Beraud v. McDonald

766 F.3d 1402, 27 Vet. App. 1402, 2014 U.S. App. LEXIS 17610, 2014 WL 4473760
CourtCourt of Appeals for the Federal Circuit
DecidedSeptember 12, 2014
Docket2013-7125
StatusPublished
Cited by21 cases

This text of 766 F.3d 1402 (Beraud v. McDonald) is published on Counsel Stack Legal Research, covering Court of Appeals for the Federal Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Beraud v. McDonald, 766 F.3d 1402, 27 Vet. App. 1402, 2014 U.S. App. LEXIS 17610, 2014 WL 4473760 (Fed. Cir. 2014).

Opinions

Opinion for the court filed by Circuit Judge O’MALLEY.

Dissenting opinion filed by Circuit Judge LOURIE.

O’MALLEY, Circuit Judge.

Leonard Beraud challenges a U.S. Court of Appeals for Veterans Claims (“Veterans Court”) judgment affirming a Board of Veterans Appeals (“the Board”) decision. That Board decision set the effective date for Beraud’s service connected disability award at August 27, 2004. Beraud claims the effective date should be in 1985, when he first filed his disability claim. The Board found that Beraud’s 1985 claim for service connection became final upon final denial of an identical claim in 1990. Because the Department of Veterans Affairs (“VA”) failed to determine whether evidence Beraud timely submitted after the decision on the 1985 claim was new and material under 38 C.F.R. § 3.156(b) (2014), however, that initial claim remained pending, despite the subsequent final decision. We therefore reverse and remand for further proceedings consistent with this opinion.

Background

. Beraud served on active duty in the U.S. Navy from July 1974 to July 1977, and thereafter served in the naval reserves until May 1988.

On March 23,1985, Beraud filed a claim with a VA Regional Office (“RO”) for, inter alia, a headache disorder described as “headaches by forehead over right eye,” allegedly resulting from head trauma while on active duty. J.A. 30, 113. On November 12, 1985, the RO sent Beraud a letter, informing him that it was having difficulty finding his service medical records and requesting that he identify his reserve units so that it could obtain records from them (“November 12 letter”).

On November 29, 1985, before Beraud responded to the RO’s request, the RO issued a rating decision denying his claim, explaining that, although the records before it documented complaints of headaches, those records showed no evidence of a chronic headache disorder. The RO informed him of the decision and of his appellate rights on December 9,1985.

Although Beraud did not appeal this decision, on December 16, 1985, he responded to the RO’s November 12 letter, indicating the location of his additional service medical records (“December 1985 letter”). The RO never responded to the letter.

On December 29, 1989, Beraud asked the RO to reopen his previously denied claim for headaches. The RO reopened the claim, but denied that claim on the merits on February 12, 1990, finding that Beraud did not incur the headache disorder, or aggravation thereof, during his period of service (“1990 Decision”). The RO did not refer to Beraud’s December 1985 letter, nor did it mention the medical records that were the subject of the letter. Beraud did not appeal the 1990 Decision.

Beraud again asked the RO to reopen his claim in 1992 and 2002, but the RO denied both requests because it found that [1404]*1404he had not submitted new and material evidence justifying a reopening.

On August 27, 2004, Beraud submitted to the RO an informal claim for disability compensation for the same headache disorder. In evaluating his claim, the VA considered a November 2004 VA medical opinion stating that his headaches are attributable to a head injury he sustained during active duty in 1975. Based on this evidence, the RO granted Beraud service connection for migraine headaches in a December 2004 rating decision. The RO assigned him a fifty percent disability rating, effective August 27, 2004, the date Beraud submitted the informal claim.

Beraud appealed the December 2004 decision, asserting that the effective date for his award should have been the date he initially filed his claim for a headache disorder in 1985. In December 2010, the Board denied Beraud’s appeal, finding that the decision on his initial claim in 1985 and the subsequent 1990 Decision denying the identical claim were final. The Board also noted that Beraud’s claims in 1992 and 2002 were now final, and that the VA had received no other communication indicating an intent to apply for disability compensation for a headache disorder until August 2004. Therefore, the Board determined that Beraud could not obtain an effective date for his award earlier than August 27, 2004.

Beraud appealed to the Veterans Court, arguing that his initial claim was not final because the VA never determined whether the medical records Beraud referred to in his December 1985 letter constituted new and material evidence under 38 C.F.R. § 3.156(b). According to Beraud, that new evidence gave rise to a pending, unadjudi-cated claim. See Beraud v. Shinseki, 26 Vet.App. 313, 317-18 (2013).

Though the panel majority affirmed the Board decision, it first acknowledged that VA regulations and precedent make clear that a claim remains pending until the VA renders a final decision. Id. at 318. It also noted that, when the VA receives new and material evidence within the one-year appeal period after it issues a rating decision, it “must readjudicate the claim and failure to do so may render the claim pending and unadjudicated.” Id.

Citing this court’s holding in Williams v. Peake, 521 F.3d 1348, 1351 (Fed.Cir.2008), however, the majority stated that a “subsequent final adjudication of a claim which is identical to a pending claim that has not been finally adjudicated terminates the pending status of the earlier claim.” Beraud, 26 Vet.App. at 318-19. The majority thus concluded that, even if Beraud’s initial claim remained pending because the VA had not made the required § 3.156(b) determination, the 1990 Decision nevertheless terminated the pendency of that claim. Id. at 320, In reaching this conclusion, the majority also presumed that, in making the 1990 Decision, the VA considered all relevant evidence, including the records Beraud referred to in his December 1985 letter. Id. at 320 n. 4.

According to the dissent, however, because the VA never determined whether those medical records constituted new and material evidence under § 3.156(b), the initial claim remained pending despite the 1990 Decision. Id. at 322. The dissent argued that Williams is inapplicable because, here, a specific regulation — 38 C.F.R. § 3.156(b) — “requires continued pendency of a claim, even where there is a subsequent final denial,, if the evidence has not been considered by the adjudicating or appellate body.” J.A. 17. Indeed, the dissent noted that the medical records which the RO said it needed in 1985 “appear to be yet unobtained.” Id. at 322.

[1405]*1405Discussion

This court reviews the Veterans Court’s legal determinations de novo, Rodriguez v. Peake, 511 F.3d 1147, 1152 (Fed.Cir.2008). Under 38 U.S.C. § 7292(d)(2) (2012), except to the extent that an appeal presents a constitutional issue, this court may not review a challenge to a factual determination or the application of law to fact.

In pertinent part, § 3.156(b) states that “[n]ew and material evidence received prior to the expiration of the appeal period ...

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Bluebook (online)
766 F.3d 1402, 27 Vet. App. 1402, 2014 U.S. App. LEXIS 17610, 2014 WL 4473760, Counsel Stack Legal Research, https://law.counselstack.com/opinion/beraud-v-mcdonald-cafc-2014.