased disability rating and was independ-
    ent of the November 1960 decision. Indeed, even if we were
    to ignore the Regional Office’s decision to treat it as a new
    claim, the September 2009 claim was filed by Mr. Crews as
    a challenge to the May 2007 decision—not a challenge to
    the November 1960 decision. Like the September 2009
    Case: 21-2030     Document: 40     Page: 6    Filed: 03/16/2023
    6                                       CREWS   v. MCDONOUGH
    claim, the claim that resulted in the May 2007 decision
    never alleged CUE in the November 1960 decision. It, too,
    was a new, independent claim for an increased disability
    rating.
    Thus, at most, Mr. Crews’ September 2009 claim stems
    from a disagreement with the May 2007 decision. In con-
    trast, Mrs. Crews’ allegation of CUE stems from the No-
    vember 1960 decision. Because she is challenging a
    separate decision that was not challenged by the only pend-
    ing claim, Mrs. Crews’ CUE allegation constitutes a new
    claim. This new CUE claim is not allowed by the plain lan-
    guage of § 5121A.
    This conclusion also reflects our previously stated un-
    derstanding of § 5121A. In Rusick, we noted that § 5121A
    “did not undercut the critical portion of the decision in
    Haines [v. West].” 
    760 F.3d at 1346
    . In particular, we stated
    that:
    [e]ven though section 5121A might now allow a
    survivor to substitute on a pending CUE claim that
    the veteran had filed before his death, Haines still
    stands for the proposition that a survivor cannot
    initiate a freestanding CUE claim under section
    5109A if the veteran had not already filed such a
    claim.
    
    Id.
     (citing Haines v. West, 
    154 F.3d 1298
    , 1301 (Fed. Cir.
    1998)). The facts here present the same scenario this court
    anticipated in Rusick, and we maintain the same view: Sec-
    tion 5121A only allows a survivor to substitute as a claim-
    ant for a previously raised CUE claim. 
    Id.
     It does not allow
    a survivor to bring a CUE claim that was not previously
    raised. 
    Id.
    Mrs. Crews argues that, rather than being a new claim,
    her CUE allegation is merely a new theory of entitlement
    in support of the pending September 2009 claim. Appel-
    lant’s Br. 7–9 (citing 
    38 C.F.R. § 3.1010
    (f)(2)). We disagree.
    Case: 21-2030    Document: 40       Page: 7   Filed: 03/16/2023
    CREWS   v. MCDONOUGH                                       7
    A CUE allegation is a claim for entitlement that must be
    tied to an error in some prior decision. See Haines, 
    154 F.3d at
    1301–02 (stating that the CUE provision, 38 U.S.C.
    § 5109A, “provides nothing more than a procedure for a
    claimant to seek reconsideration of a limited type of error
    in a prior decision”). Thus, in considering whether
    Mrs. Crews’ CUE allegation is part of the pending claim,
    we must consider whether the pending claim challenges
    the same decision as Mrs. Crews’ CUE claim.
    As explained above, Mr. Crews never challenged the
    November 1960 decision, either in his September 2009
    claim or in his December 2006 claim. At most, the only
    prior decision the September 2009 claim can be said to
    challenge is the May 2007 decision. In contrast,
    Mrs. Crews’ entire basis for CUE depends on the November
    1960 decision. Because the September 2009 claim does not
    challenge this 1960 decision, Mrs. Crews’ CUE claim can-
    not simply be a new theory of entitlement under the pend-
    ing September 2009 claim.
    III
    Because we find that the Veterans Court did not mis-
    interpret 38 U.S.C. § 5121A by denying a substituted
    claimant from raising a CUE allegation never raised by the
    deceased veteran, we affirm.
    AFFIRMED
    COSTS
    No costs.