Richard M. Simon v. Robert L. Wilkie

CourtUnited States Court of Appeals for Veterans Claims
DecidedDecember 20, 2018
Docket17-1361
StatusPublished

This text of Richard M. Simon v. Robert L. Wilkie (Richard M. Simon v. Robert L. Wilkie) 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
Richard M. Simon v. Robert L. Wilkie, (Cal. 2018).

Opinion

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

No. 17-1361

RICHARD M. SIMON, APPELLANT,

V.

ROBERT L. WILKIE, SECRETARY OF VETERANS AFFAIRS, APPELLEE.

On Appeal from the Board of Veterans' Appeals

(Argued October 30, 20181 Decided December 20, 2018)

Christian A. McTarnaghan with whom Amy F. Odom, both of Providence, Rhode Island, was on the brief for the appellant.

Michael G. Imber, with whom Meghan Flanz, Interim General Counsel; Mary Ann Flynn, Chief Counsel; and Edward V. Cassidy, Jr., Deputy Chief Counsel, all of Washington, D.C., were on the brief for the appellee.

Before DAVIS, Chief Judge, and ALLEN and FALVEY, Judges.

ALLEN, Judge: e appellant Richard M. Simon served the Nation honorably in the United States Marine Corps. In this appeal, which is timely and over which the Court has jurisdiction,2 he challenges a May 1, 2017, Board of Veterans' Appeals (Board) decision that found no clear and unmistakable error (CUE) in a September 3, 1974, regional office (RO) rating decision that reduced his disability rating for PTSD from 30% to 10% based on a single examination suggesting that his condition had improved. 3 He now attacks the 1974 decision on a collateral basis, arguing that VA committed CUE because it applied the law concerning rating reductions incorrectly.

1 e Court held oral argument in this matter at the Tampa Law Center of Stetson University College of Law in Tampa, Florida. We thank both Stetson and Florida's Second District Court of Appeal, whose courtroom we used, for their hospitality. 2 See 38 U.S.C. §§ 7252(a), 7266(a). 3 See Record (R.) at 2–36 (VA rated the appellant's disability as "anxiety reaction" in the rating decision that is now under collateral attack. VA later characterized his condition as "posttraumatic stress disorder." Because both ratings refer to the same disability, and for the sake of clarity, the Court will refer to the appellant's disability only as "PTSD.") To decide this appeal, the Court must consider the meaning of 38 C.F.R § 3.344 (1974), a regulation providing that when an examination shows improvement in a claimant's disability, VA must "handle [the] case[] . . . so as to produce the greatest degree of stability of disability evaluations."4 is regulation provides additional procedures that VA must follow before reducing a veteran's disability rating. When this heightened burden applies, the rating is subject to reduction becomes entitled to a form of "heightened procedural protections." But the regulation, and consequently these protections, only apply "to ratings which have continued for long periods at the same level (5 years or more)."5 e principal question before the Court is the scope of this provision's application. e matter was referred to a panel of the Court, with oral argument, to decide whether the Board properly applied 38 C.F.R. § 3.344 when it found no CUE in the 1974 decision. As we explain, the Board was correct that § 3.344's rating reduction protections did not apply to the appellant in 1974. erefore, we will affirm the Board decision on appeal.

I. OPERATIVE FACTS AND PROCEDURAL HISTORY e appellant served in the United States Marine Corps from January 16, 1967, to February 29, 1968. He was stationed in the Vietnam demilitarized zone and engaged in fierce combat with the enemy. e appellant reports that he endured frequent mortar bombardment, witnessed the death of several close friends, and killed an enemy soldier by stabbing him to death.6 Because of these experiences, the appellant was hospitalized for the latter part of his service. In January 1968, a Physical Evaluation Board determined that appellant was unable to perform his duties because of his condition and recommended separation from the U.S. Marine Corps. In a March 1968 RO rating decision, VA granted the appellant service connection for PTSD, effective March 1, 1968, the date of the appellant's discharge, with an initial rating of 50%.7 A few months later, in June 1968, VA attempted to schedule the appellant for an initial postservice

4 38 C.F.R. § 3.344(a) (1974). 5 38 C.F.R. § 3.344(c). 6 R. at 2026. 7 R. at 465.

2 PTSD evaluation. However, he informed VA that he was living and working out of the area and could not undergo an examination. VA granted him an extension.8 In July 1969, more than a year after his separation, the appellant underwent his initial PTSD examination.9 e examiner noted that the appellant was "moderate in the neurotic sphere," but that his "stresses [were severe] in the past." 10 e appellant told the examiner that he was "functioning satisfactorily at his job" and that, since experiencing his stressors, he had "gradually began to feel somewhat better."11 Accordingly, in an October 1969 rating decision, VA reduced the appellant's PTSD rating from 50% to 30%, stating that the appellant's disability appears to be improving.12 e appellant did not appeal this determination and it became final. Less than 5 years later, in August 1974, the appellant underwent another VA PTSD examination, during which the examiner remarked that the appellant "is functioning rather adequately."13 e examiner noted that the appellant was not satisfied with his job because it was not challenging enough given the marketing degree he earned after his separation.14 Based on this new evidence, the RO decided that "the current examination shows a good industrial and social adjustment" and reduced the appellant's PTSD rating from 30% to 10%, effective December 1, 1974.15 e appellant did not appeal this decision either and it too became final. In August 2014, more than 40 years after the RO reduced the appellant's rating, he asked VA to revise the 1974 decision on the basis of CUE.16 He argued that because he had a PTSD rating of 50% from 1968 to 1970 and a rating of 30% from 1970 to 1974, he had maintained a rating of at least 30% for longer than the 5-year period outlined in the regulation. He claimed that when VA

8 R. at 2036–37, 2046. 9 R. at 2022–31. 10 R. at 2028–30. 11 R. at 2028. 12 R. at 2016–17. 13 R. at 1938. 14 Id. 15 R. at 1934. 16 R. at 831.

3 reduced his rating below 30% in the 1974 decision, it committed CUE by not affording him the procedural protections provided in § 3.344.17 In response, the RO issued an April 2015 decision in which it concluded that no revision was warranted.18 e appellant filed a May 2015 Notice of Disagreement (NOD), continuing to argue that VA did not employ the heightened rating-reduction procedures to which he was entitled under § 3.344.19 After VA issued a Statement of the Case (SOC) continuing the denial, the appellant perfected his appeal to the Board. en, on May 1, 2017, the Board issued a decision finding no CUE in the 1974 rating decision. In reaching its conclusion, the Board determined that 38 C.F.R. § 3.344 did not apply to the appellant's PTSD rating in 1974 because that rating "did not continue at the same level for five years" and, therefore, "had not become stabilized." 20 is appeal followed.

II. ANALYSIS e appellant did not challenge the 1974 RO rating decision reducing his PTSD rating from 30% to 10% within the time permitted to file a direct appeal.

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Richard M. Simon v. Robert L. Wilkie, Counsel Stack Legal Research, https://law.counselstack.com/opinion/richard-m-simon-v-robert-l-wilkie-cavc-2018.