DocketNumber: 01-2133
Judges: Kramer, Ivers, Greene
Filed Date: 4/27/2004
Status: Precedential
Modified Date: 11/16/2024
ORDER
The veteran, Albert E. Long, appeals, through counsel, an August 27, 2001, decision of the Board of Veterans’ Appeals (Board) that dismissed for lack of jurisdiction his claim for entitlement to priority scheduling for VA medical treatment. The Board determined that the scheduling of medical appointments was á medical determination and thus not a justiciable issue and dismissed Mr. Long’s appeal. Record (R.) at 1-8. For the reasons that follow, Mr. Long’s appeal will be dismissed.
Mr. Long argues that the Board erred by dismissing his appeal for lack of jurisdiction. He contends that the Board has, and always did have, jurisdiction on the basis that his appeal is not based on a medical decision and that he is entitled to priority in scheduling of medical treatment as a 100% service-connected veteran pursuant to 38 C.F.R. § 17.99 (1998), which stated in pertinent part: “Unless compelling medical reasons indicate otherwise, eligible veterans shall be furnished outpatient medical services on a priority basis in the following order: (a) to any veteran for a service-connected disability; (b) to any veteran with a service-connected disability, rated at 50 percént or more.” Appellant’s Brief (Br.) at 5; see also R. at 70 (Substantive Appeal to Board). Mr. Long states that his medical appointments at the VA Medical Center (VAMC) in Prescott, Arizona, were either cancelled or changed on numerous occasions in 1994 in violation of § 17.99. On November 5, 1999, while Mr. Long’s claim was pending before VA,
The Secretary argues that the scheduling of medical appointments is a medical determination, expressly beyond the scope of the Board’s jurisdiction under 38 C.F.R. § 20.101 (2003). Secretary’s (Sec.) Br. at 5. He contends that the categories of priority status contained in § 17.99 were created for the enrollment of veterans into the healthcare system and not for use in priority scheduling of medical appointments. Id.
On October 30, 2002, Mr. Long filed a reply brief contending that the adoption of 38 C.F.R. § 17.49 on September 17, 2002, directly addresses the problem that he has raised. He states that “by resolving [the] appellant’s issue through administrative action, the Secretary acknowledges that [the] appellant had not raised a medical question.” Reply Br. at 2-3. Section 17.49 provides:
In scheduling appointments for outpatient medical services and admissions for inpatient hospital care, the Under Secretary for Health shall give priority to: (a) Veterans with service-connected disabilities rated 50 percent or greater based on one or more disabilities or unemploy-ability; and (b) Veterans needing care for a service-connected disability.
38 C.F.R. § 17.49 (2003). Although § 17.49 was adopted three weeks before the Secretary submitted his brief, he did not address this new regulation and instead argued that priority scheduling of medical appointments was a medical decision and thus not within the Board’s jurisdiction.
On October 3, 2003, the Court ordered the parties to file supplemental briefs addressing what effect, if any, the enactment of 38 C.F.R. § 17.49 had on Mr. Long’s appeal. In response, the Secretary argues that the new regulation enables designated groups of veterans to enjoy priority scheduling and that Mr. Long was not entitled to priority scheduling prior to the regulation’s enactment on September 17, 2002. Sec. Supplemental (Suppl.) Br. at 2. He contends- that the promulgation of § 17.49 has rendered Mr. Long’s appeal moot and dismissal is required because there is now no case or controversy before the Court. Id. In response, Mr. Long argues that his claim was not resolved by the adoption of § 17.49. Suppl. Br. at 1-4. He contends that the question raised on appeal is whether the scheduling of medical appointments is a medical decision immune from review by the Board. Mr. Long argues that the new regulation provides no assurance that a subsequent challenge of right to priority treatment based on disability status will not be dismissed by VA as a mere complaint regarding individual medical care, immune from review by the Board and the Court. Id. at 2-3. He urges the Court to remand the Board’s determination that his claim was based on a medical determination and beyond the Board’s jurisdiction.
This Court has adopted the case-or-controversy jurisdictional requirements imposed by Article III of the U.S. Constitution. See Zevalkink v. Brown, 102 F.3d 1236, 1243 (Fed.Cir.1996), cert, denied, 521 U.S. 1103, 117 S.Ct. 2478, 138 L.Ed.2d 988 (1997); Aronson v. Brown, 7 Vet.App. 153, 155 (1994) (stating that where case becomes moot, Court is divested of jurisdiction to consider it). When the relief
The action that Mr. Long requests, priority scheduling for medical appointments, has been completed by VA with the enactment of § 17.49. Despite that action, Mr. Long contends that the Board has, and always did have, jurisdiction because priority scheduling of medical appointments is not a medical question. Although Mr. Long concedes in his reply brief that his issue has been resolved by administrative action, he contends in his supplemental brief:
The enactment of 38 C.F.R. § 17.49 provides no assertion, assurance or expectation that a subsequent challenge of right to priority of medical treatment based on disability status -of the veteran will not be dismissed as a mere complaint regarding individual medical care, immune from review of the [Board] and the Court. The problem is easy to illustrate. If the Court dismisses the case as moot, any [v]eteran[s’] hospital could, despite the regulation, deny a 100% service[-]connected veteran priority for medical treatment. The aggrieved veteran would not have any legal remedy to rely upon to insist that he has priority. The hospital could still maintain that the issue is an individual medical decision.
Suppl. Br. at 2-3.
Mr. Long’s contentions are unclear concerning what, if any, present legal harm he suffers. He has not alleged in any of his three briefs to the Court that he is currently being denied priority status in the scheduling of his medical appointments at the VAMC. Mr. Long’s prediction of future denials is merely conjectural and seems to raise no more than a possibility that he will be subjected to the same action again. Mr. Long must show the existence of an immediate governmental action or policy that has adversely affected and continues to affect a present interest. The record on appeal reveals that Mr. Long had numerous medical appointments that were can-celled by the VAMC in 1994. However, there is no evidence in the record and Mr. Long does not assert that he is currently experiencing scheduling problems at a VAMC for his medical care. Accordingly, Mr. Long has not met the criteria for this matter to be considered an exception to the mootness doctrine.
Upon consideration of the foregoing, it is
ORDERED that the appeal is DISMISSED as moot.