TESTIMONY OF
CARROLL WILLIAMS, DIRECTOR
NATIONAL VETERANS AFFAIRS AND
REHABILITATION
COMMISSION
THE AMERICAN LEGION
BEFORE THE
SUBCOMMITTEE ON BENEFITS
COMMITTEE ON VETERANS AFFAIRS
UNITED STATES HOUSE OF
REPRESENTATIVES
ON
H.R. 3193 - THE DUTY TO ASSIST
VETERANS ACT OF
1999
MARCH 23, 2000
Mr. Chairman and Members of the
Subcommittee:
The American Legion appreciates this
opportunity to discuss the important issues related to the nature and extent of the
Department of Veterans Affairs (VA) duty to assist claimants in the preparation and
development of claims for benefits to which they may be entitled.
We also welcome the opportunity to comment
on HR 3193 - Duty to Assist Act of 1999 - introduced by Congressman Lane Evans, to
reestablish VAs original interpretation of their "duty to assist"
claimants in the development of claims and to clarify the burden of proof that will apply
in such claims. We applaud the elimination of the often misunderstood term "well
grounded claim" with the enactment of HR 3193.
We wish to commend you, Mr. Chairman, for
your leadership in scheduling this very timely and important hearing to consider the
adverse effects of the decision of the United States Court of Appeals for Veterans Claims
(CAVC or the Court) decision in Morton V. West, 11 Vet. App. 477 (July 1999) on
thousands of veterans, their families and survivors.
We also appreciate the concern about
VAs implementation of Morton expressed by various Members of the full Committee
hearing on the VA FY 2001 budget last month and the obvious desire to correct a situation
that Congress never intended when it enacted section 5107 of Title 38, United States Code
which provides:
Except when otherwise provided by the
Secretary in accordance with the provisions of this title, a person who submits a claim
for benefits under a law administered by the Secretary shall have the burdenof submitting
evidence sufficient to justify a belief by a fair and impartial individual that the
claimis well grounded. The Secretary shall assist sucha claimant in developing the facts
pertinent to the claim.
DUTY TO ASSIST
Mr. Chairman, the question of the nature
and extent of VAs statutory duty to assist veterans and other claimants in the
development of their claims was addressed by the CAVC in their decision Morton v. West
issued on July 14, 1999. The court held VA not only does not have the duty to
assist a claimant who has not filed a well grounded claim, that it has no authority
to do so under the statute, 38 USC § 5107.
The court also held that language regarding
claims development in regulations, manuals and policy statements of the Compensation and
Pension Service, suggesting the Secretary of Veterans Affairs has a duty to assist a
claimant even though he or she has not submitted a well grounded claim were,
"interpretive" and did not create enforceable substantive rights.
We recognize the CAVC's holdings in Morton
have profound workload implications for VA. On August 30, 1999 VAs Under Secretary
for Benefits issued a letter to VA regional offices rescinding the invalidated manual
provisions and instructing them to comply with Morton v. West. As a result, each
day VA now issues letters to thousands of veterans advising them their claims are being
denied because they are not well grounded. No doubt, VA will be reporting a significant
reduction in the backlog of pending cases for FY 2000, however, we fully expect this
reduction in workload will be offset by an increase in the number of appeals filed to the
Board of Veterans Appeals.
On September 3, 1999, a timely appeal was
filed with the Federal Circuit which, under 38 USC 7192, has jurisdiction to review the
decision of the CAVC in this case. This appeal is still under review and Morton,
is, by law, not final and should not have been implemented. VA is taking advantage of this
unique opportunity to significantly reduce its current and long-term workload, regardless
of the adverse and potentially irreparable harm done to veterans in the process.
Because of this response to the CAVCs
holdings the VA has abandoned one of its most important cornerstone policies. For decades,
veterans have looked to VA for assistance with their claims and VAs policy was to
fully develop all claims. It is our contention that this abrupt about-face in
long-standing VA policy and practice eviscerates the traditional, non-adversarial process
of administering veterans claims, greatly increasing the burden and cost to veterans
applying for benefits and will inevitably deprive deserving veterans of needed benefits.
H.R. 3193
The American Legion supports the intent of
H.R. 3193 to reestablish the duty of VA to assist claimants for benefits in developing
claims and to clarify the burden of proof for such claims by amending 38 USC § 5103.
Again, we applaud the elimination of the often misinterpreted term "well grounded
claim" by the introduction of HR 3193.
We believe it was and is the intent of
Congress that the duty to assist should be triggered when a claimant presents a reasonable
claim. There is a legal duty by the VA to reasonably develop such a claim without creating
an insurmountable burden for the veteran or his or her dependents by having them pay for
medical examinations, or seek out medical or lay evidence of an in-service occurrence when
oftentimes the records to show these are already in the government's possession.
We do, however, strongly suggest that H.R.
3193 be amended in the following manner. First, the word "information" in
section 5103A (a) should be deleted to make it clear that the Secretary is obligated to
help produce evidence. Also, the words "information and" in section
(b)(2) should be deleted. We believe that the word "information" adds nothing
and may confuse VA adjudicators.
Second, in section 5103A (b)(6) the words
"the Secretary considers" should be deleted because the duty to assist should be
mandatory not discretionary on the part of the Secretary. The American Legion
believes that when the VA determines, after appropriate development regarding other
elements of a claim, that an examination is necessary to determine whether a condition
exists, the severity of a disability, or whether there is a nexus to service, the
"duty to assist" requires the Secretary to provide that examination.
Third, the amendment to section 5107(a)
that deals with the burden of proof should be revised to specifically acknowledge that the
VA must comply with the duty to assist mandated by section 5103A before the VA determines
if the claimant has met his or her burden of proof. Also, the words "eligibility
for" should be deleted and replaced with "entitlement to" because the word
eligibility has sometimes been interpreted by the Secretary as meaning just a veteran with
a qualifying discharge.
VETERANS HEALTH ADMINISTRATION
"DUTY TO ASSIST"
VAs pro-claimant policy was expressed
in the Veterans Health Administration (VHA) Directive 98-052 on November 18, 1998, from
the former Under Secretary for Health, Dr. Kenneth Kizer. This directive advised all VA
medical staff that VAs obligation to care for veterans extended to providing medical
opinions, when requested, in support of their claim for VA disability benefits and in
completing forms for other programs or benefits. The authority for that policy directive
expired on September 30, 1999 and, to our knowledge, no action has been taken to
reestablish it. On several occasions over the past four months, The American Legion has
requested the Deputy Under Secretary for Health, Dr. Thomas Garthwaite, to address the
issue of whether he intends to change or reaffirm VHAs "duty to assist"
veterans, who need assistance in developing the kind of evidence to make their claims well
grounded. However, to date, no response has been received.
CONCLUSION
In conclusion, when a representative of The
American Legion accepts a veterans power of attorney, we also accept the
responsibility that it is our profound duty and historical obligation to help that
claimant in every legal way within our means. Our "duty to assist" begins
immediately, as it should. We expect no less of ourselves and we expect no less of the
Department of Veterans Affairs.
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