Buie v. Shinseki

24 Vet. App. 242, 2011 WL 2150699
CourtUnited States Court of Appeals for Veterans Claims
DecidedMarch 23, 2010
DocketNo. 08-2705
StatusPublished
Cited by71 cases

This text of 24 Vet. App. 242 (Buie v. Shinseki) 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
Buie v. Shinseki, 24 Vet. App. 242, 2011 WL 2150699 (Cal. 2010).

Opinion

PER CURIAM:

James E. Buie appeals through counsel a May 5, 2008, Board of Veterans’ Appeals (Board) decision that (1) granted an effective date of April 16,1998, for the award of a total disability rating based on individual unemployability; and (2) granted an effective date of April 16,1998, for the award of a 60% disability rating for a low back disability.1 The Court has jurisdiction pursuant to 38 U.S.C. §§ 7252(a) and 7266(a) to review the Board decision.

The novel legal issue raised by this case is whether a claimant may be awarded special monthly compensation under 38 U.S.C. § 1114(s) when the claimant has a total disability rating based on individual unemployability that is based on more than one underlying disability. The Court holds that a total disability rating based on individual unemployability that is based on more than one underlying disability does not satisfy the first requirement of section 1114(s) that a claimant have “a service-connected disability rated as total.” The Court also holds, however, that when such a situation arises, VA’s duty to maximize a claimant’s benefits requires VA to assess all of the claimant’s service-connected disabilities without regard to the order in which service connection was awarded to determine whether any combination of the disabilities establishes eligibility for special monthly compensation under section 1114(8).

Because the Board failed to consider whether the combination of Mr. Buie’s disabilities might entitle him to special monthly compensation, and because the Board failed to consider the application of 38 C.F.R. § 3.156(b) in regard to the effective date for Mr. Buie’s low back disability, the Court will vacate the May 2008 Board decision and remand the matters for read-judication consistent with this decision.

I. FACTS

Mr. Buie served on active duty in the U.S. Army from December 1965 to June 1967. He was awarded VA disability benefits for a low back condition and assigned a 10% disability rating in June 1971.

In November 1995, Mr. Buie sought an increased disability rating for his low back condition and advised VA that he had been “approved for 100% disability by [the Social Security Administration] for this disability,” and that he had not worked since [244]*2441974 because his back condition was “totally disabling.” Record (R.) at 2492. In February 1996, VA sent Mr. Buie a letter advising him that he might be entitled to a total disability rating if he was unable to “secure and follow a substantially gainful occupation” because of his service-connected disabilities. R. at 2490. The letter continued: “If you believe that you qualify, please complete and return the enclosed VA Form 21-8940, Veteran’s Application for Increased Compensation Based on Un-employability.” Id. Neither party disputes that Mr. Buie did not return the enclosed form.

In May 1996, a VA regional office considered medical reports from the Social Security Administration “through” February 1983, and outpatient treatment records from the Fayetteville, North Carolina, VA medical center dated March to November 1995. The regional office determined that the medical evidence did not support a 20% disability rating and denied Mr. Buie’s claim. The regional office did not expressly consider or discuss entitlement to a total disability rating based on individual unemployability, but noted that the Social Security Administration records “primarily show disability due to neuropsy-chiatric impairment, with lumbar injuries noted in service, and again at work [on September 7, 1971,] and [January 7, 1973,] by history only. Older records refer to Worker’s Compensation settlement with ongoing benefits for the 1971 injury.” R. at 2303.

In February 1997, Mr. Buie submitted a statement in support of claim:

I would like to reopen my claim to have my 10% [service-connected] back injury increased to a higher rating. I receive all my medical care at [the] VA [medical center in] Fayetteville. My back is worse because I have more pain and difficulty bending and standing for long periods of time.

R. at 2299. In July 1997, the regional office considered outpatient treatment records dated November 1995 to June 1996 from the Fayetteville VA medical center, as well as an April 1997 VA orthopedic examination report. The regional office found that the outpatient treatment records were “completely negative for complaints, symptoms, diagnosis!,] and treatment” of Mr. Buie’s service-connected low back disability. R. at 2265. Based on the April 1997 VA examination, however, the regional office increased Mr. Buie’s low back disability rating to 20%, effective February 17, 1997, though no explanation was given for the assignment of the effective date.2

In August 1997, Mr. Buie again submitted a statement in support of claim:

I am requesting an upgrade for my condition — back strain[ — ]and please note the enclosed medical paperwork. I now have a 20% [service-connected] rating for the back strain but the condition has worsened. Also, I have been on medication for several years for the condition. The medical paperwork is from [245]*245[the Durham, North Carolina, VA medical center].

R. at 2260. In March 1998, the regional office considered VA outpatient treatment records from an unspecified VA medical center dated August 1994 and September 1995 (the later of which the regional office determined was a duplicate of a record already considered by VA) and a hospital report from the Durham VA medical center dated April to May 1997, as well as other evidence. The regional office noted that the August 1994 record showed that Mr. Buie had been seen for “recurrent low back pain.” R. at 2239. Based on an April 1997 VA examination (presumably the same examination on which the regional office relied in its July 1997 decision), the regional office increased Mr. Buie’s disability rating for his low back condition to 40%, effective February 5, 1997, the date the “[pjrior claim” was received. R. at 2239-40.

In April 1998, Mr. Buie wrote to VA requesting a 60% disability rating for his low back condition. He stated that the pain had increased, had moved closer to his spine, and was now so severe that he might have to be hospitalized. He advised that he had been treated by a private physician and had been prescribed medication for his condition. In May 1998, Mr. Buie again requested reevaluation of his back condition.3 In October 1999, the regional office considered evidence dated as early as July 1998 and continued Mr. Buie’s 40% disability rating, finding that his current condition did not warrant a higher disability rating. Mr. Buie filed a Notice of Disagreement with that decision in November 1999.

Also in November 1999, Mr. Buie submitted VA Form 21-8940, Veteran’s Application for Increased Compensation Based on Unemployability, and asserted that his service-connected back and knee disabilities rendered him unemployable.

In January 2000, the regional office issued a Statement of the Case continuing the 40% disability rating assigned for Mr.

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Bluebook (online)
24 Vet. App. 242, 2011 WL 2150699, Counsel Stack Legal Research, https://law.counselstack.com/opinion/buie-v-shinseki-cavc-2010.