WOLFE v. MCDONOUGH
Oral Argument — 07/09/2021 · Case 20-2317 · 50:20
0:00
Judge Prost
2-3-1-7, Wolf versus McDonough, Mr. Hoffman, whenever you're ready.
0:10
Appellant Attorney (Harold Hamilton Hoffman, Iii)
May it please the court.
0:12
The veteran, Ronnie Wolf, was fraudulently induced into a divorce from a person he was never married to.
0:19
He died a few months later.
0:21
That divorce prevented his wife of 10 years, Luann Wolf, from being recognized as his eligible spouse.
0:28
The fraud was proven in an Oklahoma court, but a few months after the board's decision.
0:33
The VA and the Veterans Court know that Mrs. Wolf was entitled to benefits five years before VA started paying them.
0:40
But because of the fraud, Mrs. Wolf lost $60,000 in benefits she is entitled to.
0:46
Judge Prost
Just to be going forward, though, after that period, she is collecting her benefits now, right?
0:53
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Yes, Your Honor.
0:54
We're talking about a gap of five years, but once the fraud was proven, she did move to reopen her claim.
1:00
And the date that she moved to reopen her claim, she did start receiving benefits.
1:05
Judge Reyna
Did Rhonda Matthews receive a payment social?
1:11
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Not that I've ever seen, Your Honor.
1:13
And I do have Mr. James Ronnie Wolf's full record, and I've never seen any evidence that she's been paid any VA benefits.
1:22
Judge Reyna
Okay.
1:25
Appellant Attorney (Harold Hamilton Hoffman, Iii)
The VA and the Veterans Court know the board's denial was based on fraud.
1:29
And this is about whether a fraud against a veteran and his wife should allow the VA to continue denying benefits
1:36
that the claimant is entitled to.
1:37
The VA and the Veterans Court both misinterpreted the board's rules on reconsideration
1:44
so that the board can only reconsider grants based on fraud, but not denials.
1:50
And that is arbitrary and capricious.
1:52
The VA made two choices.
1:54
First...
1:55
Judge Stoll
Counsel, this is a question I stole.
1:56
As I understand it, I think at least one of your main arguments is that the agency's implementation of the statute
2:07
and its regulation is not a violation of the VA's rules.
2:08
The VA's regulation is arbitrary because it allows for correction of fraud
2:13
where the veteran, where the board relied on fraudulent material submitted by the veteran
2:22
in order to grant benefits.
2:24
Is that right?
2:25
And you say that there should be a likewise provision for the denial of benefits.
2:30
Otherwise, the agency's regulation is arbitrary.
2:34
Is that your main position?
2:37
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Yes, Your Honor.
2:38
And the reason it's arbitrary is because of the two choices.
2:42
First choice was that the board or the VA, excuse me,
2:46
decided they're going to reconsider some decisions that are based on fraud.
2:52
But then they made a second choice.
2:53
And that second choice was that, and this is what they can't provide a rational explanation for,
2:59
is that they chose to reconsider only grants, but not denials.
3:03
And they can't provide a rational explanation for that
3:05
because the only explanation for making that choice,
3:09
was the win against otherwise entitled veterans
3:11
that Congress intended to be paid benefits.
3:14
Judge Prost
Well, Mr. Hoffman, let me...
3:17
Go ahead.
3:18
Sorry.
3:19
Go ahead.
3:20
Oh, no, no, you go ahead.
3:21
Fine.
3:22
Okay.
3:23
I guess, even if there were arguably a need for symmetry here,
3:30
if that's the appropriate word,
3:34
she gets caught if the government, you get reconsideration,
3:39
if there's...
3:40
If there's been fraud on her part against the government,
3:42
and your argument for symmetry should be,
3:45
wouldn't that be that if the government commits fraud against her,
3:50
then she would be entitled to benefits?
3:52
And while that's not provided for in the regulation,
3:56
that would be covered arguably under due process or Cushman
4:01
or that sort of thing, too.
4:03
So it seems to me there is some symmetry in the system.
4:06
It's just not the kind of symmetry you would want,
4:09
which starts implicating fraud by third party.
4:14
So am I understanding it correctly?
4:17
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Yes, Your Honor.
4:18
I would go a little further and say it's not symmetry that's so important.
4:23
It's that Congress wants the VA to fix any of its decisions based on fraud,
4:29
third party or not.
4:30
And you can see that there's a lot of statutes that Congress says,
4:34
fix fraud, fix, grant the fraud.
4:37
And you're right, it would be under due process.
4:40
And...
4:40
And if it was a VA employee that committed fraud against Mrs. Wolfe
4:44
that caused her board denial,
4:45
she would have been able to get under Rule 904,
4:48
which is now Rule 1000.
4:50
They would have vacated her board decision for VA fraud.
4:52
Judge Prost
Right, right.
4:53
So the circumstance we're talking about here for the, you know,
4:58
your argument that there is, it's arbitrary,
5:01
involves the government then having to go out
5:06
and investigate allegations of fraud,
5:10
by the claimant involving the third party.
5:14
And that, in my experience,
5:17
significantly expands the scope of where the government would need to go
5:23
in terms of adjudicating these benefits.
5:27
Right?
5:28
I mean, you see my concern here.
5:30
Appellant Attorney (Harold Hamilton Hoffman, Iii)
I see your concern, Your Honor.
5:32
And actually, the government doesn't have to do anything more than it already does.
5:36
38 U.S.C. 5107 says it is the claimant's responsibility,
5:40
to present and substantiate their claim.
5:42
If a claimant's going to allege fraud,
5:44
the claimant better be ready to prove that to the board.
5:48
And also, the VA is already dealing...
5:51
Judge Prost
In this case, it seems more straightforward than most.
5:55
But you're right, she has the...
5:57
But in your view, in this pro-claimant system,
6:02
wouldn't the government have to...
6:04
I don't know how it would adjudicate claims of fraud,
6:08
dealing with third parties that it has no jurisdiction,
6:11
no jurisdiction over, or no authority over.
6:13
This case happens, I think to me,
6:15
maybe an unusual case where you've got a paper record.
6:22
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Yes, Your Honor.
6:23
Now, in this case, it's a little different
6:25
because the VA has already recognized that it was fraud
6:28
and granted her benefits once they saw the fraudulent evidence,
6:31
just not the five years that she's missing.
6:33
The VA already has a system in which it deals with entities
6:38
outside of itself and outside of the claimant.
6:41
There's a whole system for claims...
6:43
There's a whole system for claims that are contested.
6:45
For instance, it's not terribly uncommon where a veteran passes away
6:50
and we find out that he or she has three or four spouses.
6:55
It's not uncommon that someone has to prove
6:59
that they are the child of a veteran.
7:00
The VA is equipped to do this, and while there's no doubt
7:04
it can be a little bit more difficult than you're straight up,
7:08
hey, this person is married, no fraud involved.
7:12
You know, Congress...
7:13
Congress didn't limit the VA's inquiries into things
7:17
by just how hard it is.
7:19
There are, of course, limitations based on efficiency,
7:22
but here, they're not going to have to do too much.
7:26
They don't even have to go get private records
7:28
that would prove the fraud unless the claimant told the VA,
7:31
this is where you can get the records.
7:33
Even the duty to assist is only going to apply
7:35
if the claimant does their part to present and substantiate
7:40
their claim under 38 U.S.C. 5107.
7:45
Furthermore, the VA is not going to be able to do that.
7:46
The VA has also had situations...
7:49
Congress has already had the VA...
7:51
Judge Prost
At that point, I actually hadn't even considered it.
7:53
So if we said you were correct and fraud by third party
8:00
was something the government had to recognize,
8:02
then in connection with the petitioner pursuing that claim,
8:08
an argument, an allegation that someone committed fraud
8:11
that precluded he or she from getting the benefits,
8:14
the government would have to assist the claimant in that pursuit?
8:18
Appellant Attorney (Harold Hamilton Hoffman, Iii)
I think if the...
8:22
I do think that if they made it during the original claim,
8:26
I'm not so sure if that would happen,
8:29
if the duty to assist would attach,
8:31
for instance, in a motion for reconsideration,
8:33
which is...
8:36
You can recognize a motion for reconsideration
8:38
as something that it's really on the claimant
8:40
to prove to the court or to the board
8:42
why they need to reconsider.
8:43
Judge Reyna
What if the motion could be granted under one subsection,
8:47
but not on the subsection that the motion claims as the basis?
8:56
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Are you referring to the dissent, Your Honor?
9:01
Judge Reyna
Yes.
9:03
Appellant Attorney (Harold Hamilton Hoffman, Iii)
The...
9:03
So I think if...
9:06
Because veterans are not required to plead too specifically,
9:10
and that would be...
9:11
I mean, Mrs. Wolf isn't going to know the difference
9:13
between Section 904 and Section 1000.
9:15
There's no way.
9:17
There is...
9:18
I think that the board should go with whatever section.
9:21
Section 904 is the most favorable for the veteran.
9:23
However, in this case,
9:24
and I love what the dissent said.
9:26
The dissent recognizes it's reprehensible.
9:27
The dissent says that the VA has to fix this somehow.
9:31
However, Section 904,
9:33
its fraud provision is also only for grants of benefits.
9:36
And due process,
9:37
we have a problem because it's a third party.
9:40
The third party can't really violate
9:42
Mrs. Wolf's due process rights.
9:45
Judge Prost
Well, I agree with that, Mr. Kevill.
9:48
But I think,
9:49
and this may be part of what Judge Reyna's inquiry was about,
9:54
Subsection talks about
9:56
upon allegation of obvious error of fact or law.
10:00
I mean, I know this wasn't pressed as a basis,
10:04
but it seems like maybe it should have been.
10:09
I mean, that this provision is the one
10:11
that might take care of the egregious cases
10:14
where at some point...
10:17
This doesn't have a time limit.
10:18
So if it becomes...
10:20
If it becomes clear
10:21
in enough time to file for reconsideration
10:24
that there has been an obvious error or fact in law,
10:29
it seems like Subsection would be the one to,
10:32
you know, run the truck through.
10:35
And I know that wasn't raised here,
10:38
but why am I wrong about that?
10:43
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Subsection , Your Honor, the way...
10:44
And it's hard to tell
10:45
because there's just very little case law on this.
10:48
But Subsection ,
10:49
the way VA interprets it,
10:50
is to be more like a Q claim.
10:52
Now, there are regulations that say
10:54
you can't treat a motion for reconsideration
10:55
like a Q claim,
10:57
but they're only talking about procedurally.
10:59
Ultimately, Subsection .
11:01
Judge Reyna
But that is not a Q claim.
11:04
It just says upon the allegation
11:06
of obvious error in fact or law.
11:09
And the standard of proof on a Q claim
11:11
is much more rigorous.
11:13
I'm wondering if you file a motion under C,
11:16
and the VA is looking at this,
11:18
and they're looking at not an allowance,
11:21
but they go, there's a denial here.
11:22
And there's obviously, you know,
11:24
something very wrong has occurred here.
11:27
We have this state finding of fraud,
11:31
and we ourselves have already decided
11:33
that she was qualified all along.
11:35
Then why could not...
11:36
Why should not the VA say,
11:38
we're going to go ahead and review this under A?
11:43
Appellant Attorney (Harold Hamilton Hoffman, Iii)
If they're going to interpret that regulation
11:45
how it's written, Your Honor,
11:46
I would agree with you.
11:48
I think that they should reconsider it under A also.
11:51
And I believe...
11:52
Judge Prost
Well, that presents a problem, counsel, does it not,
11:55
that she was represented,
11:57
and this was never pressed or raised below.
12:01
So don't you think that under these...
12:05
I mean, you've pressed C valiantly.
12:07
You know, you've done a good job
12:09
making whatever argument you could come up with.
12:11
But is it up to the government?
12:14
I mean, you're the one that pressed the claim.
12:16
Even from, you know,
12:17
is it up to...
12:18
The government to come up with different provisions
12:21
in order you allow it
12:22
when you haven't made that argument?
12:24
Appellant Attorney (Harold Hamilton Hoffman, Iii)
No, Your Honor.
12:25
She did not file under A, B, or C.
12:28
She just filed a motion for reconsideration.
12:31
The argument A,
12:33
the reason I've chosen not to present it under A
12:35
is because the VA does treat it like a Q claim,
12:39
and its authority for it is under Q.
12:41
Now, should it be treated like a Q claim?
12:43
We didn't argue that it shouldn't be.
12:46
But they are in their...
12:48
Because they've talked about not reviewing records
12:51
after the Board decision.
12:53
It's supposed to be not over plowed ground.
12:59
And that is why we chose...
13:01
Judge Prost
How can it not involve records
13:02
where it says an allegation of an obvious error of fact?
13:08
How would that not implicate records?
13:12
So...
13:15
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Because, Your Honor,
13:17
it wouldn't be an obvious error of fact
13:19
if the record stops at the day they made the Board decision.
13:22
Judge Prost
I know we're in reversal...
13:24
We're role reversal here, right?
13:26
You're making arguments about
13:27
how you pay for the government,
13:28
so maybe we...
13:29
You know, I ought to allow that.
13:31
But I just...
13:31
I do think that
13:33
I didn't see this argument raised.
13:36
It hasn't been teased out.
13:38
The government hasn't had a chance, I guess,
13:40
to give its position at all,
13:44
as far as I can tell.
13:45
Am I right about that?
13:48
Judge Reyna
Yes, Your Honor.
13:49
Okay, so then my next question to you is,
13:52
would you say that this argument has been forfeited?
13:56
Can she go back down and just raise it on A?
14:01
Appellant Attorney (Harold Hamilton Hoffman, Iii)
No, Your Honor.
14:02
She raised just the motion for reconsideration.
14:06
She...
14:06
I don't think it should be forfeited.
14:09
I'm going to point...
14:10
Justice Scalia at one point said
14:13
that an argument not made by an appellant
14:16
doesn't mean that the argument is necessarily waived.
14:18
That is the court's discretion.
14:21
Judge Reyna
Okay, but there is a difference
14:22
between waiver and forfeiture.
14:25
And a waiver
14:27
is where you have an intentional abandonment,
14:31
or there's intent involved
14:32
to not move forward a claim.
14:38
Whereas with a forfeiture,
14:40
we don't have that.
14:42
But anyway, it just seems to me that
14:44
A would have been a way
14:48
to proceed on this particular claim
14:51
and maybe even succeed at it.
14:53
And I'm amazed that
14:55
A was not relied on
14:57
and that you don't make that argument.
15:01
And to be quite frank,
15:02
I'm trying to see here
15:06
if maybe A is still available
15:10
in order to correct what's clearly
15:13
an obvious error of fact or law.
15:15
I mean, those are the words.
15:16
It doesn't say Q.
15:18
We know...
15:20
I'm dubious whether A is premised
15:25
on a Q standard of proof,
15:29
which is pretty rigorous.
15:33
So...
15:34
Judge Prost
Well, could I just follow up
15:36
on Judge Reyna's question?
15:37
I'm not sure you gave us
15:39
or him any clarification
15:41
as to why there...
15:43
Is there a mechanism
15:44
in which she could raise it at this point?
15:47
Can she amend her request
15:49
for reconsideration?
15:50
Or is this just,
15:51
you know, the horse left the barn
15:54
and there's nothing she can do
15:56
to clarify or to amend
15:59
the current filings
16:01
to include A and compel
16:03
at least an adjudication of that?
16:06
Obviously, it would have to go back
16:08
to the board and the CAVC
16:09
for them to resolve that.
16:11
But are you clear?
16:13
You know, you presumably know
16:14
the procedures better than I.
16:16
Are you clear that there's no way
16:18
that she can amend or change
16:19
the pending motion to bring that in?
16:25
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Her motion, Your Honor,
16:26
never specified A, B, or C.
16:29
And I'm going to...
16:29
I will...
16:30
Just real quick,
16:31
I'm going to read from the appendix,
16:32
page 32,
16:33
about what the board said about A.
16:35
You have alleged, in essence,
16:37
that the board decision
16:37
contains an obvious error of factor law.
16:40
Obvious, parentheses,
16:41
or clear and mistakable error
16:42
is a very specific
16:43
and rare kind of error.
16:45
That's how the VA treats A,
16:47
as if it's Q.
16:49
They go forward and talk about C,
16:51
and they ended up denying...
16:53
Judge Prost
I'm sorry.
16:53
I just want to follow
16:53
what you're saying.
16:54
And I just found appendix 32.
16:57
So can you tell us
16:58
where on the page
16:59
you're reading from?
17:00
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Yes.
17:01
Third paragraph down.
17:02
So last paragraph on page 32.
17:04
Uh-huh.
17:07
And they go on,
17:08
and I'm starting with...
17:09
I'm just going to start
17:10
at the beginning.
17:10
The chairman will order reconsideration
17:13
upon the ground of obvious error
17:15
of factor law,
17:16
only when it's shown
17:17
that the board committed an error
17:18
in its decision,
17:18
which, if corrected,
17:19
would change the outcome of the appeal.
17:20
Obvious, and then in parentheses,
17:22
or clear and mistakable error
17:23
is a very specific...
17:24
And from that point,
17:25
they talk about clear
17:26
and mistakable error
17:26
and the rules behind
17:27
clear and mistakable error.
17:28
Judge Prost
But I don't understand.
17:30
I mean, even if that...
17:32
Even assuming that,
17:33
why this wouldn't satisfy
17:36
clear and unmistakable error?
17:39
A lot of allegations of fraud
17:41
by third parties might not,
17:43
but here you've got,
17:44
you know, legal documentation.
17:46
So where it says
17:48
the alleged errors
17:49
must be described
17:50
with specificity
17:51
and persuasive reasons
17:53
must be given
17:54
as to why they were
17:55
and why the result
17:56
would have been
17:57
manifestly different
17:57
for the alleged error.
17:59
I don't see why that's
18:00
such a huge hurdle
18:00
for you, necessarily.
18:02
I'm not doing fact-finding
18:03
here on appeal.
18:04
I'm just making the observation.
18:06
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Yeah, because the records
18:08
of the fraud came
18:09
after the board's decision,
18:11
and so they wouldn't be considered
18:12
when they were deciding
18:13
if there was an obvious error.
18:16
That's her problem.
18:17
If her records
18:19
were in the record
18:21
at the time the board
18:22
made the decision,
18:23
if the proof of fraud was there,
18:24
then I think we would
18:26
be arguing this
18:27
under Rule 1000A
18:28
and Rule 1000C.
18:30
But since the records
18:31
Judge Reyna
weren't there...
18:32
If that's the case,
18:33
if that's the case,
18:34
then why can't you
18:35
refile for reconsideration
18:37
on the basis
18:38
of newly found evidence?
18:40
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Because newly found evidence
18:42
has to be
18:42
service department records,
18:44
Your Honor, under B,
18:46
and Q doesn't allow
18:48
newly found service
18:49
or newly found records whatsoever,
18:51
so 1000A wouldn't work
18:52
in that regard,
18:53
and 1000B can't work
18:55
because these aren't
18:55
service records.
18:56
This is an Oklahoma State
18:57
Divorce Decree
18:58
and Marriage License.
19:01
Judge Stoll
Counsel,
19:02
there's a separate regulation
19:06
related to Q, right?
19:10
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Yes, there is.
19:11
There's several.
19:13
Judge Stoll
Okay, right.
19:14
And so your view
19:16
is that the Statute 7103,
19:19
the title of it
19:20
is Reconsideration,
19:22
correction of obvious errors,
19:24
and your position
19:25
is that the agency,
19:27
when it talks about
19:28
obvious errors,
19:29
and the regulation,
19:30
they have equated
19:30
that to Q.
19:31
What other cases
19:33
do you have
19:33
to support that?
19:34
Any?
19:35
Or is it just
19:36
what they said
19:36
in this particular decision?
19:40
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Let me look real quick,
19:41
Your Honor.
19:46
I think the case
19:48
would be Cerullo v. Derwinski,
19:51
one VET app 195.
19:55
Actually, it might be
19:56
a lot of these,
19:57
and it might just be
19:58
that they were discussing it,
19:59
and I'd have to go
20:00
through the cases,
20:01
and I'd be happy
20:01
to look at them
20:02
and submit an answer later
20:04
if you'd like,
20:05
rather than start
20:06
piling through these.
20:08
Judge Stoll
I'm just trying
20:09
to understand the position.
20:12
So you're saying
20:13
that before the Veterans Court
20:17
section and before the Board
20:20
that Section A was argued,
20:23
but that it wasn't argued
20:25
on appeal
20:26
because of your understanding
20:28
that it only allowed
20:31
for Q,
20:32
and you didn't think
20:33
Q was satisfied here.
20:34
Do I understand that correctly?
20:37
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Yes, Your Honor.
20:37
There's that,
20:38
and I also believe
20:40
that the 7103 has to,
20:45
and Rule 1000
20:45
has to consider
20:46
all types of fraud.
20:48
I don't think
20:48
that there's a rational explanation
20:50
for it to consider
20:51
one type of fraud
20:52
but not the other
20:53
when you're giving up nothing
20:54
by considering denials
20:56
due to fraud.
20:56
The VA would still protect
20:58
the public this.
20:59
Better present a picture
21:01
of it.
21:01
Judge Prost
Mr. Hoffman,
21:02
this is Judge Probst.
21:03
Just going back
21:05
to the point
21:06
about the reasons
21:07
that it wasn't raised
21:08
and what it was,
21:10
I mean,
21:10
you could have challenged,
21:12
you should have challenged
21:13
the VA's interpretation
21:15
of A rather than here.
21:18
You are challenging.
21:19
You're challenging
21:20
the regs here.
21:21
So it wasn't like
21:23
you were shy,
21:24
as you should not be
21:25
as the good advocate you are,
21:27
to challenge
21:28
what the VA did.
21:30
So why didn't we
21:31
do that?
21:31
the same would have applied
21:32
for the opportunity
21:34
if you just agree,
21:35
if you're correct,
21:36
there's a Q standard
21:39
and it's too high,
21:40
it should,
21:41
it's too high a standard.
21:42
That could have been challenged
21:44
just as you're making
21:45
the challenge under C,
21:46
right?
21:49
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Yes, Your Honor.
21:50
But I will say,
21:52
like,
21:53
A makes a lot of sense
21:55
drafted and interpreted
21:57
as Q,
21:58
as Q,
21:59
in part because
22:00
there are times
22:01
Congress told the VA
22:02
that it wants
22:03
to consider
22:03
and reconsider its decisions
22:05
and it talks about
22:06
relief from VA
22:07
administrative errors
22:08
under 38 U.S.C. 503.
22:10
It talks about Q
22:11
in 78 U.S.C.,
22:13
7111, 5109A.
22:15
It talks about reconsideration
22:16
in 7103.
22:18
And then there's
22:19
the new material
22:20
service records.
22:21
And that's a lot
22:22
of what Rule 1000 does.
22:24
Rule 1000 compiles
22:25
what Congress
22:25
has already made clear.
22:26
And Congress
22:27
has never really asked
22:29
for the VA
22:29
to just look
22:30
at new records
22:31
that aren't from the service
22:32
that may...
22:33
Judge Reyna
The question was this.
22:34
You were reading,
22:35
Counselor,
22:37
different parts
22:38
of the regulation
22:39
and all
22:40
where Q is referenced.
22:43
But I don't see
22:44
Q referenced here
22:45
under A.
22:46
It doesn't say that.
22:48
It doesn't even say proof.
22:50
It says,
22:50
upon allegation
22:52
of obvious error
22:53
of fact in law.
22:54
And throughout VA law,
22:56
Q is one of the most
22:57
rigorous
23:00
standards
23:01
that we deal with.
23:03
So,
23:06
Appellant Attorney (Harold Hamilton Hoffman, Iii)
I agree,
23:08
Your Honor.
23:08
And I don't know
23:09
if you heard
23:10
what I was pointing out
23:11
was these provisions
23:14
in Rule 1000,
23:15
they're not just
23:16
made up
23:17
by the VA.
23:18
They come from
23:19
what they have gleaned
23:20
as Congress's intent.
23:22
And the obvious error,
23:24
if you look at it
23:25
as Q,
23:25
they're...
23:26
Judge Reyna
Okay.
23:26
I understand
23:28
all that.
23:29
Let me ask you
23:29
a question.
23:32
In your view,
23:33
what's the track
23:35
that...
23:36
What's the path
23:37
available
23:37
to the VA
23:37
or available
23:37
to your client
23:38
to get consideration
23:41
under 20.1001A?
23:46
Appellant Attorney (Harold Hamilton Hoffman, Iii)
I think that
23:51
the Veterans Court
23:53
would have to hold
23:55
that the Board
23:57
has misinterpreted
23:59
Rule 1000
24:01
so that
24:02
A,
24:04
is not about Q claims,
24:06
but a Veteran
24:07
can just submit
24:08
whatever evidence
24:10
that doesn't fit
24:10
under B and C,
24:11
and the Board
24:12
has to reconsider.
24:18
I don't know
24:19
how else it would be.
24:20
It would have to be
24:20
all evidence,
24:21
and if we do that,
24:22
then I don't know
24:22
what the point
24:23
of a new and material
24:24
evidence claim would be.
24:26
There is a point
24:27
where the claimant's
24:28
responsibility
24:30
has to come in,
24:32
and part of that point
24:33
is going to be
24:35
Q claims.
24:35
There's a reason
24:36
why you can't just
24:37
submit new evidence
24:37
that gets...
24:38
No, it's favorable.
24:39
You submit new evidence
24:39
that no one's seen.
24:40
You get to reopen
24:41
your claim,
24:42
and that's great,
24:43
but you don't get
24:44
the benefit
24:44
of an early effective date.
24:46
Judge Reyna
I understand that.
24:47
Counselor,
24:48
arguing in favor
24:49
of application of Q,
24:51
I don't think
24:51
that helps you.
24:54
It doesn't,
24:55
Your Honor.
24:56
No.
24:56
No, it doesn't.
24:57
So I'm seeking a way out.
24:59
I'm seeking a...
25:00
And why am I doing this?
25:02
I mean,
25:02
because I see
25:03
basically here
25:04
an injustice
25:05
that's contrary
25:06
to VA law
25:08
as a whole.
25:10
I mean,
25:10
she was entitled
25:12
to these benefits.
25:12
There's been
25:13
a fraud perpetrator.
25:15
There's an obvious
25:17
area of fact here,
25:20
and it's obvious
25:21
because a court of law
25:22
has rendered an opinion
25:24
that sets off the fraud.
25:29
How do you get back in?
25:33
Appellant Attorney (Harold Hamilton Hoffman, Iii)
And by back in,
25:35
do you mean arguing
25:36
1,000-A?
25:38
Judge Reyna
How do you get...
25:38
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Yes.
25:40
The veteran system
25:42
is so friendly
25:42
that it will...
25:44
You can just submit evidence
25:45
after your board decision,
25:47
and then the board
25:47
will reconsider it.
25:50
I mean,
25:52
maybe there's
25:53
some level of evidence,
25:54
but those levels
25:54
of evidence,
25:55
I think,
25:55
are found in B and C,
25:57
but your interpretation
25:59
of A would be
26:00
any evidence
26:02
that proves
26:03
an obvious error
26:04
in fact or law,
26:05
which is
26:07
what new
26:08
and material claims
26:08
do also.
26:12
If we could go back
26:13
on earlier effective dates
26:14
with new and material claims,
26:15
I'd be quite happy also.
26:18
And I mean,
26:19
that would have to be
26:20
what it is.
26:21
All evidence that proves
26:23
that the board's decision
26:24
was wrong,
26:24
obviously,
26:25
can be used
26:27
to get an earlier
26:28
effective date
26:28
and have the board
26:29
reconsider its claim
26:30
or its decision.
26:32
But I don't think
26:33
we need to go there
26:33
because we have
26:35
fraudulent evidence
26:36
that influences
26:37
its decision.
26:38
Judge Prost
And we're back
26:39
full circle
26:40
to your argument,
26:41
and actually,
26:42
you've been pretty persuasive,
26:44
at least speaking for myself,
26:45
on the problems
26:47
with subsection A.
26:48
So we're left with C,
26:50
and again,
26:52
I just think
26:53
it would be
26:55
a pretty onerous burden
26:58
on the government.
26:59
I don't,
27:00
I'm still not seeing
27:01
the symmetry.
27:01
So if you want to say
27:02
one thing about that,
27:03
if the government
27:05
had committed fraud
27:06
on her,
27:06
which just allows
27:07
the benefits,
27:08
she'd clearly have
27:09
a right to have that
27:11
re-adjudicated
27:11
and adjudicated,
27:13
right?
27:14
So you're just
27:15
in a circumstance
27:16
where there's
27:17
some allegation
27:18
of third parties
27:21
fraud,
27:22
like,
27:23
you know,
27:23
my neighbor
27:25
stole my records
27:26
and this was,
27:28
this record
27:28
was included in that,
27:30
or something like that,
27:31
right?
27:31
I mean,
27:32
the government
27:32
would have to
27:33
get involved
27:34
in a much larger universe
27:37
than it does presently
27:39
or under any
27:39
other circumstance.
27:41
Appellant Attorney (Harold Hamilton Hoffman, Iii)
I don't,
27:43
I don't think
27:44
it would have to get
27:45
to a much larger universe.
27:46
I think it's already
27:47
in that universe
27:47
when it's dealing
27:48
with contested claims.
27:50
It's already
27:50
in the universe of dealing
27:52
with third party,
27:52
not always malfeasance,
27:54
but when it,
27:55
when it will reconsider
27:56
based on new
27:57
DOD records,
27:58
and I want,
27:59
I want to turn
27:59
real quick,
28:00
and I am way over time,
28:02
but just real quick,
28:03
there,
28:03
this court had a decision
28:04
come out last week
28:05
about a third party
28:06
that caused someone
28:08
to lose decades
28:09
of benefits,
28:10
and that was
28:11
in Taylor,
28:11
and Taylor was just,
28:13
it was just published,
28:14
I think,
28:15
Tuesday or Wednesday
28:16
last week,
28:17
and we just read it
28:18
two days ago.
28:20
Congress in Taylor,
28:21
the court held,
28:22
that when Congress
28:22
authorized payment
28:23
to a veteran,
28:23
and the claimant is only
28:25
asking for what Congress
28:26
authorized,
28:27
this is Mrs. Wolf
28:28
in both instances,
28:29
and the claimant could not
28:30
get those authorized funds
28:31
because of a third party,
28:33
also Mrs. Wolf,
28:33
and the impediment
28:34
to receiving the funds
28:35
was not the VA,
28:36
also Mrs. Wolf,
28:37
then the Veterans Court
28:38
should equitably
28:39
have stopped the VA
28:39
from denying a veteran
28:40
an early effective date.
28:41
Now,
28:41
we're not necessarily
28:43
asking for equitable stoppel,
28:44
however,
28:45
I would say that
28:45
if the court doesn't agree
28:46
with our arguments
28:47
about statutory interpretation
28:49
or regulatory interpretation,
28:52
the case should still
28:52
be remanded
28:53
to the Veterans Court
28:53
to determine whether
28:54
equitable stoppel
28:55
under Taylor
28:56
is warranted,
28:57
but the Taylor court's reasoning
28:59
is exactly the same
29:00
as Mrs. Wolf's reasoning.
29:01
This is someone Congress
29:02
wants to communicate.
29:04
Judge Prost
Yeah,
29:04
we are very familiar
29:05
with the Taylor case,
29:06
so I appreciate that,
29:08
but we're way beyond
29:08
our time,
29:09
so why don't we turn
29:10
to Ms. Akers
29:11
and we'll research
29:12
some of your rebuttals.
29:13
All right,
29:14
thank you.
29:17
Appellee Attorney (Ashley Akers)
Thank you,
29:17
Your Honor,
29:18
and may it please the court.
29:19
I'll start with
29:20
the court's inquiry
29:22
as to subsection
29:24
A,
29:24
and I do agree
29:25
with Mr. Hoffman
29:26
that that's not
29:27
applicable here.
29:28
As an initial matter,
29:29
we believe that
29:30
Ms. Wolf
29:31
has waived,
29:32
intentionally abandoned
29:34
this claim,
29:35
and I would point,
29:35
Your Honors,
29:36
to page 14
29:37
of the reply brief
29:38
which says that.
29:40
Second,
29:40
I think to remedy
29:41
the court's concerns,
29:43
the board did address
29:44
subsection A,
29:46
and...
29:47
Had the filing,
29:47
Judge Reyna
Counselor,
29:48
had the filing
29:49
originally been made
29:50
under section A,
29:51
would this
29:53
have gone
29:54
forward,
29:54
or are you saying
29:55
that A does not apply
29:56
because it was waived
29:57
or forfeited,
29:58
rather?
30:00
Appellee Attorney (Ashley Akers)
The waiver argument,
30:01
Your Honor,
30:02
is to
30:03
this court's review
30:04
of whether
30:05
the board
30:06
or the Veterans Court
30:07
erred
30:08
by not allowing
30:09
reconsideration
30:10
under A,
30:10
and to Your Honor's
30:11
other point,
30:13
our argument here
30:14
is that subsection A
30:15
does not apply
30:16
to Ms. Wolf's
30:17
circumstances,
30:18
and the reason
30:20
for that
30:20
is because
30:21
the challenge
30:22
here
30:23
by Ms. Wolf
30:24
is to the
30:25
May 2014
30:26
determination.
30:28
There was
30:28
no error
30:30
of fact
30:30
or law
30:31
in that determination.
30:33
As Mr. Hoffman
30:34
noted,
30:35
the vacature
30:37
of the divorce
30:38
decree
30:38
came after
30:39
that decision.
30:40
And so,
30:41
that were
30:43
before the board
30:44
at the time,
30:45
the probative
30:46
evidence
30:46
showed
30:47
that the Veteran
30:48
was in fact
30:49
not,
30:49
the Veteran
30:50
was married
30:52
to Mrs. Matthews,
30:53
and so there was
30:54
no error
30:55
to be remedied
30:56
in that decision.
30:57
Judge Reyna
On the basis
30:58
of the
30:59
subsequent evidence,
31:00
could
31:01
the,
31:02
could she go back
31:03
and refile
31:04
for reconsideration
31:05
and say
31:07
this evidence
31:08
has come,
31:08
this evidence
31:09
of obvious error
31:10
of fact
31:10
has come out
31:12
since
31:13
we were last here?
31:15
Appellee Attorney (Ashley Akers)
Yes,
31:16
Your Honor.
31:16
Ms. Wolf
31:17
can file
31:18
another request
31:19
for reconsideration.
31:20
She can also
31:21
file
31:22
a motion
31:23
to vacate
31:24
or for
31:25
cue.
31:25
Those remedies
31:26
are still
31:27
available
31:27
to her today.
31:29
Unknown
Okay.
31:30
Judge Stoll
Wait,
31:31
I have a question
31:31
for you,
31:32
counsel.
31:32
I think,
31:33
I think my question
31:35
probably,
31:36
probably piggybacks
31:37
on Judge Reina's
31:38
question,
31:38
which is,
31:39
I understood
31:40
you to be saying
31:41
that 20.1001A
31:44
is limited
31:45
to
31:46
an obvious
31:47
error
31:47
of fact
31:48
based on
31:49
what evidence
31:49
was in the record
31:50
at the time
31:51
of the Board's
31:52
original decision,
31:53
and that it can't
31:54
be based on
31:55
new evidence.
31:56
That's what I hear
31:57
you to be saying.
31:58
Am I understanding
31:59
you correctly?
32:00
Appellee Attorney (Ashley Akers)
That's correct,
32:01
Your Honor.
32:03
Judge Stoll
And what is
32:03
your basis
32:04
for saying that?
32:06
Appellee Attorney (Ashley Akers)
This dates
32:07
back
32:07
to a case
32:09
called
32:09
Hazan v.
32:10
Gober.
32:11
It's 10VetApp
32:13
511
32:14
from 1997.
32:16
There,
32:17
there could be
32:17
previous cases.
32:18
That's the
32:19
oldest one
32:20
that I'm aware
32:20
of,
32:21
which links
32:22
the obvious
32:23
error standard
32:24
to the Q standard
32:26
and says
32:26
that there's
32:28
no obvious
32:29
error
32:29
on the part
32:30
of the Board
32:30
unless the evidence
32:32
at the time
32:34
considered
32:35
by the Board
32:35
shows an obvious
32:36
error.
32:37
So,
32:37
we are limited
32:38
to the evidence
32:39
that existed
32:39
at the time.
32:40
And I would just
32:41
point out,
32:42
as a practical
32:43
matter,
32:43
Your Honors,
32:44
if the obvious
32:45
error standard
32:46
were to allow
32:47
new evidence,
32:48
then
32:49
duration
32:50
would be no
32:51
different than
32:52
the reopening
32:53
of the case,
32:54
right?
32:54
The time
32:58
that the Board
32:59
determination
33:00
and whether
33:01
that determination
33:02
had an obvious error
33:03
factor law
33:04
based on the time.
33:05
And I would note
33:06
also,
33:07
Your Honors,
33:07
that Ms.
33:08
Wolf did
33:09
file a motion
33:10
and reopen
33:11
her case.
33:13
The Veteran
33:14
or the VA
33:15
granted her
33:16
benefits
33:17
once she
33:17
demonstrated
33:18
her eligibility
33:19
to them
33:20
after she filed
33:21
a motion to reopen.
33:22
And the most
33:22
important part
33:23
goes to Judge
33:26
Prost's last
33:27
question
33:27
to Mr.
33:28
Hoffman
33:28
is that
33:29
we understand
33:31
the panel's
33:32
interest
33:32
in finding
33:33
where the remedy
33:34
lies for Ms.
33:35
Wolf,
33:35
but the appeal
33:37
is not an appeal
33:38
about the effective
33:40
date.
33:40
Ms.
33:41
Wolf did
33:41
not appeal
33:42
the VA's determination
33:43
on her proper
33:45
effective date.
33:45
This appeal
33:46
is merely
33:47
whether
33:48
VA's reconsideration
33:50
regulations
33:51
are unlawful.
33:52
And so,
33:53
Mr.
33:54
Hoffman
33:54
and Ms.
33:55
Wolf
33:55
have argued
33:56
that Congress
33:57
intended
33:58
for the
33:59
reconsideration
34:00
regulations
34:01
to have included
34:02
her circumstance,
34:04
the denial
34:04
of fraud.
34:06
Statute 7103
34:08
does not dictate
34:09
when
34:10
or how
34:11
or under
34:12
what circumstances
34:12
the chairman
34:13
may order
34:14
reconsideration.
34:15
It's silent.
34:16
The statute
34:17
leaves the discretion
34:18
to the VA
34:19
to enact
34:20
reasonable regulations.
34:21
And that's
34:22
what the VA
34:23
did here.
34:24
The VA's
34:25
reconsideration
34:26
regulations
34:26
are consistent
34:27
with what
34:29
Congress
34:29
had previously
34:30
enumerated
34:31
as grounds
34:32
for reconsideration.
34:33
And the VA's
34:34
addition
34:34
of subsection
34:35
C is consistent
34:37
with the numerous
34:41
regulations
34:41
that address
34:41
fraud
34:42
in the grant
34:43
of benefits.
34:44
Ms.
34:44
Wolf has not cited
34:45
any statute
34:47
or any congressional
34:48
intent
34:49
or indication
34:50
that the VA
34:51
should have
34:51
also
34:53
promulgated
34:54
a regulation
34:54
going to
34:55
the denial
34:56
of benefits
34:57
based in
34:58
.
34:58
Isn't that
34:59
Judge Reyna
the purpose
35:01
of A?
35:06
Appellee Attorney (Ashley Akers)
Of subsection
35:07
A in the
35:08
regulations,
35:09
Your Honor?
35:09
Judge Reyna
Yes,
35:10
uh-huh.
35:20
That's
35:20
were saying.
35:21
If you look
35:21
at C,
35:22
it only deals
35:23
with an
35:24
allegation
35:24
that turns
35:25
over an
35:25
allowance
35:25
of benefits,
35:26
but not
35:27
where there's
35:27
been a
35:28
determination
35:29
of denial.
35:30
Why wouldn't
35:31
A cover
35:32
that?
35:33
Appellee Attorney (Ashley Akers)
A could
35:34
cover that,
35:35
Your Honor.
35:37
I could
35:38
imagine a
35:38
situation
35:39
in which
35:39
it does.
35:39
It doesn't
35:40
here because
35:40
the fraud
35:42
was not known
35:42
at the time.
35:45
Judge Prost
But it is
35:45
where you
35:47
started.
35:48
I think
35:49
you were,
35:49
I thought
35:50
you were suggesting,
35:51
but I wasn't clear
35:51
at the outset
35:52
that she has
35:54
alternatives
35:55
that she might
35:56
pursue
35:57
in order to
35:58
recover
35:58
this
36:00
$60,000
36:01
interim
36:02
benefit.
36:03
Is that
36:03
what you were
36:03
saying?
36:04
And if so,
36:06
can you
36:07
clarify
36:07
that for
36:08
me?
36:09
Unknown
Sure,
36:10
Appellee Attorney (Ashley Akers)
Your Honor.
36:10
I'm not
36:11
representing that
36:12
Ms. Wolf
36:13
would,
36:14
in fact,
36:14
be entitled
36:15
to the
36:16
amount that
36:17
she's seeking.
36:17
I'm merely
36:18
pointing out
36:18
that she does
36:19
have available
36:20
remedies still.
36:21
She can file
36:22
another motion
36:23
for reconsideration.
36:24
She can file
36:26
a motion
36:26
to vacate.
36:27
And she can
36:27
assert Q.
36:29
And so
36:31
whether
36:31
Ms. Wolf
36:32
can establish
36:33
entitlement
36:34
under all
36:34
of those
36:35
is for the
36:35
VA to determine
36:36
in the first
36:37
instance.
36:38
But for the
36:39
court's
36:39
purpose in
36:40
this case,
36:41
Ms. Wolf
36:41
has not
36:42
shown that
36:43
the regulations
36:43
are inconsistent
36:45
with the
36:46
statute,
36:46
or she
36:47
has not
36:48
shown that
36:49
Congress
36:49
intended
36:50
or required
36:52
or mandated
36:52
the VA
36:53
to promulgate
36:55
a regulation
37:02
Judge Stoll
or file
37:02
a motion
37:02
for reconsideration.
37:04
You're talking
37:05
about this
37:05
same statutory
37:07
provision,
37:07
regulatory
37:08
provision
37:08
that we're
37:09
talking about
37:10
today,
37:10
right?
37:11
Or is there
37:11
something
37:12
different?
37:13
Appellee Attorney (Ashley Akers)
The same
37:14
one,
37:14
Your Honor.
37:15
Judge Stoll
Okay.
37:16
And then
37:16
when you
37:16
talk
37:17
vacate,
37:18
you're
37:18
talking
37:18
about
37:19
the
37:19
provision
37:19
that was
37:20
identified
37:20
by Chief
37:21
Judge
37:21
Bartley
37:22
in her
37:22
dissent,
37:22
right?
37:23
Unknown
That's
37:24
Appellee Attorney (Ashley Akers)
correct,
37:24
Your Honor.
37:25
Judge Stoll
Okay.
37:26
And what
37:26
about,
37:27
I just
37:27
want to
37:27
ask you
37:28
more broadly,
37:29
you know,
37:30
in looking
37:30
at Congress
37:31
enacted
37:32
US 38
37:34
USC 7103
37:36
and the
37:36
title of
37:37
it is
37:37
correction
37:37
of obvious
37:38
errors.
37:40
Is that
37:41
kind of like
37:42
analogous to
37:43
Rule 60
37:43
and a
37:44
district court
37:44
case,
37:45
would you
37:46
say,
37:46
under,
37:46
you know,
37:47
federal rules
37:48
of civil
37:48
procedure?
37:49
Appellee Attorney (Ashley Akers)
I don't,
37:52
I think,
37:56
Your Honor,
37:56
perhaps it's
37:58
somewhat
37:58
analogous,
37:59
but certainly
38:00
the federal
38:00
rules of
38:01
civil
38:01
procedure
38:01
don't apply
38:02
to the
38:02
board
38:03
proceeding.
38:04
And I
38:05
think that
38:05
the important
38:07
point here
38:08
is that
38:08
although the
38:09
title states
38:10
obvious errors,
38:11
Congress did
38:12
leave the
38:13
discretion
38:13
to the
38:14
VA
38:14
to determine
38:16
when and
38:16
how and
38:17
under what
38:17
circumstances
38:18
to allow
38:19
reconsideration.
38:21
And so
38:21
although we
38:22
can look
38:23
at the
38:23
statute,
38:24
I think
38:24
Ms.
38:24
Wolf's
38:25
challenge here
38:26
to the
38:27
regulations
38:28
that the
38:29
regulations
38:29
don't specifically
38:30
cover her
38:31
instance
38:31
is not
38:32
solved
38:34
by the
38:34
title of
38:35
7103.
38:37
As we've
38:38
explained
38:38
earlier,
38:39
under subsection
38:40
A,
38:41
the obvious
38:41
error
38:42
provision
38:43
for
38:43
regulation,
38:44
Ms.
38:44
Wolf simply
38:45
doesn't meet
38:46
and so
38:49
she's not
38:50
entitled
38:50
or eligible
38:51
for reconsideration
38:52
under subsection A
38:53
as an obvious
38:54
error.
38:55
Judge Stoll
I understand
38:56
what you're
38:57
saying.
38:57
I'm just
38:58
trying to
38:59
understand
38:59
what Congress
39:00
had in
39:00
mind.
39:01
I understand
39:02
your position
39:02
that Congress
39:03
was allowing
39:05
the agency
39:05
to implement
39:06
it.
39:07
But even
39:07
under Rule 63,
39:09
which talks
39:09
about fraud,
39:11
it says it's
39:12
fraud,
39:12
misrepresentation,
39:13
misconduct by an
39:20
attorney.
39:20
If there is a
39:22
corollary
39:22
here that was
39:23
missing in
39:24
Part C,
39:25
it would have
39:25
to be,
39:26
I guess,
39:27
fraud by
39:28
the agency
39:29
or the
39:30
government
39:30
as opposed
39:31
to fraud
39:32
by some
39:33
third party
39:33
if there
39:34
was going
39:35
to be a
39:35
provision
39:36
that was
39:37
analogous
39:38
to a
39:40
denial
39:40
of
39:42
or a
39:43
grant
39:44
of
39:45
benefits
39:52
Appellee Attorney (Ashley Akers)
to the
39:52
I think
39:53
it would
39:53
certainly be
39:54
difficult,
39:55
I believe
39:56
this was
39:56
raised earlier,
39:57
for the
39:57
VA to
39:58
enforce
39:58
any fraud
40:00
or investigate
40:01
any fraud
40:02
by third
40:02
parties in
40:03
this instance.
40:04
And it's
40:04
certainly
40:05
the claimant's
40:07
responsibility
40:07
to put
40:08
forth evidence
40:09
that the
40:09
Board erred
40:10
when it's
40:10
arguing that
40:11
reconsideration
40:12
should be
40:13
granted.
40:13
I'm not
40:14
sure what,
40:15
I guess I would
40:18
just say that
40:19
Congress left
40:20
to the
40:21
VA the
40:22
discretion.
40:23
And so,
40:23
whether the
40:24
VA believes
40:25
a certain
40:25
symmetry
40:26
is required
40:27
or maybe
40:29
they've
40:29
thought about
40:30
it in a
40:30
different way,
40:31
that's for
40:31
the VA to
40:34
promulgate
40:34
in its
40:35
regulation.
40:35
Judge Prost
Are you familiar
40:36
with a
40:36
case called
40:37
Cushman,
40:38
where we
40:39
thought the
40:39
process
40:40
right?
40:41
Weren't the
40:43
facts in
40:43
Cushman kind
40:44
of close
40:44
to this
40:45
one?
40:45
In other words,
40:46
where someone
40:47
in the
40:47
VA in
40:48
terms of
40:49
record keeping
40:49
or whatever
40:50
does something
40:51
intentionally
40:52
to mess
40:53
things up
40:53
for the
40:54
complainant,
40:55
that constitutes
40:56
a due
40:57
process
40:57
problem,
40:58
and therefore
40:59
that person
41:07
is not
41:08
VA has
41:09
committed
41:09
fraud,
41:10
which
41:11
precludes
41:12
the claimant
41:12
from getting
41:13
her benefits,
41:14
do you
41:15
not agree
41:15
that there
41:16
is recourse
41:17
that can
41:18
be had?
41:21
Appellee Attorney (Ashley Akers)
Yes,
41:21
Your Honor.
41:22
Of course,
41:22
there'd be
41:23
recourse if
41:24
the VA were
41:25
the one to
41:25
have committed
41:26
the fraud.
41:27
That would
41:27
certainly be
41:27
a due process
41:29
question.
41:30
I think that
41:31
the difference
41:31
between Cushman
41:33
in this case
41:33
is in Cushman
41:34
there was a
41:35
presentation of
41:37
altered material
41:38
evidence.
41:39
I believe it was
41:39
a medical record.
41:40
Judge Prost
I think you're
41:41
misunderstanding
41:41
at least what
41:42
I'm saying.
41:43
I'm not suggesting
41:44
that Cushman
41:45
allows for
41:46
due process
41:47
violations
41:47
committed by
41:48
third parties,
41:49
and I think
41:50
even Mr.
41:50
Hoffman
41:51
points that
41:52
out correctly.
41:53
So,
41:53
I didn't
41:55
suggest that
41:56
that's what
41:56
allows fraud
41:57
for third
41:58
parties.
41:58
I was suggesting
41:59
that if the
42:00
government is
42:01
the perpetrator
42:01
of that fraud
42:02
rather than
42:03
a third
42:03
party,
42:04
there would
42:04
be relief
42:05
to be had
42:06
by the
42:06
complainant.
42:08
Appellee Attorney (Ashley Akers)
I agree
42:09
with that,
42:09
Your Honor.
42:10
I believe
42:10
that that
42:11
would be
42:12
a due process
42:13
question,
42:14
and I believe
42:14
that VA's
42:15
regulations
42:16
would cover
42:16
that,
42:17
and it's
42:18
38 CFR
42:20
what's now
42:20
20.1000
42:22
for a
42:23
vacature
42:23
of a
42:24
decision
42:24
which
42:25
allows
42:26
or speaks
42:27
to the
42:27
denial of
42:28
due process
42:28
if there's
42:29
an action
42:30
by the
42:31
VA.
42:31
And so,
42:32
yes,
42:32
I do believe
42:33
that there
42:33
would be
42:48
relief
42:48
to Ms.
42:50
Wolf's
42:52
supplemental
42:52
authority
42:53
that she filed
42:54
with the
42:54
Taylor case.
42:55
I would just
42:56
note that Taylor
42:57
is not relevant
42:58
to the
42:58
resolution
42:59
of this
42:59
appeal.
43:00
There's obviously
43:01
the material
43:02
factual
43:02
distinction
43:03
between
43:03
this case
43:04
and Taylor
43:05
is that in
43:06
Taylor,
43:06
it was the
43:07
government
43:07
like we
43:08
just were
43:08
talking
43:08
about who
43:11
was the
43:11
party that
43:12
caused the
43:13
claimant to
43:14
lose decades
43:14
worth of
43:15
benefits.
43:16
Here again,
43:16
it was the
43:17
third party.
43:18
And also,
43:19
equitable
43:20
estoppel
43:21
is against
43:22
the adversary
43:23
of one.
43:25
Here again,
43:26
we're talking
43:26
about a
43:27
third party.
43:27
So Mr.
43:28
Hoffman's
43:29
argument,
43:29
it would not
43:30
be appropriate
43:30
to remand
43:31
to see if
43:32
equitable estoppel
43:32
were warranted
43:33
here,
43:33
because there's
43:34
been no
43:34
allegation
43:35
that the
43:35
VA was
43:36
involved in
43:37
the fraud
43:37
that was
43:38
found here.
43:39
If there are
43:40
no further
43:40
questions,
43:41
we ask that
43:41
the court
43:42
sustain the
43:43
Veterans Court's
43:43
decision.
43:44
Thank you.
43:45
Judge Prost
Thank you.
43:46
Mr.
43:46
Appellee Attorney (Ashley Akers)
Hoffman,
43:47
rebuttal,
43:47
please.
43:52
Judge Prost
Mr.
43:53
Hoffman,
43:56
are you
43:57
on mood?
44:10
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Mr.
44:37
Hoffman,
44:37
we are
44:39
on mood.
44:39
mood.
44:40
Mr.
44:40
She's already filed for reconsideration, so what good is it going to do to file a second one?
44:45
She filed it generally before she was represented, not under 1000A, B, or C, just 1000.
44:52
Vacate at the board won't work because there is no due process violation, and vacate brings us right back here.
44:58
The only time they vacate a decision because of fraud is when it's a grant.
45:01
Cue can't work because there's no Oklahoma court order involved in a cue review.
45:08
Judge Reyna
Counselor, although fraud is the underlying issue here, why couldn't you proceed just on the basis of error of fact, that the fact was wrong, the facts that were considered by the board?
45:23
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Because I can't prove those facts are wrong, Your Honor, without the evidence of the Oklahoma court order.
45:30
But you have that.
45:32
I have that, but when they say they will review...
45:37
Review that.
45:38
Sorry, Your Honor.
45:40
Judge Reyna
Yeah, no, but I think you're stuck on the basis of a future filing for reconsideration to be based on the fraud.
45:53
But just leaving fraud aside, why can't you just do it on an obvious error of fact?
45:57
Appellant Attorney (Harold Hamilton Hoffman, Iii)
I could, Your Honor.
46:04
I just don't see how I'm going to succeed on it.
46:07
I don't know how the board is going to just deal with...
46:11
Because all of a sudden, you can...
46:13
If you do that with every single board denial, you could submit evidence that, hey, your denial that you have from 23 years ago was wrong.
46:22
It's obvious wrong.
46:23
Look at this record I have that was generated yesterday.
46:27
There is no time limit to file a motion for reconsideration.
46:30
We would...
46:31
I mean, the board's in trouble now with how long it takes.
46:34
I can't imagine what would happen if you could just submit whatever evidence and get the earliest possible effective date.
46:40
It would also get around...
46:43
New and material evidence reopening claims.
46:46
There would be no point in that statute anymore.
46:48
Judge Prost
Mr. Hoffman, can I just move...
46:51
Does she have any claim against the third party here who committed the fraud?
46:57
Because I was...
46:58
While we've been discussing this, I've just been thinking about other circumstances that arise with tax problems with the IRS.
47:06
Often there's an argument, at least, your situation is the result of what some third party did.
47:13
And I...
47:14
I am thinking those issues are relieved by filing a state law claim or some claim against the person who perpetrated the fraud that caused you to lose this money.
47:26
Is there any claim that's pending by your client against this other person?
47:34
Appellant Attorney (Harold Hamilton Hoffman, Iii)
I don't think so, Your Honor.
47:36
I don't even know if my client knows where the other person is anymore.
47:40
I...
47:41
Even if...
47:42
Judge Prost
But would you agree that a normal...
47:43
You know, in other areas of law...
47:45
Yeah.
47:45
In other arenas, normally that would be the appropriate recourse against the person who perpetrated the fraud as opposed to the government as a different party?
47:56
Appellant Attorney (Harold Hamilton Hoffman, Iii)
I think that could be the case in a typical civil suit.
48:01
However, here, Congress never said that, look, if you have recourse against a third party, that means you have no recourse against us.
48:10
The...
48:11
For instance, let's say VA orders someone to...
48:15
To a medical exam, and there's...
48:18
At the medical exam, there's medical malpractice and the person gets hurt.
48:21
Not only would they be able to make a Section 1151 claim, that would not be barred, even if they were suing that medical examiner in a state court.
48:31
There's nothing...
48:32
Congress, when they don't want a veteran to receive duplicate benefits, has always mandated it in a statute.
48:38
For instance, DOD benefits when you're less than 50% service-connected.
48:43
And...
48:43
And...
48:44
VA benefits.
48:46
So it just doesn't matter.
48:47
She's entitled to the benefits by statute that Congress wanted her to have.
48:50
Judge Prost
Okay.
48:51
I take your point.
48:53
Judge Reyna
Also, I think you told me at the beginning that Rhonda Matthews never did receive any payments, right?
48:59
Appellant Attorney (Harold Hamilton Hoffman, Iii)
As far as we know, Your Honor, I just don't know...
49:02
I don't know why she committed the fraud.
49:04
I don't know what she got out of it.
49:09
Judge Prost
Anything further?
49:10
Appellant Attorney (Harold Hamilton Hoffman, Iii)
If I can respond to one more thing about the 7103 being left open, right?
49:15
And it's...
49:18
7103 could be interpreted.
49:19
The VA was left...
49:20
The VA was left to figure out when to reconsider.
49:21
And it...
49:22
The VA did at least look at statutes and determine some of which it should reconsider.
49:28
But what it didn't do, and it figured when it saw that Congress wanted it to reconsider some fraudulent decisions,
49:36
its second decision is not rational.
49:39
The government still, to this day, can't provide a rational explanation of why, when it decided to reconsider fraud,
49:45
it would only reconsider fraud that cost it money.
49:49
And that's why it's arbitrary.
49:51
It's very incomprehensible.
49:52
The court should hold that all decisions influenced by fraud requires reconsideration in order to uphold the confidence that the public has in VA decisions,
50:00
protect the Treasury, and to ensure all claimants, who it knows, are entitled to benefits if we see them.
50:05
Judge Prost
Colleagues have nothing further?
50:12
Hearing nothing, thank both counsel and the cases submitted.
50:17
Appellant Attorney (Harold Hamilton Hoffman, Iii)
Thank you, Your Honor.