Williams v. Department of Veterans Affairs

510 F. Supp. 2d 912, 2007 WL 1341123
CourtDistrict Court, M.D. Florida
DecidedMay 4, 2007
Docket8:05-cv-2313-T-30MAP
StatusPublished
Cited by2 cases

This text of 510 F. Supp. 2d 912 (Williams v. Department of Veterans Affairs) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Williams v. Department of Veterans Affairs, 510 F. Supp. 2d 912, 2007 WL 1341123 (M.D. Fla. 2007).

Opinion

ORDER

JAMES S. MOODY, JR., District Judge.

THIS CAUSE comes before the Court upon Defendant’s Motion for Summary Judgment (Dkt.#28), Plaintiffs Response in Opposition to the Same (Dkt.# 36) and Defendants Reply Memorandum *915 (Dkt.#40). Upon review and consideration and for the reasons stated below, this Court finds that Defendant’s Motion is GRANTED.

FACTUAL BACKGROUND

Plaintiff is a Vietnam veteran with one hundred percent (100%) service connected disability. In July 2002, while residing in Las Vegas, Nevada, the Las Vegas V.A. Medical Center (hereinafter referred to as “VAMC”) granted Plaintiff fee basis status 1 , and provided him fee basis services from July 2002 through January 31, 2004. Although the record is unclear, at some point during this period, Plaintiff moved from Las Vegas to Lake Wales, Florida.

In January 2004, the Las Vegas VAMC advised Plaintiff that because he was a Florida resident, future fee basis services would have to be arranged through the James A. Haley Veterans Hospital (hereinafter “JAHVH”). According to Plaintiff, on or around February 2004, he was advised that despite having been previously eligible for fee basis service, he would have to re-apply for fee basis treatment at JAHVH. Upon Plaintiff’s re-application, JAHVH would then make an independent determination whether he was eligible for fee basis.

Unhappy with this decision, Plaintiff wrote Senator Bill Nelson requesting assistance. Senator Nelson’s office thereafter wrote to JAHVH inquiring about Plaintiffs situation. In response to this inquiry, Lynette Roff, JAHVH’s then director, explained that while Plaintiff’s fee basis authority in Florida would continue, the VA in Las Vegas would absorb the costs of Plaintiffs care until such time as Plaintiff had an opportunity to be evaluated at the Tampa facility for continuation of care. Roffs letter also indicated the VA was attempting to schedule an evaluation of Plaintiff with one of their psychiatrists, but Plaintiff refused to be evaluated and instead advised he would provide the VA with a report from his private psychiatrist. On March 25, 2004, Plaintiff provided to Jorge Creus, Chief of JAHVH’s Fee Services Section, a letter from his treating psychiatrist in Las Vegas as well as an evaluation by the Las Vegas VAMC’s Chief of Psychiatry.

On April 24, 2004, Creus wrote to Plaintiff advising that based on a review of Plaintiffs medical records, his application for fee basis treatment was denied, and that the requested medical care could not be provided at JAHVH. On May 5, 2004, Plaintiff filed a formal appeal, seeking review of the agency’s determination.

On May 13, 2004, Roff wrote to Plaintiff authorizing fee basis treatment for all medical conditions. Roff sent a second letter to Plaintiff on May 20, 2004, wherein she explained his fee basis authorization was retroactive to February 1, 2004, the date immediately following the expiration of Plaintiffs Las Vegas VAMC’s fee basis authorization. She further indicated that invoices for medical services provided on or after February 1, 2004, should be sent to JAHVH for payment, and informed Plaintiff the VA would reimburse him for medications previously purchased.

On May 26, 2004, Creus wrote to Plaintiff advising that JAHVH had authorized fee basis treatment for any medical condition for a one-year period or until Plaintiff was reevaluated. Creus further informed Plaintiff that in order for the VA to determine whether a doctor was authorized to treat Plaintiff, Plaintiff needed to quickly select a treating physician and provide the physician’s name and other pertinent information to the VA. Creus also advised *916 Plaintiff not to begin treatment with his treating physician until he received confirmation that the physician was approved.

On June 21, 2004, Plaintiff filed an administrative claim under the Federal Tort Claims Act (hereinafter “FTCA”) alleging, among other things, medical malpractice and negligence. Plaintiff sought one million dollars in damages. On August 30, 2004, the VA, through the Office of Regional Counsel (hereinafter “ORC”) denied Plaintiffs claim. Plaintiff withdrew his claim on September 1, 2004.

During these events and in the year following, Plaintiff submitted approximately thirty (30) requests for records under the Freedom of Information Act and the Privacy Act to various officials at ORC, the VA’s Office of General Counsel (hereinafter “OGC”), and JAHVH. It is upon these requests that Plaintiffs Complaint was filed.

Plaintiff’s Request for Records

Requests to the ORC

• On June 1, 2004, Plaintiff wrote to Kathy Wallace, an ORC paralegal, requesting an explanation as to why a three year old letter was being circulated that, according to Plaintiff, could have resulted in his C-file being wrongfully sent to Reno, Nevada. The letter attached a series of August, 2001 e-mails bearing a March 16, 2004, date stamp from the Reno Veterans Affairs Regional Office, concerning the transfer of Plaintiffs claim file. Gary Slemmens, Assistant Regional Counsel, responded to Plaintiffs letter advising him that the ORC did not condone attempts to tamper or otherwise inappropriately affect the contents of any C-file.
• On June 8, 2004, Plaintiff forwarded a letter to Slemmens requesting records concerning himself. In response, the ORC assigned the request to an attorney team most associated with the subject matter of the request. The team conducted an electronic and manual search of its files for all responsive records. ORC’s search identified four pages of records responsive to Plaintiffs request and released these records to Plaintiff on June 15, 2004. Additionally, the ORC informed Plaintiff of his right to appeal to the VA’s office of general counsel. Plaintiff did not appeal this decision.
• On September 1, 2004, Plaintiff forwarded a letter to Slemmens requesting records concerning the investigation of an administrative claim filed by Plaintiff under the FTCA. Slem-mens responded to Plaintiff on September 14, 2004, informing Plaintiff the requested records were exempt from disclosure pursuant to FOIA exemption (b)(5) as the records were prepared in anticipation of litigation. 2 Slemmens’ letter also advised Plaintiff of his appeal rights. Subsequent to Slemmens’ letter of September 14, 2004, ORC reviewed the withheld records and determined that the correspondence between ORC and Plaintiff are responsive to Plaintiffs September 1, 2004, request and are segre-gatable from records protected by FOIA’s disclosure exemptions. As such, on January 30, 2007, ORC released to Plaintiff the nonexempt records from his FTCA matter file.
• On January 18, 2005, Plaintiff forwarded a letter to K. Sue Meyer 3 *917 requesting records showing the authority for anyone other than Meyer to act as Regional Counsel.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Alexander v. Michigan Adjutant General
860 F. Supp. 2d 448 (W.D. Michigan, 2012)

Cite This Page — Counsel Stack

Bluebook (online)
510 F. Supp. 2d 912, 2007 WL 1341123, Counsel Stack Legal Research, https://law.counselstack.com/opinion/williams-v-department-of-veterans-affairs-flmd-2007.