STATEMENT OF
ROBERT VINCENT CHISHOLM
PAST PRESIDENT OF THE
NATIONAL ORGANIZATION OF VETERANS ADVOCATES
MAY 5, 2005MR.
CHAIRMAN AND MEMBERS OF THE SUBCOMMITTEE:
Thank you for the opportunity to present the views of the National
Organization of Veterans’ Advocates (“NOVA”) on the operations of both
the Board of Veterans’ Appeals and the Appeals Management Center. NOVA
is a not-for-profit educational organization created under 26 U.S.C. §
501(c)(3) for attorneys and non-attorney practitioners who represent
veterans, surviving spouses, and dependents, before the Court of Appeals
for Veterans Claims (“CAVC”) and on remand before Department of Veterans
Affairs (“VA”). NOVA has written many amicus briefs on behalf of
claimants before the CAVC and the United States Court of Appeals for the
Federal Circuit (“Federal Circuit”). The CAVC recognized NOVA’s work on
behalf of veterans when it awarded the Hart T. Mankin Distinguished
Service Award to NOVA in 2000. The positions stated in this testimony
have been approved by NOVA’s board of directors and represent the shared
experiences of NOVA’s members.
For the past fourteen years I have been representing claimants at all
stages of the veteran’s benefits system from the VA regional office to
the Board of Veterans’ Appeals to the CAVC as well as before the Federal
Circuit.
A claimant who files a new claim for benefits that is denied by the VA
usually faces a three to five year horizon before he or she receives a
final decision from the Board of Veterans’ Appeals. If that same
claimant then appeals the case to the Court of Appeals for Veterans
Claims, it may take another twelve to eighteen months for the Court to
render a final decision. When the Court acts in the claimant’s favor, it
will most likely result in a remand back to the Board of Veterans’
Appeals. See Swiney v. Gober, 14 Vet. App. 65 (2000) (wherein the CAVC
acknowledged “outright reversal on the merits has been very rare” and
remands are the norm). The remand from the CAVC provides the claimant
with the opportunity to submit additional evidence and arguments in
favor of the claim at issue, and it preserves the claimant’s favorable
effective date if there is an award of benefits. The problem, however,
is that many claimants do not survive the protracted adjudicatory
process. Those claimants who do survive are subjected to interminable
delays before the VA.
Remanded claims and Board Docketing of Appeals.
I would first like to direct my testimony to the issue of claims
remanded from the Court to the Board of Veterans’ Appeals. A “remand” is
simply an order sending the case back down the ladder to be done over
again. It is upon return from the Court to the Board of Veterans’
Appeals that delays in adjudication are exacerbated.
In 1994, Congress enacted the Veterans Benefits Improvement Act. Section
302 of the Act, Pub.L. No. 103-446, § 302, 108 Stat. 4645, 4658 (1994),
which provided for expeditious treatment of veterans claims that were
remanded from the Court of Appeals for Veterans Claims back to the Board
of Veterans’ Appeals. In addition, the Act requires claims remanded from
the Board to the VA regional offices to receive expeditious treatment.
The statute specifically mandates that “[t]he Secretary of Veterans
Affairs shall take such actions as may be necessary to provide for the
expeditious treatment, by the Board of Veterans’ Appeals and by the VA
regional offices of the Veterans Benefits Administration, of any claim
that has been remanded by the Board of Veterans’ Appeals or by the
United States Court of Veterans Appeals for additional development or
other appropriate action.” This act was codified in 2003 by Pub. L.
108-183, Title VII, § 707(a)(1), 117 Stat. 2672.) at 38 U.S.C. § 5109B.
It provides that “[t]he Secretary shall take such actions as may be
necessary to provide for the expeditious treatment by the appropriate VA
regional office of the Veterans Benefits Administration of any claim
that is remanded to a regional office of the Veterans Benefits
Administration by the Board of Veterans’ Appeals.” In addition, Pub. L.
108-183, Title VII, § 707(a)(1), 117 Stat. 2672) codified the VBIA at 38
U.S.C. § 7112 which provides that the Secretary shall take such actions
as may be necessary to provide for the expeditious treatment by the
Board of any claim that is remanded to the Secretary by the Court of
Appeals for Veterans Claims.
The intent behind the VBIA 1994 and the subsequent statutory
codification is clear: Congress wants those claimants who have been
unable to get a final decision from the Board to thereafter receive
expeditious treatment whether on remand from the CAVC or on remand from
the Board to the VA regional offices. The problem, however, is the Board
has failed to execute the will of Congress.
Docketing of Cases by the Board of Veterans’ Appeals
The Board’s failure to implement the intent of Congress regarding
expeditious treatment of remanded cases is exemplified in the Board’s
docketing procedure for remanded claims. The Secretary has promulgated
certain regulations to govern the order in which appeals to the Board
are decided. Generally speaking, the Board decides appeals in the order
in which they are received from the VA regional offices. 38 C.F.R. §
20.900(a). Therefore, if a claim has a 2003 docket number it is supposed
to be decided before a case with a 2004 docket number and so on.
Remanded claims that are returned to the Board assume their original
place on the docket. 38 C.F.R. § 20.900(a). If a case with a 1999 Board
docket number is remanded to the VA regional office and then returns to
the Board in March 2005, it should retain the 1999 docket number, not a
new 2005 Board docket number.
Finally, the Board has a specific regulation issued in response to the
requirement to provide expeditious treatment to remanded claims from the
Court. That regulation provides:“A case remanded by the United States
Court of Appeals for Veterans Claims for additional development or other
appropriate action will be treated expeditiously by the Board without
regard to its place on the Board’s docket.” 38 C.F.R. § 20.900(d).
Delay— Not Expeditious Treatment— Is the Norm
Typically, veterans face years of delay instead of receiving the
expeditious treatment required by Congress. Delay occurs at two critical
junctures:
(1) When a case is remanded from the Court to the Board, and
(2) When the Board remands a case back to the VA regional office and the
denial is sustained by the VA regional office.
In this latter situation, the matter is supposed to retain its earlier
Board docket number but most cases are assigned new docket numbers.
As noted above, the first significant time delay occurs when the cases
are remanded from the CAVC to the Board of Veterans’ Appeals. When a
case is remanded from the Court to the Board, the Board is required to
send a letter to the claimant and the representative of record to
provide them with 90 days to submit additional evidence. Once that
letter is responded to by the claimant or the representative, the Board
is required to render a new decision. In my experience, claimants are
waiting up to a year for a new decision.
The second situation, when the Board remands a case back to the VA
regional office, causes far more grievous delay, especially where the VA
regional office grants a part of the claim, but then commits error by
denying less than the full relief required by law. In that situation,
Congress requires that the Board expeditiously review the regional
office decision, but often it does not.
For example, assume that in 1996, a Persian Gulf War veteran filed a
claim for service connection of post traumatic stress disorder (PTSD),
which the VA regional office finally denied in 1999. The veteran appeals
to the Board of Veterans’ Appeals where the case is given a 1999 docket
number. The Board issues a remand decision in 2004 because the VA
regional office failed to obtain a medical opinion on issues necessary
to decide the veteran’s claim. Based on the newly obtained medical
opinion, the VA regional office finally decides that the Gulf War
veteran is entitled to disability compensation for his PTSD, but the VA
regional office assigns a rating of only 50%, and awards benefits as of
the date the VA obtained the medical opinion— even though the veteran’s
PTSD has prevented him from working since his claim was filed in 1996.
Under those circumstances, the law requires the VA to rate the veteran
as 100% disabled and to pay him benefits at the 100% rate, starting in
1996 when he filed his claim.
Unfortunately, the VA regional office grants some relief, but less than
what the law requires, and less than what the veteran is entitled to and
needs because of his disability. The veteran’s only remedy is to appeal,
again, to the Board of Veterans’ Appeals, and ask the Board, again, to
correct the VA regional office’s mistake and assign a higher rating and
an earlier effective date.
Here lies the problem: Getting the case back before the Board can take
another three to five years, because the Board has no protocol to
require docketing personnel to retain the earlier and clearly more
advantageous docket number. Instead, the docketing personnel usually
assign a new docket number. In the case of our hypothetical Gulf War
veteran, then, his 2005 appeal to the Board would be assigned a 2005
docket number, rather than retaining his original 1999 docket number.
This means that instead of having his case set for immediate Board
review, he is sent to the back of the line for another three to five
year wait, on a claim that was first filed in 1996 - nine years ago
already. The additional delay of three to five years is caused by the
Board assigning a new docket number to the veteran’s claim, instead of
retaining the earlier, original docket number.
If the claimant is not helped by a sophisticated representative, the
claimant will not even know that he was entitled to faster
consideration. In order to assure that the Board is complying with its
own docketing procedures for remanded claims, I as well as other
attorneys, have found it a necessary practice to file petitions for
writs of mandamus with the Court of Appeals for Veterans Claims. E.g.,
Dailey v. Principi, 17 Vet. App. 61 (2003); Vargas-Gonzalez v. Principi,
15 Vet. App. 222 (2001). In over 75% of my cases that are returned to
the Board of Veterans’ Appeals after remand, I must send a letter to the
Board because the case was assigned a new Board docket number instead of
the original one. The process should be automatic, but it is not. Once
again, a claimant who does not have the help of a sophisticated
representative will never know what happened.
The Board’s Statistical Tabulations.
I would also like to comment on NOVA’s concern about the methodology
used by the Board to generate its statistics for its annual reports. In
order for Congress to understand the operations of the Board and the
Appeals Management Center, an accurate representation of what happens at
the Board is necessary.
Every year the Board of Veterans Appeals in its annual report provides
the following information: (1) the total number of decisions made; (2)
the number of allowed claims; (3) the number of remanded claims and (4)
the number of denied claims. The following data is from the Board annual
report:
Fiscal Year Number of Board Decisions Allowed Remanded Denied
2004 38,371 17.1% 56.8% 24.2%
2003 31,397 22.1% 42.6% 32.6%
The data in the Board’s Annual Report is misleading in the following
way. Many claimants’ claims have multiple issues. By way of example, a
single claimant could have claims for PTSD, hearing loss, tinnitus and
Agent Orange-related illnesses. If the Board grants the claimant a 10%
rating for hearing loss and denies the claims for PTSD, tinnitus and
Agent Orange, the Board considers that an “allowed” claim for the
purposes of its annual report. The Board simply fails to report in its
annual report that it has denied the remaining three issues, each of
which is an appealable claim to Court. Thus, the Board fails to report
the total number of actual claims denied.
Quality of Decision Making at the Board
In order to truly assess the quality of Board decision making, one needs
to examine what is happening to the cases appealed from the Board to the
Court. The CAVC in its annual report provides data regarding the total
number of cases filed and the dispositions of those cases.
Fiscal Year Merits Decisions Percentage Remanded
2000 1619 63%
2001 2853 96%
2002 972 72%
2003 2152 91%
2004 1337 83%
The data is from the following website address: http://www.vetapp.gov/AboutCourt/Annual%20Reports.pdf
.
This evidence is indicative of a lack of quality decision making at the
Board. A claimant who is denied benefits has a much better than even
chance of getting a remand from the Court due to errors committed by the
Board.
The Need for Legal Representation Before the Board
A final thought regarding the operation of the Board specifically and
the adjudication of claims generally. Presently, claimants do not have
the choice to hire and compensate an attorney until after the Board
issues the first final decision on the case. 38 U.S.C. §§ 5904 and 5905.
As my testimony demonstrates, obtaining a “first final decision” from
the Board is a lengthy and unnecessarily protracted process.
Consequently, under the current statutory scheme, a claimant’s first
opportunity to compensated counsel occurs only after the first final
decision of the Board. As a result, a claimant’s right to the
compensated assistance of counsel occurs after the evidentiary record is
closed.
The right of a claimant to hire counsel is further limited by the
requirement that the claimants retain the attorney within one year of
the final Board decision. 38 U.S.C. § 5904(c)(1). As a practical matter,
however, if the attorney is not hired within 120 days of the final Board
decision, the right to appeal the Board decision to the CAVC is
extinguished. In order to preserve the claimant’s right to judicial
review, the claimant must appeal the Board decision within 120 days of
the Board decision. 38 U.S.C § 7266(a). Further, if a claimant does not
hire counsel within one year, then any further efforts involving the
same claim or claims prohibit the compensation of an attorney until
after another final decision of the Board of Veterans’ Appeals. As noted
above, the Board routinely commits errors in its decisions and if the
claimant does not appeal that case to Court, the matter ends.
On behalf of NOVA, I would like to thank the subcommittee for the
opportunity to present this testimony. Oversight of the VA adjudication
process is critical and necessary to ensure that the intent of Congress
to compensate veterans and their families for all benefits which can be
supported in law is not thwarted. NOVA believes that the most effective
means of ensuring that the VA provides all benefits which can be
supported in law, is to permit all claimants the right to hire an
attorney at the initial claims process. The current system merely
reinforces the adjudicatory errors of the VA and compounds needless
delay of these claims. NOVA submits that an amendment to 38 U.S.C. §§
5904 and 5905 to permit legal representation at the initial claim level
is necessary.
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