81_FR_93894 81 FR 93649 - Special Monthly Compensation for Veterans With Traumatic Brain Injury

81 FR 93649 - Special Monthly Compensation for Veterans With Traumatic Brain Injury

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 81, Issue 245 (December 21, 2016)

Page Range93649-93653
FR Document2016-30509

The Department of Veterans Affairs (VA) seeks to amend its adjudication regulations to add an additional benefit for veterans with residuals of traumatic brain injury (TBI). This benefit was enacted by the Veterans' Benefits Act of 2010 and provides special monthly compensation for veterans with TBI who are in need of aid and attendance and, in the absence of such aid and attendance, would require hospitalization, nursing home care, or other residential institutional care. Prior to the law's enactment, veterans with TBI were not eligible for this benefit unless they had a separate service- related disability that qualified under the law.

Federal Register, Volume 81 Issue 245 (Wednesday, December 21, 2016)
[Federal Register Volume 81, Number 245 (Wednesday, December 21, 2016)]
[Proposed Rules]
[Pages 93649-93653]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-30509]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

38 CFR Part 3

RIN 2900-AP23


Special Monthly Compensation for Veterans With Traumatic Brain 
Injury

AGENCY: Department of Veterans Affairs.

ACTION: Proposed rule.

-----------------------------------------------------------------------

SUMMARY: The Department of Veterans Affairs (VA) seeks to amend its 
adjudication regulations to add an additional benefit for veterans with 
residuals of traumatic brain injury (TBI). This benefit was enacted by 
the Veterans' Benefits Act of 2010 and provides special monthly 
compensation for veterans with TBI who are in need of aid and 
attendance and, in the absence of such aid and attendance, would 
require hospitalization, nursing home care, or other residential 
institutional care. Prior to the law's enactment, veterans with TBI 
were not eligible for this benefit unless they had a separate service-
related disability that qualified under the law.

DATES: Comments must be received on or before February 21, 2017.

ADDRESSES: Written comments may be submitted through 
www.Regulations.gov; by mail or hand-delivery to Director, Regulation 
Policy and Management (00REG), Department of Veterans Affairs, 810 
Vermont Avenue NW., Room 1068, Washington, DC 20420; or by fax to (202) 
273-9026. Comments should indicate that they are submitted in response 
to ``RIN 2900-AP23--Special Monthly Compensation for Veterans with 
Traumatic Brain Injury.'' Copies of comments received will be available 
for public inspection in the Office of Regulation Policy and 
Management, Room 1068, between the hours of 8:00 a.m. and 4:30 p.m., 
Monday through Friday (except holidays). Please call (202) 461-4902 for 
an appointment. (This is not a toll-free number.) In addition, during 
the comment period, comments may be viewed online through the Federal 
Docket Management System (FDMS) at www.Regulations.gov.

FOR FURTHER INFORMATION CONTACT: Eric G. Mandle, Policy Analyst, 
Regulations Staff (211D), Compensation Service, Department of Veterans 
Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461-9700. 
(This is not a toll-free telephone number.)

SUPPLEMENTARY INFORMATION: On October 13, 2010, the Veterans' Benefits 
Act of 2010, Public Law 111-275 (the Act) was signed into law. Section 
601 of the Act amends 38 U.S.C. 1114, adding subsection (t) to include 
special monthly compensation (SMC) for veterans who as the result of 
service-connected disability, are in need of regular aid and attendance 
for the residuals of traumatic brain injury (TBI), and in the absence 
of such regular aid and attendance would require hospitalization, 
nursing home care, or other residential institutional care. The law 
grants an additional monetary allowance for veterans with residuals of 
TBI who require this higher level of care but would not otherwise 
qualify for the benefit under 38 U.S.C. 1114(r)(2). The amendment 
became effective October 1, 2011.
    VA administers SMC benefits under 38 CFR 3.350. Additionally, 38 
CFR

[[Page 93650]]

3.352 provides the criteria to determine the need for aid and 
attendance and whether a claimant is permanently bedridden; 38 CFR 
3.552 requires adjustments of allowance for aid and attendance when a 
beneficiary is hospitalized. Internal guidance has been published since 
April 4, 2011, instructing VA offices engaged in claims adjudication on 
how to implement the new SMC provision, but a formal update to VA's 
adjudication regulations has not yet been published.

I. VA Interpretation of Public Law 111-275

    Under this proposed rule, VA will directly implement 38 U.S.C. 
1114(t), which states that an additional award of SMC is payable to a 
veteran who, as the result of service-connected disability, is in need 
of regular aid and attendance for the residuals of traumatic brain 
injury, is not eligible for additional compensation under 38 U.S.C. 
1114(r)(2), and in the absence of such regular aid and attendance would 
require hospitalization, nursing home care, or other residential 
institutional care. VA would also make clear that a veteran entitled to 
this benefit shall be paid during periods he or she is not hospitalized 
at United States Government expense as if receiving the amount equal to 
the compensation authorized under 38 U.S.C. 1114(o) or the maximum rate 
authorized under 38 U.S.C. 1114(p) and, in addition to such 
compensation, a monthly allowance equal to the rate described in 38 
U.S.C. 1114(r)(2).
    VA believes that there are two potential readings of the Act. Under 
the first, more restrictive reading, a veteran affected by section 
1114(t) would receive only the rate noted under 38 U.S.C. 1114(r)(2), 
e.g., $2,983, in addition to any other rate of special monthly 
compensation the individual in question might happen to qualify for. 
Reading the Act in this way, however, would result in benefits that are 
less than the amount to which other veterans requiring the same level 
of care not related to TBI would be entitled. This is because the 
predicate rates built into section 1114(r), such as the rate authorized 
by subsection (o), the maximum rate authorized under subsection (p), or 
the intermediate rate authorized under subsections (n) and (o), will 
not typically be met for veterans suffering from TBI, rather than the 
other conditions enumerated in section 1114.
    Under the second, more liberal interpretation of section 1114(t), 
VA would pay veterans who meet the criteria of section 1114(t) the full 
amount described by section 1114(r) (i.e., the rate authorized by 
subsection (o), which is also the maximum rate authorized under 
subsection (p), in addition to the allowance authorized by subsection 
(r)). The statutory language, viewed together with its purpose and 
legislative history, can be interpreted as establishing that Congress 
intended that veterans receiving the aid and attendance allowance 
authorized by subsection (r)(2) necessarily also qualify for the 
predicate rates described in subsection (r).
    VA finds that Congress' intent was to enact a law that pays 
veterans of this class an amount equal to the compensation authorized 
under section 1114(o) or the maximum rate authorized under section 
1114(p), plus the additional amount described under section 1114(r)(2). 
VA chose the rates permitted under section 1114(o) and (p) because 
those are the highest rates permitted under section 1114 and therefore 
would be the most favorable rates for this group of veterans requiring 
this higher level of care.
    Textually, subsection (r) generally preconditions receipt of the 
heightened aid and attendance allowance under either subsection (r)(1) 
or (r)(2) on receipt of one of the predicate rates identified in 
subsection (r), which include the rates specified in (o) and (p). 
Additionally, subsection (r) makes clear that a veteran is receiving 
that heightened allowance ``in addition to'' the special monthly 
compensation otherwise described in subsection (r). VA has long 
interpreted subsection (r) as reflecting the assumption that a veteran 
is necessarily in receipt of one of the predicate rates described in 
the body of subsection (r) whenever a veteran is in receipt of the 
heightened aid and attendance allowance under either subsection (r)(1) 
or (r)(2). This interpretation is reflected in VA's current 
regulations. See 38 CFR 3.352(b)(1) (higher level of aid and attendance 
authorized by 38 CFR 3.350(h) requires that the veteran be ``entitled 
to the compensation authorized under [subsection (o),] or the maximum 
rate of compensation authorized under [subsection (p)].'').
    In support of this interpretation, VA notes that 38 U.S.C. 
1114(r)(2) provides additional compensation to those veterans with 
certain service-connected disabilities who are in need of a higher 
level of care. The legislative history for section 601 of Public Law 
111-275 indicates that subsection (t) is intended to provide additional 
compensation to veterans with TBI who do not have those qualifying 
service-connected disabilities and therefore are not otherwise eligible 
for benefits under (r)(2), but still require a higher level of care 
comparable to what would otherwise be contemplated by the allowance 
provided by (r)(2). See S. Rep. No. 111-71, at 17 (2009) (discussing 
the intent to provide the ting (r)(2) rate of compensation as evidence 
of Congress' intent to pay (t) aid and attendance at the rate commonly 
received by veterans entitled to (r)(2) payments. If Congress intended 
subsection (t) to confer a freestanding allowance, it is 
counterintuitive that Congress would link the allowance to (r)(2) 
rather than simply declaring that any veteran in need of regular aid 
and attendance for the residuals of TBI should receive a specified 
dollar amount. Instead, Congress chose to match the existing rate and 
aid and attendance requirements described under (r)(2). In so doing, 
Congress emphasized that the overall impairment and need for care are 
the same for those with TBI as they are for those with certain service-
connected disabilities who require a higher level of aid and 
attendance. S. Rep. 111-71 at *18.
    VA's interpretation of section 1114(t) would mean that the rate 
authorized by section 1114(o) and (p) is the ``other compensation under 
this section'' referenced in section 1114(t) for purposes of all cases 
under that section. We acknowledge that this interpretation imports a 
specfic meaning to the term ``other compensation'' that is not apparent 
on the face of that term. We find that this interpretation is warranted 
because interpreting the phrase ``other compensation under this 
section'' to refer only to other compensation for which the veteran 
independently qualifies would defeat the purpose of the legislation. 
The legislative history noted that 38 U.S.C. 1114(l) prescribes the 
basic monthy compensation amount for veterans in need of aid and 
attendance due to their service-connected disabilities and that section 
1114(r)(2) prescribes an ``additional'' monthly amount payable for 
veterans in need of a higher level of care. S. Rep. 111-71 at *17. 
Congress thus recognized that the needs of veterans who qualify for the 
(r)(2) rate are met by payment of both a basic monthly SMC rate, which 
generally would be provided under subsections (l) through (p) of 
section 1114 and the heightened aid and attendance payment under 
(r)(2). Congress determined that legislation was needed to extend 
similar benefits to veterans with TBI because the provisions of section 
1114 generally focus on physical disabilities and locomotion rather 
than cognitive or

[[Page 93651]]

psychological impairments associated with TBI. S. Rep. 111-71 at *17-
18.
    For the reasons stated in the legislative history, cognitive 
disability due to TBI generally would not qualify for the basic monthly 
SMC rates prescribed in section 1114(l)-(p). As a result, if the term 
``other compensation under this section,'' as used in section 1114(t) 
were construed to mean compensation for which the veteran otherwise 
qualifies without regard to section 1114(t), a substantial part of the 
benefits contemplated by (r)(2)--i.e., the basic monthly SMC rate--
would be unavailable in most cases covered by section 1114(t). Such an 
interpretation would defeat the statute's clear purpose in that it 
would, based on section 1114's focus on physical disability, provide 
veterans covered by section 1114(t) with a monthly benefit well below 
the amount Congress has determined necessary to provide for the needs 
of veterans requiring a heightened level of care under (r)(2). 
Accordingly, we believe section 1114(t) is most properly construed to 
permit payment of both the ``additional'' amount specified in (r)(2) 
and the predicate SMC rate specified in section 1114(o) and (p).
    VA finds the language of the amended statute to be ambiguous, but 
has determined that Congress intended to provide veterans in need of 
aid and attendance due to TBI residuals the same level of compensation 
as veterans entitled to the section 1114(r)(2) rate. See Chevron, 
U.S.A., Inc. v. Natural Res. Def. Council, Inc., 467 U.S. 837, 842-844 
(1984) (if Congress has not addressed ``the precise question at 
issue,'' a court should defer to an administering agency's construction 
of the statute so long as it is a ``permissible'' construction). VA 
believes its interpretation is the most logical one because it is 
unlikely that Congress would wish to bestow a lesser benefit on 
veterans with TBI than is applicable to veterans with certain service-
connected disabilities that might otherwise qualify for the (r)(2) 
allowance, while simultaneously emphasizing that veterans with TBI may 
be in a functionally similar situation. This interpretation is also the 
most advantageous to veterans with TBI who require a higher level of 
care.

II. Regulatory Amendment Mechanics

    This rulemaking proposes to amend Sec.  3.350 by adding paragraph 
(j), proposes to amend Sec.  3.352 by adding a new paragraph (b)(2) and 
revising the authority citation, and proposes to amend Sec.  3.552(b) 
by adding a reference to 38 U.S.C. 1114(t) to paragraph (b)(2) and 
revising the authority citation. Proposed paragraph (j) will set forth 
the general criteria prescribed by 38 U.S.C. 1114(t). Paragraph (j) 
would reference Sec.  3.352 to provide guidance on determining the need 
for aid and attendance. Paragraph (j)(1) would provide that a veteran 
shall be entitled to the amount equal to the compensation authorized 
under 38 U.S.C. 1114(o) or the maximum rate authorized under 38 U.S.C. 
1114(p) and, in addition to such compensation, a monthly allowance 
equal to the rate described in 38 U.S.C. 1114(r)(2) during periods he 
or she is not hospitalized at United States Government expense.
    In addition, to ensure consistency with current Sec.  3.350(h), VA 
proposes to reference revised Sec.  3.552(b)(2) under proposed Sec.  
3.350(j)(1). Section 3.552(b)(2) requires VA to discontinue the aid and 
attendance benefit following hospitalization at government expense. 
Proposed Sec.  3.350(j)(2) would note that an allowance under proposed 
paragraph (j) would be paid in lieu of any allowance authorized by 38 
U.S.C. 1114(r)(1).
    Section 3.352 governs the criteria for determining the need for aid 
and attendance and what is ``permanently bedridden'' for VA disability 
compensation purposes. VA proposes to amend Sec.  3.352 to regulate 
entitlement to a higher level of aid and attendance allowance for 
residuals of TBI. Specifically, we propose to redesignate paragraphs 
(b)(2) through (b)(5) of Sec.  3.352 as (b)(3) through (b)(6). 
Paragraph (b)(1)(iii) and newly redesignated paragraph (b)(4) of this 
section reference (b)(2). As such, those paragraphs would also be 
revised to reflect that (b)(2) would become (b)(3).
    This rulemaking also proposes to add a new paragraph (b)(2) to 
Sec.  3.352 stating that a veteran is entitled to the higher level of 
aid and attendance allowance for residuals of TBI, as authorized by 
Sec.  3.350(j), in lieu of the regular aid and attendance allowance. 
Entitlement would be found when the veteran meets the requirements for 
entitlement to the regular aid and attendance allowance in paragraph 
(a) of the section and when the veteran needs a higher level of care 
(as defined in redesignated paragraph (b)(3) of the section) than is 
required to establish entitlement to the regular aid and attendance 
allowance, and in the absence of the provision of such higher level of 
care would require hospitalization, nursing home care, or other 
residential institutional care.
    As previously discussed, VA has determined that Congress intended 
38 U.S.C. 1114(t) to provide total compensation equal to the total rate 
paid after factoring total compensation paid in (r)(2) cases, who also 
receive payment under subsections (o) or (p). VA therefore proposes to 
apply the same definition of a higher level of care when determining 
entitlement under proposed Sec.  3.350(j) as VA applies under Sec.  
3.350(h). Specifically, VA proposes to require that veterans entitled 
to SMC under section 1114(t) establish entitlement to the regular aid 
and attendance allowance in paragraph (a) of Sec.  3.352, as well as 
establish a requirement for a higher level of care, where, in the 
absence of the higher level of care, the veteran would require 
hospitalization, nursing home care, or other residential institutional 
care. These requirements mirror the current requirements for 
entitlement under Sec.  3.350(h) and Sec.  3.352(b). We would clarify 
in Sec.  3.352(b)(2)(i) and (ii) that the need for this higher level of 
aid and attendance must be as a result of service-connected residuals 
of traumatic brain injury. This requirement is consistent with the 
statutory language which requires that the veteran ``as a result of 
service-connected disability, is in need of regular aid and attendance 
for the residuals of [TBI].'' While the statutory language could be 
read to allow entitlement to section 1114(t) compensation to those 
veterans with any service-connected disability that also suffer from 
TBI residuals, VA believes that the phrase ``as a result of'' indicates 
Congress intended that the need for a higher level of aid and 
attendance for TBI residuals to be due to a service-connected 
disability. Further, the legislative history is clear that Congress 
intended section 1114(t) compensation to be provided to those veterans 
suffering from service-connected residuals of TBI. See Chevron, supra; 
see S. Rep. No. 111-71, at 17 (2009) (discussing that the committee 
bill ``would allow veterans suffering from severe TBIs to receive the 
highest level of aid and attendance benefits from VA''). We would also 
amend the authority citation for Sec.  3.352(b) to add section 1114(t).
    Lastly, VA proposes to amend 38 CFR 3.552(b)(2). Section 3.552 
regulates adjustments of allowance for aid and attendance. 
Specifically, paragraph (b)(2) states that ``[w]hen a veteran is 
hospitalized at the expense of the United States Government, the 
additional aid and attendance allowance authorized by 38 U.S.C. 
1114(r)(1) or (2) will be discontinued . . .''. To ensure consistency 
in its regulations, and to implement the conforming amendment of the 
Act, VA is amending that paragraph to include 38 U.S.C. 1114(t). This 
amendment is supported by the

[[Page 93652]]

plain language of the statute, which states ``[s]ubject to section 
5503(c) of this title.'' Section 5503(c) of title 38 United States Code 
governs hospitalization of veterans and states, in effect, the rule we 
propose to establish here. We would also amend the authority citation 
for Sec.  3.552(b). The current authority citation cites 38 U.S.C. 
5503(e); however, the Veterans Education and Benefits Expansion Act of 
2001, Public Law 107-103, 204(a), 115 Stat. 990, amended section 5503 
by redesignating section 5503(e) as section 5503(c). Therefore, we 
would revise the authority citation to reflect the accurate legal 
authority as 38 U.S.C. 5503(c).

Executive Orders 12866 and 13563

    Executive Orders 12866 and 13563 direct agencies to assess the 
costs and benefits of available regulatory alternatives and, when 
regulation is necessary, to select regulatory approaches that maximize 
net benefits (including potential economic, environmental, public 
health and safety effects, and other advantages; distributive impacts; 
and equity). Executive Order 13563 (Improving Regulation and Regulatory 
Review) emphasizes the importance of quantifying both costs and 
benefits, reducing costs, harmonizing rules, and promoting flexibility. 
Executive Order 12866 (Regulatory Planning and Review) defines a 
``significant regulatory action'' requiring review by the Office of 
Management and Budget (OMB), unless OMB waives such review, as ``any 
regulatory action that is likely to result in a rule that may: (1) Have 
an annual effect on the economy of $100 million or more or adversely 
affect in a material way the economy, a sector of the economy, 
productivity, competition, jobs, the environment, public health or 
safety, or State, local, or tribal governments or communities; (2) 
Create a serious inconsistency or otherwise interfere with an action 
taken or planned by another agency; (3) Materially alter the budgetary 
impact of entitlements, grants, user fees, or loan programs or the 
rights and obligations of recipients thereof; or (4) Raise novel legal 
or policy issues arising out of legal mandates, the President's 
priorities, or the principles set forth in this Executive Order.''
    The economic, interagency, budgetary, legal, and policy 
implications of this regulatory action have been examined, and it has 
been determined not to be a significant regulatory action under 
Executive Order 12866. VA's impact analysis can be found as a 
supporting document at http://www.regulations.gov, usually within 48 
hours after the rulemaking document is published. Additionally, a copy 
of this rulemaking and its impact analysis are available on VA's Web 
site at http://www.va.gov/orpm/, by following the link for ``VA 
Regulations Published From FY 2004 Through Fiscal Year to Date.''

Regulatory Flexibility Act

    The Secretary hereby certifies that this proposed rule would not 
have a significant economic impact on a substantial number of small 
entities as they are defined in the Regulatory Flexibility Act (5 
U.S.C. 601-612). This proposed rule would directly affect only 
individuals and would not directly affect small entities. Therefore, 
pursuant to 5 U.S.C. 605(b), this rulemaking is exempt from the initial 
and final regulatory flexibility analysis requirements of sections 603 
and 604.

Unfunded Mandates

    The Unfunded Mandates Reform Act of 1995, 2 U.S.C. 1532, requires 
that agencies prepare an assessment of anticipated costs and benefits 
before issuing any rule that may result in the expenditure by State, 
local, and tribal governments, in the aggregate, or by the private 
sector, of $100 million or more (adjusted annually for inflation) in 
any one year. This proposed rule would have no such effect on State, 
local, and tribal governments, or on the private sector.

Paperwork Reduction Act

    This proposed rule contains no provisions constituting a collection 
of information under the Paperwork Reduction Act of 1995 (44 U.S.C. 
3501-3521).

Catalog of Federal Domestic Assistance

    The Catalog of Federal Domestic Assistance number and title for the 
program affected by this document is 64.109, Veterans Compensation for 
Service-Connected Disability.

Signing Authority

    The Secretary of Veterans Affairs, or designee, approved this 
document and authorized the undersigned to sign and submit the document 
to the Office of the Federal Register for publication electronically as 
an official document of the Department of Veterans Affairs. Gina S. 
Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, 
approved this document on December 13, 2016, for publication.

    Dated: December 13, 2016.
Jeffrey Martin,
Office Program Manager, Office of Regulation Policy & Management, 
Office of the Secretary, Department of Veterans Affairs.
    For the reasons stated in the preamble, the Department of Veterans 
Affairs proposes to amend 38 CFR part 3 as set forth below:

PART 3--ADJUDICATION

Subpart A--Pension, Compensation, and Dependency and Indemnity 
Compensation

0
1. The authority citation for part 3, subpart A continues to read as 
follows:

    Authority: 38 U.S.C. 501(a), unless otherwise noted.

0
2. Amend Sec.  3.350 to add paragraph (j) to read as follows:


Sec.  3.350  Special monthly compensation ratings.

* * * * *
    (j) Special aid and attendance benefit for residuals of traumatic 
brain injury (38 U.S.C. 1114(t)). The special monthly compensation 
provided by 38 U.S.C. 1114(t) is payable to a veteran who, as the 
result of service-connected disability, is in need of regular aid and 
attendance for the residuals of traumatic brain injury, is not eligible 
for compensation under 38 U.S.C. 1114(r)(2), and in the absence of such 
regular aid and attendance would require hospitalization, nursing home 
care, or other residential institutional care. Determination of this 
need is subject to the criteria of Sec.  3.352.
    (1) A veteran described in this paragraph (j) shall be entitled to 
the amount equal to the compensation authorized under 38 U.S.C. 1114(o) 
or the maximum rate authorized under 38 U.S.C. 1114(p) and, in addition 
to such compensation, a monthly allowance equal to the rate described 
in 38 U.S.C. 1114(r)(2) during periods he or she is not hospitalized at 
United States Government expense. (See Sec.  3.552(b)(2) as to 
continuance following admission for hospitalization.)
    (2) An allowance authorized under 38 U.S.C. 1114(t) shall be paid 
in lieu of any allowance authorized by 38 U.S.C. 1114(r)(1).


(Authority: 38 U.S.C. 501, 38 U.S.C. 1114(t))


0
3. Amend Sec.  3.352 by:
0
a. Redesignating paragraphs (b)(2) through (b)(5) as (b)(3) through 
(b)(6);
0
b. In paragraph (b)(1)(iii), removing the phrase ``paragraph (b)(2)'' 
and in its place adding the phrase ``paragraph (b)(3)'';
0
c. Adding new paragraph (b)(2);

[[Page 93653]]

0
d. In redesignated paragraph (b)(4), removing the phrase ``paragraph 
(b)(2)'' and in its place adding the phrase ``paragraph (b)(3)''; and
0
e. In the authority citation at the end of paragraph (b), adding 
``1114(t)''.
    The addition and revision reads as follows:


Sec.  3.352  Criteria for determining need for aid and attendance and 
``permanently bedridden.''

* * * * *
    (b)(1) * * *
    (2) A veteran is entitled to the higher level aid and attendance 
allowance authorized by Sec.  3.350(j) in lieu of the regular aid and 
attendance allowance when all of the following conditions are met:
    (i) As a result of service-connected residuals of traumatic brain 
injury, the veteran meets the requirements for entitlement to the 
regular aid and attendance allowance in paragraph (a) of this section.
    (ii) As a result of service-connected residuals of traumatic brain 
injury, the veteran needs a ``higher level of care'' (as defined in 
paragraph (b)(3) of this section) than is required to establish 
entitlement to the regular aid and attendance allowance, and in the 
absence of the provision of such higher level of care the veteran would 
require hospitalization, nursing home care, or other residential 
institutional care.
     * * *

(Authority: 38 U.S.C. 501, 1114(r)(2), 1114(t))

* * * * *
0
4. Amend Sec.  3.552(b) by:
0
a. In paragraph (b)(2), adding the phrase ``or 38 U.S.C. 1114(t)'' 
after the phrase ``authorized by 38 U.S.C. 1114(r)(1) or (2)''; and
0
b. At the end of paragraph (b), revising the authority citation.
    The revision read as follows:


Sec.  3.552  Adjustment of allowance for aid and attendance.

* * * * *

(Authority: 38 U.S.C. 5503(c))

* * * * *
[FR Doc. 2016-30509 Filed 12-20-16; 8:45 am]
BILLING CODE 8320-01-P



                                                                           Federal Register / Vol. 81, No. 245 / Wednesday, December 21, 2016 / Proposed Rules                                                                               93649

                                                                            TABLE 1 TO PARAGRAPH (g) OF THIS AD—LIFE-LIMITED LANDING GEAR PARTS—Continued
                                                                     Part number                                                                      Description                                                        Safe-life limits (landings)

                                                      19919–000–00 ..................................   Pin leg hinge ................................................................................................                         90,000



                                                      (h) Replace Affected Parts                                      (ANAC); or ANAC’s authorized Designee. If                                 eligible for this benefit unless they had
                                                        The initial compliance for the replacement                    approved by the ANAC Designee, the                                        a separate service-related disability that
                                                      of affected parts is specified in paragraphs                    approval must include the Designee’s                                      qualified under the law.
                                                      (h)(1) and (h)(2) of this AD. Replace affected                  authorized signature.
                                                                                                                                                                                                DATES: Comments must be received on
                                                      parts with serviceable parts, in accordance                     (l) Related Information                                                   or before February 21, 2017.
                                                      with the Accomplishment Instructions of
                                                      Embraer S.A. Alert Service Bulletin 120–32–                        (1) Refer to Mandatory Continuing                                      ADDRESSES: Written comments may be
                                                      A543, dated July 11, 2016.                                      Airworthiness Information (MCAI) ANAC AD                                  submitted through
                                                        (1) Before the applicable safe-life limit                     No.: 2016–07–02, dated July 27, 2016, for                                 www.Regulations.gov; by mail or hand-
                                                      identified in table 1 to paragraph (g) of this                  related information. This MCAI may be                                     delivery to Director, Regulation Policy
                                                      AD, or within 90 days after the effective date                  found in the AD docket on the Internet at                                 and Management (00REG), Department
                                                      of this AD, whichever occurs later.                             http://www.regulations.gov by searching for
                                                                                                                      and locating Docket No. FAA–2016–9507.
                                                                                                                                                                                                of Veterans Affairs, 810 Vermont
                                                        (2) Within 90 days after the effective date                                                                                             Avenue NW., Room 1068, Washington,
                                                      of this AD for parts on which the current                          (2) For service information identified in
                                                                                                                      this NPRM, contact Empresa Brasileira de                                  DC 20420; or by fax to (202) 273–9026.
                                                      status is unknown.                                                                                                                        Comments should indicate that they are
                                                                                                                      Aeronautica S.A. (Embraer), Technical
                                                      (i) Parts Installation Prohibition                              Publications Section (PC 060), Av. Brigadeiro                             submitted in response to ‘‘RIN 2900–
                                                         As of the effective date of this AD, no                      Faria Lima, 2170—Putim—12227–901 São                                     AP23—Special Monthly Compensation
                                                      person may install on any airplane a main                       Jose dos Campos—SP—BRASIL; telephone                                      for Veterans with Traumatic Brain
                                                      landing gear part or nose landing gear part                     +55 12 3927–5852 or +55 12 3309–0732; fax                                 Injury.’’ Copies of comments received
                                                      having a part number identified in table 1 to                   +55 12 3927–7546; email distrib@                                          will be available for public inspection in
                                                      paragraph (g) of this AD, if it has reached or                  embraer.com.br; Internet http://                                          the Office of Regulation Policy and
                                                      exceeded its safe-life limit, or if its current                 www.flyembraer.com. You may view this
                                                                                                                      service information at the FAA, Transport
                                                                                                                                                                                                Management, Room 1068, between the
                                                      status is unknown.                                                                                                                        hours of 8:00 a.m. and 4:30 p.m.,
                                                                                                                      Airplane Directorate, 1601 Lind Avenue SW.,
                                                      (j) No Alternative Actions and Intervals                        Renton, WA. For information on the                                        Monday through Friday (except
                                                         After accomplishing the revision required                    availability of this material at the FAA, call                            holidays). Please call (202) 461–4902 for
                                                      by paragraph (g) of this AD, no alternative                     425–227–1221.                                                             an appointment. (This is not a toll-free
                                                      actions (e.g., inspections) or intervals may be                   Issued in Renton, Washington, on                                        number.) In addition, during the
                                                      used unless the actions or intervals are                        December 6, 2016.                                                         comment period, comments may be
                                                      approved as an alternative method of
                                                                                                                      Dionne Palermo,                                                           viewed online through the Federal
                                                      compliance in accordance with the                                                                                                         Docket Management System (FDMS) at
                                                      procedures specified in paragraph (k)(1) of                     Acting Manager, Transport Airplane
                                                                                                                      Directorate, Aircraft Certification Service.                              www.Regulations.gov.
                                                      this AD.
                                                                                                                      [FR Doc. 2016–30030 Filed 12–20–16; 8:45 am]
                                                                                                                                                                                                FOR FURTHER INFORMATION CONTACT: Eric
                                                      (k) Other FAA AD Provisions                                                                                                               G. Mandle, Policy Analyst, Regulations
                                                                                                                      BILLING CODE 4910–13–P
                                                        The following provisions also apply to this                                                                                             Staff (211D), Compensation Service,
                                                      AD:                                                                                                                                       Department of Veterans Affairs, 810
                                                        (1) Alternative Methods of Compliance                                                                                                   Vermont Avenue NW., Washington, DC
                                                      (AMOCs): The Manager, International                             DEPARTMENT OF VETERANS                                                    20420, (202) 461–9700. (This is not a
                                                      Branch, ANM–116, Transport Airplane                             AFFAIRS                                                                   toll-free telephone number.)
                                                      Directorate, FAA, has the authority to
                                                                                                                      38 CFR Part 3                                                             SUPPLEMENTARY INFORMATION: On
                                                      approve AMOCs for this AD, if requested
                                                      using the procedures found in 14 CFR 39.19.                                                                                               October 13, 2010, the Veterans’ Benefits
                                                                                                                      RIN 2900–AP23                                                             Act of 2010, Public Law 111–275 (the
                                                      In accordance with 14 CFR 39.19, send your
                                                      request to your principal inspector or local                                                                                              Act) was signed into law. Section 601 of
                                                                                                                      Special Monthly Compensation for
                                                      Flight Standards District Office, as                                                                                                      the Act amends 38 U.S.C. 1114, adding
                                                      appropriate. If sending information directly
                                                                                                                      Veterans With Traumatic Brain Injury
                                                                                                                                                                                                subsection (t) to include special
                                                      to the International Branch ACO, send it to                     AGENCY:        Department of Veterans Affairs.                            monthly compensation (SMC) for
                                                      ATTN: Todd Thompson, Aerospace                                                                                                            veterans who as the result of service-
                                                      Engineer, International Branch, ANM–116,
                                                                                                                      ACTION:       Proposed rule.
                                                                                                                                                                                                connected disability, are in need of
                                                      Transport Airplane Directorate, FAA, 1601
                                                                                                                      SUMMARY:   The Department of Veterans                                     regular aid and attendance for the
                                                      Lind Avenue SW., Renton, Washington
                                                      98057–3356; telephone (425) 227–1175; fax                       Affairs (VA) seeks to amend its                                           residuals of traumatic brain injury (TBI),
                                                      (425) 227–1149. Information may be emailed                      adjudication regulations to add an                                        and in the absence of such regular aid
                                                      to: 9-ANM-116-AMOC-REQUESTS@faa.gov.                            additional benefit for veterans with                                      and attendance would require
                                                      Before using any approved AMOC, notify                          residuals of traumatic brain injury (TBI).                                hospitalization, nursing home care, or
                                                      your appropriate principal inspector, or                        This benefit was enacted by the                                           other residential institutional care. The
asabaliauskas on DSK3SPTVN1PROD with PROPOSALS




                                                      lacking a principal inspector, the manager of                   Veterans’ Benefits Act of 2010 and                                        law grants an additional monetary
                                                      the local flight standards district office/                     provides special monthly compensation                                     allowance for veterans with residuals of
                                                      certificate holding district office.                            for veterans with TBI who are in need                                     TBI who require this higher level of care
                                                        (2) Contacting the Manufacturer: For any                      of aid and attendance and, in the
                                                      requirement in this AD to obtain corrective
                                                                                                                                                                                                but would not otherwise qualify for the
                                                      actions from a manufacturer, the action must
                                                                                                                      absence of such aid and attendance,                                       benefit under 38 U.S.C. 1114(r)(2). The
                                                      be accomplished using a method approved                         would require hospitalization, nursing                                    amendment became effective October 1,
                                                      by the Manager, International Branch, ANM–                      home care, or other residential                                           2011.
                                                      116, Transport Airplane Directorate, FAA; or                    institutional care. Prior to the law’s                                       VA administers SMC benefits under
                                                      the Agência Nacional de Aviação Civil                        enactment, veterans with TBI were not                                     38 CFR 3.350. Additionally, 38 CFR


                                                 VerDate Sep<11>2014     18:14 Dec 20, 2016    Jkt 241001     PO 00000       Frm 00008       Fmt 4702       Sfmt 4702      E:\FR\FM\21DEP1.SGM             21DEP1


                                                      93650             Federal Register / Vol. 81, No. 245 / Wednesday, December 21, 2016 / Proposed Rules

                                                      3.352 provides the criteria to determine                amount described by section 1114(r)                   otherwise eligible for benefits under
                                                      the need for aid and attendance and                     (i.e., the rate authorized by subsection              (r)(2), but still require a higher level of
                                                      whether a claimant is permanently                       (o), which is also the maximum rate                   care comparable to what would
                                                      bedridden; 38 CFR 3.552 requires                        authorized under subsection (p), in                   otherwise be contemplated by the
                                                      adjustments of allowance for aid and                    addition to the allowance authorized by               allowance provided by (r)(2). See S.
                                                      attendance when a beneficiary is                        subsection (r)). The statutory language,              Rep. No. 111–71, at 17 (2009)
                                                      hospitalized. Internal guidance has been                viewed together with its purpose and                  (discussing the intent to provide the ting
                                                      published since April 4, 2011,                          legislative history, can be interpreted as            (r)(2) rate of compensation as evidence
                                                      instructing VA offices engaged in claims                establishing that Congress intended that              of Congress’ intent to pay (t) aid and
                                                      adjudication on how to implement the                    veterans receiving the aid and                        attendance at the rate commonly
                                                      new SMC provision, but a formal update                  attendance allowance authorized by                    received by veterans entitled to (r)(2)
                                                      to VA’s adjudication regulations has not                subsection (r)(2) necessarily also qualify            payments. If Congress intended
                                                      yet been published.                                     for the predicate rates described in                  subsection (t) to confer a freestanding
                                                                                                              subsection (r).                                       allowance, it is counterintuitive that
                                                      I. VA Interpretation of Public Law 111–                    VA finds that Congress’ intent was to
                                                      275                                                                                                           Congress would link the allowance to
                                                                                                              enact a law that pays veterans of this                (r)(2) rather than simply declaring that
                                                         Under this proposed rule, VA will                    class an amount equal to the                          any veteran in need of regular aid and
                                                      directly implement 38 U.S.C. 1114(t),                   compensation authorized under section                 attendance for the residuals of TBI
                                                      which states that an additional award of                1114(o) or the maximum rate authorized                should receive a specified dollar
                                                      SMC is payable to a veteran who, as the                 under section 1114(p), plus the                       amount. Instead, Congress chose to
                                                      result of service-connected disability, is              additional amount described under                     match the existing rate and aid and
                                                      in need of regular aid and attendance for               section 1114(r)(2). VA chose the rates                attendance requirements described
                                                      the residuals of traumatic brain injury,                permitted under section 1114(o) and (p)               under (r)(2). In so doing, Congress
                                                      is not eligible for additional                          because those are the highest rates                   emphasized that the overall impairment
                                                      compensation under 38 U.S.C.                            permitted under section 1114 and                      and need for care are the same for those
                                                      1114(r)(2), and in the absence of such                  therefore would be the most favorable                 with TBI as they are for those with
                                                      regular aid and attendance would                        rates for this group of veterans requiring            certain service-connected disabilities
                                                      require hospitalization, nursing home                   this higher level of care.                            who require a higher level of aid and
                                                      care, or other residential institutional                   Textually, subsection (r) generally                attendance. S. Rep. 111–71 at *18.
                                                      care. VA would also make clear that a                   preconditions receipt of the heightened
                                                      veteran entitled to this benefit shall be               aid and attendance allowance under                       VA’s interpretation of section 1114(t)
                                                      paid during periods he or she is not                    either subsection (r)(1) or (r)(2) on                 would mean that the rate authorized by
                                                      hospitalized at United States                           receipt of one of the predicate rates                 section 1114(o) and (p) is the ‘‘other
                                                      Government expense as if receiving the                  identified in subsection (r), which                   compensation under this section’’
                                                      amount equal to the compensation                        include the rates specified in (o) and (p).           referenced in section 1114(t) for
                                                      authorized under 38 U.S.C. 1114(o) or                   Additionally, subsection (r) makes clear              purposes of all cases under that section.
                                                      the maximum rate authorized under 38                    that a veteran is receiving that                      We acknowledge that this interpretation
                                                      U.S.C. 1114(p) and, in addition to such                 heightened allowance ‘‘in addition to’’               imports a specfic meaning to the term
                                                      compensation, a monthly allowance                       the special monthly compensation                      ‘‘other compensation’’ that is not
                                                      equal to the rate described in 38 U.S.C.                otherwise described in subsection (r).                apparent on the face of that term. We
                                                      1114(r)(2).                                             VA has long interpreted subsection (r)                find that this interpretation is warranted
                                                         VA believes that there are two                       as reflecting the assumption that a                   because interpreting the phrase ‘‘other
                                                      potential readings of the Act. Under the                veteran is necessarily in receipt of one              compensation under this section’’ to
                                                      first, more restrictive reading, a veteran              of the predicate rates described in the               refer only to other compensation for
                                                      affected by section 1114(t) would                       body of subsection (r) whenever a                     which the veteran independently
                                                      receive only the rate noted under 38                    veteran is in receipt of the heightened               qualifies would defeat the purpose of
                                                      U.S.C. 1114(r)(2), e.g., $2,983, in                     aid and attendance allowance under                    the legislation. The legislative history
                                                      addition to any other rate of special                   either subsection (r)(1) or (r)(2). This              noted that 38 U.S.C. 1114(l) prescribes
                                                      monthly compensation the individual in                  interpretation is reflected in VA’s                   the basic monthy compensation amount
                                                      question might happen to qualify for.                   current regulations. See 38 CFR                       for veterans in need of aid and
                                                      Reading the Act in this way, however,                   3.352(b)(1) (higher level of aid and                  attendance due to their service-
                                                      would result in benefits that are less                  attendance authorized by 38 CFR                       connected disabilities and that section
                                                      than the amount to which other veterans                 3.350(h) requires that the veteran be                 1114(r)(2) prescribes an ‘‘additional’’
                                                      requiring the same level of care not                    ‘‘entitled to the compensation                        monthly amount payable for veterans in
                                                      related to TBI would be entitled. This is               authorized under [subsection (o),] or the             need of a higher level of care. S. Rep.
                                                      because the predicate rates built into                  maximum rate of compensation                          111–71 at *17. Congress thus recognized
                                                      section 1114(r), such as the rate                       authorized under [subsection (p)].’’).                that the needs of veterans who qualify
                                                      authorized by subsection (o), the                          In support of this interpretation, VA              for the (r)(2) rate are met by payment of
                                                      maximum rate authorized under                           notes that 38 U.S.C. 1114(r)(2) provides              both a basic monthly SMC rate, which
                                                      subsection (p), or the intermediate rate                additional compensation to those                      generally would be provided under
asabaliauskas on DSK3SPTVN1PROD with PROPOSALS




                                                      authorized under subsections (n) and                    veterans with certain service-connected               subsections (l) through (p) of section
                                                      (o), will not typically be met for                      disabilities who are in need of a higher              1114 and the heightened aid and
                                                      veterans suffering from TBI, rather than                level of care. The legislative history for            attendance payment under (r)(2).
                                                      the other conditions enumerated in                      section 601 of Public Law 111–275                     Congress determined that legislation
                                                      section 1114.                                           indicates that subsection (t) is intended             was needed to extend similar benefits to
                                                         Under the second, more liberal                       to provide additional compensation to                 veterans with TBI because the
                                                      interpretation of section 1114(t), VA                   veterans with TBI who do not have                     provisions of section 1114 generally
                                                      would pay veterans who meet the                         those qualifying service-connected                    focus on physical disabilities and
                                                      criteria of section 1114(t) the full                    disabilities and therefore are not                    locomotion rather than cognitive or


                                                 VerDate Sep<11>2014   18:14 Dec 20, 2016   Jkt 241001   PO 00000   Frm 00009   Fmt 4702   Sfmt 4702   E:\FR\FM\21DEP1.SGM   21DEP1


                                                                        Federal Register / Vol. 81, No. 245 / Wednesday, December 21, 2016 / Proposed Rules                                             93651

                                                      psychological impairments associated                    Proposed paragraph (j) will set forth the             paid in (r)(2) cases, who also receive
                                                      with TBI. S. Rep. 111–71 at *17–18.                     general criteria prescribed by 38 U.S.C.              payment under subsections (o) or (p).
                                                         For the reasons stated in the                        1114(t). Paragraph (j) would reference                VA therefore proposes to apply the same
                                                      legislative history, cognitive disability               § 3.352 to provide guidance on                        definition of a higher level of care when
                                                      due to TBI generally would not qualify                  determining the need for aid and                      determining entitlement under
                                                      for the basic monthly SMC rates                         attendance. Paragraph (j)(1) would                    proposed § 3.350(j) as VA applies under
                                                      prescribed in section 1114(l)–(p). As a                 provide that a veteran shall be entitled              § 3.350(h). Specifically, VA proposes to
                                                      result, if the term ‘‘other compensation                to the amount equal to the                            require that veterans entitled to SMC
                                                      under this section,’’ as used in section                compensation authorized under 38                      under section 1114(t) establish
                                                      1114(t) were construed to mean                          U.S.C. 1114(o) or the maximum rate                    entitlement to the regular aid and
                                                      compensation for which the veteran                      authorized under 38 U.S.C. 1114(p) and,               attendance allowance in paragraph (a) of
                                                      otherwise qualifies without regard to                   in addition to such compensation, a                   § 3.352, as well as establish a
                                                      section 1114(t), a substantial part of the              monthly allowance equal to the rate                   requirement for a higher level of care,
                                                      benefits contemplated by (r)(2)—i.e., the               described in 38 U.S.C. 1114(r)(2) during              where, in the absence of the higher level
                                                      basic monthly SMC rate—would be                         periods he or she is not hospitalized at              of care, the veteran would require
                                                      unavailable in most cases covered by                    United States Government expense.                     hospitalization, nursing home care, or
                                                      section 1114(t). Such an interpretation                    In addition, to ensure consistency                 other residential institutional care.
                                                      would defeat the statute’s clear purpose                with current § 3.350(h), VA proposes to               These requirements mirror the current
                                                      in that it would, based on section 1114’s               reference revised § 3.552(b)(2) under                 requirements for entitlement under
                                                      focus on physical disability, provide                   proposed § 3.350(j)(1). Section                       § 3.350(h) and § 3.352(b). We would
                                                      veterans covered by section 1114(t) with                3.552(b)(2) requires VA to discontinue                clarify in § 3.352(b)(2)(i) and (ii) that the
                                                      a monthly benefit well below the                        the aid and attendance benefit following              need for this higher level of aid and
                                                      amount Congress has determined                          hospitalization at government expense.                attendance must be as a result of
                                                      necessary to provide for the needs of                   Proposed § 3.350(j)(2) would note that                service-connected residuals of traumatic
                                                      veterans requiring a heightened level of                an allowance under proposed paragraph                 brain injury. This requirement is
                                                      care under (r)(2). Accordingly, we                      (j) would be paid in lieu of any                      consistent with the statutory language
                                                      believe section 1114(t) is most properly                allowance authorized by 38 U.S.C.                     which requires that the veteran ‘‘as a
                                                      construed to permit payment of both the                 1114(r)(1).                                           result of service-connected disability, is
                                                      ‘‘additional’’ amount specified in (r)(2)                  Section 3.352 governs the criteria for             in need of regular aid and attendance for
                                                      and the predicate SMC rate specified in                 determining the need for aid and                      the residuals of [TBI].’’ While the
                                                      section 1114(o) and (p).                                attendance and what is ‘‘permanently                  statutory language could be read to
                                                         VA finds the language of the amended                 bedridden’’ for VA disability                         allow entitlement to section 1114(t)
                                                      statute to be ambiguous, but has                        compensation purposes. VA proposes to
                                                                                                                                                                    compensation to those veterans with
                                                      determined that Congress intended to                    amend § 3.352 to regulate entitlement to
                                                                                                                                                                    any service-connected disability that
                                                      provide veterans in need of aid and                     a higher level of aid and attendance
                                                                                                                                                                    also suffer from TBI residuals, VA
                                                      attendance due to TBI residuals the                     allowance for residuals of TBI.
                                                                                                                                                                    believes that the phrase ‘‘as a result of’’
                                                      same level of compensation as veterans                  Specifically, we propose to redesignate
                                                                                                                                                                    indicates Congress intended that the
                                                      entitled to the section 1114(r)(2) rate.                paragraphs (b)(2) through (b)(5) of
                                                                                                                                                                    need for a higher level of aid and
                                                      See Chevron, U.S.A., Inc. v. Natural Res.               § 3.352 as (b)(3) through (b)(6).
                                                                                                                                                                    attendance for TBI residuals to be due
                                                      Def. Council, Inc., 467 U.S. 837, 842–                  Paragraph (b)(1)(iii) and newly
                                                                                                                                                                    to a service-connected disability.
                                                      844 (1984) (if Congress has not                         redesignated paragraph (b)(4) of this
                                                                                                                                                                    Further, the legislative history is clear
                                                      addressed ‘‘the precise question at                     section reference (b)(2). As such, those
                                                      issue,’’ a court should defer to an                     paragraphs would also be revised to                   that Congress intended section 1114(t)
                                                      administering agency’s construction of                  reflect that (b)(2) would become (b)(3).              compensation to be provided to those
                                                      the statute so long as it is a                             This rulemaking also proposes to add               veterans suffering from service-
                                                      ‘‘permissible’’ construction). VA                       a new paragraph (b)(2) to § 3.352 stating             connected residuals of TBI. See
                                                      believes its interpretation is the most                 that a veteran is entitled to the higher              Chevron, supra; see S. Rep. No. 111–71,
                                                      logical one because it is unlikely that                 level of aid and attendance allowance                 at 17 (2009) (discussing that the
                                                      Congress would wish to bestow a lesser                  for residuals of TBI, as authorized by                committee bill ‘‘would allow veterans
                                                      benefit on veterans with TBI than is                    § 3.350(j), in lieu of the regular aid and            suffering from severe TBIs to receive the
                                                      applicable to veterans with certain                     attendance allowance. Entitlement                     highest level of aid and attendance
                                                      service-connected disabilities that might               would be found when the veteran meets                 benefits from VA’’). We would also
                                                      otherwise qualify for the (r)(2)                        the requirements for entitlement to the               amend the authority citation for
                                                      allowance, while simultaneously                         regular aid and attendance allowance in               § 3.352(b) to add section 1114(t).
                                                      emphasizing that veterans with TBI may                  paragraph (a) of the section and when                    Lastly, VA proposes to amend 38 CFR
                                                      be in a functionally similar situation.                 the veteran needs a higher level of care              3.552(b)(2). Section 3.552 regulates
                                                      This interpretation is also the most                    (as defined in redesignated paragraph                 adjustments of allowance for aid and
                                                      advantageous to veterans with TBI who                   (b)(3) of the section) than is required to            attendance. Specifically, paragraph
                                                      require a higher level of care.                         establish entitlement to the regular aid              (b)(2) states that ‘‘[w]hen a veteran is
                                                                                                              and attendance allowance, and in the                  hospitalized at the expense of the
asabaliauskas on DSK3SPTVN1PROD with PROPOSALS




                                                      II. Regulatory Amendment Mechanics                      absence of the provision of such higher               United States Government, the
                                                         This rulemaking proposes to amend                    level of care would require                           additional aid and attendance allowance
                                                      § 3.350 by adding paragraph (j),                        hospitalization, nursing home care, or                authorized by 38 U.S.C. 1114(r)(1) or (2)
                                                      proposes to amend § 3.352 by adding a                   other residential institutional care.                 will be discontinued . . .’’. To ensure
                                                      new paragraph (b)(2) and revising the                      As previously discussed, VA has                    consistency in its regulations, and to
                                                      authority citation, and proposes to                     determined that Congress intended 38                  implement the conforming amendment
                                                      amend § 3.552(b) by adding a reference                  U.S.C. 1114(t) to provide total                       of the Act, VA is amending that
                                                      to 38 U.S.C. 1114(t) to paragraph (b)(2)                compensation equal to the total rate                  paragraph to include 38 U.S.C. 1114(t).
                                                      and revising the authority citation.                    paid after factoring total compensation               This amendment is supported by the


                                                 VerDate Sep<11>2014   18:14 Dec 20, 2016   Jkt 241001   PO 00000   Frm 00010   Fmt 4702   Sfmt 4702   E:\FR\FM\21DEP1.SGM   21DEP1


                                                      93652             Federal Register / Vol. 81, No. 245 / Wednesday, December 21, 2016 / Proposed Rules

                                                      plain language of the statute, which                    within 48 hours after the rulemaking                    Dated: December 13, 2016.
                                                      states ‘‘[s]ubject to section 5503(c) of                document is published. Additionally, a                Jeffrey Martin,
                                                      this title.’’ Section 5503(c) of title 38               copy of this rulemaking and its impact                Office Program Manager, Office of Regulation
                                                      United States Code governs                              analysis are available on VA’s Web site               Policy & Management, Office of the Secretary,
                                                      hospitalization of veterans and states, in              at http://www.va.gov/orpm/, by                        Department of Veterans Affairs.
                                                      effect, the rule we propose to establish                following the link for ‘‘VA Regulations                 For the reasons stated in the
                                                      here. We would also amend the                           Published From FY 2004 Through Fiscal                 preamble, the Department of Veterans
                                                      authority citation for § 3.552(b). The                  Year to Date.’’                                       Affairs proposes to amend 38 CFR part
                                                      current authority citation cites 38 U.S.C.                                                                    3 as set forth below:
                                                      5503(e); however, the Veterans                          Regulatory Flexibility Act
                                                      Education and Benefits Expansion Act                                                                          PART 3—ADJUDICATION
                                                      of 2001, Public Law 107–103, 204(a),                       The Secretary hereby certifies that
                                                      115 Stat. 990, amended section 5503 by                  this proposed rule would not have a                   Subpart A—Pension, Compensation,
                                                      redesignating section 5503(e) as section                significant economic impact on a                      and Dependency and Indemnity
                                                      5503(c). Therefore, we would revise the                 substantial number of small entities as               Compensation
                                                      authority citation to reflect the accurate              they are defined in the Regulatory
                                                                                                                                                                    ■ 1. The authority citation for part 3,
                                                      legal authority as 38 U.S.C. 5503(c).                   Flexibility Act (5 U.S.C. 601–612). This
                                                                                                                                                                    subpart A continues to read as follows:
                                                                                                              proposed rule would directly affect only
                                                      Executive Orders 12866 and 13563                                                                                Authority: 38 U.S.C. 501(a), unless
                                                                                                              individuals and would not directly
                                                         Executive Orders 12866 and 13563                     affect small entities. Therefore, pursuant            otherwise noted.
                                                      direct agencies to assess the costs and                 to 5 U.S.C. 605(b), this rulemaking is                ■ 2. Amend § 3.350 to add paragraph (j)
                                                      benefits of available regulatory                        exempt from the initial and final                     to read as follows:
                                                      alternatives and, when regulation is                    regulatory flexibility analysis
                                                      necessary, to select regulatory                                                                               § 3.350 Special monthly compensation
                                                                                                              requirements of sections 603 and 604.                 ratings.
                                                      approaches that maximize net benefits
                                                      (including potential economic,                          Unfunded Mandates                                     *       *    *     *    *
                                                      environmental, public health and safety                                                                          (j) Special aid and attendance benefit
                                                      effects, and other advantages;                             The Unfunded Mandates Reform Act                   for residuals of traumatic brain injury
                                                      distributive impacts; and equity).                      of 1995, 2 U.S.C. 1532, requires that                 (38 U.S.C. 1114(t)). The special monthly
                                                      Executive Order 13563 (Improving                        agencies prepare an assessment of                     compensation provided by 38 U.S.C.
                                                      Regulation and Regulatory Review)                       anticipated costs and benefits before                 1114(t) is payable to a veteran who, as
                                                      emphasizes the importance of                            issuing any rule that may result in the               the result of service-connected
                                                      quantifying both costs and benefits,                    expenditure by State, local, and tribal               disability, is in need of regular aid and
                                                      reducing costs, harmonizing rules, and                  governments, in the aggregate, or by the              attendance for the residuals of traumatic
                                                      promoting flexibility. Executive Order                  private sector, of $100 million or more               brain injury, is not eligible for
                                                      12866 (Regulatory Planning and                          (adjusted annually for inflation) in any              compensation under 38 U.S.C.
                                                      Review) defines a ‘‘significant                         one year. This proposed rule would                    1114(r)(2), and in the absence of such
                                                      regulatory action’’ requiring review by                 have no such effect on State, local, and              regular aid and attendance would
                                                      the Office of Management and Budget                     tribal governments, or on the private                 require hospitalization, nursing home
                                                      (OMB), unless OMB waives such                           sector.                                               care, or other residential institutional
                                                      review, as ‘‘any regulatory action that is                                                                    care. Determination of this need is
                                                      likely to result in a rule that may: (1)                Paperwork Reduction Act                               subject to the criteria of § 3.352.
                                                      Have an annual effect on the economy                                                                             (1) A veteran described in this
                                                      of $100 million or more or adversely                      This proposed rule contains no                      paragraph (j) shall be entitled to the
                                                      affect in a material way the economy, a                 provisions constituting a collection of               amount equal to the compensation
                                                      sector of the economy, productivity,                    information under the Paperwork                       authorized under 38 U.S.C. 1114(o) or
                                                      competition, jobs, the environment,                     Reduction Act of 1995 (44 U.S.C. 3501–                the maximum rate authorized under 38
                                                      public health or safety, or State, local,               3521).                                                U.S.C. 1114(p) and, in addition to such
                                                      or tribal governments or communities;                                                                         compensation, a monthly allowance
                                                                                                              Catalog of Federal Domestic Assistance
                                                      (2) Create a serious inconsistency or                                                                         equal to the rate described in 38 U.S.C.
                                                      otherwise interfere with an action taken                  The Catalog of Federal Domestic                     1114(r)(2) during periods he or she is
                                                      or planned by another agency; (3)                       Assistance number and title for the                   not hospitalized at United States
                                                      Materially alter the budgetary impact of                program affected by this document is                  Government expense. (See § 3.552(b)(2)
                                                      entitlements, grants, user fees, or loan                64.109, Veterans Compensation for                     as to continuance following admission
                                                      programs or the rights and obligations of               Service-Connected Disability.                         for hospitalization.)
                                                      recipients thereof; or (4) Raise novel                                                                           (2) An allowance authorized under 38
                                                      legal or policy issues arising out of legal             Signing Authority                                     U.S.C. 1114(t) shall be paid in lieu of
                                                      mandates, the President’s priorities, or                                                                      any allowance authorized by 38 U.S.C.
                                                      the principles set forth in this Executive                The Secretary of Veterans Affairs, or               1114(r)(1).
                                                      Order.’’                                                designee, approved this document and
asabaliauskas on DSK3SPTVN1PROD with PROPOSALS




                                                         The economic, interagency,                           authorized the undersigned to sign and                (Authority: 38 U.S.C. 501, 38 U.S.C. 1114(t))
                                                      budgetary, legal, and policy                            submit the document to the Office of the              ■ 3. Amend § 3.352 by:
                                                      implications of this regulatory action                  Federal Register for publication                      ■ a. Redesignating paragraphs (b)(2)
                                                      have been examined, and it has been                     electronically as an official document of             through (b)(5) as (b)(3) through (b)(6);
                                                      determined not to be a significant                      the Department of Veterans Affairs. Gina              ■ b. In paragraph (b)(1)(iii), removing
                                                      regulatory action under Executive Order                 S. Farrisee, Deputy Chief of Staff,                   the phrase ‘‘paragraph (b)(2)’’ and in its
                                                      12866. VA’s impact analysis can be                      Department of Veterans Affairs,                       place adding the phrase ‘‘paragraph
                                                      found as a supporting document at                       approved this document on December                    (b)(3)’’;
                                                      http://www.regulations.gov, usually                     13, 2016, for publication.                            ■ c. Adding new paragraph (b)(2);



                                                 VerDate Sep<11>2014   18:14 Dec 20, 2016   Jkt 241001   PO 00000   Frm 00011   Fmt 4702   Sfmt 4702   E:\FR\FM\21DEP1.SGM   21DEP1


                                                                        Federal Register / Vol. 81, No. 245 / Wednesday, December 21, 2016 / Proposed Rules                                                93653

                                                      ■  d. In redesignated paragraph (b)(4),                 ENVIRONMENTAL PROTECTION                              For the full EPA public comment policy,
                                                      removing the phrase ‘‘paragraph (b)(2)’’                AGENCY                                                information about CBI or multimedia
                                                      and in its place adding the phrase                                                                            submissions, and general guidance on
                                                      ‘‘paragraph (b)(3)’’; and                               40 CFR Part 52                                        making effective comments, please visit
                                                      ■ e. In the authority citation at the end               [EPA–R09–OAR–2016–0669; FRL–9956–67–                  http://www2.epa.gov/dockets/
                                                                                                              Region 9]                                             commenting-epa-dockets.
                                                      of paragraph (b), adding ‘‘1114(t)’’.
                                                                                                                                                                    FOR FURTHER INFORMATION CONTACT:
                                                         The addition and revision reads as                   Determination of Attainment of the                    Nancy Levin, EPA Region IX, (415) 972–
                                                      follows:                                                2008 Ozone National Ambient Air                       3848, levin.nancy@epa.gov.
                                                                                                              Quality Standards; Mariposa County,
                                                      § 3.352 Criteria for determining need for                                                                     SUPPLEMENTARY INFORMATION:
                                                                                                              California
                                                      aid and attendance and ‘‘permanently                                                                          Throughout this document, whenever
                                                      bedridden.’’                                            AGENCY:  The Environmental Protection                 ‘‘we,’’ ‘‘us’’ or ‘‘our’’ is used, we mean
                                                      *       *     *    *      *                             Agency (EPA).                                         the EPA. In the Rules and Regulations
                                                                                                              ACTION: Proposed rule.                                section of this Federal Register, we are
                                                         (b)(1) * * *                                                                                               making a determination that the
                                                         (2) A veteran is entitled to the higher              SUMMARY:    The Environmental Protection              Mariposa County, California Moderate
                                                      level aid and attendance allowance                      Agency (EPA) is proposing to determine                NAA has attained the 2008 8-hour
                                                      authorized by § 3.350(j) in lieu of the                 that the Mariposa County, California                  ozone NAAQS as a direct final rule
                                                      regular aid and attendance allowance                    Moderate Nonattainment Area (NAA)                     without prior proposal because the
                                                      when all of the following conditions are                has attained the 2008 8-hour ozone                    Agency views this action as
                                                      met:                                                    National Ambient Air Quality Standards                noncontroversial and anticipates no
                                                                                                              (NAAQS or ‘‘standards’’). This proposed               adverse comments. A detailed rationale
                                                         (i) As a result of service-connected                 determination is based on complete,
                                                      residuals of traumatic brain injury, the                                                                      for this determination of attainment is
                                                                                                              quality-assured and certified data for                set forth in the direct final rule. If we
                                                      veteran meets the requirements for                      2013–2015. Preliminary data for 2016                  receive adverse comments, however, we
                                                      entitlement to the regular aid and                      are consistent with continued                         will publish a timely withdrawal of the
                                                      attendance allowance in paragraph (a) of                attainment of the standards in the                    direct final rule and address the
                                                      this section.                                           Mariposa County NAA. If the                           comments in subsequent action based
                                                         (ii) As a result of service-connected                determination is finalized as proposed,               on this proposed rule. We do not plan
                                                      residuals of traumatic brain injury, the                any unfulfilled obligations to submit                 to open a second comment period, so
                                                      veteran needs a ‘‘higher level of care’’                revisions to the state implementation                 anyone interested in commenting
                                                      (as defined in paragraph (b)(3) of this                 plan (SIP) related to attainment of the               should do so at this time. If we do not
                                                                                                              2008 ozone standards for the Mariposa                 receive adverse comments, no further
                                                      section) than is required to establish
                                                                                                              County NAA will be suspended for as                   activity is planned. For further
                                                      entitlement to the regular aid and                      long as the area continues to meet those
                                                      attendance allowance, and in the                                                                              information, please see the direct final
                                                                                                              standards.                                            rule, which is located in the Rules and
                                                      absence of the provision of such higher
                                                                                                              DATES: Any comments must arrive by                    Regulations section of this Federal
                                                      level of care the veteran would require                 January 20, 2017.
                                                      hospitalization, nursing home care, or                                                                        Register.
                                                                                                              ADDRESSES: Submit your comments,
                                                      other residential institutional care.                                                                           Dated: December 2, 2016.
                                                                                                              identified by Docket ID No. EPA–R09–
                                                         * * *                                                OAR–2016–0669 at http://                              Deborah Jordan,
                                                                                                              www.regulations.gov, or via email to                  Acting Regional Administrator, Region IX.
                                                      (Authority: 38 U.S.C. 501, 1114(r)(2), 1114(t))
                                                                                                              levin.nancy@epa.gov. For comments                     [FR Doc. 2016–30474 Filed 12–20–16; 8:45 am]
                                                      *     *     *     *      *
                                                                                                              submitted at Regulations.gov, follow the              BILLING CODE 6560–50–P
                                                      ■ 4. Amend § 3.552(b) by:                               online instructions for submitting
                                                      ■ a. In paragraph (b)(2), adding the                    comments. Once submitted, comments
                                                      phrase ‘‘or 38 U.S.C. 1114(t)’’ after the               cannot be edited or removed from
                                                      phrase ‘‘authorized by 38 U.S.C.                        Regulations.gov. For either manner of                 LEGAL SERVICES CORPORATION
                                                      1114(r)(1) or (2)’’; and                                submission, the EPA may publish any
                                                                                                              comment received to its public docket.                45 CFR Parts 1600, 1630, and 1631
                                                      ■ b. At the end of paragraph (b), revising
                                                                                                              Do not submit electronically any                      Definitions; Cost Standards and
                                                      the authority citation.                                 information you consider to be                        Procedures; Purchasing and Property
                                                        The revision read as follows:                         Confidential Business Information (CBI)               Management
                                                                                                              or other information whose disclosure is
                                                      § 3.552 Adjustment of allowance for aid                 restricted by statute. Multimedia                     AGENCY:Legal Services Corporation.
                                                      and attendance.                                         submissions (audio, video, etc.) must be                    Proposed rule; Extension of
                                                                                                                                                                    ACTION:
                                                      *      *     *       *      *                           accompanied by a written comment.                     comment period.
                                                      (Authority: 38 U.S.C. 5503(c))                          The written comment is considered the
                                                                                                              official comment and should include                   SUMMARY:   The Legal Services
asabaliauskas on DSK3SPTVN1PROD with PROPOSALS




                                                      *      *     *       *      *
                                                      [FR Doc. 2016–30509 Filed 12–20–16; 8:45 am]
                                                                                                              discussion of all points you wish to                  Corporation (‘‘LSC’’) issued a proposed
                                                                                                              make. The EPA will generally not                      rule in the Federal Register of October
                                                      BILLING CODE 8320–01–P
                                                                                                              consider comments or comment                          28, 2016 [FR Doc. 2016–25831],
                                                                                                              contents located outside of the primary               concerning proposed amendments to its
                                                                                                              submission (i.e., on the Web, cloud or                regulations governing definitions, cost
                                                                                                              other file sharing system). For                       standards and procedures, and
                                                                                                              additional submission methods, please                 purchasing and property management.
                                                                                                              contact the person identified in the FOR              This notice extends the comment period
                                                                                                              FURTHER INFORMATION CONTACT section.                  for 30 days to January 26, 2017.


                                                 VerDate Sep<11>2014   18:14 Dec 20, 2016   Jkt 241001   PO 00000   Frm 00012   Fmt 4702   Sfmt 4702   E:\FR\FM\21DEP1.SGM   21DEP1



Document Created: 2018-02-14 09:12:10
Document Modified: 2018-02-14 09:12:10
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionProposed Rules
ActionProposed rule.
DatesComments must be received on or before February 21, 2017.
ContactEric G. Mandle, Policy Analyst, Regulations Staff (211D), Compensation Service, Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461-9700. (This is not a toll-free telephone number.)
FR Citation81 FR 93649 
RIN Number2900-AP23

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR