Regina Pirkl v. Shinseki , 718 F.3d 1379 ( 2013 )


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  •   United States Court of Appeals
    for the Federal Circuit
    ______________________
    REGINA M. PIRKL,
    Claimant-Appellant,
    v.
    Eric K. Shinseki, SECRETARY OF VETERANS
    AFFAIRS,
    Respondent-Appellee.
    ______________________
    2012-7067
    ______________________
    Appeal from the United States Court of Appeals for
    Veterans Claims in No. 09-0175, Judge Lawrence B.
    Hagel.
    ______________________
    Decided: June 12, 2013
    ______________________
    KENNETH M. CARPENTER, Carpenter, Chartered, of
    Topeka Kansas, argued for claimant-appellant.
    JOHN J. TODOR, Trial Attorney, Commercial Litigation
    Branch, Civil Division, United States Department of
    Justice, of Washington, DC, argued for respondent-
    appellee. With him on the brief were STUART F. DELERY,
    Acting Assistant Attorney General, JEANNE E. DAVIDSON,
    Director, and MARTIN F. HOCKEY, JR., Assistant Director.
    2                                               PIRKL   v. DVA
    Of counsel on the brief was DAVID J. BARRANS, Deputy
    Assistant General Counsel, United States Department of
    Veterans Affairs, of Washington, DC.
    ______________________
    Before DYK, MAYER, and REYNA, Circuit Judges.
    REYNA, Circuit Judge.
    Regina M. Pirkl appeals from a final decision of the
    United States Court of Appeals for Veterans Claims (“the
    Veterans Court”) affirming a decision of the Board of
    Veterans’ Appeals (“the Board”) that Mrs. Pirkl’s late
    husband was not entitled to a 100% disability rating for
    the entire period of time between September 30, 1952,
    and August 30, 1988. Because the Board did not consider
    the effect of certain regulations governing a reduction of a
    total disability rating, we vacate and remand.
    BACKGROUND
    Mr. Pirkl served on active duty in the U.S. Navy from
    December 1947 to November 1949. Effective November
    1949, the Department of Veterans Affairs (“VA”) awarded
    Mr. Pirkl disability benefits for paranoid schizophrenic
    reaction, evaluated as 10% disabling. A VA regional office
    increased his disability rating to 100%, effective Septem-
    ber 30, 1952.
    On September 3, 1953, the regional office issued a rat-
    ing decision reducing Mr. Pirkl’s disability rating to 70%
    on the basis of the findings of a newly acquired VA medi-
    cal examination. The rating decision indicated that this
    reduction would become effective on November 3, 1953.
    Mr. Pirkl did not appeal this decision and it became final.
    In a December 10, 1956, rating decision, the regional
    office again reduced Mr. Pirkl’s disability rating, this time
    to 50%, effective February 9, 1957. The regional office
    based this reduction on the findings of a newly acquired
    VA medical examination and evidence pertaining to
    PIRKL   v. DVA                                          3
    changes in Mr. Pirkl’s employment status. Mr. Pirkl did
    not appeal this decision and it became final.
    In an April 13, 1966, rating decision, the regional of-
    fice further reduced Mr. Pirkl’s disability rating to 30%,
    effective July 1, 1966, on the basis of a newly acquired VA
    medical examination and additional evidence pertaining
    to Mr. Pirkl’s employment status. Mr. Pirkl appealed to
    the Board. In a January 12, 1967, decision, the Board
    concluded that Mr. Pirkl was not entitled to a disability
    rating in excess of 30%. Judicial review was unavailable
    at that time and this Board decision therefore was final.
    See Veterans’ Judicial Review Act, Pub. L. No. 100-687, §
    402, 
    102 Stat. 4105
    , 4122 (1988).
    In August 1991, Mr. Pirkl filed a claim to reopen a
    previously denied claim for an increased disability rating
    for his service-connected schizophrenic reaction that, after
    extensive development and litigation, resulted in an
    award of a 100% disability rating, effective November 30,
    1988.
    In December 2001, Mr. Pirkl filed with the VA a mo-
    tion to revise the three final regional office rating deci-
    sions based on clear and unmistakable error (“CUE”): 1 the
    September 3, 1953, rating decision that reduced Mr.
    Pirkl’s disability rating from 100% to 70%, effective
    November 3, 1953; the December 10, 1956, rating decision
    that further reduced his disability rating to 50%, effective
    February 9, 1957; and the April 13, 1966, rating decision
    1    Clear and unmistakable error generally occurs
    when the correct facts are not before the Board or when
    the Board incorrectly applies the relevant statutory or
    regulatory provisions. Where the result would have been
    manifestly different but-for such an error in fact or law, a
    finding of clear and unmistakable error is warranted. See
    
    38 CFR § 20.1403
    .
    4                                               PIRKL   v. DVA
    which again reduced his disability rating to 30%, effective
    July 1, 1966.
    The request for revision of the April 13, 1966, rating
    decision was addressed in the first instance by the Board
    in an August 2002 decision. See 
    38 U.S.C. § 7111
    (e)–(f)
    (2011) (providing that a request for revision of a final
    Board decision on the basis of CUE error “shall be sub-
    mitted directly to the Board and shall be decided by the
    Board on the merits, without referral to any adjudicative
    or hearing official acting on behalf of the Secretary”). As
    a result, the challenge to the April, 13, 1966, rating
    decision was treated as a request for revision or reversal
    of the January 12, 1967, Board decision. The Board
    concluded that its 1967 decision did not contain CUE and
    denied Mr. Pirkl’s motion. Mr. Pirkl did not appeal this
    decision and it became final.
    Subsequently, in February 2005, the regional office is-
    sued a rating decision concluding that neither the Sep-
    tember 3, 1953, regional office decision nor the December
    10, 1956, regional office decision contained CUE. In
    October 2005, Mr. Pirkl filed through counsel a Notice of
    Disagreement with this rating decision, but only refer-
    enced his disagreement with that portion of the February
    2005 rating decision that determined that the September
    3, 1953, rating decision did not contain CUE. In a March
    2006 Statement of the Case, the regional office again
    determined that the September 3, 1953, rating decision
    did not contain CUE. Mr. Pirkl appealed to the Board,
    once again asserting that the September 3, 1953, regional
    office decision contained CUE, but not mentioning the
    December 10, 1956, rating decision.
    In August 2006, the Board issued a decision conclud-
    ing that the September 3, 1953, regional office decision,
    which had reduced Mr. Pirkl’s disability rating from 100%
    to 70%, contained CUE. Later that month, the regional
    PIRKL   v. DVA                                           5
    office issued a rating decision intended to implement this
    Board decision. In relevant part, that decision stated:
    [The Board] decision dated August 14, 2006, found
    that [the] rating decision dated September 3,
    1953, had improperly reduced your evaluation
    from 100[%] to 70[%]. This rating decision puts
    the [Board] decision into effect. It is noted that
    the [Board] decision only address[ed] the issue of
    the evaluation assigned by the September 3, 1953,
    rating decision, and does not [a]ffect any of the
    rating decision[s] made subsequent to that date.
    J.A. 47 (Rating Decision Aug. 24, 2006). Accordingly, the
    regional office awarded a 100% disability rating from
    September 30, 1952, to February 9, 1957, the date on
    which the December 10, 1956, regional office decision
    made effective Mr. Pirkl’s reduced 50% disability rating.
    Mr. Pirkl subsequently filed a Notice of Disagreement
    with this rating decision, arguing that proper implemen-
    tation of the August 2006 Board decision would entitle
    him to a 100% disability rating not just from September
    30, 1952, to February 9, 1957, but from September 30,
    1952, to November 30, 1988. After further development,
    Mr. Pirkl appealed to the Board.
    In a September 2008 decision, the Board concluded
    that its August 2006 decision revised only the September
    3, 1953, regional office decision on the basis of CUE. It
    concluded that its finding of CUE in the September 3,
    1953, decision did not affect the finality of any subsequent
    decisions, including the December 10, 1956, regional office
    decision and the January 12, 1967, Board decision, both of
    which reduced Mr. Pirkl’s disability rating. The Board
    also determined that the regional office did not err in its
    implementation of the August 2006 Board decision.
    The Board concluded that any challenge to the effec-
    tive date assigned by the regional office for the restoration
    6                                               PIRKL   v. DVA
    of Mr. Pirkl’s 100% disability rating that did not involve a
    request for revision of the December 10, 1956, regional
    office decision and the January 12, 1967, Board decision
    amounted to a free-standing claim to change a previously
    established effective date, which is not contemplated by
    VA statutes and regulations. J.A. 57 (citing Rudd v.
    Nicholson, 
    20 Vet. App. 296
    , 300 (2006)). The Board
    therefore dismissed the claim asserted by Mr. Pirkl for
    100% disability for the entire period of time between
    September 30, 1952 and August 30, 1988. Mr. Pirkl
    appealed the Board’s dismissal to the Veterans Court, and
    the Veterans Court affirmed the decision of the Board.
    Mrs. Pirkl appeals to our court. 2 We have jurisdiction
    pursuant to 
    38 U.S.C. § 7292
    (a).
    STANDARD OF REVIEW
    Upon review of a challenge to a Veteran’s Court deci-
    sion, we may “hold unlawful and set aside any regulation
    or any interpretation thereof (other than a determination
    as to a factual matter) that was relied upon in the deci-
    sion of the Court of Appeals for Veterans Claims” if we
    find it to be
    (A) arbitrary, capricious, an abuse of discretion, or
    otherwise not in accordance with law;
    (B) contrary to constitutional right, power, privi-
    lege, or immunity;
    (C) in excess of statutory jurisdiction, authority,
    or limitations, or in violation of a statutory right;
    or
    2   During the pendency of this dispute, Mr. Pirkl
    died and the Court of Appeals for Veterans Claims substi-
    tuted his surviving spouse as the party-in-interest.
    PIRKL   v. DVA                                           7
    (D) without observance of procedure required by
    law.
    
    38 U.S.C.A. § 7292
     (d)(1).
    Our authority to review decisions of the Veterans
    Court includes plenary review of that court’s statutory
    interpretations, but does not extend to review of the
    court’s application of law to fact, except to the extent an
    appeal presents a constitutional issue. Carpenter v.
    Nicholson, 
    452 F.3d 1379
    , 1382-83 (Fed. Cir. 2006). If a
    statutory interpretation of the Veterans Court is not in
    accordance with law, we may “modify or reverse the
    decision of the Court of Appeals for Veterans Claims or to
    remand the matter, as appropriate.”           
    38 U.S.C. § 7292
    (e)(1).
    DISCUSSION
    The Veterans Court affirmed the Board’s decision that
    Mr. Pirkl was not entitled to a 100% disability rating for
    the entire period of time between September 30, 1952,
    and August 30, 1988. Pirkl v. Shinseki, No. 09–0175,
    
    2011 WL 5429156
     (Vet. App. Nov. 10, 2011). In reaching
    this determination, the Veterans Court found that “nei-
    ther the December 10, 1956, regional office decision nor
    the Board decision of January 12, 1967, was premised on
    the clearly and unmistakably erroneous September 3,
    1953, regional office decision.” Id. at *4. “[A]s described
    in those decisions,” the Veterans Court said, “the justifica-
    tion for the rating reductions they effectuated was in each
    instance newly acquired VA medical examinations and
    evidence of changes in Mr. Pirkl’s employment status.”
    Id. The Veterans Court thus concluded that the finding of
    CUE in the September 1953 regional office decision did
    not affect the subsequent reductions effected by the 1956
    and 1967 decisions, which the court found to be independ-
    ent of the 1953 decision. Id. at *6 (“A restoration of a
    100% disability rating for this entire period was not
    8                                                 PIRKL   v. DVA
    possible due to the December 10, 1956, regional office
    decision and the January 12, 1967, Board decision . . . .”).
    The Veterans Court also affirmed the Board’s conclu-
    sion that Mrs. Pirkl’s claim was procedurally improper.
    Id. at *6–7. Because Mrs. Pirkl had argued only that the
    1953 regional office decision contained CUE, the Board
    found that the 1956 and 1967 decisions were not properly
    before it. The Veterans Court agreed with the Board, and
    treated Mrs. Pirkl’s argument as a “free-standing claim,”
    which the court determined “is not contemplated by VA
    statutes and regulations.” Id.
    On appeal, Mrs. Pirkl makes two alternative argu-
    ments. First, Mrs. Pirkl argues that the Veterans Court
    relied upon a misinterpretation of 38 U.S.C. § 5109A(b),
    which requires that a decision finding CUE in a prior
    decision “has the same effect as if the decision had been
    made on the date of the prior decision.” 38 U.S.C. §
    5109A(b). Under Mrs. Pirkl’s interpretation of the stat-
    ute, “once CUE in the 1953 RO decision was found, the
    VA should have re-instated Mr. Pirkl’s 100% rating from
    1953 forward, without interruption.” Appellant Br. 6.
    Second, Mrs. Pirkl argues that in 1956, a reduction in
    a total disability rating was governed by 
    38 C.F.R. § 3.170
    (1949). This regulation, in relevant part, provided that:
    Total disability ratings . . . will not be reduced, in
    the absence of clear error, without physical exam-
    ination showing material improvement in
    physical condition. Examination reports show-
    ing material improvement must be evaluated in
    conjunction with all the facts of record . . . .
    
    38 C.F.R. § 3.170
     (1949) (emphasis provided). 3
    3   The regulation was amended in 1956. See 
    38 C.F.R. § 3.170
     (1956). The relevant provision was again
    amended in 1966, and recodified as 
    38 C.F.R. § 3.343
    PIRKL   v. DVA                                          9
    Specifically, Mrs. Pirkl argues that, once CUE was
    found in the 1953 decision and Mr. Pirkl’s 100% total
    disability rating was reinstated as of the date of the 1953
    decision, § 3.170 became applicable to any subsequent
    reduction to Mr. Pirkl’s disability rating. Hence, any
    reduction to Mr. Pirkl’s disability rating was subject to
    the “material improvement” requirement of § 3.170.
    Appellant Br. 9. Mrs. Pirkl contends that because his
    100% disability rating was reduced without first meeting
    the material improvement requirement under § 3.170, the
    1956 and 1966 reductions “became null and void because
    of their connection to the legally improper 1953 reduc-
    tion.” Id.
    The Government argues that a finding of CUE affects
    only the decision at issue in the CUE claim, here, the
    1953 decision. According to the Government, “[t]he
    statute thus provides no authority for abrogating the
    finality of later decisions if those later decisions are not
    shown to contain CUE.” Appellee Br. 13 (emphasis add-
    ed). In the Government’s view, the 1956 RO decision and
    1967 Board decision (which subsumed the 1966 RO deci-
    sion) are independent final decisions under the statute,
    and cannot be reversed or revised unless CUE is shown to
    exist independently in those decisions. The Government
    argues that Mrs. Pirkl “cannot rely upon a finding of CUE
    to [sic] in the 1953 RO decision alone to abrogate the
    finality of those later decisions, without showing that the
    later decisions contained CUE affecting the outcome of
    those decisions.” Id. at 14.
    The Government argues that Mrs. Pirkl’s appeal at-
    tempts improperly to raise a freestanding claim to change
    a previously established effective date by means other
    (1966). The provision is codified presently as 
    38 C.F.R. § 3.343
    (a) (2012).
    10                                              PIRKL   v. DVA
    than a claim of CUE or new and material evidence. Id. at
    21.
    Under the statute, a finding of CUE in a prior deci-
    sion must be implemented as if it had been made on the
    date of the prior decision. This necessarily implies retro-
    active effect. Here, the statute provides that “a rating or
    other adjudicative decision that constitutes a reversal or
    revision of a prior decision on the grounds of CUE has the
    same effect as if the decision had been made on the date
    of the prior decision.” 38 U.S.C. § 5109A(b).
    Thus, while the Government is correct that the find-
    ing of CUE in the 1953 decision does not necessarily
    render null and void a subsequent, independent rating
    decision, the finding of CUE can change the legal and
    factual background against which a subsequent rating
    decision is made, which is what happened in this case.
    It is clear that the Board’s finding of CUE in the 1953
    decision changed the factual and legal background
    against which subsequent reductions were made, and that
    the Board failed to consider the effect of this change in
    implementing its finding of CUE. See 38 U.S.C. §
    5109A(b) (“[A] rating or other adjudicative decision that
    constitutes a reversal or revision of a prior decision on the
    grounds of CUE has the same effect as if the decision had
    been made on the date of the prior decision.” (emphasis
    added)).
    When the Board determined that the September 1953
    decision contained CUE, Mr. Pirkl’s disability rating was
    reset to 100% as of the date of the 1953 decision. This
    means that the subsequent reduction of Mr. Pirkl’s disa-
    bility rating in 1956 became an effective reduction from a
    100% total disability rating, not from a 70% disability
    rating.
    We accept, as we must, the Veterans Court’s factual
    determination that the subsequent reductions in 1956 and
    PIRKL   v. DVA                                         11
    1966 of Mr. Pirkl’s disability rating stand as independent
    decisions. See Pirkl, 
    2011 WL 5429156
    , at *4. We thus
    reject Mrs. Pirkl’s argument that the Board’s finding of
    CUE in the 1953 decision initiated a “chain reaction” that
    necessarily rendered those later decisions “null and void.”
    Nevertheless, while the 1956 and 1966 decisions
    stand as independent evaluations, the finding of CUE in
    the 1953 decision effected a change in the legal context
    applicable to those later decisions. Here, the Board failed
    to consider the effect of the applicability of 
    38 C.F.R. § 3.170
     (1949) or its successor regulations in the 1956 and
    1966 decisions. For example, we find no support in the
    record that establishes the 1956 rating decision took into
    account the “material improvement” standard contained
    in § 3.170. The CUE finding with respect to the 1953
    decision thus requires the Board to revisit these later
    findings and determine the extent to which the CUE
    finding changes the legal or factual basis of the later
    evaluations. See 38 U.S.C. § 5109A(b).
    We acknowledge the importance of the rule of finality.
    Yet we have made clear that a CUE challenge is one of
    two statutory exceptions to the finality rule.     Cook v.
    Principi, 
    318 F.3d 1334
    , 1339 (Fed. Cir. 2002) (“Congress
    knew how to create exceptions to the finality of VA deci-
    sions, and it explicitly did so in two circumstances. It
    enacted the statutes codifying CUE challenges (sections
    5109A and 7111) and the statute allowing claims based on
    new and material evidence (section 5108).”). Under 38
    U.S.C. § 5109A(b), a finding of CUE may, under some
    circumstances, require a later decision to be revisited.
    See 38 U.S.C. § 5109A(b) (“[A] rating or other adjudicative
    decision that constitutes a reversal or revision of a prior
    decision on the grounds of CUE has the same effect as if
    the decision had been made on the date of the prior deci-
    sion.”). As the Government admits, “[i]n some circum-
    stances, a finding of CUE in a prior decision may
    necessarily establish that subsequent decisions on the
    12                                              PIRKL   v. DVA
    same matter are clearly and unmistakably erroneous.”
    Appellee Br. 20. That may or may not be the case here.
    To be clear, we do not find that the finding of CUE in
    the 1953 decision necessarily rendered the later rating
    decisions clearly and unmistakably erroneous. We hold
    that the regional office, in implementing the Board’s
    finding of CUE, was required to consider the effects of
    that CUE finding on the legal and factual basis of the
    subsequent rating decisions. We therefore vacate the
    decision of the Veterans Court, and remand to the Board
    so that it may consider in the first instance, and as part of
    the implementation of its CUE finding, whether the
    subsequent reductions of Mr. Pirkl’s disability rating in
    1956 and 1966 remain proper in view of the applicable
    regulations in effect at the time.
    CONCLUSION
    For the reasons above, we vacate the decision of the
    Veteran Court, and remand to the Board to consider the
    effect of 
    38 C.F.R. § 3.170
     (1949) or its successor regula-
    tions on the December 1956 and April 1966 reductions.
    VACATED AND REMANDED
    

Document Info

Docket Number: 2012-7067

Citation Numbers: 718 F.3d 1379, 2013 WL 2500586, 2013 U.S. App. LEXIS 11768

Judges: Dyk, Mayer, Reyna

Filed Date: 6/12/2013

Precedential Status: Precedential

Modified Date: 10/19/2024