Nova v. Secretary of Veterans Affairs

981 F.3d 1360
Court of Appeals for the Federal Circuit·Decided December 8, 2020·No. 20-1321·Published·Cited by 19 cases

Opinion

Case: 20-1321 Document: 109 Page: 1 Filed: 12/08/2020

United States Court of Appeals for the Federal Circuit ______________________

NATIONAL ORGANIZATION OF VETERANS' ADVOCATES, INC., PETER CIANCHETTA, MICHAEL REGIS, ANDREW TANGEN, Petitioners

v.

SECRETARY OF VETERANS AFFAIRS, Respondent ______________________

2020-1321 ______________________

Petition for review pursuant to 38 U.S.C. Section 502. ______________________

Decided: December 8, 2020 ______________________

ROMAN MARTINEZ, Latham & Watkins LLP, Washing- ton, DC, argued for petitioners. Also represented by SHANNON MARIE GRAMMEL, BLAKE STAFFORD.

ERIC P. BRUSKIN, Commercial Litigation Branch, Civil Division, United States Department of Justice, Washing- ton, DC, argued for respondent. Also represented by JEFFREY B. CLARK, MARTIN F. HOCKEY, JR., ROBERT EDWARD KIRSCHMAN, JR.; Y. KEN LEE, JULIE HONAN, Office of General Counsel, United States Department of Veterans Affairs, Washington, DC. Case: 20-1321 Document: 109 Page: 2 Filed: 12/08/2020

MELANIE L. BOSTWICK, Orrick, Herrington & Sutcliffe LLP, Washington, DC, for amicus curiae Military-Veterans Advocacy Inc. Also represented by JAMES ANGLIN FLYNN; JEFFREY T. QUILICI, Austin, TX; JOHN B. WELLS, Law Office of John B. Wells, Slidell, LA.

STEPHEN BLAKE KINNAIRD, Paul Hastings LLP, Wash- ington, DC, for amici curiae National Veterans Legal Ser- vices Program, Paralyzed Veterans of America, Veterans of Foreign Wars. Also represented by ALEX SCHULMAN. Ami- cus curiae National Veterans Legal Services Program also represented by BARTON F. STICHMAN, National Veterans Legal Services Program, Washington, DC.

ANGELA K. DRAKE, Veterans Clinic, University of Mis- souri School of Law, Columbia, MO, for amicus curiae Na- tional Law School Veterans Clinic Consortium. ______________________

Before PROST, Chief Judge, NEWMAN, LOURIE, DYK, O’MALLEY, REYNA, WALLACH, TARANTO, CHEN, HUGHES, and STOLL, Circuit Judges. 1 DYK, Circuit Judge. National Organization of Veterans’ Advocates, Inc., (“NOVA”), Peter Cianchetta, Michael Regis, and Andrew Tangen petition this court under 38 U.S.C. § 502 to review two interpretive rules that are set out in two provisions of the Veterans Affairs (“VA”) Adjudication Procedures Man- ual M21-1 (the “Manual”) and a Federal Register publica- tion. The first interpretive rule, the Knee Joint Stability Rule, was promulgated on April 13, 2018, and is set forth in Section III.iv.4.A.6.d of the Manual. It assigns a joint instability rating under Diagnostic Code (“DC”) 5257, 38 C.F.R. § 4.71a, based on the amount of movement that

1 Circuit Judge Moore did not participate. Case: 20-1321 Document: 109 Page: 3 Filed: 12/08/2020

NOVA v. SECRETARY OF VETERANS AFFAIRS 3

occurs within the knee joint. The second interpretive rule, the Knee Replacement Rule, provides that evaluation un- der DC 5055, 38 C.F.R. § 4.71a, is not available for partial knee replacement claims. The Knee Replacement Rule was first published in the Federal Register. That publication announced that section 4.71a was amended to include an explanatory note that “‘prosthetic replacement’ means a to- tal, not a partial, joint replacement,” 80 Fed. Reg. 42,040, 42,041 (July 16, 2015). The Knee Replacement Rule was later published in a somewhat different form in a Manual provision, which was promulgated on November 21, 2016, and is currently located in Section III.iv.4.A.6.a of the Man- ual. The Manual provision informs regional office staff that evaluation under DC 5055, 38 C.F.R. § 4.71a, is not available for partial knee replacement claims filed and de- cided on or after July 16, 2015. We conclude that NOVA has standing because it has veteran members who are adversely affected by the chal- lenged Rules. We also conclude that the Knee Joint Stabil- ity Rule Manual provision is an interpretive rule reviewable under section 502 and that it constitutes final agency action. As to the Knee Replacement Rule, we also conclude that we have jurisdiction under section 502 and that it is final agency action. However, we leave to the mer- its panel the question whether the Knee Replacement Manual provision or the Federal Register publication con- stitutes the reviewable agency action. We thus conclude that we have jurisdiction over the petition for review. We also hold that the petitioners’ challenge is timely under the six-year statute of limitations provided by 28 U.S.C. § 2401(a) and that Federal Circuit Rule 15(f), estab- lishing a 60-day time limit for bringing section 502 peti- tions, is invalid. We refer this case to a panel for adjudication on the merits. Case: 20-1321 Document: 109 Page: 4 Filed: 12/08/2020

BACKGROUND Petitioners seek review of two interpretive rules gov- erning disability claims for service-related knee injuries. The first rule, the Knee Joint Stability Rule, was promul- gated in the Manual in April 2018 and addresses the rating schedule for knee instability under DC 5257, 38 C.F.R. § 4.71a. The governing regulation assigns a 30 percent rat- ing for “Severe” joint instability, a 20 percent rating for “Moderate” joint instability, and a 10 percent rating for “Slight” joint instability. DC 5257, 38 C.F.R. § 4.71a. In turn, the Knee Joint Stability Rule instructs VA regional office staff to assign a slight knee instability rating for 0–5 mm of joint translation, a moderate rating for 5–10 mm of joint translation, and a severe rating for 10–15 mm of joint translation. In 2017, VA published a notice of proposed rulemaking in the Federal Register proposing a nearly identical meas- urement-based assessment method for knee instability claims. According to petitioners, however, “multiple com- menters complained that the measurement-based schedule for grading knee instability was too subjective and prone to error, insofar as it is affected by the amount of pressure applied by the physician. They also complained that the new schedule focused too narrowly on a rigid measure- ment, and thus would not account for the actual, functional loss suffered by veterans.” Pet’r’s Br. 14. VA did not adopt the proposed rule and instead promulgated the Knee Joint Stability Rule in the Manual, which incorporates essen- tially the same measurement-based grading schedule. Pe- titioners argue that the Knee Joint Stability Rule is subjective and therefore “arbitrary and capricious and must be set aside.” Pet’r’s Br. 14. The second rule is the Knee Replacement Rule. Differ- ent versions of the Rule are set forth in a Federal Register notice and a Manual provision. The governing regulation, DC 5055, 38 C.F.R. § 4.71a, provides for a minimum 100 Case: 20-1321 Document: 109 Page: 5 Filed: 12/08/2020

NOVA v. SECRETARY OF VETERANS AFFAIRS 5

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