Robert O. Edwards, Jr. v. Douglas A. Collins

United States Court of Appeals for Veterans Claims·Decided August 4, 2026·No. 24-6641·Published

Opinion

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

No. 24-6641

ROBERT O. EDWARDS, JR., APPELLANT,

V.

DOUGLAS A. COLLINS,

SECRETARY OF VETERANS AFFAIRS, APPELLEE.

On Appeal from the Board of Veterans' Appeals

(Argued April 15, 2026 Decided August 4, 2026)

Stephanie M. Leacock, with whom Glenn R. Bergmann was on the brief, both of Rockville, Maryland, for the appellant.

Jonathan G. Scruggs with whom Danielle A. Runyan, Acting General Counsel; David L.

Quinn, Assistant Chief Counsel; Mark D. Vichich, Deputy Chief Counsel, Emily K. Cincinnati, and Jack A. Jorgest were on the brief, all of Washington, D.C., for the appellee.

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

FALVEY, Judge, filed the opinion of the Court. JAQUITH, Judge, filed a concurring opinion.

FALVEY, Judge: Scientific reports created under the mandate of the Agent Orange Act of 1991 remain an important source of evidence in the veterans benefits adjudication system. This case presents the issue of whether these reports could be constructively of record given varied statutory and regulatory changes in the modernized VA appeals structure. The Court must also decide whether the agency of original jurisdiction (AOJ) or the Board of Veterans' Appeals can consider independent evidence submitted through past Board decisions that are unrelated to the given appeal.

Our answer to both questions is yes. Nothing prohibits the possibility that the Agency was in constructive possession of a report while the AOJ was receiving evidence. And information from an independent and relevant source is not diluted because it happens to be communicated through another veteran's Board decision. With this established, we find that not all the pertinent evidence was considered in the present appeal. Further discussion by the Board is consequently necessary, so we will remand the matter for additional adjudication.

I. RESPECTED REPORTS

Retellings of the Agent Orange Act and its residuum are plentiful. Euzebio v. McDonough, 989 F.3d 1305, 1310-15 (Fed. Cir. 2021); LeFevre v. Secretary of Veterans Affairs, 66 F.3d 1191, 1193-96 (Fed. Cir. 1995); Aviles-Rivera v. McDonough, 35 Vet.App. 268, 271-72 (2022). But it is a narrative worth repeating before reciting the facts and evidentiary concerns that brought us here.

This thread commences with the Veterans' Dioxin and Radiation Exposure Compensation Standards Act, which required VA to resolve Agent Orange claims for benefits based on "exposure during service" in Vietnam. Pub. L. No. 98-542 at § 5(a)(1)(A), 98 Stat. 2725 (1984). To meet this requirement, the Act explained that a panel of agency experts called the Dioxin Council would communicate to the Agency various scientific findings regarding possible health risks attributed to herbicide exposure. Id. at § 5(b)(1)(A)-(B). Based on the Council's evaluation of the evidence, VA would then promulgate regulations providing presumptive service connection for disabilities with a high statistical connection to exposure. Id. at § 5(b)(2).

The Dioxin Act's tenure was ultimately fleeting. Over its lifespan, the Council found that just one disease, chloracne, had a "cause-and-effect relationship" with herbicide exposure such that VA found service connection presumptively appropriate. See 50 Fed. Reg. 34,458 (Aug. 26, 1985); Nehmer v. U.S. Veterans' Admin., 712 F. Supp. 1404, 1408 (N.D. Cal. 1989). And, following a class action lawsuit, the Agency's cause-and-effect test was jettisoned for an inquiry into whether "a significant statistical association" existed between a given disease and exposure. Nehmer, 712 F. Supp. at 1409; see 54 Fed. Reg. 40,391 (Oct. 2, 1989).

Congress dissipated remaining concerns—and the Dioxin Council—through the Agent Orange Act. Rather than rely on a collateral cadre of VA experts to classify connections between conditions and exposure, the Act directed the Agency to outsource this responsibility to an unaligned organization: the National Academies of Sciences, Engineering & Medicine (NAS). Pub. L. No. 102-4, 105 Stat. 11, at § 3(a)-(b) (1991) (codified in part at 38 U.S.C. § 1116). Under this partnership, the NAS produces reports that routinely review and summarize scientific evidence before gauging the strength of any association between various disabilities and herbicide exposure. Id. at §§ 3(c), 3(g). The Secretary takes it from there and determines whether presumptive service connection is warranted for diseases discussed in the NAS reports. Id. at § 3; see 38 U.S.C. § 1116(b)-(c).

As the Federal Circuit once explained, "[t]he importance and relevance of the NAS reports to Agent Orange claims are well-known and well-established—they are the result of decades of veteran engagement." Euzebio, 989 F.3d at 1320. We have likewise emphasized the important role that NAS reports play in cases regarding Agent Orange exposure. See, e.g., Davis v. McDonough, 36 Vet.App. 142, 153 (2023).

Although the reports are famously used as a cornerstone of presumptive service-connection determinations, they might also be used as evidence in direct service-connection arguments where Agent Orange exposure is alleged. And their publication in the Federal Register apprises the Agency as to the findings published therein. Euzebio, 989 F.3d at 1314 (citing Fed. Crop Ins. Corp. v. Merrill, 332 U.S. 380, 385 (1947) ("Congress has provided that the appearance of rules and regulations in the Federal Register gives legal notice of their contents.")). Those findings may then implicate the Secretary's duty to assist. Id. (citing 38 U.S.C. § 5103A(d)(2)(b) (requiring the Agency to provide an exam when evidence "indicates that the disability or symptoms may be associated" with service)).1

II. A TALE OF TWO UPDATES This case concerns two NAS reports—Updates 2010 and 2012—and the extent to which evidentiary restrictions prevent their consideration. The facts of this case begin as one might expect. Robert O. Edwards, a Navy veteran, was exposed to herbicides during his service in the Vietnam War. Record (R.) at 2603, 5211. He was later diagnosed with squamous cell carcinoma of the right tonsil.2 R. at 2941. Mr. Edwards filed a claim for that condition in November 2019, alleging that the cancer was caused by his exposure to Agent Orange. R. at 2972. Because VA's regulations do not permit presumptive service connection for squamous cell carcinoma, see 38 C.F.R. § 3.309 (e) (2026), Mr. Edwards needed to prove direct service connection, see Washington v. Nicholson, 19 Vet.App. 362, 367 (2005) (listing the elements required to prove direct service connection).

1 The NAS reports relay their conclusions about diseases and herbicide exposure in terms of an association between the two. And they generally place diseases into one of four categories: (1) sufficient evidence of an association; (2) limited or suggestive evidence of an association; (3) inadequate or insufficient evidence to determine an association; or (4) limited or suggestive evidence of no association. See UPDATE 2018, at 67-68.

2 Squamous cell carcinoma of the tonsil is a "common malignant tumor of the oropharynx." Christopher J.

Skilbeck, et al., Squamous Cell Carcinoma of the Tonsillar Remnant—Clinical Presentation and Oncological Outcome, 2011 HEAD & NECK ONCOLOGY 3:4 (2011).

In response to a request for medical evidence, Mr. Edwards submitted two Board decisions from unrelated cases to the AOJ.3 R. at 2610, 2778. Both granted service connection for squamous cell carcinoma, both featured medical exams furnished by VA for the claimants, and both relied heavily on opinions from private medical examiners to make their determinations. R. at 2610-11, 2613-15, 2620-23.

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