Overton v. Wilkie, Case Number 17-0125, decided September
19, 2018 is the third case in a long line of cases (including many cases by
Gray) dealing with the VA’s illogical distinction between Blue and Brownwater
veterans.
The blue versus brownwater distinction is important because
those veterans who served on what is termed brownwater areas are deemed to be
exposed to Agent Orange and thus a presumption applies to several disabilities.
In the 2015 decision Gray v. McDonald, the Court held the VA’s
interpretation of a statute designating Da Nang Harbor as offshore was
arbitrary and capricious and remanded the case so the VA could reevaluate its
waterway definition in light of the purpose of the regulation, which is to provide
compensation based on herbicide exposure.
Rather than creating a more pro-veteran rule, the VA modified its Adjudications
Procedural Manual (M21-1) to exclude all Vietnamese bays and harbors from the
definition of “inland waterways.”
Importantly, the VA avoided changing the actual regulation,
which would have required notice and comment rulemaking and simply changed its
internal manual. The result was a
challenge before the Federal Circuit of the manual change and a decision, Gray
v. Secretary of Veteran Affairs, by that Court stating the M21-1 was internal
manual used to guide adjudicators and was not a substantive rule and that the
Board is not bound by the M21-1.
In light of these decisions, the Board denied service
connection to Overton for among other things type II diabetes mellitus, which
would normally be presumed to be caused by Agent Orange for veterans who served
in Vietnam (including in inland waterways).
The Court noted “The Board relied on the modified M21-1 provision to
deny the appellant's claims concerning presumptive herbicide exposure.11 Yet, the
Board did not discuss why it relied on the M21-1.” Id. at *2.
The Court then held:
that when relying on any M21-1
provision, the Board must independently review the matter the M21-1 addresses.
If after such review, the Board chooses to rely on the M21-1 as a factor in its
analysis or as the rule of decision, it must provide adequate reasons or bases
for doing so. The Board may not simply rely on the nonbinding M21-1 position
without analysis. Because the Board
did not engage in the appropriate analysis here, the Court will set aside the
November 1, 2016, Board decision and remand the matter for readjudication consistent
with this decision.
Id. at *2.
In its
analysis, the Court recited the history of the Gray decisions and particularly
the Federal Circuit case and stated:
we know first that VA is permitted to
draw reasonable lines demarcating inland versus offshore waterways when
considering whether a veteran is entitled to the presumption of herbicide
exposure. Second, when drawing such a line, VA must do so in a reasoned,
nonarbitrary manner focused on the likelihood of herbicide exposure. And
finally, the Board is not bound by M21-1 provisions.
Id. at *7.
considers the Board’s reference to GAF scores when setting a
PTSD rating. The Court strictly
determines GAF scores should not be considered.
As said by the Court:
The "Global Assessment of
Functioning" scale was a scale ranging from 0 to 100, that was created to
reflect "psychological, social, and occupational functioning on a
hypothetical continuum of mental health illness." See DSM-IV at 32. In
other words, a GAF score was a numerical summary on a standardized scale
reflecting the presence and severity of psychological symptoms and their
effects.
Id. at *4.
The Court then explained the Board
provided nothing more than this
historical recitation to support its conclusion that Da Nang Harbor is not brown
water warranting presumptive herbicide exposure. Instead, the Board tersely
stated that the "new guidance," referring to its earlier discussion
of the M21-1 provision, deems all harbors or bays offshore, and all rivers and
deltas inland.44 This is error.
The Federal Circuit made it clear that the Board is not bound by the M21-1.45 This holding is meaningful. To support its decision the Board can't simply cite an M21-1 provision without further analysis. First, doing so would effectively negate the Federal Circuit's decisions in Gray and DAV. Doing so would convert the M21-1 into substantive rules as a practical matter without providing a means to challenge such rules under the APA. Second, because the M21-1 is not binding on the Board, the Board's citation to a manual provision as the only support for a conclusion–here that Da Nang Harbor is blue water–is inconsistent with the Board's congressionally mandated obligation to provide an adequate statement of reasons or bases for its decisions
The Federal Circuit made it clear that the Board is not bound by the M21-1.45 This holding is meaningful. To support its decision the Board can't simply cite an M21-1 provision without further analysis. First, doing so would effectively negate the Federal Circuit's decisions in Gray and DAV. Doing so would convert the M21-1 into substantive rules as a practical matter without providing a means to challenge such rules under the APA. Second, because the M21-1 is not binding on the Board, the Board's citation to a manual provision as the only support for a conclusion–here that Da Nang Harbor is blue water–is inconsistent with the Board's congressionally mandated obligation to provide an adequate statement of reasons or bases for its decisions
Id. at *8.
The Court also noted the Board suggested the all or nothing
rule of stating all bays and harbors are not inland waterways alleviated the
problems from Gray, but the Court made clear the problem is the lack of
rationale in determining what makes something an inland or offshore
waterway. Id. at *9.
The Court also rejected the Secretary’s last minute request
that the Court defer to the agency. The
Court rejected because the matter was not briefed but raised at oral argument
and such deference would be misplaced where the Court was reviewing the Board
decision as opposed to the M2-1 provision.
This Court reveals a significant flaw in the VA’s failure to
pursue notice and comment rulemaking and demonstrates how reliance on an M21-1
provision can be attacked.
Decision by Judge Allen, joined in by Chief Judge Davis and
Judge Pietsch.
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