,,ii #aaeth ,,congress #ast ,session ,s4 #gab ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #bc1 #bjag,mr4 ,blumenthal 7for himself1 ,mr4 ,tester1 ,mr4 ,king1 ,mr4 ,kaine1 ,ms4 ,hassan1 ,mr4 ,casey1 ,ms4 ,baldwin1 ,mr4 ,van ,hollen1 ,mrs4 ,murray1 ,mr4 ,durbin1 ,mrs4 ,feinstein1 ,mr4 ,sanders1 ,mr4 ,udall1 ,ms4 ,hirono1 ,mrs4 ,shaheen1 ,mr4 ,warner1 ,mr4 ,brown1 and ,mr4 ,manchin7 introduced the following bill2 which was read twice and referred to the ,committee on ,veterans' ,affairs ,a ,,bill ,to amend title #ch1 ,united ,states ,code1 to reform the rights and processes relating to appeals of decisions regarding claims for benefits under the laws administered by the ,secretary of ,veterans ,affairs1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,department of ,veterans ,affairs ,appeals ,modernization ,act of #bjag4 #b4 ,reform of rights and processes relating to appeals of decisions regarding claims for benefits under laws administered by ,secretary of ,veterans ,affairs 7a7 ,definitions ,section #aja of title #ch1 ,united ,states ,code1 is amended by adding at the end the following new paragraphs3 7#cd7 ,the term agency of original jurisdiction means the activity which entered the original determination with regard to a claim for benefits under laws administered by the ,secretary4 7#ce7 ,the term relevant evidence means evidence that tends to prove or disprove a matter in issue4 4 7b7 ,notice regarding claims ,section #eajc7;a7 of such title is amended-- 7#a7 in paragraph 7#a71 in the first sentence1 by striking ,the and inserting ,except as provided in paragraph 7#c71 the2 7#b7 in paragraph 7#b77;,b77i7 by striking 1 a claim for reopening a prior decision on a claim1 or a claim for an increase in benefits2 and inserting or a supplemental claim22 and 7#c7 by adding at the end the following new paragraph3 7#c7 ,the requirement to provide notice under paragraph 7#a7 shall not apply with respect to a supplemental claim that is filed within the timeframe set forth in subparagraphs 7,b7 and 7,d7 of section #eaaj7;a77#b7 of this title4 4 7c7 ,modification of rule regarding disallowed claims ,section #eajc;,a7f7 of such title is amended-- 7#a7 by striking reopen and inserting readjudicate2 and 7#b7 by striking material and inserting relevant4 7d7 ,modification of duty ,to assist claimants ,section #eajc;,a of such title is amended-- 7#a7 by redesignating subsections 7e7 through 7g7 as subsections 7g7 through 7i71 respectively2 and 7#b7 by inserting after subsection 7d7 the following new subsections3 7e7 ,applicability of duty ,to assist 7#a7 ,the ,secretary's duty to assist under this section shall apply only to a claim1 or supplemental claim1 for a benefit under a law administered by the ,secretary until the time that a claimant is provided notice of the agency of original jurisdiction's decision with respect to such claim1 or supplemental claim1 under section #eajd of this title4 7#b7 ,the ,secretary's duty to assist under this section shall not apply to higher-level review by the agency of original jurisdiction1 pursuant to section #eajd;,b of this title1 or to review on appeal by the ,board of ,veterans' ,appeals4 7f7 ,correction of duty ,to assist errors 7#a7 ,if1 during review of the agency of original jurisdiction decision under section #eajd;,b of this title1 the higher-level reviewer identifies an error on the part of the agency of original jurisdiction to satisfy its duties under this section1 and that error occurred prior to the agency of original jurisdiction decision being reviewed1 unless the claim can be granted in full1 the higher-level reviewer shall return the claim for correction of such error and readjudication4 7#b7 7,a7 ,if the ,board of ,veterans' ,appeals1 during review on appeal of an agency of original jurisdiction decision1 identifies an error on the part of the agency of original jurisdiction to satisfy its duties under this section1 and that error occurred prior to the agency of original jurisdiction decision on appeal1 unless the claim can be granted in full1 the ,board shall remand the claim to the agency of original jurisdiction for correction of such error and readjudication4 7,b7 ,remand for correction of such error may include directing the agency of original jurisdiction to obtain an advisory medical opinion under section #eaji of this title4 4 7e7 ,decisions and notices of decisions ,subsection 7b7 of section #eajd of such title is amended to read as follows3 7b7 ,in any case where the ,secretary denies a benefit sought1 the notice required by subsection 7a7 shall also include all of the following3 7#a7 ,identification of the issues adjudicated4 7#b7 ,a summary of the evidence considered by the ,secretary4 7#c7 ,a summary of the applicable laws and regulations4 7#d7 ,identification of findings favorable to the claimant4 7#e7 ,identification of elements not satisfied leading to the denial4 7#f7 ,an explanation of how to obtain or access evidence used in making the decision4 7#g7 ,if applicable1 identification of the criteria that must be satisfied to grant service connection or the next higher level of compensation4 4 7f7 ,binding nature of favorable findings 7#a7 ,in general ,chapter #ea of such title is amended inserting after section #eajd the following new section3 #eajd;,a4 ,binding nature of favorable findings ,any finding favorable to the claimant as described in section #eajd7;b77#d7 of this title shall be binding on all subsequent adjudicators within the ,department1 unless clear and convincing evidence is shown to the contrary to rebut such favorable finding4 4 7#b7 ,clerical amendment ,the table of sections at the beginning of chapter #ea of such title is amended by inserting after the item relating to section #eajd the following new item3 #eajd;,a4 ,binding nature of favorable findings4 4 7g7 ,higher-,level review by agency of original jurisdiction 7#a7 ,in general ,chapter #ea of such title1 as amended by subsection 7f71 is further amended by inserting after section #eajd;,a1 as added by such subsection1 the following new section3 #eajd;,b4 ,higher-level review by the agency of original jurisdiction 7a7 ,in general ,a claimant may request a review of the decision of the agency of original jurisdiction by a higher-level adjudicator within the agency of original jurisdiction4 7b7 ,time and manner of request 7#a7 ,a request for higher-level review by the agency of original jurisdiction shall be-- 7,a7 in writing in such form as the ,secretary may prescribe2 and 7,b7 made within one year of the notice of the agency of original jurisdiction's decision4 7#b7 ,such request may specifically indicate whether such review is requested by a higher-level adjudicator at the same office within the agency of original jurisdiction or by an adjudicator at a different office of the agency of original jurisdiction4 7c7 ,decision ,notice of a higher-level review decision under this section shall be provided in writing4 7d7 ,evidentiary record for review ,the evidentiary record before the higher-level reviewer shall be limited to the evidence of record in the agency of original jurisdiction decision being reviewed4 7e7 ,de novo review ,a review of the decision of the agency of original jurisdiction by a higher-level adjudicator within the agency of original jurisdiction shall be de novo4 4 7#b7 ,clerical amendment ,the table of sections at the beginning of chapter #ea of such title1 as amended by subsection 7f71 is further amended by inserting after the item relating to section #eajd;,a1 as added by such subsection1 the following new item3 #eajd;,b4 ,higher-level review by the agency of original jurisdiction4 4 7h7 ,options following decision by agency of original jurisdiction 7#a7 ,in general ,chapter #ea of such title1 as amended by subsection 7g71 is further amended by inserting after section #eajd;,b1 as added by such subsection1 the following new section3 #eajd;,c4 ,options following decision by agency of original jurisdiction 7a7 ,within one year of decision 7#a7 ,subject to paragraph 7#b71 in any case in which the ,secretary denies a claim1 the claimant may take any of the following actions on or before the date that is one year after the date on which the agency of original jurisdiction issues a decision with respect to that claim3 7,a7 ,file a request for higher-level review under section #eajd;,b of this title4 7,b7 ,file a supplemental claim under section #eajh of this title4 7,c7 ,file a notice of disagreement under section #gaje of this title4 7#b7 7,a7 ,once a claimant takes an action set forth in paragraph 7#a71 the claimant may not take another action set forth in that paragraph with respect to such claim until-- 7i7 the higher-level review1 supplemental claim1 or appeal in connection with the notice of disagreement is adjudicated2 or 7ii7 the request for higher-level review1 supplemental claim1 or notice of disagreement is withdrawn4 7,b7 ,nothing in this subsection shall prohibit a claimant from taking any of the actions set forth in paragraph 7#a7 in succession with respect to a claim4 7,c7 ,nothing in this subsection shall prohibit a claimant from taking different actions set forth in paragraph 7#a7 with respect to different claims4 7b7 ,more than one year after decision ,in any case in which the ,secretary denies a claim and more than one year has passed since the date on which the agency of original jurisdiction issues a decision with respect to that claim1 the claimant may file a supplemental claim under section #eajh of this title4 4 7#b7 ,clerical amendment ,the table of sections at the beginning of chapter #ea of such title1 as amended by subsection 7g71 is further amended by inserting after the item relating to section #eajd;,b1 as added by such subsection1 the following new item3 #eajd;,c4 ,options following decision by agency of original jurisdiction4 4 7i7 ,supplemental claims 7#a7 ,in general ,section #eajh of such title is amended to read as follows3 #eajh4 ,supplemental claims ,if new and relevant evidence is presented or secured with respect to a supplemental claim1 the ,secretary shall readjudicate the claim taking into consideration any evidence added to the record prior to the former disposition of the claim4 4 7#b7 ,clerical amendment ,the table of sections at the beginning of chapter #ea of such title is amended by striking the item relating to section #eajh and inserting the following new item3 #eajh4 ,supplemental claims4 4 7j7 ,remand ,to obtain advisory medical opinion ,section #eaji of such title is amended by adding at the end the following new subsection3 7d7 7#a7 ,the ,board of ,veterans' ,appeals may remand a claim to direct the agency of original jurisdiction to obtain an advisory medical opinion under this section to correct an error on the part of the agency of original jurisdiction to satisfy its duties under section #eajc;,a of this title when such error occurred prior to the agency of original jurisdiction decision on appeal4 7#b7 ,the ,board's remand instructions shall include the questions to be posed to the independent medical expert providing the advisory medical opinion4 4 7k7 ,restatement of requirement for expedited treatment of remanded claims ,section #eaji;,b of such title is amended to read as follows3 #eaji;,b4 ,expedited treatment of remanded claims ,the ,secretary shall take such actions as may be necessary to provide for the expeditious treatment by the agency of original jurisdiction of any claim that is remanded by the ,board of ,veterans' ,appeals4 4 7l7 ,effective dates of awards ,section #eaaj of title #ch1 ,united ,states ,code1 is amended-- 7#a7 by amending subsection 7a7 to read as follows3 7a7 7#a7 ,unless specifically provided otherwise in this chapter1 the effective date of an award based on an initial claim1 or a supplemental claim1 of compensation1 dependency and indemnity compensation1 or pension1 shall be fixed in accordance with the facts found1 but shall not be earlier than the date of receipt of application therefor4 7#b7 ,for purposes of determining the effective date of an award under this section1 the date of application shall be considered the date of the filing of the initial application for a benefit if the claim is continuously pursued by filing any of the following1 either alone or in succession3 7,a7 ,a request for higher-level review under section #eajd;,b of this title on or before the date that is one year after the date on which the agency of original jurisdiction issues a decision4 7,b7 ,a supplemental claim under section #eajh of this title on or before the date that is one year after the date on which the agency of original jurisdiction issues a decision4 7,c7 ,a notice of disagreement on or before the date that is one year after the date on which the agency of original jurisdiction issues a decision4 7,d7 ,a supplemental claim under section #eajh of this title on or before the date that is one year after the date on which the ,board of ,veterans' ,appeals issues a decision4 7#c7 ,except as otherwise provided in this section1 for supplemental claims received more than one year after the date on which the agency of original jurisdiction issued a decision or the ,board of ,veterans' ,appeals issued a decision1 the effective date shall be fixed in accordance with the facts found1 but shall not be earlier than the date of receipt of the supplemental claim4 2 and 7#b7 in subsection 7i71 in the first sentence-- 7,a7 by striking reopened and inserting readjudicated2 7,b7 by striking material and inserting relevant2 and 7,c7 by striking reopening and inserting readjudication4 7m7 ,definition of award or increased award for purposes of provisions relating to commencement of period of payment ,section #eaaa7;d77#a7 of such title is amended by striking or reopened award and inserting award or award based on a supplemental claim4 7n7 ,modification on limitation on fees allowable for representation ,section #eijd7;c7 of such title is amended1 in paragraphs 7#a7 and 7#b71 by striking notice of disagreement is filed both places it appears and inserting claimant is provided notice of the agency of original jurisdiction's initial decision under section #eajd of this title4 7o7 ,clarification of ,board of ,veterans' ,appeals referral requirements after order for reconsideration of decisions ,section #gajc7;b77#a7 of title #ch1 ,united ,states ,code1 is amended by striking heard both places it appears and inserting decided4 7p7 ,conforming amendment relating to readjudication ,section #gajd7;b7 of such title is amended by striking reopened and inserting readjudicated4 7q7 ,modification of procedures for appeals to ,board of ,veterans' ,appeals 7#a7 ,in general ,section #gaje of title #ch1 ,united ,states ,code1 is amended-- 7,a7 in subsection 7a7-- 7i7 by striking the first sentence and inserting ,appellate review shall be initiated by the filing of a notice of disagreement in the form prescribed by the ,secretary42 and 7ii7 by striking hearing and2 7,b7 by amending subsection 7b7 to read as follows3 7b7 7#a7 7,a7 ,except in the case of simultaneously contested claims1 notice of disagreement shall be filed within one year from the date of the mailing of notice of the decision of the agency of original jurisdiction pursuant to section #eajd1 #eajd;,b1 or #eajh of this title4 7,b7 ,a notice of disagreement postmarked before the expiration of the #a-year period shall be accepted as timely filed4 7,c7 ,a question as to timeliness or adequacy of the notice of disagreement shall be decided by the ,board4 7#b7 7,a7 ,notices of disagreement shall be in writing1 shall set out specific allegations of error of fact or law1 and may be filed by the claimant1 the claimant's legal guardian1 or such accredited representative1 attorney1 or authorized agent as may be selected by the claimant or legal guardian4 7,b7 ,not more than one recognized organization1 attorney1 or agent may be recognized at any one time in the prosecution of a claim4 7,c7 ,notices of disagreement shall be filed with the ,board4 7#c7 7,a7 ,the notice of disagreement shall indicate whether the claimant requests-- 7i7 a hearing before the ,board2 7ii7 an opportunity to submit additional evidence without a hearing before the ,board2 or 7iii7 a review by the ,board without a hearing or submission of additional evidence4 7,b7 ,if the claimant does not expressly request a hearing before the ,board in the notice of disagreement1 no hearing before the ,board shall be held4 2 7,c7 by amending subsection 7c7 to read as follows3 7c7 ,if no notice of disagreement is filed in accordance with this chapter within the prescribed period1 the action or decision of the agency of original jurisdiction shall become final and the claim shall not thereafter be readjudicated or allowed1 except as may otherwise be provided by section #eajd;,b or #eajh of this title or such regulations as are consistent with this title4 2 7,d7 by striking subsection 7d7 and inserting the following new subsection 7d73 7d7 ,the ,board of ,veterans' ,appeals may dismiss any appeal which fails to allege specific error of fact or law in the decision being appealed4 2 7,e7 by striking subsection 7e72 and 7,f7 in the section heading1 by striking notice of disagreement and4 7#b7 ,clerical amendment ,the table of sections at the beginning of chapter #ga of such title is amended by striking the item relating to section #gaje and inserting the following new item3 #gaje4 ,filing of appeal4 4 7r7 ,modification of procedures and requirements for simultaneously contested claims ,subsection 7b7 of section #gaje;,a of such title is amended to read as follows3 7b7 7#a7 ,the substance of the notice of disagreement shall be communicated to the other party or parties in interest and a period of thirty days shall be allowed for filing a brief or argument in response thereto4 7#b7 ,such notice shall be forwarded to the last known address of record of the parties concerned1 and such action shall constitute sufficient evidence of notice4 4 7s7 ,repeal of procedures for administrative appeals 7#a7 ,in general ,chapter #ga of such title is amended by striking section #gajf4 7#b7 ,clerical amendment ,the table of sections at the beginning of chapter #ga of such title is amended by striking the item relating to section #gajf4 7t7 ,modifications relating to appeals3 dockets2 hearings ,section #gajg of such title is amended to read as follows3 #gajg4 ,appeals3 dockets2 hearings 7a7 ,dockets 7#a7 ,the ,board shall maintain two separate dockets as follows3 7,a7 ,a non-hearing option docket shall be maintained for cases in which no ,board hearing is requested and no additional evidence will be submitted4 7,b7 ,a separate and distinct hearing option docket shall be maintained for cases in which a ,board hearing is requested in the notice of disagreement or in which no ,board hearing is requested1 but the appellant requests1 in the notice of disagreement1 an opportunity to submit additional evidence4 7#b7 ,except as provided in subsection 7b71 each case before the ,board will be decided in regular order according to its respective place on the ,board's non-hearing option docket or the hearing option docket4 7b7 ,advancement on the docket 7#a7 ,a case on either the ,board's non-hearing option docket or hearing option docket may1 for cause shown1 be advanced on motion for earlier consideration and determination4 7#b7 ,any such motion shall set forth succinctly the grounds upon which the motion is based4 7#c7 ,such a motion may be granted only-- 7,a7 if the case involves interpretation of law of general application affecting other claims2 7,b7 if the appellant is seriously ill or is under severe financial hardship2 or 7,c7 for other sufficient cause shown4 7c7 ,manner and scheduling of hearings for cases on board hearing option docket 7#a7 ,for cases on the ,board hearing option docket in which a hearing is requested in the notice of disagreement1 the ,board shall notify the appellant whether a ,board hearing will be held-- 7,a7 at its principal location1 or 7,b7 by picture and voice transmission at a facility of the ,department where the ,secretary has provided suitable facilities and equipment to conduct such hearings4 7#b7 7,a7 ,upon notification of a ,board hearing at the ,board's principal location as described in subparagraph 7,a7 of paragraph 7#a71 the appellant may alternatively request a hearing as described in subparagraph 7,b7 of such paragraph4 ,if so requested1 the ,board shall grant such request4 7,b7 ,upon notification of a ,board hearing by picture and voice transmission as described in subparagraph 7,b7 of paragraph 7#a71 the appellant may alternatively request a hearing as described in subparagraph 7,a7 of such paragraph4 ,if so requested1 the ,board shall grant such request4 7d7 ,screening of cases ,nothing in this section shall be construed to preclude the screening of cases for purposes of-- 7#a7 determining the adequacy of the record for decisional purposes2 or 7#b7 the development1 or attempted development1 of a record found to be inadequate for decisional purposes4 4 7u7 ,repeal of certain authority for independent medical opinions 7#a7 ,in general ,section #gaji of such title is hereby repealed4 7#b7 ,clerical amendment ,the table of sections at the beginning of chapter #ga of such title is amended by striking the item relating to section #gaji4 7v7 ,clarification of procedures for review of decisions on grounds of clear and unmistakable error ,section #gaaa7;e7 of title #ch1 ,united ,states ,code1 is amended by striking 1 without referral to any adjudicative or hearing official acting on behalf of the ,secretary4 7w7 ,evidentiary record before ,board of ,veterans' ,appeals 7#a7 ,in general ,chapter #ga of title #ch1 ,united ,states ,code1 is amended by adding at the end the following new section3 #gaac4 ,evidentiary record before the ,board of ,veterans' ,appeals 7a7 ,non-,hearing option docket ,for cases in which a hearing before the ,board of ,veterans' ,appeals is not requested in the notice of disagreement1 the evidentiary record before the ,board shall be limited to the evidence of record at the time of the decision of the agency of original jurisdiction on appeal4 7b7 ,hearing option docket 7#a7 7,a7 ,except as provided in subparagraph 7,b7 of this paragraph1 for cases on the hearing option docket in which a hearing is requested in the notice of disagreement1 the evidentiary record before the ,board shall be limited to the evidence of record at the time of the decision of the agency of original jurisdiction on appeal4 7,b7 ,the evidentiary record before the ,board for cases on the hearing option docket in which a hearing is requested1 shall include each of the following1 which the ,board shall consider in the first instance3 7i7 ,evidence submitted by the appellant and his or her representative1 if any1 at the ,board hearing4 7ii7 ,evidence submitted by the appellant and his or her representative1 if any1 within #ij days following the ,board hearing4 7#b7 7,a7 ,except as provided in subparagraph 7,b7 of this paragraph1 for cases on the hearing option docket in which a hearing is not requested in the notice of disagreement1 the evidentiary record before the ,board shall be limited to the evidence considered by the agency of original jurisdiction in the decision on appeal4 7,b7 ,the evidentiary record before the ,board for cases on the hearing option docket in which a hearing is not requested1 shall include each of the following1 which the ,board shall consider in the first instance3 7i7 ,evidence submitted by the appellant and his or her representative1 if any1 with the notice of disagreement4 7ii7 ,evidence submitted by the appellant and his or her representative1 if any1 within #ij days following receipt of the notice of disagreement4 4 7#b7 ,clerical amendment ,the table of sections at the beginning of chapter #ga of such title is amended by inserting after the item relating to section #gaab the following new item3 #gaac4 ,evidentiary record before the ,board of ,veterans' ,appeals4 4 7x7 ,applicability ,the amendments made by this ,act shall apply to all claims for which notice of a decision under section #eajd of title #ch1 ,united ,states ,code1 is provided by the ,secretary on or after the date that is #edj days after the date of the enactment of this ,act4