Dingess - Hartman v. Nicholson

19 Vet. App. 473, 2006 U.S. Vet. App. LEXIS 102, 2006 WL 519755
CourtUnited States Court of Appeals for Veterans Claims
DecidedMarch 3, 2006
Docket01-1917, 02-1506
StatusPublished
Cited by738 cases

This text of 19 Vet. App. 473 (Dingess - Hartman v. Nicholson) 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
Dingess - Hartman v. Nicholson, 19 Vet. App. 473, 2006 U.S. Vet. App. LEXIS 102, 2006 WL 519755 (Cal. 2006).

Opinions

On Remand from the U.S. Court of Appeals for the Federal Circuit

GREENE, Chief Judge:

These cases present different but related questions of whether the notice provisions of 38 U.S.C. § 5103(a), as amended by the Veterans Claims Assistance Act of 2000 (VCAA), Pub.L. No. 106-475, § 3(a), 114 Stat.2096, 2096-97, apply to the assignment of an initial disability rating (Dingess appeal) and effective date (Hartman appeal) associated with an award of VA service-connection disability compensation.

Appellant Donald L. Dingess appeals, through counsel, an October 24, 2001, decision of the Board of Veterans’ Appeals (Board) that denied (1) an initial VA disability rating higher than 30% for an award of service connection for his post-traumatic stress disorder (PTSD) and (2) a rating of total disability based on individual unemployability (TDIU) resulting from his service-connected disability. Dingess Record (Dm. R.) at 1-14. Appellant Mar-cellus S. Hartman appeals, through coun[478]*478sel, a February 14, 2002, Board decision that denied an effective date earlier than April 15, 1999, for an award of service connection for PTSD. Hartman Record (.Har. R.) at 2. The U.S. Court of Appeals for the Federal Circuit (Federal Circuit) remanded these cases for the Court to take account of the rule of prejudicial error pursuant to Conway v. Principi, 353 F.3d 1369 (Fed.Cir.2004). The Court ordered additional briefing and oral argument on whether section 5103(a) applies to these cases. The Court expresses its appreciation to all parties and to amicus curiae National Organization of Veterans’ Advocates (NOVA) for its assistance in these appeals.

After considering the briefs and oral argument of the parties and amicus, we hold that (1) section 5103(a) requires notice to a claimant of how a VA service-connection claim may be substantiated as to all five elements of that claim and (2) certain standards apply for the timing and content of that notice. These holdings and the application of the rule of prejudicial error under 38 U.S.C. § 7261(b)(2), lead to the following conclusions: (1) In Dingess, the Board erred in not providing adequate notice on how to substantiate a TDIU claim, and, applying the rule of prejudicial error, the Court will vacate, in part, and affirm, in part, the October 2001 Board decision; and (2) in Hartman, the Board did not commit prejudicial error, and, as such, the Court will withdraw the July 22, 2004, single-judge order and will affirm the February 2002 Board decision.

I. BACKGROUND

A. Dingess Appeal

In June 1999, Vietnam veteran Donald L. Dingess filed with VA an application for compensation or pension in which he listed “[PTSD and] other nervous conditions” as the condition for which the claim was being made. Din. R. at 62. He made no statement regarding the extent of his disability or the disability rating to which he believed he was entitled in the event that he obtained an award of service connection. In May 2000, a VA regional office (RO) awarded Mr. Dingess, under 38 U.S.C. § 1110, service connection for PTSD and assigned (1) a temporary total disability rating for the duration of his inpatient treatment program and (2) a 10% rating thereafter, effective from June 22, 1999. Id. at 220-26. The following month, he filed a Notice of Disagreement (NOD) seeking a rating higher than 10%. Id. at 231.

During a VA medical examination in November 2000, Mr. Dingess reported that he was experiencing the following symptoms: Nightmares, disruptive sleep, bursts of rage and irritability, extreme depression, little or no concentration, and crowd avoidance. Id. at 372. According to the examination report, Mr. Dingess stated that his symptoms “caused him to end his small business of selling used appliances and furniture out of his house.” Id. He also reported his belief that his Vietnam experiences led to “his inability to obtain and maintain substantially gainful employment.” Id. The medical examiner diagnosed Mr. Dingess as having “[PTSD], chronic, moderate” and stated: “The major stressors in the veteran’s life at present are his criminal probation, his financial inadequacy, his relative homelessnessf,] and psychiatric symptoms which are interfering with his ability to function.” Id. at 374. The examiner assessed Mr. Dingess’ Global Assessment of Functioning (GAF) score at 60 for PTSD alone. Id; see also Diagnostic and Statistical Manual of Mental Disorders 32 (4th ed.1994) [hereinafter DSM-IV] (GAF is scale reflecting “psychological, social, and occupational functioning on a hypothetical continuum of [479]*479mental health-illness.” A GAF score of 60 reflects “[m]oderate symptoms (e.g., flat affect and circumstantial speech, occasional panic attacks) or moderate difficulty in social, occupational, or school functioning”). The examiner further stated: “The veteran’s symptoms of PTSD are considered to be moderate in severity. He is competent and employable.” Din. R. at 374.

In January 2001, a decision review officer (DRO) increased Mr. Dingess’ PTSD rating to 30%, effective from June 22, 1999; increased that rating to 100% based on his 12-week hospitalization, effective from November 22, 1999, until February 29, 2000; but continued the rating at 30%, effective from March 1, 2000. Id. at 390-93. The DRO indicated that, given Mr. Dingess’ “level of disability and other factors, such as [his] age, education[,] and occupational background,” an “extrasche-dular permanent and total disability rating” was authorized “subject to approval by the [adjudication officer.” Id. at 391. That same month, the RO issued a Statement of the Case (SOC). Id. at 376-88. Mr. Dingess, through counsel, appealed the DRO decision to the Board; in that appeal, he sought an increased PTSD rating and presented an additional claim for a TDIU rating. Id. at 400-01, 403-08.

In May 2001, the RO notified Mr. Din-gess to submit any evidence showing that his service-connected PTSD had increased in severity. Id. at 419-20. One week later, Mr. Dingess informed the RO that he had no medical evidence to submit. Id. at 427. In June 2001, the RO denied a TDIU rating. Id. at 430-32. The RO found that the evidence did not show that he met the established schedular rating requirements for a TDIU rating. Id. The RO stated that the claim would not be “submitted for extra[ ]schedular consideration because there [were] no exceptional factors or circumstances associated with the veteran’s disabilities rendering him unable to secure or follow a substantially gainful occupation.” Id. at 431. Mr. Din-gess again appealed to the Board. Id. at 443-52, 456.

In the October 2001 decision here on appeal, the Board also denied a rating higher than 30% for Mr. Dingess’ service-connected PTSD. Id. at 4-9.

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Bluebook (online)
19 Vet. App. 473, 2006 U.S. Vet. App. LEXIS 102, 2006 WL 519755, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dingess-hartman-v-nicholson-cavc-2006.