PATRICIA E. CAMPBELL-SMITH, Chief District Judge.
This is a military pay case in which plaintiff, Timothy J. Hatmaker (Mr. Hatmaker or plaintiff) seeks review of the decision of a military review board regarding the disability rating he received upon separation. Defendant is Mr. Hatmaker's former employer, the United States Air Force (Air Force or defendant). Mr. Hatmaker was separated from the Air Force in September 2007 after being found medically unfit by an Air Force Physical Evaluation Board (PEB). Mr. Hatmaker had one unfitting condition, vertigo, for which he received a disability rating of 10 percent. The PEB found that Mr. Hatmaker also had three other service related conditions, none of which were determined to be unfitting at the time of his separation.
Mr. Hatmaker sought review of the PEB decision from the Department of Defense (DoD) Physical Disability Board of Review (Board). In April 2013, the Board recommended no change to the PEB decision. Mr. Hatmaker now asks this court to review the Board's decision.
Pending before the court are the parties' cross-motions for judgment on the administrative record. Both motions are ripe for consideration. Oral argument was neither requested by the parties nor deemed necessary by the court. For the reasons explained below, defendant's motion for judgment on the administrative record is
As specified herein, this matter is
Mr. Hatmaker was expected to be separated from the Air Force on May 31, 2007. AR 78, ECF No. 12. On May 23, 2007, Mr. Hatmaker had a medical assessment in connection with his expected separation. AR 103-04. During that assessment, Mr. Hatmaker indicated that his performance may have been affected by various medical disabilities, including sleep apnea and asthma. AR 103, block 15. On May 24, 2007, Mr. Hatmaker had a separation physical examination, AR 84-99, which showed that Mr. Hatmaker's medical conditions included asthma, obsessive compulsive disorder (OCD), vertigo, and obstructive sleep apnea, AR 84-85.
Mr. Hatmaker was then referred to a medical evaluation board (MEB). AR 618. The purpose of a MEB is to "document . . . the medical status and duty limitations of Service members referred into the [Department of Defense Disability Evaluation System]." DoDI 1332.38
The purpose of a PEB is to "determine the fitness of a Service members with medical impairments to perform their military duties; and for members determined unfit for duty-related impairments, [to determine] their entitlement to benefits." DoDI 1332.38 ¶ E3.P1.3.1. An informal PEB "conduct[s] a documentary review without the presence of the Service member for providing initial findings and recommendations."
On August 10, 2007, the PEB issued its "Findings and Recommended Disposition." AR 43 (PEB decision). The PEB considered the four potentially unfitting
The PEB assigned Mr. Hatmaker a VASRD
Mr. Hatmaker was separated from the Air Force on September 24, 2007 due to disability. AR 151. At the time of his separation, Mr. Hatmaker was a captain and had completed approximately ten years of military service.
After his separation from the Air Force, Mr. Hatmaker applied for benefits from the Department of Veterans Affairs (DVA).
On May 28, 2008, the DVA issued its second decision, in which it determined Mr. Hatmaker's asthma was service-connected, and granted him a 10 percent disability rating. AR 239. On March 30, 2009, the DVA issued its third decision, in which it increased Mr. Hatmaker's disability rating for vertigo from 0 percent to 30 percent. AR 247-49.
A service member may apply to the Board for a review of the rating awarded in connection with a disability (or medical) separation from the military.
In September 2012, Mr. Hatmaker applied to the Board to review his August 2007 PEB decision. AR 8-20 (Application for Board Review). The Board issued its findings and recommendation on April 9, 2013. AR 3-7. In relevant part, the Board found that,
AR 7.
Mr. Hatmaker filed a complaint in this court on September 24, 2013, in which he asserts that the Board's decision was arbitrary, capricious, contrary to law and regulations and unsupported by substantial evidence. Compl. ¶ 18, ECF No. 1. Mr. Hatmaker argues for an increased disability rating which would qualify him for a disability retirement, rather than the disability separation that he received. Mr. Hatmaker seeks payment of the pay and benefits to which he would be entitled with a disability retirement.
Defendant filed a motion for judgment on the administrative record on February 5, 2014. Def.'s Mot., ECF No. 13. That same day, defendant filed the Administrative Record. AR, ECF No. 12. Mr. Hatmaker filed his cross motion and response on March 11, 2014. Pl.'s Mot., ECF No. 16. Mr. Hatmaker also filed an appendix, listing "Evidence and References from the Administrative Record Referencing Vertigo." Pl.'s App. A, ECF No. 16-1. Defendant filed its response on April 2, 2014. Def.'s Resp., ECF No. 23. Mr. Hatmaker filed his reply on April 24, 2014. Pl.'s Reply, ECF No. 26.
A court must determine at the outset of a case whether it has subject matter jurisdiction over the claims put before it.
The United States Court of Federal Claims is a court of limited jurisdiction that, pursuant to the Tucker Act, may hear "any claim against the United States founded . . . upon . . . any Act of Congress or any regulation of an executive department." 28 U.S.C. § 1491(a) (2012). The Tucker Act serves as a waiver of sovereign immunity and a jurisdictional grant, but it does not create a substantive cause of action.
Title 10 U.S.C. § 1201 requires the payment of disability retirement compensation once a service member's disability is found qualifying.
As Mr. Hatmaker brought his claim under 10 U.S.C. § 1201 for monies he alleges are owed to him for a disability retirement, the court is satisfied it has jurisdiction over his claim.
Rule 52.1(c) of the Rule of the United States Court of Federal Claims (RCFC) provides for motions for judgment on the administrative record. RCFC 52.1(c)(1) (providing that "a party may move for partial or other judgment on the administrative record"). A motion for judgment on the administrative record is "distinguish[able]" from a motion for summary judgment in that there is no requirement that all material facts be undisputed.
When applying the substantial evidence standard of review, the court cannot substitute its judgment for that of the military review board.
When determining whether a decision of a military review board is supported by substantial evidence—or "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion,"
Mr. Hatmaker offers four arguments in support of his position that this court should not uphold the Board's decision not to recommend any change from the PEB decision. Mr. Hatmaker argues that the Board erred: (1) in not giving special consideration to the DVA rating; (2) in not reviewing Mr. Hatmaker's disabilities for their overall effect on his fitness; (3) by not considering a rating of total disability based on his unemployability; and (4) by failing to award a 30 percent rating for his vertigo.
Defendant asserts that each of the Board's decisions regarding plaintiff's (1) vertigo, (2) OCD, asthma, and sleep apnea, and (3) total disability due to unemployability, are correct. Defendant urges the court not to disturb the Board's decision.
The parties agree that the scope of Mr. Hatmaker's claim before this court encompasses all of the complaints he may have about the Board's recommendation to make no changes to the PEB's fitness determinations and disability ratings. Def.'s Resp. 24;
The court considers the parties' arguments in the following order: (1) the overall effect of Mr. Hatmaker's disabilities on his fitness determination; (2) Mr. Hatmaker's vertigo disability rating, including whether the Board was obligated to give special consideration to the DVA disability rating for vertigo; (3) Mr. Hatmaker's total disability due to unemployability, and (4) Mr. Hatmaker's OCD, asthma, and sleep apnea disability ratings.
As permitted by the pertinent DoD instruction governing the evaluation of physical disabilities, a "member may be determined unfit as a result of the overall effect of two or more impairments even though each of them, standing alone, would not cause the member to be . . . found unfit because of physical disability." DoDI 1332.38 ¶ E3.P3.4.4.
Mr. Hatmaker alleges that the Board "erred by not reviewing [his] disabilities for [their] combined effect" on his fitness. Pl.'s Mot. 22-24. In his Application for Review, Mr. Hatmaker requested the Board to consider "that the combined effect of [his] sleep apnea, asthma, and OCD rendered him unfit to perform his duties." AR 17.
The Board did acknowledge Mr. Hatmaker's request for an overall effect review in its decision. AR 4. But, the Board concluded that it lacked the authority to undertake such a review.
The Board, however, was mistaken regarding the limit of its authority, as defendant concedes in its briefing. Def.'s Resp. 13-14. Defendant explains:
Review of DoDI 6040.44 also shows that it expressly provides that PDBR operating procedures are to comply with DoDI 1332.38. DoDI 6040.44 Encl. 2 ¶ 6.h.
Thus, as defendant recognizes, the relevant regulations make clear: (1) the Board did, and does, have authority to consider conditions not found to be unfitting by the PEB; (2) the Board, like the PEB, must consider such conditions according to DoDI 1332.38; and (3) under DoDI 1332.38 ¶ E3.P3.4.4, a service member may be found unfit as the result of the overall effect of more than one disability.
Defendant asserts, however, that the Board's failure to conduct on overall effect review in Mr. Hatmaker's case was a harmless error and as such, constitutes an insufficient ground for the court to disturb the Board's decision. Def.'s Resp. 15 (citing
In
For this court to find harmless error in the Board's failure to conduct an overall effect review of Mr. Hatmaker's disabilities, it would have to find that the Board would not have found Mr. Hatmaker unfit as a result of such a review. Defendant endeavors to assure the court that this would have been the case. Def.'s Resp. 16. But, it is the province of the Board—not this court, and not defendant—to determine Mr. Hatmaker's fitness.
The Federal Circuit has made clear that "[i]t is . . . settled that [the] responsibility for determining who is fit or unfit to serve in the armed services is not [within the] judicial province; and that courts cannot substitute their judgment for that of the military departments when reasonable minds could reach differing conclusions on the same evidence."
The Board's refusal to conduct an overall effect review of Mr. Hatmaker's disabilities, as he requested, violated the written procedures under which the Board was obligated to conduct its review.
Moreover, the court has no authority to correct the Board's error through its own de novo review of Mr. Hatmaker's medical records.
The Court of Federal Claims has authority under the Tucker Act to remand a case to the PDBR.
Accordingly, the court remands this matter to the PDBR for consideration of Mr. Hatmaker's request to review the overall effect of his disabilities on his fitness determination.
Mr. Hatmaker argues that the Board further erred when it declined to recommend an increase in his disability rating for vertigo from 10 percent to 30 percent. Pl.'s Mot. 19-21, 26-34. Mr. Hatmaker disagrees with the Board's findings on two grounds. First, he contends it failed to give appropriate consideration to the DVA disability rating for vertigo. Second, he asserts that the Board did not properly consider the evidence or appropriately apply the VASRD reasonable doubt rule, 38 C.F.R. § 4.3 (2007).
Under DoDI 6040.44, the Board is required to consider a DVA disability rating for a condition that the PEB has found unfitting, such as Mr. Hatmaker's vertigo. The instruction provides in pertinent part:
DoDI 6040.44 encl. 3 ¶ 5.a.(4).
The DVA issued two decisions in which it rated Mr. Hatmaker's vertigo. In its first decision, issued on April 22, 2008, the DVA found a service connection for Mr. Hatmaker's vertigo, but granted him a disability rating of 0 percent. AR 153. In its third decision, issued on March 30, 2009, the DVA increased Mr. Hatmaker's disability rating for vertigo from 0 percent to 30 percent. AR 247. The DVA did not address vertigo in its second decision, which issued on May 28, 2008. AR 239-40.
Mr. Hatmaker argues that the Board erred by considering the evidence the DVA relied on when it assigned Mr. Hatmaker a 30 percent disability rating, rather than considering the DVA's disability rating itself. Pl.'s Mot. 20-21 ("[T]he special consideration is not as to evidence created within a 12 month separation period, but it is rather to DVA ratings awarded within a 12 month post separation period."). Mr. Hatmaker further argues that the Board should have given "heightened deference" to the DVA disability rating, as DoDI 6040.44 directs the Board to "particularly" consider any variance between the PEB and DVA ratings if the DVA disability rating was "awarded within 12 months" of separation.
Review of DoDI 6040.44 shows error in both of Mr. Hatmaker's arguments regarding the DVA disability rating, not in this aspect of the Board's consideration.
Nothing in DoDI 6040.44 suggests that the Department of Defense intended the Board to consider the DVA disability rating, as Mr. Hatmaker asserts, in lieu of the evidence upon which the DVA based its disability rating. Instead, the instruction indicates that DoD had the contrary intention. DoDI 6040.44 contains numerous directions that task the Board with conducting a de novo review of the evidence before the PEB and the DVA, as well as a review of any other evidence presented to the Board. As provided in DoDI 6040.44,
DoDI 6040.44 ¶ 4.b. Moreover,
Information required for the Board's review of cases includes, but is not limited to:
The Board discussed in its decision pertaining to Mr. Hatmaker how it would consider post-separation evidence, including evidence considered by the DVA.
AR 4 (emphasis and footnote added).
As set forth in DoDI 6040.44, the Board was to consider the DVA "rating determinations," which it did. DoDI 6040.44 encl. 2 ¶ 6.i. The Board compared the PEB and DVA disability ratings in a side-by-side table of the disability ratings awarded for each of Mr. Hatmaker's disabilities, including vertigo. AR 4. The Board also described the various medical examination reports created during the DVA-arranged visits between January and February 2008. AR 5.
The Board then frankly discussed the "inconsistencies in the record," including the reports issued after three different DVA medical examinations.
Mr. Hatmaker also posits that the language in DoDI 6040.44 compelled the Board to "particularly" consider the DVA disability rating if it was "awarded within a 12 month post separation period." Pl.'s Mot. 21. But Mr. Hatmaker's argument misses the mark, because the DVA did not award his disability rating for vertigo within 12 months of his September 24, 2007 separation. The DVA awarded Mr. Hatmaker a 30 percent disability rating for vertigo on March 30, 2009, AR 247, 18 months after his separation. The DVA awarded the disability rating effective as of his separation date.
Nevertheless, as discussed
In determining whether there was substantial evidence to support the Board's decision not to increase Mr. Hatmaker's disability rating from 10 percent to 30 percent, the court must evaluate whether the Board considered the relevant information and whether the Board explained its decision. Numerous courts have spoken to what a court needs to conduct its review of a board's decision.
A military review board "must examine relevant data and articulate satisfactory explanations for their decisions. This includes making rational connections between the facts found and the choices made."
"Even where the agency has failed to adequately support its interpretation, it is not for the Court to review
In declining to increase Mr. Hatmaker's disability rating, the Board concluded that "[a]lthough the first neurology exam in May 2007 recorded complaints of staggering and dizziness, follow-up neurology visits noted dizziness to be at most occasional; and staggering was not reported again. And finally, physician examinations consistently documented the absence of any objective findings of disequilibrium." AR 6.
As discussed more fully below, the court is not satisfied that the Board has provided a sufficient explanation for its decision from which the court can evaluate whether the Board's decision was supported by substantial evidence. More particularly, the court cannot "evaluate the challenged agency action on the basis of the [decision] before it."
The Board concludes that Mr. Hatmaker's episodes of dizziness were "at most occasional,"
The Board examined what the record showed regarding dizziness. The Board noted that:
AR 5-6 (emphasis added).
Omitted from the Board's discussion, however, was any mention of Mr. Hatmaker's documented absence from work due to dizziness, and any explanation regarding why the Board chose to credit general discussions of symptoms for his OCD, rather than Mr. Hatmaker's repeated reports that he was not driving due to dizziness.
Although, there are several reports in the record for the period of time between June and July 2007 that Mr. Hatmaker was absent from work due to his vertigo, the Board made no reference to these reports.
The record reflects that on June 11, 2007, Mr. Hatmaker's neurologist reported that "[h]is vertigo is completely resolved, with no dizziness, BUT, he continues to have unsteadiness and feels `off.' His nausea is much improved; [yet] [
Mr. Hatmaker's noted absence from work was confirmed by his commanding officer in a statement he provided to the MEB. AR 372. As of June 13, 2007, Mr. Hatmaker had "missed 48 days within the past 90 days
As informed by the neurologist's July 10, 2007 notes—the last date for which information is in the record prior to the August 10, 2007 PEB—Mr. Hatmaker was continuously absent from work between mid-June and mid-July 2007. In evaluating whether the record showed that Mr. Hatmaker's dizziness was merely occasional, the court cannot discern why the Board chose not to address the impact on its decision of Mr. Hatmaker's well-documented and extended absence from work—which his neurologist attributed "to . . . dizziness," AR 356, and his commanding officer acknowledged was "physician directed," AR 372.
As Mr. Hatmaker points out in his briefing, the Board seemed to associate his inability to drive with his OCD, rather than with his vertigo. Pl.'s Reply 6. But in discussing his OCD, the Board failed to draw the same conclusion.
The record contains several explicit statements that Mr. Hatmaker was not driving due to his dizziness. In a June 13, 2007 statement given to the MEB, Mr. Hatmaker's commanding officer stated that "a vertigo condition ha[d] limited [Mr. Hatmaker] from being able to drive." AR 372. In a July 5, 2007 testing appointment ordered by his neurologist, Mr. Hatmaker self-reported that he "ha[d] discontinued driv[ing]." AR 357. During his July 10, 2007 neurology appointment, Mr. Hatmaker again reported that "he [was] still unable to drive." AR 356. Subsequently after his separation from the service, Mr. Hatmaker reported during a February 2, 2008 mental health examination that "he cannot drive with vertigo." AR 174. The examining doctor during that visit regarded Mr. Hatmaker as "a reliable historian for purposes of th[e] examination." AR 171.
While the Board acknowledged some of these representations, the Board focused on statements contained in two mental health records, respectively dated June 2007 and February 2008, concerning Mr. Hatmaker's OCD and his driving.
From the MEB psychiatry consultation record, dated June 13, 2007, the Board recognized that Mr. Hatmaker "periodically wondered [while driving] `if he ha[d] run over anything." AR 5 (quoting AR 81). Although the record showed Mr. Hatmaker's continued "anxiety regarding others' opinions of him" and his periodic worry about running over things, AR 81, the record did not indicate whether, at that time, Mr. Hatmaker was still driving.
The Board also described in some detail, in its review of a post-separation February 2, 2008 mental health examination, the checking behavior that Mr. Hatmaker exhibited in connection with his OCD; that checking behavior involved a compulsive need to retrace his path to satisfy himself that he had not accidentally hit someone or something while driving. AR 5 (citing 175-76). During that mental health examination, Mr. Hatmaker also reported that "he [could not] drive with vertigo." AR 174.
From these reports, the Board found a "strong[] suggest[ion] that [Mr. Hatmaker] was driving and that it was his mental condition that caused some issues with driving (although not an inability to drive)." AR 5-6.
When conducting its review of the Board's decision, "[t]he court must be satisfied that the Board considered all of the relevant evidence and provided a reasoned opinion that reflects a contemplation of the facts and circumstances pertinent to the case before it."
The Board concluded that "staggering" was not reported in the medical records after May 23, 2007. AR 6 (citing AR 323). A 30 percent disability rating requires "occasional staggering." 38 C.F.R. § 4.87 (code 6204).
The medical records show, however, that Mr. Hatmaker continued to have unsteadiness after May 2007. During a June 11, 2007 neurology appointment, the doctor recorded, "[h]is vertigo is completely resolved, with no dizziness, BUT, he continues to have unsteadiness and feels `off.'" AR 325. During a July 5, 2007 appointment for an additional neurologic evaluation, Mr. Hatmaker reported that "he continue[d] to feel unsteady with no vertigo." AR 357. And finally, during a July 16, 2007 physical therapy appointment, Mr. Hatmaker was evaluated as walking "with difficulty." AR 355.
The Board appears to have drawn a distinction between staggering and either unsteadiness or walking with difficulty, and thus credited only those medical records expressly reporting the symptom of staggering as supportive evidence for the 30 percent disability rating it accorded under 38 C.F.R. § 4.87 (code 6204). Unclear to the court from the record before it is whether reports of staggering and unsteadiness are materially different for the purpose of determining disability ratings. The dictionary upon which defendant relies in making another argument in this case,
According to the Board, the "physician[s'] examinations consistently documented the absence of any objective findings of disequilibrium" for Mr. Hatmaker. AR 6. The Board did not indicate whether it was referring specifically to objective findings of dizziness, staggering, or both. Plaintiff points to a neurologic medical record in which he was diagnosed with `"a vestibular etiology for his dizziness"' as objective evidence of a finding of disequilibrium. Pl.'s Mot. 26-27 (quoting AR 55). Defendant challenges Mr. Hatmaker's effort to equate disequilibrium with dizziness; defendant asserts that disequilibrium is defined as "a loss or lack of balance," and is distinguishable from the sensation of dizziness. Def.'s Resp. 23 n.8 (quoting www.merriam-webster.com).
Whether defendant's definition of disequilibrium is the same as the definition employed by the Board is not discernable from the record. A widely-used medical dictionary does define disequilibrium as "any derangement of the sense of equilibrium [to include] . . . dizziness and vertigo."
If the Board did apply the definition proposed by defendant, it is not clear that the medical records in evidence support the Board's assessment that "objective findings of disequilibrium" were absent. The Board appears to have omitted any discussion of one specific medical record, a July 16, 2007 initial evaluation of Mr. Hatmaker by a physical therapist that was prompted by his vertigo, AR 353-55; that record makes reference to difficulties Mr. Hatmaker experienced that could be consistent with a finding of disequilibrium. As reflected in the medical record, the physical therapist evaluated Mr. Hatmaker's ability to ambulate on both even terrain and uneven terrain, and described his ability as "[i]ndependent with difficulty." AR 355. He was noted to be able to walk about 180 feet on even terrain, and 35 feet on uneven terrain.
The record of that July 16, 2007 physical therapy evaluation is Mr. Hatmaker's last medical evaluation prior to his August 10, 2007 PEB.
On review the court finds the record to contain a document that speaks to Mr. Hatmaker's difficulty walking on various surfaces, but no discussion by the Board regarding its significance, if any. Without further explanation of what the Board meant when it pronounced its finding of an "absence of any objective findings of disequilibrium," the court cannot determine whether the Board's decision is supported by substantial evidence. Thus, the court remands the matter to the Board for consideration of all the evidence regarding Mr. Hatmaker's vertigo, and for an explanation of the decision it reaches.
Because the court is remanding this matter to the Board for further consideration, it does not consider Mr. Hatmaker's argument regarding the Board's application of the VASRD reasonable doubt rule. Pl.'s Mot. 28-32 (citing 38 C.F.R. § 4.3).
Two additional matters that might be considered on remand include the following. the first matter involves a February 2008 physical therapy record. Mr. Hatmaker faults the Board for not considering the February 9, 2008 physical therapy treatment report considered by the DVA.
The second matter involves Mr. Hatmaker's active medication list. The court's record review has revealed a discrepancy regarding Mr. Hatmaker's prescriptions that merits attention. Based on its review of the January 2008 DVA C&P exam, the Board accurately observed that Mr. Hatmaker's "active medication list included no medications for vertigo or dizziness." AR 5 (citing AR 186). But identified during Mr. Hatmaker's evaluation for vertigo—which was conducted as part of the same DVA C&P exam— were two medications for the treatment of vertigo, specifically a "scopolamine patch [and] meclizine." AR 185. In addition, earlier records showed that Mr. Hatmaker had been prescribed a scopolamine patch for the "control of vertigo symptoms." AR 356 (July 10, 2007 neurology appointment). No explanation can be found in the record regarding why the medication prescribed to Mr. Hatmaker was not included in the active medication list. But, more importantly, the court cannot determine from the record what, if any, impact the Board's awareness (or lack thereof) of plaintiff's vertigo medication had on its decision.
Mr. Hatmaker requested that the PDBR consider his conditions "for a total rating for unemployability, [an evaluation, he believes would have] result[ed] in an award of 100% disability." AR 14. Mr. Hatmaker asserts that he was entitled to be considered for a total disability rating under both DoDI 1332.39
While Mr. Hatmaker is correct that a service member may be awarded a total disability rating based on his inability to secure a substantially gainful occupation, due to his unemployability, the VASRD provides clear thresholds for such a rating. Under 38 C.F.R. § 4.16, a service member with one service-connected disabling condition may only be considered for a total disability rating if that disabling condition is ratable at 60 percent or more. 38 C.F.R. § 4.16(a) (2007).
Under DoDI 1332.39 ¶ 6.5, however, there is no similar threshold. "[I]in cases in which the VASRD does not provide a 100 percent rating under the appropriate (or analogous) code, a member may be assigned a disability rating of 100 percent if the member's impairment is sufficient to render it impossible to engage a substantially gainful occupation." DoDI 1332.39 ¶ 6.5.
Mr. Hatmaker's one service-connected disabling condition is vertigo. AR 43 (PEB decision); AR 7 (PDBR Recommendation). Vertigo is ratable at either 10 percent or 30 percent. 38 C.F.R. § 4.87 (code 6204). Because vertigo is not ratable at 60 percent or more, Mr. Hatmaker could not qualify for total disability under 38 C.F.R. § 4.16, but under certain circumstances, he could qualify for such a rating under DoDI 1332.39 ¶ 6.5.
The problem for Mr. Hatmaker, however, is that the Department of Defense rescinded DoDI 1332.39, and it was not applicable to the Board's review of his case. The court first addresses, for the sake of clarity, the inapplicability of DoDI 1332.39 to the Board's review, and then considers the parties' arguments under 38 C.F.R. § 4.16.
On June 2, 2009, "Change 1" was incorporated into DoDI 6040.44, which expressly provides that DoDI 1332.39 does not apply to the Board's review of a service member's disability rating if that service member was separated from the military prior to January 28, 2008.
DoDI 6040.44 encl. 3 ¶ 5.e.(1).
Mr. Hatmaker was separated from military service on September 24, 2007. AR 151. Hence under DoDI 6040.44, the Board was to review his disability rating under only the VASRD. DoDI 6040.44 encl. 3 ¶ 5.e.(1).
DoDI 6040.44 provides that the PDBR was permitted to consider regulations or guidelines relied upon by the PEB, in certain circumstances.
It is unclear whether the PEB did rely on DoDI 1332.39 ¶ 6.5 during its August 2007 evaluation of Mr. Hatmaker. Although this instruction still would have been in effect, the Board expressed doubt that the PEB considered this, or any other instruction, stating that it "[had] not surmise[d] from the record or PEB ruling in this case that any prerogatives outside the VASRD were exercised." AR 7.
Whether or not the PEB actually relied on DoDI 1332.39 ¶ 6.5, the Board was not permitted to consider Mr. Hatmaker's claim under DoDI 1332.39. DoDI 6040.44 encl. 3 ¶ 5.e.(1). The two regulations, DoDI 1332.39 ¶ 6.5 (the departmental instruction still in effect) and 38 C.F.R. § 4.16(a) (the operative VASRD), were not consistent on the issue of whether a service member with one service-connected disabling condition that is ratable at less than 60 percent, like Mr. Hatmaker, might be rated as totally disabled due to unemployability. Because DoDI 1332.39 ¶ 6.5 was "inconsistent with the VASRD in effect at the time of the adjudication,"
Although he was aware that the Department of Defense had rescinded DoDI 1332.39, Mr. Hatmaker nonetheless argued to the Board that 38 C.F.R. § 4.16 was "in harmony" with DoDI 1332.39 and thus he urged the Board to consider his claim under DoDI 1332.39. AR 17 (citing DoDI 6040.44 ¶ 5.e.(1)).
Mr. Hatmaker has made no similar argument before this court. But, as discussed more fully above, DoDI 1332.39 ¶ 6.5 and 38 C.F.R. § 4.16(a) are not consistent on the issue of the unemployability of a member with one service-connected disabling condition that is ratable at less than 60 percent. Because any contention otherwise is incorrect, the court does not consider the parties' unemployability arguments based on DoDI 1332.39.
The court does consider the parties' arguments based on 38 C.F.R. § 4.16. That regulation is excerpted in relevant part below.
38 C.F.R. § 4.16(a).
Because Mr. Hatmaker's vertigo is ratable at no more than 30 percent, he fails to qualify, under 38 C.F.R. § 4.16(a), for consideration of total disability due to unemployability.
Nonetheless, Mr. Hatmaker requested review of his rating determination. In response to his request, the Board explained that a determination of total disability due to unemployability was a "consequential entitlement determination," that fell within the province of the Secretary of the Air Force. AR 3. The Board specifically stated,
Notwithstanding the Board's response, Mr. Hatmaker argues that the Board erred in not considering his claim for a total disability rating. Pl.'s Mot. 24-26; Pl.'s Reply 14-20. Mr. Hatmaker evidently believes that the Board's brief statement was inadequate to serve as consideration of his claim.
Defendant contends that the Board's statement that "total disability is a `consequential entitlement'" is a correct one, and sufficed as a response to Mr. Hatmaker's request. Def.'s Resp. 20-21 (quoting AR 3).
Mr. Hatmaker characterizes defendant's explanation as a post-hoc rationalization, because the Board did not point explicitly to the 60 percent threshold set forth in 38 C.F.R. § 4.16 as the reason for not engaging in further review of Mr. Hatmaker's claim.
Plaintiff's argument goes too far. The Board has articulated with sufficient clarity the basis for its decision. But, even if the Board's decision was not a model of clarity on this issue, the court must stay its hand if the Board's decisional path can "reasonably be discerned."
The Board has a duty to review a service member's disability rating, and where appropriate, "recommend that the Military Departments correct discrepancies and errors in such ratings." DoDI 6040.44 ¶ 4.a. Because 38 C.F.R. § 4.16(a) governs total disability ratings based on unemployability, and provides thresholds for such a rating, the Board clearly and properly limited its review of Mr. Hatmaker's case and explained that the disability rating was a "consequential entitlement determination" to be made by the appropriate Secretary.
The court finds that the Board committed no error in its decision regarding Mr. Hatmaker's request to be rated as 100 percent disabled based on unemployability.
Defendant argued that the Board was correct in its decision to make no changes to the PEB decision that Mr. Hatmaker's OCD, asthma, and sleep apnea were not unfitting disabilities. Def.'s Mot. 29-32.
In his response to defendant's argument, Mr. Hatmaker did not assert that the Board had committed an error in its review of these disabilities.
In its motion before this court, defendant contended that "at the time contemporaneous with his separation, Mr. Hatmaker expressly agreed with the PEB that these three conditions were not unfitting." Def.'s Mot. 32 (citing AR 43, block 15; AR 41 § 4). As reflected in the record, the PEB stated that "the sleep apnea and asthma are not unfitting. . . .[and] [i]mpairment from your OCD is Mild, indicating that it is not unfitting." AR 43.
The PEB decision indicates that Mr. Hatmaker checked a box that said "I agree with the Findings and Recommended Disposition of the PEB and understand I am waiving the right to a formal PEB hearing." AR 41. He then signed his name as a supplementary indication of his agreement with that statement.
The record makes clear that the Board did not consider Mr. Hatmaker's acceptance of the PEB decision in its review of his OCD, asthma, and sleep apnea claims. AR 6-7. Because the court reviews the Board's decision, and does not accept defendant's counsel's arguments as dispositive, no further discussion of Mr. Hatmaker's acceptance of the August 2007 PEB decision is necessary.
Mr. Hatmaker alleged no other error in the Board's review of his OCD, asthma, or sleep apnea, and the court finds no error with the Board's decision to make no changes to the PEB fitness determinations for Mr. Hatmaker's OCD, asthma, or sleep apnea.
The court
Pursuant to its authority under 28 U.S.C. § 1491(a)(2), the court
The Physical Disability Board of Review shall consider Mr. Hatmaker's request to review the overall effect of his disabilities on his fitness determination.
In addition, the Physical Disability Board of Review shall review the PEB decision assigning Mr. Hatmaker a 10 percent disability rating for vertigo. As more fully explained in this opinion, the Physical Disability Board of Review shall consider all the relevant evidence in the record and provide an explanation for its decision sufficient for this court to conduct a review, if necessary.
In particular, the Physical Disability Board of Review shall provide an explanation of the showing needed to satisfy a finding of dizziness, rather than occasional dizziness. The Physical Disability Board of Review shall address the evidence that Mr. Hatmaker was absent from work due to dizziness. The Physical Disability Board of Review shall provide an explanation of why it credited post-separation discussions by Mr. Hatmaker of OCD symptoms as providing a stronger indication of whether Mr. Hatmaker was driving, at the time of separation, than express statements Mr. Hatmaker made during June and July 2007. The Physical Disability Board of Review shall provide an explanation for whether it considers reports of unsteadiness or difficulty walking as evidence to be considered in evaluating whether Mr. Hatmaker showed occasional staggering. The Physical Disability Board of Review shall explain its statement that "physician examinations consistently documented the absence of any objective findings of disequilibrium." AR 6. And the Physical Disability Board of Review shall address the significance of Mr. Hatmaker's vertigo medication during his January 2008 DVA C&P examination.
Moreover, Mr. Hatmaker should be provided an opportunity to add the February 9, 2008 physical therapy report to the record in this matter.
This case shall be
IT IS SO ORDERED.