Antonio Pacheco v. Sloan D. Gibson

27 Vet. App. 21, 2014 U.S. Vet. App. LEXIS 1237, 2014 WL 3513387
CourtUnited States Court of Appeals for Veterans Claims
DecidedJuly 17, 2014
Docket12-0389
StatusPublished
Cited by13 cases

This text of 27 Vet. App. 21 (Antonio Pacheco v. Sloan D. Gibson) 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
Antonio Pacheco v. Sloan D. Gibson, 27 Vet. App. 21, 2014 U.S. Vet. App. LEXIS 1237, 2014 WL 3513387 (Cal. 2014).

Opinions

PER CURIAM:

World War II veteran Antonio Pacheco appeals through counsel1 the September 22, 2011, Board of Veterans’ Appeals (Board) decision that denied an effective date prior to January 23, 2002, for (1) a right leg and hip disability, (2) pelvic asymmetry, (3) dependents’ educational assistance (DEA) benefits, and (4) special monthly compensation (SMC). Mr. Pacheco argues that an earlier effective date is warranted pursuant to 38 C.F.R. § 3.157(b) (allowing for an earlier effective [23]*23date based on the submission of certain medical reports) and 38 C.F.R. § 3.156(c) (allowing for an earlier effective date based on newly discovered service department records). In a panel opinion issued January 16, 2014, the Court reversed the Board’s effective date decision and held that, as long as a pension claim previously has been allowed as required in § 3.157(b), a VA examination report will constitute the requisite informal claim for increase or reopening under § 3.157(b)(1). Pacheco v. Shinseki 26 Vet.App. 413, 417 (2014). The Secretary filed a motion seeking en banc review on the interpretation of § 3.157(b) because it involved an issue of exceptional importance. He argues that the plain meaning of § 3.157(b) compels a result different from that rendered by the panel, and he alternatively argues that, to the extent that the regulation is ambiguous, the Court should defer to his interpretation thereof. Mr. Pacheco filed a response on April 3, 2014. The Secretary’s motion for en banc review was granted on May 15, 2014.

For the reasons discussed below, we hold that § 3.157(b) is ambiguous and deference to the Secretary’s interpretation of this regulation is warranted. We also, however, exercise our discretion to remand the matter for the Board to address in the first instance a possible earlier effective date for Mr. Pacheco’s benefits under § 3.156(c). See Maggitt v. West, 202 F.3d 1370, 1377 (Fed.Cir.2000) (Court has discretion to remand for initial adjudication an issue raised for the first time on appeal). Accordingly, the Court’s January 16, 2014, opinion is withdrawn, and the September 22, 2011, Board decision on appeal will be set aside and the matter remanded for further adjudication.

I. BACKGROUND

Mr. Pacheco served honorably on active duty in the U.S. Army from January 1942 to November 1945. He reports that, during combat service in 1942 in the Pacific Theater, he took cover in a fox hole while his base was taking fire and injured his right leg and hip when fellow soldiers jumped in and landed on him. On February 28, 1974, Mr. Pacheco sought VA benefits for his injuries. In a July 1974 rating decision, he was awarded non-service-connected pension benefits, but denied disability compensation benefits because entitlement was “not shown by [the] evidence of record.” Record (R.) at 1370. Mr. Pacheco also was informed that his service medical records appeared to have been destroyed in the July 1973 fire at the National Personnel Records Center (NPRC).

In October 1977, Mr. Pacheco again filed for compensation benefits based on his right leg and hip disability. In February 1978, the Secretary located service department records — morning reports — from Mr. Pacheco’s military units that indicated he had been hospitalized and “taken sick” several times during 1943, R. at 1295. In March 1978, however, his disability compensation claim was denied again on the merits because the morning reports did not specify any diagnosis for his hospitalization or sickness. The Secretary also determined that Mr. Pacheco was no longer eligible for non-service-connected pension because his income was too high.

Mr. Pacheco attempted to reopen his disability compensation claim based on his leg and hip injuries again in April 1982, October 1988, February 1989, and September 1995, but these attempts were denied. Moreover, in December 1998, the NPRC informed Mr. Pacheco that it had again attempted to locate his service department records, but that it “was unable to locate any alternat[iv]e record sources containing remarks pertaining to diagnosis or treatment.” R. at 913. Mr. Pacheco sought [24]*24VA medical treatment for his disabilities, and on May 11, 2001, a VA physician assistant examined him and noted that he had “sever[e] DJD [(degenerative joint disease)]” that was “probabl[y] post[-]traumatic.” R. at 614. In January 2002, Mr. Pacheco submitted another request to reopen his previously denied claim.

Based on that request and the May 2001 VA medical examination record,.the Board reopened Mr. Pacheco’s claim for disability compensation and remanded the matter to obtain a medical opinion on the relationship between his current disabilities and service. In November 2004, a VA medical examiner opined that the current disabilities were related to service, and, the following month, Mr. Pacheco was granted service connection for his right leg and hip disability, and pelvic asymmetry, at disability ratings of 90% and 10%, respectively, as well as DEA and SMC. In August 2005, Mr. Pacheco was awarded an effective date for these benefits of January 23, 2002, the date.the Secretary received his request to reopen. In October 2008, Mr. Pacheco submitted additional service department records.

Mr. Pacheco sought an earlier effective date in' his appeal to the Board, which was denied, and he appealed to the Court. Before the Court in February 2011, the Secretary argued that remand was warranted for the Board to address whether the May 2001 VA medical examination record constituted an informal claim to reopen under § 3.157(b), and, on that basis, the Court remanded the issue of an earlier effective date in June 2011. Pacheco v. Shinseki, No. 10-1991, 2011 WL 2516195, at *2-*3 (U.S. Vet.App. June 24, 2011).

On remand, in the September 2011 decision now on appeal, the Board again denied Mr. Pacheco entitlement to an effective date prior to January 23, 2002, for his service-connected disabilities. The Board determined that the May 2001 VA treatment record “could not be considered a claim under 38 C.F.R. § 3.157(b)(1).” R. at 10. In so concluding, the Board stated that Mr. Pacheco “does not meet the threshold criteria” for § 3.157(b), because (1) a “formal claim for pension or compensation had not been allowed (or denied because the disability was noncompensa-ble),” and (2) he was not service connected for the disabilities at issue at the time of the May 2001 VA medical examination record. R. at 9-10. This appeal followed.

II. ANALYSIS

A. Earlier Effective Date Under 38 C.F.R. § 3.157(b) and (b)(1)

Mr. Pacheco argues that the Board should have awarded him an earlier effective date under § 3.157(b) and (b)(1). That provision states:

(b) Claim. Once a formal claim for pension or compensation has been allowed or a formal claim for compensation disallowed for the reason that the service-connected disability is not compensable in degree, receipt of one of the following will be accepted as an informal claim for increased benefits or an informal claim to reopen.

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Bluebook (online)
27 Vet. App. 21, 2014 U.S. Vet. App. LEXIS 1237, 2014 WL 3513387, Counsel Stack Legal Research, https://law.counselstack.com/opinion/antonio-pacheco-v-sloan-d-gibson-cavc-2014.