Andre Martinez v. Robert L. Wilkie

CourtUnited States Court of Appeals for Veterans Claims
DecidedMay 21, 2019
Docket17-1551
StatusPublished

This text of Andre Martinez v. Robert L. Wilkie (Andre Martinez v. Robert L. Wilkie) is published on Counsel Stack Legal Research, covering United States Court of Appeals for Veterans Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Andre Martinez v. Robert L. Wilkie, (Cal. 2019).

Opinion

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

No. 17-1551

ANDRE MARTINEZ, APPELLANT,

V.

ROBERT L. WILKIE, SECRETARY OF VETERANS AFFAIRS, APPELLEE.

On Appeal from the Board of Veterans' Appeals

(Argued March 28, 2019 Decided May 21, 2019)

Christopher F. Attig, of Little Rock, Arkansas, for the appellant.

Ashley D. Varga, with whom Jessica K. Grunberg; James M. Byrne, General Counsel; Mary Ann Flynn, Chief Counsel; and Edward V. Cassidy, Jr., Deputy Chief Counsel, were on the brief, all of Washington, D.C., for the appellee.

Before MEREDITH, TOTH, and FALVEY, Judges.

FALVEY, Judge: In this appeal, which is timely and over which the Court has jurisdiction, see 38 U.S.C. §§ 7252(a), 7266(a), we are asked to decide whether the Secretary's failure to automatically provide a claimant with a copy of a VA medical examination report violates either the duty to assist provision of 38 U.S.C. § 5103A or the Due Process Clause of the Fifth Amendment to the U.S. Constitution.1 The appellant challenges a January 27, 2017, Board of Veterans' Appeals (Board) decision that denied disability compensation for sleep apnea. 2 The

1 Mr. Martinez did not raise these arguments below, but we have jurisdiction over his claim and the relevant facts are not in dispute. After balancing the competing interests at stake, we will exercise our discretion to address the arguments in the first instance. See Maggitt v. West, 202 F.3d 1370, 1377-78 (Fed. Cir. 2000) (when presented with an issue newly raised on appeal related to a claim over which it otherwise has jurisdiction, the Court has discretion to hear the issue). 2 The Board also denied an earlier effective date for service-connected post-traumatic stress disorder (PTSD). The appellant does not challenge this denial, and the Court will not address it on appeal. See Pederson v. McDonald, 27 Vet.App. 276, 283 (2015) (en banc) ("[T]his Court, like other courts, will generally decline to exercise its authority to address an issue not raised by an appellant in his or her opening brief.") (emphasis omitted). The Board also remanded the matters of service connection for a joint disorder of the left hip, left knee, and left ankle; an increased initial disability rating for status-post L3-L4 hemilaminectomy and microdiscectomy; an increased initial disability rating for radiculopathy of the left lower extremity; an increased initial disability rating for peripheral neuropathy of the right lower extremity; an increased initial disability rating for peripheral neuropathy of the left lower extremity; an increased initial disability rating for PTSD with major depressive disorder; a compensable disability rating for headaches; and a total disability rating based on individual unemployability. The Court lacks jurisdiction to address Board's denial was based in part on a 2016 VA medical examination. Although VA informed Mr. Martinez that this examination was in VA's possession and that it supported a denial of benefits, he did not request a copy before the Board denied his claim. We hold that neither section 5103A nor constitutional due process, as applied to Mr. Martinez, required the Secretary to have automatically provided the veteranwith a copy of a VA medical examination prior to rendering an adverse decision on his claim. Therefore, we will affirm the Board's January 27, 2017, decision.

I. RELEVANT FACTS AND PROCEDURAL HISTORY The appellant served honorably in the U.S. Army from January 1969 to December 1970 and from September 1981 to April 1988. In May 2005, he filed his current claim for sleep apnea. Record (R.) at 3380. We address here only the most salient aspects of his lengthy claim history. In January 2016, VA obtained a VA medical examination report that addressed whether the veteran's sleep apnea is related to his service-connected post-traumatic stress disorder. R. at 499-506. The 2016 examiner concluded that the veteran's sleep apnea was less likely than not caused or aggravated by PTSD. R. at 505. The examiner noted that the medical literature shows that PTSD does not cause sleep apnea. Id. Regarding aggravation, the examiner observed that, if a mental condition leads to overeating, it may be possible for that condition to worsen sleep apnea because increased fatty tissue reduces airway capacity. Id. But, the examiner explained that, in Mr. Martinez's case, PTSD did not aggravate sleep apnea because the veteran's "body mass index is not at a level that might produce airway restriction." Id. In May 2016, relying on this examination, the regional office (RO) issued a Supplemental Statement of the Case (SSOC) that again denied compensation for sleep apnea. R. at 237-46. The RO discussed the 2016 examination in detail and explained that the examiner found it less likely than not that sleep apnea is related to a service-connected mental condition in part because "there is no accepted clinical reasoning or research to suggest PTSD causes obstructive sleep apnea." R. at 245. Because the record showed no evidence connecting sleep apnea to service or a service- connected disability, the RO denied compensation. R. at 246. The SSOC was sent to both Mr. Martinez and his then counsel. See R. at 235, 914-17.

these nonfinal matters. See 38 U.S.C. § 7252(a) (Court has "exclusive jurisdiction" to review final Board decisions); Breeden v. Principi, 17 Vet.App. 475, 478 (2004) (per curiam order) (a Board remand "does not represent a final decision over which this Court has jurisdiction").

2 After the 2016 SSOC issued, Mr. Martinez's claim returned to the Board and resumed its place on the Board's docket. R. at 162. The Board then notified the veteran that he had 90 days to submit additional argument and evidence. Id. In response, Mr. Martinez, through former counsel, informed the Board that he planned to submit a written brief and might also submit additional evidence for the Board's consideration. R. at 146. He later requested that the Board delay deciding his appeal for 30 more days so that he could "submit a written brief and any additional evidence." R. at 132. As promised, Mr. Martinez submitted a timely written brief in which he argued that sleep apnea should be secondarily service-connected to PTSD because medical treatise evidence attached to the brief definitively showed a causal relationship between the two conditions. R. at 39. At no point did the veteran ask VA to provide him a copy of the 2016 VA examination. On January 27, 2017, the Board denied compensation for sleep apnea. R. at 6. The Board explained that it found the 2016 VA examination highly probative and that the veteran's medical treatise evidence did not support his claim. R. at 12-16. The veteran now appeals the Board's decision.

II. ANALYSIS3 The appellant challenges the Board's decision to deny him disability compensation for sleep apnea, basing his primary argument on his reading of certain provisions in title 38 of the U.S. Code. Appellant's Brief (Br.) at 9-18; Reply Br. at 3-11. Secondarily, he invokes the Due Process Clause of the Fifth Amendment to the U.S. Constitution for remand of the Board's decision. Appellant's Br. at 19-29; Reply Br. at 11-15. Ultimately, his arguments are not persuasive and, additionally, he fails to demonstrate prejudicial error. We begin by addressing the questions of statutory interpretation and then turn to the appellant's due process argument.

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Andre Martinez v. Robert L. Wilkie, Counsel Stack Legal Research, https://law.counselstack.com/opinion/andre-martinez-v-robert-l-wilkie-cavc-2019.