Court Opinion

ID: 817365
Source: CourtListenerOpinion
Date Created: 2013-02-01 01:49:52.929064+00
Date Added: 2024-06-11T09:56:31.281932
License: Public Domain

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

                                           NO . 09-0728

                               GEORGE W. BRENISER , APPELLANT ,

                                                 V.

                                      ERIC K. SHINSEKI,
                          SECRETARY OF VETERANS AFFAIRS, APPELLEE .

                         On Appeal from the Board of Veterans' Appeals

(Argued June 14, 2011                                                 Decided September 19, 2011)

      Michael P. Horan, with whom Linda E. Blauhut and Jennifer A. Zajac were on the brief, all
of Washington, D.C., for the appellant.

       Leslie C. Rogall and Michael A. Carr, with whom Will A. Gunn, General Counsel; and
R. Randall Campbell, Assistant General Counsel, were on the brief, all of Washington, D.C., for the
appellee.

       Before KASOLD, Chief Judge, and LANCE and SCHOELEN, Judges.

       SCHOELEN, Judge, filed the opinion of the Court. KASOLD, Chief Judge, filed an opinion
concurring in part and dissenting in part.

       SCHOELEN, Judge: The appellant, George W. Breniser, appeals through counsel a February
5, 2009, Board of Veterans' Appeals (Board or BVA) decision in which the Board denied his claim
for entitlement to a higher rate of special monthly compensation (SMC) on account of being in need
of the aid and attendance of another person or on account of being housebound.1 Record of
Proceedings (R.) at 3-12. Panel consideration is required to determine whether a veteran who is
receiving SMC for the loss of use of both feet under 38 U.S.C. § 1114(l) is entitled to a higher rate

       1
         The appellant does not raise any argument on appeal concerning the denial of SMC on
account of being housebound; therefore, the Court will consider the matter to have been abandoned
on appeal. See Ford v. Gober, 10 Vet.App. 531, 535 (1997) (holding claims not argued on appeal
are deemed abandoned); Bucklinger v. Brown, 5 Vet.App. 435 (1993).
of SMC under 38 U.S.C. §§ 1114(o), (p), or (r) based on his need for aid and attendance, when such
need arises out of the loss of use of both feet. This appeal is timely, and the Court has jurisdiction
to review the Board's decision pursuant to 38 U.S.C. §§ 7252(a) and 7266(a). Because section
1114(o) prohibits a "condition from being considered twice" in subsections (l) through (n) when
determining whether a veteran is entitled to a higher rate of SMC under subsection (o), and the Court
defers to the Secretary's reasonable interpretation of subsection (o) as requiring determinations to
be based upon separate and distinct disabilities, the Court concludes that a claimant cannot establish
entitlement to a higher rate of SMC under section 1114(o) – unless the claimant's need for aid and
attendance arises from a disability other than that for which the claimant is already in receipt of
SMC. Hence, the Court must affirm that part of the Board's decision that concluded that the
appellant did not meet the requirements for a higher rate of SMC on account of the loss of use of
both feet and being in need of the aid or attendance of another person as a result of the loss of use
of both feet. 38 U.S.C. § 1114(l) and (o). However, because the Court concludes that the Board
erred by failing to consider whether the appellant is entitled to a higher rate of SMC pursuant to
38 U.S.C. § 1114(p), the Court will remand the matter for further proceedings consistent with this
decision.

                                       I. BACKGROUND
       The appellant served on active duty in the U.S. Army from January 1949 to June 1952. R.
at 766. He was receiving compensation for amputation of his left middle finger; a shrapnel wound
scar on his chin and a biopsy scar for right gastrocnemius; cold injury to both feet, with plantar
fasciitis and Raynaud's phenomenon, evaluated as 30% disabling, from April 1998 to May 2007; and
his cold injury for both feet was changed to loss of use of both feet as residuals of cold injury,
evaluated as 100% disabling, effective May 2007. R. at 72-73, 194-95, 546-47, 775. In 2003, he
was granted a total disability rating based on individual unemployability effective October 15, 2001.
R. at 377-81. In July 2008, the regional office (RO) granted entitlement to SMC based on loss of
use of both feet pursuant to 38 U.S.C. § 1114(l), effective May 14, 2007, as well as entitlement to
automobile and adaptive equipment and specially adapted housing. R. at 68-74.

                                                  2
        In its February 5, 2009, decision here on appeal, the Board denied the appellant's claim for
entitlement to a higher rate of SMC based on the need for aid and attendance or on account of being
housebound. R. at 3-12. The Board noted the appellant's argument that "his bilateral leg disabilities,
along with . . . nonservice-connected residuals of a stroke and decreased vision have rendered him
wheelchair bound and requir[e]" aid and assistance of another person such that he is entitled to a
higher rate of compensation. R. at 6. The Board noted that "as the veteran is already in receipt of
[SMC under 38 U.S.C. § 1114(l)], what he seeks by this appeal is an additional, higher rate of
[SMC] under 38 U.S.C. § 1114(o)." R. at 7. The Board stated that the higher rate of SMC under
section 1114(o) "is payable for, among other things, conditions entitling a veteran to two or more
of the rates (no condition being considered twice) provided in 38 U.S.C.A. § 1114(l) through (n).
Determinations for entitlement under 38 U.S.C.A. § 1114(o) must be based upon separate and
distinct disabilities." R. at 8. Thus, although the evidence showed that the appellant was wheelchair
bound and required the assistance of another, because SMC was already in effect for the loss of use
of both feet under section 1114(l), the Board stated that the question is whether the need for aid and
attendance "is based upon a service-connected disability other than the bilateral disability of the
feet." R. at 8-9. The Board discussed the appellant's service-connected amputated finger and
residual scar, and found that the evidence did not demonstrate that these disabilities rendered him
"so incapacitated that he requires care or assistance." R. at 9-10. The Board also discussed the
appellant's non-service-connected conditions and stated that "[w]hile it is likely that these conditions
combine to result in the veteran's need for aid and attendance, because they are not service-connected
disabilities[,] the assignment of [SMC] is not warranted." R. at 10. The Board concluded that
"although the veteran technically requires aid and attendance, it is not required for a [service-
connected] disability that is separate and distinct from the loss of use of the feet and the veteran is
therefore barred from receiving additional benefits." Id. Finally, the Board found that since the
compensation under section 1114(l) was greater than the rate for SMC based on housebound status
under section 1114(s), the claim under section 1114(s) was moot. R. at 11.
        The pro se appellant appealed to this Court on February 28, 2009, and filed an informal brief
in July 2009. After the case was assigned to a panel, the appellant obtained counsel, withdrew his
informal brief, and substituted a formal brief.

                                                   3
         On January 26, 2011, the appellant informed the Court that on January 7, 2011, VA notified
him that he had been awarded a 60% disability rating for service-connected hearing loss, a 10%
disability rating for tinnitus, and a higher level of SMC based on the 60% rating, effective March 29,
2010. The Court subsequently ordered the appellant to clarify his arguments and identify the
subsection of 38 U.S.C. § 1114 under which was he granted a higher rate of SMC.
         On February 8, 2011, the appellant responded that he had been awarded a half-step increased
rate of SMC under 38 U.S.C. § 1114(p) and 38 C.F.R. § 3.350(f)(3) (2010), and asserted that this
award did not moot his appeal to the Court. In a February 23, 2011, response, the Secretary agreed
that the award of increased SMC under subsection (p) did not moot the appellant's arguments. The
Secretary noted, however, that if the appellant disagrees with the level of SMC assigned in the
January 7, 2011, decision, his remedy would be to file a Notice of Disagreement with the
January 7, 2011, decision.

                              II. THE PARTIES' CONTENTIONS
                                   A. The Appellant's Arguments
         The appellant asks the Court to reverse the Board's decision because he asserts that he is
entitled to a higher rate of SMC under the plain and unambiguous language of 38 U.S.C. § 1114.
Appellant's Substitute Brief (Br.) at 8-21. The appellant argues, pursuant to section 1114(o), that
he is entitled to the maximum rate of SMC because he satisfies the criteria for two rates under
section 1114 (l). Id. at 20-21. The appellant contends that his first entitling "condition" is the loss
of use of both feet and that his second entitling "condition" is that "his service-connected loss of use
of both feet[] make him so helpless that he requires the regular aid and attendance of another
person." Id. at 19. Because he is entitled to two rates of SMC under section 1114(l), he argues that
he is thus entitled to the higher rate of SMC under section 1114(o) and the even higher rate under
1114(r)(1). Id. at 20-21. The appellant also argues that the Secretary's implementing regulation,
38 C.F.R. § 3.350(e)(3) (2011), is legally invalid because it ignores the plain language of section
1114(o) by treating the terms "disability," "condition," and "conditions" synonymously. Id. at 9-10,
13-16.

                                                   4
        In the alternative, he argues that remand is warranted because the Board failed to consider
whether his non-service-connected stroke, which the Board recognized as a condition affecting his
need for aid and attendance, is aggravated by his service-connected cold injury and should constitute
a second entitling condition under section 1114(o). Id. at 22-26 (citing Allen v. Brown, 7 Vet.App.
439 (1995) (en banc)). He states that remand is warranted to enable the Board to "determine whether
[his] service-connected loss of use of his feet aggravates his non-service-connected disabilities and
whether this aggravation qualifies him for an additional [SMC] award under [38 U.S.C.] § 1114(l),
(o), (r)(1)[,] and [38 C.F.R.] § 3.352(a)." Id. at 26.
        His second argument for remand is that the Board failed to consider whether he is entitled
to a higher rate under subsection (p), which allows for an intermediate or full higher rate where a
"veteran's service-connected disabilities exceed the requirements for any of the rates prescribed in
. . . section [1114]." 38 U.S.C. § 1114(p); see Appellant's Br. at 27-28. As noted above, the
appellant asserts that the January 2011 award of a higher rate of SMC under section 1114(p),
effective from March 2010, does not moot his argument because he asserts that, on remand, the
Board could determine that he is entitled to a full-step higher rate of SMC.
                                    B. The Secretary's Arguments
        In a substitute brief, the Secretary argues that the regulations are consistent with both the
plain language of the statute, as well as with congressional intent. Secretary's Br. at 6-18. The
Secretary asserts that 38 C.F.R. § 3.350(e)(3) correctly interprets 38 U.S.C. § 1114(o), and that both
the regulation and the statute clearly preclude awards for the maximum rate of SMC under
subsection (o) based on the same disability. Id. at 9. The Secretary argues that "[i]n the context of
[section 1114(o)] and its history, the word 'conditions' clearly refers to a term such as 'circumstances,'
and the latter use of the word 'condition,' in its singular form, refers to the underlying disability or
disabilities, such as anatomical loss, loss of use, or blindness, that entitles a [v]eteran to a rate
proscribed in paragraph (l) to (n) of 38 U.S.C. § 1114." Id. at 15 (emphasis in original). The
Secretary maintains that "the statute, since its inception, awarded the higher (o) rate to an individual
who had loss or loss of use of the lower extremities and, in addition, helplessness due to some other
service-connected disability or disabilities." Id. at 10. Because the appellant's need for aid and
attendance arises out of the loss of use of his feet, the Secretary argues that he is not entitled to a

                                                    5
higher rate of SMC under section 1114(o). Id. at 18. At oral argument, the Secretary conceded that
if the appellant is entitled to a higher rate of SMC under section 1114(o), then he would also be
entitled to an additional allowance under subsection (r)(1) based on his need for regular aid and
attendance.
        With respect to the appellant's arguments for remand, the Secretary asserts that the appellant
has not previously raised a claim for service connection on a secondary basis and has not pointed to
evidence in the record of any such claim. Id. at 18-22. The Secretary argues that the record merely
establishes that the appellant suffered a stroke, which rendered him unable to propel his wheelchair.
Id. at 21. The Secretary contends that the appellant has not demonstrated error in the Board's
decision because the appellant has not previously asserted a belief that his non-service-connected
stroke is related to the cold weather residuals that caused the loss of use of his feet and the Board is
"not 'require[d] to conduct an exercise in prognostication.'" Id. (quoting Talbert v. Brown,
7 Vet.App. 352, 356 (1995)). Finally, the Secretary refutes the appellant's assertion that subsection
(p) was potentially applicable to the appellant's claim at the time of the Board's decision. Id. at 22.
The Secretary relies on VA's regulation 38 C.F.R. § 3.350(f) (2010), which delineates numerous
instances in which the Secretary is authorized to pay SMC at the next higher rate or at an
intermediate rate. Id. Because loss of use of both feet, along with the need for regular aid and
attendance, is not one of the enumerated circumstances listed in § 3.350(f), the Secretary asserts that
section 1114(p) is not applicable. Id.

                                              III. LAW
                                         A. 38 U.S.C. § 1114
        SMC is available when, "as the result of service-connected disability," a veteran suffers
additional hardships above and beyond those contemplated by VA's schedule for rating disabilities.
See 38 U.S.C. § 1114(k)-(s). The rate of SMC "varies according to the nature of the veteran's
service-connected disabilities." Moreira v. Principi, 3 Vet.App. 522, 524 (1992). The Board's
determination as to whether a veteran is entitled to SMC is a finding of fact that this Court reviews
under the "clearly erroneous" standard of review. See Prejean v. West, 13 Vet.App. 444, 447 (2000);
Turco v. Brown, 9 Vet.App. 222, 224 (1996).

                                                   6
       Basic levels of SMC are listed in section 1114(k). Higher levels of SMC are provided in
sections 1114(l), (m), (n), and (o), which state, in pertinent part:
       (l) if the veteran, as the result of service-connected disability, has suffered the
       anatomical loss or loss of use of both feet, or of one hand and one foot, or is blind in
       both eyes, with 5/200 visual acuity or less, or is permanently bedridden or with such
       significant disabilities as to be in need of regular aid and attendance, the monthly
       compensation shall be $3,075;

       (m) if the veteran, as the result of service-connected disability, has suffered the
       anatomical loss or loss of use of both hands, or of both legs at a level, or with
       complications, preventing natural knee action with prosthesis in place, or of one arm
       and one leg . . . , or has suffered blindness in both eyes having only light perception,
       or has suffered blindness in both eyes, rendering such veteran so significantly
       disabled as to be in need of regular aid and attendance, the monthly compensation
       shall be $3,392;

       (n) if the veteran, as the result of service-connected disability, has suffered the
       anatomical loss or loss of use of both arms at levels, or with complications,
       preventing natural elbow action with prosthesis in place, has suffered the anatomical
       loss of both legs so near the hip as to prevent the use of prosthetic appliances, or has
       suffered the anatomical loss of one arm and one leg . . . , or has suffered anatomical
       loss of both eyes, or has suffered blindness without light perception in both eyes, the
       monthly compensation shall be $3,860;

       (o) if the veteran, as the result of service-connected disability, has suffered disability
       under conditions which would entitle such veteran to two or more of the rates
       provided in one or more subsections (l) through (n) of this section, no condition
       being considered twice in the determination, . . . the monthly compensation shall be
       $4,313.

38 U.S.C. § 1114(l)-(o). Thus, subsections (l) through (n) provide progressively increased rates of
SMC based on the severity of the veteran's disability. Subsection (o) provides for an even higher rate
of SMC for veterans who are entitled to two or more of the rates provided under one or more
subsections (l) through (n).
       Subsection (p) provides for half- or full-step increases to the next higher rate in subsections
(l) through (n) for a veteran whose condition exceeds the requirements of his current rate, but does
not qualify for the next higher rate. 38 U.S.C. § 1114(p). Finally, if a veteran is entitled to
compensation authorized under subsection (o), and is in need of regular aid and attendance, then in

                                                   7
addition to compensation available under subsection (o), he is entitled to receive an additional "aid
and attendance allowance" under section 1114(r)(1) and (2).
                                   B. 38 C.F.R. §§ 3.350, 3.352 (2011)
          VA has promulgated regulations implementing section 1114. 38 C.F.R. §§ 3.350, 3.352
(2011). As relevant to this appeal, the regulation implementing section 1114(o) provides that SMC
under the (o) rate is payable for "[c]onditions entitling to two or more of the rates (no condition
being considered twice) provided in 38 U.S.C. § 1114(l) through (n)." 38 C.F.R. § 3.350(e)(1)(ii).
The appellant challenges § 3.350(e)(3), which provides the Secretary's interpretation of subsection
(o)'s proviso "no condition being considered twice in the determination," and states:
          Combinations. Determinations must be based upon separate and distinct disabilities.
          This requires, for example, that where a veteran who had suffered the loss or loss of
          use of two extremities is being considered for the maximum rate on account of
          helplessness requiring regular aid and attendance, the latter must be based on need
          resulting from pathology other than that of the extremities. If the loss or loss of use
          of two extremities or being permanently bedridden leaves the person helpless,
          increase is not in order on account of this helplessness. Under no circumstances will
          the combination of "being permanently bedridden" and "being so helpless as to
          require regular aid and attendance" without separate and distinct anatomical loss, or
          loss of use, of two extremities, or blindness, be taken as entitling to the maximum
          benefit. The fact, however, that two separate and distinct entitling disabilities, such
          as anatomical loss, or loss of use of both hands and both feet, result from a common
          etiological agent, for example, one injury or rheumatoid arthritis, will not preclude
          maximum entitlement.

38 C.F.R. § 3.350(e)(3).
          The criteria relevant to the determination of whether a veteran "is so helpless as to be in need
of regular aid and attendance are contained in § 3.352(a)." 38 C.F.R. § 3.350(b)(3). Section 3.352(a)
states:
          The following will be accorded consideration in determining the need for regular aid
          and attendance . . . : inability of claimant to dress or undress himself (herself), or to
          keep himself (herself) ordinarily clean and presentable; frequent need of adjustment
          of any special prosthetic or orthopedic appliances which by reason of the particular
          disability cannot be done without aid (this will not include the adjustment of
          appliances which normal persons would be unable to adjust without aid, such as
          supports, belts, lacing at the back, etc.); inability of claimant to feed himself (herself)
          through loss of coordination of upper extremities or through extreme weakness;
          inability to attend to the wants of nature; or incapacity, physical or mental, which

                                                      8
        requires care or assistance on a regular basis to protect the claimant from hazards or
        dangers incident to his or her daily environment. . . . It is not required that all of the
        disabling conditions enumerated in this paragraph be found to exist before a
        favorable rating may be made. The particular personal functions which the veteran
        is unable to perform should be considered in connection with his or her condition as
        a whole. It is only necessary that the evidence establish that the veteran is so helpless
        as to need regular aid and attendance, not that there be a constant need.

38 C.F.R. § 3.352(a).

                                           IV. ANALYSIS
        The question before the Court is whether a veteran who is in receipt of SMC under section
1114(l) for the loss of use of both feet qualifies to receive the maximum rate of SMC under section
1114(o) by establishing that he has also suffered disability under conditions that would entitle him
to SMC under subsection (l) on account of being in need of regular aid and attendance – when the
veteran's need for aid and attendance is the result of his only qualifying service-connected disability2
– the loss of use of both feet – and subsection (o) prohibits a "condition [from] being considered
twice in the determination." Alternatively stated, can the need for aid and attendance, in and of
itself, constitute a qualifying condition when that need arises from the veteran's only service-
connected disability that already entitles him to SMC under section 1114(l)? This is a matter of
statutory interpretation, which the Court determines de novo. See 38 U.S.C. § 7261(a)(1); Butts v.
Brown, 5 Vet.App. 532, 539 (1993) (en banc).
                                      A. Statutory Interpretation
        "Statutory interpretation begins with the language of the statute, the plain meaning of which
we derive from its text and structure." Myore v. Nicholson, 489 F.3d 1207, 1211 (Fed. Cir. 2007)
(quoting McEntee v. M.S.P.B., 404 F.3d 1320, 1328 (Fed. Cir. 2005); see Sharp v. Shinseki,

       2
           As noted above, the appellant was granted entitlement to service connection for hearing
loss, evaluated as 60% disabling, and tinnitus, evaluated as 10% disabling, effective March 29, 2010.
The RO also awarded a higher rate of SMC under 38 U.S.C. § 1114(p), effective March 29, 2010,
based on the appellant's loss of use of both feet and additional service-connected disability (hearing
loss) independently ratable at 50% or more. See 38 C.F.R. § 3.350(f)(3) (2010). Because these
awards were granted after the Board's February 2009 decision here on appeal, the Court will refer
solely to the appellant's loss of use of both feet for the purpose of its discussion.

                                                    9
23 Vet.App. 267, 271 (2009); see also McGee v. Peake, 511 F.3d 1352, 1356 (Fed. Cir. 2008);
Gardner v. Derwinski, 1 Vet.App. 584, 586 (1991) ("Determining a statute's plain meaning requires
examining the specific language at issue and the overall structure of the statute." (citing Bethesda
Hosp. Ass'n v. Bowen, 485 U.S. 399, 403-05 (1998))), aff'd sub nom. Gardner v. Brown, 5 F.3d 1456
(Fed. Cir. 1993), aff'd, 513 U.S. 115 (1994). In reviewing "an agency's construction of the statute
which it administers," a court must first ask "whether Congress has directly spoken to the precise
question at issue." Chevron U.S.A., Inc. v. Natural Res. Def. Council, Inc., 467 U.S. 837, 842
(1984). If so, the court and the agency must "give effect to the unambiguously expressed intent of
Congress." Id. at 842-43.
       Section 1114(l) provides five distinct ways for a veteran, "as the result of service-connected
disability," to qualify for this rate of SMC: (1) Anatomical loss or loss of use of both feet; (2)
anatomical loss or loss of use of one hand and one foot; (3) blindness in both eyes with 5/200 visual
acuity or less; (4) being permanently bedridden; or (5) having "such significant disabilities as to be
in need of regular aid and attendance." 38 U.S.C. § 1114(l). The "need of regular aid and
attendance" in section 1114(l) must be the result of "such significant disabilities." 38 U.S.C.
§ 1114(l).
       Section 1114(o) states that
        if the veteran, as the result of service-connected disability, has suffered disability
        under conditions which would entitle such veteran to two or more of the rates
        provided in one or more subsections (l) through (n) of this section, no condition
        being considered twice in the determination, . . . the monthly compensation shall be
        $4,313.

38 U.S.C. § 1114(o) (emphasis added). The meaning of emphasized terms "conditions" and
"condition," as well as the phrase "no condition being considered twice in the determination" is
essential to the Court's resolution of the matter on appeal.
       Both parties argue that the plain and unambiguous language of subsection (o) supports their
respective positions. The appellant posits that each distinct way to receive an award of SMC under
subsections (l), (m), and (n), e.g., "the anatomical loss or loss or use of both hands," or "blindness
in both eyes having only light perception," is a "condition" under subsection (o), which may not be
considered twice when determining whether an award under (o) is warranted. Thus, he contends that

                                                 10
he is entitled to a higher rate of SMC under section 1114(o) because he has two qualifying conditions
under subsection (l): loss of use of both feet and need for aid and attendance. Questioned at oral
argument how he interprets the phrase "no condition being considered twice," the appellant stated
that a veteran could not receive SMC at the (o) rate because he has loss of use of both feet and loss
of use of both feet.
        The Secretary asserts that entitlement to the higher rate under subsection (o) must be based
on separate and distinct disabilities. The Secretary posits that subsection (o)'s use of the term
"conditions" refers generally to a term such as "circumstances," and the latter use of the word
"condition," refers to the underlying disability or combination of disabilities, such as anatomical
loss, loss of use, or blindness, that entitles a veteran to a rate proscribed in subsections (l), (m), and
(n) of 38 U.S.C. § 1114. At oral argument, the Secretary explained that under subsection (o) a
veteran may receive the maximum rate if, for example, the veteran has the loss of use of both feet
and sustained a separate service-connected disability, e.g., a traumatic brain injury, that requires aid
and attendance.
        The Court notes that nowhere in the statute does Congress define the terms "condition" or
"conditions." Moreover, a review of section 1114, as a whole, reveals that Congress did not use
either term in any subsection other than subsection (o). The statute's silence on the definition of
"condition(s)," may appropriately be understood as Congress's having delegated this matter to the
Secretary. See U.S. v. Mead Corp., 533 U.S. 218, 226-27 (2001); Chevron, 467 U.S. at 843-44; see
also 38 U.S.C. § 501(a) (providing that "[t]he Secretary has authority to prescribe all rules and
regulations which are necessary or appropriate to carry out the laws administered by the
department"). Therefore, because "condition" is not defined in the statute and the Secretary
interprets that the structure of the statute to imply multiple meanings to the same term, the Court
concludes that the language of the statute is ambiguous with respect to the precise issue presented
by this appeal. See Haas v. Nicholson, 20 Vet.App. 257, 262 n.2 (2006) ("[S]tatutory ambiguity is
not an absolute conclusion, but is a case-by-case determination as to whether the language answers
the particular question presented. Hence, statutory language that plainly answers one question may
still be ambiguous when applied to another."), rev'd on other grounds, Haas v. Peake, 525 F.3d 1168
(Fed. Cir. 2008).

                                                   11
                                    B. Regulatory Interpretation
        Having concluded that the terms "condition" and "conditions" in section 1114(o) are
ambiguous, the Court must turn to step two of the Chevron analysis, which requires the Court to
defer to the Agency's authorized interpretation of the statute if "the agency's answer is based on a
permissible construction of the statute." Chevron, 467 U.S. at 843; see Fed. Express Corp v.
Holowecki, 552 U.S. 389, 395 (2008) ("[W]hen an agency invokes its authority to issue regulations,
which then interpret ambiguous statutory terms, the courts defer to its reasonable interpretations.");
see also Nat'l Ass'n of Home Builders v. Defenders of Wildlife, 551 U.S. 644, 665 (2007). Providing
Chevron deference to the Agency's construction of the statute does not require the Court to conclude
that the "agency['s] construction was the only one it permissibly could have adopted . . . or even the
reading the court would have reached if the question initially had arisen in a judicial proceeding."
Chevron, 467 U.S. at 843 n.11. The Secretary's interpretation will not be set aside unless it is
"arbitrary, capricious, an abuse of discretion or otherwise not in accordance with law." 38 U.S.C.
§ 7261(a)(3)(A).
          1. The Meaning of "Condition" and "No Condition Being Considered Twice"
        In reviewing the Secretary's regulation, the Court notes that sections 3.350(e)(1) and (2),
expressly use the terms "condition" and "conditions" in describing when a claimant would be entitled
to a higher rate of SMC under section 1114(o). 38 C.F.R. §§ 3.350(e)(1) and (2). The portion of the
regulation that the appellant challenges, § 3.350(e)(3), uses only the term "disabilities," and does not
use the term "condition" or "conditions." Section 3.350(e)(3), entitled "Combinations," appears to
specifically implement the statutory language of section 1114 (o), "no condition being considered
twice in the determination," by stating:
        Determinations must be based upon separate and distinct disabilities. This requires,
        for example, that where a veteran who had suffered the loss or loss of use of two
        extremities is being considered for the maximum rate on account of helplessness
        requiring regular aid and attendance, the latter must be based on need resulting from
        pathology other than that of the extremities. If the loss or loss of use of two
        extremities or being permanently bedridden leaves the person helpless, increase is
        not in order on account of this helplessness.

38 C.F.R. § 3.350(e)(3).

                                                  12
        The Secretary's interpretation of the term "condition" in section 1114(o) to mean "disability"
is implemented by the first sentence of the regulation requiring that "[d]eterminations must be based
upon separate and distinct disabilities." Id. The remainder of § 3.350(e)(3) describes when a veteran
may and may not be entitled to a higher rate of SMC on account of helplessness requiring regular
aid and attendance and has suffered the loss or loss of use of two extremities. The specific question
the Court must address is whether the Secretary's regulation, which interprets the phrase "no
condition being considered twice" to mean "no disability being considered twice" is a reasonable
construction of the statute. Chevron, supra.
        The purpose of an agency's regulation is to articulate the agency's interpretation of a statute,
and to provide guidance on how to implement that statute. See Morton v. Ruiz, 415 U.S. 199, 231
(1974) ("The power of an administrative agency to administer a congressionally created . . . program
necessarily requires the formulation of policy and the making of rules to fill any gap left, implicitly
or explicitly, by Congress."). Because the primary function of any regulation is to interpret the
statute it implements, not mimic it, a regulation need not, and should not, parrot the statute it
implements. This Court has held that regulatory language that "merely parrots the statutory
language" has no interpretive value. See Sharp, 23 Vet.App. at 274 (finding that 38 C.F.R. § 3.4
(b)(2) (2009) "does not assist in the interpretation of section 1115 because it merely parrots the
statutory language"); see also Gonzales v. Oregon, 546 U.S. 243, 257 (2006) ("[T]he existence of
a parroting regulation does not change the fact that the question here is not the meaning of the
regulation but the meaning of the statute."). Therefore, the absence of the word "condition" or
"conditions" in § 3.350(e)(3) by itself does not render the Secretary's interpretation invalid. Instead,
by explaining that determinations "must be based upon separate and distinct disabilities"
§ 3.350(e)(3) fulfills its primary function by giving instruction and meaning to the phrase "no
condition being considered twice in the determination."
        Thus, the Secretary asserts that § 3.350(e)(3), which instructs that SMC under section
1114(o) is to be granted to veterans who are in need of aid and attendance for a service-connected
disability that is separate and distinct from the anatomical loss or loss of use or blindness that is
already the subject of a rate of SMC under subsections (l) through (n), is consistent with the statute's

                                                  13
requirement that "no condition be considered twice in the determination." 38 U.S.C. § 1114(o). The
Secretary finds support for his position in the legislative history leading to the 1945 amendments to
Veterans' Regulation No. 1(a), which permitted helplessness, for the first time, to be combined with
other qualifying conditions for the maximum rate of SMC.3
       The Secretary points out that in July 1945, the Veterans Administration Administrator,
General Frank T. Hines, submitted VA's legislative proposal to Congress urging that helplessness
be included as a basis upon which the maximum rate of SMC could be awarded. See 91 Cong. Rec.
7880-81 (1945). In a letter to Congress, the Administrator explained:
       The maximum rate, as a result of including helplessness as one of the entitling
       multiple disabilities, is intended to cover, in addition to obvious losses and blindness,
       transverse myelitis with loss of use of both legs and loss of anal and bladder sphincter
       control, generally resulting from severance of the spinal cord in action or incident to
       airplane or motorized military equipment crashes; also the loss of use of two
       extremities with near blindness and absolute deafness, or with severe multiple
       injuries outside the useless extremities, these conditions being construed as loss of
       use of two extremities and helplessness.
Id. at 7881 (emphasis added).

       3
           Prior to the 1945 amendment, a veteran was entitled to receive the maximum rate

       [i]f the disabled person, as the result of service incurred disability, has suffered the
       anatomical loss or loss of use as provided in subparagraphs (l) to (n), inclusive, of
       Part I of paragraph II of this Regulation, . . . which conditions under subparagraphs
       (l) to (n), entitled him to two or more of the rates provided in those subparagraphs,
       no specified condition being considered twice in the determination, the monthly
       pension shall be $250.00.

Veterans' Regulation No. 1(a), pt. I, para. II(o) (1939) (emphasis added). The 1945 amendment
provided, in pertinent part, that

       [i]f the disabled person, as the result of service incurred disability, has suffered
       disability under conditions which would entitle him to two or more of the rates
       provided in one or more of the subparagraphs (l) to (n), inclusive, of part I, paragraph
       II of this Regulation, no condition being considered twice in the determination, . . . ,
       the monthly pension shall be $300.00.

Veterans' Regulation No. 1(a), pt. I, para. II(o) (1945) (emphasis added).

                                                  14
        The same congressional record contains a chart the Administrator submitted to Congress
setting forth the then-current and proposed amounts for each level of SMC. The chart specified that
the maximum rate of SMC would be awarded for "'[d]ouble total' disability which was defined as
a 'total' disability, along with helplessness 'from other pathology, including blind and deaf.'"
Secretary's Br. at 13-14 (quoting 91 Cong. Rec. at 7884) (emphasis added). It is undisputed that the
1945 amendments intended to broaden the conditions that could be combined to warrant an award
of the maximum rate. The Administrator's explanation to Congress and the chart he submitted
reflect that to give effect to the statutory language that "no condition be[] considered twice in the
determination," VA envisioned that the maximum rate would be available when the veteran suffered
from the loss or loss of use of two extremities, with helplessness arising from an additional service-
connected disability, other than the loss or loss of use of two extremities.
        On September 20, 1945, Congress amended the Veterans' Regulations "to provide additional
rates of compensation or pension and remedy inequalities as to specific service-incurred disabilities
in excess of total disability." Pub. L. No. 79-182 (1945). In doing so, Congress adopted what is now
subsection (o), as proposed by VA. The lack of a statutory definition for the term "condition" in
subsection (o) left a gap to be filled by the Agency – and as noted above – the history provided by
the Secretary shows that VA has, since its inception, viewed the inclusion of helplessness as a
qualifying condition for the maximum rate to require that the need for aid and attendance arise from
pathology other than that for which the claimant is already in receipt of SMC. While "reliance on
long-standing agency practice must be tempered with some caution in the veterans context," see
Gardner v. Brown, 513 U.S. 115, 120 (1994) (refusing Chevron deference to the Agency's
longstanding interpretation that was contrary to the plain language of the statute), it is not prohibited.
See Disabled Am. Veterans v. Sec'y of Veterans Affairs, 419 F.3d 1317, 1323 (Fed. Cir. 2005)
(distinguishing Gardner under circumstances showing that Congress ratified and authorized the
Board's longstanding practice); see generally N.L.R.B. v. Bell Aerospace Co. Div. of Taxation,
416 U.S. 267, 275 (1974) (noting that an established principle of statutory construction permits a
court to "accord great weight to the long standing interpretation placed on a statute by an agency
charged with its administration . . . especially . . . where Congress has reenacted the statute without
pertinent change"); Money v. Office of Pers. Mgmt., 811 F.2d 1474, 1477 (Fed. Cir. 1987) (stating

                                                   15
that "[t]he longstanding interpretation placed on a statute by the agency charged with its
administration should be followed unless there are compelling indications that it is wrong").
       In this case, the Court finds that the history provided by the Secretary, Congress's repeated
reenactment of subsection (o) without pertinent change,4 together with the deference owed to an
agency's reasonable interpretation of a statute it seeks to implement, compels the Court to conclude
that the requirement in 38 C.F.R. § 3.350(e)(3) that "[d]eterminations to be based upon separate and
distinct disabilities" is a reasonable and valid interpretation of 38 U.S.C. § 1114(o). See Lorillard
v. Pons, 434 U.S. 575, 580 (1978) ("Congress is presumed to be aware of administrative or judicial
interpretation of a statute and to adopt that interpretation when it re-enacts a statute without
[relevant] change."); see also Paralyzed Veterans of Am. v. Sec'y of Veterans Affairs, 345 F.3d 1334,
1340 (Fed. Cir. 2003) ("[W]here the application of customary canons of statutory construction points
in opposite directions, we resort to the Chevron principle." (citing Nat'l Org. of Veterans' Advocates
v. Sec'y of Veterans Affairs, 260 F.3d 1365, 1377 (Fed. Cir. 2001))); DeBoard v. Principi, 18
Vet.App. 357, 364 (2004) (stating "where the meaning of a statutory provision is ambiguous, the
Court must take care not to invalidate otherwise reasonable agency regulations simply because they
do not provide for a pro-claimant outcome in every imaginable case"). The regulation's reference
to "separate and distinct disabilities" resolves any ambiguity in the statutory language "no condition
being considered twice" and makes clear that the maximum rate under subsection (o) is available
only when the veteran's entitlement to two or more rates under subsections (l) through (n) is based
on separate service-connected disabilities.
       Additional support for the Secretary's interpretation can be found in the statute itself.
Subsection (m) specifically provides for a higher rate of SMC when "the veteran, as the result of
service-connected disability . . . has suffered blindness in both eyes, rendering such veteran
significantly disabled as to be in need of regular aid and attendance." 38 U.S.C. § 1114(m); cf.
38 U.S.C. § 1114 (k), (l) (providing lower rates of SMC if a veteran, as the result of service-

       4
          The legislative history of section 1114 shows that in addition to numerous cost-of-living
adjustments to the rates prescribed therein, subsection (o) has undergone additional amendment to
the statutory language, without change to the pertinent language in dispute. See, e.g. Veterans'
Benefits Act of 2010, Pub. L. 111-275, § 601(a)(3), 124 Stat. 2864.

                                                 16
connected disability has suffered "blindness of one eye, having only light perception" or "is blind in
both eyes, with 5/200 visual acuity or less"). A comparison of the rates of compensation provided
by Congress for veterans who have suffered varying degrees of blindness demonstrates that when
Congress intended to provide a higher rate for a condition – blindness – when that same condition
also resulted in the need for aid and attendance, Congress knew how to do so. At the same time,
Congress generally provided in subsection (o) that the maximum rate may be awarded where the
veteran establishes entitlement to two or more of the rates provided in subsections (l) through (n),
so long as "no condition [is] considered twice in the determination." 38 U.S.C. § 1114(o). Although
this distinction may seem somewhat arbitrary that a veteran who suffers blindness in both eyes and
is in need of aid and attendance as a result of that blindness is entitled to a higher rate of
compensation (although at the "(m)" rate, not the maximum) than a veteran who suffers the loss of
use of both feet and is in need of aid and attendance as a result of the loss of use of both feet,
Congress expressly devised progressively increasing rates of SMC in subsections (l) through (o)
based upon its determination of what conditions were more disabling. Against this backdrop, the
Court cannot find the Secretary's interpretation, which prohibits SMC at the maximum(o) rate when
the need for aid and attendance arises from the same pathology that otherwise entitles the veteran
to an award of SMC at a rate provided in subsections (l) through (n), unreasonable. 38 C.F.R.
§ 3.350(e)(3). Although the Court is sympathetic to the appellant's situation, his remedy lies with
Congress, not this Court. See Nat'l Cable & Telecomm. Ass'n v. Brand X Internet Servs., 545 U.S.
967, 981 (2005) ("If a statute is ambiguous, and if the implementing agency's construction is
reasonable, Chevron requires a federal court to accept the agency's construction of the statute, even
if the agency's reading differs from what the court believes is the best statutory interpretation." (citing
Chevron, 467 U.S. at 843-44, and n.11)).
                                   2. The Meaning of "Conditions"
        The Secretary contends that section 1114(o)'s use of the term "conditions" refers to a term
such as "circumstances." Secretary's Br. at 15. Thus, the Secretary reads the language in subsection
(o) as meaning: "[I]f the veteran, as the result of service-connected disability, has suffered disability
under [circumstances (in lieu of "conditions")] which would entitle the veteran to two or more of the
rates under one or more subsections (l) through (n) of this section, no [disability (in lieu of

                                                    17
"condition")] being considered twice in the determination . . . the monthly compensation shall be
. . . ." 38 U.S.C. § 1114(o). Although we are mindful of the basic canon of statutory construction
that "identical terms within an Act bear the same meaning,"see Estate of Cowart v. Nicklos Drilling
Co., 505 U.S. 469, 479 (1992), we also recognize that "'[m]ost words have different shades of
meaning and consequently may be variously construed, [even] when [they are] used more than once
in the same statute or . . . section.'" Envtl. Def. v. Duke Energy Corp., 549 U.S. 561, 574 (2007)
(quoting Atl. Cleaners & Dyers, Inc. v. United States, 286 U.S. 427, 433 (1932)). Thus, "[a] given
term in the same statute may take on distinct characters from association with distinct statutory
objects calling for different implementation strategies." Id.
       As noted above, by regulation, VA has interpreted subsection (o) to require that
determinations be based upon "separate and distinct disabilities," 38 C.F.R. § 3.350(e)(3), and that
interpretation is entitled to Chevron deference. Clearly, ascribing identical meaning to "condition"
and "conditions" in subsection (o) would lend itself to a nonsensical reading of subsection (o) as
stating: "If the veteran, as the result of service-connected disability, has suffered disability under
[disability] . . . " 38 U.S.C. § 1114(o). Because such a reading would lead to an absurd result, the
Court is not constrained to resolve the ambiguity of the singular and plural use of the same noun in
subsection (o) by attributing the same meaning to them regardless of their context.
       The Court notes that the Secretary's interpretation of "conditions" is supported by consulting
a dictionary to ascertain the term's "ordinary meaning." See Nielson v. Shinseki, 23 Vet.App. 56, 59
(2009) (noting that it is "commonplace to consult dictionaries to ascertain a term's ordinary
meaning"). The noun "condition" in its plural form may be defined as "attendant circumstances."
See MERRIAM-WEBSTER'S COLLEGIATE DICTIONARY 240 (10th ed. 1999); see also
WEBSTER'S NEW WORLD DICTIONARY 255 (3rd college ed. 1988) (defining "circumstances"
as "conditions surrounding and affecting a person"). In the context of subsection (o), applying this
definition to "conditions" reasonably resolves the ambiguity of the statutory term. See Chevron,
supra; see generally Mead Corp., 533 U.S. at 234-35 (noting that "Chevron did nothing to eliminate
Skidmore's holding that an agency's interpretation may merit some deference whatever its form,
given the 'specialized experience and broader investigations and information' available to the
agency'" (quoting Skidmore v. Swift & Co., 323 U.S. 134, 139 (1944))). Thus, in recognition of the

                                                 18
fact that "most words have different shades of meaning" and can be "variously construed" the Court
agrees with the Secretary that the term "conditions" in subsection (o) refers generally to
"circumstances."
       Accordingly, the Court holds that a claimant who is in receipt of SMC cannot establish
entitlement to a second rate of SMC under section 1114(l) based on the need for aid and attendance
– and, hence, a higher rate of SMC under section 1114(o) – unless the claimant's need for aid and
attendance arises from a disability other than that for which the claimant is already in receipt of
SMC.
                                      C. Application To Case
       The appellant here is in receipt of SMC under section 1114(l) for loss of use of both feet.
He does not dispute that his need for aid and attendance results from his loss of use of both feet.
Because section 1114(l) requires the need for aid and attendance to be the result of "such significant
disabilities," any second award of SMC under section 1114(l) for aid and attendance would
necessarily be based on the appellant's loss of use of both feet. See Howell v. Nicholson,
19 Vet.App. 535, 538 (2006) (holding that the "[t]he plain and unambiguous language of section
1114(l) requires that a claimant be in need of regular aid and attendance 'as the result of service-
connected disability'" (quoting 38 U.S.C. § 1114(l)). Since section 1114(o) precludes conditions
from "being considered twice" in determining entitlement to two or more rates under sections 1114(l)
through (n), and the Court concluded above that the Secretary's regulation, requiring determinations
to be based on separate and distinct disabilities, is a valid interpretation of subsection (o), the
appellant's loss of use of both feet cannot satisfy the requirement for SMC under section 1114(l) for
both the loss of use of both feet and for being in need of aid and attendance as a result of the loss
of use of both feet. Because the appellant is not entitled to a second rate of SMC under section
1114(l) based on the need for aid and attendance as a result of the loss of use of both feet, the Court
must affirm the Board's February 5, 2009, decision, insofar as the Board denied entitlement to the
higher rate of SMC under section 1114(o). In addition, because the appellant is not entitled to a
higher rate of SMC under section 1114(o), his argument for an even higher rate of SMC under
section 1114(r)(1) is moot.

                                                  19
                                 D. Secondary Service Connection
          The appellant raises two alternative arguments for remand. As noted above, the appellant
argues that remand is warranted because the Board failed to consider whether his non-service-
connected stroke, which the Board recognized as a condition affecting his need for aid and
attendance, is aggravated by his service-connected cold injury and should constitute a second
entitling condition under section 1114(o). Id. at 22-26 (citing Allen, supra). He states that the Court
should remand the matter to enable the Board to "determine whether [his] service-connected loss of
use of his feet aggravates his non-service-connected disabilities and whether this aggravation
qualifies him for an additional [SMC] award under § 1114(l), (o), (r)(1)[,] and § 3.352(a)." Id. at
26. At oral argument, the appellant identified three pages in the record of proceedings, which, he
asserts, reasonably raise a claim that his cold injury aggravated his stroke. See R. at 48, 49, and 151.
The Secretary countered that the appellant did not previously raise a claim for service connection on
a secondary basis and that the documents relied on by the appellant fail to reasonably raise an
allegation that his stroke was caused by or related to his service-connected cold injury. The Court
agrees.
          Although the record reflects that the appellant mentioned "left sided[d] weakness
deteriorating at present, [with] limited use of left hand and arm needed to propel [his] wheelchair"
(R. at 151) and that he related his inability to propel his wheelchair to a stroke suffered in 1997 (R.
at 49), none of the documents indicate an intent to apply for VA benefits for his stroke, or in any way
attribute the stroke to his service-connected cold injury. "Although the Board must interpret a
claimant's submissions broadly, 'the Board is not required to conjure up issues that were not raised
by the claimant.'" Brokowski v. Shinseki, 23 Vet.App. 79, 85 (2009) (quoting Brannon v. West,
12 Vet.App. 32, 35 (1998)); see also Robinson v. Shinseki, 557 F.3d 1355, 1361 (Fed. Cir. 2009)
("[C]laims which have no support in the record need not be considered by the Board."); Criswell v.
Nicholson, 20 Vet.App. 501, 503-04 (2006) ("It follows logically that where there can be found no
intent to apply for VA benefits, a claim for such benefits has not been reasonably raised.").
Accordingly, because the appellant has not identified any documents in the record that reasonably
raise a claim that his stroke was aggravated by his service-connected cold injury, the Board did not
err by failing to address this theory of entitlement to benefits. See Robinson, Brokowski, and

                                                  20
Criswell, all supra. If the appellant believes that the residuals of his cold injury aggravate his stroke
condition, he is free to pursue that claim at the RO, and initiate an appeal from any adverse
determination.
                           E. Higher Rate of SMC Under Section 1114(p)
        The appellant's second argument for remand is that he is entitled to a higher rate under
subsection (p), which allows for an intermediate rate or a full higher rate where a veteran's "service-
connected disabilities exceed the requirements for any of the rates prescribed in this section."
Appellant's Br. at 27-28. The Secretary argues that subsection (p) was not applicable to the
appellant's claim at the time of the Board's decision because 38 C.F.R. § 3.350(f) does not specify
the appellant's condition as one of the instances in which the next higher rate or an intermediate rate
may be awarded. Secretary's Br. at 22.
        In this instance, the Court agrees with the appellant that the Board erred when it failed to
consider his entitlement to a higher rate of SMC under subsection (p). See Schafrath v. Derwinski,
1 Vet.App. 589, 592-93 (1991) (holding that the Board is required to discuss in its decision all
"potentially applicable" provisions of law and regulation) (citing 38 U.S.C. § 7104(a)). Subsection
(p) provides for half- or full-step increases to the next higher rate in subsections (l) through (n) for
a veteran whose condition exceeds the requirements of his current rate, but does not qualify for the
next higher rate. 38 U.S.C. § 1114(p).
        Here, there is no dispute that the Board favorably found that the appellant's "residuals of a
cold injury . . . render [him] wheelchair bound and result in [his] being unable to get around by
himself or perform several activities of daily living, including bathing, without aid and attendance
of another." R. at 4. It cannot reasonably be disputed that a veteran who has suffered the loss of use
of both feet and is in need of regular aid and attendance of another is more disabled than a veteran
who has suffered the loss of use of both feet but does not require the aid and attendance of another.
While the appellant's condition does not warrant the assignment of the maximum (o) rate because
of the statutory prohibition that "no condition be[] considered twice in the determination," it appears
that the appellant's overall service-connected condition exceeds the requirements of subsection (l)
in that he has suffered both the loss of use of both feet and is with such significant disability that he
requires the aid and attendance of another.

                                                   21
        In its decision, the Board discussed only section 1114(l) and (o). Therefore, it is not apparent
that the Board considered the potential applicability of section 1114(p). This failure to consider the
appellant's eligibility for a higher rate of SMC constitutes remandable error. See AB v. Brown,
6 Vet.App. 35, 38 (1993) (holding that claimants on both original claims and claims for increased
disability are "presumed to be seeking the maximum benefit allowed by law and regulation"). The
Court is not persuaded by the Secretary's argument that the appellant is not entitled to a higher rate
under subsection (p) solely because his condition is not one of the enumerated instances provided
in 38 C.F.R. § 3.350(f). Nothing in the statute or the regulation indicates that the list provided in
§ 3.350(f) is intended to be exclusive, nor does the Secretary provide any support for that reading
of the regulation. See Martin v. Occupational Safety & Health Review Comm'n, 499 U.S. 144, 156
(1991) ("'[L]itigation positions' are not entitled to deference when they are merely appellate counsel's
'post hoc rationalizations' for agency action advanced for the first time in the reviewing court."). The
Court will therefore remand the matter to the Board to consider in the first instance whether the
appellant's overall service-connected disability picture exceeds the requirements of section 1114(l)
such that he is entitled to an intermediate rate or a full higher rate under section 1114(p).
        On remand, the appellant is free to submit additional evidence and argument on the remanded
matters, and the Board is required to consider any such relevant evidence and argument. See Kay
v. Principi, 16 Vet.App. 529, 534 (2002) (stating that, on remand, the Board must consider additional
evidence and argument in assessing entitlement to benefit sought); Kutscherousky v. West,
12 Vet.App. 369, 372-73 (1999) (per curiam order). The Court has held that "[a] remand is meant
to entail a critical examination of the justification for the decision." Fletcher v. Derwinski,
1 Vet.App. 394, 397 (1991). The Board must proceed expeditiously, in accordance with 38 U.S.C.
§ 7112 (requiring Secretary to provide for "expeditious treatment" of claims remanded by the Court).

                                         V. CONCLUSION
        After consideration of the appellant's and the Secretary's pleadings, and a review of the
record, the Board's February 5, 2009, decision is AFFIRMED IN PART and VACATED IN PART,
and the vacated matter is REMANDED for further proceeding consistent with this decision.

                                                  22
        KASOLD, Chief Judge, concurring in part, dissenting in part. Congress explicitly authorized
in 38 U.S.C. §1114 (o) higher benefits for veterans with two "conditions" listed in subsections (l)
through (n) of the same statute, provided no "condition" is considered twice in the determination.
Although the Secretary agreed at oral argument that the loss of both feet does not regularly warrant
aid and attendance,5 the Board found that Mr. Breniser's service-connected loss of both feet was such
that he was in need of regular aid and attendance, two conditions listed in subsection (l) (i.e., loss
of both feet and regular aid and attendance). Thus, under the plain reading of 38 U.S.C. §1114 (o),
Mr. Breniser is entitled to higher benefits. Yet, today the majority sanction a longstanding
regulation, previously existing in "splendid isolation," that is in clear contravention of the statute.
Brown v. Gardner, 513 U.S. 115 (1994) (noting the "splendid isolation" in which VA regulations
existed for many years). This we should not do for the very same reasons stated in Brown v.
Gardner.
        The Secretary recognizes his regulation contravenes the statute, and this is most succinctly
demonstrated by his need to substitute words for those chosen by Congress. Although Congress uses
the word "disability" throughout section 1114 and only uses the word "condition" (and its plural) in
subsection (o), the Secretary argues that Congress really meant to use "disability" instead of
"condition." Such re-drafting of legislation should not be condoned. Bradley v. Peak, 22 Vet.App.
280, 291 (2008) ("'"Congress expresses its intent through the language it chooses" and that the choice
of words in a statute is therefore deliberate and reflective.'" (quoting Shoshone Indian Tribe v. United
States, 364 F.3d 1339, 1347 (Fed. Cir. 2004) (quoting INS v. Cardoza-Fonseca, 480 U.S. 421, 433
n.12, 436 (1987))); see also United States v. LaBonte, 520 U.S. 751, 757 (1997) ("[W]e assume that
in drafting this legislation, Congress said what it meant."); Gardner, supra (rejecting a longstanding
regulation that imposed a negligence requirement that was not in the statute); Barrett v. United
States, 423 U.S. 212, 217 (1976) ("Congress knew the significance and meaning of the language it

        5
           See 38 C.F.R. § 3.352(a) (2011) (listing the criteria for being in need of "aid and
attendance": such as the inability to dress oneself, inability to keep oneself clean, inability to adjust
a prosthetic or orthopedic appliance that a normal person would be able to adjust without aid,
inability to feed oneself, inability to attend the wants of nature, and the incapacity to protect oneself).

                                                    23
employed . . . . Had Congress intended to confine [the statute], it would have so provided, just as
it did in other sections.").
        The majority find support for the Secretary's regulation in legislative history, but this support
is elusive. First, legislative history cannot trump legislation. See, e.g., Van Wersch v. Dep't of
Health & Human Servs., 197 F.3d 1144, 1152 (Fed. Cir. 1999) (holding that congressional intent,
as expressed in legislative history, cannot "trump the irrefutably plain [statutory] language that
emerged when Congress actually took pen to paper"). Second, the legislative history here is
ambiguous at best, and any ambiguity in the text would be resolved in the veteran's favor. Cf. Nat'l
Org. of Veterans' Advocates, Inc. v. Sec'y of VA, 260 F.3d 1365, 1378 (Fed. Cir. 2001) ("[I]t is a
well-established rule of statutory construction that when a statute is ambiguous, 'interpretive doubt
is to be resolved in the veteran's favor.'" (quoting Gardner, 513 U.S. at 118)). The legislative history
provides no clear elaboration on the statute's use of the word "condition." Rather, the legislative
history primarily sheds light on Congress's overarching purposes for implementing subsection (o),
which were to (1) provide additional rates of compensation for veterans with "specific service-
incurred disabilities in excess of total disability," 91 CONG . REC . at 1780, and (2) make
"helplessness" compensable, Memorandum from O.W. Clark, Assistant Adm'r, Veterans Admin.,
to Frank T. Hines, Adm'r, Veterans Admin. (May 23, 1994). Congress's intent, if anything, reflects
its intent to provide benefits to our veterans based on their disabilities. Succinctly stated, nothing
evinces an intent to deny a veteran needing aid and attendance due to a serious service-connected
disability such as loss of both feet from receiving a greater benefit than a veteran who had loss of
both feet but no need for aid an attendance.
        The majority's concern that the phrase "no condition being considered twice" would have no
meaning if not rewritten as the Secretary desires is unfounded. As written by Congress, the phrase
is clear and has clear meaning. See Bd. of Governors of the Fed. Reserve Sys. v. Dimension Fin.
Corp., 474 U.S. 361, 368 (1986) ("The traditional deference courts pay to agency interpretation is
not to be applied to alter the clearly expressed intent of Congress."); see also Chevron U.S.A. Inc.
v. Nat'l Res. Def. Council, Inc., 467 U.S. 837, 842-43 (1984). For example, benefits are provided
for the loss of both feet in subsection (l) and for the loss of both legs in subsection (m). The veteran
with loss of both legs is not entitled to the higher benefit in subsection (o) because he has loss of

                                                   24
both legs, which includes loss of both feet. There are multiple, similar conditions in subsections (l)
through (n) that Congress precluded from being considered twice under subsection (o).
       For the reasons stated above, I dissent from the majority's holding that Mr. Breniser is not
entitled to a higher rate of SMC under 38 U.S.C. § 1114(o).
       However, I agree with the majority that the Board, having denied benefits under subsection
(o), erred in not considering benefits under subsection (p), which could provide an equal or lesser
benefit – although this issue could be mooted if Mr. Brensier were awarded benefits under subsection
(o).

                                                 25