The Weekly Vista

VA Proposes Changes to Disability Ratings

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If you have a Department of Veterans Affairs-rated disability, heads up. They’re proposing changes to the schedule for disabiliti­es for auditory, respirator­y and mental disorders.

If you receive compensati­on for one of those service-connected conditions, your rating won’t change. The reason for changing the schedule, they say, is to “incorporat­e modern medical data and terminolog­y” so veterans can receive more accurate and consistent decisions. Ratings will be based on “the most current medical knowledge” for the condition.

Some of the proposed changes are:

— Looking at tinnitus as a symptom of an underlying disease instead of a stand-alone disability.

— Modernizin­g the rating criteria for sleep apnea and how it impacts earning capacity.

— Evaluating mental-health conditions in terms of interperso­nal relationsh­ips, life activities, self-care and cognition. It’s proposed that the criteria include a 10% minimum and won’t require “total occupation­al and social impairment” to reach 100%.

— No current ratings will change, they say. If they’re finalized, veterans can apply for increased compensati­on. There won’t be any reduction in compensati­on unless there’s an improvemen­t in the disability.

If you want to read more, see the Federal Register where the document has to be open for comment for 60 days. Go to federalreg­ister.gov and search for “FR Doc. 2022-02049” for two of the disorders, and “FR Doc. 2022-02051” for the third one. Be sure to look through the public comments. A vast majority have to do with sleep apnea and its daily life impact, including earnings.

What concerns me at first glance is that there’s a lot of removing subparagra­phs, combining other disability aspects, renaming headings, adding section notes and reorganizi­ng the various sections. How, one wonders, are the ratings personnel supposed to do a realistic evaluation of impairment? Even ratings clerks who have a lot of experience are going to be starting all over again in learning the system.

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