William D. Cowan v. Denis McDonough

CourtUnited States Court of Appeals for Veterans Claims
DecidedJune 13, 2022
Docket20-6227
StatusPublished

This text of William D. Cowan v. Denis McDonough (William D. Cowan v. Denis McDonough) 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
William D. Cowan v. Denis McDonough, (Cal. 2022).

Opinion

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

No. 20-6227

WILLIAM D. COWAN, APPELLANT,

V.

DENIS MCDONOUGH, SECRETARY OF VETERANS AFFAIRS, APPELLEE.

On Appeal from the Board of Veterans' Appeals

(Argued February 22, 2022 Decided June 13, 2022)

Kenneth M. Carpenter, of Topeka, Kansas, for the appellant.

Alex Kutrolli, with whom Richard A. Sauber, General Counsel; Mary Ann Flynn, Chief Counsel; and Selket N. Cottle, Deputy Chief Counsel, all of Washington, D.C., were on the brief for the appellee.

Before ALLEN, TOTH, and FALVEY, Judges.

FALVEY, Judge, filed the opinion of the Court. ALLEN, Judge, filed an opinion concurring in the judgment. TOTH, Judge, filed a concurring opinion.

FALVEY, Judge: Under the post-Veterans Appeals Improvement and Modernization Act (AMA) version of 38 U.S.C. § 5104, the Secretary must provide claimants notice of certain "decision[s] by the Secretary" and that notice must contain certain elements, including identification of favorable findings and how to obtain evidence used in making the decision. Before the AMA, this Court and the U.S. Court of Appeals for the Federal Circuit placed greater significance on whether VA conveyed the statutory notice elements to claimants than on the form in which those elements were conveyed. But none of those cases, or any case since the enactment of the AMA, directly answered whether section 5104 spoke to the form in which that notice was to be conveyed to claimants. Army veteran William D. Cowan, through counsel, appeals a May 7, 2020, Board of Veterans' Appeals decision.1 He argues that VA did not provide him proper notice under section

1 The Board assigned the following ratings for the right knee: (1) a 10% rating based on flexion before February 20, 2018; (2) a 10% rating based on extension from February 28, 2012, to May 12, 2014; (3) a 30% rating for extension limitation from May 12, 2014, to May 2, 2017; (4) a 40% rating for extension limitation from May 2, 2017; (5) a 10% 5104; specifically, that a January 2019 notice letter of a November 2018 regional office (RO) decision and a May 2020 notice letter of the Board decision lacked the statutory notice elements. The parties disagree on whether the January 2019 notice letter itself had to contain all of the statutory notice elements and whether section 5104 applies to the Board after enactment of the AMA. We submitted this case to panel to decide whether, under the AMA, a notice letter sent under section 5104 must itself contain each of the statutory notice elements or whether the notice letter may be read together with its enclosures, such as a VA decision or standard VA form, to determine if notice was sufficiently conveyed to a claimant; and whether section 5104 now applies to the Board. We find that section 5104 is silent about the form for conveying its notice requirements and that VA reasonably filled this gap with 38 C.F.R. § 3.103(f), which provides that the notice must be in writing and may include a notice letter, enclosures, or a combin ation of those documents. Thus, we hold that the notice letter itself does not have to contain each of the section 5104(b) elements. Applied to Mr. Cowan's case, the Court thus reads the January 2019 notice letter together with an enclosed November 2018 RO decision to determine whether VA provided him with sufficient notice. Even so, because the Board did not adequately address Mr. Cowan's argument that VA failed to provide proper notice under section 5104, the Court must remand for the Board to do so. And because the Court must remand for the Board to adequately discuss in the first instance whether the RO provided sufficient notice, we do not reach the question whether the section 5104 notice requirements apply to the Board under the AMA.

I. BACKGROUND Mr. Cowan served on active duty from July 2001 to December 2001. R. at 7932. VA granted service connection for right knee injury residuals with a 10% rating effective December 2001, R. at 7788, and later granted a 20% rating for that condition from June 2002, R. at 7718. In May 2008, the Board denied an increased rating claim, R. at 7311, and Mr. Cowan appealed to

rating for instability before and from February 20, 2018; and (6) a 50% rating for ankylosis from February 20, 2018. Record (R.) at 5. The Board also remanded a claim for service connection for right ear hearing loss. Id. The Court lacks authority to address this nonfinal matter. See 38 U.S.C. § 7252(a) (providing that the Court has "exclusive jurisdiction" to review final Board decisions); Breeden v. Principi, 17 Vet.App. 475, 478 (2004) (holding that a Board remand "does not represent a final decision over which this Court has jurisdiction").

2 this Court, see R. at 7114, which affirmed the part of the decision denying a rating above 20% for right knee disability residuals, R. at 7105-10. Mr. Cowan did not appeal. Also in May 2008, Mr. Cowan informed VA that he had surgery on his right knee in April 2008 and would be unable to work until June 2008. R. at 7280. In June 2009, the RO granted a 100% rating effective April 2008 for surgical treatment requiring convalescence and "reassigned" a 10% rating from June 2008, and also granted service connection for right knee instability with a 10% rating effective June 2008. R. at 7176-77. In February 2012, Mr. Cowan filed another increased rating claim. R. at 6033. In September 2012, the RO continued the 10% rating for degenerative joint disease (DJD) as a right knee injury residual and the 10% rating for right knee instability (both claimed as a right knee condition). R. at 5042. In February 2016, the RO issued a Statement of the Case (SOC) that continued the 10% rating for right knee plica syndrome 2 (previously shown as DJD) and proposed to reduce the 10% right knee instability rating to 0%. R. at 3714. In July 2016, the Board denied a rating above 10% for right knee instability and remanded the claim for a rating above 10% for right knee plica syndrome. R. at 3599, 3607-10. In April 2018, VA sought to provide a RAMP (Rapid Appeals Modernization Program) fact sheet, but it was returned as undeliverable. See R. at 900-04. Mr. Cowan, through Mr. Carpenter, opted into RAMP in September 2018 and selected the higher-level review option. R. at 883 (the form summarized the supplemental claim, higher-level review, and informal conference options); R. at 855 (October 2018 letter notifying Mr. Cowan that VA received the RAMP request and that it would review his claims and provide him a new decision). In a November 2018 decision, under the "DECISION" heading, the RO stated that Mr. Cowan's right knee disability (plica syndrome with instability)—which was assigned a 10% rating for plica syndrome and a 10% rating for instability—was now rated as follows: (1) a 10% rating for plica syndrome based on flexion from June 1, 2008, to February 19, 2018; (2) a 0% rating for plica syndrome based on extension from April 12, 2017, to February 19, 2018; (3) a 10% rating for right knee instability from June 1, 2008, to February 19, 2018; and (4) a 50% rating for DJD, plica excision, meniscus repair with instability and ankylosis from February 20, 2018. R. at 831-

2 A plica is a band of thick, fibrotic tissue that extends from the synovial capsule of a joint. As a result of overuse or injury, plica can become inflamed or irritated. See https://www.ncbi.nlm.nih.gov/books/NBK535362/ (last accessed April 26, 2022).

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William D. Cowan v. Denis McDonough, Counsel Stack Legal Research, https://law.counselstack.com/opinion/william-d-cowan-v-denis-mcdonough-cavc-2022.