Roberts v. Dept. Of Veterans Affairs

CourtCourt of Appeals for the Federal Circuit
DecidedJune 1, 2011
Docket2010-7104
StatusPublished

This text of Roberts v. Dept. Of Veterans Affairs (Roberts v. Dept. Of Veterans Affairs) is published on Counsel Stack Legal Research, covering Court of Appeals for the Federal Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Roberts v. Dept. Of Veterans Affairs, (Fed. Cir. 2011).

Opinion

United States Court of Appeals for the Federal Circuit __________________________

KEITH A. ROBERTS, Claimant-Appellant, v. ERIC K. SHINSEKI, SECRETARY OF VETERANS AFFAIRS, Respondent-Appellee. __________________________

2010-7104 __________________________

Appeal from the United States Court of Appeals for Veterans Claims in 05-2425, Chief Judge William P. Greene, Jr. _________________________

Decided: June 1, 2011 _________________________

ROBERT P. WALSH, of Battle Creek, Michigan, argued for claimant-appellant.

SCOTT D. AUSTIN, Senior Trial Counsel, Commercial Litigation Branch, Civil Division, United States Depart- ment of Justice, of Washington, DC, argued for respon- dent-appellee. With him on the brief were TONY WEST, Assistant Attorney General, JEANNE E. DAVIDSON, Direc- tor, and MARTIN F. HOCKEY, JR., Assistant Director. Of counsel on the brief were MICHAEL J. TIMINSKI, Deputy ROBERTS v. DVA 2

Assistant General Counsel, and MARTIE ADELMAN, Attor- ney, United States Department of Veterans Affairs, of Washington, DC. __________________________

Before GAJARSA, PROST, and O’MALLEY, Circuit Judges. O’MALLEY, Circuit Judge. This appeal involves the severance of a veteran’s ser- vice-connected benefits based on a finding of fraud. Spe- cifically, a Department of Veterans’ Affairs (“VA”) regional office (“RO”) severed veteran Keith A. Roberts’s benefits for post-traumatic stress disorder (“PTSD”) after an investigation revealed that Roberts provided fraudu- lent statements in connection with his claim. Those fraudulent statements related to the sole in-service stressor the RO identified when awarding benefits in 1998. As it relates to this appeal, the Board of Veterans’ Appeals (“Board”) found that the severance was proper, and the United States Court of Appeals for Veterans Claims (“Veterans Court”), sitting en banc, affirmed. See Roberts v. Shineski, 23 Vet.App. 416 (2010) (en banc). Because Roberts, represented by counsel, challenges only discrete aspects of the Veterans Court decision, the issues on appeal are narrow. The first is whether the VA and the Board erred by severing Roberts’s benefits in accordance with the VA’s regulations rather than pursu- ant to the procedures set forth in the Program Fraud Civil Remedies Act of 1986 (“PFCRA”), 31 U.S.C. § 3801 et seq. The second is whether the VA was required to review Roberts’s medical records for alternate stressors before severing his benefits, when the only stressor cited in his ratings decision, and the underlying PTSD examination, was found to be fraudulent. Because the Veterans Court correctly decided that the Board did not err in its decision 3 ROBERTS v. DVA

on either issue, we affirm.1

BACKGROUND Roberts served on active duty in the United States Navy from March 1968 to December 1971, spending the majority of his service stationed at a Naval Air Facility in Naples, Italy. During a March 1991 psychiatric examina- tion at a VA medical center, Roberts reported that he witnessed the death of a friend, Gary Holland, in an

1 We express no opinion on those portions of the opinion that the parties have not challenged on appeal. Specifically, we pass no judgment on the Veterans Court’s holding that severance of benefits based on fraud is not subject to a clear and unmistakable error (“CUE”) analy- sis under 38 C.F.R. § 3.105(d). See Roberts v. Shinseki, 23 Vet.App. 416, 424-29 (2010). Roberts, through counsel, expressly disclaimed that he was appealing that ruling, both in his brief and at oral argument. See Appellant’s Br., pp. 37, 41 (stating that “§ 3.105(d) has no role in a benefits fraud case other than the implementation of the order from an ALJ or District Court under the PFCRA,” and “[w]hen benefits fraud is alleged, CUE is not avail- able to the government, the allegation must be adjudi- cated under the PFCRA”); see also Oral Arg. at 11:12 – 11:28 and 12:58 – 13:23, available at http://www.cafc.uscourts.gov/oral-argument- recordings/2010-7104/all (at oral argument, when asked whether he was appealing the Veterans Court’s holding that the CUE analysis does not apply in this case, Rob- erts’s counsel responded twice that CUE does not apply). For the same reasons, we do not address Roberts’s argu- ment that there was not, in fact, any CUE in the Board’s original grant of benefits. Because the Veterans Court’s majority opinion did not address the propriety of the Board’s CUE finding, and because Roberts concedes that CUE does not apply to severance based on fraud, the Board’s CUE analysis is not properly before us. ROBERTS v. DVA 4

accident at an airplane hangar while they were stationed together in Naples. The accident occurred on February 4, 1969. According to the medical report, Roberts indicated that part of a plane fell on and crushed Holland, and that Roberts “was arrested for damaging the plane while trying to extricate his friend.” Joint Appendix (“JA”) 1062. The examiner noted that “nothing appears in the service records about this incident.” Id. Roberts also reported during the same examination that, in a separate incident on December 13, 1969, he was “arrested, placed in a straight jacket and restraints by shore patrol.” Id. Roberts’s clinical records corroborate that incident, indicating that, after having a few drinks, Roberts became annoyed when shore patrol asked him questions and for identification, fled and fell into a ditch, and then became “combative and assaultive” when taken to the dispensary. JA 969. The examiner diagnosed Roberts as having dysthymia with irritability and mixed personality disorder with antisocial and borderline fea- tures. A. Roberts’s Award of Disability Benefits In August 1993, Roberts submitted a claim for disabil- ity compensation for an acute personality disorder, which he amended in February 1994 to include service connec- tion for PTSD. In support of his claim, he submitted a letter to the RO in which he detailed the events of the death of his “very good friend” Gary Holland in 1969. JA 1185-86. In the letter, Roberts reported that Holland was working on a plane when Holland’s coat became entan- gled on a safety pin on the plane, releasing the safety pin and causing a piece of the plane to fall on and crush Holland. Roberts went on to write the following: I proceeded to sound the alarm, ran over to the plane to assess the situation at which time I found 5 ROBERTS v. DVA

Gary still conscious and coherent. I informed him I would get him out and then proceeded to run next door to the Ground Support Unit, informed a chief petty officer of the situation and ordered him to bring a cherry picker to the front of the hanger [sic] to lift the plane. As I was returning to the hanger [sic] I confronted my 1st class superior and informed him to place a ladder at the rear hatch of the plane and load men into the tail section to relieve the front[.] I then proceeded to the front of the plane and instructed the [ground support engineering] chief to punc- ture the radome of the plane to lift it up[.] [A]t this time a [lieutenant commander] who informed me he was the safety officer ordered me to stop [and] when I refused, he had me placed on arrest by a Marine guard[.] The [lieutenant commander] then proceeded to have air bags placed under the plane to lift it (this took approx 10-12 minutes, my method would have taken only a few minutes). The [lieutenant commander] stated that it was more important to save the plane than it was to save the man. When the plane had risen enough [. .

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Roberts v. Dept. Of Veterans Affairs, Counsel Stack Legal Research, https://law.counselstack.com/opinion/roberts-v-dept-of-veterans-affairs-cafc-2011.