James E. Buie v. Eric K. Shinseki

CourtUnited States Court of Appeals for Veterans Claims
DecidedMarch 23, 2011
Docket08-2705(E)
StatusPublished

This text of James E. Buie v. Eric K. Shinseki (James E. Buie v. Eric K. 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
James E. Buie v. Eric K. Shinseki, (Cal. 2011).

Opinion

THIS VERSION OF THE OPINION INCLUDES THE APRIL 21, 2011, ERRATA

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

NO . 08-2705

JAMES E. BUIE , APPELLANT ,

V.

ERIC K. SHINSEKI, SECRETARY OF VETERANS AFFAIRS, APPELLEE .

On Appeal from the Board of Veterans’ Appeals

(Decided March 23, 2011)

Kenneth M. Carpenter, of Topeka, Kansas, was on the brief for the appellant.

Will A. Gunn, General Counsel; R. Randall Campbell, Assistant General Counsel; Brian B. Rippel, Deputy Assistant General Counsel; and Nhu P. Nguyen, Appellate Attorney; all of Washington, D.C., were on the brief for the appellee.

Before HAGEL, LANCE, and SCHOELEN, Judges.

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

1 The Board also denied entitlement to a disability rating in excess of 70% for post-traumatic stress disorder from January 26, 2001, and to an initial disability rating in excess of 30% for that condition prior to January 26, 2001. In his brief, however, Mr. Buie makes no arguments with respect to his claim for benefits for post-traumatic stress disorder, and the Court therefore deems any appeal with respect to that claim abandoned. See Grivois v. Brown, 6 Vet.App. 136, 138 (1994) (holding that issues or claims not argued on appeal are considered abandoned). 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(s). 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 readjudication 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 1974 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 Unemployability." 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,

2 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 neuropsychiatric 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 [the Durham, North Carolina, VA medical center].

2 Mr. Buie's February 1997 statement is hand dated February 3, 1997, and appears to have been received by VA on February 10, 1997. See R. at 2299. The July 1997 regional office decision states that Mr. Buie's "claim for increase" was received on February 5, 1997. R. at 2267. The regional office also noted that the April 1997 examination was the first evidence that an increased disability rating was warranted. Because VA treated Mr. Buie's February 1997 statement as a new claim for an increased rating, it appears that the effective date assigned in July 1997 was not in accord with 38 U.S.C. § 5110(b)(2), which provides that "[t]he effective date of an award of increased compensation shall be the earliest date as of which it is ascertainable that an increase in disability had occurred, if application is received within one year from such date."

3 R. at 2260.

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