Justia Public Benefits Opinion Summaries

In 1992, at age 57, Navy veteran who served on active duty during the Korean Conflict began receiving pension benefits under 38 U.S.C. 1521(a) for non-service connected disabilities. He had a combined disability rating of 80% based on prostate cancer, osteoarthritis of both knees, glaucoma/cataracts, hypertension, hyperthyroidism, and major depressive disorder. The disabilities rendered him "permanently and totally disabled." In 2006, he applied for an enhanced pension under the special monthly rate (38 U.S.C. 1521(e)), seeking consideration for housebound status because he was older than 65 years of age and had a disability rating of more than 60%. The regional office denied the claim because he had received a pension under section 1521 before turning 65. The Board of Veterans’ Appeals denied an appeal. The Veterans Court reversed and remanded. The Federal Circuit reversed and remanded, overruling Veterans Court’s interpretation of 38 U.S.C. 1513(a) in Hartness v. Nicholson (2006). Veterans applying for special monthly pension benefits under section 1521(e) should be on equal footing regardless of when they apply for a pension, i.e., whether the veteran applies before or after turning 65 years old.View "Chandler v. Shinseki" on Justia Law

Plaintiff appealed the district court's decision affirming the Commission's denial of her application for disability insurance benefits and supplemental security income under the Social Security Act (SSA), 42 U.S.C. 301 et seq. The court held that the ALJ did not err in weighing the evidence as she did or finding that plaintiff's testimony regarding the severity of her impairment was not credible. Although the ALJ erred in failing to give germane reasons for rejecting the lay witness testimony, such error was harmless given that the lay testimony described the same limitations as plaintiff's own testimony, and the ALJ's reasons for rejecting plaintiff's testimony applied with equal force to the lay testimony. Applying the principles set forth in the court's social security cases, as well as in Shinseki v. Sanders, the court upheld the ALJ's decision as supported by substantial evidence. View "Molina v. Astrue" on Justia Law

Petitioner, then 45 years old and having previously worked in a factory and as a health aid, applied for disability benefits in 2004, claiming an onset date in 2004. Her conditions include peripheral vascular disease, chronic obstructive pulmonary disease, osteoarthritis, obesity, vascular dementia, depression, panic disorder, and anxiety. The Social Security Appeals Council denied review of the ALJ's adverse decision. The Seventh Circuit reversed and remanded. The ALJ failed to adequately consider petitioner's mental impairments, her obesity, and several of her physical problems. View "Arnett v. Astrue" on Justia Law

This appeal arose from the district court's order granting final judgment to the United States upon equitable claims of payment by mistake of fact and unjust enrichment against Tuomey arising out of alleged violations of the Social Security Act, 42 U.S.C. 1395nn, (the Stark Law), and awarding damages plus pre- and post-judgment interest. Because the court concluded that the district court's judgment violated Tuomey's Seventh Amendment right to a jury trial, the court vacated the judgment and remanded for further proceedings. Because the court was remanding the case, the court also addressed other issues raised on appeal that were likely to recur upon retrial. View "Drakeford v. Tuomey Healthcare System" on Justia Law

Federal employees are entitled up to 15 days each year of military leave to attend training as a member of a reserve of the armed forces or National Guard. 5 U.S.C. 6323(a)(1). The Federal Circuit held that federal agencies cannot charge military leave on non-workdays. Duncan worked as a civilian for the Air Force until his retirement in 2005. From 1980 to 1998, he was also in the Air Force Reserve and performed 12 days each year of active duty plus additional duty for training. In 2009, he filed a claim with the Merit Systems Protection Board, alleging that the Air Force had charged his leave on non-workdays in violation of the Uniformed Services Employment and Reemployment Rights Act of 1994, seeking compensation for six days. An Administrative Law Judge granted the request, finding Duncan's recollection credible. The Board reversed, holding that it requires more than personal recollection and reliance on military documents. The Federal Circuit affirmed. The record did not show that all corroborating evidence was unavailable. View "Duncan v. Dep't of the Air Force" on Justia Law

Plaintiff appealed the district court's order affirming the Commissioner's denial of his application for supplemental security income benefits. Specifically, he objected to the ALJ's finding, without considering the testimony of a vocational expert, that plaintiff was able to engage in gainful activity. The court concluded that the ALJ erred by relying solely on the guidelines to determine plaintiff was "not disabled." Because the ALJ determined that plaintiff suffered from severe mental impairments, the ALJ should have consulted a vocational expert in determining whether plaintiff had the residual functional capacity to perform other jobs that existed in significant number in the national economy. Accordingly, the court reversed and remanded for further proceedings. View "Brock v. Astrue" on Justia Law

The widow of a veteran, who had service connected post-traumatic stress disorder rated at 100% disabling, was denied dependency and indemnity compensation benefits in 2002. She filed a Notice of Disagreement. The VA regional office informed her that it was continuing to deny her claim and that she could appeal within 60 days. More than 120 days later, she attempted to appeal using VA Form 9. The VA responded that the claim could only be reopened if she submitted new and material evidence. Several months later she filed a statement and, after she submitted new evidence, the claim was reopened and granted effective July 2004, when the VA first received the request to reopen. She sought benefits effective at the date of her husband's death. The Veterans Court affirmed the Board, noting that her earlier submissions were not accompanied by new, material evidence required to reopen, 38 C.F.R. 3.156(a). The Federal Circuit affirmed. To establish an effective date of benefits granted under a reopened claim, an otherwise proper informal request to reopen need not be accompanied by new and material evidence, but the error was harmless because the Form 9 did not show any intent to reopen.View "Akers v. Shinseki" on Justia Law

Plaintiff first sought treatment in 1988, at age 27, experiencing double vision, eye strain, and facial numbness, and was diagnosed with abducens nerve palsy of the left eye. He continued to work as a welder until 2004, when symptoms forced him to sell his business. In 2007, he applied for disability insurance benefits, alleging onset in 2004. In 2010 an ALJ rejected the claim, concluding that plaintiff; she noted plaintiff’s complaints of headaches, but concluded that they must be non-severe. The district court upheld the denial. The Seventh Circuit remanded to the Social Security Administration, holding that the ALJ’s credibility determination was not supported by substantial evidence. View "Shauger v. Astrue" on Justia Law

The veteran served in Vietnam in the 1960s. He was honorably discharged and received service connection compensation for arthritis and hearing loss. In 1993, he had a malignant melanoma surgically removed; it continued to spread and he died in 1994. The surviving widow filed an Application for Dependency and Indemnity Compensation alleging that her husband’s death was service connected due to exposure to Agent Orange and extensive sunlight while serving in Vietnam. The Regional Office denied the claim. In 2004, she filed the current claim and submitted an internet article discussing an Air Force study that found an elevated risk of melanoma in veterans who were exposed to Agent Orange. The Board reopened and remanded the claim. On remand, a VA medical examiner determined that it was "at least as likely as not" that the melanoma was causally related to active duty service. The RO again denied the claim.. The Board affirmed. The Veterans Court vacated and remanded. The Federal Circuit dismissed an appeal for lack of jurisdiction, finding that there was no final decision.View "Ebel v. Shinseki" on Justia Law

Alabama sued CMS claiming that it violated the federal Administrative Procedures Act (APA), 5 U.S.C. 500-596, 701-706, by issuing - without notice and an opportunity for public comment - an October 28, 2008 letter to state health officials (SHO letter). The district court held that the SHO letter constituted a substantive administrative rule issued without the notice-and-comment procedures mandated by the APA. Because the district court did not abuse its discretion in denying injunctive relief in addition to vacating the SHO letter, and because Alabama's remaining claims were unripe, the district court's judgment was affirmed. View "State of Alabama v. Centers For Medicare And Medicaid, et al." on Justia Law