Fiduciary Activities, 32716-32749 [2018-14856]
Download as PDF
32716
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Parts 3 and 13
RIN 2900–AO53
Fiduciary Activities
Department of Veterans Affairs.
Final rule.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) amends its fiduciary
program regulations, which govern the
oversight of beneficiaries, who because
of injury, disease, or age, are unable to
manage their VA benefits, and the
appointment and oversight of
fiduciaries for these vulnerable
beneficiaries. The amendments will
update and reorganize regulations
consistent with current law, VA policies
and procedures, and VA’s
reorganization of its fiduciary activities.
They will also clarify the rights of
beneficiaries in the program, and the
roles of VA and fiduciaries in ensuring
that VA benefits are managed in the best
interest of beneficiaries and their
dependents. The amendments to this
rulemaking are mostly mandatory to
comply with the law. They are also in
line with the law’s goals to streamline
and modernize the fiduciary program
and process. These amendments by
Congress, reduce unnecessary
regulations, streamline and modernize
processes, and improve services for
Veterans. Furthermore, VA is unable to
alter proposed amendments that directly
implement mandatory statutory
provisions.
SUMMARY:
Effective Date: The final rule is
effective August 13, 2018.
FOR FURTHER INFORMATION CONTACT: Ms.
Savitri Persaud, Analyst, Pension and
Fiduciary Service, Department of
Veterans Affairs, 810 Vermont Ave.,
NW, Washington, DC 20420; (202) 632–
8863 (this is not a toll-free number).
SUPPLEMENTARY INFORMATION: In a
document published in the Federal
Register on January 3, 2014, (79 FR
430), VA proposed to amend, via a
comprehensive rewrite and
reorganization, its fiduciary program
regulations, which govern the oversight
of beneficiaries who, because of injury,
disease, or age, are unable to manage
their VA benefits, and the appointment
and oversight of fiduciaries for these
vulnerable beneficiaries. The 60-day
public comment period ended on March
4, 2014. VA received 26 comments from
interested individuals and
organizations. The comments are
discussed below under the appropriate
section headings. VA made a number of
sradovich on DSK3GMQ082PROD with RULES2
DATES:
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
revisions based on the comments
received. Those revisions, which are
primarily technical, are discussed in the
final rule. Based on the rationale
described in this document and in the
notice of proposed rulemaking (NPRM),
VA adopts the proposed rule, as revised
in this document, as a final rule.
Section 13.10—Purpose and
Applicability of Other Regulations
This regulation will provide general
notice regarding the statutory authority
for and purpose of VA’s fiduciary
program. It will also distinguish
fiduciary matters from benefit claims
and clarify that the VA regulations in 38
CFR part 3 are not for application in
fiduciary matters, unless VA has
prescribed applicability in its part 13
fiduciary regulations. We did not
receive any comments on this section,
but in order to clarify the scope of these
regulations and the fact that they pertain
to the oversight of VA-derived monetary
benefits by persons who previously
have been adjudicated incompetent to
manage their VA-derived funds, we
have revised the text of the regulation
by adding the word ‘‘monetary’’
between the words ‘‘VA’’ and ‘‘benefits’’
in the first sentence of § 13.10(b).
Section 13.20—Definitions
We received one comment regarding
the definitions in proposed § 13.20. The
commenter recommended that VA
recognize all legal marriages, domestic
partnerships and civil unions for the
purposes of fiduciary activities, thereby
adding a definition of ‘‘domestic
partner’’ to proposed § 13.20. The
commenter noted that the broad
authority granted by Congress in 38
U.S.C. 5502 allows VA to add classes of
appropriate fiduciaries, to include
legally married partners and domestic
partners to serve as fiduciaries. The
commenter noted that a place-ofcelebration rule would be consistent
with other definitions adopted by other
agencies following the Supreme Court’s
decision in United States v. Windsor,
133 S. Ct. 2675 (2013).
On June 26, 2015, the U.S. Supreme
Court held that the Fourteenth
Amendment of the U.S. Constitution
requires a state to license a marriage
between two people of the same sex and
to recognize a marriage between two
people of the same sex when their
marriage was lawfully licensed and
performed out-of-state. See Obergefell v.
Hodges, 135 S. Ct. 2584 (2015). As a
result of this decision, VA now
recognizes the same-sex marriage of any
veteran, where the veteran or the
veteran’s spouse resided anywhere in
the United States or its territories at the
PO 00000
Frm 00002
Fmt 4701
Sfmt 4700
time of the marriage or at the time of
application for benefits. VA has always
determined a marriage to be valid, for
the purposes of all laws administered by
VA, according to the law of the place
where the parties resided at the time of
the marriage or the law of the place
where the parties resided when the right
to the benefits accrued. See 38 U.S.C.
103(c). Consistent with the Supreme
Court decisions in Obergefell and
Windsor, VA recognizes the validity of
same-sex marriages. Accordingly, this
rule defines the term ‘‘spouse’’ in
§ 13.20 to mean a husband or wife of
any marriage, including common law
marriages and same-sex marriages, that
meets the requirements of 38 U.S.C.
103(c).
The separate question of how to
address domestic partnerships and civil
unions (which are not considered legal
marriages), within the scope of VA’s
fiduciary program, is a policy matter
that was not considered during the
development of the proposed regulation.
As a result, expanding the definition of
spouse, for purposes of VA’s fiduciary
program, to include domestic partners
and/or civil union partners or defining
those terms in this final rule would be
premature. VA is sensitive to this issue
and plans to consider whether to
expand the ‘‘beneficiary’s spouse’’ class
of fiduciaries listed in § 13.20(e)(2) to
explicitly include domestic partners and
civil union partners. If VA decides to
make changes, VA will promulgate a
separate rulemaking to addresss this
issue.
We made non-substantive changes to
the proposed definitions for ‘‘Hub
Manager’’ and ‘‘spouse’’ and added a
definition for ‘‘written notice,’’ which
we discuss below.
Section 13.30—Beneficiary Rights
We received two comments regarding
proposed § 13.30, ‘‘Beneficiary rights.’’
The first commenter stated that the
proposed rule imposed ‘‘unnecessary
restrictions’’ on the rights of
beneficiaries. The commenter stated,
‘‘We see no reason or legal requirement
that beneficiaries under this program
should have fewer rights or protections
than any other VA beneficiary.’’ The
commenter questions whether ‘‘the
fundamental right to control one’s own
property’’ should be based on the view
of a single examiner and makes other
general assertions that VA’s procedures
are insufficient.
We do not agree that we proposed
‘‘unnecessary restrictions’’ on the rights
of beneficiaries, or that these procedures
violate a beneficiary’s rights. Our
intention in drafting the NPRM was to
ensure that VA benefits are managed in
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
the best interest of beneficiaries and
their dependents. In that regard, we
proposed to update and reorganize our
regulations consistent with current laws
and VA policies and procedures, and
clarify the rights of beneficiaries in the
fiduciary program. The suggestion that
our proposed rules unnecessarily limit
the rights of beneficiaries is incorrect.
Further, assertions that determinations
made in VA’s fiduciary program are
based solely on the views of ‘‘one
examiner’’ mischaracterize the efforts
expended by VA fiduciary program
staff. While a field examiner may
conduct visits with a beneficiary and
make a recommendation, fiduciaryrelated decisions are not based solely on
the views of one individual. A field
examiner’s recommendation is reviewed
by a VA supervisor and action is taken
based on a comprehensive view of
which steps are in the best interest of
the beneficiary.
In drafting the rules on beneficiary
rights, we focused on our general policy
that a beneficiary in the fiduciary
program has the same rights as any
other VA beneficiary. We specifically
stated in proposed § 13.30, ‘‘The rights
of beneficiaries in the fiduciary program
include, but are not limited to’’ those
listed in the regulation text. Thus, we
did not propose to prescribe all of the
rights of beneficiaries in the fiduciary
program. We prescribed that a
beneficiary has the right to written
notice of appealable fiduciary decisions.
However, in responding to the foregoing
comment, we discovered that, although
we prescribed that a beneficiary is
entitled to written notice on such
matters, we did not prescribe rules for
the Hub Manager as to what such notice
should include. As such, we revised
§ 13.20 to include a definition of written
notice.
We prescribed the right to be
informed of a fiduciary’s name,
telephone number, mailing address, and
email address. We prescribed the right
to obtain from the fiduciary a copy of
the fiduciary’s VA-approved annual
accounting, and other rights that we
believe are basic to a fiduciarybeneficiary relationship and are
necessary to define a fiduciary’s role in
such a relationship. See 79 FR 432. We
prescribed rights to clarify that VA is
not the beneficiary’s fiduciary and that
VA’s role is limited to oversight. See 79
FR 432. In that regard, in § 13.140(a),
our core requirement for fiduciaries is to
ensure that a beneficiary’s benefits are
managed in that beneficiary’s interest.
We do not agree that our proposed
regulations limit the rights of
beneficiaries and make no changes
based upon the comment.
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
The commenter also stated that the
proposed regulation on beneficiary
rights is incomplete and it should
prescribe a statement regarding the
reasons and bases for determining that
the appointment of a fiduciary is in the
beneficiary’s interest. We did not intend
that we would make a decision on a
fiduciary matter without providing
adequate notice to a beneficiary
regarding the reasons and bases for such
a decision. However, as stated above, we
revised the proposed rule to include a
definition of ‘‘written notice’’ and to
specifically prescribe such notice for
certain decisions.
We proposed that every beneficiary in
the fiduciary program has the right to
notice regarding VA’s appointment of a
fiduciary or any other decision on a
fiduciary matter that affects VA’s
provision of benefits to the beneficiary.
We explained that VA would provide
written notice of such decisions to the
beneficiary or the beneficiary’s legal
guardian, and the beneficiary’s
accredited veterans service organization
representative, attorney, or claims agent.
See 79 FR 432. We explained that this
notice is essential because beneficiaries
would have the right to appeal these
determinations. See 79 FR 432.
Furthermore, we specifically proposed
that a beneficiary in the fiduciary
program has the right to appeal to the
Board of Veterans’ Appeals (Board) a
VA decision on a fiduciary matter that
affects VA’s provision of benefits to the
beneficiary, such as VA’s appointment
of a fiduciary and its determination
regarding its own negligence in misuse
and reissuance of benefits matters. To
assist the beneficiary in making a
decision related to appealing a decision,
and to facilitate review by the Board in
the event of an appeal, any decision that
affects the provision of benefits must be
supported by reasons for our decision,
as required under the new definition for
‘‘written notice.’’ We revised proposed
§ 13.30(b)(2) to clarify that every
beneficiary in the fiduciary program has
the right to ‘‘written notice’’ regarding
VA’s appointment of a fiduciary or any
other decision on a fiduciary matter that
affects VA’s provision of benefits to the
beneficiary.
In responding to the foregoing
comment, we noticed that a provision in
proposed § 13.30 needed clarification.
Specifically in proposed
§ 13.30(b)(10)(i)(B), we prescribed that a
beneficiary has the right to be removed
from the fiduciary program if a court of
jurisdiction determines the beneficiary
is able to manage his or her financial
affairs. There are beneficiaries in the
fiduciary program who are determined
to be unable to manage their financial
PO 00000
Frm 00003
Fmt 4701
Sfmt 4700
32717
affairs by a court and without any rating
decision by VA. It is our intent that
these beneficiaries will have the right to
be removed from the fiduciary program
if the court makes a determination that
the beneficiary is able to manage his or
her financial affairs. Accordingly, we
have revised proposed
§ 13.30(b)(10)(i)(B) to clarify that a
beneficiary who is in the fiduciary
program based upon a court
determination that he or she cannot
manage financial affairs may be
removed from the fiduciary program if
the court later determines that the
beneficiary can manage his or her
financial affairs. Other beneficiaries,
who are in the fiduciary program as a
result of a VA rating decision, may also
submit evidence from a court regarding
their ability to manage VA benefits.
However, such evidence will be
forwarded to a VA rating authority for
a decision regarding whether the
beneficiary is able to manage his or her
VA benefits, as the rating authority has
sole responsibility for making such
determinations. See 38 CFR 3.353.
The same commenter also stated,
‘‘The Secretary’s position that the VA
fiduciary program regulations pre-empt
state laws in this area deserves specific
rebuttal,’’ adding that ‘‘the NPRM failed
to establish an adequate legal basis for
the disruption of a traditional area of
state authority.’’ The commenter then
went on to urge that VA recognize state
fiduciary laws, which ‘‘offer a broad
array of [ ] rules establishing fiduciary
responsibilities.’’ In the proposed rule,
we stated that, ‘‘in creating the fiduciary
program, Congress intended to preempt
State law regarding guardianships and
other matters to the extent necessary to
ensure a national standard of practice
for payment of benefits to or on behalf
of VA beneficiaries who cannot manage
their benefits.’’ See 79 FR 430. We stand
by that interpretation and make no
changes based on this comment.
While state law provides some
guidance concerning fiduciary matters,
those laws vary significantly from state
to state and do not pertain to VA’s
fiduciary program. Further, VA does
rely on state laws in cases where a state
court has appointed a fiduciary for
oversight of the veteran’s assets and
where there is no conflict between state
and Federal law, and/or when the courtappointed fiduciary is the same as the
VA-appointed fiduciary. State laws
often provide helpful guidance;
however, under the Supremacy Clause
of the Constitution, Federal law is
controlling. See U.S. Const. art. VI, cl 2;
Crosby v. Nat’l Foreign Trade Council,
530 U.S. 363, 372–73 (2000). To the
extent that a dispute arises between
E:\FR\FM\13JYR2.SGM
13JYR2
32718
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
sradovich on DSK3GMQ082PROD with RULES2
Federal and state law, Federal law
establishing and governing VA’s
fiduciary program as codified in parts
55 and 61 of title 38 of the United States
Code, as well as in regulations
implementing those statutes, controls.
See VAOPGC 3–86 (10–28–85) (citing
the Supremacy Clause and holding that
a state court lacks jurisdiction to
override VA’s authority in making
determinations affecting payment of an
incompetent veteran’s VA benefits to a
VA-appointed fiduciary).
The second commenter favorably
mentioned the beneficiary rights section
described in the proposed rule, stating:
‘‘Overall, we believe that VA’s proposed
fiduciary program regulations reflect an
acknowledgement of the rights of
veterans and other beneficiaries who are
under the jurisdiction of the program.
For example, § 13.30 enumerates the
rights and benefits of veterans and other
beneficiaries in the program.’’ We make
no changes based upon the comment.
Section 13.40—Representation of
Beneficiaries in the Fiduciary Program
We received two comments from the
same commenter regarding § 13.40.
First, the commenter quoted from the
NPRM, which distinguished fiduciary
matters from decisions on claims for
benefits and noted that, at the time of a
fiduciary appointment, ‘‘VA has already
awarded benefits to the beneficiary, and
any representation provided by an
accredited attorney or claims agent
would relate only to the fiduciary
appointment decision or decision to pay
benefits directly with VA supervision.’’
See 79 FR 432–33. This distinction will
be the same for all fiduciary matters.
Nonetheless, the commenter read this
portion of the preamble to mean that VA
had proposed to limit attorney fees to
appointment decisions.
We intended that the portion of the
preamble quoted immediately above
would explain applicability of the
proposed fee provisions in the context
of a fiduciary appointment. We did not
intend that commenters would read the
preamble as a general limitation on fees,
such that beneficiaries could not pay
attorneys for assistance in other
fiduciary matters. In fact, the
introductory text to proposed § 13.40
was clear that the proposed fee
provisions were applicable to
representation of beneficiaries before
VA ‘‘in fiduciary matters governed by
[38 CFR part 13].’’ Proposed paragraph
(c) was also clear that a VA-accredited
attorney or claims agent could charge a
reasonable fixed or hourly fee for
representation of a beneficiary ‘‘in a
fiduciary matter,’’ provided that the fee
meets the requirements of 38 CFR
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
14.636. We intended that beneficiaries
would have the choice of hiring an
attorney or claims agent and paying the
attorney or claims agent a reasonable
fixed or hourly fee for assistance with
any fiduciary matter. As proposed,
§ 13.40(c) reflected this intent and
addressed the commenter’s concerns.
We will not make any changes based
upon the comment.
Second, the commenter suggested that
VA should allow contingent fees on
recouped past-due benefits, to include
funds recovered from a prior fiduciary
or placed under control of a successor
fiduciary. However, as we explained in
the preamble to the proposed rule, ‘‘the
provisions of 38 CFR 14.636 that
reference past-due benefits, use the
amount of past-due benefits to calculate
a permissible fee, or authorize the direct
payment of fees by VA out of withheld
past-due benefits are not applicable in
fiduciary matters.’’ See 79 FR 432. We
based this statement on the fact that
fiduciary matters do not concern the
award of past-due benefits. At the time
of a fiduciary appointment and all other
fiduciary program matters, VA has
already awarded benefits to the
beneficiary, and any representation
provided by an accredited attorney or
claims agent could relate only to the
fiduciary matter. Even in the case of a
retroactive benefit payment, see
§ 13.100(c), VA has already awarded the
benefit pursuant to a decision on a
benefit claim and withheld it for
payment to a qualified fiduciary on
behalf of the beneficiary. An attorney
representing a beneficiary in the
fiduciary appointment could not claim
that his or her legal services resulted in
VA’s prior award of the retroactive
benefit.
The commenter also appears to assert
that, independent of any payment of
past-due benefits, a contingent fee could
be calculated based upon the amount of
funds being placed under the control of
a fiduciary who is ‘‘acceptable to the
client,’’ and that ‘‘this methodology has
been submitted for review to fiduciary
program managers and was found to be
compliant with regulations.’’ The
method proposed by the commenter
would require a finding on the amount
of the funds placed under the control of
the successor fiduciary and a conclusion
that the successor fiduciary was
‘‘acceptable to the client.’’ As
mentioned above, the amount of VA
benefits due to the beneficiary would
not change. The commenter’s suggested
revision would add unnecessary
complexity to fee determinations in
fiduciary cases, and would risk creating
a conflict of interest for the
representative by increasing the chances
PO 00000
Frm 00004
Fmt 4701
Sfmt 4700
that fees charged based upon
representation on benefit claims are
duplicated by fees charged for
representation on fiduciary matters. As
a result, we have concluded that it
would not be a prudent revision and
make no change based on this comment.
Section 13.50—Suspension of Benefits
We received one comment regarding
proposed § 13.50. The commenter read
the proposed provisions to mean that a
Hub Manager may suspend and ‘‘hold’’
payment of benefits, and generally
commented that VA must ensure that
beneficiaries have access to their
benefits when VA implements a
suspension for the reasons prescribed in
the proposed rule in which we agree.
VA occasionally encounters situations
in which it must suspend payment of
benefits to a fiduciary and take
appropriate action to ensure continuity
of benefits. In the rare case where VA
suspends benefits under proposed
§ 13.50, the VA Regional Office Director
who has jurisdiction over the fiduciary
hub would have authority to ensure that
the beneficiary’s needs are being met
through the appropriate coordination
with the beneficiary and disbursement
of the beneficiary’s funds. We
emphasized that proposed § 13.50
would be reserved for those rare cases
in which VA has no option but to take
appropriate, temporary steps to suspend
and separately manage disbursement of
benefits on behalf of a beneficiary. To
further limit any adverse impact that
might result from such a suspension, we
proposed to limit the Hub Manager’s
discretion to cases where the beneficiary
or the beneficiary’s representative
withholds cooperation in any fiduciary
matter or where VA must immediately
remove the fiduciary for cause and is
unable to appoint a successor fiduciary
before the beneficiary has an immediate
need for disbursement of funds. Under
these two situations only, VA will be
forced to take appropriate action and
disburse funds in the beneficiary’s and
the beneficiary’s dependents’ interests
so that the beneficiary has access to the
funds while VA takes steps to remediate
the problem. We will not make any
changes based upon the comment
because we believe that controls
prescribed in § 13.50 address the
commenter’s concerns.
Section 13.100—Fiduciary
Appointments
We received several comments
regarding proposed § 13.100. One
commenter suggested that VA establish
a maximum time period for appointing
a fiduciary once a beneficiary has been
rated as being unable to manage his or
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
her VA benefits. The commenter stated
that VA makes long-delayed
appointments without reconsidering
whether a beneficiary is able to manage
his or her VA benefits. The commenter
noted that delays in fiduciary
appointments are disruptive because
they could replace ‘‘well-functioning
caregiving structures with adversarial
relationships.’’ Along the same lines,
another commenter suggested we
develop timelines for the completion of
the investigation process to ensure
expeditious appointment of fiduciaries.
VA makes every effort to appoint
fiduciaries in accordance with internal
performance goals. Furthermore, VA’s
appointment process ensures that the
appointment reflects the beneficiary’s
current capacity to manage his or her
funds. In our experience in
administering the fiduciary program,
each fiduciary appointment is unique.
The time it takes to appoint a fiduciary
varies depending upon the facts of
individual cases, workload, program
growth, and available resources.
Because of the foregoing factors, we
cannot create a bright-line rule for the
completion of the investigation process
or the appointment of a fiduciary that
would be enforceable. While we will not
change § 13.100 to establish a timeliness
rule, VA takes seriously its
responsibility to protect beneficiaries
who are unable to manage their benefits
and will make every effort to improve
the timeliness of fiduciary
appointments.
Regarding concerns that long delays
in appointments should require
reconsideration of medical evidence as
to the beneficiary’s ability to manage his
or her VA benefits, we agree that
medical evidence plays an important
role in the determination of one’s ability
to manage his or her VA benefits and a
beneficiary should have an opportunity
to present such evidence. According to
38 CFR 3.353(c), ‘‘[u]nless the medical
evidence is clear, convincing and leaves
no doubt as to the person’s
incompetency, the rating agency will
make no determination of incompetency
without a definite expression regarding
the question by the responsible medical
authorities.’’ At the time a fiduciary is
appointed, a field examiner performs a
face-to-face interview with the
beneficiary for the purpose of assessing
the beneficiary’s ability to manage his or
her VA benefits and to afford the
beneficiary the opportunity to submit
evidence regarding his or her ability to
manage VA benefits. Any information
gathered at that face-to-face interview is
forwarded to the rating agency for
consideration as to whether the
beneficiary has the ability to manage his
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
or her VA benefits. This is consistent
with a pertinent regulation that provides
that if evidence is developed that a
person is capable of managing his or her
VA funds, that evidence is forwarded to
the rating agency for a determination as
to whether any prior decision of
incompetency should remain in effect.
See 38 CFR 3.353(b)(3). Therefore, if a
beneficiary believes he or she is able to
manage his or her VA benefits,
including at the time of a fiduciary
appointment, the beneficiary may
request a review of his or her
incompetency rating.
Regarding the commenter’s concern
that delayed fiduciary appointments
could replace ‘‘well-functioning
caregiving structures with adversarial
relationships,’’ we did not intend to
disturb well-functioning relationships
with those that are adversarial. In fact,
we did not propose to appoint a
particular fiduciary if we believed such
an appointment would create an
adversarial relationship. Instead, we
proposed to make every effort to appoint
a fiduciary that would best serve the
interest of a beneficiary, provided that
the proposed fiduciary is qualified and
willing to serve. In § 13.100(e), we
proposed to establish an order of
preference for the appointment of
fiduciaries. We proposed to first appoint
the beneficiary’s preference if the
beneficiary has the capacity to state
such a preference. In these cases, a
beneficiary could request appointment
of a person with whom he or she has a
well-functioning relationship. We then
proposed to appoint the beneficiary’s
spouse or other individuals or entities
as set forth in proposed § 13.100(e) that
we believed would result in an effective
beneficiary-fiduciary relationship.
Furthermore, pursuant to § 13.600, a
beneficiary may appeal VA’s
appointment of a fiduciary if the
beneficiary believes that the
appointment is not in his or her best
interest. When VA receives such an
appeal, it will try to resolve the
disagreement by again requesting the
beneficiary’s preference. For the
foregoing reasons, we make no change
based on this comment.
The same commenter stated that VA
should revise proposed § 13.100 to
require a credit and criminal history
check at each reappointment of a
fiduciary and conduct periodic, routine
credit and criminal history checks on
fiduciaries thereafter. The commenter
noted that such requirement would be
cost-effective and identify suspicious
financial activities.
In § 13.100, we proposed to
implement 38 U.S.C. 5507 regarding the
investigation VA must conduct of a
PO 00000
Frm 00005
Fmt 4701
Sfmt 4700
32719
prospective fiduciary. We proposed to
perform a face-to-face interview, when
practicable, and obtain and review a
credit report on the proposed fiduciary
that was issued by a credit reporting
agency no more than 30 days prior to
the date of the proposed appointment.
We also proposed to conduct a criminal
background check for the purposes of
determining whether a proposed
fiduciary was convicted of any offense
that would be a bar to serving as a
fiduciary under proposed § 13.130 or
that we could consider and weigh under
the totality of the circumstances
regarding the proposed fiduciary’s
qualifications.
Regarding this investigation, we agree
with the commenter and revised
§ 13.100(f) to add paragraph (3), which
requires the Hub Manager to conduct
the investigation, specifically the
requirements of paragraph (f)(1)(i)
through (iii), for every subsequent
appointment of the fiduciary for a
beneficiary. These requirements must be
met without regard to the proposed
fiduciary’s service to any other
beneficiary. Regarding the commenter’s
suggestion that we conduct periodic,
routine credit and criminal history
checks of fiduciaries, in proposed
§ 13.100(f)(2), we prescribed that, at any
time after the initial appointment of the
fiduciary, the Hub Manager may repeat
all or part of the investigation to ensure
that a fiduciary continues to meet the
qualifications for service. Although we
understand the commenter’s concern,
our program administration experience
suggests that periodic, routine checks in
all fiduciary appointments would not be
an efficient use of program resources.
Instead, we have determined that the
matter should be left to the Hub
Manager’s discretion on a case-by-case
basis. In addition, we have other
controls in place that will alert us
regarding the need for a review of a
fiduciary’s qualifications or to remove
him or her from service as fiduciary. For
example, if a fiduciary is not meeting
his or her accounting requirements
under § 13.280, or any of his financial
responsibilities under § 13.140, based
on the circumstances, we will conduct
a review of his or her qualifications or
remove him or her from service as a
fiduciary. Although we currently do not
have information to support prescribing
mandatory periodic, routine credit and
criminal history checks of VAappointed fiduciaries, we will continue
to monitor the activities of fiduciaries
and may address the matter in a future
rulemaking. To this end, we added the
phrase ‘‘or reappointment’’ after initial
appointment in § 13.100(f)(2) to clarify
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
32720
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
that Hub Managers may repeat all or
part of an investigation of a fiduciary
when the fiduciary is appointed to
another VA beneficiary. At this time, we
do not believe any additional changes
are needed based on this comment.
In a separate comment on proposed
§ 13.100, the same commenter stated
that face-to-face beneficiary interviews
should be limited to situations where
the information sought cannot be
obtained by other means. The
commenter was not aware of any
statutory requirement for this type of
beneficiary interview. The commenter
suggested that beneficiary interviews do
not provide new information and VA
could substitute information obtained
from caregivers, medical providers or
other third parties. The commenter
believed that beneficiary interviews are
for the purpose of establishing the
‘‘financial needs of the beneficiary and
set[ting] the budget for the fiduciary to
implement.’’ Thus, the commenter
suggested we revise proposed § 13.100
to limit beneficiary interviews to
situations where the beneficiary is the
only source for the information we are
seeking.
Under current law, ‘‘[w]here it
appears to the Secretary that the interest
of the beneficiary would be served
thereby, payment of benefits under any
law administered by the Secretary [of
Veterans Affairs] may be made directly
to the beneficiary or to a relative or
some other fiduciary for the use and
benefit of the beneficiary, regardless of
any legal disability on the part of the
beneficiary.’’ See 38 U.S.C. 5502(a)(1).
Our longstanding interpretation of this
broad authority is that VA may establish
a fiduciary program, under which it
oversees beneficiaries who cannot
manage their own VA benefits. Congress
generally deferred to VA to determine
the appropriate program requirements.
With respect to specific statutory
requirements for fiduciary
appointments, VA must conduct the
investigation prescribed in 38 U.S.C.
5507 and then conduct sufficient
oversight to determine whether
fiduciaries are properly providing
services for beneficiaries. While
Congress specifically mandated the
foregoing provisions, Congress did not
address how VA should conduct the
various activities required for proper
administration of the fiduciary program,
to include aspects of oversight to ensure
that a beneficiary’s benefits are used for
the ‘‘benefit of the beneficiary.’’
However, in 38 U.S.C. 5711(a)(5),
Congress authorized VA to, among other
things, ‘‘make investigations and
examine witnesses upon any matter
within the jurisdiction of the
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
Department.’’ Under the authority in
sections 5502 and 5711, we conduct
face-to-face visits with beneficiaries to
assess their well-being and oversee the
fiduciaries we appoint to ensure they
are meeting the beneficiaries’ needs.
Contrary to the commenter’s reading
of our proposed rule, VA conducts faceto-face beneficiary visits for a much
broader purpose. It is VA’s statutory
obligation to ensure that the fiduciaries
it appoints on behalf of beneficiaries are
fulfilling their core requirement of
monitoring the well-being of the
beneficiaries they serve and are
disbursing funds according to the
beneficiaries’ needs. Speaking with the
beneficiary and viewing that
beneficiary’s environment allows VA to
confirm that the fiduciary is monitoring
the beneficiary and fulfilling his or her
responsibilities under § 13.140 as the
beneficiary’s fiduciary. In addition, VA
assesses the beneficiary’s ability to
manage his or her VA funds during the
face-to-face visit. Thus, speaking to a
beneficiary is crucial for obtaining
information about the welfare and
financial abilities of the beneficiary and
adequacy of the fiduciary’s services. For
these reasons, we will not revise
§ 13.100 to limit face-to-face visits with
beneficiaries.
One commenter noted 38 U.S.C.
5507(d), which states that temporary
fiduciary appointments may not exceed
120 days in cases where a beneficiary is
appealing an incompetency rating
decision, and inquired about our policy
regarding appeals of incompetency
rating decisions that may take more than
120 days.
Regarding the commenter’s concern
that a beneficiary may be without a
fiduciary at the end of the 120-day
period, we note that VA does not
appoint a temporary fiduciary in lieu of
a permanent fiduciary when the
beneficiary is appealing an
incompetency rating. Under section
5507(d), ‘‘[w]hen in the opinion of [VA],
a temporary fiduciary is needed in order
to protect the assets of the beneficiary
while a determination of incompetency
is being made or appealed. . . , [VA]
may appoint one or more temporary
fiduciaries for a period not to exceed
120 days.’’ We interpret this statute to
mean that VA does not have to appoint
a temporary fiduciary in these cases, but
if it does, the appointment(s) cannot
exceed a total of 120 days. Under VA’s
current administration of the program,
when a beneficiary is appealing an
incompetency decision, the beneficiary
is already rated as being unable to
manage his or her VA benefits and is in
the fiduciary program. The decision is
based on medical evidence or a legal
PO 00000
Frm 00006
Fmt 4701
Sfmt 4700
determination of incompetency. As a
general rule, VA makes permanent
fiduciary appointments pending a
decision on the appeal of the
incompetency decision, which may take
one or more years. We have found that
this policy best protects beneficiaries
and is the least disruptive procedure for
them. In fact, we intended that our
proposed rules on temporary fiduciary
appointments would be reserved for
situations where VA has removed a
fiduciary for the reasons prescribed in
proposed § 13.500, cannot expedite a
successor fiduciary appointment, and
the beneficiary has an immediate need
for fiduciary services. We revised
proposed § 13.100 by removing
paragraph (h)(1)(i) requiring
appointment of a temporary fiduciary
when a beneficiary is appealing an
incompetency decision.
In § 13.100(h)(2), we proposed to limit
appointment of temporary fiduciaries to
individuals and entities that already
meet the qualification criteria for
appointment and are performing
satisfactorily as a fiduciary for at least
one other VA beneficiary for whom the
fiduciary has submitted an annual
accounting that VA has audited and
approved. A commenter disagreed with
the proposed limitation on temporary
appointments and suggested that our
proposed rule would exclude family
members, including spouses and other
caregivers, from serving as temporary
fiduciaries. The commenter stated that
we did not provide a sufficient basis for
not considering the usual order of
preference, as proposed in our
regulations, in temporary fiduciary
appointments.
In prescribing the rules on temporary
fiduciary appointments, our intention is
to expeditiously appoint a qualified,
well-performing fiduciary, who can
temporarily meet the beneficiary’s
immediate needs in rare circumstances.
In that regard, we intend to ensure that
the entity or individual we appoint as
temporary fiduciary not only meets the
qualification requirements under
section 5507, but is also performing
satisfactorily as a fiduciary for at least
one other VA beneficiary for whom the
fiduciary has submitted an annual
accounting that VA has approved. Both
requirements are crucial in our decision
to appoint a temporary fiduciary.
VA needs to appoint temporary
fiduciaries promptly in rare cases where
VA has removed a fiduciary for the
reasons prescribed in proposed § 13.500,
VA cannot expedite the appointment of
a successor fiduciary, or the beneficiary
has an immediate need for fiduciary
services, and in other cases in which VA
determines that it is necessary to protect
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
a beneficiary. Because of the urgency in
ensuring that a fiduciary is immediately
appointed in such cases, we might not
be able to complete the qualification
process prescribed by Congress in 38
U.S.C. 5507. As the commenter
suggested, it might sometimes be ideal
to appoint a family member as
temporary fiduciary in these rare cases.
While we implemented section 5507(c)
to exempt spouses from face-to-face
interviews, criminal background checks,
and credit checks, to ensure adequate
protection for beneficiaries, we still
have an obligation to explain the
responsibilities and requirements of
service to an individual who has never
served as a fiduciary. This would
require scheduling and conducting an
interview, and ensuring compliance of
the spouse or family member. This
would not be the case if VA appoints an
individual or entity successfully serving
as fiduciary. While these types of
appointments are rare, they are
generally time sensitive. The delay
associated with addressing fiduciary
responsibilities and ensuring agreement
from a spouse or family member is
unnecessary when we have a fiduciary
who can serve in an emergent but
temporary situation. A temporary
fiduciary allows VA to immediately
deliver benefits while we consider the
appointment of a fiduciary in
accordance with the priority of
appointment prescribed in § 13.100(a).
For the foregoing reasons we limit our
temporary fiduciary appointments as
prescribed in § 13.100(h) and make no
change based on this comment.
Under proposed § 13.100(c), ‘‘[t]he
Hub Manager will withhold any
retroactive, one-time, or other lump-sum
benefit payment awarded to a
beneficiary . . . until the Hub Manager
has appointed a fiduciary for the
beneficiary and, if applicable, the
fiduciary has obtained a surety bond
under § 13.230.’’ A commenter stated
that VA should not withhold a
beneficiary’s entire retroactive benefit
but should consider the size of the
award before we make a decision to
withhold. The commenter believed that
VA should release any amount that is
not larger than a beneficiary’s monthly
recurring benefits and a percentage of
larger retroactive benefits, or provide a
method for a beneficiary to access his or
her retroactive benefits in order to
ensure that his or her needs are being
met.
Our policy for withholding a
beneficiary’s retroactive benefits is to
protect benefits that the beneficiary may
need for future care and services and
that VA would not be able to reissue
under 38 U.S.C. 6107 if they were paid
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
directly to the beneficiary prior to a
fiduciary appointment. Under sections
6107(a) through (c), VA has authority to
reissue misused benefits when VA is
negligent in administering aspects of the
fiduciary program or, without regard to
negligence, when the fiduciary is an
entity that provides fiduciary services
for one or more beneficiaries or an
individual who provides fiduciary
services for 10 or more beneficiaries. VA
has determined that it is not prudent to
release retroactive benefits to a
beneficiary prior to a fiduciary
appointment because, at that point in
the process, VA has already determined
that the beneficiary cannot manage his
or her VA benefits. Moreover, VA’s
authority to reissue benefits is limited to
cases of fiduciary misuse. If VA released
a beneficiary’s retroactive award prior to
a fiduciary appointment and a family
member, care provider, or other person
assisting the beneficiary
misappropriated the funds, VA would
be unable to reissue benefits to the
beneficiary because there would not
have been misuse by an appointed
fiduciary. For this reason, we proposed
§ 13.100(c) with the intent of preserving
vulnerable beneficiaries’ VA benefits for
their future needs.
Regarding the commenter’s suggestion
that we release smaller amounts of
retroactive benefits and portions of
larger retroactive benefits to the
beneficiary prior to a fiduciary
appointment, or add provisions to
ensure the beneficiary’s needs are being
met, we have determined that current
fiduciary program policy, under which
VA initiates and continues payment of
monthly benefits to the beneficiary
while a fiduciary appointment is
pending, strikes the proper balance
between ensuring that beneficiaries’
current needs are met with protection of
lump-sum benefit payments for future
needs. For the foregoing reasons we will
not make any changes based on this
comment.
One commenter, a corporate
fiduciary, suggested that proposed
paragraph (d)(3) would not adequately
restrict a Hub Manager’s discretion in
fiduciary appointments. In proposed
§ 13.100(d) regarding initial fiduciary
appointments, we did not propose to
prescribe a specific limit on the number
of beneficiaries a single fiduciary could
serve. We had no data to support
proposing a bright-line rule for
discontinuing further appointments to a
fiduciary and determined that each Hub
Manager should have discretion to
determine whether it is in a
beneficiary’s interest to appoint a
particular fiduciary. However, to avoid
default appointments to certain paid
PO 00000
Frm 00007
Fmt 4701
Sfmt 4700
32721
fiduciaries in lieu of the best interest
determination required by 38 U.S.C.
5507(a)(2), we did not propose to give
the Hub Managers unfettered discretion
in such matters. First, under proposed
paragraph (d)(3), a Hub Manager would
consider whether the fiduciary could
handle an additional appointment
without degrading the service that the
fiduciary provides to any other
beneficiary who has funds under
management with the fiduciary. Second,
under proposed paragraph (e), we
would establish an order of preference
for appointing fiduciaries, with the
result being that beneficiaries generally
have a one-on-one relationship with a
volunteer family member, friend, or
caregiver fiduciary. In our view this
placed an adequate check on the Hub
Manager’s discretion in these situations.
On a case-by-case basis, a Hub Manager
may consider appointment of a single
fiduciary with multiple appointments if
it is in the best interest of the
beneficiary.
This commenter clarified that it was
not seeking a higher order of preference
in the appointment process or a brightline rule for the maximum number of
beneficiaries that a fiduciary may serve,
and understood that VA might have a
valid business reason to restrict further
appointments of a fiduciary in some
cases. However, the commenter
expressed concern that certain paid
fiduciaries would not have an equal
opportunity to compete for
appointments in those cases where VA
cannot appoint a qualified volunteer
fiduciary. Although we considered the
commenter’s concerns, we believe VA’s
primary obligation is to act in the best
interest of its beneficiaries and will
allow Hub Manager discretion in the
appointment process in the event a paid
fiduciary is required. Accordingly, other
than a technical change to § 13.100(e),
we are not making any changes to
§ 13.100 based upon the commenter’s
suggestion.
Finally, one commenter suggested
that VA’s fiduciary regulations
accommodate durable power of
attorneys (POAs). We interpret this to
mean that VA should give appointment
preference to the person who holds the
beneficiary’s POA.
Based upon VA’s experience, it would
not be good policy to give a person
holding a beneficiary’s POA priority
based only upon the existence of a POA.
Veterans and other beneficiaries in the
fiduciary program can be extremely
vulnerable and easily coerced into
signing documents. Additionally, a POA
can be executed and revoked by the
beneficiary at any time. If an individual
is holding a POA, VA would have no
E:\FR\FM\13JYR2.SGM
13JYR2
32722
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
sradovich on DSK3GMQ082PROD with RULES2
way of determining whether the POA is
still in effect or if the beneficiary had
the capacity to execute a legally
enforceable POA under state law at the
time of execution. Implementing
policies and procedures related to the
adjudication of POAs would needlessly
complicate and delay the fiduciary
appointment process. Also, under
current law, VA has a duty to appoint,
based upon a field examination and
consideration of the totality of the
circumstances, the individual or entity
that is in the beneficiary’s best interest.
While such a determination might
conclude that appointment of an
individual who holds the beneficiary’s
POA is in the beneficiary’s interest, VA
has determined that it cannot give
undue preference and weight to the
existence of a POA. Accordingly, we
will not make any changes to § 13.100
based upon the commenter’s suggestion.
Section 13.120—Field Examinations
In § 13.120(b), we proposed to
prescribe the scope of field
examinations, which could include, but
would not be limited to, ‘‘[a]ssessing a
beneficiary’s and the beneficiary’s
dependents’ welfare and physical and
mental well-being, environmental and
social conditions, and overall financial
situation, based upon visiting the
beneficiary’s current residence and
conducting a face-to-face interview of
the beneficiary and the beneficiary’s
dependents, when practicable.’’ We also
proposed that, among other things, VA
would conduct a field examination for
the purpose of making appropriate
referrals in cases of actual or suspected
physical or mental abuse, neglect, or
other harm to a beneficiary, as well as
when investigating allegations that a
fiduciary has misused funds or failed to
comply with the responsibilities of a
fiduciary under § 13.140.
We received two comments regarding
this proposed regulation. One
commenter shared his story of his
mother leaving her home to care for him
after he was injured in combat. The
commenter’s mother participates in the
VA caregiver support program
administered by the Veterans Health
Administration (VHA). The commenter
recommended that VA exempt
beneficiaries who have VHA-approved
caregivers from the home visit
component of a field examination
because VHA is already monitoring the
well-being of these beneficiaries.
Another commenter had the same
concerns. We agree that beneficiaries
whose family members are actively
participating in the VA caregiver
support program, and who remain
eligible to participate in this program,
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
should generally be exempted from the
home visit component of the fiduciary
field examination because VHA is
already assessing their physical wellbeing.
In 2010, the President signed into law
the Caregivers and Veterans Omnibus
Health Services Act of 2010. Section
101(a)(1) of that law added a new 38
U.S.C. 1720G to title 38, U.S.C., which
required VA to establish a program of
comprehensive assistance for family
caregivers of eligible veterans and a
program of support services for
caregivers of covered veterans, which
are collectively referred to as the
Caregiver Support Program. Congress
mandated, among other things, that as
part of the program of comprehensive
assistance for family caregivers, ‘‘[t]he
Secretary shall monitor the well-being
of each eligible veteran receiving
personal care services under the
program [and] . . . ensure appropriate
follow-up regarding findings [by] . . .
[v]isiting an eligible veteran in the
eligible veteran’s home to review
directly the quality of personal care
services provided to the eligible
veteran.’’ See 38 U.S.C. 1720G(a)(9)(A),
(C). The statute further prescribes that
VHA may take corrective action,
including providing additional training
or suspending or revoking the
caregiver’s approval or designation. See
38 U.S.C. 1720G(a)(9)(C)(ii). The
implementing regulations provide: ‘‘The
primary care team will maintain the
eligible veteran’s treatment plan and
collaborate with clinical staff making
home visits to monitor the eligible
veteran’s well-being, adequacy of care
and supervision being provided. This
monitoring will occur no less often than
every 90 days, unless otherwise
clinically indicated, and will include an
evaluation of the overall health and
well-being of the eligible veteran.’’ See
38 CFR 71.40(b)(2).
Based on the foregoing oversight
mandated by Congress and provided by
VHA, we have decided to generally
exempt beneficiaries who have a VHAapproved and monitored family
caregiver from the home visit
component of field examinations
because VHA already assesses their
physical well-being and environment. In
these cases, VHA’s oversight overlaps
with the fiduciary program’s oversight
that we proposed. We do not intend to
intrude on these beneficiaries, as we
believe VHA provides ample oversight.
In fact, we respect the relationship of
veterans and their family members, and
appreciate the ability to revise our rules
to limit any unnecessary or duplicative
oversight. In that regard, we will revise
§ 13.120 to reflect that VA will generally
PO 00000
Frm 00008
Fmt 4701
Sfmt 4700
exempt beneficiaries who have a family
member participating in the VA
caregiver support program from face-toface visits in the home to assess their
physical well-being and environment.
Specifically, we revise § 13.120 to add
paragraph (b)(1)(i) and prescribe that the
Hub Manager will waive the
requirements of paragraph (b)(1) of this
section if the beneficiary has a VHAapproved family caregiver and VHA
reports that the veteran is in an
excellent situation. However, we
prescribe an exception in new
paragraph (b)(1)(ii), which states that
the provisions of paragraph (b)(1)(i) do
not apply in cases where the Hub
Manager has information concerning the
beneficiary’s unmet needs or welfare or
information that the fiduciary has
violated his or her responsibilities
under § 13.140. This exception allows
VA to ensure that a fiduciary is meeting
his or her obligations to the beneficiary
based upon current information that the
Hub Manager obtains in the course of
overseeing fiduciary services. In the
event there is an allegation of misuse of
a veteran’s VA funds under management
or an allegation that a fiduciary is
neglecting a beneficiary or there is
insufficient evidence to determine the
veteran’s well-being, this exception will
allow the Hub Manager to provide
appropriate oversight.
However, VA will still conduct a faceto-face visit, any necessary
investigations, or other inquiries to
confirm the qualifications of a family
caregiver seeking to provide fiduciary
services for a veteran prior to
appointment. VA must conduct the
investigation prescribed by Congress in
38 U.S.C. 5507, which includes
conducting a face-to-face interview with
the proposed fiduciary to the extent
practicable, before appointing a person
as fiduciary.
Section 13.130—Bars to Serving as a
Fiduciary
We received two comments regarding
§ 13.130. One commenter stated that his
comment is specifically geared towards
VA’s need to coordinate with state
courts with jurisdiction over adult
guardianship and conservatorship. The
commenter cited two U.S. Government
Accountability Office reports—
‘‘Guardianships: Collaboration Needed
to Protect Incapacitated Elderly People’’
(2004) and ‘‘Incapacitated Adult:
Oversight of Federal Fiduciaries and
Court-Appointed Guardians Needs
Improvement’’ (2011). Both reports
discussed the lack of coordination in
sharing information between the state
courts handling guardianships, the VA
fiduciary program, and the Social
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
Security Administrative (SSA) payee
program. The commenter relied on these
reports to propose that this lack of
coordination could result in vital
information regarding a beneficiary’s
welfare or the mismanagement of his or
her VA benefits not being shared. The
commenter singled out court
information in particular, by concluding
that bars to serving as a fiduciary should
be expanded to include previous court
sanctions or removals as a guardian or
conservator and failure to file timely
reports with the court.
The topic of coordinating with
guardianship courts and other
governmental agencies is beyond the
scope of this rulemaking. However, it is
our current practice to coordinate with
courts and other agencies and share
information when it is appropriate or
necessary. We will continue to work on
any necessary protocols for coordinating
and information sharing between courts,
VA and other agencies. Nonetheless, we
agree with the commenter’s suggestion
that VA revise § 13.130 to bar a
fiduciary from service if he or she has
been removed as legal guardian by a
court for misconduct. At this time, we
decline to bar service as a fiduciary
based solely upon a court sanction or
other discipline short of removal. We
anticipate situations where it is in the
best interest of a particular beneficiary
for VA to appoint a guardian, such as a
family member or care provider, who
has been disciplined by a court but not
removed from service as a beneficiary’s
guardian.
There are various reasons a courtappointed guardian may be sanctioned
by a court and his or her appointment
may not pose a risk to the beneficiary
or still be in best interest of the
beneficiary. We believe it is best to
retain the ability to assess these
situations on a case-by-case basis. We
intend to weigh the totality of the
circumstances regarding the proposed
fiduciary’s qualifications and other
factors, including any court discipline
while serving as a guardian, in
determining whether the appointment is
in the beneficiary’s best interest.
Also, to mitigate the risk of
appointing as fiduciary a legal guardian
who has been disciplined by a court, we
proposed under § 13.140(d)(1) that a
fiduciary who is also appointed by a
court must annually provide to VA a
certified copy of the accounting
provided to the court or facilitate VA’s
receipt of such an accounting. In
addition, in § 13.500(a)(2)(ii), we
proposed to remove a fiduciary if he or
she fails to maintain his or her
qualifications or does not adequately
perform the responsibilities of a
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
fiduciary prescribed in § 13.140. Thus, a
fiduciary will be removed if the
continuation of his or her appointment
poses a risk to the beneficiary.
Accordingly, we will revise this
section to add paragraph (b)(6) regarding
a bar to service as a fiduciary if a
guardian has been removed from service
by a court for misconduct but do not
make any additional changes based on
these two comments.
Another commenter recommended
that VA expand the 10-year period in
proposed § 13.130(a)(2)(i) to 20 years
following the conviction of a felony as
a bar to appointment or continuation of
service as fiduciary. The commenter
submitted two papers in support of the
recommendation and claimed that both
support the conclusion that a person
who is crime free for 20 years is ‘‘less
likely’’ to commit a crime than a person
who has been crime free for 10 years.
However, the research presented does
not support the recommendation that
there is value in waiting an additional
10 years, i.e., the longer a person goes
without committing a crime the less he
or she is likely to commit a crime. In our
view, a person who has been previously
convicted of a felony, but has been
crime free for 10 years, should not be
barred from serving as a fiduciary.
One of the papers submitted by the
commenter cites to a 1994 Bureau of
Justice Statistics (BJS) study,
‘‘Recidivism of Prisoners Released in
1994’’ (June 2002), which tracked
272,111 former inmates for 3 years after
their release from prison in 1994. The
study found that 30 percent of the
272,111 were rearrested for a new crime
within the first 6 months of their
release; 44 percent were rearrested
within the first year; 59 percent were
rearrested within the first 2 years; 68
percent were rearrested within 3 years.
The BJS collects criminal history data
from the Federal Bureau of Investigation
and state record repositories to study
the recidivism patterns of various
offenders, including persons on
probation or discharged from prison. Its
latest study, ‘‘Recidivism of Prisoners
Released in 30 States in 2005: Patterns
from 2005 to 2010’’ (April 2014),
tracked the recidivism patterns of about
400,000 persons released from state
prisons in 2005. The study found that
28 percent of the 400,000 were
rearrested for a new crime within the
first 6 months of their release; 44
percent were rearrested within the first
year; 60 percent were rearrested within
2 years; 68 percent were rearrested
within 3 years; and 77 percent were
rearrested within 5 years. See https://
www.bjs.gov/content/pub/pdf/rpr94.pdf.
The report concluded that the longer
PO 00000
Frm 00009
Fmt 4701
Sfmt 4700
32723
released prisoners went without being
arrested, the less likely they were to be
arrested at all during the 5-year period.
See https://www.bjs.gov/content/pub/
pdf/rprts05p0510.pdf.
Another report, ‘‘State of
Recidivism—The Revolving Door of
America’s Prisons’’ (April 2011),
prepared by the Pew Center on the
States (Pew) in collaboration with the
Association of State Correctional
Administrators was based on a survey of
state corrections departments. This
report noted that 41 states provided
recidivism data on prisoners released in
2004, and 33 states provided data on
prisoners released in 1999. The
responding states represented 87
percent of all releases from state prisons
in 1999 and 91 percent of all releases in
2004. ‘‘In the first ever state-by-state
survey of recidivism rates, state
corrections data show that nearly 43
percent of prisoners released in 2004,
and 45 percent of those released in
1999, were reincarcerated within three
years, either for committing a new crime
or violating the terms of their
supervised release.’’ See https://
www.pewtrusts.org/en/about/newsroom/press-releases/0001/01/01/pewfinds-four-in-10-offenders-return-toprison-within-three-years. Studies by
BJS and Pew do not examine postrelease recidivism for someone who has
been crime free for 10 years or more.
In further consideration of the
comment to expand the 10-year period
to 20 years, we looked at industry
standards for guidance. There are no
bright-line rules used by states or SSA
for the appointment of convicted felons.
Although all fifty states and the District
of Columbia have enacted guardianship
statutes, there is a lack of statutory
consistency among the states regarding
the appointment of a guardian who was
convicted of a felony, and how long
after a conviction one should be barred
from serving. Research revealed three
distinct categories of state laws
concerning the eligibility of
guardianship candidates with past
felony convictions. Some states’ statutes
prescribed a complete disqualification
of a past felon as guardian. See, e.g., Fla.
Stat. Ann. § 744.309(3) (LexisNexis
2017); Wash. Rev. Code Ann.
§ 11.88.020(1)(c) (LexisNexis 2017).
Some states require the disclosure of the
prior felony with consideration given to
the ward’s best interest and no brightline rule regarding the numbers of years
after the conviction of a felony before
appointment. See, e.g., Ariz. Rev. Stat.
§ 14–5106(A)(1) (LexisNexis 2017); N.H.
Rev. Stat. Ann. § 464–A:4(V)(b)
(LexisNexis 2017). Other states’ statutes
do not address the issue. See, e.g., Ala.
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
32724
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
Code § 26–2A–104 (LexisNexis 2017);
Conn. Gen. Stat. § 45a–676(f)
(LexisNexis 2017).
SSA obtains information on whether
a prospective representative payee was
convicted of any offense under Federal
or state law and sentenced to a period
of imprisonment for more than 1 year
before appointment. As a general rule,
SSA will not appoint a convicted felon
as a representative payee unless it
cannot identify a suitable payee, there is
no risk to the beneficiary, and the
appointment is in the best interest of the
beneficiary. Thus, although SSA
considers certain crimes an absolute bar
to service as a representative payee, it
may still appoint a convicted felon if it
determines that the appointment is in
the best interest of the beneficiary. See
20 CFR 416.622, 416.624.
We proposed a general rule that a
felony conviction is a bar to
appointment or continuation of service
as a fiduciary for the 10-year period
following the conviction, provided that
the conviction is not for fraud, financial
crimes, or the abuse or neglect of
another person, all of which would be
a permanent bar to serving as a
fiduciary. See 79 FR 437. The
commenter’s suggestion that we should
revise the rule by lengthening the lookback period ‘‘to a period longer than ten
years’’ because a research study on the
usefulness of criminal background
checks stated that a violent offender is
‘‘less likely’’ to commit a crime if he or
she has been crime free for 20 years
does not mean that it would be good
policy to wait longer than 10 years to
appoint a person VA finds appropriate
to act as fiduciary for the beneficiary,
particularly when the person is the
beneficiary’s choice, it is the least
restrictive option, and in most cases is
the beneficiary’s family member.
We proposed that we could appoint a
convicted felon after 10 years only if we
determine that there is no other person
or entity willing and qualified to serve,
there is no risk to the beneficiary, and
such appointment is in the beneficiary’s
interest. See 79 FR 437. We intend with
the foregoing criteria in place, we will
not appoint a person that may pose a
risk to the beneficiary. In addition, in
§ 13.500, we proposed to promptly
remove a fiduciary if he or she poses a
risk to a beneficiary after appointment.
We believe that the measures we have
in place will allow us to carefully
consider a prospective fiduciary, who
was convicted of a felony more than 10
years prior to consideration for
appointment, to determine whether it is
in the beneficiary’s best interest to have
such person serve as fiduciary.
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
Therefore, we make no change based on
this comment.
In § 13.130, we proposed that an
individual or entity may not serve as a
fiduciary for a VA beneficiary if the
individual or entity was convicted of a
financial crime, e.g., fraud, theft,
bribery, embezzlement, identity theft,
money laundering, or forgery, or for the
abuse of or neglect of another person.
These offenses are permanent bars to
serving as fiduciary. One commenter
stated that our proposed list of
disqualifying offenses does not include
crimes related to dishonesty and
deception, which are offenses that could
place a beneficiary at risk for
victimization. However, the commenter
did not specifically identify the
additional crimes that the commenter
would like to see as bars to service as
a fiduciary.
The nature of specific offenses
included within the phrase dishonesty
and deception as expressed in Federal
regulations and state rules varies. For
example, banking regulations define
dishonesty as the following: ‘‘[D]irectly
or indirectly to cheat or defraud, to
cheat or defraud for monetary gain or its
equivalent, or to wrongfully take
property belonging to another in
violation of any criminal statute.
Dishonesty includes acts involving a
want of integrity, lack of probity, or a
disposition to distort, cheat, or act
deceitfully or fraudulently, and may
include crimes which federal, state or
local laws define as dishonest.’’ See 12
CFR 585.40. Department of Labor
regulations define ‘‘fraud or dishonesty’’
as encompassing ‘‘all those risks of loss
that might arise through dishonest or
fraudulent acts in handling of funds’’
and note that, under state law, ‘‘the term
‘fraud or dishonesty’ encompasses such
matters as larceny, theft, embezzlement,
forgery, misappropriation, wrongful
abstraction, wrongful conversion,
willful misapplication or any other
fraudulent or dishonest acts resulting in
financial loss.’’ See 29 CFR 453.12.
Furthermore, crimes of dishonesty
and deception can be either a felony or
misdemeanor offense, depending on the
jurisdiction and crime. In addition,
sentences for such crimes may differ
widely. As a result, not all crimes of
dishonesty and deception will be a bar
to service as fiduciary. For purposes of
our proposed regulations, we defined a
felony offense to mean a criminal
offense for which the minimum period
of imprisonment is 1 year or more,
regardless of the actual sentence
imposed or the actual time served. We
further explained that such a conviction
is not a bar to serving as a fiduciary if
the conviction occurred more than 10
PO 00000
Frm 00010
Fmt 4701
Sfmt 4700
years preceding the proposed date of
appointment and the crime is not one of
the crimes listed in proposed
§ 13.130(a)(2)(ii). We believe our
proposed rules on bars to service
provide the correct level of detail to
effectively consider a potential
fiduciary’s criminal background and the
best interests of beneficiaries. Therefore,
we will monitor the implementation of
this rule to ensure that it adequately
protects beneficiaries but will not make
any changes at this time based on this
comment.
Section 13.140—Responsibilities of
Fiduciaries
We received several comments
regarding proposed § 13.140. In
paragraph (c) we proposed that a
fiduciary’s non-financial
responsibilities, among other things,
will include contacting social workers
or mental health professionals regarding
the beneficiary, when necessary. One
commenter recommended we include as
a part of this responsibility that a
fiduciary also contact a court-appointed
guardian or conservator regarding the
beneficiary when necessary. We agree.
Without such contact, a fiduciary might
not be able to determine whether a
beneficiary’s needs are being met by the
fiduciary’s disbursement of funds. In
proposing paragraph (c), we intended
that fiduciary responsibilities would
include an obligation to monitor the
beneficiary’s well-being and report any
concerns to appropriate authorities, or
anyone legally tasked with ensuring the
beneficiary’s well-being. Amending this
rule to include contact with a legal
guardian or conservator is consistent
with our intent. We therefore revise
paragraph (c)(1) to state, ‘‘The
fiduciary’s primary non-financial
responsibilities include, but are not
limited to . . . Contacting social
workers, mental health professionals, or
the beneficiary’s legal guardian
regarding the beneficiary, when
necessary.’’
One commenter, citing 38 U.S.C.
5507, noted that our ‘‘principal
responsibility in appointing a fiduciary
is to determine [his or her] fitness to
serve as a fiduciary.’’ The commenter
noted that we nonetheless tasked a
fiduciary with financial and nonfinancial responsibilities, that proposed
§ 13.140(a) calls for a fiduciary to
monitor the beneficiary’s well-being,
and that proposed § 13.140(c) states that
a fiduciary has non-financial
responsibilities that ‘‘include but are not
limited to[,]’’ seven specific enumerated
responsibilities. The commenter stated
that the proposed ‘‘not limited to’’
language is vague, particularly when the
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
non-performance of such
responsibilities can subject a fiduciary
to removal under proposed § 13.500.
The commenter is correct that under
section 5507 VA has authority to ensure
that a person or entity appointed as
fiduciary for a beneficiary is fit to serve.
However, under 38 U.S.C. 5502(a)(1)
Congress also authorized VA to make
benefit payments to a fiduciary on
behalf of a beneficiary if it appears to
VA that such payment will serve the
interest of the beneficiary. Under this
authority, it is VA’s obligation to
oversee the fiduciaries it appoints to
manage VA benefits on behalf of
beneficiaries, and this oversight
includes prescribing fiduciary
responsibilities. While we may appoint
a fiduciary pursuant to the requirements
in section 5507, and remove them
pursuant to our oversight authority
under section 5502(a)(1) and (b), prior to
this rulemaking, we provided no
binding notice to beneficiaries and
fiduciaries regarding the responsibilities
of fiduciaries in VA’s program. For this
reason, we proposed to prescribe the
core requirements for all fiduciaries,
which are to monitor the well-being of
the beneficiaries they are appointed to
serve and to disburse funds according to
beneficiary needs. Prescribing these
requirements is consistent with
Congress’ intent when it authorized VA
to create the fiduciary program. As we
explained in the proposed rule, our
intention is to change the culture in the
fiduciary program to ensure that the
fiduciary we appoint determines the
beneficiary’s needs and disburses funds
to address those needs in the
beneficiary’s interest. See 79 FR 438. We
explained that VA is not the fiduciary
for the beneficiary and must defer to the
fiduciary consistent with VA
regulations. See 79 FR 438.
We also proposed to prescribe
fiduciaries’ specific non-financial
responsibilities. These responsibilities
generally concern a fiduciary’s
obligation to monitor the beneficiary’s
well-being and report any concerns to
appropriate authorities, including any
legal guardian for the beneficiary. These
responsibilities, among other things,
reinforce VA’s view that a fiduciary
must maintain regular contact with a
beneficiary and be responsive to
beneficiary requests.
Furthermore, we used the ‘‘include,
but are not limited to’’ language in
paragraph (c) to clarify that the
relationship between the beneficiary
and fiduciary must be defined by each
beneficiary’s needs. This rulemaking
provides the minimum expectations for
the fiduciaries whom VA appoints but
recognizes that fiduciaries may have
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
additional responsibilities to particular
beneficiaries depending upon the
fiduciary-beneficiary relationship and
the beneficiary’s individual needs.
Regarding the commenter’s concern
that a fiduciary could be removed for
any unknown reasons as a result of the
‘‘include, but are not limited to’’
language, the alternative is to list all
possible non-financial responsibilities
of a fiduciary, which is impossible
because of all the unique circumstances
specific to individual beneficiaries.
Rather, consistent with VA’s intent to
emphasize the fiduciary’s responsibility
for not only managing the beneficiary’s
VA funds, but also monitoring the
beneficiary’s general well-being, we
believe § 13.140 provides sufficient
guidance regarding our expectations for
a fiduciary. Moreover, a fiduciary may
always consult with a Fiduciary Hub
regarding the scope of his or her duties
and responsibilities relating to a
particular beneficiary. Prior to initiating
removal action, VA will thoroughly
investigate any alleged misconduct or
failure to satisfy responsibilities by a
fiduciary and assess whether to pursue
removal action. Furthermore, we
explained in the preamble to proposed
§ 13.600 that, although the Court of
Appeals for Veterans Claims’ holding in
Freeman v. Shinseki, 24 Vet. App. 404
(2011), was limited to fiduciary
appointments under section 5502, it
would be consistent to interpret the
court’s opinion to mean that there is a
right to appeal any VA fiduciary
decision that is made under a law that
affects the provision of benefits to a VA
beneficiary. See 79 FR 449. We therefore
proposed in § 13.600 that a beneficiary
could appeal the removal of a fiduciary.
Under § 13.500, VA will provide a
beneficiary clear notice of any decision
to remove a fiduciary and the
beneficiary’s right to appeal the
removal. If the basis for removal does
not involve a deficiency falling within
the seven enumerated non-financial
responsibilities, again, VA will,
consistent with VA’s general fiduciary
oversight authority in 38 U.S.C. 5502(a)
and (b), thoroughly investigate any
alleged misconduct or failure to satisfy
responsibilities by a fiduciary and
assess whether to pursue removal action
prior to initiating removal action. For
the foregoing reasons, we make no
change to this proposed rule.
One commenter cited to the preamble
of the proposed rule on accountings,
which stated that ‘‘[c]urrent policy also
recognizes, based upon VA’s experience
in administering the program, that the
burden of preparing, submitting, and
auditing accountings outweighs any
oversight benefit for many beneficiaries
PO 00000
Frm 00011
Fmt 4701
Sfmt 4700
32725
and VA.’’ See 79 FR 444. The
commenter interpreted this statement as
VA’s acknowledgement that certain
fiduciary responsibilities are
burdensome. The commenter suggested
that a fiduciary’s financial
responsibilities are burdensome and
technical, and complained that VA
would require family member
fiduciaries to be fiscal managers,
prudent investors and financial
planners. The commenter suggested that
VA instead promulgate rules regarding
VA’s responsibilities to fiduciaries, to
include providing family member
fiduciaries with technical support and
software to carry out their financial
responsibilities and protection of
private information.
VA’s fiduciary program policies have
long recognized that service as a
fiduciary for a beneficiary includes
financial and other obligations that may
at times be burdensome, particularly for
fiduciaries that are family members. For
this reason, VA’s policies attempt to
strike the appropriate balance between
oversight and fiduciary burden. VA
must protect beneficiaries from
fiduciary misuse of their benefits, while
also promoting service by family
members and other volunteers. We do
not agree with the commenter’s
assertion that the proposed
responsibilities of a fiduciary in
§ 13.140 impose an unwarranted burden
on family members. In our proposed
rules on accountings we explained that
we would continue to require
accountings only when the amount of
VA benefit funds under management by
the fiduciary exceeds $10,000, the
fiduciary receives a fee deducted from
the beneficiary’s account under
proposed § 13.220, or the beneficiary is
being paid monthly benefits in an
amount equal to or greater than the rate
for service-connected disability rated
totally disabling. See 79 FR 444. As a
general rule, no other fiduciaries will be
required to submit an annual
accounting. Regarding this rule, we
stated, ‘‘[c]urrent policy also recognizes,
based upon VA’s experience in
administering the program, that the
burden of preparing, submitting, and
auditing accountings outweighs any
oversight benefit for many beneficiaries
and VA.’’ See 79 FR 444. Thus, contrary
to the commenter’s interpretation, we
did not intend the quoted portion of the
preamble to mean that our proposed
rules of fiduciary responsibilities are
burdensome.
Furthermore, we did publish
proposed rules that impose obligations
comparable to financial management
and planning. In fact, we proposed
separate rules for fiduciary accounts
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
32726
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
(§ 13.200), fiduciary investments
(§ 13.210), and accountings (§ 13.280)
for the express purpose of clearly
notifying fiduciaries regarding their
basic financial management and
reporting obligations. These rules
require maintenance of a separate
fiduciary account, establish policy
regarding conservation of beneficiary
funds, limit investments to United
States savings bonds or Federallyinsured interest or dividend-paying
accounts, exempt spouses and chief
officers of institutions from the
investment limitations, and, as
described above, exempt most
fiduciaries from the submission of
annual audits. We do not agree that the
responsibilities prescribed in § 13.140 or
more specifically in § 13.200, § 13.210,
or § 13.280 are unduly burdensome for
family member fiduciaries. Rather, it is
our intent that these rules will strike the
appropriate balance between oversight
and encouraging volunteer fiduciary
service, with the emphasis being on
allowing the fiduciary to determine the
beneficiary’s needs and disburse funds
to address those.
We also explained our intent to
change the culture of the program to
ensure that fiduciaries do not
unnecessarily conserve beneficiary
funds. We explained, ‘‘[w]e are
concerned that some elderly
beneficiaries are dying with a large
amount of funds under management by
a fiduciary that could have been used
during the beneficiary’s life to improve
his or her standard of living.’’ See 79 FR
438. We intend that fiduciaries will
conserve or invest funds under
management that the beneficiary or the
beneficiary’s dependents do not
immediately need for maintenance,
reasonably foreseeable expenses, or
reasonable improvements in the
beneficiary’s and the beneficiary’s
dependents’ standard of living. In our
view, these basic responsibilities are
consistent with industry standards and
the fiduciary-beneficiary relationship,
protect beneficiaries while limiting the
burden on family member and other
volunteer fiduciaries, and promote
policies intended to improve
beneficiaries’ standard of living.
Regarding the responsibility of
protecting a beneficiary’s financial
information, we prescribed the basic
precautions, which if not taken, might
put the beneficiary at risk of identity
theft, misappropriation of funds, or
other harm. In that regard, we
prescribed the minimum requirements
for protection of beneficiaries’ private
information. We intend that fiduciaries
will take the reasonable precautions that
every person should take when
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
maintaining his or her private
information in paper or electronic
records to prevent identity theft and
unauthorized access. In proposing these
requirements, we did not intend to
supersede state law or other
professional industry standards, under
which a fiduciary may have additional
requirements that exceed the minimum
standard proposed by VA. We therefore
make no change based on this comment.
Section 13.140(a)(2)(iv) requires a
fiduciary to maintain financial records
for a minimum of 2 years from the date
VA removes the fiduciary under
§ 13.500, and § 13.500(a)(1)(iv) provides
that VA may remove a fiduciary if ‘‘[t]he
beneficiary dies.’’ Therefore, we note
that § 13.140(a)(2)(iv) includes the
requirement that a fiduciary must
maintain financial records for a
minimum of 2 years after a fiduciary is
removed following a beneficiary’s death.
This requirement facilitates any inquiry
into the fiduciary program and allows
VA to address questions regarding the
fiduciary’s past services to the
beneficiary. We also made a few
nonsubstantive changes to § 13.140.
Section 13.210—Fiduciary Investments
We made a minor revision to § 13.210
by substituting ‘‘Fiduciaries should not
conserve VA benefit funds under
management for a beneficiary based
primarily upon the interests of the
beneficiary’s heirs or according to the
fiduciary’s own values, preferences, and
interests’’ for ‘‘Fiduciaries will not
conserve VA benefit funds under
management for a beneficiary based
upon the interests of the beneficiary’s
heirs or according to the fiduciary’s own
beliefs, values, preferences, and
interests.’’ This change is necessary to
provide fiduciaries with some flexibility
and to avoid the perception that belief
systems are an element of VA’s
oversight.
Section 13.220—Fiduciary Fees
We received three comments
regarding proposed § 13.220. One
commenter agreed with our proposal to
bar fiduciary fees on retroactive benefits
payments, but suggested we explicitly
preempt state laws that allow a higher
than 4 percent fee for fiduciary services.
The commenter stated that while we
proposed that our regulations would
preempt state laws, we failed to invoke
this preemption for fiduciary fees. The
commenter read our proposed rules on
fiduciary fees to mean that a fiduciary
can receive a higher than 4 percent fee
for his or her services, if state laws
allow such higher fees.
The commenter may have overlooked
our explicit language to preempt state
PO 00000
Frm 00012
Fmt 4701
Sfmt 4700
law in fiduciary matters. We specifically
stated that we interpret 38 U.S.C.
5502(a)(1) to mean, ‘‘in creating the
fiduciary program, Congress intended to
preempt State law regarding
guardianships and other matters to the
extent necessary to ensure a national
standard of practice for payment of
benefits to or on behalf of VA
beneficiaries who cannot manage their
benefits.’’ See 79 FR 430. We further
explained that we intended to apply this
approach to all fiduciary matters on the
effective date of the final rule. See 79 FR
430. We did not propose to authorize a
higher than 4 percent fee for services
performed by a fiduciary even if a state
authorizes a higher fee. In the preamble
to proposed § 13.220, we made it clear
that when we determine that a fee is
necessary to obtain a fiduciary in the
best interests of a beneficiary, Congress
authorized a reasonable fee to be paid
from the beneficiary’s VA funds, but
such fee for any year may not exceed 4
percent of the beneficiary’s monetary
VA benefits paid to the fiduciary during
any month in which the fiduciary
serves. See 79 FR 440. We will not make
any changes based on this comment
because § 13.220 clearly prescribes that
a fiduciary fee cannot exceed 4 percent
of a beneficiary’s monetary VA benefits
paid to the beneficiary during any
month in which the fiduciary serves.
Another commenter cited to proposed
§ 13.140(d)(1), where we prescribed that
‘‘[i]f the fiduciary is also appointed by
a court, [the fiduciary must] annually
provide to [VA] a certified copy of the
accounting provided to the court or
facilitate [VA’s] receipt of such an
accounting,’’ and proposed § 13.30(a),
which prescribed the circumstances in
which we would appoint a fiduciary on
behalf of a beneficiary, to include when
‘‘a court with jurisdiction might
determine that a beneficiary is unable to
manage his or her financial affairs.’’ The
commenter appears to have read our
references to ‘‘court’’ in these sections to
mean that VA would continue to
recognize court-appointed guardians as
fiduciaries, which would grant them
certain exemptions from our proposed
rules.
It is our intent to continue to appoint
a beneficiary’s court-appointed guardian
to serve as VA fiduciary if we determine
that no other appropriate person or
entity is willing to serve without a fee
and such an appointment will be in the
beneficiary’s interest. For existing courtappointed guardians who are serving
satisfactorily as fiduciaries, we will
continue their appointments as
fiduciaries. However, in such
appointments, only VA’s regulations
will prescribe the fiduciary’s
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
responsibilities, as well as the fees they
are authorized to receive. Accordingly,
fees in excess of 4 percent of a
beneficiary’s monthly benefit payment
are not authorized. Our proposed rules
were clear that they would apply to
existing court-appointed guardians who
are also fiduciaries. We proposed to
discontinue the distinction between
‘‘Federal’’ fiduciaries and ‘‘courtappointed’’ fiduciaries, and instead refer
only to ‘‘fiduciary’’ or ‘‘fiduciaries’’ in
our regulations. We explained that it is
VA’s long-standing interpretation of
current law to appoint and conduct
oversight regarding all individuals and
entities that provide fiduciary services
for beneficiaries. See 79 FR 430. We
intend to issue uniform rules for all VAappointed fiduciaries, such as allowable
fees, surety bond requirements and
appropriate investments, to include
fiduciaries who also serve as courtappointed guardians for beneficiaries.
However, for fiduciary investments that
already exist, we do not intend to
disturb these investments, as we
recognize the risks that may be involved
in any liquidation or changes.
Therefore, we intend to apply our
proposed regulations on fiduciary
investment only to those investments
acquired after the effective date of the
final rule.
In proposed § 13.140(d)(1), we
prescribed that a court-appointed
guardian who is also a VA fiduciary
should annually provide us with a
certified copy of the accounting he or
she provides to the court. We did not
propose that this will be in lieu of
submitting an accounting to VA
pursuant to proposed § 13.280.
Fiduciaries who are also courtappointed guardians are required to
provide VA with an annual accounting
as prescribed in § 13.280. Pursuant to
our oversight authority, we must ensure
consistency in reporting to the court and
VA, and ensure that funds are used in
the interest of beneficiaries.
Furthermore, proposed § 13.30(a)
stated that our authority to appoint a
fiduciary on behalf of a beneficiary
includes cases in which ‘‘a court with
jurisdiction . . . determine[s] that a
beneficiary is unable to manage his or
her financial affairs.’’ This language
does not mean that VA will continue to
recognize court-appointed guardians
without subjecting them to our rules. If
VA appoints or continues the
appointment of a court-appointed
guardian as fiduciary, that fiduciary will
be subject to VA rules only for purposes
of managing the beneficiary’s VA
benefits. For the foregoing reasons, we
do not make any changes to § 13.220
based upon the commenter’s inquiry.
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
In proposed § 13.220(b)(4), we
prescribed that VA will not authorize
fiduciary fees for any month a court
with jurisdiction or VA determines that
a fiduciary misused or misappropriated
benefits. A commenter suggested that
VA would need to coordinate with
courts to obtain information on misuse.
The commenter further stated that there
is also a need for coordination regarding
fiduciary fees, as a fiduciary could
receive fees from both the court and VA.
We agree with the commenter that
coordination with courts is important to
curtail misuse. It is our current practice
to coordinate with courts and other
agencies and share information when it
is appropriate or necessary. We will
continue to work on any necessary
protocols for coordinating and
information sharing between courts, VA
and other agencies. However, the topic
of coordinating with guardianship
courts and other governmental agencies
is beyond the scope of this rulemaking.
With regard to fees, we clarify that a
fiduciary, who is also acting as a stateappointed guardian for the beneficiary,
may receive a fee not to exceed 4
percent of the monthly VA benefit for
the fiduciary responsibilities but may
additionally receive a fee for his or her
responsibilities as a state-appointed
guardian.
Section 13.230—Protection of
Beneficiary Funds
We received three comments
regarding proposed § 13.230. A
commenter suggested that we not only
exempt spouses from the surety bond
requirements, but also exempt all family
members who are fiduciaries. The
commenter stated that requiring family
members to obtain surety bonds to
protect beneficiaries’ funds is a waste of
the beneficiary’s VA funds.
Under current law, ‘‘[a]ny
certification of a person for payment of
benefits of a beneficiary to that person
as such beneficiary’s fiduciary . . . shall
be made on the basis of,’’ among other
things, ‘‘the furnishing of any bond that
may be required by [VA].’’ See 38 U.S.C.
5507(a)(3). We interpret this
requirement to mean that, where VA has
imposed a bond requirement, the
certification of any person as a fiduciary
must be based in part upon the
proposed fiduciary’s ability to qualify
for and purchase such bond. As such,
this requirement is a screening tool for
VA to use in confirming qualification
for appointment before releasing any
large retroactive payment to a fiduciary.
If a fiduciary cannot obtain a bond
because the bonding company considers
the risk of fund exploitation too high,
VA will not appoint the prospective
PO 00000
Frm 00013
Fmt 4701
Sfmt 4700
32727
fiduciary and appoint an individual or
entity who can obtain the necessary
fund protection. In addition, requiring a
prospective fiduciary to secure a surety
bond is consistent with our oversight
obligations, which among other things,
include deterring fiduciary misuse of
benefits. VA’s surety bond requirements
put a fiduciary on notice that he or she
is liable to a third party for any payment
on the bond, and in the event a
fiduciary misuses a beneficiary’s VA
benefits, the bonding requirements
protect the beneficiary’s funds.
For the foregoing reasons, we
proposed that all fiduciaries with the
general exception of spouses must,
within 60 days of appointment, furnish
to the fiduciary hub of jurisdiction a
surety bond conditioned upon faithful
discharge of all of the responsibilities of
a fiduciary if the VA benefit funds that
are due and to be paid will exceed
$25,000. We also proposed to apply this
rule to a fiduciary who is not initially
required to obtain a bond but later over
time accumulates funds on behalf of a
beneficiary that exceed the $25,000
threshold. Based on our experience in
administering the program, the risks of
not requiring all fiduciaries, with the
exception of spouses, to furnish a surety
bond significantly outweigh any burden
on a prospective fiduciary.
We have exempted spouses who are
fiduciaries from the surety bond
requirements consistent with our longstanding policy of requiring less
intrusive oversight of spouse fiduciaries.
It has always been our policy to
minimize the Government’s intrusion
into the marital relationship and to
avoid dictating requirements for
property that is jointly owned by a
beneficiary and his or her spouse. We
therefore make no changes based on this
comment.
One commenter suggested that VA
should require a court-appointed
guardian who was previously
sanctioned, disciplined, or removed by
a court to furnish a surety bond as an
additional screening tool, if VA is
considering the appointment of that
guardian as a fiduciary. In 38 U.S.C.
5502, Congress authorized VA to
appoint a fiduciary for a beneficiary
only if it appears to VA that it would
serve the beneficiary’s interest.
Depending on the sanction, discipline
or removal a guardian received from a
court, VA may appoint or continue the
appointment of that fiduciary only if VA
determines that there is no other person
or entity willing and qualified to serve,
there is no risk to the beneficiary, and
the appointment is in the beneficiary’s
interest. VA will consider the totality of
the circumstances before the
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
32728
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
appointment or continuation of the
appointment. Should VA decide to
appoint or continue the appointment of
a guardian as fiduciary, who was
sanctioned, disciplined or removed by a
court, we agree with the commenter that
requiring a surety bond in such
appointments may serve as an
additional screening tool. Accordingly,
we prescribed in § 13.230(c)(2), that
‘‘the Hub Manager may, at any time,
require the fiduciary to obtain a bond
described in [§ 13.230(a)] and meeting
the requirements of [§ 13.230(d)],
without regard to the amount of VA
benefit funds under management by the
fiduciary for the beneficiary, if special
circumstances indicate that obtaining a
bond would be in the beneficiary’s
interest.’’ Such special circumstances
may include cases where a fiduciary
was sanctioned, disciplined or removed
by the court. We therefore make no
changes based on this comment.
One commenter stated that family
caregivers who are also fiduciaries
should be exempted from the surety
bond requirements. Another commenter
generally stated that family caregivers
who are fiduciaries should also be
exempted from the surety bond
requirements because they are approved
and monitored by VHA.
We note that VHA does not monitor
caregivers’ management of veterans’ VA
benefits. Under 38 U.S.C.
1720G(a)(1)(A), VA ‘‘establish[ed] a
program of comprehensive assistance
for family caregivers of eligible
veterans.’’ As part of this program, VA
has authority to provide family
caregivers with ‘‘instruction,
preparation and training’’ appropriate to
provide services as caregivers, and to
monitor the well-being of each eligible
veteran receiving personal care services
under the program. See 38 U.S.C.
1720G(a)(3)(A)(i)(I), (a)(9)(A).
VHA’s monitoring consists of
maintaining a ‘‘veteran’s treatment plan
and collaborat[ing] with clinical staff
making home visits to monitor the
eligible veteran’s well-being, adequacy
of care and supervision being
provided.’’ See 38 CFR 71.40(b)(2).
Thus, while VHA provides monitoring
of the adequacy of care as it pertains to
the veteran’s health and well-being, it
does not provide any training or
oversight as it pertains to the ability of
a family caregiver to manage the
veteran’s VA benefits. See 38 U.S.C.
1720G(a)(9)(C); 38 CFR 71.15, 71.25(c)
and (d). The fiduciary program appoints
fiduciaries on behalf of beneficiaries
who are unable to manage their VA
benefits and provides oversight to these
fiduciaries. VA-appointed fiduciaries
are tasked with, among other things,
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
managing a beneficiary’s monetary VA
benefits, while family caregivers are
tasked with supporting the veteran’s
health and well-being. We note further
that requirements for caregivers are
distinguishable in many ways from the
requirements of fiduciaries. In this
regard, the fact that someone may
qualify as a family caregiver does not
mean that they also would be able to
serve as a fiduciary and/or obtain a
surety bond.
Under 38 U.S.C. 5507, VA must
conduct an investigation regarding a
proposed fiduciary before appointing
the individual to serve as a fiduciary.
This investigation must include an
inquiry regarding the proposed
fiduciary’s criminal and credit history.
See 38 U.S.C. 5507(a)(1)(C) and (b).
Furthermore, under 38 U.S.C. 5507(a),
‘‘[a]ny certification of a person for
payment of benefits of a beneficiary to
that person as such beneficiary’s
fiduciary . . . shall be made on the
basis of,’’ among other things, ‘‘the
furnishing of any bond that may be
required by [VA].’’ In order to meet our
oversight responsibilities and ensure
that only the most qualified individuals
are appointed as fiduciary to serve our
vulnerable beneficiaries, we require
prospective fiduciaries to furnish a
surety bond consistent with proposed
§ 13.230. We cannot exempt a family
caregiver from the surety bond
requirements because the VHA caregiver
program does not provide oversight as it
pertains to a beneficiary’s VA benefits.
We therefore do not make any changes
based on this comment.
One commenter did not agree with
VA’s proposal to generally eliminate the
use of restricted withdrawal agreements.
The commenter believes the process of
converting restricted withdrawal
agreements into surety bonds would
result in a cost to VA by generating
more work for VA’s field fiduciary
employees, to include scheduling new
field examinations to replace fiduciaries
who cannot obtain surety bonds.
It has been VA’s practice to
occasionally allow a fiduciary, generally
a family member or other close
acquaintance of the beneficiary, to enter
into a restricted withdrawal agreement
with the beneficiary and VA regarding
management of accumulated funds
under management in lieu of obtaining
a surety bond. We proposed to eliminate
the use of withdrawal agreements in
proposed § 13.230, except for fiduciaries
residing in the Commonwealth of Puerto
Rico, Guam, or another territory of the
United States, or in the Republic of the
Philippines, where surety bonds may
not be available. We have determined
that withdrawal agreements are
PO 00000
Frm 00014
Fmt 4701
Sfmt 4700
generally inconsistent with VA policy
regarding the role of VA and fiduciaries
in the fiduciary program. See 79 FR 441.
One of the overall goals of our rewrite
of VA’s fiduciary regulations was to
change the program’s culture to ensure
that it is the fiduciary, and not VA, that
determines the beneficiary’s needs and
disburses funds to address those needs
in the beneficiary’s interest. In our view,
it is the fiduciary’s obligation to make
best-interest determinations regarding
beneficiary funds under management.
The use of a restricted withdrawal
agreement may improperly insert VA
into matters reserved for fiduciaries. In
that regard, we proposed the core
requirements for all fiduciaries, which
are to monitor the well-being of the
beneficiaries they serve and to disburse
funds according to beneficiary needs.
VA is not the fiduciary for the
beneficiary and must defer to the
fiduciary consistent with VA
regulations.
We do not anticipate a change in
workload or any budget increases with
the implementation of this rule.
Currently, less than 1/8th of 1 percent
of our fiduciaries have withdrawal
agreements. This is a result of our
current policy to require surety bonds in
lieu of withdrawal agreements. For the
few fiduciaries that still have
withdrawal agreements, effective with
our final rule, we will require them to
obtain surety bonds. It will be
incumbent upon the fiduciary to obtain
a surety bond and provide VA with
proof of the surety bond. If a fiduciary
cannot obtain a surety bond because the
bonding company considers the risk of
fund exploitation too high, VA will not
continue the appointment of the
fiduciary and will instead appoint an
individual or entity that can obtain the
necessary fund protection. To the extent
this will require additional field
examinations, we expect any additional
costs for this activity to be marginal.
Consistent with Congress’ intent, VA
makes every effort to ensure that only
qualified individuals and entities
provide fiduciary services for
beneficiaries. As such, this requirement
is a screening tool for VA to use in
confirming an appointment decision
before releasing any large retroactive
payment to a fiduciary. We make no
change based on this comment.
Section 13.250—Funds of Deceased
Beneficiaries
We did not receive any comments on
this regulation; however, we made a
technical change consistent with
governing authority. Under 38 U.S.C.
5502(e), when a beneficiary who has a
fiduciary dies without leaving a valid
E:\FR\FM\13JYR2.SGM
13JYR2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
will and without heirs, all VA benefits
under management by the fiduciary for
the deceased beneficiary must be
returned to VA if such funds will
‘‘escheat’’ to the state, less any
deductions of expenses to determine
that escheat is in order. In our proposed
rules, we used the plain language term
‘‘forfeited’’ instead of ‘‘escheat.’’
However, to be more precise and
consistent with the governing authority,
we replaced the term ‘‘forfeited’’ with
‘‘escheat.’’
sradovich on DSK3GMQ082PROD with RULES2
Section 13.260—Personal Funds of
Patients
We did not receive any comments on
this rule; however, we made a couple of
nonsubstantive changes to § 13.260.
Section 13.280—Accountings
In proposed § 13.280(b), we defined
‘‘accounting’’ to mean ‘‘the fiduciary’s
written report regarding the income and
funds under management by the
fiduciary for the beneficiary during the
accounting period prescribed by the
Hub Manager.’’ The proposed rule
further states that, ‘‘[t]he accounting
prescribed by this section pertains to all
activity in the beneficiary’s accounts,
regardless of the source of funds
maintained in those accounts.’’ One
commenter questioned VA’s authority to
require accountings regarding non-VA
funds that are under management by a
VA-appointed fiduciary. The
commenter also believed that it is VA
policy to require fiduciaries to disburse
non-VA funds before VA funds, and
again questioned our authority for such
actions.
Under 38 U.S.C. 5509(a), VA has
authority to require fiduciaries to file
accountings regarding funds under
management. Pursuant to 38 U.S.C.
5502(b), such accountings may include
disclosure of ‘‘any additional financial
information concerning the beneficiary
(except for information that is not
available to the fiduciary).’’ For
accounting purposes, VA has authority
to request information regarding all
activity in a beneficiary’s account. It
would be very difficult to detect misuse
of benefits if VA were required to limit
its audit to activity related only to
income and expenditures actually
derived from VA benefits. Therefore, we
prescribed, consistent with our statutory
authority, that an accounting pertains to
all activity in the beneficiary’s accounts,
regardless of the source of income.
It is not VA’s policy to require
fiduciaries to disburse a beneficiary’s
non-VA funds before his or her VA
funds. In fact, it is our policy as clarified
in this rulemaking that it is the fiduciary
who determines the beneficiary’s needs
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
and disburses funds to address those
needs in the beneficiary’s interest. In
that regard, we specifically prescribed
in§ 13.140(a) that a fiduciary must
disburse or otherwise manage funds,
which would include all non-VA funds
of the beneficiary under the fiduciary’s
control, according to the best interests of
the beneficiary and the beneficiary’s
dependents and ‘‘in light of the
beneficiary’s unique circumstances,
needs, desires, beliefs, and values.’’ We
did not propose to require fiduciaries to
disburse funds under management in
any specific order. Accordingly, we
make no change based upon these
comments.
In § 13.280, we proposed that a
fiduciary would be required to provide
VA an annual accounting regarding
funds under management for a
beneficiary when the amount of VA
benefit funds under management by the
fiduciary exceeds $10,000, the fiduciary
receives a fee deducted from the
beneficiary’s account under proposed
§ 13.220, or the beneficiary is being paid
monthly benefits in an amount equal to
or greater than the rate for a serviceconnected disability rated totally
disabling. We received several
comments that generally suggested that
we should exempt fiduciaries who are
VHA-approved family caregivers from
our accounting requirements because
they receive ample oversight from the
VA Caregiver Support Program. One
commenter specifically stated that the
VA Caregiver Handbook states that joint
checking, investment, and other
accounts are allowed between veterans
and their caregivers.
Congress granted VA the authority to
‘‘establish a program of comprehensive
assistance for family caregivers of
eligible veterans,’’ as well as a program
of general support services for
caregivers of ‘‘veterans who are enrolled
in the health care system established
under [38 U.S.C. 1705(a)] (including
caregivers who do not reside with such
veterans).’’ See 38 U.S.C. 1720G(a), (b).
VHA has since established a Caregiver
Support Program, which provides
certain medical, travel, training, and
financial benefits to caregivers of certain
veterans and service members who were
seriously injured in the line of duty on
or after September 11, 2001. As
discussed above, neither the statute and
implementing regulations nor the VA
Caregiver Support Program provides for
any oversight as it pertains to a veteran’s
VA benefits.
For fiduciaries in the fiduciary
program, VA must conduct the
investigation prescribed in 38 U.S.C.
5507, and thereafter conduct sufficient
oversight for the purpose of, among
PO 00000
Frm 00015
Fmt 4701
Sfmt 4700
32729
other things, monitoring a fiduciary
regarding misappropriation or misuse of
benefits and reissuance of benefits
under 38 U.S.C. chapter 61. Under 38
U.S.C. 5509(a), VA has authority to
require fiduciaries to file accountings
regarding funds under management, and
it is the responsibility of the fiduciary
program to oversee the actions of
fiduciaries as it relates to the use of VA
benefits. Accordingly, we propose to
continue to require accountings only
when the amount of VA benefit funds
under management by the fiduciary
exceeds $10,000, the fiduciary receives
a fee deducted from the beneficiary’s
account, or the beneficiary is being paid
monthly benefits in an amount equal to
or greater than the rate for serviceconnected disability rated totally
disabling. At this time, we will not
exempt VHA-approved caregivers from
the fiduciary accounting requirement
because the caregiver program does not
include alternative oversight of the
caregiver’s fiduciary obligations.
While a commenter cited page 157 of
the ‘‘VA Caregiver Handbook’’ and
stated that the Caregiver Support
Program allows joint accounts between
veterans and family caregivers, a review
of both the VA Caregiver Support
Program Guidebook, which is no longer
in use following the issuance of VHA
Directive 1152, Caregiver Support
Program (June 14, 2017), and the
National Caregiver Training Program
Caregiver Workbook did not confirm the
commenter’s assertion. In the
‘‘Resources’’ module of the National
Caregiver Training Program Caregiver
Workbook, pages 153 through 168, VA
outlines the resources that are available
to family caregivers and mentions joint
accounts, but it does not state that
caregivers can open joint accounts with
veterans. Because the VA Caregiver
Support Program does not provide
oversight of a caregiver-fiduciary’s
management of a veteran’s VA benefits,
we make no change based on these
comments.
Two commenters suggested that we
should require accountings from all
fiduciaries, to include spouses. The
commenters generally stated that some
family members exploit the
beneficiaries they are appointed to
serve, and requiring accountings would
serve as an additional deterrent to the
misuse of benefits. Another commenter
stated that a spouse caregiver who is
also a fiduciary should be exempted
from the accounting requirement. As
stated previously, VA proposed only to
require accountings when the amount of
VA benefit funds under management by
the fiduciary exceeds $10,000, the
fiduciary receives a fee deducted from
E:\FR\FM\13JYR2.SGM
13JYR2
32730
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
sradovich on DSK3GMQ082PROD with RULES2
the beneficiary’s account, or the
beneficiary is being paid monthly
benefits in an amount equal to or greater
than the rate for a service-connected
disability rated totally disabling. It is
our general policy that every fiduciary
that meets the foregoing criteria must
submit an annual accounting to VA.
We prescribed exceptions to the
general accounting rules. First, no
spouse will be required to submit an
annual accounting. As we explained
above, it is VA’s long-standing policy to
avoid undue intrusion into the
relationship between a beneficiary and
the beneficiary’s spouse. It is our policy
to minimize the Government’s intrusion
into the marital relationship and avoid
dictating requirements for property that
is jointly owned by a beneficiary and his
or her spouse. Second, we will not
require the chief officer of a Federal
institution to submit an annual
accounting because such officers
generally do not disburse funds,
disburse only small fund amounts for
the beneficiary’s personal use, or
disburse funds according to the
discretion delegated to the Secretary of
Veterans Affairs by law. Third, we will
not require an annual accounting from
the chief officer of a non-VA facility
receiving benefits for a beneficiary
institutionalized in the facility when the
cost of the monthly care and
maintenance and personal cost expenses
of the beneficiary in the institution
equals or exceeds the beneficiary’s
monthly benefit and the beneficiary’s
funds under management by the
fiduciary do not exceed $10,000.
However, VA will continue to require
accountings from all family members
who serve as fiduciaries with the
exceptions noted above. We make no
change based on these comments but
will continue to monitor the accounting
requirements to ensure that we have the
proper balance between oversight and
fiduciary burden. We have, however,
added new language in paragraph (a)(4)
stating that accounting is required if the
Hub Manager determines that it is
necessary to ensure the fiduciary has
properly managed the beneficiary’s
funds. This will allow the Hub Manager,
on a case-by-case basis, to determine
when an annual accounting is required
to protect the beneficiary.
Section 13.400—Misuse of Benefits
We received three comments
regarding proposed § 13.400. One
commenter suggested our definition of
misuse should include the failure of a
fiduciary to distribute funds to fulfill a
beneficiary’s needs. However, VA
cannot conclude, without a clear
evidentiary basis, that a fiduciary is
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
misusing a beneficiary’s VA benefits if
that fiduciary is not distributing funds
to fulfill a beneficiary’s needs. A
fiduciary, for example, could be
conserving a beneficiary’s funds instead
of distributing funds to fulfill the
beneficiary’s needs, or be unable to
perform his or her duties as fiduciary for
a number of reasons, which would not
equate to misuse but might justify
removing the fiduciary. Our definition
of misuse restates the statutory
definition, and consistent with current
VA policy, will facilitate VA’s
identification of possible misuse.
Nonetheless, in the event a fiduciary is
not distributing funds to fulfill a
beneficiary’s needs in accordance with
proposed § 13.140, which would
prescribe that a fiduciary must monitor
the well-being of the beneficiary the
fiduciary serves and disburse funds
according to beneficiary’s needs, the
fiduciary will be removed under
§ 13.500. We therefore make no changes
based on the comment.
Another commenter suggested that
when we make a misuse determination
on reconsideration, the decision should
identify whether a fiduciary is a courtappointed guardian or conservator. We
agree. We have amended paragraph
(d)(4) to reflect that we would identify
in our final misuse determination
whether the fiduciary is a courtappointed guardian or conservator.
The same commenter also suggested
that VA develop protocols and notify
the court, in addition to the beneficiary
and legal guardian, of our misuse
determinations when the fiduciary is
also a court-appointed guardian. We
agree. In cases where a fiduciary, who
is also the beneficiary’s legal guardian,
misappropriates or misuses a
beneficiary’s VA benefits and there is a
bond in place payable to the court, VA
will contact the court to make it aware
of the situation and facilitate recovery of
any misappropriated or misused funds
from the surety company. In addition,
VA will put the court on notice that the
continuation of the appointment of the
legal guardian may no longer be in the
beneficiary’s interest. Accordingly, in
response to this comment, we have
revised § 13.400(c) and (e)(1) by
requiring the Director of the VA
Regional Office of jurisdiction to also
report misuse cases to ‘‘the court of
jurisdiction if the fiduciary is also the
beneficiary’s court-appointed legal
guardian and/or conservator.’’
We have amended proposed
§ 13.400(b) to clarify the discretionary
authority of the Hub Manager to
investigate or not investigate an
allegation of misuse. The Hub Manager’s
decision is discretionary because it
PO 00000
Frm 00016
Fmt 4701
Sfmt 4700
involves the complicated balancing of a
number of factors, including whether
the misuse allegation is likely to lead to
a finding of misuse and whether to
expend limited funds and staffing
resources in an investigation and
issuance of a formal decision in
response to such allegation. The revised
language provides that ‘‘[u]pon receipt
of information from any source
regarding possible misuse of VA
benefits by a fiduciary, the Hub Manager
may, upon his or her discretion,
investigate the matter and issue a
misuse determination in writing.’’
Section 13.410—Reissuance and
Recoupment of Misused Benefits
Section 6107(a)(2) provides that VA
negligence causes misuse when the Hub
Manager fails to properly investigate or
monitor the fiduciary, such as when the
Hub Manager fails to timely review the
fiduciary’s accounting or receives notice
of an allegation of misuse but fails to act
within 60 days of the date of
notification of the alleged misuse to
terminate the fiduciary. We made a
technical change to proposed
§ 13.410(b)(1) through (b)(3) to more
accurately reflect 38 U.S.C. 6107(a)(2).
In reviewing proposed § 13.410, we
noticed that we failed to list one
criterion in section 6107(a) for the
reissuance of benefits based upon a
determination that VA negligence
resulted in misuse of benefits. As such,
we are adding a new paragraph
(b)(1)(iii) to make clear that negligence
includes situations where VA received
an allegation of misuse, decided to
investigate after exercising its
discretion, and found misuse, but failed
to initiate action within 60 days of
receipt of the misuse allegation to
terminate the fiduciary. We are also
clarifying paragraph (b)(1)(ii) to state,
‘‘The Hub Manager did not decide
whether to investigate an allegation of
misuse within 60 days of receipt of the
allegation,’’ which more accurately
reflects the responsibility of the Hub
Manager to exercise his or her
discretionary authority to investigate a
misuse allegation in a timely manner.
Section 13.600—Appeals
In proposed § 13.600, we proposed to
close the evidentiary record on an
appealable fiduciary matter once we
reviewed the evidence relating to the
fiduciary matter and made a decision.
See 79 FR 449. We explained that our
intent was to expeditiously process
appeals in fiduciary matters to avoid
delaying VA’s effort to resolve the
beneficiary’s disagreement with a
decision or issuing a statement of the
case or certifying an appeal to the
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
Board. See 79 FR 449. We further
explained that closing the record would
not limit the Board’s authority to
remand a matter to the Hub Manager,
Regional Office Director, or Director of
the Pension and Fiduciary Service
under 38 CFR 19.9 for any action
necessary for an appellate decision or
the issuance of a supplemental
statement of the case under 38 CFR
19.31(b)(2), (b)(3), or (c). See 79 FR 449.
We received several comments
regarding proposed § 13.600 as it
pertains to closing the record. One
commenter is concerned that closing the
record on the date our decision is made
to remove a fiduciary would prevent a
beneficiary from submitting new
information about ‘‘the continuation of
misfeasance or malfeasance by the
fiduciary.’’ The commenter is concerned
that if a fiduciary retaliates against the
beneficiary during the appeals process,
VA could be negligent for not having
such information, as the record would
be closed. The commenter further
believes that the closing of the record
would prevent a beneficiary from
submitting additional evidence for
reconsideration or additional misuse.
Another commenter stated that
closing the evidentiary record will
obstruct compliance with the duty-toassist statute, which provides that VA
has an affirmative duty to assist a
claimant in obtaining evidence to
substantiate the claimant’s claim for VA
benefits, which may include obtaining
relevant private or Government records
or providing a medical examination or
obtaining a medical opinion when
necessary to decide the claim. See 38
U.S.C. 5103A.
In light of the foregoing comments, we
reexamined proposed § 13.600 and
agreed with the commenters that closing
the record could prevent an appellant
from submitting additional evidence
that could impact a final decision under
current regulations. A reexamination of
this regulation also led us to conclude
that closing of the evidentiary record
would interfere with the general
appellate process. Under 38 CFR 20.800,
an appellant may submit additional
evidence after initiating an appeal.
Under 38 U.S.C. 7105(e), if an appellant
submits additional evidence to the
agency of original jurisdiction or the
Board after the filing of a substantive
appeal, the Board may review it for the
first time on appeal unless the appellant
specifically requests the agency of
original jurisdiction to review it first;
under 38 CFR 20.1304(a), an appellant
may submit additional evidence within
90 days after an appeal is certified to the
Board or before the Board issues a
decision, whichever comes first; under
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
§ 20.1304(b), an appellant may submit
additional evidence after the 90-day
period upon a showing of good cause.
Accordingly, we have revised
§ 13.600(b) to remove reference to
closing the record, thus permitting the
potential submission of additional
evidence to the extent allowed by
statutes and regulations generally
governing appeals.
Regarding the commenter’s concerns
that the duty to assist should apply to
all stages of the appeal, we stated in the
preamble to proposed § 13.600 that,
although decisions on fiduciary matters
are made under laws that affect the
provision of benefits and, therefore, fall
within the scope of 38 U.S.C. 511(a)
(Decisions of the Secretary; finality),
fiduciary matters are not decisions on
claims for benefits and would not be
afforded the same procedures as
prescribed by VA for benefit claims
under 38 CFR part 3. See 79 FR 449.
Any duty to assist will be triggered at
the claim development stage. Fiduciary
matters arise after a beneficiary has
established his or her claim for VA
benefits. Therefore, the duty to assist is
not applicable to fiduciary matters.
Another commenter suggested that we
include incompetency rating decisions
in our list of appealable decisions. The
commenter stated that it is unclear
whether we intend to include
incompetency rating decisions as an
appealable decision in our part 13
fiduciary regulations or leave such
decisions in VA’s 38 CFR part 3
adjudication regulations.
We did not propose to include
incompetency rating decisions in our
fiduciary regulations because VA
determinations of incompetency are the
subject of the adjudication regulations
in part 3, see 38 CFR 3.353(e), which
precede the appointment of a fiduciary
in cases where a beneficiary is
determined unable to manage his or her
VA-derived monetary benefits.
Beneficiaries rated by VA as being
unable to manage their VA benefits are
afforded the right of appeal regarding
that rating through VA’s regulations in
38 CFR parts 3, 19, and 20. A
beneficiary enters the fiduciary program
after he or she is rated unable to manage
his or her VA benefits. VA’s rating
agencies are authorized to find
beneficiaries incompetent for the
purpose of disbursement of benefits, see
38 CFR 3.353(b), (c), (d), and the rules
that govern these determinations are
contained in VA’s part 3 regulations.
While VA adjudication regulations
trigger entry into VA’s fiduciary
program, these regulations have aspects
that operate independently from VA’s
fiduciary program. Finally, we have
PO 00000
Frm 00017
Fmt 4701
Sfmt 4700
32731
found that the process described above
works effectively. For the foregoing
reasons, we did not propose to
consolidate the rules applicable to
incompetency rating decisions in our
proposed part 13 regulations.
The same commenter stated that VA
did not provide any reasons for closing
the record after we make a final decision
on an appealable fiduciary matter. The
commenter stated that because fiduciary
appeals involve ‘‘mentally challenged
and impaired beneficiaries, the record is
highly likely to be incomplete or
otherwise in need of enhancement to
ensure a fair and well-founded decision
of appeal.’’ Citing to 38 CFR 3.103 and
Cushman v. Shinseki, 576 F.3d 1290
(Fed. Cir. 2009), the commenter stated
that existing VA appellate procedures
should govern fiduciary appeals. The
commenter further stated that an
appellant’s right to due process includes
the right to a complete and accurate
record, and closing the record amounts
to a violation of a beneficiary’s right to
due process.
As previously explained, we are
amending § 13.600 to remove reference
to closing the evidentiary record.
Regarding an appellant’s right to due
process in fiduciary matters, VA’s
fiduciary regulations will afford
beneficiaries all of the process that is
due to them under the law through
specific notice and opportunity-to-beheard provisions. After the appointment
of a fiduciary, we will afford due
process in VA decisions regarding
fiduciary matters as prescribed in the
part 13 regulations. For instance, VA
will provide to the beneficiary a written
decision and notice of appellate rights
in a fiduciary matter that is appealable
under § 13.600. See 38 CFR 13.30(b).
Regarding misuse, VA will issue a
decision and provide the parties an
opportunity to request reconsideration
and submit any additional information,
see § 13.400(c), (d), and will provide to
the beneficiary a written decision and
notice of appellate rights following
reconsideration, see §§ 13.400(d),
13.600(a)(4).
For the foregoing reasons, we have
changed our position regarding the
evidentiary record on appeal. To reflect
these changes, in § 13.600(b), we have
removed language as it pertains to the
closing of the record.
General Matters
In 38 U.S.C. 5502(a)(1), Congress
authorized VA to appoint a fiduciary for
the purpose of receiving and disbursing
VA benefits on behalf of a beneficiary:
‘‘Where it appears to the Secretary that
the interest of the beneficiary would be
served thereby, payment of benefits
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
32732
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
under any law administered by [VA]
may be made directly to the beneficiary
or to a relative or some other fiduciary
for the use and benefit of the
beneficiary, regardless of any legal
disability on the part of the
beneficiary.’’ In the preamble to the
proposed rule, we explained that VA
interprets ‘‘regardless of any legal
disability’’ in section 5502(a)(1) to mean
that, in creating the fiduciary program,
Congress intended VA to preempt state
laws regarding guardianships and other
matters to the extent necessary to ensure
a national standard of practice for
payment of benefits to or on behalf of
VA beneficiaries who cannot manage
their benefits. See 79 FR 430.
One commenter disagreed with our
interpretation that Congress intended
VA to preempt state law. The
commenter stated that Congress
intended VA to utilize ‘‘well-developed
state law in this area to aid in the
appointment, regulation, and oversight
of its fiduciaries.’’ Citing to various
Supreme Court cases, the commenter
generally stated that there is no
reasonable basis for our interpretation of
section 5502(a)(1) and we did not
address well-established legal tests for
whether Congress intended a Federal
statute to preempt state laws.
Matters regarding the governance of
guardianships for persons with legal
disabilities have their jurisdiction in
state courts. See, e.g., Neb. Rev. Stat.
Ann. § 30–2602(a) (LexisNexis 2017).
Congress specifically provided that,
‘‘regardless of any legal disability on the
part of the beneficiary,’’ VA can act and
appoint a fiduciary on behalf of such
beneficiary. Contrary to the
commenter’s concern, as discussed
below, this language cannot be
construed to mean that Congress
explicitly authorized VA to create a
fiduciary program whereby it appoints a
fiduciary on behalf of a beneficiary,
irrespective to any legal disability, and
then defers to state laws for the
administration of the fiduciary program.
We do not disagree with the
commenter that there are welldeveloped laws in matters of
guardianship. We did not propose to
preempt these state laws regarding the
administration of state guardianship
matters. When Congress enacted section
5502, it did not intend a sweeping
preemption of state laws that govern
guardianship activities. As we discuss
further below, we believe Congress only
intended for VA to preempt state law in
guardianship matters as they relate to
VA benefits. Under the authority
granted by current law, we proposed to
promulgate uniform rules for all
fiduciaries appointed by VA to manage
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
VA benefit payments on behalf of
beneficiaries. As such, if we appoint a
state-appointed guardian to serve as a
fiduciary on behalf of a beneficiary who
is receiving VA benefits, our
regulations, not state law, are applicable
to the appointment and oversight of the
fiduciary and the fiduciary’s
management of VA benefits for the
beneficiary, as Congress intended.
In establishing the fiduciary program,
Congress did not intend for VA to refer
to various state laws for the
administration of the fiduciary program.
For example, Congress did not intend
for VA to utilize state laws regarding
fiduciary fees that are paid from a
beneficiary’s VA benefits and subject
beneficiaries to the various fee
schedules prescribed by states, such that
beneficiaries will be treated differently
depending upon state of residence.
Under section 5502(a)(2), Congress
specifically mandated ‘‘a reasonable
commission for fiduciary services
rendered’’ to be paid from the
beneficiary’s VA funds, ‘‘but the
commission for any year may not
exceed 4 percent of the monetary
benefits.’’ Furthermore, among other
things, Congress authorized VA to
remove any fiduciary who is not
meeting the fiduciary’s responsibilities
to a beneficiary or who is not acting in
the beneficiary’s interest. See 38 U.S.C.
5502. VA’s authority also extends to
appointment of a temporary fiduciary in
certain circumstances, suspending
payments to any fiduciary who fails to
properly submit an accounting to VA,
and, with respect to the appointment of
a fiduciary, conducting investigations of
prospective fiduciaries. See 38 U.S.C.
5502, 5507. The foregoing statutory
obligations demonstrate Congress’ intent
to create a uniform system of fiduciary
services for VA beneficiaries,
irrespective of inconsistent state laws.
The commenter relied on Hines v.
Stein, 298 U.S. 94 (1936), and stated that
the United States Supreme Court
addressed the matter as to whether
Congress intended VA to preempt state
laws regarding guardianships and
rejected VA’s supremacy theory 75 years
ago. The commenter’s reliance on Hines
for this proposition is misplaced. In
Hines, the then Administrator of
Veterans Affairs objected to an
attorney’s fee, which was allowed by a
state court for an attorney’s special
services in a guardianship matter, on the
grounds that the fees were in excess of
the amount fixed by Federal statutes.
See Id. at 96–97. The Court found that
‘‘[n]othing brought to our attention
would justify the view that Congress
intended to deprive state courts of their
usual authority over fiduciaries, or to
PO 00000
Frm 00018
Fmt 4701
Sfmt 4700
sanction the promulgation of rules to
that end by executive officers or
bureaus.’’ See Id. at 98. It accordingly
affirmed the order of the court of
common pleas allowing the attorney’s
fees. The Supreme Court’s decision in
Hines reflects that state courts at the
time of that decision had the authority
to make decisions in state-appointed
guardianship cases involving veterans.
This remains true in matters that do not
involve matters affecting the payment of
VA monetary benefits to persons whom
VA has adjudicated as unable to manage
these funds. In cases that involve VA’s
appointment of fiduciaries and their
oversight of VA funds due to persons
adjudicated by VA as incompetent to
manage those funds, Congress has
provided specific authority authorizing
VA oversight via statutes now codified
in chapters 55 and 61 of title 38 of the
United States Code. Because these
statutes were enacted after Hines and
therefore were not addressed in Hines,
Hines does not control in matters
involving VA’s appointment of
fiduciaries and oversight of VA funds.
VA’s longstanding interpretation of 38
U.S.C. 5502 is that VA may establish a
fiduciary program, under which it
oversees beneficiaries who cannot
manage their own VA benefits, and
preempt state law regarding
guardianships and other matters to the
extent necessary to ensure a national
standard of practice for payment of
benefits to or on behalf of VA
beneficiaries who cannot manage their
benefits. It is reasonable to conclude
that Congress had knowledge of state
laws and Hines as they pertain to
guardianship matters, when it granted
VA the authority to administer the
fiduciary program. Therefore, with its
enactment of 38 U.S.C. 5502, Congress
expressed a remedy for subjecting VA
beneficiaries to varying state laws and
intended for VA to preempt state law as
it relates to appointment of fiduciaries
to oversee the assets of persons whom
VA adjudicated as incompetent to
manage their VA-derived monetary
benefits.
The commenter cited various
Supreme Court cases that discuss the
methods by which the Court may
discern whether Congress intended to
preempt state law when it enacted
certain Federal legislation, and the
commenter stated that VA did not
address any of the tests for preemption
as established by the Court. There is no
dispute that the Supreme Court has
established various tests on the issue of
whether a Federal statute preempts state
laws and has discussed the various tests
in numerous cases. The commenter
cited Pharmaceutical Research and
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
Manufacturers of America v. Walsh, 538
U.S. 644 (2003), in which the Court
noted: ‘‘the question [in this case] is
whether there is a probability that [a
state’s] program was pre-empted by the
mere existence of the federal statute. We
start therefore with a presumption that
the state statute is valid . . . and ask
whether petitioner has shouldered the
burden of overcoming that
presumption.’’ See Id. at 661–662
(citation omitted). Walsh concerned
whether a Maine prescription drug law,
under which the state attempted to
renegotiate rebates with drug
manufacturers, was preempted by the
Federal Medicaid statute. See Id. at 650–
51.
The above-quoted statement in Walsh
describes how the burden of showing
preemption is allocated in litigation
between private parties. It does not
describe how courts determine whether
an agency is correct in finding that
Federal law preempts certain state
actions. See, e.g., id. at 661 (stating that,
if the agency had determined that the
state law impermissibly conflicted with
Federal law, the agency’s ‘‘ruling would
have been presumptively valid’’). As
explained below, our conclusion is
consistent with the general standards
courts apply in determining that Federal
law preempts any conflicting state laws
as to matters that Congress intended
would be governed by Federal law.
Further, unlike Walsh, we are not
assessing the validity or invalidity of a
specific state statute but, rather, are
merely explaining the basis for our
conclusion that Congress authorized VA
to establish uniform standards
governing VA fiduciary matters that
would preempt state law in the event of
any conflict.
As an initial matter, we emphasize
that VA did not propose to intrude on
state authority over a particular activity,
specifically its governance of
guardianship matters. In that regard, if
a state appoints a person or entity to
serve as legal guardian for an
individual, the state law of jurisdiction
would apply to that matter, and VA has
no authority to interfere. VA did not
propose to regulate state guardianships
or to invalidate state laws as they apply
to guardianship matters. However, if VA
determines that it will be in a VA
beneficiary’s interest to appoint the
beneficiary’s state-appointed guardian
as fiduciary over the beneficiary’s VA
monetary benefits, VA’s regulations will
apply to VA’s appointment of that
fiduciary and VA’s oversight of the
fiduciary’s management of VA funds.
The doctrine of preemption has its
roots in the Supremacy Clause, U.S.
Const., art. VI, cl. 2, and requires courts
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
to examine congressional intent. Fid.
Fed. Sav. & Loan Ass’n v. de la Cuesta,
458 U.S. 141, 152–53 (1982). The
Supreme Court has held that
preemption ‘‘may be either express or
implied, and is compelled whether
Congress’ command is explicitly stated
in the statute’s language or implicitly
contained in its structure and purpose.
Absent explicit pre-emptive language,
Congress’ intent to supersede state law
altogether may be inferred because the
scheme of federal regulation may be so
pervasive as to make reasonable the
inference that Congress left no room for
the states to supplement it, because the
Act of Congress may touch a field in
which the federal interest is so
dominant that the federal system will be
assumed to preclude enforcement of
state laws on the same subject, or
because the object sought to be obtained
by federal law and the character of
obligations imposed by it may reveal the
same purpose.’’ See Id. (citations and
quotations omitted). Further, ‘‘[e]ven
where Congress has not completely
displaced state regulation in a specific
area, state law is nullified to the extent
that it actually conflicts with federal
law. Such a conflict arises when
compliance with both federal and state
regulations is a physical impossibility.’’
See Id. at 153.
In deciding questions of preemption,
courts follow two guiding principles:
‘‘First, the purpose of Congress is the
ultimate touchstone in every preemption case. Second, in all preemption
cases, and particularly in those in which
Congress has legislated . . . in a field
which the States have traditionally
occupied, . . . [courts] start with the
assumption that the historic police
powers of the States were not to be
superseded by the Federal Act unless
that was the clear and manifest purpose
of Congress.’’ See Wyeth v. Levine, 555
U.S. 555, 565 (2009) (citations and
quotations omitted).
Here, upon a plain reading of section
5502(a)(2) and a review of its legislative
history, Congress intended VA to
preempt state law regarding
guardianships and other matters to the
extent necessary to ensure a national
standard of practice for payment of
benefits to or on behalf of VA
beneficiaries who cannot manage their
benefits. As noted above, it is well
established in guardianship statutes that
guardianship matters relating to legal
disability have their jurisdiction in state
courts. State courts ultimately
determine the necessity of a legal
guardian based on the individual’s legal
disability. As such, Congress would
have excluded the specific language
‘‘regardless of any legal disability’’ in
PO 00000
Frm 00019
Fmt 4701
Sfmt 4700
32733
section 5502 had it intended for state
laws to apply to matters of payment of
VA benefits to fiduciaries on behalf of
VA beneficiaries who cannot manage
their VA benefits. Instead, Congress
provided for VA to appoint a fiduciary
irrespective to any legal disability of the
beneficiary and for Federal laws, rather
than state laws, to govern the fiduciary
program. See 38 U.S.C. 5502(a)(2) (‘‘a
fiduciary appointed by the Secretary’’).
More fundamentally, by vesting VA
with statutory authority over the
appointment, supervision, payment, and
removal VA fiduciaries, Congress has
made clear its intent that Federal law
will govern those matters. Thus, VA
proposed rules that are uniform to all
fiduciaries that it appoints to manage
VA benefits on behalf of beneficiaries.
In 1974, Congress amended then 38
U.S.C. 3202 and authorized VA to make
payments to a fiduciary other than a
state-appointed guardian. See Public
Law 93–295, sec. 301, 88 Stat. 180, 183–
84 (1974). Furthermore, 38 U.S.C.
5502(b), among other things, authorizes
VA to suspend benefits to a fiduciary,
regardless of whether he or she is
appointed as guardian by the state court,
if that fiduciary refuses to render an
account to VA, or if he or she neglects
to administer a beneficiary’s estate
according to law. Our conclusions
regarding the plain language and the
structure and purpose of section 5502
are bolstered by its legislative history.
The language and available legislative
history of the statute reflect Congress’
intent to create a uniform fiduciary
program for all VA beneficiaries who are
unable to manage their VA benefits.
In support of the commenter’s
assertion that Congress intended VA to
defer to the various state laws in its
administration of the fiduciary program,
the commenter noted that Congress did
not prescribe any specific duty of trust
for fiduciaries or administrative
provisions, and generally stated that
section 5502 contains language
establishing Congress’ intent to have VA
defer to state law. We do not agree.
As the commenter stated, there are
well-established legal tests for whether
Congress intended to have a Federal
statute preempt state laws, and the
absence of language in a Federal statute
does not itself mean that Congress
intended that VA will defer to state law,
particularly when Congress routinely
delegates broad authority to Federal
agencies to determine how to best
administer Federal programs. Section
5502 is this type of broad authority.
Nonetheless, in light of this comment,
we revised § 13.140(a)(1) to include that
fiduciaries in the fiduciary program owe
VA and beneficiaries the duties of good
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
32734
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
faith and candor and must administer a
beneficiary’s funds under management
in accordance with paragraph (b) of
§ 13.140. We agree with the commenter
that duties of candor and good faith are
essential in a fiduciary-beneficiary
relationship, and a fiduciary should be
required to exercise good faith and to
take the same care regarding a
beneficiary’s funds under management
as he would for his or her own funds.
Although the statute is silent as to these
duties, it is highly unlikely that
Congress would not have intended VA
to require such duties from a fiduciary
it appoints.
Furthermore, pursuant to 38 U.S.C.
501(a), VA may promulgate regulations
that are ‘‘necessary or appropriate to
carry out the laws administered by the
Department and are consistent with [38
U.S.C. 5502].’’ We therefore determined
that the foregoing change to
§ 13.140(a)(1) is appropriate and
consistent with Congress’ intent.
The commenter’s reliance on the
language in section 5502(b) that states
that ‘‘[VA] may appear or intervene . . .
in any court as an interested party in
any litigation . . . affecting money paid
to such fiduciary’’ to argue that
Congress intended VA to utilize state
law in administrating the fiduciary
program is misplaced. The intent of the
1935 amendment to add this language to
the statute was to clarify and expand the
authority of the Veterans
Administration to supervise courtappointed fiduciaries and to participate
in litigation. See H.R. Rep. No. 74–16,
at 1–2 (1935) (‘‘[T]here is also a need for
amendment to more clearly define and
extend the authority of the
Administrator of Veterans’ Affairs to
appear in courts or intervene as an
interested party in litigation directly
affecting money paid to fiduciaries of
beneficiaries under this section.’’). This
language, however, does not require in
any way for VA to use state laws to
administer its fiduciary program. Where
Congress has intended to require VA to
follow state law on a particular matter
relevant to VA benefits, it has done so
expressly. See 38 U.S.C. 103(c). In
contrast, section 5502 vests VA with
authority to establish uniform Federal
standards governing the appointment,
supervision, payment, and removal of
VA fiduciaries. VA has implemented
that authority by establishing such
uniform Federal standard, rather than
relying upon state law, in view of the
complexity, inconsistency and
confusion that could result from
administering a Federal program by
following myriad state laws.
Furthermore, the commenter’s belief
that the language in section 5502(e)
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
regarding escheat of funds held by a
fiduciary demonstrates Congress’ intent
regarding state law is contrary to the
plain text of the statute. Section 5502(e)
in its entirety provides that ‘‘[a]ny funds
in the hands of a fiduciary appointed by
a State court or the Secretary derived
from benefits payable under laws
administered by the Secretary, which
under the law of the State wherein the
beneficiary had last legal residence
would escheat to the State, shall escheat
to the United States and shall be
returned by such fiduciary, or by the
personal representative of the deceased
beneficiary, less legal expenses of any
administration necessary to determine
that an escheat is in order, to the
Department, and shall be deposited to
the credit of the applicable revolving
fund, trust fund, or appropriation.’’ It
does not provide that any escheat of VA
funds with a fiduciary should be
administered pursuant to state laws.
Based on the foregoing, we find that
Congress clearly intended in section
5502 that VA would be responsible for
prescribing and enforcing Federal
standards governing the appointment,
supervision, payment, and removal of
VA fiduciaries and that those Federal
standards would preempt any
conflicting state laws on such matters.
Consistent with that intent and
authority, VA has established national
standards for all vulnerable VA
beneficiaries, regardless of their state of
residence. As such, we make no changes
based on the comment.
The same commenter stated that our
proposed regulations should establish
clear evidentiary standards upon which
VA bases its decision that a beneficiary
is unable to manage his or her VA
benefits; however, this matter is beyond
the scope of this rulemaking. The
commenter noted that such standards
are necessary to ensure that a
beneficiary is not arbitrarily and
capriciously deprived of the right to
control his or her own property.
While our proposed fiduciary
regulations do not contain the
evidentiary standards for determining
when a beneficiary is unable to manage
his or her VA benefits, the regulations
in 38 CFR part 3 prescribe such
standards. Therefore, there are measures
in place to ensure that a beneficiary is
not arbitrarily or capriciously deprived
of his or her right to control his or her
VA benefits. A VA regulation provides
that, for purposes of payment of VA
benefits, VA’s rating agencies have the
authority to make determinations of
competency and incompetency. See 38
CFR 3.353(b)(1). ‘‘Unless the medical
evidence is clear, convincing and leaves
no doubt as to the person’s
PO 00000
Frm 00020
Fmt 4701
Sfmt 4700
incompetency, [VA] will make no
determination of incompetency without
a definite expression regarding the
question by the responsible medical
authorities.’’ See 38 CFR 3.353(c). Such
determinations must be ‘‘based upon all
evidence of record and there should be
a consistent relationship between the
percentage of disability, facts relating to
commitment or hospitalization and the
holding of incompetency.’’ See Id. The
regulation further provides that there is
a presumption in favor of competency.
See 38 CFR 3.353(d). ‘‘Where reasonable
doubt arises regarding a beneficiary’s
mental capacity to contract or to manage
his or her own affairs, including the
disbursement of funds without
limitation, such doubt will be resolved
in favor of competency.’’ See Id. In
addition, VA regulations provide for
notice and an opportunity to be heard
regarding the determination of
incompetency. See 38 CFR 3.103(c),
3.353(e).
Moreover, not only is a beneficiary
who is deemed unable to manage his or
her VA benefits entitled to all of the
appellate procedures associated with
other VA decisions that affect the
provision of his or her VA benefits, as
noted above, he or she is also entitled
to a pre-determination hearing if he or
she so requests. In addition, even after
the beneficiary is found to be unable to
manage his or her VA benefits, current
part 13 regulations, in appropriate
circumstances, allow a beneficiary to
manage his or her own VA benefits by
placing him or her in a supervised
direct pay program. This option
provides an additional layer of
protection against the erroneous
deprivation of a beneficiary to control
his or her own VA benefits. Finally, a
beneficiary who believes that VA did
not follow all applicable procedures in
selecting a fiduciary may appeal this
determination to the Board.
Collectively, these standards provide
protection against any arbitrary and
capricious determinations relating to the
beneficiary’s ability to control his or her
own VA benefits. We therefore make no
change based on this comment.
A commenter stated that our proposed
rules should contain qualifications and
training requirements for field
examiners because, among other things,
field examiners are required to make
decisions regarding budgets and living
conditions for beneficiaries. However,
the qualifications of and training for VA
field examiners is an administrative
matter that is outside the scope of this
rulemaking. VA makes every effort to
hire the most qualified field examiners
and provide any training VA deems
necessary, but such matters generally
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
are not the subject of VA regulations.
Further, while VA field examiners make
recommendations about whether a
beneficiary’s needs are being addressed
and whether his or her funds are being
utilized appropriately, decisions
concerning appointment and/or removal
of fiduciaries are made by the fiduciary
hub with jurisdiction over the case, not
the individual field examiner.
One commenter stated that fiduciaries
are tasked with many responsibilities
and noted that our rulemaking cannot
address training for fiduciaries but
asked that we provide services or
training for fiduciaries. VA makes every
effort to provide training and services to
fiduciaries we appoint to serve our
beneficiaries. Currently, there is a
handbook titled, ‘‘A Guide for VA
Fiduciaries,’’ which we provide to
fiduciaries. In addition, VA has an
internet website that provides training
and other resources to fiduciaries. The
link to the website is: https://
www.benefits.va.gov/fiduciary/
index.asp. Fiduciaries also have ways of
contacting VA with questions.
Fiduciaries can also call the VA
Fiduciary’s Program’s assistance line at
1–888–407–0144 with questions or
email questions to any of the fiduciary
hubs at the following email addresses:
Columbia: vavbacms/ro/fid@va.gov;
Louisville: avbacms/ro/fid@va.gov;
Milwaukee: vavbamiw/ro/fidhub@
va.gov; Lincoln: vavbalin/ro/fidhub@
va.gov; Indianapolis: ind.fidhub@va.gov;
Salt Lake City: vbawa.hub@va.gov.
In proposed § 13.140, regarding the
responsibilities of fiduciaries, we
prescribed financial and nonfinancial
responsibilities for fiduciaries. We
believe that such responsibilities are
consistent with industry standards for
fiduciaries. We prescribed that
fiduciaries will be required to use funds
in the interest of beneficiaries and their
dependents, protect funds from loss,
maintain separate accounts, determine
and pay just debts, provide the
beneficiary information regarding VA
benefit funds under management,
protect funds from the claims of
creditors, and provide beneficiaries a
copy of any VA-approved annual
accounting. In addition, we prescribed a
fiduciary’s non-financial responsibilities
to generally include a fiduciary’s
obligation to monitor the beneficiary’s
well-being and report any concerns to
appropriate authorities, including any
legal guardian for the beneficiary, and
that a fiduciary must maintain regular
contact with a beneficiary and be
responsive to beneficiary requests. We
believe such responsibilities are the
basic responsibilities of any fiduciarybeneficiary relationship. We do not
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
believe that such responsibilities are
burdensome. Nonetheless, we strive to
provide fiduciaries with any
information that could be useful in the
performance of their duties as
fiduciaries.
One commenter inquired about VA’s
approach regarding court-appointed
guardianships and the cost associated
with such guardianships. The
commenter noted that state courts have
primary oversight of court-appointed
guardians and fees associated with such
guardianships. The commenter inquired
about VA’s approach to legal
guardianships, as state courts have
jurisdiction over such matters.
VA’s fiduciary regulations will result
in a gradual discontinuance of the
current practice of recognizing a courtappointed guardian or fiduciary for
purposes of receiving VA benefits on
behalf of a VA beneficiary. Instead, VA
will establish a national standard for
appointing and overseeing fiduciaries.
In certain cases, VA may appoint a
beneficiary’s court-appointed guardian
or fiduciary to serve as VA fiduciary if
we determine that such an appointment
will be in the beneficiary’s interest. In
that regard, if VA appoints a courtappointed guardian or fiduciary to also
serve as VA fiduciary, VA’s rules will
apply as it pertains to the management
of VA funds. This final rule will, over
time, result in uniformity for all
fiduciaries appointed by VA to manage
VA benefit payments on behalf of a
beneficiary and significantly reduce
costs associated with court-appointed
guardians or fiduciaries. Congress
enacted 38 U.S.C. 5502, under which it
gave VA the authority to administer the
fiduciary program. VA’s longstanding
interpretation of this authority is that
VA may establish a fiduciary program
that is governed by federal laws and not
various state laws. In this regard, federal
laws (and not competing state laws)
apply to the appointment of a VA
fiduciary and VA’s oversight of the
fiduciary’s management of a
beneficiary’s VA benefits.
For example, all prospective
fiduciaries who will receive VA benefit
payments on behalf of a beneficiary will
undergo a VA investigation mandated
by 38 U.S.C. 5507, regardless of if that
potential fiduciary serves as a courtappointed guardian and underwent a
qualification process prescribed by state
law, which may vary from state to state.
Also, all VA fiduciaries will have the
same accounting requirements regarding
a beneficiary’s VA funds under
management, to include the frequency
of submitting an accounting,
irrespective of state courts requirements.
In addition, VA will not rely on state
PO 00000
Frm 00021
Fmt 4701
Sfmt 4700
32735
laws that subject beneficiaries to varying
fee schedules depending upon the
beneficiaries’ state of residence. In cases
in which VA determines that a fee or
commission is necessary to obtain a
fiduciary, Congress authorized ‘‘a
reasonable commission for fiduciary
services rendered’’ to be paid from the
beneficiary’s VA funds. See 38 U.S.C.
5502(a)(2). However, section 5502(a)(2)
limits such commissions for any year to
4 percent of the beneficiary’s VA
monetary benefits paid to the fiduciary
during the year. VA’s regulations will
consistently implement this authority
and limit fees to 4 percent to any
fiduciary we appoint. This will
diminish the potential for adverse
impacts on beneficiaries caused by
orders issued in state courts approving
fiduciary commissions that exceed the 4
percent Federal cap and make clear that
a VA fiduciary’s fees are limited to a
statutory cap of 4 percent of the
beneficiary’s VA funds.
VA makes a distinction between
commissions charged by the guardian
related to the services of a fiduciary and
expenses incurred by a beneficiary for
administrative items. This final rule
does not prohibit a fiduciary appointed
by VA from disbursing funds to meet
the expenses associated with a
beneficiary’s court-appointed
guardianship, if such expenses are
deemed reasonable. Duplication of work
performed by VA-appointed and statecourt-appointed fiduciaries is highly
discouraged as it unnecessarily
diminishes beneficiary assets.
One commenter recommended that
we inform all probate courts in the
nation that VA intends to appoint courtappointed fiduciaries as VA fiduciaries
as a last resort. We agree and intend to
notify certain interested parties, to
include courts and guardians, of the
important changes in this final rule.
We have made a few non-substantive
edits to the proposed regulations: We
changed references to ‘‘18 years of age’’
to ‘‘age of majority,’’ changed a
reference to ‘‘Regional Counsel’’ to
‘‘District Counsel’’ to reflect current
terminology, changed a reference to
‘‘Assistant General Counsel’’ to ‘‘Chief
Counsel’’ for the same reason, and
replaced ‘‘State’’ with ‘‘state.’’
Paperwork Reduction Act
This final rule at §§ 13.30, 13.140,
13.230, 13.280, and 13.600 contains new
and revised collections of information
under the Paperwork Reduction Act of
1995 (44 U.S.C. 3501–3521). On January
3, 2014, in the proposed rule published
in the Federal Register, we requested
public comments on the new and
revised collections of information. We
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
32736
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
received no comments. VA has
submitted the additional collections in
part 13 to OMB for review under OMB
Control Numbers 2900–0017, 2900–
0085, 2900–0803, 2900–0804, and 2900–
0815. We are adding a parenthetical
statement after the authority citations in
the amendatory language of this final
rule to all of the sections in part 39 for
which new and revised collections have
been been assigned control numbers, so
that the control numbers are displayed
for each collection.
In accordance with 44 U.S.C. 3507(d),
VA submitted a copy of the proposed
rule to OMB for review and they
assigned OMB control Number 2900–
0815 for a new information collection
contained in section 13.140(a)(2)(iv) of
the proposed rule. However, the
proposed rule did not explicitly solicit
comments on the new information
collection contained in section
13.140(a)(2)(iv). Therefore, VA requests
comments by the public on the new
collection of information contained in
section 13.140(a)(2)(iv) in—
• Evaluating whether the proposed
collections of information are necessary
for the proper performance of the
functions of VA, including whether the
information will have practical utility;
• Evaluating the accuracy of VA’s
estimate of the burden of the proposed
collections of information, including the
validity of the methodology and
assumptions used;
• Enhancing the quality, usefulness,
and clarity of the information to be
collected; and
• Minimizing the burden of the
collections of information on those who
are to respond, including through the
use of appropriate automated electronic,
mechanical, or other technological
collection techniques or other form of
information technology, e.g., permitting
electronic submission of responses.
The details of the new collection of
information contained in 38 CFR
13.140(a)(2)(iv) that were omitted from
the comment solicitation in the
proposed rule and that we seek
comments through this final rule are
described as follows:
Title: Maintenance of Financial
Records by Federal Fiduciaries.
Summary of collection of information:
Under 38 CFR 13.140, a fiduciary is
required to maintain paper and
electronic records relating to the
management of VA benefits for the
duration of service as fiduciary and for
a minimum of two years following
removal or resignation. No form is
required for the submission of this
information.
Description of the need for
information and proposed use of
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
information: This information is needed
for the purposes of continued
monitoring and oversight of the
fiduciary.
Description of likely respondents:
Fiduciaries appointed by VA to manage
VA benefit payments on behalf of a
beneficiary.
Estimated number of respondents per
year: 37,500.
Estimated frequency of responses:
Once per year.
Estimated total annual reporting and
recordkeeping burden: 1,875 additional
hours.
VA welcomes comments on this new
information collection. Comments on
the collections of information contained
in this final rule should be submitted to
the Office of Management and Budget,
Attention: Desk Officer for the
Department of Veterans Affairs, Office
of Information and Regulatory Affairs,
Washington, DC 20503, with copies sent
by mail or hand delivery to: Director,
Office of Regulation Policy and
Management (00REG), Department of
Veterans Affairs, 810 Vermont Ave. NW,
Room 1063B, Washington, DC 20420;
fax to (202) 273–9026 (this is not a tollfree number); or email comments
through www.Regulations.gov.
Comments should indicate that they are
submitted in response to ‘‘RIN 2900–
AO53.’’
We are providing a 30 day comment
period on this new information
collection. Comments are due to OMB
by August 13, 2018. We will consider all
comments on the above described
information collection.
The information collection provisions
in this final rule subject to the PRA will
not become effective until OMB
approves the collections.
Regulatory Flexibility Act
The Secretary hereby certifies that
this final rule will 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. The final rule
will primarily affect individual
beneficiaries and fiduciaries. It will not
cause a significant economic impact on
fiduciaries since VA generally appoints
individual family members, friends, or
caretakers to provide fiduciary services
for beneficiaries. These services are, in
most instances, provided without
charge. While some business entities
provide fiduciary services to VA
beneficiaries for a fee, those fees, which
are capped at 4 percent of monetary
benefits paid, are not sufficient to result
in a significant economic impact.
Therefore, pursuant to 5 U.S.C. 605(b),
this final rule is exempt from the initial
PO 00000
Frm 00022
Fmt 4701
Sfmt 4700
and final regulatory flexibility analysis
requirements of sections 603 and 604.
Executive Order 13132, Federalism
A rule has federalism implications
under Executive Order 13132,
Federalism, if it has a substantial direct
effect on the states, on the relationship
between the national government and
the states, or on the distribution of
power and responsibilities among the
various levels of government. Under the
Order, if a rule has federalism
implications and preempts state law, to
the extent practicable and permitted by
law, an agency must consult with state
officials concerning the rule. We have
analyzed this rule under that Order and
have determined that this rule does not
have any new federalism implications
but merely clarifies existing regulations
that govern the VA fiduciary program
and implements existing statutory
authority provided by Congress for VA
to establish and administer a fiduciary
program relating to VA benefits on
behalf of beneficiaries. VA does not
intend to act through this rule to
preempt state law but relies on authority
provided by Congress. Accordingly, we
do not believe this final rule requires
VA to consult with state officials prior
to its publication.
In 38 U.S.C. 5502(a)(1), Congress
authorized VA to appoint a fiduciary for
the purpose of receiving and disbursing
VA benefits on behalf of a beneficiary:
‘‘Where it appears to the Secretary that
the interest of the beneficiary would be
served thereby, payment of benefits
under any law administered by [VA]
may be made directly to the beneficiary
or to a relative or some other fiduciary
for the use and benefit of the
beneficiary, regardless of any legal
disability on the part of the
beneficiary.’’ In the preamble to the
proposed rule, we explained that VA
interprets ‘‘regardless of any legal
disability’’ in section 5502(a)(1) to mean
that, in creating the fiduciary program,
Congress intended VA to preempt state
laws regarding guardianships and other
matters to the extent necessary to ensure
a national standard of practice for
payment of benefits to or on behalf of
VA beneficiaries who cannot manage
their benefits. See 79 FR 430.
Matters regarding the governance of
guardianships for persons with legal
disabilities have their jurisdiction in
state courts. See e.g., Neb. Rev. Stat.
Ann. § 30–2602(a) (LexisNexis 2017).
Congress specifically provided that,
‘‘regardless of any legal disability on the
part of the beneficiary,’’ VA can act and
appoint a fiduciary on behalf of such
beneficiary. This language cannot be
construed to mean that Congress
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
explicitly authorized VA to create a
fiduciary program whereby it appoints a
fiduciary on behalf of a beneficiary,
irrespective to any legal disability, and
then defers to state laws for the
administration of the fiduciary program.
We realize that there are welldeveloped state laws in matters of
guardianship. When Congress enacted
section 5502, it did not intend a
sweeping preemption of state laws that
govern guardianship activities. Rather,
we believe Congress only intended for
VA to preempt state law in guardianship
matters as they relate to VA benefits.
Under the authority granted by current
law, the purpose for this final rule is to
promulgate uniform rules for all
fiduciaries appointed by VA to manage
VA benefit payments on behalf of
beneficiaries. As such, if we appoint a
state-appointed guardian to serve as a
fiduciary on behalf of a beneficiary who
is receiving VA benefits, our
regulations, not state law, are applicable
to the appointment and oversight of the
fiduciary and the fiduciary’s
management of VA benefits for the
beneficiary, as Congress intended.
For instance, Congress did not intend
for VA to utilize state laws regarding
fiduciary fees that are paid from a
beneficiary’s VA benefits and subject
beneficiaries to the various fee
schedules prescribed by states, such that
beneficiaries will be treated differently
depending upon state of residence.
Under section 5502(a)(2), Congress
specifically mandated ‘‘a reasonable
commission for fiduciary services
rendered’’ to be paid from the
beneficiary’s VA funds, ‘‘but the
commission for any year may not
exceed 4 percent of the monetary
benefits.’’ Furthermore, among other
things, Congress authorized VA to
remove any fiduciary who is not
meeting the fiduciary’s responsibilities
to a beneficiary or who is not acting in
the beneficiary’s interest. See 38 U.S.C.
5502. VA’s authority also extends to
appointment of a temporary fiduciary in
certain circumstances and suspending
payments to any fiduciary who fails to
properly submit an accounting to VA.
See 38 U.S.C. 5502.
Current 38 CFR part 13 has not been
updated since 1975. Congress has since
amended 38 U.S.C. chapters 55 and 61
to add new provisions, which, among
other things, authorize VA to conduct
specific investigations regarding the
fitness of individuals to serve as
fiduciaries, conduct onsite reviews of
fiduciaries who serve more than 20
beneficiaries, require fiduciaries to file
reports or accountings, and reissue
certain benefits that are misused by
fiduciaries. See 38 U.S.C. 5507–5510,
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
6106–6107. The foregoing statutory
obligations demonstrate Congress’ intent
to create a uniform system of fiduciary
services for VA beneficiaries,
irrespective of inconsistent state laws.
Congress’ intent to have Federal laws
governing VA’s fiduciary program
preempt any conflicting state laws is
clear in the chapter 55 and 61
provisions. While state law provides
some guidance concerning fiduciary
matters, those laws vary significantly
from state to state and do not pertain to
VA’s fiduciary program. Further, VA
does rely on state laws in cases where
a state court has appointed a fiduciary
for oversight of the veteran’s assets and
where there is no conflict between state
and Federal law, and/or when the courtappointed fiduciary is the same as the
VA-appointed fiduciary. State laws
often provide helpful guidance;
however, under the Supremacy Clause
of the Constitution, Federal law is
controlling. See U.S. Const. art. VI, cl 2;
Crosby v. Nat’l Foreign Trade Council,
530 U.S. 363, 372–73 (2000). To the
extent that a dispute arises between
Federal and state law, Federal law
establishing and governing VA’s
fiduciary program as codified in 38
U.S.C. chapters 55 and 61, as well as in
regulations implementing those statutes,
controls.
Again, because this rule does not have
any new federalism implications but
merely clarifies existing regulations that
govern the VA fiduciary program and
implements existing statutory authority
provided by Congress for VA to
establish and administer a fiduciary
program relating to VA benefits on
behalf of beneficiaries, we do not
believe this final rule requires VA to
consult with state officials prior to its
publication and believe that this rule is
in compliance with Executive Order
13132.
Executive Orders 12866, 13563, and
13771
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
PO 00000
Frm 00023
Fmt 4701
Sfmt 4700
32737
regulatory action,’’ which requires
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.
VA has examined the economic,
interagency, budgetary, legal, and policy
implications of this final rule, and it has
been determined to be a significant
regulatory action under Executive Order
12866, because it raises novel legal or
policy issues arising out of legal
mandates.
This final rule is considered an E.O.
13771 regulatory action. Details on the
estimated costs of this final rule can be
found in the rule’s economic analysis.
Unfunded Mandates
The Unfunded Mandates Reform Act
of 1995 requires, at 2 U.S.C. 1532, 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 final rule will have no
such effect on State, local, and tribal
governments, or on the private sector.
Catalog of Federal Domestic Assistance
The Catalog of Federal Domestic
Assistance program numbers and titles
for this final rule are as follows: 64.104,
Pension for Non-Service-Connected
Disability for Veterans; 64.105, Pension
to Veterans Surviving Spouses, and
Children; 64.109, Veterans
Compensation for Service-Connected
Disability; and 64.110, Veterans
Dependency and Indemnity
Compensation for Service-Connected
Death.
List of Subjects
38 CFR Part 3
Administrative practice and
procedure, Claims, Disability benefits,
E:\FR\FM\13JYR2.SGM
13JYR2
32738
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
Health care, Pensions, Radioactive
materials, Veterans, and Vietnam.
because of hospitalization. See § 3.551.
Penal institutions. See § 3.666.
38 CFR Part 13
Surety bonds, Trusts and trustees, and
Veterans.
§ 3.500
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.
Jacquelyn Hayes-Byrd, Deputy Chief of
Staff, Department of Veterans Affairs,
approved this document on March 20,
2018, for publication.
§ 3.501
Dated: July 6, 2018.
Consuela Benjamin,
Regulation Development Coordinator, Office
of Regulation Policy & Management, Office
of the Secretary, Department of Veterans
Affairs.
For the reasons stated in the
preamble, VA amends 38 CFR parts 3
and 13 as follows:
PART 3—ADJUDICATION
Subpart A—Pension, Compensation,
and Dependency and Indemnity
Compensation
1. The authority citation for subpart A
continues to read as follows:
■
Authority: 38 U.S.C. 501(a), unless
otherwise noted.
§ 3.353
[Amended]
2. Amend 3.353 by:
a. In paragraph (b)(1), removing
‘‘§ 13.56’’ and adding, in its place,
‘‘§ 13.110’’.
■ b. In paragraph (b)(2), removing
‘‘§ 13.55’’, ‘‘§ 13.56’’, and ‘‘§ 13.57’’ and
adding, in each place, ‘‘§ 13.100’’.
■
■
§ 3.401
[Amended]
3. Amend § 3.401 by removing and
reserving paragraph (d).
■ 4. In § 3.403, revise the paragraph
heading for paragraph (a)(2) to read as
follows:
■
sradovich on DSK3GMQ082PROD with RULES2
§ 3.403
Children.
(a) * * *
(2) Majority (§ 13.100). * * *
*
*
*
*
*
■ 5. In § 3.452, revise the CROSS
REFERENCES immediately after
paragraph (d) to read as follows:
§ 3.452 Situations when benefits may be
apportioned.
*
*
*
*
*
CROSS REFERENCES: Disappearance
of veteran. See § 3.656. Reduction
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
[Amended]
6. In § 3.500, remove and reserve
paragraphs (l) and (m).
■
[Amended]
7. In § 3.501, remove and reserve
paragraph (j) and remove paragraph (n).
■
§ § 3.850 through 3.857 and undesignated
center heading [Removed]
8. Remove §§ 3.850 through 3.857 and
the undesignated center heading
‘‘INCOMPETENTS, GUARDIANSHIP
AND INSTITUTIONAL AWARDS’’
immediately preceding § 3.850.
■ 9. Part 13 is revised to read as follows:
■
PART 13—FIDUCIARY ACTIVITIES
Sec.
13.10 Purpose and applicability of other
regulations.
13.20 Definitions.
13.30 Beneficiary rights.
13.40 Representation of beneficiaries in the
fiduciary program.
13.50 Suspension of benefits.
13.100 Fiduciary appointments.
13.110 Supervised direct payment.
13.120 Field examinations.
13.130 Bars to serving as a fiduciary.
13.140 Responsibilities of fiduciaries.
13.200 Fiduciary accounts.
13.210 Fiduciary investments.
13.220 Fiduciary fees.
13.230 Protection of beneficiary funds.
13.240 Funds of beneficiaries less than the
age of majority.
13.250 Funds of deceased beneficiaries.
13.260 Personal funds of patients.
13.270 Creditors’ claims.
13.280 Accountings.
13.300 Onsite reviews.
13.400 Misuse of benefits.
13.410 Reissuance and recoupment of
misused benefits.
13.500 Removal of fiduciaries.
13.510 Fiduciary withdrawals.
13.600 Appeals.
Authority: 38 U.S.C. 501, 5502, 5506–
5510, 6101, 6106–6108, and as noted in
specific sections.
§ 13.10 Purpose and applicability of other
regulations.
(a) Purpose. The regulations in this
part implement the Department of
Veterans Affairs’ (VA) fiduciary
program, which is authorized by 38
U.S.C. chapters 55 and 61. The purpose
of the fiduciary program is to protect
certain VA beneficiaries who, as a result
of injury, disease, or infirmities of
advanced age, or by reason of being less
than the age of majority, cannot manage
their VA benefits. Under this program,
VA oversees these vulnerable
beneficiaries to ensure their well-being,
and appoints and oversees fiduciaries
PO 00000
Frm 00024
Fmt 4701
Sfmt 4700
who manage these beneficiaries’
benefits.
(b) Applicability of other regulations.
Fiduciary matters arise after VA has
determined that a beneficiary is entitled
to benefits, and decisions on fiduciary
matters are not decisions on claims for
VA monetary benefits. Accordingly,
VA’s regulations governing the
adjudication of claims for benefits, see
38 CFR part 3, do not apply to fiduciary
matters unless VA has prescribed
applicability in this part.
(Authority: 38 U.S.C. 501)
§ 13.20
Definitions.
The following definitions apply to
this part:
Dependent means a beneficiary’s
spouse as defined by this section, a
beneficiary’s child as defined by § 3.57
of this chapter, or a beneficiary’s parent
as defined by § 3.59 of this chapter, who
does not have an income sufficient for
reasonable maintenance and who
obtains support for such maintenance
from the beneficiary.
Fiduciary means an individual or
entity appointed by VA to receive VA
benefits on behalf of a beneficiary for
the use and benefit of the beneficiary
and the beneficiary’s dependents.
Hub Manager means the individual
who has authority to oversee the
activities of a VA Fiduciary Hub or the
Veterans Service Center Manager of the
Manila, Philippines, VA Regional
Office.
In the fiduciary program means, with
respect to a beneficiary, that the
beneficiary:
(1) Has been rated by VA as incapable
of managing his or her own VA benefits
as a result of injury, disease, or the
infirmities of advanced age;
(2) Has been determined by a court
with jurisdiction as being unable to
manage his or her own financial affairs;
or
(3) Is less than the age of majority.
Rating authority means VA employees
who have authority under § 3.353 of this
chapter to determine whether a
beneficiary can manage his or her VA
benefits.
Relative means a person who is an
adopted child or is related to a
beneficiary by blood or marriage, as
defined by this chapter.
Restricted withdrawal agreement
means a written contract between VA, a
fiduciary, and a financial institution in
which the fiduciary has VA benefit
funds under management for a
beneficiary, under which certain funds
cannot be withdrawn without the
consent of the Hub Manager.
Spouse means a husband or wife
whose marriage, including common law
E:\FR\FM\13JYR2.SGM
13JYR2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
marriage and same-sex marriage, meets
the requirements of 38 U.S.C. 103(c).
VA benefit funds under management
means the combined value of the VA
funds maintained in a fiduciary account
or accounts managed by a fiduciary for
a beneficiary under § 13.200 and any VA
funds invested by the fiduciary for the
beneficiary under § 13.210, to include
any interest income and return on
investment derived from any account.
Written notice means that VA will
provide to the beneficiary and the
beneficiary’s representative and legal
guardian, if any, a written decision in a
fiduciary matter that is appealable
under § 13.600. Such notice will
include:
(1) A clear statement of the decision,
(2) The reason(s) for the decision,
(3) A summary of the evidence
considered in reaching the decision, and
(4) The necessary procedures and
time limits to initiate an appeal of the
decision.
(Authority: 38 U.S.C. 501)
sradovich on DSK3GMQ082PROD with RULES2
§ 13.30
Beneficiary rights.
Except as prescribed in this part, a
beneficiary in the fiduciary program is
entitled to the same rights afforded any
other VA beneficiary.
(a) General policy. Generally, a
beneficiary has the right to manage his
or her own VA benefits. However, due
to a beneficiary’s injury, disease, or
infirmities of advanced age or by reason
of being less than the age of majority,
VA may determine that the beneficiary
is unable to manage his or her benefits
without VA supervision or the
assistance of a fiduciary. Or a court with
jurisdiction might determine that a
beneficiary is unable to manage his or
her financial affairs. Under any of these
circumstances, VA will apply the
provisions of this part to ensure that VA
benefits are being used to maintain the
well-being of the beneficiary and the
beneficiary’s dependents.
(b) Specific rights. The rights of
beneficiaries in the fiduciary program
include, but are not limited to, the right
to:
(1) Receive direct payment of
recurring monthly benefits until VA
appoints a fiduciary if the beneficiary
reaches the age of majority or older;
(2) Receive written notice regarding
VA’s appointment of a fiduciary or any
other decision on a fiduciary matter that
affects VA’s provision of benefits to the
beneficiary;
(3) Appeal to the Board of Veterans’
Appeals VA’s appointment of a
fiduciary;
(4) Be informed of the fiduciary’s
name, telephone number, mailing
address, and email address;
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
(5) Contact his or her fiduciary and
request a disbursement of funds for
current or foreseeable needs or
consideration for payment of previously
incurred expenses, account balance
information, or other information or
assistance consistent with the
responsibilities of the fiduciary
prescribed in § 13.140;
(6) Obtain from his or her fiduciary a
copy of the fiduciary’s VA-approved
annual accounting;
(7) Have VA reissue benefits misused
by a fiduciary if VA is negligent in
appointing or overseeing the fiduciary
or if the fiduciary who misused the
benefits meets the criteria prescribed in
§ 13.410;
(8) Appeal to the Board of Veterans’
Appeals VA’s determination regarding
its own negligence in misuse and
reissuance of benefits matters;
(9) Submit to VA a reasonable request
for appointment of a successor
fiduciary. For purposes of this
paragraph, reasonable request means a
good faith effort to seek replacement of
a fiduciary, if:
(i) The beneficiary’s current fiduciary
receives a fee deducted from the
beneficiary’s account under § 13.220
and the beneficiary requests an unpaid
volunteer fiduciary who ranks higher in
the order of preference under
§ 13.100(e);
(ii) The beneficiary requests removal
of his or her fiduciary under
§ 13.500(a)(1)(iii) and supervised direct
payment of benefits under § 13.110; or
(iii) The beneficiary provides credible
information that the current fiduciary is
not acting in the beneficiary’s interest or
is unable to effectively serve the
beneficiary due to a personality conflict
or disagreement and VA is not able to
obtain resolution;
(10)(i) Be removed from the fiduciary
program and receive direct payment of
benefits without VA supervision
provided that the beneficiary:
(A) Is rated by VA as able to manage
his or her own benefits; or
(B) Is determined by a court with
jurisdiction as able to manage his or her
financial affairs if the beneficiary is in
the fiduciary program as a result of a
court order and not a decision by VA’s
rating agency; or
(C) Attains the age of majority;
(ii) Have a fiduciary removed and
receive direct payment of benefits with
VA supervision as prescribed in
§ 13.110 regarding supervised direct
payment and § 13.500 regarding removal
of fiduciaries generally, provided that
the beneficiary establishes the ability to
manage his or her own benefits with
limited and temporary VA supervision;
and
PO 00000
Frm 00025
Fmt 4701
Sfmt 4700
32739
(11) Be represented by a VAaccredited attorney, claims agent, or
representative of a VA-recognized
veterans service organization. This
includes the right to have a
representative present during a field
examination and the right to be
represented in the appeal of a fiduciary
matter under § 13.600.
(Authority: 38 U.S.C. 501)
(Approved by the Office of Management and
Budget under control number 2900–0017.)
§ 13.40 Representation of beneficiaries in
the fiduciary program.
The provisions of 38 CFR 14.626
through 14.629 and 14.631 through
14.637 regarding accreditation and
representation of VA claimants and
beneficiaries in proceedings before VA
are applicable to representation of
beneficiaries before VA in fiduciary
matters governed by this part.
(a) Accreditation. Only VA-accredited
attorneys, claims agents, and accredited
representatives of VA-recognized
veterans service organizations who have
complied with the power-of-attorney
requirements in § 14.631 of this chapter
may represent beneficiaries before VA
in fiduciary matters.
(b) Standards of conduct. Accredited
individuals who represent beneficiaries
in fiduciary matters must comply with
the general and specific standards of
conduct prescribed in § 14.632(a)
through (c) of this chapter, and
attorneys must also comply with the
standards prescribed in § 14.632(d). For
purposes of this section:
(1) A fiduciary matter is not a claim
for VA benefits. However, the term
claimant in § 14.632 of this chapter
includes VA beneficiaries who are in
the fiduciary program, and the term
claim in § 14.632 includes a fiduciary
matter that is pending before VA.
(2) The provisions of § 14.632(c)(7)
through (9) of this chapter mean that an
accredited individual representing a
beneficiary in a fiduciary matter may
not:
(i) Delay or refuse to cooperate in the
processing of a fiduciary appointment or
any other fiduciary matter, including
but not limited to a field examination
prescribed by § 13.120 and the
investigation of a proposed fiduciary
prescribed by § 13.100;
(ii) Mislead, threaten, coerce, or
deceive a beneficiary in the fiduciary
program or a proposed or current
fiduciary regarding payment of benefits
or the rights of beneficiaries in the
fiduciary program; or
(iii) Engage in, or counsel or advise a
beneficiary or proposed or current
fiduciary to engage in, acts or behavior
prejudicial to the fair and orderly
E:\FR\FM\13JYR2.SGM
13JYR2
32740
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
conduct of administrative proceedings
before VA.
(3) The Hub Manager will submit a
written report regarding an alleged
violation of the standards of conduct
prescribed in this section to the VA
Chief Counsel who administers the
accreditation program for a
determination regarding further action,
including suspension or cancellation of
accreditation under § 14.633 of this
chapter, and notification to any agency,
court, or bar to which the attorney,
agent, or representative is admitted to
practice.
(c) Fees. Except as prescribed in
paragraphs (c)(1)(i) through (iii) of this
section, an accredited attorney or claims
agent may charge a reasonable fixed or
hourly fee for representation services
provided to a beneficiary in a fiduciary
matter, provided that the fee meets the
requirements of § 14.636 of this chapter.
(1) The following provisions of
§ 14.636 of this chapter do not apply in
fiduciary matters:
(i) Fees under § 14.636(e) of this
chapter, to the extent that the regulation
authorizes a fee based on a percentage
of benefits recovered;
(ii) The presumptions prescribed by
§ 14.636(f) of this chapter based upon a
percentage of a past-due benefit amount.
In fiduciary matters, the reasonableness
of a fixed or hourly-rate fee will be
determined based upon application of
the reasonableness factors prescribed in
§ 14.636(e); and
(iii) Direct payment of fees by VA out
of past-due benefits under § 14.636(g)(2)
and (h) of this chapter.
(2) An accredited attorney or claims
agent who wishes to charge a fee for
representing a beneficiary in a fiduciary
matter must comply with the fee
agreement filing requirement prescribed
in § 14.636(g)(3) of this chapter.
(3) VA, the beneficiary, or the
beneficiary’s fiduciary may challenge
the reasonableness of a fee charged by
an accredited attorney or claims agent
using the procedures prescribed in
§ 14.636(i) of this chapter.
(Authority: 38 U.S.C. 501, 38 U.S.C. chapter
59)
sradovich on DSK3GMQ082PROD with RULES2
§ 13.50
Suspension of benefits.
(a) Notwithstanding the beneficiary
rights prescribed in § 13.30, the Hub
Manager will temporarily suspend
payment of benefits and hold such
benefits in the U.S. Treasury to the
credit of the beneficiary or take other
action that the Hub Manager deems
appropriate to prevent exploitation of
VA benefit funds or to ensure that the
beneficiary’s needs are being met, if:
(1) The beneficiary or the
beneficiary’s attorney, claims agent, or
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
representative withholds cooperation in
any of the appointment and oversight
procedures prescribed in this part; or
(2) VA removes the beneficiary’s
fiduciary for any reason prescribed in
§ 13.500(b) and is unable to appoint a
successor fiduciary before the
beneficiary has an immediate need for
disbursement of funds.
(b) All or any part of the funds held
in the U.S. Treasury to the beneficiary’s
credit under paragraph (a) of this
section will be disbursed under the
order and in the discretion of the VA
Regional Office Director who has
jurisdiction over the fiduciary hub or
regional office for the benefit of the
beneficiary or the beneficiary’s
dependents.
(Authority: 38 U.S.C. 501, 512, 5502, 5504)
§ 13.100
Fiduciary appointments.
(a) Authority. Except as prescribed in
paragraph (b) of this section, the Hub
Manager will appoint a fiduciary for a
beneficiary who:
(1) Has been rated by VA as being
unable to manage his or her VA benefits,
(2) Has been determined by a court
with jurisdiction as being unable to
manage his or her financial affairs, or
(3) Has not reached age of majority.
(b) Exceptions. The Hub Manager will
not appoint a fiduciary for a beneficiary
who:
(1) Is eligible for supervised direct
payment under § 13.110, or
(2) Is not a beneficiary described in
paragraph (a)(1) or (a)(2) of this section
and has not reached age of majority, but
(i) Is serving in the Armed Forces of
the United States, or
(ii) Has been discharged from service
in the Armed Forces of the United
States, or
(iii) Qualifies for survivors’ benefits as
a surviving spouse.
(c) Retroactive benefit payments. The
Hub Manager will withhold any
retroactive, one-time, or other lump-sum
benefit payment awarded to a
beneficiary described in paragraph (a) of
this section until the Hub Manager has
appointed a fiduciary for the beneficiary
and, if applicable, the fiduciary has
obtained a surety bond under § 13.230.
(d) Initial appointment. In appointing
a fiduciary, the Hub Manager will make
every effort to appoint the person,
agency, organization, or institution that
will best serve the interest of the
beneficiary. The Hub Manager will
consider the results of a field
examination, which will include a faceto-face meeting with the beneficiary and
the beneficiary’s dependents at their
residence when practicable, and will
conduct the investigation prescribed in
PO 00000
Frm 00026
Fmt 4701
Sfmt 4700
paragraph (f) of this section. The Hub
Manager will also consider whether:
(1) VA benefits can be paid directly to
the beneficiary with limited and
temporary supervision by VA, as
prescribed in § 13.110;
(2) The circumstances require
appointment of a temporary fiduciary
under paragraph (h) of this section; and
(3) The proposed fiduciary is
complying with the responsibilities of a
fiduciary prescribed in § 13.140 with
respect to all beneficiaries in the
fiduciary program currently being
served by the proposed fiduciary and
whether the proposed fiduciary can
handle an additional appointment
without degrading service for any other
beneficiary.
(e) Order of preference in appointing
a fiduciary. The Hub Manager will
consider individuals and entities for
appointment in the following order of
preference, provided that the proposed
fiduciary is qualified and willing to
serve and the appointment would serve
the beneficiary’s interest:
(1) The preference stated by the
beneficiary in the fiduciary program, if
the beneficiary has the capacity to state
such a preference. If the beneficiary has
a legal guardian appointed to handle his
or her affairs, the Hub Manager will
presume that the beneficiary does not
have the capacity to state a preference
and will consider individuals and
entities in the order of preference
prescribed in paragraphs (e)(2) through
(10) of this section;
(2) The beneficiary’s spouse;
(3) A relative who has care or custody
of the beneficiary or his or her funds;
(4) Any other relative of the
beneficiary;
(5) Any friend, acquaintance, or other
person who is willing to serve as
fiduciary for the beneficiary without a
fee;
(6) The chief officer of a public or
private institution in which the
beneficiary receives care or which has
custody of the beneficiary;
(7) The bonded officer of an Indian
reservation, if applicable;
(8) An individual or entity who has
been appointed by a court with
jurisdiction to handle the beneficiary’s
affairs;
(9) An individual or entity who is not
willing to serve without a fee; or
(10) A temporary fiduciary, if
necessary.
(f) Investigation of a proposed
fiduciary. Except as prescribed in
paragraph (f)(3) of this section, before
appointing a fiduciary for a beneficiary
in the fiduciary program, the Hub
Manager will conduct an investigation
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
regarding the proposed fiduciary’s
qualifications.
(1) The investigation will include:
(i) To the extent practicable, a face-toface interview of the proposed fiduciary;
(ii) A review of a credit report on the
proposed fiduciary issued by a credit
reporting agency no more than 30 days
prior to the date of the proposed
appointment;
(iii) A criminal background check to
determine whether the proposed
fiduciary has been convicted of any
offense which would be a bar to serving
as a fiduciary under § 13.130 or which
the Hub Manager may consider and
weigh under the totality of the
circumstances regarding the proposed
fiduciary’s qualifications;
(iv) Obtaining proof of the proposed
fiduciary’s identity and relationship to
the beneficiary, if any; and
(v) A determination regarding the
need for surety bond under § 13.230 and
the proposed fiduciary’s ability to
obtain such a bond.
(2) The Hub Manager may, at any time
after the initial appointment or
reappointment of the fiduciary for a
beneficiary, repeat all or part of the
investigation prescribed by paragraph
(f)(1) of this section to ensure that the
fiduciary continues to meet the
qualifications for service and there is no
current bar to service under § 13.130.
(3) The Hub Manager must conduct
the requirements of paragraphs
(f)(1)(i),(ii) and (iii) for every subsequent
appointment of the fiduciary for each
beneficiary.
(4) VA will not conduct the
investigation prescribed by paragraph (f)
of this section if the proposed fiduciary
is an entity, such as the trust
department of a bank that provides
fiduciary services.
(g) Expedited appointment. The Hub
Manager may waive the requirements of
paragraphs (f)(1)(i) through (iii) of this
section and expedite the appointment of
a proposed fiduciary if the Hub Manager
determines that an expedited
appointment would be in the
beneficiary’s interest and:
(1) The proposed fiduciary is:
(i) The beneficiary’s parent (natural,
adopted, or step-parent) and the
beneficiary is less than the age of
majority, or
(ii) The beneficiary’s spouse; or
(2) The annual amount of VA benefits
the proposed fiduciary would manage
for the beneficiary does not exceed the
amount specified in 38 U.S.C.
5507(c)(2)(D), as adjusted by VA
pursuant to 38 U.S.C. 5312.
(h) Temporary fiduciary
appointments. (1) The Hub Manager
may appoint a temporary fiduciary for a
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
period not to exceed 120 days in any of
the following circumstances:
(i) VA has removed a fiduciary for
cause under § 13.500 and cannot
expedite the appointment of a successor
fiduciary, and the beneficiary has an
immediate need for fiduciary services;
or
(ii) The Hub Manager determines that
the beneficiary has an immediate need
for fiduciary services and it would not
be in the beneficiary’s or the
beneficiary’s dependents’ interest to pay
benefits to the beneficiary until a
fiduciary is appointed.
(2) Any temporary fiduciary
appointed under this paragraph (h) must
be:
(i) An individual or entity that has
already been subject to the procedures
for appointment in paragraphs (d) and
(f) of this section, and
(ii) Performing satisfactorily as a
fiduciary for at least one other VA
beneficiary for whom the fiduciary has
submitted an annual accounting that VA
has approved.
(i) Authorization for disclosure of
information. The Hub Manager will:
(1) Obtain from every proposed
fiduciary who is an individual a written
authorization for VA to disclose to the
beneficiary information regarding any
fiduciary matter that may be appealed
under § 13.600, including but not
limited to the fiduciary’s qualifications
for appointment under § 13.100 or
misuse of benefits under § 13.400. Such
disclosures may occur in VA’s
correspondence with the beneficiary, in
a VA fiduciary appointment or misuse
of benefits decision, in a statement of
the case for purposes of appeal under
§ 13.600, or upon request by the
beneficiary, the beneficiary’s guardian,
or the beneficiary’s accredited attorney,
claims agent, or representative;
(2) Notify the proposed fiduciary that
the disclosed information may be used
by the beneficiary in appealing a VA
appointment or misuse decision to the
Board of Veterans’ Appeals under
§ 13.600; and
(3) Terminate consideration of a
proposed fiduciary if the individual
refuses to provide the authorization
prescribed in paragraph (i)(1) of this
section. Such refusal is a bar to serving
as a fiduciary for a beneficiary under
§ 13.130(b).
(Authority: 38 U.S.C. 501, 5502, 5506, 5507)
§ 13.110
Supervised direct payment.
(a) Authority. The Hub Manager may
authorize the payment of VA benefits
directly to an adult beneficiary in the
fiduciary program who has reached the
age of majority if the Hub Manager
PO 00000
Frm 00027
Fmt 4701
Sfmt 4700
32741
determines, based upon a field
examination, that the beneficiary can
manage his or her VA benefits with
limited and temporary VA supervision.
In making this determination, the Hub
Manager will consider:
(1) Whether the beneficiary is aware
of his or her monthly income;
(2) Whether the beneficiary is aware
of his or her fixed monthly expenses
such as rent, mortgage, utilities,
clothing, food, and medical bills;
(3) The beneficiary’s ability to:
(i) Allocate appropriate funds to fixed
monthly expenses and discretionary
items;
(ii) Pay monthly bills in a timely
manner; and
(iii) Conserve excess funds; and
(4) Any other information that
demonstrates the beneficiary’s actual
ability to manage his or her VA benefits
with limited VA supervision.
(b) Supervision. The limited and
temporary supervision of beneficiaries
receiving direct payment under
paragraph (a) of this section will consist
of:
(1) Assistance in the development of
a budget regarding the beneficiary’s
income and expenses,
(2) Assistance with creating a fund
usage report to aid the beneficiary in
tracking his or her income and
expenses, and
(3) Periodic reviews of the
beneficiary’s fund usage report, as
required by the Hub Manager.
(c) Reassessment. The Hub Manager
will reassess the beneficiary’s ability to
manage his or her VA benefits at or
before the end of the first 12-month
period of supervision. Based upon a
field examination, an evaluation of the
factors listed in paragraph (a) of this
section, and the results of the
supervision prescribed in paragraph (b)
of this section, the Hub Manager will
determine whether the beneficiary can
manage his or her benefits without VA
supervision.
(1) If the beneficiary demonstrates the
ability to manage his or her VA benefits
without supervision, the Hub Manager
will prepare a report that summarizes
the findings and refer the matter with a
recommendation and supporting
evidence to the rating authority for
application of § 3.353(b)(3) of this
chapter regarding reevaluation of ability
to manage VA benefits and § 3.353(d) of
this chapter regarding the presumption
of ability to manage VA benefits without
restriction.
(2) If the beneficiary does not
demonstrate the ability to manage his or
her VA benefits without VA
supervision, the Hub Manager will:
(i) Appoint a fiduciary, or
E:\FR\FM\13JYR2.SGM
13JYR2
32742
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
(ii) Continue supervised direct
payment for not longer than one
additional 12-month period based upon
evidence that additional supervision
might assist the beneficiary in
developing the ability to manage his or
her own VA benefits. At the conclusion
of the additional period of supervised
direct payment, the Hub Manager will
conduct the reassessment prescribed by
paragraph (c) of this section and either
recommend reevaluation under
paragraph (c)(1) of this section or
appoint a fiduciary under paragraph
(c)(2)(i) of this section.
(Authority: 38 U.S.C. 501, 5502)
sradovich on DSK3GMQ082PROD with RULES2
§ 13.120
Field examinations.
(a) Authority. The Hub Manager will
order a field examination regarding
fiduciary matters within the Hub
Manager’s jurisdiction for any of the
reasons prescribed in paragraph (c) of
this section. For purposes of this
section, field examination means the
inquiry, investigation, or monitoring
activity conducted by designated
fiduciary hub or other qualified VA
personnel who are authorized to:
(1) Interview beneficiaries,
dependents, and other interested
persons regarding fiduciary matters;
(2) Interview proposed fiduciaries and
current fiduciaries regarding their
qualifications, performance, or
compliance with VA regulations;
(3) Conduct investigations and
examine witnesses regarding any
fiduciary matter;
(4) Take affidavits;
(5) Administer oaths and affirmations;
(6) Certify copies of public or private
documents; and
(7) Aid claimants and beneficiaries in
the preparation of claims for VA
benefits or other fiduciary or claimrelated material.
(b) Scope of field examinations. Field
examinations may include, but are not
limited to:
(1) Assessing a beneficiary’s and the
beneficiary’s dependents’ welfare and
physical and mental well-being,
environmental and social conditions,
and overall financial situation, based
upon visiting the beneficiary’s current
residence and conducting a face-to-face
interview of the beneficiary and the
beneficiary’s dependents, when
practicable;
(i) The Hub Manager will waive the
requirements of paragraph (b)(1) of this
section if the Veterans Health
Administration (VHA) has approved the
fiduciary as the beneficiary’s family
caregiver, and VHA’s status report
regarding the beneficiary indicates the
beneficiary is in an excellent situation.
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
(ii) The provisions of paragraph
(b)(1)(i) of this section do not apply
when the Hub Manager has information
that a fiduciary, who is also the
beneficiary’s VHA-designated family
caregiver, is misusing a beneficiary’s VA
funds under management, is neglecting
a beneficiary, or has failed to comply
with the requirements of § 13.140, or
there is insufficient evidence to
determine the beneficiary’s well-being.
(2) Assessing the beneficiary’s ability
to manage his or her own VA benefits
with only limited VA supervision (see
§ 13.110 regarding supervised direct
payment);
(3) Collecting and reviewing financial
documentation, including income and
expenditure information;
(4) Providing any necessary assistance
to the beneficiary with issues affecting
current or additional VA benefits,
claims, and non-VA matters that may
affect or conflict with VA benefits;
(5) Making appropriate referrals in
cases of actual or suspected physical or
mental abuse, neglect, or other harm to
a beneficiary;
(6) Investigating, when necessary,
allegations that a beneficiary’s fiduciary
has engaged in misconduct or misused
VA benefits to include but not limited
to allegations regarding:
(i) Theft or misappropriation of funds,
(ii) Failure to comply with the
responsibilities of a fiduciary as
prescribed in § 13.140,
(iii) Other allegations of inappropriate
fund management by a fiduciary, and
(iv) Other special circumstances
which require a visit with or onsite
review of the fiduciary, such as a change
in an award of benefits or benefit status,
or non-fiduciary program matters.
(c) Reasons for conducting field
examinations. A Hub Manager will
order a field examination to:
(1) Determine whether benefits should
be paid directly to a beneficiary under
§ 13.110 or to a fiduciary appointed for
the beneficiary under § 13.100;
(2) Determine whether benefit
payments should continue to be made
directly to a beneficiary under § 13.110
or to a fiduciary on behalf of a
beneficiary; or
(3) Ensure the well-being of a
beneficiary in the fiduciary program or
to protect a beneficiary’s VA benefit
funds.
(Authority: U.S.C. 501, 512, 5502, 5506,
5507, 5711)
(Approved by the Office of Management and
Budget under control numbers 2900–0815
and 2900–0803.)
§ 13.130
Bars to serving as a fiduciary.
(a) An individual or entity may not
serve as a fiduciary for a VA beneficiary
if the individual or entity:
PO 00000
Frm 00028
Fmt 4701
Sfmt 4700
(1) Misused or misappropriated a
beneficiary’s VA benefits while serving
as the beneficiary’s fiduciary;
(2) Has been convicted of a felony
offense. For purposes of this paragraph,
felony offense means a criminal offense
for which the minimum period of
imprisonment is 1 year or more,
regardless of the actual sentence
imposed or the actual time served.
However, such conviction is not a bar to
serving as a fiduciary for a beneficiary
if all of the following conditions are
met:
(i) The conviction occurred more than
10 years preceding the proposed date of
appointment;
(ii) The conviction did not involve
any of the following offenses:
(A) Fraud;
(B) Theft;
(C) Bribery;
(D) Embezzlement;
(E) Identity theft;
(F) Money laundering;
(G) Forgery;
(H) The abuse of or neglect of another
person; or
(I) Any other financial crime;
(iii) There is no other person or entity
who is willing and qualified to serve;
and
(iv) The Hub Manager determines that
the nature of the conviction is such that
appointment of the individual poses no
risk to the beneficiary and is in the
beneficiary’s interest.
(b) An individual may not serve as a
fiduciary for a VA beneficiary if the
individual:
(1) Refuses or neglects to provide the
authorization for VA disclosure of
information prescribed in § 13.100(i);
(2) Is unable to manage his or her own
Federal or state benefits and is in a
Federal or state agency’s fiduciary,
representative payment, or similar
program;
(3) Has been adjudicated by a court
with jurisdiction as being unable to
manage his or her own financial affairs;
(4) Is incarcerated in a Federal, state,
local, or other penal institution or
correctional facility, sentenced to home
confinement, released from
incarceration to a half-way house, or on
house arrest or in custody in any facility
awaiting trial on pending criminal
charges;
(5) Has felony charges pending;
(6) Has been removed as legal
guardian by a state court for
misconduct;
(7) Is under the age of majority; or
(8) Knowingly violates or refuses to
comply with the regulations in this part.
(Authority: 38 U.S.C. 501, 5502, 5506, 5507,
6101, 6106)
E:\FR\FM\13JYR2.SGM
13JYR2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
sradovich on DSK3GMQ082PROD with RULES2
§ 13.140
Responsibilities of fiduciaries.
Any individual or entity appointed by
VA as a fiduciary to receive VA benefit
payments on behalf of a beneficiary in
the fiduciary program must fulfill
certain responsibilities associated with
the services of a fiduciary. These
responsibilities include:
(a) General. (1) Fiduciaries appointed
by VA to manage the VA funds of a
beneficiary are also responsible for
monitoring the beneficiary’s well-being
and using available funds to ensure that
the beneficiary’s needs are met.
Fiduciaries owe VA and beneficiaries
the duties of good faith and candor and
must administer a beneficiary’s funds
under management in accordance with
paragraph (b) of this section. In all
cases, the fiduciary must disburse or
otherwise manage funds according to
the best interests of the beneficiary and
the beneficiary’s dependents and in
light of the beneficiary’s unique
circumstances, needs, desires, beliefs,
and values.
(2) The fiduciary must take all
reasonable precautions to protect the
beneficiary’s private information
contained in the fiduciary’s paper and
electronic records.
(i) For purposes of this section:
(A) Reasonable precautions means
protecting against any unauthorized
access to or use of the beneficiary’s
private information that may result in
substantial harm or inconvenience to
the beneficiary; and
(B) Private information means a
beneficiary’s first name and last name or
first initial and last name in
combination with any one or more of
the following data elements that relate
to such beneficiary: VA claim number,
Social Security number, date of birth,
address, driver’s license number or
state-issued identification card number,
or financial account number or credit
card or debit card number, with or
without any required security code,
access code, personal identification
number, or password, that would permit
access to the beneficiary’s account.
(ii) At a minimum, fiduciaries must
place reasonable restrictions upon
access to paper records containing the
beneficiary’s private information,
including storage of such records in
locked facilities, storage areas, or
containers.
(iii) For electronic records containing
the beneficiary’s private information,
the fiduciary must:
(A) Use unique identifications and
passwords, which are not vendorsupplied default identifications and
passwords, for computer, network, or
online site access that are reasonably
designed to maintain the security of the
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
beneficiary’s information and the
fiduciary’s financial transactions;
(B) Control access to data security
passwords to ensure that such
passwords are kept in a location and
format that do not compromise the
security of the beneficiary’s private
information; and
(C) For records containing private
information on a computer system that
is connected to the internet, keep
reasonably up-to-date firewall and virus
protection and operating system
security patches to maintain the
integrity of the beneficiary’s private
information and prevent unauthorized
disclosure. For purposes of this section,
a system is reasonably updated if the
fiduciary installs software updates
immediately upon release by the
original equipment or software
manufacturer, uses internet browser
security settings suitable for
transmission of private information, and
maintains password-protected wireless
connections or other networks.
(iv) The fiduciary must keep all paper
and electronic records relating to the
fiduciary’s management of VA benefit
funds for the beneficiary for the
duration of service as fiduciary for the
beneficiary and for a minimum of 2
years from the date that VA removes the
fiduciary under § 13.500 or from the
date that the fiduciary withdraws as
fiduciary for the beneficiary under
§ 13.510.
(b) Financial responsibilities. The
fiduciary’s primary financial
responsibilities include, but are not
limited to:
(1) The use of the beneficiary’s VA
benefit funds under management only
for the care, support, education, health,
and welfare of the beneficiary and his or
her dependents. Except as authorized
under § 13.220 regarding fiduciary fees,
a fiduciary may not derive a personal
financial benefit from management or
use of the beneficiary’s funds;
(2) Protection of the beneficiary’s VA
benefits from loss or diversion;
(3) Except as prescribed in § 13.200
regarding fiduciary accounts,
maintenance of separate financial
accounts to prevent commingling of the
beneficiary’s funds with the fiduciary’s
own funds or the funds of any other
beneficiary for whom the fiduciary has
funds under management;
(4) Determination of the beneficiary’s
just debts. For purposes of this section,
just debts mean the beneficiary’s
legitimate, legally enforceable debts;
(5) Timely payment of the
beneficiary’s just debts, provided that
the fiduciary has VA benefit funds
under management for the beneficiary to
cover such debts;
PO 00000
Frm 00029
Fmt 4701
Sfmt 4700
32743
(6) Providing the beneficiary with
information regarding VA benefit funds
under management for the beneficiary,
including fund usage, upon request;
(7) Providing the beneficiary with a
copy of the annual accounting approved
by VA under § 13.280;
(8) Ensuring that any best-interest
determination regarding the use of
funds is consistent with VA policy,
which recognizes that beneficiaries in
the fiduciary program are entitled to the
same standard of living as any other
beneficiary with the same or similar
financial resources, and that the
fiduciary program is not primarily for
the purpose of preserving funds for the
beneficiary’s heirs or disbursing funds
according to the fiduciary’s own beliefs,
values, preferences, and interests; and
(9) Protecting the beneficiary’s funds
from the claims of creditors as described
in § 13.270.
(c) Non-financial responsibilities. The
fiduciary’s primary non-financial
responsibilities include, but are not
limited to:
(1) Contacting social workers, mental
health professionals, or the beneficiary’s
legal guardian regarding the beneficiary,
when necessary;
(2) To the extent possible, ensuring
the beneficiary receives appropriate
medical care;
(3) Correcting any discord or
uncomfortable living or other situations
when possible;
(4) Acknowledging and addressing
any complaints or concerns of the
beneficiary to the best of the fiduciary’s
ability;
(5) Reporting to the appropriate
authorities, including any legal
guardian, any type of known or
suspected abuse of the beneficiary;
(6) Maintaining contact with the
beneficiary for purposes of assessing the
beneficiary’s capabilities, limitations,
needs, and opportunities;
(7) Being responsive to the beneficiary
and ensuring the beneficiary and his or
her legal guardian have the fiduciary’s
current contact information.
(d) The fiduciary’s responsibilities to
VA. Any fiduciary who has VA benefit
funds under management on behalf of a
beneficiary in the fiduciary program
must:
(1) If the fiduciary is also appointed
by a court, annually provide to the
fiduciary hub with jurisdiction a
certified copy of the accounting(s)
provided to the court or facilitate the
hub’s receipt of such accountings;
(2) Notify the fiduciary hub regarding
any change in the beneficiary’s
circumstances, to include the
beneficiary’s relocation, the
beneficiary’s serious illness, or any
E:\FR\FM\13JYR2.SGM
13JYR2
32744
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
other significant change in the
beneficiary’s circumstances which
might adversely impact the beneficiary’s
well-being;
(3) Provide documentation or
verification of any records concerning
the beneficiary or matters relating to the
fiduciary’s responsibilities within 30
days of a VA request, unless otherwise
directed by the Hub Manager;
(4) When necessary, appear before VA
for face-to-face meetings; and
(5) Comply with the policies and
procedures prescribed in this part.
(Authority: 38 U.S.C. 501, 512, 5502, 5507,
5509, 5711)
(Approved by the Office of Management and
Budget under control numbers 2900–0017
and 2900–0085.)
sradovich on DSK3GMQ082PROD with RULES2
§ 13.200
Fiduciary accounts.
Except as prescribed in paragraph (b)
of this section, any fiduciary appointed
by VA to receive payments on behalf of
a beneficiary must deposit the
beneficiary’s VA benefits in a fiduciary
account that meets the requirements
prescribed in paragraph (a) of this
section.
(a) Separate accounts. Except as
prescribed in paragraph (b) of this
section, a fiduciary must establish and
maintain a separate financial institution
account for each VA beneficiary that the
fiduciary serves. The fiduciary must not
commingle a beneficiary’s funds with
the fiduciary’s funds or any other
beneficiary’s funds, either upon or after
receipt. The account must be:
(1) Established for direct deposit of
VA benefits,
(2) Established in a Federally-insured
financial institution, and in Federallyinsured accounts when funds qualify for
such deposit insurance, and
(3) Titled in the beneficiary’s and
fiduciary’s names and note the existence
of the fiduciary relationship.
(b) Exceptions. The general rule
prescribed in paragraph (a) of this
section regarding establishment and
maintenance of separate accounts does
not apply to the following fiduciaries:
(1) The beneficiary’s spouse;
(2) State or local Government entities;
(3) Institutions, such as public or
private medical care facilities, nursing
homes, or other residential care
facilities, when an annual accounting is
not required. See § 13.280 regarding
accounting requirements; or
(4) A trust company or a bank with
trust powers organized under the laws
of the United States or a state.
(Authority: U.S.C. 501, 5502, 5509, 5711)
§ 13.210
Fiduciary investments.
(a) General. A fiduciary must
conserve or invest any VA benefits that
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
the fiduciary receives on behalf of a
beneficiary, whether such benefits are in
the form of recurring monthly payments
or a one-time payment, if the beneficiary
or the beneficiary’s dependents do not
need the benefits for current
maintenance, reasonably foreseeable
expenses, or reasonable improvements
in the beneficiary’s and the beneficiary’s
dependents’ standard of living.
Conservation of beneficiary funds is for
the purpose of addressing unforeseen
circumstances or planning for future
care needs given the beneficiary’s
disabilities, circumstances, and
eligibility for care furnished by the
Government at Government expense.
Fiduciaries should not conserve VA
benefit funds under management for a
beneficiary based primarily upon the
interests of the beneficiary’s heirs or
according to the fiduciary’s own values,
preferences, and interests.
(b) Types of investments. An
investment must be prudent and in the
best interest of the beneficiary.
Authorized investments include United
States savings bonds or interest or
dividend-paying accounts insured
under Federal law. Any such
investment must be clearly titled in the
beneficiary’s and fiduciary’s names and
identify the fiduciary relationship.
(c) Exceptions. The general rules
regarding investment of VA benefits do
not apply to the following fiduciaries:
(1) The beneficiary’s spouse, and
(2) The chief officer of an institution
in which the beneficiary is being
furnished hospital treatment or
institutional, nursing, or domiciliary
care. VA benefits paid to the chief
officer may not be invested.
(Authority: 38 U.S.C. 501, 5502)
§ 13.220
Fiduciary fees.
(a) Authority. The Hub Manager with
jurisdiction over a fiduciary
appointment may determine whether a
fee is necessary to obtain the services of
a fiduciary. A fee is necessary only if no
other person or entity is qualified and
willing to serve without a fee and the
beneficiary’s interests would be served
by the appointment of a qualified paid
fiduciary. The Hub Manager will not
authorize a fee if the fiduciary:
(1) Is a spouse, dependent, or other
relative of the beneficiary; or
(2) Will receive any other form of
payment in connection with providing
fiduciary services for the beneficiary.
(b) Limitation on fees. The Hub
Manager will authorize a fiduciary to
whom a fee is payable under paragraph
(a) of this section to deduct from the
beneficiary’s account a reasonable
monthly fee for fiduciary services
rendered.
PO 00000
Frm 00030
Fmt 4701
Sfmt 4700
(1) For purposes of this section,
reasonable monthly fee means a
monetary amount that is authorized by
the Hub Manager and does not exceed
4 percent of the monthly VA benefit
paid to the fiduciary on behalf of the
beneficiary for a month in which the
fiduciary is eligible under paragraph
(b)(2) of this section to collect a fee.
(2) A monthly fee may be collected for
any month during which the fiduciary:
(i) Provides fiduciary services on
behalf of the beneficiary,
(ii) Receives a recurring VA benefit
payment for the beneficiary, and
(iii) Is authorized by the Hub Manager
to receive a fee for fiduciary services.
(3) Fees may not be computed based
upon:
(i) Any one-time, retroactive, or lumpsum payment made to the fiduciary on
behalf of the beneficiary;
(ii) Any funds conserved by the
fiduciary for the beneficiary in the
beneficiary’s account under § 13.200 or
invested by the fiduciary for the
beneficiary under § 13.210, to include
any interest income and return on
investment derived from any account; or
(iii) Any funds transferred to the
fiduciary by a prior fiduciary for the
beneficiary, or from the personal funds
of patients or any other source.
(4) The Hub Manager will not
authorize a fee for any month for which:
(i) VA or a court with jurisdiction
determines that the fiduciary misused or
misappropriated benefits, or
(ii) The beneficiary does not receive a
VA benefit payment. However, the Hub
Manager may authorize a fee for a
month in which the beneficiary did not
receive a benefit payment if VA later
issues benefits for that month and the
fiduciary:
(A) Receives VA approval to collect a
fee for the month for which payment
was made,
(B) Provided fiduciary services during
the month for which payment was
made, and
(C) Was the beneficiary’s fiduciary
when VA made the retroactive payment.
(Authority: 38 U.S.C. 501, 5502, 6101, 6106)
§ 13.230
Protection of beneficiary funds.
(a) General. Except as prescribed in
paragraph (c) of this section, within 60
days of appointment, the fiduciary must
furnish to the fiduciary hub with
jurisdiction a corporate surety bond that
is conditioned upon faithful discharge
of all of the responsibilities of a
fiduciary prescribed in § 13.140 and
meets the requirements of paragraph (d)
of this section, if the VA benefit funds
that are due and to be paid for the
beneficiary will exceed $25,000 at the
time of appointment. The Hub Manager
E:\FR\FM\13JYR2.SGM
13JYR2
sradovich on DSK3GMQ082PROD with RULES2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
will not authorize the release of a
retroactive, one-time, or other pending
lump-sum benefit payment to the
fiduciary until the fiduciary has
furnished the bond prescribed by this
section.
(b) Accumulated funds. The
provisions of paragraph (a) of this
section, which require a fiduciary to
furnish a surety bond, apply in any case
in which the accumulation over time of
VA benefit funds under management by
a fiduciary for a beneficiary exceeds
$25,000. Except as prescribed in
paragraph (c) of this section, within 60
days of accumulated funds exceeding
the prescribed threshold, the fiduciary
will furnish to the fiduciary hub a bond
that meets the requirements of
paragraph (d) of this section.
(c) Exceptions. (1) The provisions of
paragraphs (a) and (b) of this section do
not apply to:
(i) A fiduciary that is a trust company
or a bank with trust powers organized
under the laws of the United States or
a state;
(ii) A fiduciary who is the
beneficiary’s spouse; or
(iii) A fiduciary in the Commonwealth
of Puerto Rico, Guam, or another
territory of the United States, or in the
Republic of the Philippines, who has
entered into a restricted withdrawal
agreement in lieu of a surety bond.
(2) The Hub Manager may, at any
time, require the fiduciary to obtain a
bond described in paragraph (a) of this
section and meeting the requirements of
paragraph (d) of this section, without
regard to the amount of VA benefit
funds under management by the
fiduciary for the beneficiary, if special
circumstances indicate that obtaining a
bond would be in the beneficiary’s
interest. Such special circumstances
may include but are not limited to:
(i) A marginal credit report for the
fiduciary; or
(ii) A fiduciary’s misdemeanor
criminal conviction either before or after
appointment for any offense listed in
§ 13.130(a)(2)(ii);
(d) Bond requirements. A bond
furnished by a fiduciary under
paragraph (a) or (b) of this section must
meet the following requirements:
(1) The bond must be a corporate
surety bond in an amount sufficient to
cover the value of the VA benefit funds
under management by the fiduciary for
the beneficiary.
(2) After furnishing the prescribed
bond to the fiduciary hub, the fiduciary
must:
(i) Adjust the bond amount to account
for any increase or decrease of more
than 20 percent in the VA benefit funds
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
under management by the fiduciary for
the beneficiary; and
(ii) Furnish proof of the adjustment to
the fiduciary hub not later than 60 days
after a change in circumstance described
in paragraph (d)(2)(i) of this section.
(3) The bond furnished by the
fiduciary must also:
(i) Identify the fiduciary, the
beneficiary, and the bonding company;
and
(ii) Contain a statement that the bond
is payable to the Secretary of Veterans
Affairs.
(e) Periodic proof of bond. A fiduciary
must furnish proof of adequate bonding:
(1) With each annual accounting
prescribed by § 13.280; and
(2) At any other time the Hub
Manager with jurisdiction requests
proof.
(f) Liability. (1) Except as otherwise
provided by the terms of the bond, the
surety and the fiduciary guaranteed by
the surety are jointly and severally
liable for any misappropriation or
misuse of VA benefits by the fiduciary.
(2) VA may collect on the bond
regardless of any prior reissuance of
benefits by VA under § 13.410 and until
liability under the terms of the bond is
exhausted.
(g) Bond expenses—(1) Authority. The
fiduciary may deduct from the
beneficiary’s account any expense
related to obtaining, maintaining, or
adjusting a bond prescribed by this
section.
(2) Notice. The Hub Manager will
provide the beneficiary written notice
regarding any bond furnished at the
beneficiary’s expense under paragraph
(a), (b), or (c)(2) of this section or
adjusted under paragraph (d)(2) of this
section.
(Authority: 38 U.S.C. 501, 5502, 5507)
(Approved by the Office of Management and
Budget under control numbers 2900–0017
and 2900–0804.)
§ 13.240 Funds of beneficiaries less than
the age of majority.
(a) General. Except as prescribed in
paragraph (b) of this section, a fiduciary
who receives VA benefits on behalf of
a beneficiary who is less than the age of
majority may use the benefits only for
the use and benefit of that beneficiary
and only if the fiduciary first determines
that the person or persons who have
custody of the beneficiary and are
responsible for the beneficiary’s needs
are unable to provide for those needs.
(b) Education benefits. A fiduciary
who receives VA education benefits on
behalf of a beneficiary who is less than
the age of majority may use the benefits
for the beneficiary’s education
regardless of the ability of the person or
PO 00000
Frm 00031
Fmt 4701
Sfmt 4700
32745
persons who have custody of the
beneficiary to pay for the beneficiary’s
education.
(Authority: 38 U.S.C. 501, 5502)
§ 13.250
Funds of deceased beneficiaries.
(a) General. When a beneficiary who
has a fiduciary dies without leaving a
valid will and without heirs, all VA
benefit funds under management by the
fiduciary for the deceased beneficiary
on the date of death, less any
deductions authorized by paragraph (c)
of this section, must be returned to VA
if such funds would escheat to a state.
(b) Accountings. Upon the death of a
beneficiary described in paragraph (a)
for whom the fiduciary must return to
VA all benefit funds under management,
less any deductions authorized under
paragraph (c) of this section, or upon the
death of any beneficiary for whom a
fiduciary was required to submit an
annual accounting to VA under
§ 13.280, the fiduciary must submit a
final accounting to the fiduciary hub
with jurisdiction within 90 days of the
beneficiary’s death.
(c) Expenses. The fiduciary may
deduct a reasonable fee from the
deceased beneficiary’s account for
purposes of determining whether the
beneficiary’s funds under management
would escheat to a state under state law
or whether the deceased beneficiary left
a valid will or is survived by heirs. For
the purpose of this section, reasonable
fee means an amount customarily
charged by attorneys or other
professionals authorized to do such
work in the state where the deceased
beneficiary had his or her permanent
place of residence.
(d) Estate matters. Upon the death of
a beneficiary who has a valid will or
heirs, the fiduciary must hold the
remaining funds under management in
trust for the deceased beneficiary’s
estate until the will is probated or heirs
are ascertained, and disburse the funds
according to applicable state law.
(Authority: U.S.C. 501, 5502)
§ 13.260
Personal funds of patients.
(a) Distribution of funds. Benefits
deposited by VA in the personal funds
of patients account for a veteran who
was rated by VA as being unable to
manage his or her VA benefits and who
died leaving an account balance are
payable to an eligible person. For
purposes of this section, eligible person
means an individual living at the time
the account balance is distributed in the
following order of preference:
(1) The deceased veteran’s spouse, as
defined by § 3.1000(d)(1) of this chapter;
(2) The veteran’s children (in equal
shares), as defined by § 3.57 of this
E:\FR\FM\13JYR2.SGM
13JYR2
32746
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
chapter, but without regard to age or
marital status; or
(3) The veteran’s dependent parents
(in equal shares) or surviving parent, as
defined by § 3.59 of this chapter,
provided that the parents were or parent
was dependent within the meaning of
§ 3.250 of this chapter on the date of the
veteran’s death.
(4) Any balance remaining in the
personal funds of patients account that
cannot be distributed in accordance
with paragraphs (a)(1) through (3) of this
section will be used by VA to reimburse
anyone who bore the expense of the
veteran’s last sickness or burial or will
be deposited to the credit of the
applicable current VA appropriation.
(b) Application. A person who seeks
distribution of a deceased veteran’s
funds from the personal funds of
patients account under paragraph (a) of
this section must file an application
with VA not later than 5 years after the
veteran’s death. If any person who seeks
such distribution is under a legal
disability that prevents him or her from
filing an application at the time of the
veteran’s death, the 5-year period will
run from the date of termination or
removal of the legal disability.
(Authority: 38 U.S.C. 501, 5502)
§ 13.270
Creditors’ claims.
Under 38 U.S.C. 5301(a)(1), VA
benefit payments are exempt, both
before and after receipt by the
beneficiary, from the claims of creditors
and taxation. The fiduciary should
invoke this defense in applicable
circumstances. If the fiduciary does not
do so, the Hub Manager may refer the
matter to the District Counsel for
evaluation and appropriate legal action.
(Authority: 38 U.S.C. 501, 512, 5301)
sradovich on DSK3GMQ082PROD with RULES2
§ 13.280
Accountings.
(a) General. Except as prescribed in
paragraph (d) of this section, a fiduciary
for a beneficiary must submit to the
fiduciary hub with jurisdiction an
annual accounting regarding the VA
benefit funds under management by the
fiduciary for the beneficiary if:
(1) The amount of VA benefit funds
under management for the beneficiary
exceeds $10,000;
(2) The fiduciary deducts a fee
authorized under § 13.220 from the
beneficiary’s account;
(3) The beneficiary is being paid VA
compensation benefits at a total
disability rating (100 percent), whether
schedular, extra-schedular, or based on
individual unemployability; or
(4) The Hub Manager determines an
accounting is necessary to ensure the
fiduciary has properly managed the
beneficiary’s funds.
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
(b) Scope of accounting. For purposes
of this section, accounting means the
fiduciary’s written report regarding the
income and funds under management
by the fiduciary for the beneficiary
during the accounting period prescribed
by the Hub Manager. The accounting
prescribed by this section pertains to all
activity in the beneficiary’s accounts,
regardless of the source of funds
maintained in those accounts. An
accounting consists of:
(1) A beginning inventory or account
balance,
(2) An itemization of income,
(3) An itemization of expenses,
(4) An ending inventory or account
balance,
(5) Copies of financial institution
documents reflecting receipts,
expenditures, and beginning and ending
balances, and
(6) Receipts, when required by the
Hub Manager.
(c) Submission requirements.
Fiduciaries must submit annual
accountings to the fiduciary hub as
follows:
(1) The fiduciary must submit
accountings on the appropriate VA form
not later than 30 days after the end of
the accounting period prescribed by the
Hub Manager.
(2) The fiduciary must submit a
corrected or supplemental accounting
not later than 14 days after the date of
VA notice of an accounting discrepancy.
(d) Exceptions. The provisions of this
section that generally require the
submission of an annual accounting do
not apply to a fiduciary who is:
(1) The beneficiary’s spouse;
(2) A chief officer of a Federal
institution;
(3) A chief officer of a non-VA facility
receiving benefits for a beneficiary
institutionalized in the facility and:
(i) The beneficiary’s monthly care,
maintenance, and personal use expenses
equal or exceed the amount of the
beneficiary’s monthly VA benefit; and
(ii) The amount of VA benefit funds
under management by the fiduciary
does not exceed $10,000; or
(4) A fiduciary who receives benefits
on behalf of a beneficiary and both
permanently resides outside of the
United States or in the Commonwealth
of Puerto Rico or the Republic of the
Philippines, and the fiduciary was
appointed outside of the United States
or in the Commonwealth of Puerto Rico
or the Republic of the Philippines.
(e) Failure to comply with accounting
requirements. The Hub Manager will
treat any willful neglect or refusal to file
proper accountings as prima facie
evidence of embezzlement or
misappropriation of VA benefits. Such
PO 00000
Frm 00032
Fmt 4701
Sfmt 4700
evidence is grounds for starting a
misuse investigation under § 13.400.
(Authority: 38 U.S.C. 501, 5502, 5509, 6101)
(Approved by the Office of Management and
Budget under control number 2900–0017.)
§ 13.300
Onsite reviews.
(a) Periodic onsite reviews. (1) The
Hub Manager will conduct a periodic,
scheduled, onsite review of any
fiduciary in the United States, whether
the fiduciary is an individual or an
entity, if:
(i) The fiduciary serves 20 or more
beneficiaries, and
(ii) The total annual amount of
recurring VA benefits paid to the
fiduciary for such beneficiaries exceeds
the threshold established in 38 U.S.C.
5508 as adjusted by VA under 38 U.S.C.
5312.
(2) The Hub Manager must complete
at least one periodic onsite review
triennially if the fiduciary meets the
requirements of paragraph (a)(1) of this
section.
(3) VA will provide the fiduciary with
written notice of the periodic onsite
review at least 30 days before the
scheduled review date. The notice will:
(i) Inform the fiduciary of the pending
review and the fiduciary’s obligation
under this part to cooperate in the
onsite review process, and
(ii) Request that the fiduciary make
available for review all relevant records,
including but not limited to case files,
bank statements, accountings, ledgers,
check registers, receipts, bills, and any
other items necessary to determine that
the fiduciary has been acting in the best
interest of VA beneficiaries and meeting
the responsibilities of fiduciaries
prescribed in § 13.140.
(b) Unscheduled onsite reviews. The
Hub Manager may conduct unscheduled
onsite reviews of any fiduciary,
regardless of the number of beneficiaries
served by the fiduciary or the total
amount of VA benefit funds under
management by the fiduciary, if:
(1) VA receives from any source
credible information that the fiduciary
has misused or is misusing VA benefits;
(2) The fiduciary’s annual accounting
is seriously delinquent. For purposes of
this section, seriously delinquent means
the fiduciary failed to submit the
required accounting within 120 days
after the ending date of the annual
accounting period;
(3) VA receives from any source
credible information that the fiduciary
is not adequately performing the
responsibilities of a fiduciary prescribed
in § 13.140; or
(4) The Hub Manager determines that
an unscheduled onsite review is
necessary to ensure that the fiduciary is
E:\FR\FM\13JYR2.SGM
13JYR2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
acting in the interest of the beneficiary
or beneficiaries served by the fiduciary.
(c) Procedures. (1) Onsite reviews will
consist of the following:
(i) A face-to-face meeting with the
fiduciary. In the case of a fiduciary that
is an entity, the face-to-face meeting will
be with a representative of the entity;
(ii) A review of all relevant records
maintained by the fiduciary, including
but not limited to case files, bank
statements, accountings, ledgers, check
registers, receipts, bills, and any other
items necessary to determine whether
the fiduciary has been acting in the
interest of VA beneficiaries; and
(iii) Interviews of beneficiaries, the
fiduciary’s employees, and other
individuals as determined necessary by
the Hub Manager.
(2) Not later than 30 days after
completing a periodic or unscheduled
onsite review, the Hub Manager will
provide the fiduciary a written report of
VA’s findings, recommendations for
correction of deficiencies, requests for
additional information, and notice of
VA’s intent regarding further action.
(3) Unless good cause for an extension
is shown, not later than 30 days after the
date that VA mails the report prescribed
by paragraph (d)(2) of this section, the
fiduciary must submit to the fiduciary
hub a response to any VA request for
additional information or
recommendation for corrective action.
(4) The Hub Manager will remove the
fiduciary for all VA beneficiaries whom
the fiduciary serves if the fiduciary:
(i) Refuses to cooperate with VA
during a periodic or unscheduled onsite
review,
(ii) Is unable to produce necessary
records,
(iii) Fails to respond to a VA request
for additional information or
recommendation for corrective action,
or
(iv) Is found during an onsite review
to have misused VA benefits.
(Authority: 38 U.S.C. 501, 5508)
sradovich on DSK3GMQ082PROD with RULES2
§ 13.400
Misuse of benefits.
(a) Definition of misuse. Misuse of
benefits by a fiduciary occurs in any
case in which the fiduciary receives
payment of benefits for the use and
benefit of a beneficiary and the
beneficiary’s dependents, if any, and
uses any part of such payment for a use
other than the use and benefit of the
beneficiary or the beneficiary’s
dependents. For the purpose of this
section, use and benefit means any
expenditure reasonably intended for the
care, support, or maintenance of the
beneficiary or the beneficiary’s
dependents. Such expenditures may
include the fiduciary’s efforts to
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
improve the beneficiary’s standard of
living under rules prescribed in this
part.
(b) Misuse determinations. Upon
receipt of information from any source
regarding possible misuse of VA
benefits by a fiduciary, the Hub Manager
may, upon his or her discretion,
investigate the matter and issue a
misuse determination in writing. This
decision will:
(1) Identify the beneficiary,
(2) Identify the fiduciary,
(3) State whether the fiduciary is an
individual fiduciary serving 10 or more
beneficiaries or a corporation or other
entity serving one or more beneficiaries,
(4) Identify the source of the
information,
(5) Describe in detail the facts found
as a result of the investigation,
(6) State the reasons for the Hub
Manager’s determination regarding
whether the fiduciary misused any part
of the beneficiary’s benefit paid to the
fiduciary, and
(7) If the Hub Manager determines
that the fiduciary did misuse any part of
the beneficiary’s benefit, identify the
months in which such misuse occurred.
(c) Notice. The Hub Manager will
provide written notice of the misuse
determination prescribed in paragraph
(b) of this section, including a copy of
the Hub Manager’s written decision, an
explanation regarding the
reconsideration procedure prescribed in
paragraph (d) of this section, and the
beneficiary’s right to appeal under
§ 13.600, to:
(1) The fiduciary;
(2) The beneficiary or the
beneficiary’s legal guardian, and the
beneficiary’s accredited representative,
attorney, or claims agents;
(3) The court of jurisdiction if the
fiduciary is also the beneficiary’s courtappointed guardian and/or conservator;
and
(4) The Director of the Pension and
Fiduciary Service.
(d) Finality and reconsideration of
misuse determinations. (1) The Hub
Manager’s misuse determination is a
final decision, unless:
(i) The Hub Manager receives a
written request for reconsideration from
the fiduciary or the beneficiary not later
than 30 days after the date that the Hub
Manager mailed notice of his or her
misuse determination; or
(ii) The Hub Manager receives a
notice of disagreement from the
beneficiary not later than 1 year after the
date that the Hub Manager mailed
notice of his or her misuse
determination.
(2) The fiduciary or the beneficiary
may submit additional information
PO 00000
Frm 00033
Fmt 4701
Sfmt 4700
32747
pertinent to reconsideration of the
misuse determination and not
previously considered by the Hub
Manager, provided that the additional
information is submitted with the
written reconsideration request.
(3) The Hub Manager will close the
record regarding reconsideration at the
end of the 30-day period described in
paragraph (d)(1)(i) of this section and
furnish a timely request submitted by
the fiduciary or the beneficiary,
including any new information, to the
Director of the VA Regional Office with
jurisdiction over the fiduciary hub for a
final decision.
(4) In making the misuse
determination on reconsideration, the
Regional Office Director’s decision will
be based upon a review of the
information of record as of the date of
the Hub Manager’s misuse
determination and any new information
submitted with the request. The
decision will:
(i) Identify the beneficiary,
(ii) Identify the fiduciary,
(iii) Identify if the fiduciary is also the
beneficiary’s court-appointed guardian
or conservator,
(iv) Identify the date of the Hub
Manager’s prior decision,
(v) Describe in detail the facts found
as a result of the Director’s review of the
Hub Manager’s decision and any new
information submitted with the
reconsideration request, and
(vi) State the reasons for the Director’s
final decision, which may affirm,
modify, or overturn the Hub Manager’s
decision.
(5) The Hub Manager will provide
written notice of the Regional Office
Director’s final decision on
reconsideration to:
(i) The fiduciary,
(ii) The beneficiary or the
beneficiary’s legal guardian, and the
beneficiary’s accredited representative,
attorney, or claims agent;
(iii) The court, if the fiduciary is also
the beneficiary’s court-appointed
guardian or conservator; and
(iv) The Director of the Pension and
Fiduciary Service.
(e) Reporting of misuse. Except as
prescribed in § 1.204 of this chapter,
which requires VA management
officials to promptly report possible
criminal matters involving felonies to
the VA Office of Inspector General,
reporting of misuse cases will occur as
follows:
(1) Not later than 30 days after a final
determination is made under paragraph
(d) of this section that a fiduciary has
misused VA benefits, the Director of the
VA Regional Office who has jurisdiction
over the fiduciary hub will notify the
E:\FR\FM\13JYR2.SGM
13JYR2
32748
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
VA Office of Inspector General for
purposes of any further action that the
Inspector General deems appropriate
under separate authority, and the court
of jurisdiction if the fiduciary is also the
beneficiary’s court-appointed legal
guardian and/or conservator.
(2) For purposes of application of
§ 13.410 regarding reissuance and
recoupment of benefits, the Office of
Inspector General will advise the
Director of the Pension and Fiduciary
Service of any final decision regarding
prosecution of a fiduciary who misused
VA benefits and any final judgment of
a court in such a prosecution not later
than 30 days after the decision is made
or judgment is entered.
(Authority: 38 U.S.C. 501, 5502, 6106)
sradovich on DSK3GMQ082PROD with RULES2
§ 13.410 Reissuance and recoupment of
misused benefits.
(a) General. (1) If the Hub Manager or
the Regional Office Director upon
reconsideration determines that a
fiduciary described in paragraph (a)(2)
of this section misused any part of a
beneficiary’s benefit paid to the
fiduciary, the Regional Office Director
will reissue benefits to the beneficiary’s
successor fiduciary in an amount equal
to the amount of funds misused.
(2) This paragraph (a) applies to a
fiduciary that is:
(i) An individual who served 10 or
more beneficiaries during any month in
which misuse occurred; or
(ii) A corporation or other entity
serving one or more beneficiaries.
(b) Negligence. In any case in which
the Hub Manager or the Regional Office
Director upon reconsideration
determines that an individual fiduciary
who served fewer than 10 beneficiaries
during any month in which misuse
occurred misused a beneficiary’s funds
under management by the fiduciary, the
Hub Manager will refer the matter to the
Director, Pension and Fiduciary Service,
for a determination of whether VA
negligence caused the misuse. The
Regional Office Director will reissue
benefits to the beneficiary’s successor
fiduciary in an amount equal to the
amount of funds misused if the Director
of the Pension and Fiduciary Service
determines that VA negligence caused
the misuse. The Pension and Fiduciary
Service Director’s negligence
determination will be based upon a
review of the VA information of record
as of the date of the Hub Manager’s or
Regional Office Director’s misuse
determination. For purposes of this
section, VA negligence causes misuse
when:
(1) The Hub Manager failed to
properly investigate or monitor the
fiduciary; for example, when:
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
(i) The Hub Manager failed to review
the fiduciary’s accounting within 60
days after the date on which the
accounting was scheduled for review.
The date that an accounting is
scheduled for review is the date the
fiduciary hub receives the accounting;
(ii) The Hub Manager did not decide
whether to investigate an allegation of
misuse within 60 days of receipt of the
allegation;
(iii) After deciding to investigate an
allegation of misuse and finding misuse,
the Hub Manager failed to initiate action
within 60 days of receipt of the misuse
allegation to terminate the fiduciary.
(2) Actual negligence by VA is shown.
For purposes of this section, actual
negligence means the Hub Manager’s
failure to exercise toward a beneficiary
in the fiduciary program the care which
a reasonable or prudent person would
exercise in the circumstances, or the
Hub Manager’s taking action that a
reasonable or prudent person would not
take. The Regional Office Director shall
reissue benefits based on actual
negligence if the Director of the Pension
and Fiduciary Service determines that:
(i) The Hub Manager owed a duty to
the beneficiary under this part,
(ii) The Hub Manager’s action or
failure to act was negligent, and
(iii) The Hub Manager’s negligence
proximately caused the misuse of
benefits by the fiduciary. For purposes
of this section, proximate cause means
that the misuse would not have
occurred but for the Hub Manager’s
negligence.
(c) Recoupment of misused benefits.
In all cases in which the Hub Manager
or Regional Office Director upon
reconsideration determines that a
fiduciary misused benefits, VA will
make a good faith effort to recoup the
total amount of misused benefits from
the fiduciary.
(1) For purposes of this section, good
faith effort means that the Hub Manager
will:
(i) Recover any misused benefits from
the surety company, if a surety bond
was in place regarding protection of
beneficiary funds; or
(ii) In cases in which no surety bond
was in place and the fiduciary does not
repay all misused benefits within the
time prescribed by the Hub Manager in
consultation with the fiduciary:
(A) Request the creation of a debt to
the United States in the amount of any
misused benefits that remain unpaid;
and
(B) Coordinate further recoupment
action, including collection of any debt
owed by the fiduciary to the United
States as a result of the misuse, with the
appropriate Federal and state agencies.
PO 00000
Frm 00034
Fmt 4701
Sfmt 4700
(2) VA will pay benefits recouped
under paragraph (c) of this section to the
beneficiary’s successor fiduciary after
deducting any amount reissued under
paragraph (a) or (b) of this section.
(d) Notice. The Hub Manager, or in
the case of a negligence determination,
the Director of the Pension and
Fiduciary Service, will provide the
beneficiary or the beneficiary’s legal
guardian, and the beneficiary’s
accredited representative, attorney or
claims agent written notice of any
decision regarding reissuance or
recoupment of benefits under this
section.
(Authority: 38 U.S.C. 501, 6106, 6107)
§ 13.500
Removal of fiduciaries.
(a) The Hub Manager may remove a
fiduciary if the Hub Manager determines
that fiduciary services are no longer
required for a beneficiary or removal is
in the beneficiary’s interest. Reasons for
removal include, but are not limited to:
(1) Beneficiary reasons. (i) A VA
rating authority determines that the
beneficiary can manage his or her own
VA benefits without VA supervision or
appointment of a fiduciary;
(ii) The beneficiary requests
appointment of a successor fiduciary
under § 13.100;
(iii) The beneficiary requests
supervised direct payment of benefits
under § 13.110; or
(iv) The beneficiary dies.
(2) Fiduciary reasons. (i) The
fiduciary’s further service is barred
under § 13.130;
(ii) The fiduciary fails to maintain his
or her qualifications or does not
adequately perform the responsibilities
of a fiduciary prescribed in § 13.140;
(iii) The fiduciary fails to timely
submit a complete accounting as
prescribed in § 13.280;
(iv) VA or a court with jurisdiction
determines that the fiduciary misused or
misappropriated VA benefits;
(v) The fiduciary fails to respond to a
VA request for information within 30
days after such request is made, unless
the Hub Manager grants an extension
based upon good cause shown by the
fiduciary;
(vi) The fiduciary is unable or
unwilling to provide the surety bond
prescribed by § 13.230 or, if applicable,
enter into a restricted withdrawal
agreement;
(vii) The fiduciary no longer meets the
requirements for appointment under
§ 13.100; or
(viii) The fiduciary is unable or
unwilling to manage the beneficiary’s
benefit payments, accounts, or
investments.
E:\FR\FM\13JYR2.SGM
13JYR2
Federal Register / Vol. 83, No. 135 / Friday, July 13, 2018 / Rules and Regulations
(b) Procedures. (1) If the Hub Manager
determines that it is necessary to
remove a fiduciary and appoint a
successor fiduciary, the Hub Manager
will:
(i) Provide the fiduciary and the
beneficiary written notice of the
removal; and
(ii) Instruct the fiduciary regarding the
fiduciary’s responsibilities prior to
transfer of funds to a successor fiduciary
or provide other instructions to the
fiduciary.
(2) The fiduciary must:
(i) Continue as fiduciary for the
beneficiary until the Hub Manager
provides the fiduciary with the name
and address of the successor fiduciary
and instructions regarding the transfer
of funds to the successor fiduciary; and
(ii) Not later than 30 days after
transferring funds to the successor
fiduciary or as otherwise instructed by
the Hub Manager, provide the fiduciary
hub a final accounting.
(Authority: 38 U.S.C. 501, 5502, 5507, 6106)
§ 13.510
Fiduciary withdrawals.
sradovich on DSK3GMQ082PROD with RULES2
(a) General. A fiduciary may not
withdraw as fiduciary for a beneficiary
until the fiduciary receives notice from
the Hub Manager regarding transfer of
the beneficiary’s funds to a successor
fiduciary.
(b) Voluntary withdrawal. (1) Subject
to the limitation prescribed in paragraph
(a) of this section, a fiduciary who has
VA benefit funds under management for
a beneficiary may withdraw from the
fiduciary relationship with the
beneficiary at any time if the fiduciary:
(i) Provides the fiduciary hub with
jurisdiction written notice of the
fiduciary’s intent to withdraw as
fiduciary for the beneficiary;
VerDate Sep<11>2014
16:53 Jul 12, 2018
Jkt 244001
(ii) Describes the reasons for
withdrawal;
(iii) Continues as fiduciary for the
beneficiary until the Hub Manager
provides the fiduciary with the name
and address of the successor fiduciary
and instructions regarding the transfer
of funds to the successor fiduciary; and
(iv) Not later than 30 days after
transferring funds to the successor
fiduciary or as otherwise instructed by
the Hub Manager, provides the fiduciary
hub with jurisdiction a final accounting.
(2) Upon receipt of the notice of intent
to withdraw prescribed in paragraph
(b)(1)(i) of this section, the Hub Manager
will make a reasonable effort under the
circumstances to expedite the
appointment of a successor fiduciary. In
determining the extent to which the
fiduciary hub must expedite the
appointment of a successor fiduciary,
the Hub Manager will consider:
(i) The reasons for the withdrawal
request provided under paragraph
(b)(1)(ii) of this section;
(ii) The number of beneficiaries
affected;
(iii) The relationship between the
affected beneficiary or beneficiaries and
the fiduciary; and
(iv) Whether expedited appointment
of a successor fiduciary is necessary to
protect the interests of the beneficiary or
beneficiaries.
(c) Notice. If a fiduciary requests to
withdraw from service for a beneficiary,
the Hub Manager will provide the
beneficiary or the beneficiary’s legal
guardian, and the beneficiary’s
accredited representative, attorney, or
claims agent written notice of the
withdrawal request and the procedures
for appointment of a successor
fiduciary.
PO 00000
Frm 00035
Fmt 4701
Sfmt 9990
32749
(Authority: 38 U.S.C. 501, 5502)
§ 13.600
Appeals.
Except as prescribed in paragraph (a)
of this section, VA decisions regarding
fiduciary matters are committed to the
Secretary of Veterans Affairs’ discretion
by law, as delegated to subordinate
officials under this part, and cannot be
appealed to the Board of Veterans’
Appeals or any court.
(a) Appealable decisions. A
beneficiary may appeal to the Board of
Veterans’ Appeals the following
decisions:
(1) The Hub Manager’s appointment
of a fiduciary under § 13.100;
(2) The Hub Manager’s removal of a
fiduciary under § 13.500;
(3) The Hub Manager’s misuse
determination under § 13.400;
(4) The VA Regional Office Director’s
final decision upon reconsideration of a
misuse determination under § 13.400(d);
and
(5) The Director of the Pension and
Fiduciary Service’s negligence
determination for purposes of
reissuance of benefits under § 13.410.
(b) Procedures. (1) VA decisions
regarding fiduciary matters are final,
subject only to the right of appeal
prescribed in this section.
(2) The initiation and processing of
appeals under this section are governed
by parts 19 and 20 of this chapter.
(Authority: 38 U.S.C. 501)
(Approved by the Office of Management and
Budget under control number 2900–0085.)
[FR Doc. 2018–14856 Filed 7–12–18; 8:45 am]
BILLING CODE 8320–01–P
E:\FR\FM\13JYR2.SGM
13JYR2
Agencies
[Federal Register Volume 83, Number 135 (Friday, July 13, 2018)]
[Rules and Regulations]
[Pages 32716-32749]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-14856]
[[Page 32715]]
Vol. 83
Friday,
No. 135
July 13, 2018
Part II
Department of Veterans Affairs
-----------------------------------------------------------------------
38 CFR Parts 3 and 13
Fiduciary Activities; Final Rule
Federal Register / Vol. 83 , No. 135 / Friday, July 13, 2018 / Rules
and Regulations
[[Page 32716]]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Parts 3 and 13
RIN 2900-AO53
Fiduciary Activities
AGENCY: Department of Veterans Affairs.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) amends its fiduciary
program regulations, which govern the oversight of beneficiaries, who
because of injury, disease, or age, are unable to manage their VA
benefits, and the appointment and oversight of fiduciaries for these
vulnerable beneficiaries. The amendments will update and reorganize
regulations consistent with current law, VA policies and procedures,
and VA's reorganization of its fiduciary activities. They will also
clarify the rights of beneficiaries in the program, and the roles of VA
and fiduciaries in ensuring that VA benefits are managed in the best
interest of beneficiaries and their dependents. The amendments to this
rulemaking are mostly mandatory to comply with the law. They are also
in line with the law's goals to streamline and modernize the fiduciary
program and process. These amendments by Congress, reduce unnecessary
regulations, streamline and modernize processes, and improve services
for Veterans. Furthermore, VA is unable to alter proposed amendments
that directly implement mandatory statutory provisions.
DATES: Effective Date: The final rule is effective August 13, 2018.
FOR FURTHER INFORMATION CONTACT: Ms. Savitri Persaud, Analyst, Pension
and Fiduciary Service, Department of Veterans Affairs, 810 Vermont
Ave., NW, Washington, DC 20420; (202) 632-8863 (this is not a toll-free
number).
SUPPLEMENTARY INFORMATION: In a document published in the Federal
Register on January 3, 2014, (79 FR 430), VA proposed to amend, via a
comprehensive rewrite and reorganization, its fiduciary program
regulations, which govern the oversight of beneficiaries who, because
of injury, disease, or age, are unable to manage their VA benefits, and
the appointment and oversight of fiduciaries for these vulnerable
beneficiaries. The 60-day public comment period ended on March 4, 2014.
VA received 26 comments from interested individuals and organizations.
The comments are discussed below under the appropriate section
headings. VA made a number of revisions based on the comments received.
Those revisions, which are primarily technical, are discussed in the
final rule. Based on the rationale described in this document and in
the notice of proposed rulemaking (NPRM), VA adopts the proposed rule,
as revised in this document, as a final rule.
Section 13.10--Purpose and Applicability of Other Regulations
This regulation will provide general notice regarding the statutory
authority for and purpose of VA's fiduciary program. It will also
distinguish fiduciary matters from benefit claims and clarify that the
VA regulations in 38 CFR part 3 are not for application in fiduciary
matters, unless VA has prescribed applicability in its part 13
fiduciary regulations. We did not receive any comments on this section,
but in order to clarify the scope of these regulations and the fact
that they pertain to the oversight of VA-derived monetary benefits by
persons who previously have been adjudicated incompetent to manage
their VA-derived funds, we have revised the text of the regulation by
adding the word ``monetary'' between the words ``VA'' and ``benefits''
in the first sentence of Sec. 13.10(b).
Section 13.20--Definitions
We received one comment regarding the definitions in proposed Sec.
13.20. The commenter recommended that VA recognize all legal marriages,
domestic partnerships and civil unions for the purposes of fiduciary
activities, thereby adding a definition of ``domestic partner'' to
proposed Sec. 13.20. The commenter noted that the broad authority
granted by Congress in 38 U.S.C. 5502 allows VA to add classes of
appropriate fiduciaries, to include legally married partners and
domestic partners to serve as fiduciaries. The commenter noted that a
place-of-celebration rule would be consistent with other definitions
adopted by other agencies following the Supreme Court's decision in
United States v. Windsor, 133 S. Ct. 2675 (2013).
On June 26, 2015, the U.S. Supreme Court held that the Fourteenth
Amendment of the U.S. Constitution requires a state to license a
marriage between two people of the same sex and to recognize a marriage
between two people of the same sex when their marriage was lawfully
licensed and performed out-of-state. See Obergefell v. Hodges, 135 S.
Ct. 2584 (2015). As a result of this decision, VA now recognizes the
same-sex marriage of any veteran, where the veteran or the veteran's
spouse resided anywhere in the United States or its territories at the
time of the marriage or at the time of application for benefits. VA has
always determined a marriage to be valid, for the purposes of all laws
administered by VA, according to the law of the place where the parties
resided at the time of the marriage or the law of the place where the
parties resided when the right to the benefits accrued. See 38 U.S.C.
103(c). Consistent with the Supreme Court decisions in Obergefell and
Windsor, VA recognizes the validity of same-sex marriages. Accordingly,
this rule defines the term ``spouse'' in Sec. 13.20 to mean a husband
or wife of any marriage, including common law marriages and same-sex
marriages, that meets the requirements of 38 U.S.C. 103(c).
The separate question of how to address domestic partnerships and
civil unions (which are not considered legal marriages), within the
scope of VA's fiduciary program, is a policy matter that was not
considered during the development of the proposed regulation. As a
result, expanding the definition of spouse, for purposes of VA's
fiduciary program, to include domestic partners and/or civil union
partners or defining those terms in this final rule would be premature.
VA is sensitive to this issue and plans to consider whether to expand
the ``beneficiary's spouse'' class of fiduciaries listed in Sec.
13.20(e)(2) to explicitly include domestic partners and civil union
partners. If VA decides to make changes, VA will promulgate a separate
rulemaking to addresss this issue.
We made non-substantive changes to the proposed definitions for
``Hub Manager'' and ``spouse'' and added a definition for ``written
notice,'' which we discuss below.
Section 13.30--Beneficiary Rights
We received two comments regarding proposed Sec. 13.30,
``Beneficiary rights.'' The first commenter stated that the proposed
rule imposed ``unnecessary restrictions'' on the rights of
beneficiaries. The commenter stated, ``We see no reason or legal
requirement that beneficiaries under this program should have fewer
rights or protections than any other VA beneficiary.'' The commenter
questions whether ``the fundamental right to control one's own
property'' should be based on the view of a single examiner and makes
other general assertions that VA's procedures are insufficient.
We do not agree that we proposed ``unnecessary restrictions'' on
the rights of beneficiaries, or that these procedures violate a
beneficiary's rights. Our intention in drafting the NPRM was to ensure
that VA benefits are managed in
[[Page 32717]]
the best interest of beneficiaries and their dependents. In that
regard, we proposed to update and reorganize our regulations consistent
with current laws and VA policies and procedures, and clarify the
rights of beneficiaries in the fiduciary program. The suggestion that
our proposed rules unnecessarily limit the rights of beneficiaries is
incorrect. Further, assertions that determinations made in VA's
fiduciary program are based solely on the views of ``one examiner''
mischaracterize the efforts expended by VA fiduciary program staff.
While a field examiner may conduct visits with a beneficiary and make a
recommendation, fiduciary-related decisions are not based solely on the
views of one individual. A field examiner's recommendation is reviewed
by a VA supervisor and action is taken based on a comprehensive view of
which steps are in the best interest of the beneficiary.
In drafting the rules on beneficiary rights, we focused on our
general policy that a beneficiary in the fiduciary program has the same
rights as any other VA beneficiary. We specifically stated in proposed
Sec. 13.30, ``The rights of beneficiaries in the fiduciary program
include, but are not limited to'' those listed in the regulation text.
Thus, we did not propose to prescribe all of the rights of
beneficiaries in the fiduciary program. We prescribed that a
beneficiary has the right to written notice of appealable fiduciary
decisions. However, in responding to the foregoing comment, we
discovered that, although we prescribed that a beneficiary is entitled
to written notice on such matters, we did not prescribe rules for the
Hub Manager as to what such notice should include. As such, we revised
Sec. 13.20 to include a definition of written notice.
We prescribed the right to be informed of a fiduciary's name,
telephone number, mailing address, and email address. We prescribed the
right to obtain from the fiduciary a copy of the fiduciary's VA-
approved annual accounting, and other rights that we believe are basic
to a fiduciary-beneficiary relationship and are necessary to define a
fiduciary's role in such a relationship. See 79 FR 432. We prescribed
rights to clarify that VA is not the beneficiary's fiduciary and that
VA's role is limited to oversight. See 79 FR 432. In that regard, in
Sec. 13.140(a), our core requirement for fiduciaries is to ensure that
a beneficiary's benefits are managed in that beneficiary's interest. We
do not agree that our proposed regulations limit the rights of
beneficiaries and make no changes based upon the comment.
The commenter also stated that the proposed regulation on
beneficiary rights is incomplete and it should prescribe a statement
regarding the reasons and bases for determining that the appointment of
a fiduciary is in the beneficiary's interest. We did not intend that we
would make a decision on a fiduciary matter without providing adequate
notice to a beneficiary regarding the reasons and bases for such a
decision. However, as stated above, we revised the proposed rule to
include a definition of ``written notice'' and to specifically
prescribe such notice for certain decisions.
We proposed that every beneficiary in the fiduciary program has the
right to notice regarding VA's appointment of a fiduciary or any other
decision on a fiduciary matter that affects VA's provision of benefits
to the beneficiary. We explained that VA would provide written notice
of such decisions to the beneficiary or the beneficiary's legal
guardian, and the beneficiary's accredited veterans service
organization representative, attorney, or claims agent. See 79 FR 432.
We explained that this notice is essential because beneficiaries would
have the right to appeal these determinations. See 79 FR 432.
Furthermore, we specifically proposed that a beneficiary in the
fiduciary program has the right to appeal to the Board of Veterans'
Appeals (Board) a VA decision on a fiduciary matter that affects VA's
provision of benefits to the beneficiary, such as VA's appointment of a
fiduciary and its determination regarding its own negligence in misuse
and reissuance of benefits matters. To assist the beneficiary in making
a decision related to appealing a decision, and to facilitate review by
the Board in the event of an appeal, any decision that affects the
provision of benefits must be supported by reasons for our decision, as
required under the new definition for ``written notice.'' We revised
proposed Sec. 13.30(b)(2) to clarify that every beneficiary in the
fiduciary program has the right to ``written notice'' regarding VA's
appointment of a fiduciary or any other decision on a fiduciary matter
that affects VA's provision of benefits to the beneficiary.
In responding to the foregoing comment, we noticed that a provision
in proposed Sec. 13.30 needed clarification. Specifically in proposed
Sec. 13.30(b)(10)(i)(B), we prescribed that a beneficiary has the
right to be removed from the fiduciary program if a court of
jurisdiction determines the beneficiary is able to manage his or her
financial affairs. There are beneficiaries in the fiduciary program who
are determined to be unable to manage their financial affairs by a
court and without any rating decision by VA. It is our intent that
these beneficiaries will have the right to be removed from the
fiduciary program if the court makes a determination that the
beneficiary is able to manage his or her financial affairs.
Accordingly, we have revised proposed Sec. 13.30(b)(10)(i)(B) to
clarify that a beneficiary who is in the fiduciary program based upon a
court determination that he or she cannot manage financial affairs may
be removed from the fiduciary program if the court later determines
that the beneficiary can manage his or her financial affairs. Other
beneficiaries, who are in the fiduciary program as a result of a VA
rating decision, may also submit evidence from a court regarding their
ability to manage VA benefits. However, such evidence will be forwarded
to a VA rating authority for a decision regarding whether the
beneficiary is able to manage his or her VA benefits, as the rating
authority has sole responsibility for making such determinations. See
38 CFR 3.353.
The same commenter also stated, ``The Secretary's position that the
VA fiduciary program regulations pre-empt state laws in this area
deserves specific rebuttal,'' adding that ``the NPRM failed to
establish an adequate legal basis for the disruption of a traditional
area of state authority.'' The commenter then went on to urge that VA
recognize state fiduciary laws, which ``offer a broad array of [ ]
rules establishing fiduciary responsibilities.'' In the proposed rule,
we stated that, ``in creating the fiduciary program, Congress intended
to preempt State law regarding guardianships and other matters to the
extent necessary to ensure a national standard of practice for payment
of benefits to or on behalf of VA beneficiaries who cannot manage their
benefits.'' See 79 FR 430. We stand by that interpretation and make no
changes based on this comment.
While state law provides some guidance concerning fiduciary
matters, those laws vary significantly from state to state and do not
pertain to VA's fiduciary program. Further, VA does rely on state laws
in cases where a state court has appointed a fiduciary for oversight of
the veteran's assets and where there is no conflict between state and
Federal law, and/or when the court-appointed fiduciary is the same as
the VA-appointed fiduciary. State laws often provide helpful guidance;
however, under the Supremacy Clause of the Constitution, Federal law is
controlling. See U.S. Const. art. VI, cl 2; Crosby v. Nat'l Foreign
Trade Council, 530 U.S. 363, 372-73 (2000). To the extent that a
dispute arises between
[[Page 32718]]
Federal and state law, Federal law establishing and governing VA's
fiduciary program as codified in parts 55 and 61 of title 38 of the
United States Code, as well as in regulations implementing those
statutes, controls. See VAOPGC 3-86 (10-28-85) (citing the Supremacy
Clause and holding that a state court lacks jurisdiction to override
VA's authority in making determinations affecting payment of an
incompetent veteran's VA benefits to a VA-appointed fiduciary).
The second commenter favorably mentioned the beneficiary rights
section described in the proposed rule, stating: ``Overall, we believe
that VA's proposed fiduciary program regulations reflect an
acknowledgement of the rights of veterans and other beneficiaries who
are under the jurisdiction of the program. For example, Sec. 13.30
enumerates the rights and benefits of veterans and other beneficiaries
in the program.'' We make no changes based upon the comment.
Section 13.40--Representation of Beneficiaries in the Fiduciary Program
We received two comments from the same commenter regarding Sec.
13.40. First, the commenter quoted from the NPRM, which distinguished
fiduciary matters from decisions on claims for benefits and noted that,
at the time of a fiduciary appointment, ``VA has already awarded
benefits to the beneficiary, and any representation provided by an
accredited attorney or claims agent would relate only to the fiduciary
appointment decision or decision to pay benefits directly with VA
supervision.'' See 79 FR 432-33. This distinction will be the same for
all fiduciary matters. Nonetheless, the commenter read this portion of
the preamble to mean that VA had proposed to limit attorney fees to
appointment decisions.
We intended that the portion of the preamble quoted immediately
above would explain applicability of the proposed fee provisions in the
context of a fiduciary appointment. We did not intend that commenters
would read the preamble as a general limitation on fees, such that
beneficiaries could not pay attorneys for assistance in other fiduciary
matters. In fact, the introductory text to proposed Sec. 13.40 was
clear that the proposed fee provisions were applicable to
representation of beneficiaries before VA ``in fiduciary matters
governed by [38 CFR part 13].'' Proposed paragraph (c) was also clear
that a VA-accredited attorney or claims agent could charge a reasonable
fixed or hourly fee for representation of a beneficiary ``in a
fiduciary matter,'' provided that the fee meets the requirements of 38
CFR 14.636. We intended that beneficiaries would have the choice of
hiring an attorney or claims agent and paying the attorney or claims
agent a reasonable fixed or hourly fee for assistance with any
fiduciary matter. As proposed, Sec. 13.40(c) reflected this intent and
addressed the commenter's concerns. We will not make any changes based
upon the comment.
Second, the commenter suggested that VA should allow contingent
fees on recouped past-due benefits, to include funds recovered from a
prior fiduciary or placed under control of a successor fiduciary.
However, as we explained in the preamble to the proposed rule, ``the
provisions of 38 CFR 14.636 that reference past-due benefits, use the
amount of past-due benefits to calculate a permissible fee, or
authorize the direct payment of fees by VA out of withheld past-due
benefits are not applicable in fiduciary matters.'' See 79 FR 432. We
based this statement on the fact that fiduciary matters do not concern
the award of past-due benefits. At the time of a fiduciary appointment
and all other fiduciary program matters, VA has already awarded
benefits to the beneficiary, and any representation provided by an
accredited attorney or claims agent could relate only to the fiduciary
matter. Even in the case of a retroactive benefit payment, see Sec.
13.100(c), VA has already awarded the benefit pursuant to a decision on
a benefit claim and withheld it for payment to a qualified fiduciary on
behalf of the beneficiary. An attorney representing a beneficiary in
the fiduciary appointment could not claim that his or her legal
services resulted in VA's prior award of the retroactive benefit.
The commenter also appears to assert that, independent of any
payment of past-due benefits, a contingent fee could be calculated
based upon the amount of funds being placed under the control of a
fiduciary who is ``acceptable to the client,'' and that ``this
methodology has been submitted for review to fiduciary program managers
and was found to be compliant with regulations.'' The method proposed
by the commenter would require a finding on the amount of the funds
placed under the control of the successor fiduciary and a conclusion
that the successor fiduciary was ``acceptable to the client.'' As
mentioned above, the amount of VA benefits due to the beneficiary would
not change. The commenter's suggested revision would add unnecessary
complexity to fee determinations in fiduciary cases, and would risk
creating a conflict of interest for the representative by increasing
the chances that fees charged based upon representation on benefit
claims are duplicated by fees charged for representation on fiduciary
matters. As a result, we have concluded that it would not be a prudent
revision and make no change based on this comment.
Section 13.50--Suspension of Benefits
We received one comment regarding proposed Sec. 13.50. The
commenter read the proposed provisions to mean that a Hub Manager may
suspend and ``hold'' payment of benefits, and generally commented that
VA must ensure that beneficiaries have access to their benefits when VA
implements a suspension for the reasons prescribed in the proposed rule
in which we agree.
VA occasionally encounters situations in which it must suspend
payment of benefits to a fiduciary and take appropriate action to
ensure continuity of benefits. In the rare case where VA suspends
benefits under proposed Sec. 13.50, the VA Regional Office Director
who has jurisdiction over the fiduciary hub would have authority to
ensure that the beneficiary's needs are being met through the
appropriate coordination with the beneficiary and disbursement of the
beneficiary's funds. We emphasized that proposed Sec. 13.50 would be
reserved for those rare cases in which VA has no option but to take
appropriate, temporary steps to suspend and separately manage
disbursement of benefits on behalf of a beneficiary. To further limit
any adverse impact that might result from such a suspension, we
proposed to limit the Hub Manager's discretion to cases where the
beneficiary or the beneficiary's representative withholds cooperation
in any fiduciary matter or where VA must immediately remove the
fiduciary for cause and is unable to appoint a successor fiduciary
before the beneficiary has an immediate need for disbursement of funds.
Under these two situations only, VA will be forced to take appropriate
action and disburse funds in the beneficiary's and the beneficiary's
dependents' interests so that the beneficiary has access to the funds
while VA takes steps to remediate the problem. We will not make any
changes based upon the comment because we believe that controls
prescribed in Sec. 13.50 address the commenter's concerns.
Section 13.100--Fiduciary Appointments
We received several comments regarding proposed Sec. 13.100. One
commenter suggested that VA establish a maximum time period for
appointing a fiduciary once a beneficiary has been rated as being
unable to manage his or
[[Page 32719]]
her VA benefits. The commenter stated that VA makes long-delayed
appointments without reconsidering whether a beneficiary is able to
manage his or her VA benefits. The commenter noted that delays in
fiduciary appointments are disruptive because they could replace
``well-functioning caregiving structures with adversarial
relationships.'' Along the same lines, another commenter suggested we
develop timelines for the completion of the investigation process to
ensure expeditious appointment of fiduciaries.
VA makes every effort to appoint fiduciaries in accordance with
internal performance goals. Furthermore, VA's appointment process
ensures that the appointment reflects the beneficiary's current
capacity to manage his or her funds. In our experience in administering
the fiduciary program, each fiduciary appointment is unique. The time
it takes to appoint a fiduciary varies depending upon the facts of
individual cases, workload, program growth, and available resources.
Because of the foregoing factors, we cannot create a bright-line rule
for the completion of the investigation process or the appointment of a
fiduciary that would be enforceable. While we will not change Sec.
13.100 to establish a timeliness rule, VA takes seriously its
responsibility to protect beneficiaries who are unable to manage their
benefits and will make every effort to improve the timeliness of
fiduciary appointments.
Regarding concerns that long delays in appointments should require
reconsideration of medical evidence as to the beneficiary's ability to
manage his or her VA benefits, we agree that medical evidence plays an
important role in the determination of one's ability to manage his or
her VA benefits and a beneficiary should have an opportunity to present
such evidence. According to 38 CFR 3.353(c), ``[u]nless the medical
evidence is clear, convincing and leaves no doubt as to the person's
incompetency, the rating agency will make no determination of
incompetency without a definite expression regarding the question by
the responsible medical authorities.'' At the time a fiduciary is
appointed, a field examiner performs a face-to-face interview with the
beneficiary for the purpose of assessing the beneficiary's ability to
manage his or her VA benefits and to afford the beneficiary the
opportunity to submit evidence regarding his or her ability to manage
VA benefits. Any information gathered at that face-to-face interview is
forwarded to the rating agency for consideration as to whether the
beneficiary has the ability to manage his or her VA benefits. This is
consistent with a pertinent regulation that provides that if evidence
is developed that a person is capable of managing his or her VA funds,
that evidence is forwarded to the rating agency for a determination as
to whether any prior decision of incompetency should remain in effect.
See 38 CFR 3.353(b)(3). Therefore, if a beneficiary believes he or she
is able to manage his or her VA benefits, including at the time of a
fiduciary appointment, the beneficiary may request a review of his or
her incompetency rating.
Regarding the commenter's concern that delayed fiduciary
appointments could replace ``well-functioning caregiving structures
with adversarial relationships,'' we did not intend to disturb well-
functioning relationships with those that are adversarial. In fact, we
did not propose to appoint a particular fiduciary if we believed such
an appointment would create an adversarial relationship. Instead, we
proposed to make every effort to appoint a fiduciary that would best
serve the interest of a beneficiary, provided that the proposed
fiduciary is qualified and willing to serve. In Sec. 13.100(e), we
proposed to establish an order of preference for the appointment of
fiduciaries. We proposed to first appoint the beneficiary's preference
if the beneficiary has the capacity to state such a preference. In
these cases, a beneficiary could request appointment of a person with
whom he or she has a well-functioning relationship. We then proposed to
appoint the beneficiary's spouse or other individuals or entities as
set forth in proposed Sec. 13.100(e) that we believed would result in
an effective beneficiary-fiduciary relationship. Furthermore, pursuant
to Sec. 13.600, a beneficiary may appeal VA's appointment of a
fiduciary if the beneficiary believes that the appointment is not in
his or her best interest. When VA receives such an appeal, it will try
to resolve the disagreement by again requesting the beneficiary's
preference. For the foregoing reasons, we make no change based on this
comment.
The same commenter stated that VA should revise proposed Sec.
13.100 to require a credit and criminal history check at each
reappointment of a fiduciary and conduct periodic, routine credit and
criminal history checks on fiduciaries thereafter. The commenter noted
that such requirement would be cost-effective and identify suspicious
financial activities.
In Sec. 13.100, we proposed to implement 38 U.S.C. 5507 regarding
the investigation VA must conduct of a prospective fiduciary. We
proposed to perform a face-to-face interview, when practicable, and
obtain and review a credit report on the proposed fiduciary that was
issued by a credit reporting agency no more than 30 days prior to the
date of the proposed appointment. We also proposed to conduct a
criminal background check for the purposes of determining whether a
proposed fiduciary was convicted of any offense that would be a bar to
serving as a fiduciary under proposed Sec. 13.130 or that we could
consider and weigh under the totality of the circumstances regarding
the proposed fiduciary's qualifications.
Regarding this investigation, we agree with the commenter and
revised Sec. 13.100(f) to add paragraph (3), which requires the Hub
Manager to conduct the investigation, specifically the requirements of
paragraph (f)(1)(i) through (iii), for every subsequent appointment of
the fiduciary for a beneficiary. These requirements must be met without
regard to the proposed fiduciary's service to any other beneficiary.
Regarding the commenter's suggestion that we conduct periodic, routine
credit and criminal history checks of fiduciaries, in proposed Sec.
13.100(f)(2), we prescribed that, at any time after the initial
appointment of the fiduciary, the Hub Manager may repeat all or part of
the investigation to ensure that a fiduciary continues to meet the
qualifications for service. Although we understand the commenter's
concern, our program administration experience suggests that periodic,
routine checks in all fiduciary appointments would not be an efficient
use of program resources. Instead, we have determined that the matter
should be left to the Hub Manager's discretion on a case-by-case basis.
In addition, we have other controls in place that will alert us
regarding the need for a review of a fiduciary's qualifications or to
remove him or her from service as fiduciary. For example, if a
fiduciary is not meeting his or her accounting requirements under Sec.
13.280, or any of his financial responsibilities under Sec. 13.140,
based on the circumstances, we will conduct a review of his or her
qualifications or remove him or her from service as a fiduciary.
Although we currently do not have information to support prescribing
mandatory periodic, routine credit and criminal history checks of VA-
appointed fiduciaries, we will continue to monitor the activities of
fiduciaries and may address the matter in a future rulemaking. To this
end, we added the phrase ``or reappointment'' after initial appointment
in Sec. 13.100(f)(2) to clarify
[[Page 32720]]
that Hub Managers may repeat all or part of an investigation of a
fiduciary when the fiduciary is appointed to another VA beneficiary. At
this time, we do not believe any additional changes are needed based on
this comment.
In a separate comment on proposed Sec. 13.100, the same commenter
stated that face-to-face beneficiary interviews should be limited to
situations where the information sought cannot be obtained by other
means. The commenter was not aware of any statutory requirement for
this type of beneficiary interview. The commenter suggested that
beneficiary interviews do not provide new information and VA could
substitute information obtained from caregivers, medical providers or
other third parties. The commenter believed that beneficiary interviews
are for the purpose of establishing the ``financial needs of the
beneficiary and set[ting] the budget for the fiduciary to implement.''
Thus, the commenter suggested we revise proposed Sec. 13.100 to limit
beneficiary interviews to situations where the beneficiary is the only
source for the information we are seeking.
Under current law, ``[w]here it appears to the Secretary that the
interest of the beneficiary would be served thereby, payment of
benefits under any law administered by the Secretary [of Veterans
Affairs] may be made directly to the beneficiary or to a relative or
some other fiduciary for the use and benefit of the beneficiary,
regardless of any legal disability on the part of the beneficiary.''
See 38 U.S.C. 5502(a)(1). Our longstanding interpretation of this broad
authority is that VA may establish a fiduciary program, under which it
oversees beneficiaries who cannot manage their own VA benefits.
Congress generally deferred to VA to determine the appropriate program
requirements. With respect to specific statutory requirements for
fiduciary appointments, VA must conduct the investigation prescribed in
38 U.S.C. 5507 and then conduct sufficient oversight to determine
whether fiduciaries are properly providing services for beneficiaries.
While Congress specifically mandated the foregoing provisions, Congress
did not address how VA should conduct the various activities required
for proper administration of the fiduciary program, to include aspects
of oversight to ensure that a beneficiary's benefits are used for the
``benefit of the beneficiary.'' However, in 38 U.S.C. 5711(a)(5),
Congress authorized VA to, among other things, ``make investigations
and examine witnesses upon any matter within the jurisdiction of the
Department.'' Under the authority in sections 5502 and 5711, we conduct
face-to-face visits with beneficiaries to assess their well-being and
oversee the fiduciaries we appoint to ensure they are meeting the
beneficiaries' needs.
Contrary to the commenter's reading of our proposed rule, VA
conducts face-to-face beneficiary visits for a much broader purpose. It
is VA's statutory obligation to ensure that the fiduciaries it appoints
on behalf of beneficiaries are fulfilling their core requirement of
monitoring the well-being of the beneficiaries they serve and are
disbursing funds according to the beneficiaries' needs. Speaking with
the beneficiary and viewing that beneficiary's environment allows VA to
confirm that the fiduciary is monitoring the beneficiary and fulfilling
his or her responsibilities under Sec. 13.140 as the beneficiary's
fiduciary. In addition, VA assesses the beneficiary's ability to manage
his or her VA funds during the face-to-face visit. Thus, speaking to a
beneficiary is crucial for obtaining information about the welfare and
financial abilities of the beneficiary and adequacy of the fiduciary's
services. For these reasons, we will not revise Sec. 13.100 to limit
face-to-face visits with beneficiaries.
One commenter noted 38 U.S.C. 5507(d), which states that temporary
fiduciary appointments may not exceed 120 days in cases where a
beneficiary is appealing an incompetency rating decision, and inquired
about our policy regarding appeals of incompetency rating decisions
that may take more than 120 days.
Regarding the commenter's concern that a beneficiary may be without
a fiduciary at the end of the 120-day period, we note that VA does not
appoint a temporary fiduciary in lieu of a permanent fiduciary when the
beneficiary is appealing an incompetency rating. Under section 5507(d),
``[w]hen in the opinion of [VA], a temporary fiduciary is needed in
order to protect the assets of the beneficiary while a determination of
incompetency is being made or appealed. . . , [VA] may appoint one or
more temporary fiduciaries for a period not to exceed 120 days.'' We
interpret this statute to mean that VA does not have to appoint a
temporary fiduciary in these cases, but if it does, the appointment(s)
cannot exceed a total of 120 days. Under VA's current administration of
the program, when a beneficiary is appealing an incompetency decision,
the beneficiary is already rated as being unable to manage his or her
VA benefits and is in the fiduciary program. The decision is based on
medical evidence or a legal determination of incompetency. As a general
rule, VA makes permanent fiduciary appointments pending a decision on
the appeal of the incompetency decision, which may take one or more
years. We have found that this policy best protects beneficiaries and
is the least disruptive procedure for them. In fact, we intended that
our proposed rules on temporary fiduciary appointments would be
reserved for situations where VA has removed a fiduciary for the
reasons prescribed in proposed Sec. 13.500, cannot expedite a
successor fiduciary appointment, and the beneficiary has an immediate
need for fiduciary services. We revised proposed Sec. 13.100 by
removing paragraph (h)(1)(i) requiring appointment of a temporary
fiduciary when a beneficiary is appealing an incompetency decision.
In Sec. 13.100(h)(2), we proposed to limit appointment of
temporary fiduciaries to individuals and entities that already meet the
qualification criteria for appointment and are performing
satisfactorily as a fiduciary for at least one other VA beneficiary for
whom the fiduciary has submitted an annual accounting that VA has
audited and approved. A commenter disagreed with the proposed
limitation on temporary appointments and suggested that our proposed
rule would exclude family members, including spouses and other
caregivers, from serving as temporary fiduciaries. The commenter stated
that we did not provide a sufficient basis for not considering the
usual order of preference, as proposed in our regulations, in temporary
fiduciary appointments.
In prescribing the rules on temporary fiduciary appointments, our
intention is to expeditiously appoint a qualified, well-performing
fiduciary, who can temporarily meet the beneficiary's immediate needs
in rare circumstances. In that regard, we intend to ensure that the
entity or individual we appoint as temporary fiduciary not only meets
the qualification requirements under section 5507, but is also
performing satisfactorily as a fiduciary for at least one other VA
beneficiary for whom the fiduciary has submitted an annual accounting
that VA has approved. Both requirements are crucial in our decision to
appoint a temporary fiduciary.
VA needs to appoint temporary fiduciaries promptly in rare cases
where VA has removed a fiduciary for the reasons prescribed in proposed
Sec. 13.500, VA cannot expedite the appointment of a successor
fiduciary, or the beneficiary has an immediate need for fiduciary
services, and in other cases in which VA determines that it is
necessary to protect
[[Page 32721]]
a beneficiary. Because of the urgency in ensuring that a fiduciary is
immediately appointed in such cases, we might not be able to complete
the qualification process prescribed by Congress in 38 U.S.C. 5507. As
the commenter suggested, it might sometimes be ideal to appoint a
family member as temporary fiduciary in these rare cases. While we
implemented section 5507(c) to exempt spouses from face-to-face
interviews, criminal background checks, and credit checks, to ensure
adequate protection for beneficiaries, we still have an obligation to
explain the responsibilities and requirements of service to an
individual who has never served as a fiduciary. This would require
scheduling and conducting an interview, and ensuring compliance of the
spouse or family member. This would not be the case if VA appoints an
individual or entity successfully serving as fiduciary. While these
types of appointments are rare, they are generally time sensitive. The
delay associated with addressing fiduciary responsibilities and
ensuring agreement from a spouse or family member is unnecessary when
we have a fiduciary who can serve in an emergent but temporary
situation. A temporary fiduciary allows VA to immediately deliver
benefits while we consider the appointment of a fiduciary in accordance
with the priority of appointment prescribed in Sec. 13.100(a). For the
foregoing reasons we limit our temporary fiduciary appointments as
prescribed in Sec. 13.100(h) and make no change based on this comment.
Under proposed Sec. 13.100(c), ``[t]he Hub Manager will withhold
any retroactive, one-time, or other lump-sum benefit payment awarded to
a beneficiary . . . until the Hub Manager has appointed a fiduciary for
the beneficiary and, if applicable, the fiduciary has obtained a surety
bond under Sec. 13.230.'' A commenter stated that VA should not
withhold a beneficiary's entire retroactive benefit but should consider
the size of the award before we make a decision to withhold. The
commenter believed that VA should release any amount that is not larger
than a beneficiary's monthly recurring benefits and a percentage of
larger retroactive benefits, or provide a method for a beneficiary to
access his or her retroactive benefits in order to ensure that his or
her needs are being met.
Our policy for withholding a beneficiary's retroactive benefits is
to protect benefits that the beneficiary may need for future care and
services and that VA would not be able to reissue under 38 U.S.C. 6107
if they were paid directly to the beneficiary prior to a fiduciary
appointment. Under sections 6107(a) through (c), VA has authority to
reissue misused benefits when VA is negligent in administering aspects
of the fiduciary program or, without regard to negligence, when the
fiduciary is an entity that provides fiduciary services for one or more
beneficiaries or an individual who provides fiduciary services for 10
or more beneficiaries. VA has determined that it is not prudent to
release retroactive benefits to a beneficiary prior to a fiduciary
appointment because, at that point in the process, VA has already
determined that the beneficiary cannot manage his or her VA benefits.
Moreover, VA's authority to reissue benefits is limited to cases of
fiduciary misuse. If VA released a beneficiary's retroactive award
prior to a fiduciary appointment and a family member, care provider, or
other person assisting the beneficiary misappropriated the funds, VA
would be unable to reissue benefits to the beneficiary because there
would not have been misuse by an appointed fiduciary. For this reason,
we proposed Sec. 13.100(c) with the intent of preserving vulnerable
beneficiaries' VA benefits for their future needs.
Regarding the commenter's suggestion that we release smaller
amounts of retroactive benefits and portions of larger retroactive
benefits to the beneficiary prior to a fiduciary appointment, or add
provisions to ensure the beneficiary's needs are being met, we have
determined that current fiduciary program policy, under which VA
initiates and continues payment of monthly benefits to the beneficiary
while a fiduciary appointment is pending, strikes the proper balance
between ensuring that beneficiaries' current needs are met with
protection of lump-sum benefit payments for future needs. For the
foregoing reasons we will not make any changes based on this comment.
One commenter, a corporate fiduciary, suggested that proposed
paragraph (d)(3) would not adequately restrict a Hub Manager's
discretion in fiduciary appointments. In proposed Sec. 13.100(d)
regarding initial fiduciary appointments, we did not propose to
prescribe a specific limit on the number of beneficiaries a single
fiduciary could serve. We had no data to support proposing a bright-
line rule for discontinuing further appointments to a fiduciary and
determined that each Hub Manager should have discretion to determine
whether it is in a beneficiary's interest to appoint a particular
fiduciary. However, to avoid default appointments to certain paid
fiduciaries in lieu of the best interest determination required by 38
U.S.C. 5507(a)(2), we did not propose to give the Hub Managers
unfettered discretion in such matters. First, under proposed paragraph
(d)(3), a Hub Manager would consider whether the fiduciary could handle
an additional appointment without degrading the service that the
fiduciary provides to any other beneficiary who has funds under
management with the fiduciary. Second, under proposed paragraph (e), we
would establish an order of preference for appointing fiduciaries, with
the result being that beneficiaries generally have a one-on-one
relationship with a volunteer family member, friend, or caregiver
fiduciary. In our view this placed an adequate check on the Hub
Manager's discretion in these situations. On a case-by-case basis, a
Hub Manager may consider appointment of a single fiduciary with
multiple appointments if it is in the best interest of the beneficiary.
This commenter clarified that it was not seeking a higher order of
preference in the appointment process or a bright-line rule for the
maximum number of beneficiaries that a fiduciary may serve, and
understood that VA might have a valid business reason to restrict
further appointments of a fiduciary in some cases. However, the
commenter expressed concern that certain paid fiduciaries would not
have an equal opportunity to compete for appointments in those cases
where VA cannot appoint a qualified volunteer fiduciary. Although we
considered the commenter's concerns, we believe VA's primary obligation
is to act in the best interest of its beneficiaries and will allow Hub
Manager discretion in the appointment process in the event a paid
fiduciary is required. Accordingly, other than a technical change to
Sec. 13.100(e), we are not making any changes to Sec. 13.100 based
upon the commenter's suggestion.
Finally, one commenter suggested that VA's fiduciary regulations
accommodate durable power of attorneys (POAs). We interpret this to
mean that VA should give appointment preference to the person who holds
the beneficiary's POA.
Based upon VA's experience, it would not be good policy to give a
person holding a beneficiary's POA priority based only upon the
existence of a POA. Veterans and other beneficiaries in the fiduciary
program can be extremely vulnerable and easily coerced into signing
documents. Additionally, a POA can be executed and revoked by the
beneficiary at any time. If an individual is holding a POA, VA would
have no
[[Page 32722]]
way of determining whether the POA is still in effect or if the
beneficiary had the capacity to execute a legally enforceable POA under
state law at the time of execution. Implementing policies and
procedures related to the adjudication of POAs would needlessly
complicate and delay the fiduciary appointment process. Also, under
current law, VA has a duty to appoint, based upon a field examination
and consideration of the totality of the circumstances, the individual
or entity that is in the beneficiary's best interest. While such a
determination might conclude that appointment of an individual who
holds the beneficiary's POA is in the beneficiary's interest, VA has
determined that it cannot give undue preference and weight to the
existence of a POA. Accordingly, we will not make any changes to Sec.
13.100 based upon the commenter's suggestion.
Section 13.120--Field Examinations
In Sec. 13.120(b), we proposed to prescribe the scope of field
examinations, which could include, but would not be limited to,
``[a]ssessing a beneficiary's and the beneficiary's dependents' welfare
and physical and mental well-being, environmental and social
conditions, and overall financial situation, based upon visiting the
beneficiary's current residence and conducting a face-to-face interview
of the beneficiary and the beneficiary's dependents, when
practicable.'' We also proposed that, among other things, VA would
conduct a field examination for the purpose of making appropriate
referrals in cases of actual or suspected physical or mental abuse,
neglect, or other harm to a beneficiary, as well as when investigating
allegations that a fiduciary has misused funds or failed to comply with
the responsibilities of a fiduciary under Sec. 13.140.
We received two comments regarding this proposed regulation. One
commenter shared his story of his mother leaving her home to care for
him after he was injured in combat. The commenter's mother participates
in the VA caregiver support program administered by the Veterans Health
Administration (VHA). The commenter recommended that VA exempt
beneficiaries who have VHA-approved caregivers from the home visit
component of a field examination because VHA is already monitoring the
well-being of these beneficiaries. Another commenter had the same
concerns. We agree that beneficiaries whose family members are actively
participating in the VA caregiver support program, and who remain
eligible to participate in this program, should generally be exempted
from the home visit component of the fiduciary field examination
because VHA is already assessing their physical well-being.
In 2010, the President signed into law the Caregivers and Veterans
Omnibus Health Services Act of 2010. Section 101(a)(1) of that law
added a new 38 U.S.C. 1720G to title 38, U.S.C., which required VA to
establish a program of comprehensive assistance for family caregivers
of eligible veterans and a program of support services for caregivers
of covered veterans, which are collectively referred to as the
Caregiver Support Program. Congress mandated, among other things, that
as part of the program of comprehensive assistance for family
caregivers, ``[t]he Secretary shall monitor the well-being of each
eligible veteran receiving personal care services under the program
[and] . . . ensure appropriate follow-up regarding findings [by] . . .
[v]isiting an eligible veteran in the eligible veteran's home to review
directly the quality of personal care services provided to the eligible
veteran.'' See 38 U.S.C. 1720G(a)(9)(A), (C). The statute further
prescribes that VHA may take corrective action, including providing
additional training or suspending or revoking the caregiver's approval
or designation. See 38 U.S.C. 1720G(a)(9)(C)(ii). The implementing
regulations provide: ``The primary care team will maintain the eligible
veteran's treatment plan and collaborate with clinical staff making
home visits to monitor the eligible veteran's well-being, adequacy of
care and supervision being provided. This monitoring will occur no less
often than every 90 days, unless otherwise clinically indicated, and
will include an evaluation of the overall health and well-being of the
eligible veteran.'' See 38 CFR 71.40(b)(2).
Based on the foregoing oversight mandated by Congress and provided
by VHA, we have decided to generally exempt beneficiaries who have a
VHA-approved and monitored family caregiver from the home visit
component of field examinations because VHA already assesses their
physical well-being and environment. In these cases, VHA's oversight
overlaps with the fiduciary program's oversight that we proposed. We do
not intend to intrude on these beneficiaries, as we believe VHA
provides ample oversight. In fact, we respect the relationship of
veterans and their family members, and appreciate the ability to revise
our rules to limit any unnecessary or duplicative oversight. In that
regard, we will revise Sec. 13.120 to reflect that VA will generally
exempt beneficiaries who have a family member participating in the VA
caregiver support program from face-to-face visits in the home to
assess their physical well-being and environment. Specifically, we
revise Sec. 13.120 to add paragraph (b)(1)(i) and prescribe that the
Hub Manager will waive the requirements of paragraph (b)(1) of this
section if the beneficiary has a VHA-approved family caregiver and VHA
reports that the veteran is in an excellent situation. However, we
prescribe an exception in new paragraph (b)(1)(ii), which states that
the provisions of paragraph (b)(1)(i) do not apply in cases where the
Hub Manager has information concerning the beneficiary's unmet needs or
welfare or information that the fiduciary has violated his or her
responsibilities under Sec. 13.140. This exception allows VA to ensure
that a fiduciary is meeting his or her obligations to the beneficiary
based upon current information that the Hub Manager obtains in the
course of overseeing fiduciary services. In the event there is an
allegation of misuse of a veteran's VA funds under management or an
allegation that a fiduciary is neglecting a beneficiary or there is
insufficient evidence to determine the veteran's well-being, this
exception will allow the Hub Manager to provide appropriate oversight.
However, VA will still conduct a face-to-face visit, any necessary
investigations, or other inquiries to confirm the qualifications of a
family caregiver seeking to provide fiduciary services for a veteran
prior to appointment. VA must conduct the investigation prescribed by
Congress in 38 U.S.C. 5507, which includes conducting a face-to-face
interview with the proposed fiduciary to the extent practicable, before
appointing a person as fiduciary.
Section 13.130--Bars to Serving as a Fiduciary
We received two comments regarding Sec. 13.130. One commenter
stated that his comment is specifically geared towards VA's need to
coordinate with state courts with jurisdiction over adult guardianship
and conservatorship. The commenter cited two U.S. Government
Accountability Office reports--``Guardianships: Collaboration Needed to
Protect Incapacitated Elderly People'' (2004) and ``Incapacitated
Adult: Oversight of Federal Fiduciaries and Court-Appointed Guardians
Needs Improvement'' (2011). Both reports discussed the lack of
coordination in sharing information between the state courts handling
guardianships, the VA fiduciary program, and the Social
[[Page 32723]]
Security Administrative (SSA) payee program. The commenter relied on
these reports to propose that this lack of coordination could result in
vital information regarding a beneficiary's welfare or the
mismanagement of his or her VA benefits not being shared. The commenter
singled out court information in particular, by concluding that bars to
serving as a fiduciary should be expanded to include previous court
sanctions or removals as a guardian or conservator and failure to file
timely reports with the court.
The topic of coordinating with guardianship courts and other
governmental agencies is beyond the scope of this rulemaking. However,
it is our current practice to coordinate with courts and other agencies
and share information when it is appropriate or necessary. We will
continue to work on any necessary protocols for coordinating and
information sharing between courts, VA and other agencies. Nonetheless,
we agree with the commenter's suggestion that VA revise Sec. 13.130 to
bar a fiduciary from service if he or she has been removed as legal
guardian by a court for misconduct. At this time, we decline to bar
service as a fiduciary based solely upon a court sanction or other
discipline short of removal. We anticipate situations where it is in
the best interest of a particular beneficiary for VA to appoint a
guardian, such as a family member or care provider, who has been
disciplined by a court but not removed from service as a beneficiary's
guardian.
There are various reasons a court-appointed guardian may be
sanctioned by a court and his or her appointment may not pose a risk to
the beneficiary or still be in best interest of the beneficiary. We
believe it is best to retain the ability to assess these situations on
a case-by-case basis. We intend to weigh the totality of the
circumstances regarding the proposed fiduciary's qualifications and
other factors, including any court discipline while serving as a
guardian, in determining whether the appointment is in the
beneficiary's best interest.
Also, to mitigate the risk of appointing as fiduciary a legal
guardian who has been disciplined by a court, we proposed under Sec.
13.140(d)(1) that a fiduciary who is also appointed by a court must
annually provide to VA a certified copy of the accounting provided to
the court or facilitate VA's receipt of such an accounting. In
addition, in Sec. 13.500(a)(2)(ii), we proposed to remove a fiduciary
if he or she fails to maintain his or her qualifications or does not
adequately perform the responsibilities of a fiduciary prescribed in
Sec. 13.140. Thus, a fiduciary will be removed if the continuation of
his or her appointment poses a risk to the beneficiary.
Accordingly, we will revise this section to add paragraph (b)(6)
regarding a bar to service as a fiduciary if a guardian has been
removed from service by a court for misconduct but do not make any
additional changes based on these two comments.
Another commenter recommended that VA expand the 10-year period in
proposed Sec. 13.130(a)(2)(i) to 20 years following the conviction of
a felony as a bar to appointment or continuation of service as
fiduciary. The commenter submitted two papers in support of the
recommendation and claimed that both support the conclusion that a
person who is crime free for 20 years is ``less likely'' to commit a
crime than a person who has been crime free for 10 years. However, the
research presented does not support the recommendation that there is
value in waiting an additional 10 years, i.e., the longer a person goes
without committing a crime the less he or she is likely to commit a
crime. In our view, a person who has been previously convicted of a
felony, but has been crime free for 10 years, should not be barred from
serving as a fiduciary.
One of the papers submitted by the commenter cites to a 1994 Bureau
of Justice Statistics (BJS) study, ``Recidivism of Prisoners Released
in 1994'' (June 2002), which tracked 272,111 former inmates for 3 years
after their release from prison in 1994. The study found that 30
percent of the 272,111 were rearrested for a new crime within the first
6 months of their release; 44 percent were rearrested within the first
year; 59 percent were rearrested within the first 2 years; 68 percent
were rearrested within 3 years.
The BJS collects criminal history data from the Federal Bureau of
Investigation and state record repositories to study the recidivism
patterns of various offenders, including persons on probation or
discharged from prison. Its latest study, ``Recidivism of Prisoners
Released in 30 States in 2005: Patterns from 2005 to 2010'' (April
2014), tracked the recidivism patterns of about 400,000 persons
released from state prisons in 2005. The study found that 28 percent of
the 400,000 were rearrested for a new crime within the first 6 months
of their release; 44 percent were rearrested within the first year; 60
percent were rearrested within 2 years; 68 percent were rearrested
within 3 years; and 77 percent were rearrested within 5 years. See
https://www.bjs.gov/content/pub/pdf/rpr94.pdf. The report concluded
that the longer released prisoners went without being arrested, the
less likely they were to be arrested at all during the 5-year period.
See https://www.bjs.gov/content/pub/pdf/rprts05p0510.pdf.
Another report, ``State of Recidivism--The Revolving Door of
America's Prisons'' (April 2011), prepared by the Pew Center on the
States (Pew) in collaboration with the Association of State
Correctional Administrators was based on a survey of state corrections
departments. This report noted that 41 states provided recidivism data
on prisoners released in 2004, and 33 states provided data on prisoners
released in 1999. The responding states represented 87 percent of all
releases from state prisons in 1999 and 91 percent of all releases in
2004. ``In the first ever state-by-state survey of recidivism rates,
state corrections data show that nearly 43 percent of prisoners
released in 2004, and 45 percent of those released in 1999, were
reincarcerated within three years, either for committing a new crime or
violating the terms of their supervised release.'' See https://www.pewtrusts.org/en/about/news-room/press-releases/0001/01/01/pew-finds-four-in-10-offenders-return-to-prison-within-three-years. Studies
by BJS and Pew do not examine post-release recidivism for someone who
has been crime free for 10 years or more.
In further consideration of the comment to expand the 10-year
period to 20 years, we looked at industry standards for guidance. There
are no bright-line rules used by states or SSA for the appointment of
convicted felons. Although all fifty states and the District of
Columbia have enacted guardianship statutes, there is a lack of
statutory consistency among the states regarding the appointment of a
guardian who was convicted of a felony, and how long after a conviction
one should be barred from serving. Research revealed three distinct
categories of state laws concerning the eligibility of guardianship
candidates with past felony convictions. Some states' statutes
prescribed a complete disqualification of a past felon as guardian.
See, e.g., Fla. Stat. Ann. Sec. 744.309(3) (LexisNexis 2017); Wash.
Rev. Code Ann. Sec. 11.88.020(1)(c) (LexisNexis 2017). Some states
require the disclosure of the prior felony with consideration given to
the ward's best interest and no bright-line rule regarding the numbers
of years after the conviction of a felony before appointment. See,
e.g., Ariz. Rev. Stat. Sec. 14-5106(A)(1) (LexisNexis 2017); N.H. Rev.
Stat. Ann. Sec. 464-A:4(V)(b) (LexisNexis 2017). Other states'
statutes do not address the issue. See, e.g., Ala.
[[Page 32724]]
Code Sec. 26-2A-104 (LexisNexis 2017); Conn. Gen. Stat. Sec. 45a-
676(f) (LexisNexis 2017).
SSA obtains information on whether a prospective representative
payee was convicted of any offense under Federal or state law and
sentenced to a period of imprisonment for more than 1 year before
appointment. As a general rule, SSA will not appoint a convicted felon
as a representative payee unless it cannot identify a suitable payee,
there is no risk to the beneficiary, and the appointment is in the best
interest of the beneficiary. Thus, although SSA considers certain
crimes an absolute bar to service as a representative payee, it may
still appoint a convicted felon if it determines that the appointment
is in the best interest of the beneficiary. See 20 CFR 416.622,
416.624.
We proposed a general rule that a felony conviction is a bar to
appointment or continuation of service as a fiduciary for the 10-year
period following the conviction, provided that the conviction is not
for fraud, financial crimes, or the abuse or neglect of another person,
all of which would be a permanent bar to serving as a fiduciary. See 79
FR 437. The commenter's suggestion that we should revise the rule by
lengthening the look-back period ``to a period longer than ten years''
because a research study on the usefulness of criminal background
checks stated that a violent offender is ``less likely'' to commit a
crime if he or she has been crime free for 20 years does not mean that
it would be good policy to wait longer than 10 years to appoint a
person VA finds appropriate to act as fiduciary for the beneficiary,
particularly when the person is the beneficiary's choice, it is the
least restrictive option, and in most cases is the beneficiary's family
member.
We proposed that we could appoint a convicted felon after 10 years
only if we determine that there is no other person or entity willing
and qualified to serve, there is no risk to the beneficiary, and such
appointment is in the beneficiary's interest. See 79 FR 437. We intend
with the foregoing criteria in place, we will not appoint a person that
may pose a risk to the beneficiary. In addition, in Sec. 13.500, we
proposed to promptly remove a fiduciary if he or she poses a risk to a
beneficiary after appointment. We believe that the measures we have in
place will allow us to carefully consider a prospective fiduciary, who
was convicted of a felony more than 10 years prior to consideration for
appointment, to determine whether it is in the beneficiary's best
interest to have such person serve as fiduciary. Therefore, we make no
change based on this comment.
In Sec. 13.130, we proposed that an individual or entity may not
serve as a fiduciary for a VA beneficiary if the individual or entity
was convicted of a financial crime, e.g., fraud, theft, bribery,
embezzlement, identity theft, money laundering, or forgery, or for the
abuse of or neglect of another person. These offenses are permanent
bars to serving as fiduciary. One commenter stated that our proposed
list of disqualifying offenses does not include crimes related to
dishonesty and deception, which are offenses that could place a
beneficiary at risk for victimization. However, the commenter did not
specifically identify the additional crimes that the commenter would
like to see as bars to service as a fiduciary.
The nature of specific offenses included within the phrase
dishonesty and deception as expressed in Federal regulations and state
rules varies. For example, banking regulations define dishonesty as the
following: ``[D]irectly or indirectly to cheat or defraud, to cheat or
defraud for monetary gain or its equivalent, or to wrongfully take
property belonging to another in violation of any criminal statute.
Dishonesty includes acts involving a want of integrity, lack of
probity, or a disposition to distort, cheat, or act deceitfully or
fraudulently, and may include crimes which federal, state or local laws
define as dishonest.'' See 12 CFR 585.40. Department of Labor
regulations define ``fraud or dishonesty'' as encompassing ``all those
risks of loss that might arise through dishonest or fraudulent acts in
handling of funds'' and note that, under state law, ``the term `fraud
or dishonesty' encompasses such matters as larceny, theft,
embezzlement, forgery, misappropriation, wrongful abstraction, wrongful
conversion, willful misapplication or any other fraudulent or dishonest
acts resulting in financial loss.'' See 29 CFR 453.12.
Furthermore, crimes of dishonesty and deception can be either a
felony or misdemeanor offense, depending on the jurisdiction and crime.
In addition, sentences for such crimes may differ widely. As a result,
not all crimes of dishonesty and deception will be a bar to service as
fiduciary. For purposes of our proposed regulations, we defined a
felony offense to mean a criminal offense for which the minimum period
of imprisonment is 1 year or more, regardless of the actual sentence
imposed or the actual time served. We further explained that such a
conviction is not a bar to serving as a fiduciary if the conviction
occurred more than 10 years preceding the proposed date of appointment
and the crime is not one of the crimes listed in proposed Sec.
13.130(a)(2)(ii). We believe our proposed rules on bars to service
provide the correct level of detail to effectively consider a potential
fiduciary's criminal background and the best interests of
beneficiaries. Therefore, we will monitor the implementation of this
rule to ensure that it adequately protects beneficiaries but will not
make any changes at this time based on this comment.
Section 13.140--Responsibilities of Fiduciaries
We received several comments regarding proposed Sec. 13.140. In
paragraph (c) we proposed that a fiduciary's non-financial
responsibilities, among other things, will include contacting social
workers or mental health professionals regarding the beneficiary, when
necessary. One commenter recommended we include as a part of this
responsibility that a fiduciary also contact a court-appointed guardian
or conservator regarding the beneficiary when necessary. We agree.
Without such contact, a fiduciary might not be able to determine
whether a beneficiary's needs are being met by the fiduciary's
disbursement of funds. In proposing paragraph (c), we intended that
fiduciary responsibilities would include an obligation to monitor the
beneficiary's well-being and report any concerns to appropriate
authorities, or anyone legally tasked with ensuring the beneficiary's
well-being. Amending this rule to include contact with a legal guardian
or conservator is consistent with our intent. We therefore revise
paragraph (c)(1) to state, ``The fiduciary's primary non-financial
responsibilities include, but are not limited to . . . Contacting
social workers, mental health professionals, or the beneficiary's legal
guardian regarding the beneficiary, when necessary.''
One commenter, citing 38 U.S.C. 5507, noted that our ``principal
responsibility in appointing a fiduciary is to determine [his or her]
fitness to serve as a fiduciary.'' The commenter noted that we
nonetheless tasked a fiduciary with financial and non-financial
responsibilities, that proposed Sec. 13.140(a) calls for a fiduciary
to monitor the beneficiary's well-being, and that proposed Sec.
13.140(c) states that a fiduciary has non-financial responsibilities
that ``include but are not limited to[,]'' seven specific enumerated
responsibilities. The commenter stated that the proposed ``not limited
to'' language is vague, particularly when the
[[Page 32725]]
non-performance of such responsibilities can subject a fiduciary to
removal under proposed Sec. 13.500.
The commenter is correct that under section 5507 VA has authority
to ensure that a person or entity appointed as fiduciary for a
beneficiary is fit to serve. However, under 38 U.S.C. 5502(a)(1)
Congress also authorized VA to make benefit payments to a fiduciary on
behalf of a beneficiary if it appears to VA that such payment will
serve the interest of the beneficiary. Under this authority, it is VA's
obligation to oversee the fiduciaries it appoints to manage VA benefits
on behalf of beneficiaries, and this oversight includes prescribing
fiduciary responsibilities. While we may appoint a fiduciary pursuant
to the requirements in section 5507, and remove them pursuant to our
oversight authority under section 5502(a)(1) and (b), prior to this
rulemaking, we provided no binding notice to beneficiaries and
fiduciaries regarding the responsibilities of fiduciaries in VA's
program. For this reason, we proposed to prescribe the core
requirements for all fiduciaries, which are to monitor the well-being
of the beneficiaries they are appointed to serve and to disburse funds
according to beneficiary needs. Prescribing these requirements is
consistent with Congress' intent when it authorized VA to create the
fiduciary program. As we explained in the proposed rule, our intention
is to change the culture in the fiduciary program to ensure that the
fiduciary we appoint determines the beneficiary's needs and disburses
funds to address those needs in the beneficiary's interest. See 79 FR
438. We explained that VA is not the fiduciary for the beneficiary and
must defer to the fiduciary consistent with VA regulations. See 79 FR
438.
We also proposed to prescribe fiduciaries' specific non-financial
responsibilities. These responsibilities generally concern a
fiduciary's obligation to monitor the beneficiary's well-being and
report any concerns to appropriate authorities, including any legal
guardian for the beneficiary. These responsibilities, among other
things, reinforce VA's view that a fiduciary must maintain regular
contact with a beneficiary and be responsive to beneficiary requests.
Furthermore, we used the ``include, but are not limited to''
language in paragraph (c) to clarify that the relationship between the
beneficiary and fiduciary must be defined by each beneficiary's needs.
This rulemaking provides the minimum expectations for the fiduciaries
whom VA appoints but recognizes that fiduciaries may have additional
responsibilities to particular beneficiaries depending upon the
fiduciary-beneficiary relationship and the beneficiary's individual
needs.
Regarding the commenter's concern that a fiduciary could be removed
for any unknown reasons as a result of the ``include, but are not
limited to'' language, the alternative is to list all possible non-
financial responsibilities of a fiduciary, which is impossible because
of all the unique circumstances specific to individual beneficiaries.
Rather, consistent with VA's intent to emphasize the fiduciary's
responsibility for not only managing the beneficiary's VA funds, but
also monitoring the beneficiary's general well-being, we believe Sec.
13.140 provides sufficient guidance regarding our expectations for a
fiduciary. Moreover, a fiduciary may always consult with a Fiduciary
Hub regarding the scope of his or her duties and responsibilities
relating to a particular beneficiary. Prior to initiating removal
action, VA will thoroughly investigate any alleged misconduct or
failure to satisfy responsibilities by a fiduciary and assess whether
to pursue removal action. Furthermore, we explained in the preamble to
proposed Sec. 13.600 that, although the Court of Appeals for Veterans
Claims' holding in Freeman v. Shinseki, 24 Vet. App. 404 (2011), was
limited to fiduciary appointments under section 5502, it would be
consistent to interpret the court's opinion to mean that there is a
right to appeal any VA fiduciary decision that is made under a law that
affects the provision of benefits to a VA beneficiary. See 79 FR 449.
We therefore proposed in Sec. 13.600 that a beneficiary could appeal
the removal of a fiduciary. Under Sec. 13.500, VA will provide a
beneficiary clear notice of any decision to remove a fiduciary and the
beneficiary's right to appeal the removal. If the basis for removal
does not involve a deficiency falling within the seven enumerated non-
financial responsibilities, again, VA will, consistent with VA's
general fiduciary oversight authority in 38 U.S.C. 5502(a) and (b),
thoroughly investigate any alleged misconduct or failure to satisfy
responsibilities by a fiduciary and assess whether to pursue removal
action prior to initiating removal action. For the foregoing reasons,
we make no change to this proposed rule.
One commenter cited to the preamble of the proposed rule on
accountings, which stated that ``[c]urrent policy also recognizes,
based upon VA's experience in administering the program, that the
burden of preparing, submitting, and auditing accountings outweighs any
oversight benefit for many beneficiaries and VA.'' See 79 FR 444. The
commenter interpreted this statement as VA's acknowledgement that
certain fiduciary responsibilities are burdensome. The commenter
suggested that a fiduciary's financial responsibilities are burdensome
and technical, and complained that VA would require family member
fiduciaries to be fiscal managers, prudent investors and financial
planners. The commenter suggested that VA instead promulgate rules
regarding VA's responsibilities to fiduciaries, to include providing
family member fiduciaries with technical support and software to carry
out their financial responsibilities and protection of private
information.
VA's fiduciary program policies have long recognized that service
as a fiduciary for a beneficiary includes financial and other
obligations that may at times be burdensome, particularly for
fiduciaries that are family members. For this reason, VA's policies
attempt to strike the appropriate balance between oversight and
fiduciary burden. VA must protect beneficiaries from fiduciary misuse
of their benefits, while also promoting service by family members and
other volunteers. We do not agree with the commenter's assertion that
the proposed responsibilities of a fiduciary in Sec. 13.140 impose an
unwarranted burden on family members. In our proposed rules on
accountings we explained that we would continue to require accountings
only when the amount of VA benefit funds under management by the
fiduciary exceeds $10,000, the fiduciary receives a fee deducted from
the beneficiary's account under proposed Sec. 13.220, or the
beneficiary is being paid monthly benefits in an amount equal to or
greater than the rate for service-connected disability rated totally
disabling. See 79 FR 444. As a general rule, no other fiduciaries will
be required to submit an annual accounting. Regarding this rule, we
stated, ``[c]urrent policy also recognizes, based upon VA's experience
in administering the program, that the burden of preparing, submitting,
and auditing accountings outweighs any oversight benefit for many
beneficiaries and VA.'' See 79 FR 444. Thus, contrary to the
commenter's interpretation, we did not intend the quoted portion of the
preamble to mean that our proposed rules of fiduciary responsibilities
are burdensome.
Furthermore, we did publish proposed rules that impose obligations
comparable to financial management and planning. In fact, we proposed
separate rules for fiduciary accounts
[[Page 32726]]
(Sec. 13.200), fiduciary investments (Sec. 13.210), and accountings
(Sec. 13.280) for the express purpose of clearly notifying fiduciaries
regarding their basic financial management and reporting obligations.
These rules require maintenance of a separate fiduciary account,
establish policy regarding conservation of beneficiary funds, limit
investments to United States savings bonds or Federally-insured
interest or dividend-paying accounts, exempt spouses and chief officers
of institutions from the investment limitations, and, as described
above, exempt most fiduciaries from the submission of annual audits. We
do not agree that the responsibilities prescribed in Sec. 13.140 or
more specifically in Sec. 13.200, Sec. 13.210, or Sec. 13.280 are
unduly burdensome for family member fiduciaries. Rather, it is our
intent that these rules will strike the appropriate balance between
oversight and encouraging volunteer fiduciary service, with the
emphasis being on allowing the fiduciary to determine the beneficiary's
needs and disburse funds to address those.
We also explained our intent to change the culture of the program
to ensure that fiduciaries do not unnecessarily conserve beneficiary
funds. We explained, ``[w]e are concerned that some elderly
beneficiaries are dying with a large amount of funds under management
by a fiduciary that could have been used during the beneficiary's life
to improve his or her standard of living.'' See 79 FR 438. We intend
that fiduciaries will conserve or invest funds under management that
the beneficiary or the beneficiary's dependents do not immediately need
for maintenance, reasonably foreseeable expenses, or reasonable
improvements in the beneficiary's and the beneficiary's dependents'
standard of living. In our view, these basic responsibilities are
consistent with industry standards and the fiduciary-beneficiary
relationship, protect beneficiaries while limiting the burden on family
member and other volunteer fiduciaries, and promote policies intended
to improve beneficiaries' standard of living.
Regarding the responsibility of protecting a beneficiary's
financial information, we prescribed the basic precautions, which if
not taken, might put the beneficiary at risk of identity theft,
misappropriation of funds, or other harm. In that regard, we prescribed
the minimum requirements for protection of beneficiaries' private
information. We intend that fiduciaries will take the reasonable
precautions that every person should take when maintaining his or her
private information in paper or electronic records to prevent identity
theft and unauthorized access. In proposing these requirements, we did
not intend to supersede state law or other professional industry
standards, under which a fiduciary may have additional requirements
that exceed the minimum standard proposed by VA. We therefore make no
change based on this comment.
Section 13.140(a)(2)(iv) requires a fiduciary to maintain financial
records for a minimum of 2 years from the date VA removes the fiduciary
under Sec. 13.500, and Sec. 13.500(a)(1)(iv) provides that VA may
remove a fiduciary if ``[t]he beneficiary dies.'' Therefore, we note
that Sec. 13.140(a)(2)(iv) includes the requirement that a fiduciary
must maintain financial records for a minimum of 2 years after a
fiduciary is removed following a beneficiary's death. This requirement
facilitates any inquiry into the fiduciary program and allows VA to
address questions regarding the fiduciary's past services to the
beneficiary. We also made a few nonsubstantive changes to Sec. 13.140.
Section 13.210--Fiduciary Investments
We made a minor revision to Sec. 13.210 by substituting
``Fiduciaries should not conserve VA benefit funds under management for
a beneficiary based primarily upon the interests of the beneficiary's
heirs or according to the fiduciary's own values, preferences, and
interests'' for ``Fiduciaries will not conserve VA benefit funds under
management for a beneficiary based upon the interests of the
beneficiary's heirs or according to the fiduciary's own beliefs,
values, preferences, and interests.'' This change is necessary to
provide fiduciaries with some flexibility and to avoid the perception
that belief systems are an element of VA's oversight.
Section 13.220--Fiduciary Fees
We received three comments regarding proposed Sec. 13.220. One
commenter agreed with our proposal to bar fiduciary fees on retroactive
benefits payments, but suggested we explicitly preempt state laws that
allow a higher than 4 percent fee for fiduciary services. The commenter
stated that while we proposed that our regulations would preempt state
laws, we failed to invoke this preemption for fiduciary fees. The
commenter read our proposed rules on fiduciary fees to mean that a
fiduciary can receive a higher than 4 percent fee for his or her
services, if state laws allow such higher fees.
The commenter may have overlooked our explicit language to preempt
state law in fiduciary matters. We specifically stated that we
interpret 38 U.S.C. 5502(a)(1) to mean, ``in creating the fiduciary
program, Congress intended to preempt State law regarding guardianships
and other matters to the extent necessary to ensure a national standard
of practice for payment of benefits to or on behalf of VA beneficiaries
who cannot manage their benefits.'' See 79 FR 430. We further explained
that we intended to apply this approach to all fiduciary matters on the
effective date of the final rule. See 79 FR 430. We did not propose to
authorize a higher than 4 percent fee for services performed by a
fiduciary even if a state authorizes a higher fee. In the preamble to
proposed Sec. 13.220, we made it clear that when we determine that a
fee is necessary to obtain a fiduciary in the best interests of a
beneficiary, Congress authorized a reasonable fee to be paid from the
beneficiary's VA funds, but such fee for any year may not exceed 4
percent of the beneficiary's monetary VA benefits paid to the fiduciary
during any month in which the fiduciary serves. See 79 FR 440. We will
not make any changes based on this comment because Sec. 13.220 clearly
prescribes that a fiduciary fee cannot exceed 4 percent of a
beneficiary's monetary VA benefits paid to the beneficiary during any
month in which the fiduciary serves.
Another commenter cited to proposed Sec. 13.140(d)(1), where we
prescribed that ``[i]f the fiduciary is also appointed by a court, [the
fiduciary must] annually provide to [VA] a certified copy of the
accounting provided to the court or facilitate [VA's] receipt of such
an accounting,'' and proposed Sec. 13.30(a), which prescribed the
circumstances in which we would appoint a fiduciary on behalf of a
beneficiary, to include when ``a court with jurisdiction might
determine that a beneficiary is unable to manage his or her financial
affairs.'' The commenter appears to have read our references to
``court'' in these sections to mean that VA would continue to recognize
court-appointed guardians as fiduciaries, which would grant them
certain exemptions from our proposed rules.
It is our intent to continue to appoint a beneficiary's court-
appointed guardian to serve as VA fiduciary if we determine that no
other appropriate person or entity is willing to serve without a fee
and such an appointment will be in the beneficiary's interest. For
existing court-appointed guardians who are serving satisfactorily as
fiduciaries, we will continue their appointments as fiduciaries.
However, in such appointments, only VA's regulations will prescribe the
fiduciary's
[[Page 32727]]
responsibilities, as well as the fees they are authorized to receive.
Accordingly, fees in excess of 4 percent of a beneficiary's monthly
benefit payment are not authorized. Our proposed rules were clear that
they would apply to existing court-appointed guardians who are also
fiduciaries. We proposed to discontinue the distinction between
``Federal'' fiduciaries and ``court-appointed'' fiduciaries, and
instead refer only to ``fiduciary'' or ``fiduciaries'' in our
regulations. We explained that it is VA's long-standing interpretation
of current law to appoint and conduct oversight regarding all
individuals and entities that provide fiduciary services for
beneficiaries. See 79 FR 430. We intend to issue uniform rules for all
VA-appointed fiduciaries, such as allowable fees, surety bond
requirements and appropriate investments, to include fiduciaries who
also serve as court-appointed guardians for beneficiaries. However, for
fiduciary investments that already exist, we do not intend to disturb
these investments, as we recognize the risks that may be involved in
any liquidation or changes. Therefore, we intend to apply our proposed
regulations on fiduciary investment only to those investments acquired
after the effective date of the final rule.
In proposed Sec. 13.140(d)(1), we prescribed that a court-
appointed guardian who is also a VA fiduciary should annually provide
us with a certified copy of the accounting he or she provides to the
court. We did not propose that this will be in lieu of submitting an
accounting to VA pursuant to proposed Sec. 13.280. Fiduciaries who are
also court-appointed guardians are required to provide VA with an
annual accounting as prescribed in Sec. 13.280. Pursuant to our
oversight authority, we must ensure consistency in reporting to the
court and VA, and ensure that funds are used in the interest of
beneficiaries.
Furthermore, proposed Sec. 13.30(a) stated that our authority to
appoint a fiduciary on behalf of a beneficiary includes cases in which
``a court with jurisdiction . . . determine[s] that a beneficiary is
unable to manage his or her financial affairs.'' This language does not
mean that VA will continue to recognize court-appointed guardians
without subjecting them to our rules. If VA appoints or continues the
appointment of a court-appointed guardian as fiduciary, that fiduciary
will be subject to VA rules only for purposes of managing the
beneficiary's VA benefits. For the foregoing reasons, we do not make
any changes to Sec. 13.220 based upon the commenter's inquiry.
In proposed Sec. 13.220(b)(4), we prescribed that VA will not
authorize fiduciary fees for any month a court with jurisdiction or VA
determines that a fiduciary misused or misappropriated benefits. A
commenter suggested that VA would need to coordinate with courts to
obtain information on misuse. The commenter further stated that there
is also a need for coordination regarding fiduciary fees, as a
fiduciary could receive fees from both the court and VA.
We agree with the commenter that coordination with courts is
important to curtail misuse. It is our current practice to coordinate
with courts and other agencies and share information when it is
appropriate or necessary. We will continue to work on any necessary
protocols for coordinating and information sharing between courts, VA
and other agencies. However, the topic of coordinating with
guardianship courts and other governmental agencies is beyond the scope
of this rulemaking. With regard to fees, we clarify that a fiduciary,
who is also acting as a state-appointed guardian for the beneficiary,
may receive a fee not to exceed 4 percent of the monthly VA benefit for
the fiduciary responsibilities but may additionally receive a fee for
his or her responsibilities as a state-appointed guardian.
Section 13.230--Protection of Beneficiary Funds
We received three comments regarding proposed Sec. 13.230. A
commenter suggested that we not only exempt spouses from the surety
bond requirements, but also exempt all family members who are
fiduciaries. The commenter stated that requiring family members to
obtain surety bonds to protect beneficiaries' funds is a waste of the
beneficiary's VA funds.
Under current law, ``[a]ny certification of a person for payment of
benefits of a beneficiary to that person as such beneficiary's
fiduciary . . . shall be made on the basis of,'' among other things,
``the furnishing of any bond that may be required by [VA].'' See 38
U.S.C. 5507(a)(3). We interpret this requirement to mean that, where VA
has imposed a bond requirement, the certification of any person as a
fiduciary must be based in part upon the proposed fiduciary's ability
to qualify for and purchase such bond. As such, this requirement is a
screening tool for VA to use in confirming qualification for
appointment before releasing any large retroactive payment to a
fiduciary. If a fiduciary cannot obtain a bond because the bonding
company considers the risk of fund exploitation too high, VA will not
appoint the prospective fiduciary and appoint an individual or entity
who can obtain the necessary fund protection. In addition, requiring a
prospective fiduciary to secure a surety bond is consistent with our
oversight obligations, which among other things, include deterring
fiduciary misuse of benefits. VA's surety bond requirements put a
fiduciary on notice that he or she is liable to a third party for any
payment on the bond, and in the event a fiduciary misuses a
beneficiary's VA benefits, the bonding requirements protect the
beneficiary's funds.
For the foregoing reasons, we proposed that all fiduciaries with
the general exception of spouses must, within 60 days of appointment,
furnish to the fiduciary hub of jurisdiction a surety bond conditioned
upon faithful discharge of all of the responsibilities of a fiduciary
if the VA benefit funds that are due and to be paid will exceed
$25,000. We also proposed to apply this rule to a fiduciary who is not
initially required to obtain a bond but later over time accumulates
funds on behalf of a beneficiary that exceed the $25,000 threshold.
Based on our experience in administering the program, the risks of not
requiring all fiduciaries, with the exception of spouses, to furnish a
surety bond significantly outweigh any burden on a prospective
fiduciary.
We have exempted spouses who are fiduciaries from the surety bond
requirements consistent with our long-standing policy of requiring less
intrusive oversight of spouse fiduciaries. It has always been our
policy to minimize the Government's intrusion into the marital
relationship and to avoid dictating requirements for property that is
jointly owned by a beneficiary and his or her spouse. We therefore make
no changes based on this comment.
One commenter suggested that VA should require a court-appointed
guardian who was previously sanctioned, disciplined, or removed by a
court to furnish a surety bond as an additional screening tool, if VA
is considering the appointment of that guardian as a fiduciary. In 38
U.S.C. 5502, Congress authorized VA to appoint a fiduciary for a
beneficiary only if it appears to VA that it would serve the
beneficiary's interest. Depending on the sanction, discipline or
removal a guardian received from a court, VA may appoint or continue
the appointment of that fiduciary only if VA determines that there is
no other person or entity willing and qualified to serve, there is no
risk to the beneficiary, and the appointment is in the beneficiary's
interest. VA will consider the totality of the circumstances before the
[[Page 32728]]
appointment or continuation of the appointment. Should VA decide to
appoint or continue the appointment of a guardian as fiduciary, who was
sanctioned, disciplined or removed by a court, we agree with the
commenter that requiring a surety bond in such appointments may serve
as an additional screening tool. Accordingly, we prescribed in Sec.
13.230(c)(2), that ``the Hub Manager may, at any time, require the
fiduciary to obtain a bond described in [Sec. 13.230(a)] and meeting
the requirements of [Sec. 13.230(d)], without regard to the amount of
VA benefit funds under management by the fiduciary for the beneficiary,
if special circumstances indicate that obtaining a bond would be in the
beneficiary's interest.'' Such special circumstances may include cases
where a fiduciary was sanctioned, disciplined or removed by the court.
We therefore make no changes based on this comment.
One commenter stated that family caregivers who are also
fiduciaries should be exempted from the surety bond requirements.
Another commenter generally stated that family caregivers who are
fiduciaries should also be exempted from the surety bond requirements
because they are approved and monitored by VHA.
We note that VHA does not monitor caregivers' management of
veterans' VA benefits. Under 38 U.S.C. 1720G(a)(1)(A), VA
``establish[ed] a program of comprehensive assistance for family
caregivers of eligible veterans.'' As part of this program, VA has
authority to provide family caregivers with ``instruction, preparation
and training'' appropriate to provide services as caregivers, and to
monitor the well-being of each eligible veteran receiving personal care
services under the program. See 38 U.S.C. 1720G(a)(3)(A)(i)(I),
(a)(9)(A).
VHA's monitoring consists of maintaining a ``veteran's treatment
plan and collaborat[ing] with clinical staff making home visits to
monitor the eligible veteran's well-being, adequacy of care and
supervision being provided.'' See 38 CFR 71.40(b)(2). Thus, while VHA
provides monitoring of the adequacy of care as it pertains to the
veteran's health and well-being, it does not provide any training or
oversight as it pertains to the ability of a family caregiver to manage
the veteran's VA benefits. See 38 U.S.C. 1720G(a)(9)(C); 38 CFR 71.15,
71.25(c) and (d). The fiduciary program appoints fiduciaries on behalf
of beneficiaries who are unable to manage their VA benefits and
provides oversight to these fiduciaries. VA-appointed fiduciaries are
tasked with, among other things, managing a beneficiary's monetary VA
benefits, while family caregivers are tasked with supporting the
veteran's health and well-being. We note further that requirements for
caregivers are distinguishable in many ways from the requirements of
fiduciaries. In this regard, the fact that someone may qualify as a
family caregiver does not mean that they also would be able to serve as
a fiduciary and/or obtain a surety bond.
Under 38 U.S.C. 5507, VA must conduct an investigation regarding a
proposed fiduciary before appointing the individual to serve as a
fiduciary. This investigation must include an inquiry regarding the
proposed fiduciary's criminal and credit history.
See 38 U.S.C. 5507(a)(1)(C) and (b). Furthermore, under 38 U.S.C.
5507(a), ``[a]ny certification of a person for payment of benefits of a
beneficiary to that person as such beneficiary's fiduciary . . . shall
be made on the basis of,'' among other things, ``the furnishing of any
bond that may be required by [VA].'' In order to meet our oversight
responsibilities and ensure that only the most qualified individuals
are appointed as fiduciary to serve our vulnerable beneficiaries, we
require prospective fiduciaries to furnish a surety bond consistent
with proposed Sec. 13.230. We cannot exempt a family caregiver from
the surety bond requirements because the VHA caregiver program does not
provide oversight as it pertains to a beneficiary's VA benefits. We
therefore do not make any changes based on this comment.
One commenter did not agree with VA's proposal to generally
eliminate the use of restricted withdrawal agreements. The commenter
believes the process of converting restricted withdrawal agreements
into surety bonds would result in a cost to VA by generating more work
for VA's field fiduciary employees, to include scheduling new field
examinations to replace fiduciaries who cannot obtain surety bonds.
It has been VA's practice to occasionally allow a fiduciary,
generally a family member or other close acquaintance of the
beneficiary, to enter into a restricted withdrawal agreement with the
beneficiary and VA regarding management of accumulated funds under
management in lieu of obtaining a surety bond. We proposed to eliminate
the use of withdrawal agreements in proposed Sec. 13.230, except for
fiduciaries residing in the Commonwealth of Puerto Rico, Guam, or
another territory of the United States, or in the Republic of the
Philippines, where surety bonds may not be available. We have
determined that withdrawal agreements are generally inconsistent with
VA policy regarding the role of VA and fiduciaries in the fiduciary
program. See 79 FR 441.
One of the overall goals of our rewrite of VA's fiduciary
regulations was to change the program's culture to ensure that it is
the fiduciary, and not VA, that determines the beneficiary's needs and
disburses funds to address those needs in the beneficiary's interest.
In our view, it is the fiduciary's obligation to make best-interest
determinations regarding beneficiary funds under management. The use of
a restricted withdrawal agreement may improperly insert VA into matters
reserved for fiduciaries. In that regard, we proposed the core
requirements for all fiduciaries, which are to monitor the well-being
of the beneficiaries they serve and to disburse funds according to
beneficiary needs. VA is not the fiduciary for the beneficiary and must
defer to the fiduciary consistent with VA regulations.
We do not anticipate a change in workload or any budget increases
with the implementation of this rule. Currently, less than 1/8th of 1
percent of our fiduciaries have withdrawal agreements. This is a result
of our current policy to require surety bonds in lieu of withdrawal
agreements. For the few fiduciaries that still have withdrawal
agreements, effective with our final rule, we will require them to
obtain surety bonds. It will be incumbent upon the fiduciary to obtain
a surety bond and provide VA with proof of the surety bond. If a
fiduciary cannot obtain a surety bond because the bonding company
considers the risk of fund exploitation too high, VA will not continue
the appointment of the fiduciary and will instead appoint an individual
or entity that can obtain the necessary fund protection. To the extent
this will require additional field examinations, we expect any
additional costs for this activity to be marginal. Consistent with
Congress' intent, VA makes every effort to ensure that only qualified
individuals and entities provide fiduciary services for beneficiaries.
As such, this requirement is a screening tool for VA to use in
confirming an appointment decision before releasing any large
retroactive payment to a fiduciary. We make no change based on this
comment.
Section 13.250--Funds of Deceased Beneficiaries
We did not receive any comments on this regulation; however, we
made a technical change consistent with governing authority. Under 38
U.S.C. 5502(e), when a beneficiary who has a fiduciary dies without
leaving a valid
[[Page 32729]]
will and without heirs, all VA benefits under management by the
fiduciary for the deceased beneficiary must be returned to VA if such
funds will ``escheat'' to the state, less any deductions of expenses to
determine that escheat is in order. In our proposed rules, we used the
plain language term ``forfeited'' instead of ``escheat.'' However, to
be more precise and consistent with the governing authority, we
replaced the term ``forfeited'' with ``escheat.''
Section 13.260--Personal Funds of Patients
We did not receive any comments on this rule; however, we made a
couple of nonsubstantive changes to Sec. 13.260.
Section 13.280--Accountings
In proposed Sec. 13.280(b), we defined ``accounting'' to mean
``the fiduciary's written report regarding the income and funds under
management by the fiduciary for the beneficiary during the accounting
period prescribed by the Hub Manager.'' The proposed rule further
states that, ``[t]he accounting prescribed by this section pertains to
all activity in the beneficiary's accounts, regardless of the source of
funds maintained in those accounts.'' One commenter questioned VA's
authority to require accountings regarding non-VA funds that are under
management by a VA-appointed fiduciary. The commenter also believed
that it is VA policy to require fiduciaries to disburse non-VA funds
before VA funds, and again questioned our authority for such actions.
Under 38 U.S.C. 5509(a), VA has authority to require fiduciaries to
file accountings regarding funds under management. Pursuant to 38
U.S.C. 5502(b), such accountings may include disclosure of ``any
additional financial information concerning the beneficiary (except for
information that is not available to the fiduciary).'' For accounting
purposes, VA has authority to request information regarding all
activity in a beneficiary's account. It would be very difficult to
detect misuse of benefits if VA were required to limit its audit to
activity related only to income and expenditures actually derived from
VA benefits. Therefore, we prescribed, consistent with our statutory
authority, that an accounting pertains to all activity in the
beneficiary's accounts, regardless of the source of income.
It is not VA's policy to require fiduciaries to disburse a
beneficiary's non-VA funds before his or her VA funds. In fact, it is
our policy as clarified in this rulemaking that it is the fiduciary who
determines the beneficiary's needs and disburses funds to address those
needs in the beneficiary's interest. In that regard, we specifically
prescribed inSec. 13.140(a) that a fiduciary must disburse or
otherwise manage funds, which would include all non-VA funds of the
beneficiary under the fiduciary's control, according to the best
interests of the beneficiary and the beneficiary's dependents and ``in
light of the beneficiary's unique circumstances, needs, desires,
beliefs, and values.'' We did not propose to require fiduciaries to
disburse funds under management in any specific order. Accordingly, we
make no change based upon these comments.
In Sec. 13.280, we proposed that a fiduciary would be required to
provide VA an annual accounting regarding funds under management for a
beneficiary when the amount of VA benefit funds under management by the
fiduciary exceeds $10,000, the fiduciary receives a fee deducted from
the beneficiary's account under proposed Sec. 13.220, or the
beneficiary is being paid monthly benefits in an amount equal to or
greater than the rate for a service-connected disability rated totally
disabling. We received several comments that generally suggested that
we should exempt fiduciaries who are VHA-approved family caregivers
from our accounting requirements because they receive ample oversight
from the VA Caregiver Support Program. One commenter specifically
stated that the VA Caregiver Handbook states that joint checking,
investment, and other accounts are allowed between veterans and their
caregivers.
Congress granted VA the authority to ``establish a program of
comprehensive assistance for family caregivers of eligible veterans,''
as well as a program of general support services for caregivers of
``veterans who are enrolled in the health care system established under
[38 U.S.C. 1705(a)] (including caregivers who do not reside with such
veterans).'' See 38 U.S.C. 1720G(a), (b). VHA has since established a
Caregiver Support Program, which provides certain medical, travel,
training, and financial benefits to caregivers of certain veterans and
service members who were seriously injured in the line of duty on or
after September 11, 2001. As discussed above, neither the statute and
implementing regulations nor the VA Caregiver Support Program provides
for any oversight as it pertains to a veteran's VA benefits.
For fiduciaries in the fiduciary program, VA must conduct the
investigation prescribed in 38 U.S.C. 5507, and thereafter conduct
sufficient oversight for the purpose of, among other things, monitoring
a fiduciary regarding misappropriation or misuse of benefits and
reissuance of benefits under 38 U.S.C. chapter 61. Under 38 U.S.C.
5509(a), VA has authority to require fiduciaries to file accountings
regarding funds under management, and it is the responsibility of the
fiduciary program to oversee the actions of fiduciaries as it relates
to the use of VA benefits. Accordingly, we propose to continue to
require accountings only when the amount of VA benefit funds under
management by the fiduciary exceeds $10,000, the fiduciary receives a
fee deducted from the beneficiary's account, or the beneficiary is
being paid monthly benefits in an amount equal to or greater than the
rate for service-connected disability rated totally disabling. At this
time, we will not exempt VHA-approved caregivers from the fiduciary
accounting requirement because the caregiver program does not include
alternative oversight of the caregiver's fiduciary obligations.
While a commenter cited page 157 of the ``VA Caregiver Handbook''
and stated that the Caregiver Support Program allows joint accounts
between veterans and family caregivers, a review of both the VA
Caregiver Support Program Guidebook, which is no longer in use
following the issuance of VHA Directive 1152, Caregiver Support Program
(June 14, 2017), and the National Caregiver Training Program Caregiver
Workbook did not confirm the commenter's assertion. In the
``Resources'' module of the National Caregiver Training Program
Caregiver Workbook, pages 153 through 168, VA outlines the resources
that are available to family caregivers and mentions joint accounts,
but it does not state that caregivers can open joint accounts with
veterans. Because the VA Caregiver Support Program does not provide
oversight of a caregiver-fiduciary's management of a veteran's VA
benefits, we make no change based on these comments.
Two commenters suggested that we should require accountings from
all fiduciaries, to include spouses. The commenters generally stated
that some family members exploit the beneficiaries they are appointed
to serve, and requiring accountings would serve as an additional
deterrent to the misuse of benefits. Another commenter stated that a
spouse caregiver who is also a fiduciary should be exempted from the
accounting requirement. As stated previously, VA proposed only to
require accountings when the amount of VA benefit funds under
management by the fiduciary exceeds $10,000, the fiduciary receives a
fee deducted from
[[Page 32730]]
the beneficiary's account, or the beneficiary is being paid monthly
benefits in an amount equal to or greater than the rate for a service-
connected disability rated totally disabling. It is our general policy
that every fiduciary that meets the foregoing criteria must submit an
annual accounting to VA.
We prescribed exceptions to the general accounting rules. First, no
spouse will be required to submit an annual accounting. As we explained
above, it is VA's long-standing policy to avoid undue intrusion into
the relationship between a beneficiary and the beneficiary's spouse. It
is our policy to minimize the Government's intrusion into the marital
relationship and avoid dictating requirements for property that is
jointly owned by a beneficiary and his or her spouse. Second, we will
not require the chief officer of a Federal institution to submit an
annual accounting because such officers generally do not disburse
funds, disburse only small fund amounts for the beneficiary's personal
use, or disburse funds according to the discretion delegated to the
Secretary of Veterans Affairs by law. Third, we will not require an
annual accounting from the chief officer of a non-VA facility receiving
benefits for a beneficiary institutionalized in the facility when the
cost of the monthly care and maintenance and personal cost expenses of
the beneficiary in the institution equals or exceeds the beneficiary's
monthly benefit and the beneficiary's funds under management by the
fiduciary do not exceed $10,000. However, VA will continue to require
accountings from all family members who serve as fiduciaries with the
exceptions noted above. We make no change based on these comments but
will continue to monitor the accounting requirements to ensure that we
have the proper balance between oversight and fiduciary burden. We
have, however, added new language in paragraph (a)(4) stating that
accounting is required if the Hub Manager determines that it is
necessary to ensure the fiduciary has properly managed the
beneficiary's funds. This will allow the Hub Manager, on a case-by-case
basis, to determine when an annual accounting is required to protect
the beneficiary.
Section 13.400--Misuse of Benefits
We received three comments regarding proposed Sec. 13.400. One
commenter suggested our definition of misuse should include the failure
of a fiduciary to distribute funds to fulfill a beneficiary's needs.
However, VA cannot conclude, without a clear evidentiary basis, that a
fiduciary is misusing a beneficiary's VA benefits if that fiduciary is
not distributing funds to fulfill a beneficiary's needs. A fiduciary,
for example, could be conserving a beneficiary's funds instead of
distributing funds to fulfill the beneficiary's needs, or be unable to
perform his or her duties as fiduciary for a number of reasons, which
would not equate to misuse but might justify removing the fiduciary.
Our definition of misuse restates the statutory definition, and
consistent with current VA policy, will facilitate VA's identification
of possible misuse. Nonetheless, in the event a fiduciary is not
distributing funds to fulfill a beneficiary's needs in accordance with
proposed Sec. 13.140, which would prescribe that a fiduciary must
monitor the well-being of the beneficiary the fiduciary serves and
disburse funds according to beneficiary's needs, the fiduciary will be
removed under Sec. 13.500. We therefore make no changes based on the
comment.
Another commenter suggested that when we make a misuse
determination on reconsideration, the decision should identify whether
a fiduciary is a court-appointed guardian or conservator. We agree. We
have amended paragraph (d)(4) to reflect that we would identify in our
final misuse determination whether the fiduciary is a court-appointed
guardian or conservator.
The same commenter also suggested that VA develop protocols and
notify the court, in addition to the beneficiary and legal guardian, of
our misuse determinations when the fiduciary is also a court-appointed
guardian. We agree. In cases where a fiduciary, who is also the
beneficiary's legal guardian, misappropriates or misuses a
beneficiary's VA benefits and there is a bond in place payable to the
court, VA will contact the court to make it aware of the situation and
facilitate recovery of any misappropriated or misused funds from the
surety company. In addition, VA will put the court on notice that the
continuation of the appointment of the legal guardian may no longer be
in the beneficiary's interest. Accordingly, in response to this
comment, we have revised Sec. 13.400(c) and (e)(1) by requiring the
Director of the VA Regional Office of jurisdiction to also report
misuse cases to ``the court of jurisdiction if the fiduciary is also
the beneficiary's court-appointed legal guardian and/or conservator.''
We have amended proposed Sec. 13.400(b) to clarify the
discretionary authority of the Hub Manager to investigate or not
investigate an allegation of misuse. The Hub Manager's decision is
discretionary because it involves the complicated balancing of a number
of factors, including whether the misuse allegation is likely to lead
to a finding of misuse and whether to expend limited funds and staffing
resources in an investigation and issuance of a formal decision in
response to such allegation. The revised language provides that
``[u]pon receipt of information from any source regarding possible
misuse of VA benefits by a fiduciary, the Hub Manager may, upon his or
her discretion, investigate the matter and issue a misuse determination
in writing.''
Section 13.410--Reissuance and Recoupment of Misused Benefits
Section 6107(a)(2) provides that VA negligence causes misuse when
the Hub Manager fails to properly investigate or monitor the fiduciary,
such as when the Hub Manager fails to timely review the fiduciary's
accounting or receives notice of an allegation of misuse but fails to
act within 60 days of the date of notification of the alleged misuse to
terminate the fiduciary. We made a technical change to proposed Sec.
13.410(b)(1) through (b)(3) to more accurately reflect 38 U.S.C.
6107(a)(2).
In reviewing proposed Sec. 13.410, we noticed that we failed to
list one criterion in section 6107(a) for the reissuance of benefits
based upon a determination that VA negligence resulted in misuse of
benefits. As such, we are adding a new paragraph (b)(1)(iii) to make
clear that negligence includes situations where VA received an
allegation of misuse, decided to investigate after exercising its
discretion, and found misuse, but failed to initiate action within 60
days of receipt of the misuse allegation to terminate the fiduciary. We
are also clarifying paragraph (b)(1)(ii) to state, ``The Hub Manager
did not decide whether to investigate an allegation of misuse within 60
days of receipt of the allegation,'' which more accurately reflects the
responsibility of the Hub Manager to exercise his or her discretionary
authority to investigate a misuse allegation in a timely manner.
Section 13.600--Appeals
In proposed Sec. 13.600, we proposed to close the evidentiary
record on an appealable fiduciary matter once we reviewed the evidence
relating to the fiduciary matter and made a decision. See 79 FR 449. We
explained that our intent was to expeditiously process appeals in
fiduciary matters to avoid delaying VA's effort to resolve the
beneficiary's disagreement with a decision or issuing a statement of
the case or certifying an appeal to the
[[Page 32731]]
Board. See 79 FR 449. We further explained that closing the record
would not limit the Board's authority to remand a matter to the Hub
Manager, Regional Office Director, or Director of the Pension and
Fiduciary Service under 38 CFR 19.9 for any action necessary for an
appellate decision or the issuance of a supplemental statement of the
case under 38 CFR 19.31(b)(2), (b)(3), or (c). See 79 FR 449.
We received several comments regarding proposed Sec. 13.600 as it
pertains to closing the record. One commenter is concerned that closing
the record on the date our decision is made to remove a fiduciary would
prevent a beneficiary from submitting new information about ``the
continuation of misfeasance or malfeasance by the fiduciary.'' The
commenter is concerned that if a fiduciary retaliates against the
beneficiary during the appeals process, VA could be negligent for not
having such information, as the record would be closed. The commenter
further believes that the closing of the record would prevent a
beneficiary from submitting additional evidence for reconsideration or
additional misuse.
Another commenter stated that closing the evidentiary record will
obstruct compliance with the duty-to-assist statute, which provides
that VA has an affirmative duty to assist a claimant in obtaining
evidence to substantiate the claimant's claim for VA benefits, which
may include obtaining relevant private or Government records or
providing a medical examination or obtaining a medical opinion when
necessary to decide the claim. See 38 U.S.C. 5103A.
In light of the foregoing comments, we reexamined proposed Sec.
13.600 and agreed with the commenters that closing the record could
prevent an appellant from submitting additional evidence that could
impact a final decision under current regulations. A reexamination of
this regulation also led us to conclude that closing of the evidentiary
record would interfere with the general appellate process. Under 38 CFR
20.800, an appellant may submit additional evidence after initiating an
appeal. Under 38 U.S.C. 7105(e), if an appellant submits additional
evidence to the agency of original jurisdiction or the Board after the
filing of a substantive appeal, the Board may review it for the first
time on appeal unless the appellant specifically requests the agency of
original jurisdiction to review it first; under 38 CFR 20.1304(a), an
appellant may submit additional evidence within 90 days after an appeal
is certified to the Board or before the Board issues a decision,
whichever comes first; under Sec. 20.1304(b), an appellant may submit
additional evidence after the 90-day period upon a showing of good
cause. Accordingly, we have revised Sec. 13.600(b) to remove reference
to closing the record, thus permitting the potential submission of
additional evidence to the extent allowed by statutes and regulations
generally governing appeals.
Regarding the commenter's concerns that the duty to assist should
apply to all stages of the appeal, we stated in the preamble to
proposed Sec. 13.600 that, although decisions on fiduciary matters are
made under laws that affect the provision of benefits and, therefore,
fall within the scope of 38 U.S.C. 511(a) (Decisions of the Secretary;
finality), fiduciary matters are not decisions on claims for benefits
and would not be afforded the same procedures as prescribed by VA for
benefit claims under 38 CFR part 3. See 79 FR 449. Any duty to assist
will be triggered at the claim development stage. Fiduciary matters
arise after a beneficiary has established his or her claim for VA
benefits. Therefore, the duty to assist is not applicable to fiduciary
matters.
Another commenter suggested that we include incompetency rating
decisions in our list of appealable decisions. The commenter stated
that it is unclear whether we intend to include incompetency rating
decisions as an appealable decision in our part 13 fiduciary
regulations or leave such decisions in VA's 38 CFR part 3 adjudication
regulations.
We did not propose to include incompetency rating decisions in our
fiduciary regulations because VA determinations of incompetency are the
subject of the adjudication regulations in part 3, see 38 CFR 3.353(e),
which precede the appointment of a fiduciary in cases where a
beneficiary is determined unable to manage his or her VA-derived
monetary benefits. Beneficiaries rated by VA as being unable to manage
their VA benefits are afforded the right of appeal regarding that
rating through VA's regulations in 38 CFR parts 3, 19, and 20. A
beneficiary enters the fiduciary program after he or she is rated
unable to manage his or her VA benefits. VA's rating agencies are
authorized to find beneficiaries incompetent for the purpose of
disbursement of benefits, see 38 CFR 3.353(b), (c), (d), and the rules
that govern these determinations are contained in VA's part 3
regulations. While VA adjudication regulations trigger entry into VA's
fiduciary program, these regulations have aspects that operate
independently from VA's fiduciary program. Finally, we have found that
the process described above works effectively. For the foregoing
reasons, we did not propose to consolidate the rules applicable to
incompetency rating decisions in our proposed part 13 regulations.
The same commenter stated that VA did not provide any reasons for
closing the record after we make a final decision on an appealable
fiduciary matter. The commenter stated that because fiduciary appeals
involve ``mentally challenged and impaired beneficiaries, the record is
highly likely to be incomplete or otherwise in need of enhancement to
ensure a fair and well-founded decision of appeal.'' Citing to 38 CFR
3.103 and Cushman v. Shinseki, 576 F.3d 1290 (Fed. Cir. 2009), the
commenter stated that existing VA appellate procedures should govern
fiduciary appeals. The commenter further stated that an appellant's
right to due process includes the right to a complete and accurate
record, and closing the record amounts to a violation of a
beneficiary's right to due process.
As previously explained, we are amending Sec. 13.600 to remove
reference to closing the evidentiary record.
Regarding an appellant's right to due process in fiduciary matters,
VA's fiduciary regulations will afford beneficiaries all of the process
that is due to them under the law through specific notice and
opportunity-to-be-heard provisions. After the appointment of a
fiduciary, we will afford due process in VA decisions regarding
fiduciary matters as prescribed in the part 13 regulations. For
instance, VA will provide to the beneficiary a written decision and
notice of appellate rights in a fiduciary matter that is appealable
under Sec. 13.600. See 38 CFR 13.30(b). Regarding misuse, VA will
issue a decision and provide the parties an opportunity to request
reconsideration and submit any additional information, see Sec.
13.400(c), (d), and will provide to the beneficiary a written decision
and notice of appellate rights following reconsideration, see
Sec. Sec. 13.400(d), 13.600(a)(4).
For the foregoing reasons, we have changed our position regarding
the evidentiary record on appeal. To reflect these changes, in Sec.
13.600(b), we have removed language as it pertains to the closing of
the record.
General Matters
In 38 U.S.C. 5502(a)(1), Congress authorized VA to appoint a
fiduciary for the purpose of receiving and disbursing VA benefits on
behalf of a beneficiary: ``Where it appears to the Secretary that the
interest of the beneficiary would be served thereby, payment of
benefits
[[Page 32732]]
under any law administered by [VA] may be made directly to the
beneficiary or to a relative or some other fiduciary for the use and
benefit of the beneficiary, regardless of any legal disability on the
part of the beneficiary.'' In the preamble to the proposed rule, we
explained that VA interprets ``regardless of any legal disability'' in
section 5502(a)(1) to mean that, in creating the fiduciary program,
Congress intended VA to preempt state laws regarding guardianships and
other matters to the extent necessary to ensure a national standard of
practice for payment of benefits to or on behalf of VA beneficiaries
who cannot manage their benefits. See 79 FR 430.
One commenter disagreed with our interpretation that Congress
intended VA to preempt state law. The commenter stated that Congress
intended VA to utilize ``well-developed state law in this area to aid
in the appointment, regulation, and oversight of its fiduciaries.''
Citing to various Supreme Court cases, the commenter generally stated
that there is no reasonable basis for our interpretation of section
5502(a)(1) and we did not address well-established legal tests for
whether Congress intended a Federal statute to preempt state laws.
Matters regarding the governance of guardianships for persons with
legal disabilities have their jurisdiction in state courts. See, e.g.,
Neb. Rev. Stat. Ann. Sec. 30-2602(a) (LexisNexis 2017). Congress
specifically provided that, ``regardless of any legal disability on the
part of the beneficiary,'' VA can act and appoint a fiduciary on behalf
of such beneficiary. Contrary to the commenter's concern, as discussed
below, this language cannot be construed to mean that Congress
explicitly authorized VA to create a fiduciary program whereby it
appoints a fiduciary on behalf of a beneficiary, irrespective to any
legal disability, and then defers to state laws for the administration
of the fiduciary program.
We do not disagree with the commenter that there are well-developed
laws in matters of guardianship. We did not propose to preempt these
state laws regarding the administration of state guardianship matters.
When Congress enacted section 5502, it did not intend a sweeping
preemption of state laws that govern guardianship activities. As we
discuss further below, we believe Congress only intended for VA to
preempt state law in guardianship matters as they relate to VA
benefits. Under the authority granted by current law, we proposed to
promulgate uniform rules for all fiduciaries appointed by VA to manage
VA benefit payments on behalf of beneficiaries. As such, if we appoint
a state-appointed guardian to serve as a fiduciary on behalf of a
beneficiary who is receiving VA benefits, our regulations, not state
law, are applicable to the appointment and oversight of the fiduciary
and the fiduciary's management of VA benefits for the beneficiary, as
Congress intended.
In establishing the fiduciary program, Congress did not intend for
VA to refer to various state laws for the administration of the
fiduciary program. For example, Congress did not intend for VA to
utilize state laws regarding fiduciary fees that are paid from a
beneficiary's VA benefits and subject beneficiaries to the various fee
schedules prescribed by states, such that beneficiaries will be treated
differently depending upon state of residence. Under section
5502(a)(2), Congress specifically mandated ``a reasonable commission
for fiduciary services rendered'' to be paid from the beneficiary's VA
funds, ``but the commission for any year may not exceed 4 percent of
the monetary benefits.'' Furthermore, among other things, Congress
authorized VA to remove any fiduciary who is not meeting the
fiduciary's responsibilities to a beneficiary or who is not acting in
the beneficiary's interest. See 38 U.S.C. 5502. VA's authority also
extends to appointment of a temporary fiduciary in certain
circumstances, suspending payments to any fiduciary who fails to
properly submit an accounting to VA, and, with respect to the
appointment of a fiduciary, conducting investigations of prospective
fiduciaries. See 38 U.S.C. 5502, 5507. The foregoing statutory
obligations demonstrate Congress' intent to create a uniform system of
fiduciary services for VA beneficiaries, irrespective of inconsistent
state laws.
The commenter relied on Hines v. Stein, 298 U.S. 94 (1936), and
stated that the United States Supreme Court addressed the matter as to
whether Congress intended VA to preempt state laws regarding
guardianships and rejected VA's supremacy theory 75 years ago. The
commenter's reliance on Hines for this proposition is misplaced. In
Hines, the then Administrator of Veterans Affairs objected to an
attorney's fee, which was allowed by a state court for an attorney's
special services in a guardianship matter, on the grounds that the fees
were in excess of the amount fixed by Federal statutes. See Id. at 96-
97. The Court found that ``[n]othing brought to our attention would
justify the view that Congress intended to deprive state courts of
their usual authority over fiduciaries, or to sanction the promulgation
of rules to that end by executive officers or bureaus.'' See Id. at 98.
It accordingly affirmed the order of the court of common pleas allowing
the attorney's fees. The Supreme Court's decision in Hines reflects
that state courts at the time of that decision had the authority to
make decisions in state-appointed guardianship cases involving
veterans. This remains true in matters that do not involve matters
affecting the payment of VA monetary benefits to persons whom VA has
adjudicated as unable to manage these funds. In cases that involve VA's
appointment of fiduciaries and their oversight of VA funds due to
persons adjudicated by VA as incompetent to manage those funds,
Congress has provided specific authority authorizing VA oversight via
statutes now codified in chapters 55 and 61 of title 38 of the United
States Code. Because these statutes were enacted after Hines and
therefore were not addressed in Hines, Hines does not control in
matters involving VA's appointment of fiduciaries and oversight of VA
funds.
VA's longstanding interpretation of 38 U.S.C. 5502 is that VA may
establish a fiduciary program, under which it oversees beneficiaries
who cannot manage their own VA benefits, and preempt state law
regarding guardianships and other matters to the extent necessary to
ensure a national standard of practice for payment of benefits to or on
behalf of VA beneficiaries who cannot manage their benefits. It is
reasonable to conclude that Congress had knowledge of state laws and
Hines as they pertain to guardianship matters, when it granted VA the
authority to administer the fiduciary program. Therefore, with its
enactment of 38 U.S.C. 5502, Congress expressed a remedy for subjecting
VA beneficiaries to varying state laws and intended for VA to preempt
state law as it relates to appointment of fiduciaries to oversee the
assets of persons whom VA adjudicated as incompetent to manage their
VA-derived monetary benefits.
The commenter cited various Supreme Court cases that discuss the
methods by which the Court may discern whether Congress intended to
preempt state law when it enacted certain Federal legislation, and the
commenter stated that VA did not address any of the tests for
preemption as established by the Court. There is no dispute that the
Supreme Court has established various tests on the issue of whether a
Federal statute preempts state laws and has discussed the various tests
in numerous cases. The commenter cited Pharmaceutical Research and
[[Page 32733]]
Manufacturers of America v. Walsh, 538 U.S. 644 (2003), in which the
Court noted: ``the question [in this case] is whether there is a
probability that [a state's] program was pre-empted by the mere
existence of the federal statute. We start therefore with a presumption
that the state statute is valid . . . and ask whether petitioner has
shouldered the burden of overcoming that presumption.'' See Id. at 661-
662 (citation omitted). Walsh concerned whether a Maine prescription
drug law, under which the state attempted to renegotiate rebates with
drug manufacturers, was preempted by the Federal Medicaid statute. See
Id. at 650-51.
The above-quoted statement in Walsh describes how the burden of
showing preemption is allocated in litigation between private parties.
It does not describe how courts determine whether an agency is correct
in finding that Federal law preempts certain state actions. See, e.g.,
id. at 661 (stating that, if the agency had determined that the state
law impermissibly conflicted with Federal law, the agency's ``ruling
would have been presumptively valid''). As explained below, our
conclusion is consistent with the general standards courts apply in
determining that Federal law preempts any conflicting state laws as to
matters that Congress intended would be governed by Federal law.
Further, unlike Walsh, we are not assessing the validity or invalidity
of a specific state statute but, rather, are merely explaining the
basis for our conclusion that Congress authorized VA to establish
uniform standards governing VA fiduciary matters that would preempt
state law in the event of any conflict.
As an initial matter, we emphasize that VA did not propose to
intrude on state authority over a particular activity, specifically its
governance of guardianship matters. In that regard, if a state appoints
a person or entity to serve as legal guardian for an individual, the
state law of jurisdiction would apply to that matter, and VA has no
authority to interfere. VA did not propose to regulate state
guardianships or to invalidate state laws as they apply to guardianship
matters. However, if VA determines that it will be in a VA
beneficiary's interest to appoint the beneficiary's state-appointed
guardian as fiduciary over the beneficiary's VA monetary benefits, VA's
regulations will apply to VA's appointment of that fiduciary and VA's
oversight of the fiduciary's management of VA funds.
The doctrine of preemption has its roots in the Supremacy Clause,
U.S. Const., art. VI, cl. 2, and requires courts to examine
congressional intent. Fid. Fed. Sav. & Loan Ass'n v. de la Cuesta, 458
U.S. 141, 152-53 (1982). The Supreme Court has held that preemption
``may be either express or implied, and is compelled whether Congress'
command is explicitly stated in the statute's language or implicitly
contained in its structure and purpose. Absent explicit pre-emptive
language, Congress' intent to supersede state law altogether may be
inferred because the scheme of federal regulation may be so pervasive
as to make reasonable the inference that Congress left no room for the
states to supplement it, because the Act of Congress may touch a field
in which the federal interest is so dominant that the federal system
will be assumed to preclude enforcement of state laws on the same
subject, or because the object sought to be obtained by federal law and
the character of obligations imposed by it may reveal the same
purpose.'' See Id. (citations and quotations omitted). Further,
``[e]ven where Congress has not completely displaced state regulation
in a specific area, state law is nullified to the extent that it
actually conflicts with federal law. Such a conflict arises when
compliance with both federal and state regulations is a physical
impossibility.'' See Id. at 153.
In deciding questions of preemption, courts follow two guiding
principles: ``First, the purpose of Congress is the ultimate touchstone
in every pre-emption case. Second, in all preemption cases, and
particularly in those in which Congress has legislated . . . in a field
which the States have traditionally occupied, . . . [courts] start with
the assumption that the historic police powers of the States were not
to be superseded by the Federal Act unless that was the clear and
manifest purpose of Congress.'' See Wyeth v. Levine, 555 U.S. 555, 565
(2009) (citations and quotations omitted).
Here, upon a plain reading of section 5502(a)(2) and a review of
its legislative history, Congress intended VA to preempt state law
regarding guardianships and other matters to the extent necessary to
ensure a national standard of practice for payment of benefits to or on
behalf of VA beneficiaries who cannot manage their benefits. As noted
above, it is well established in guardianship statutes that
guardianship matters relating to legal disability have their
jurisdiction in state courts. State courts ultimately determine the
necessity of a legal guardian based on the individual's legal
disability. As such, Congress would have excluded the specific language
``regardless of any legal disability'' in section 5502 had it intended
for state laws to apply to matters of payment of VA benefits to
fiduciaries on behalf of VA beneficiaries who cannot manage their VA
benefits. Instead, Congress provided for VA to appoint a fiduciary
irrespective to any legal disability of the beneficiary and for Federal
laws, rather than state laws, to govern the fiduciary program. See 38
U.S.C. 5502(a)(2) (``a fiduciary appointed by the Secretary''). More
fundamentally, by vesting VA with statutory authority over the
appointment, supervision, payment, and removal VA fiduciaries, Congress
has made clear its intent that Federal law will govern those matters.
Thus, VA proposed rules that are uniform to all fiduciaries that it
appoints to manage VA benefits on behalf of beneficiaries.
In 1974, Congress amended then 38 U.S.C. 3202 and authorized VA to
make payments to a fiduciary other than a state-appointed guardian. See
Public Law 93-295, sec. 301, 88 Stat. 180, 183-84 (1974). Furthermore,
38 U.S.C. 5502(b), among other things, authorizes VA to suspend
benefits to a fiduciary, regardless of whether he or she is appointed
as guardian by the state court, if that fiduciary refuses to render an
account to VA, or if he or she neglects to administer a beneficiary's
estate according to law. Our conclusions regarding the plain language
and the structure and purpose of section 5502 are bolstered by its
legislative history. The language and available legislative history of
the statute reflect Congress' intent to create a uniform fiduciary
program for all VA beneficiaries who are unable to manage their VA
benefits.
In support of the commenter's assertion that Congress intended VA
to defer to the various state laws in its administration of the
fiduciary program, the commenter noted that Congress did not prescribe
any specific duty of trust for fiduciaries or administrative
provisions, and generally stated that section 5502 contains language
establishing Congress' intent to have VA defer to state law. We do not
agree.
As the commenter stated, there are well-established legal tests for
whether Congress intended to have a Federal statute preempt state laws,
and the absence of language in a Federal statute does not itself mean
that Congress intended that VA will defer to state law, particularly
when Congress routinely delegates broad authority to Federal agencies
to determine how to best administer Federal programs. Section 5502 is
this type of broad authority. Nonetheless, in light of this comment, we
revised Sec. 13.140(a)(1) to include that fiduciaries in the fiduciary
program owe VA and beneficiaries the duties of good
[[Page 32734]]
faith and candor and must administer a beneficiary's funds under
management in accordance with paragraph (b) of Sec. 13.140. We agree
with the commenter that duties of candor and good faith are essential
in a fiduciary-beneficiary relationship, and a fiduciary should be
required to exercise good faith and to take the same care regarding a
beneficiary's funds under management as he would for his or her own
funds. Although the statute is silent as to these duties, it is highly
unlikely that Congress would not have intended VA to require such
duties from a fiduciary it appoints.
Furthermore, pursuant to 38 U.S.C. 501(a), VA may promulgate
regulations that are ``necessary or appropriate to carry out the laws
administered by the Department and are consistent with [38 U.S.C.
5502].'' We therefore determined that the foregoing change to Sec.
13.140(a)(1) is appropriate and consistent with Congress' intent.
The commenter's reliance on the language in section 5502(b) that
states that ``[VA] may appear or intervene . . . in any court as an
interested party in any litigation . . . affecting money paid to such
fiduciary'' to argue that Congress intended VA to utilize state law in
administrating the fiduciary program is misplaced. The intent of the
1935 amendment to add this language to the statute was to clarify and
expand the authority of the Veterans Administration to supervise court-
appointed fiduciaries and to participate in litigation. See H.R. Rep.
No. 74-16, at 1-2 (1935) (``[T]here is also a need for amendment to
more clearly define and extend the authority of the Administrator of
Veterans' Affairs to appear in courts or intervene as an interested
party in litigation directly affecting money paid to fiduciaries of
beneficiaries under this section.''). This language, however, does not
require in any way for VA to use state laws to administer its fiduciary
program. Where Congress has intended to require VA to follow state law
on a particular matter relevant to VA benefits, it has done so
expressly. See 38 U.S.C. 103(c). In contrast, section 5502 vests VA
with authority to establish uniform Federal standards governing the
appointment, supervision, payment, and removal of VA fiduciaries. VA
has implemented that authority by establishing such uniform Federal
standard, rather than relying upon state law, in view of the
complexity, inconsistency and confusion that could result from
administering a Federal program by following myriad state laws.
Furthermore, the commenter's belief that the language in section
5502(e) regarding escheat of funds held by a fiduciary demonstrates
Congress' intent regarding state law is contrary to the plain text of
the statute. Section 5502(e) in its entirety provides that ``[a]ny
funds in the hands of a fiduciary appointed by a State court or the
Secretary derived from benefits payable under laws administered by the
Secretary, which under the law of the State wherein the beneficiary had
last legal residence would escheat to the State, shall escheat to the
United States and shall be returned by such fiduciary, or by the
personal representative of the deceased beneficiary, less legal
expenses of any administration necessary to determine that an escheat
is in order, to the Department, and shall be deposited to the credit of
the applicable revolving fund, trust fund, or appropriation.'' It does
not provide that any escheat of VA funds with a fiduciary should be
administered pursuant to state laws.
Based on the foregoing, we find that Congress clearly intended in
section 5502 that VA would be responsible for prescribing and enforcing
Federal standards governing the appointment, supervision, payment, and
removal of VA fiduciaries and that those Federal standards would
preempt any conflicting state laws on such matters. Consistent with
that intent and authority, VA has established national standards for
all vulnerable VA beneficiaries, regardless of their state of
residence. As such, we make no changes based on the comment.
The same commenter stated that our proposed regulations should
establish clear evidentiary standards upon which VA bases its decision
that a beneficiary is unable to manage his or her VA benefits; however,
this matter is beyond the scope of this rulemaking. The commenter noted
that such standards are necessary to ensure that a beneficiary is not
arbitrarily and capriciously deprived of the right to control his or
her own property.
While our proposed fiduciary regulations do not contain the
evidentiary standards for determining when a beneficiary is unable to
manage his or her VA benefits, the regulations in 38 CFR part 3
prescribe such standards. Therefore, there are measures in place to
ensure that a beneficiary is not arbitrarily or capriciously deprived
of his or her right to control his or her VA benefits. A VA regulation
provides that, for purposes of payment of VA benefits, VA's rating
agencies have the authority to make determinations of competency and
incompetency. See 38 CFR 3.353(b)(1). ``Unless the medical evidence is
clear, convincing and leaves no doubt as to the person's incompetency,
[VA] will make no determination of incompetency without a definite
expression regarding the question by the responsible medical
authorities.'' See 38 CFR 3.353(c). Such determinations must be ``based
upon all evidence of record and there should be a consistent
relationship between the percentage of disability, facts relating to
commitment or hospitalization and the holding of incompetency.'' See
Id. The regulation further provides that there is a presumption in
favor of competency. See 38 CFR 3.353(d). ``Where reasonable doubt
arises regarding a beneficiary's mental capacity to contract or to
manage his or her own affairs, including the disbursement of funds
without limitation, such doubt will be resolved in favor of
competency.'' See Id. In addition, VA regulations provide for notice
and an opportunity to be heard regarding the determination of
incompetency. See 38 CFR 3.103(c), 3.353(e).
Moreover, not only is a beneficiary who is deemed unable to manage
his or her VA benefits entitled to all of the appellate procedures
associated with other VA decisions that affect the provision of his or
her VA benefits, as noted above, he or she is also entitled to a pre-
determination hearing if he or she so requests. In addition, even after
the beneficiary is found to be unable to manage his or her VA benefits,
current part 13 regulations, in appropriate circumstances, allow a
beneficiary to manage his or her own VA benefits by placing him or her
in a supervised direct pay program. This option provides an additional
layer of protection against the erroneous deprivation of a beneficiary
to control his or her own VA benefits. Finally, a beneficiary who
believes that VA did not follow all applicable procedures in selecting
a fiduciary may appeal this determination to the Board. Collectively,
these standards provide protection against any arbitrary and capricious
determinations relating to the beneficiary's ability to control his or
her own VA benefits. We therefore make no change based on this comment.
A commenter stated that our proposed rules should contain
qualifications and training requirements for field examiners because,
among other things, field examiners are required to make decisions
regarding budgets and living conditions for beneficiaries. However, the
qualifications of and training for VA field examiners is an
administrative matter that is outside the scope of this rulemaking. VA
makes every effort to hire the most qualified field examiners and
provide any training VA deems necessary, but such matters generally
[[Page 32735]]
are not the subject of VA regulations. Further, while VA field
examiners make recommendations about whether a beneficiary's needs are
being addressed and whether his or her funds are being utilized
appropriately, decisions concerning appointment and/or removal of
fiduciaries are made by the fiduciary hub with jurisdiction over the
case, not the individual field examiner.
One commenter stated that fiduciaries are tasked with many
responsibilities and noted that our rulemaking cannot address training
for fiduciaries but asked that we provide services or training for
fiduciaries. VA makes every effort to provide training and services to
fiduciaries we appoint to serve our beneficiaries. Currently, there is
a handbook titled, ``A Guide for VA Fiduciaries,'' which we provide to
fiduciaries. In addition, VA has an internet website that provides
training and other resources to fiduciaries. The link to the website
is: https://www.benefits.va.gov/fiduciary/index.asp. Fiduciaries also
have ways of contacting VA with questions. Fiduciaries can also call
the VA Fiduciary's Program's assistance line at 1-888-407-0144 with
questions or email questions to any of the fiduciary hubs at the
following email addresses: Columbia: vavbacms/ro/[email protected];
Louisville: avbacms/ro/[email protected]; Milwaukee: vavbamiw/ro/[email protected]; Lincoln: vavbalin/ro/[email protected]; Indianapolis:
[email protected]; Salt Lake City: [email protected].
In proposed Sec. 13.140, regarding the responsibilities of
fiduciaries, we prescribed financial and nonfinancial responsibilities
for fiduciaries. We believe that such responsibilities are consistent
with industry standards for fiduciaries. We prescribed that fiduciaries
will be required to use funds in the interest of beneficiaries and
their dependents, protect funds from loss, maintain separate accounts,
determine and pay just debts, provide the beneficiary information
regarding VA benefit funds under management, protect funds from the
claims of creditors, and provide beneficiaries a copy of any VA-
approved annual accounting. In addition, we prescribed a fiduciary's
non-financial responsibilities to generally include a fiduciary's
obligation to monitor the beneficiary's well-being and report any
concerns to appropriate authorities, including any legal guardian for
the beneficiary, and that a fiduciary must maintain regular contact
with a beneficiary and be responsive to beneficiary requests. We
believe such responsibilities are the basic responsibilities of any
fiduciary-beneficiary relationship. We do not believe that such
responsibilities are burdensome. Nonetheless, we strive to provide
fiduciaries with any information that could be useful in the
performance of their duties as fiduciaries.
One commenter inquired about VA's approach regarding court-
appointed guardianships and the cost associated with such
guardianships. The commenter noted that state courts have primary
oversight of court-appointed guardians and fees associated with such
guardianships. The commenter inquired about VA's approach to legal
guardianships, as state courts have jurisdiction over such matters.
VA's fiduciary regulations will result in a gradual discontinuance
of the current practice of recognizing a court-appointed guardian or
fiduciary for purposes of receiving VA benefits on behalf of a VA
beneficiary. Instead, VA will establish a national standard for
appointing and overseeing fiduciaries. In certain cases, VA may appoint
a beneficiary's court-appointed guardian or fiduciary to serve as VA
fiduciary if we determine that such an appointment will be in the
beneficiary's interest. In that regard, if VA appoints a court-
appointed guardian or fiduciary to also serve as VA fiduciary, VA's
rules will apply as it pertains to the management of VA funds. This
final rule will, over time, result in uniformity for all fiduciaries
appointed by VA to manage VA benefit payments on behalf of a
beneficiary and significantly reduce costs associated with court-
appointed guardians or fiduciaries. Congress enacted 38 U.S.C. 5502,
under which it gave VA the authority to administer the fiduciary
program. VA's longstanding interpretation of this authority is that VA
may establish a fiduciary program that is governed by federal laws and
not various state laws. In this regard, federal laws (and not competing
state laws) apply to the appointment of a VA fiduciary and VA's
oversight of the fiduciary's management of a beneficiary's VA benefits.
For example, all prospective fiduciaries who will receive VA
benefit payments on behalf of a beneficiary will undergo a VA
investigation mandated by 38 U.S.C. 5507, regardless of if that
potential fiduciary serves as a court-appointed guardian and underwent
a qualification process prescribed by state law, which may vary from
state to state. Also, all VA fiduciaries will have the same accounting
requirements regarding a beneficiary's VA funds under management, to
include the frequency of submitting an accounting, irrespective of
state courts requirements. In addition, VA will not rely on state laws
that subject beneficiaries to varying fee schedules depending upon the
beneficiaries' state of residence. In cases in which VA determines that
a fee or commission is necessary to obtain a fiduciary, Congress
authorized ``a reasonable commission for fiduciary services rendered''
to be paid from the beneficiary's VA funds. See 38 U.S.C. 5502(a)(2).
However, section 5502(a)(2) limits such commissions for any year to 4
percent of the beneficiary's VA monetary benefits paid to the fiduciary
during the year. VA's regulations will consistently implement this
authority and limit fees to 4 percent to any fiduciary we appoint. This
will diminish the potential for adverse impacts on beneficiaries caused
by orders issued in state courts approving fiduciary commissions that
exceed the 4 percent Federal cap and make clear that a VA fiduciary's
fees are limited to a statutory cap of 4 percent of the beneficiary's
VA funds.
VA makes a distinction between commissions charged by the guardian
related to the services of a fiduciary and expenses incurred by a
beneficiary for administrative items. This final rule does not prohibit
a fiduciary appointed by VA from disbursing funds to meet the expenses
associated with a beneficiary's court-appointed guardianship, if such
expenses are deemed reasonable. Duplication of work performed by VA-
appointed and state-court-appointed fiduciaries is highly discouraged
as it unnecessarily diminishes beneficiary assets.
One commenter recommended that we inform all probate courts in the
nation that VA intends to appoint court-appointed fiduciaries as VA
fiduciaries as a last resort. We agree and intend to notify certain
interested parties, to include courts and guardians, of the important
changes in this final rule.
We have made a few non-substantive edits to the proposed
regulations: We changed references to ``18 years of age'' to ``age of
majority,'' changed a reference to ``Regional Counsel'' to ``District
Counsel'' to reflect current terminology, changed a reference to
``Assistant General Counsel'' to ``Chief Counsel'' for the same reason,
and replaced ``State'' with ``state.''
Paperwork Reduction Act
This final rule at Sec. Sec. 13.30, 13.140, 13.230, 13.280, and
13.600 contains new and revised collections of information under the
Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3521). On January 3,
2014, in the proposed rule published in the Federal Register, we
requested public comments on the new and revised collections of
information. We
[[Page 32736]]
received no comments. VA has submitted the additional collections in
part 13 to OMB for review under OMB Control Numbers 2900-0017, 2900-
0085, 2900-0803, 2900-0804, and 2900-0815. We are adding a
parenthetical statement after the authority citations in the amendatory
language of this final rule to all of the sections in part 39 for which
new and revised collections have been been assigned control numbers, so
that the control numbers are displayed for each collection.
In accordance with 44 U.S.C. 3507(d), VA submitted a copy of the
proposed rule to OMB for review and they assigned OMB control Number
2900-0815 for a new information collection contained in section
13.140(a)(2)(iv) of the proposed rule. However, the proposed rule did
not explicitly solicit comments on the new information collection
contained in section 13.140(a)(2)(iv). Therefore, VA requests comments
by the public on the new collection of information contained in section
13.140(a)(2)(iv) in--
Evaluating whether the proposed collections of information
are necessary for the proper performance of the functions of VA,
including whether the information will have practical utility;
Evaluating the accuracy of VA's estimate of the burden of
the proposed collections of information, including the validity of the
methodology and assumptions used;
Enhancing the quality, usefulness, and clarity of the
information to be collected; and
Minimizing the burden of the collections of information on
those who are to respond, including through the use of appropriate
automated electronic, mechanical, or other technological collection
techniques or other form of information technology, e.g., permitting
electronic submission of responses.
The details of the new collection of information contained in 38
CFR 13.140(a)(2)(iv) that were omitted from the comment solicitation in
the proposed rule and that we seek comments through this final rule are
described as follows:
Title: Maintenance of Financial Records by Federal Fiduciaries.
Summary of collection of information: Under 38 CFR 13.140, a
fiduciary is required to maintain paper and electronic records relating
to the management of VA benefits for the duration of service as
fiduciary and for a minimum of two years following removal or
resignation. No form is required for the submission of this
information.
Description of the need for information and proposed use of
information: This information is needed for the purposes of continued
monitoring and oversight of the fiduciary.
Description of likely respondents: Fiduciaries appointed by VA to
manage VA benefit payments on behalf of a beneficiary.
Estimated number of respondents per year: 37,500.
Estimated frequency of responses: Once per year.
Estimated total annual reporting and recordkeeping burden: 1,875
additional hours.
VA welcomes comments on this new information collection. Comments
on the collections of information contained in this final rule should
be submitted to the Office of Management and Budget, Attention: Desk
Officer for the Department of Veterans Affairs, Office of Information
and Regulatory Affairs, Washington, DC 20503, with copies sent by mail
or hand delivery to: Director, Office of Regulation Policy and
Management (00REG), Department of Veterans Affairs, 810 Vermont Ave.
NW, Room 1063B, Washington, DC 20420; fax to (202) 273-9026 (this is
not a toll-free number); or email comments through www.Regulations.gov.
Comments should indicate that they are submitted in response to ``RIN
2900-AO53.''
We are providing a 30 day comment period on this new information
collection. Comments are due to OMB by August 13, 2018. We will
consider all comments on the above described information collection.
The information collection provisions in this final rule subject to
the PRA will not become effective until OMB approves the collections.
Regulatory Flexibility Act
The Secretary hereby certifies that this final rule will 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. The final rule will primarily affect individual beneficiaries and
fiduciaries. It will not cause a significant economic impact on
fiduciaries since VA generally appoints individual family members,
friends, or caretakers to provide fiduciary services for beneficiaries.
These services are, in most instances, provided without charge. While
some business entities provide fiduciary services to VA beneficiaries
for a fee, those fees, which are capped at 4 percent of monetary
benefits paid, are not sufficient to result in a significant economic
impact. Therefore, pursuant to 5 U.S.C. 605(b), this final rule is
exempt from the initial and final regulatory flexibility analysis
requirements of sections 603 and 604.
Executive Order 13132, Federalism
A rule has federalism implications under Executive Order 13132,
Federalism, if it has a substantial direct effect on the states, on the
relationship between the national government and the states, or on the
distribution of power and responsibilities among the various levels of
government. Under the Order, if a rule has federalism implications and
preempts state law, to the extent practicable and permitted by law, an
agency must consult with state officials concerning the rule. We have
analyzed this rule under that Order and have determined that this rule
does not have any new federalism implications but merely clarifies
existing regulations that govern the VA fiduciary program and
implements existing statutory authority provided by Congress for VA to
establish and administer a fiduciary program relating to VA benefits on
behalf of beneficiaries. VA does not intend to act through this rule to
preempt state law but relies on authority provided by Congress.
Accordingly, we do not believe this final rule requires VA to consult
with state officials prior to its publication.
In 38 U.S.C. 5502(a)(1), Congress authorized VA to appoint a
fiduciary for the purpose of receiving and disbursing VA benefits on
behalf of a beneficiary: ``Where it appears to the Secretary that the
interest of the beneficiary would be served thereby, payment of
benefits under any law administered by [VA] may be made directly to the
beneficiary or to a relative or some other fiduciary for the use and
benefit of the beneficiary, regardless of any legal disability on the
part of the beneficiary.'' In the preamble to the proposed rule, we
explained that VA interprets ``regardless of any legal disability'' in
section 5502(a)(1) to mean that, in creating the fiduciary program,
Congress intended VA to preempt state laws regarding guardianships and
other matters to the extent necessary to ensure a national standard of
practice for payment of benefits to or on behalf of VA beneficiaries
who cannot manage their benefits. See 79 FR 430.
Matters regarding the governance of guardianships for persons with
legal disabilities have their jurisdiction in state courts. See e.g.,
Neb. Rev. Stat. Ann. Sec. 30-2602(a) (LexisNexis 2017). Congress
specifically provided that, ``regardless of any legal disability on the
part of the beneficiary,'' VA can act and appoint a fiduciary on behalf
of such beneficiary. This language cannot be construed to mean that
Congress
[[Page 32737]]
explicitly authorized VA to create a fiduciary program whereby it
appoints a fiduciary on behalf of a beneficiary, irrespective to any
legal disability, and then defers to state laws for the administration
of the fiduciary program.
We realize that there are well-developed state laws in matters of
guardianship. When Congress enacted section 5502, it did not intend a
sweeping preemption of state laws that govern guardianship activities.
Rather, we believe Congress only intended for VA to preempt state law
in guardianship matters as they relate to VA benefits. Under the
authority granted by current law, the purpose for this final rule is to
promulgate uniform rules for all fiduciaries appointed by VA to manage
VA benefit payments on behalf of beneficiaries. As such, if we appoint
a state-appointed guardian to serve as a fiduciary on behalf of a
beneficiary who is receiving VA benefits, our regulations, not state
law, are applicable to the appointment and oversight of the fiduciary
and the fiduciary's management of VA benefits for the beneficiary, as
Congress intended.
For instance, Congress did not intend for VA to utilize state laws
regarding fiduciary fees that are paid from a beneficiary's VA benefits
and subject beneficiaries to the various fee schedules prescribed by
states, such that beneficiaries will be treated differently depending
upon state of residence. Under section 5502(a)(2), Congress
specifically mandated ``a reasonable commission for fiduciary services
rendered'' to be paid from the beneficiary's VA funds, ``but the
commission for any year may not exceed 4 percent of the monetary
benefits.'' Furthermore, among other things, Congress authorized VA to
remove any fiduciary who is not meeting the fiduciary's
responsibilities to a beneficiary or who is not acting in the
beneficiary's interest. See 38 U.S.C. 5502. VA's authority also extends
to appointment of a temporary fiduciary in certain circumstances and
suspending payments to any fiduciary who fails to properly submit an
accounting to VA. See 38 U.S.C. 5502.
Current 38 CFR part 13 has not been updated since 1975. Congress
has since amended 38 U.S.C. chapters 55 and 61 to add new provisions,
which, among other things, authorize VA to conduct specific
investigations regarding the fitness of individuals to serve as
fiduciaries, conduct onsite reviews of fiduciaries who serve more than
20 beneficiaries, require fiduciaries to file reports or accountings,
and reissue certain benefits that are misused by fiduciaries. See 38
U.S.C. 5507-5510, 6106-6107. The foregoing statutory obligations
demonstrate Congress' intent to create a uniform system of fiduciary
services for VA beneficiaries, irrespective of inconsistent state laws.
Congress' intent to have Federal laws governing VA's fiduciary
program preempt any conflicting state laws is clear in the chapter 55
and 61 provisions. While state law provides some guidance concerning
fiduciary matters, those laws vary significantly from state to state
and do not pertain to VA's fiduciary program. Further, VA does rely on
state laws in cases where a state court has appointed a fiduciary for
oversight of the veteran's assets and where there is no conflict
between state and Federal law, and/or when the court-appointed
fiduciary is the same as the VA-appointed fiduciary. State laws often
provide helpful guidance; however, under the Supremacy Clause of the
Constitution, Federal law is controlling. See U.S. Const. art. VI, cl
2; Crosby v. Nat'l Foreign Trade Council, 530 U.S. 363, 372-73 (2000).
To the extent that a dispute arises between Federal and state law,
Federal law establishing and governing VA's fiduciary program as
codified in 38 U.S.C. chapters 55 and 61, as well as in regulations
implementing those statutes, controls.
Again, because this rule does not have any new federalism
implications but merely clarifies existing regulations that govern the
VA fiduciary program and implements existing statutory authority
provided by Congress for VA to establish and administer a fiduciary
program relating to VA benefits on behalf of beneficiaries, we do not
believe this final rule requires VA to consult with state officials
prior to its publication and believe that this rule is in compliance
with Executive Order 13132.
Executive Orders 12866, 13563, and 13771
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,'' which requires 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.
VA has examined the economic, interagency, budgetary, legal, and
policy implications of this final rule, and it has been determined to
be a significant regulatory action under Executive Order 12866, because
it raises novel legal or policy issues arising out of legal mandates.
This final rule is considered an E.O. 13771 regulatory action.
Details on the estimated costs of this final rule can be found in the
rule's economic analysis.
Unfunded Mandates
The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C.
1532, 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 final rule will have no such effect on
State, local, and tribal governments, or on the private sector.
Catalog of Federal Domestic Assistance
The Catalog of Federal Domestic Assistance program numbers and
titles for this final rule are as follows: 64.104, Pension for Non-
Service-Connected Disability for Veterans; 64.105, Pension to Veterans
Surviving Spouses, and Children; 64.109, Veterans Compensation for
Service-Connected Disability; and 64.110, Veterans Dependency and
Indemnity Compensation for Service-Connected Death.
List of Subjects
38 CFR Part 3
Administrative practice and procedure, Claims, Disability benefits,
[[Page 32738]]
Health care, Pensions, Radioactive materials, Veterans, and Vietnam.
38 CFR Part 13
Surety bonds, Trusts and trustees, and Veterans.
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. Jacquelyn
Hayes-Byrd, Deputy Chief of Staff, Department of Veterans Affairs,
approved this document on March 20, 2018, for publication.
Dated: July 6, 2018.
Consuela Benjamin,
Regulation Development Coordinator, Office of Regulation Policy &
Management, Office of the Secretary, Department of Veterans Affairs.
For the reasons stated in the preamble, VA amends 38 CFR parts 3
and 13 as follows:
PART 3--ADJUDICATION
Subpart A--Pension, Compensation, and Dependency and Indemnity
Compensation
0
1. The authority citation for subpart A continues to read as follows:
Authority: 38 U.S.C. 501(a), unless otherwise noted.
Sec. 3.353 [Amended]
0
2. Amend 3.353 by:
0
a. In paragraph (b)(1), removing ``Sec. 13.56'' and adding, in its
place, ``Sec. 13.110''.
0
b. In paragraph (b)(2), removing ``Sec. 13.55'', ``Sec. 13.56'', and
``Sec. 13.57'' and adding, in each place, ``Sec. 13.100''.
Sec. 3.401 [Amended]
0
3. Amend Sec. 3.401 by removing and reserving paragraph (d).
0
4. In Sec. 3.403, revise the paragraph heading for paragraph (a)(2) to
read as follows:
Sec. 3.403 Children.
(a) * * *
(2) Majority (Sec. 13.100). * * *
* * * * *
0
5. In Sec. 3.452, revise the CROSS REFERENCES immediately after
paragraph (d) to read as follows:
Sec. 3.452 Situations when benefits may be apportioned.
* * * * *
CROSS REFERENCES: Disappearance of veteran. See Sec. 3.656.
Reduction because of hospitalization. See Sec. 3.551. Penal
institutions. See Sec. 3.666.
Sec. 3.500 [Amended]
0
6. In Sec. 3.500, remove and reserve paragraphs (l) and (m).
Sec. 3.501 [Amended]
0
7. In Sec. 3.501, remove and reserve paragraph (j) and remove
paragraph (n).
Sec. Sec. 3.850 through 3.857 and undesignated center heading
[Removed]
0
8. Remove Sec. Sec. 3.850 through 3.857 and the undesignated center
heading ``INCOMPETENTS, GUARDIANSHIP AND INSTITUTIONAL AWARDS''
immediately preceding Sec. 3.850.
0
9. Part 13 is revised to read as follows:
PART 13--FIDUCIARY ACTIVITIES
Sec.
13.10 Purpose and applicability of other regulations.
13.20 Definitions.
13.30 Beneficiary rights.
13.40 Representation of beneficiaries in the fiduciary program.
13.50 Suspension of benefits.
13.100 Fiduciary appointments.
13.110 Supervised direct payment.
13.120 Field examinations.
13.130 Bars to serving as a fiduciary.
13.140 Responsibilities of fiduciaries.
13.200 Fiduciary accounts.
13.210 Fiduciary investments.
13.220 Fiduciary fees.
13.230 Protection of beneficiary funds.
13.240 Funds of beneficiaries less than the age of majority.
13.250 Funds of deceased beneficiaries.
13.260 Personal funds of patients.
13.270 Creditors' claims.
13.280 Accountings.
13.300 Onsite reviews.
13.400 Misuse of benefits.
13.410 Reissuance and recoupment of misused benefits.
13.500 Removal of fiduciaries.
13.510 Fiduciary withdrawals.
13.600 Appeals.
Authority: 38 U.S.C. 501, 5502, 5506-5510, 6101, 6106-6108, and
as noted in specific sections.
Sec. 13.10 Purpose and applicability of other regulations.
(a) Purpose. The regulations in this part implement the Department
of Veterans Affairs' (VA) fiduciary program, which is authorized by 38
U.S.C. chapters 55 and 61. The purpose of the fiduciary program is to
protect certain VA beneficiaries who, as a result of injury, disease,
or infirmities of advanced age, or by reason of being less than the age
of majority, cannot manage their VA benefits. Under this program, VA
oversees these vulnerable beneficiaries to ensure their well-being, and
appoints and oversees fiduciaries who manage these beneficiaries'
benefits.
(b) Applicability of other regulations. Fiduciary matters arise
after VA has determined that a beneficiary is entitled to benefits, and
decisions on fiduciary matters are not decisions on claims for VA
monetary benefits. Accordingly, VA's regulations governing the
adjudication of claims for benefits, see 38 CFR part 3, do not apply to
fiduciary matters unless VA has prescribed applicability in this part.
(Authority: 38 U.S.C. 501)
Sec. 13.20 Definitions.
The following definitions apply to this part:
Dependent means a beneficiary's spouse as defined by this section,
a beneficiary's child as defined by Sec. 3.57 of this chapter, or a
beneficiary's parent as defined by Sec. 3.59 of this chapter, who does
not have an income sufficient for reasonable maintenance and who
obtains support for such maintenance from the beneficiary.
Fiduciary means an individual or entity appointed by VA to receive
VA benefits on behalf of a beneficiary for the use and benefit of the
beneficiary and the beneficiary's dependents.
Hub Manager means the individual who has authority to oversee the
activities of a VA Fiduciary Hub or the Veterans Service Center Manager
of the Manila, Philippines, VA Regional Office.
In the fiduciary program means, with respect to a beneficiary, that
the beneficiary:
(1) Has been rated by VA as incapable of managing his or her own VA
benefits as a result of injury, disease, or the infirmities of advanced
age;
(2) Has been determined by a court with jurisdiction as being
unable to manage his or her own financial affairs; or
(3) Is less than the age of majority.
Rating authority means VA employees who have authority under Sec.
3.353 of this chapter to determine whether a beneficiary can manage his
or her VA benefits.
Relative means a person who is an adopted child or is related to a
beneficiary by blood or marriage, as defined by this chapter.
Restricted withdrawal agreement means a written contract between
VA, a fiduciary, and a financial institution in which the fiduciary has
VA benefit funds under management for a beneficiary, under which
certain funds cannot be withdrawn without the consent of the Hub
Manager.
Spouse means a husband or wife whose marriage, including common law
[[Page 32739]]
marriage and same-sex marriage, meets the requirements of 38 U.S.C.
103(c).
VA benefit funds under management means the combined value of the
VA funds maintained in a fiduciary account or accounts managed by a
fiduciary for a beneficiary under Sec. 13.200 and any VA funds
invested by the fiduciary for the beneficiary under Sec. 13.210, to
include any interest income and return on investment derived from any
account.
Written notice means that VA will provide to the beneficiary and
the beneficiary's representative and legal guardian, if any, a written
decision in a fiduciary matter that is appealable under Sec. 13.600.
Such notice will include:
(1) A clear statement of the decision,
(2) The reason(s) for the decision,
(3) A summary of the evidence considered in reaching the decision,
and
(4) The necessary procedures and time limits to initiate an appeal
of the decision.
(Authority: 38 U.S.C. 501)
Sec. 13.30 Beneficiary rights.
Except as prescribed in this part, a beneficiary in the fiduciary
program is entitled to the same rights afforded any other VA
beneficiary.
(a) General policy. Generally, a beneficiary has the right to
manage his or her own VA benefits. However, due to a beneficiary's
injury, disease, or infirmities of advanced age or by reason of being
less than the age of majority, VA may determine that the beneficiary is
unable to manage his or her benefits without VA supervision or the
assistance of a fiduciary. Or a court with jurisdiction might determine
that a beneficiary is unable to manage his or her financial affairs.
Under any of these circumstances, VA will apply the provisions of this
part to ensure that VA benefits are being used to maintain the well-
being of the beneficiary and the beneficiary's dependents.
(b) Specific rights. The rights of beneficiaries in the fiduciary
program include, but are not limited to, the right to:
(1) Receive direct payment of recurring monthly benefits until VA
appoints a fiduciary if the beneficiary reaches the age of majority or
older;
(2) Receive written notice regarding VA's appointment of a
fiduciary or any other decision on a fiduciary matter that affects VA's
provision of benefits to the beneficiary;
(3) Appeal to the Board of Veterans' Appeals VA's appointment of a
fiduciary;
(4) Be informed of the fiduciary's name, telephone number, mailing
address, and email address;
(5) Contact his or her fiduciary and request a disbursement of
funds for current or foreseeable needs or consideration for payment of
previously incurred expenses, account balance information, or other
information or assistance consistent with the responsibilities of the
fiduciary prescribed in Sec. 13.140;
(6) Obtain from his or her fiduciary a copy of the fiduciary's VA-
approved annual accounting;
(7) Have VA reissue benefits misused by a fiduciary if VA is
negligent in appointing or overseeing the fiduciary or if the fiduciary
who misused the benefits meets the criteria prescribed in Sec. 13.410;
(8) Appeal to the Board of Veterans' Appeals VA's determination
regarding its own negligence in misuse and reissuance of benefits
matters;
(9) Submit to VA a reasonable request for appointment of a
successor fiduciary. For purposes of this paragraph, reasonable request
means a good faith effort to seek replacement of a fiduciary, if:
(i) The beneficiary's current fiduciary receives a fee deducted
from the beneficiary's account under Sec. 13.220 and the beneficiary
requests an unpaid volunteer fiduciary who ranks higher in the order of
preference under Sec. 13.100(e);
(ii) The beneficiary requests removal of his or her fiduciary under
Sec. 13.500(a)(1)(iii) and supervised direct payment of benefits under
Sec. 13.110; or
(iii) The beneficiary provides credible information that the
current fiduciary is not acting in the beneficiary's interest or is
unable to effectively serve the beneficiary due to a personality
conflict or disagreement and VA is not able to obtain resolution;
(10)(i) Be removed from the fiduciary program and receive direct
payment of benefits without VA supervision provided that the
beneficiary:
(A) Is rated by VA as able to manage his or her own benefits; or
(B) Is determined by a court with jurisdiction as able to manage
his or her financial affairs if the beneficiary is in the fiduciary
program as a result of a court order and not a decision by VA's rating
agency; or
(C) Attains the age of majority;
(ii) Have a fiduciary removed and receive direct payment of
benefits with VA supervision as prescribed in Sec. 13.110 regarding
supervised direct payment and Sec. 13.500 regarding removal of
fiduciaries generally, provided that the beneficiary establishes the
ability to manage his or her own benefits with limited and temporary VA
supervision; and
(11) Be represented by a VA-accredited attorney, claims agent, or
representative of a VA-recognized veterans service organization. This
includes the right to have a representative present during a field
examination and the right to be represented in the appeal of a
fiduciary matter under Sec. 13.600.
(Authority: 38 U.S.C. 501)
(Approved by the Office of Management and Budget under control
number 2900-0017.)
Sec. 13.40 Representation of beneficiaries in the fiduciary program.
The provisions of 38 CFR 14.626 through 14.629 and 14.631 through
14.637 regarding accreditation and representation of VA claimants and
beneficiaries in proceedings before VA are applicable to representation
of beneficiaries before VA in fiduciary matters governed by this part.
(a) Accreditation. Only VA-accredited attorneys, claims agents, and
accredited representatives of VA-recognized veterans service
organizations who have complied with the power-of-attorney requirements
in Sec. 14.631 of this chapter may represent beneficiaries before VA
in fiduciary matters.
(b) Standards of conduct. Accredited individuals who represent
beneficiaries in fiduciary matters must comply with the general and
specific standards of conduct prescribed in Sec. 14.632(a) through (c)
of this chapter, and attorneys must also comply with the standards
prescribed in Sec. 14.632(d). For purposes of this section:
(1) A fiduciary matter is not a claim for VA benefits. However, the
term claimant in Sec. 14.632 of this chapter includes VA beneficiaries
who are in the fiduciary program, and the term claim in Sec. 14.632
includes a fiduciary matter that is pending before VA.
(2) The provisions of Sec. 14.632(c)(7) through (9) of this
chapter mean that an accredited individual representing a beneficiary
in a fiduciary matter may not:
(i) Delay or refuse to cooperate in the processing of a fiduciary
appointment or any other fiduciary matter, including but not limited to
a field examination prescribed by Sec. 13.120 and the investigation of
a proposed fiduciary prescribed by Sec. 13.100;
(ii) Mislead, threaten, coerce, or deceive a beneficiary in the
fiduciary program or a proposed or current fiduciary regarding payment
of benefits or the rights of beneficiaries in the fiduciary program; or
(iii) Engage in, or counsel or advise a beneficiary or proposed or
current fiduciary to engage in, acts or behavior prejudicial to the
fair and orderly
[[Page 32740]]
conduct of administrative proceedings before VA.
(3) The Hub Manager will submit a written report regarding an
alleged violation of the standards of conduct prescribed in this
section to the VA Chief Counsel who administers the accreditation
program for a determination regarding further action, including
suspension or cancellation of accreditation under Sec. 14.633 of this
chapter, and notification to any agency, court, or bar to which the
attorney, agent, or representative is admitted to practice.
(c) Fees. Except as prescribed in paragraphs (c)(1)(i) through
(iii) of this section, an accredited attorney or claims agent may
charge a reasonable fixed or hourly fee for representation services
provided to a beneficiary in a fiduciary matter, provided that the fee
meets the requirements of Sec. 14.636 of this chapter.
(1) The following provisions of Sec. 14.636 of this chapter do not
apply in fiduciary matters:
(i) Fees under Sec. 14.636(e) of this chapter, to the extent that
the regulation authorizes a fee based on a percentage of benefits
recovered;
(ii) The presumptions prescribed by Sec. 14.636(f) of this chapter
based upon a percentage of a past-due benefit amount. In fiduciary
matters, the reasonableness of a fixed or hourly-rate fee will be
determined based upon application of the reasonableness factors
prescribed in Sec. 14.636(e); and
(iii) Direct payment of fees by VA out of past-due benefits under
Sec. 14.636(g)(2) and (h) of this chapter.
(2) An accredited attorney or claims agent who wishes to charge a
fee for representing a beneficiary in a fiduciary matter must comply
with the fee agreement filing requirement prescribed in Sec.
14.636(g)(3) of this chapter.
(3) VA, the beneficiary, or the beneficiary's fiduciary may
challenge the reasonableness of a fee charged by an accredited attorney
or claims agent using the procedures prescribed in Sec. 14.636(i) of
this chapter.
(Authority: 38 U.S.C. 501, 38 U.S.C. chapter 59)
Sec. 13.50 Suspension of benefits.
(a) Notwithstanding the beneficiary rights prescribed in Sec.
13.30, the Hub Manager will temporarily suspend payment of benefits and
hold such benefits in the U.S. Treasury to the credit of the
beneficiary or take other action that the Hub Manager deems appropriate
to prevent exploitation of VA benefit funds or to ensure that the
beneficiary's needs are being met, if:
(1) The beneficiary or the beneficiary's attorney, claims agent, or
representative withholds cooperation in any of the appointment and
oversight procedures prescribed in this part; or
(2) VA removes the beneficiary's fiduciary for any reason
prescribed in Sec. 13.500(b) and is unable to appoint a successor
fiduciary before the beneficiary has an immediate need for disbursement
of funds.
(b) All or any part of the funds held in the U.S. Treasury to the
beneficiary's credit under paragraph (a) of this section will be
disbursed under the order and in the discretion of the VA Regional
Office Director who has jurisdiction over the fiduciary hub or regional
office for the benefit of the beneficiary or the beneficiary's
dependents.
(Authority: 38 U.S.C. 501, 512, 5502, 5504)
Sec. 13.100 Fiduciary appointments.
(a) Authority. Except as prescribed in paragraph (b) of this
section, the Hub Manager will appoint a fiduciary for a beneficiary
who:
(1) Has been rated by VA as being unable to manage his or her VA
benefits,
(2) Has been determined by a court with jurisdiction as being
unable to manage his or her financial affairs, or
(3) Has not reached age of majority.
(b) Exceptions. The Hub Manager will not appoint a fiduciary for a
beneficiary who:
(1) Is eligible for supervised direct payment under Sec. 13.110,
or
(2) Is not a beneficiary described in paragraph (a)(1) or (a)(2) of
this section and has not reached age of majority, but
(i) Is serving in the Armed Forces of the United States, or
(ii) Has been discharged from service in the Armed Forces of the
United States, or
(iii) Qualifies for survivors' benefits as a surviving spouse.
(c) Retroactive benefit payments. The Hub Manager will withhold any
retroactive, one-time, or other lump-sum benefit payment awarded to a
beneficiary described in paragraph (a) of this section until the Hub
Manager has appointed a fiduciary for the beneficiary and, if
applicable, the fiduciary has obtained a surety bond under Sec.
13.230.
(d) Initial appointment. In appointing a fiduciary, the Hub Manager
will make every effort to appoint the person, agency, organization, or
institution that will best serve the interest of the beneficiary. The
Hub Manager will consider the results of a field examination, which
will include a face-to-face meeting with the beneficiary and the
beneficiary's dependents at their residence when practicable, and will
conduct the investigation prescribed in paragraph (f) of this section.
The Hub Manager will also consider whether:
(1) VA benefits can be paid directly to the beneficiary with
limited and temporary supervision by VA, as prescribed in Sec. 13.110;
(2) The circumstances require appointment of a temporary fiduciary
under paragraph (h) of this section; and
(3) The proposed fiduciary is complying with the responsibilities
of a fiduciary prescribed in Sec. 13.140 with respect to all
beneficiaries in the fiduciary program currently being served by the
proposed fiduciary and whether the proposed fiduciary can handle an
additional appointment without degrading service for any other
beneficiary.
(e) Order of preference in appointing a fiduciary. The Hub Manager
will consider individuals and entities for appointment in the following
order of preference, provided that the proposed fiduciary is qualified
and willing to serve and the appointment would serve the beneficiary's
interest:
(1) The preference stated by the beneficiary in the fiduciary
program, if the beneficiary has the capacity to state such a
preference. If the beneficiary has a legal guardian appointed to handle
his or her affairs, the Hub Manager will presume that the beneficiary
does not have the capacity to state a preference and will consider
individuals and entities in the order of preference prescribed in
paragraphs (e)(2) through (10) of this section;
(2) The beneficiary's spouse;
(3) A relative who has care or custody of the beneficiary or his or
her funds;
(4) Any other relative of the beneficiary;
(5) Any friend, acquaintance, or other person who is willing to
serve as fiduciary for the beneficiary without a fee;
(6) The chief officer of a public or private institution in which
the beneficiary receives care or which has custody of the beneficiary;
(7) The bonded officer of an Indian reservation, if applicable;
(8) An individual or entity who has been appointed by a court with
jurisdiction to handle the beneficiary's affairs;
(9) An individual or entity who is not willing to serve without a
fee; or
(10) A temporary fiduciary, if necessary.
(f) Investigation of a proposed fiduciary. Except as prescribed in
paragraph (f)(3) of this section, before appointing a fiduciary for a
beneficiary in the fiduciary program, the Hub Manager will conduct an
investigation
[[Page 32741]]
regarding the proposed fiduciary's qualifications.
(1) The investigation will include:
(i) To the extent practicable, a face-to-face interview of the
proposed fiduciary;
(ii) A review of a credit report on the proposed fiduciary issued
by a credit reporting agency no more than 30 days prior to the date of
the proposed appointment;
(iii) A criminal background check to determine whether the proposed
fiduciary has been convicted of any offense which would be a bar to
serving as a fiduciary under Sec. 13.130 or which the Hub Manager may
consider and weigh under the totality of the circumstances regarding
the proposed fiduciary's qualifications;
(iv) Obtaining proof of the proposed fiduciary's identity and
relationship to the beneficiary, if any; and
(v) A determination regarding the need for surety bond under Sec.
13.230 and the proposed fiduciary's ability to obtain such a bond.
(2) The Hub Manager may, at any time after the initial appointment
or reappointment of the fiduciary for a beneficiary, repeat all or part
of the investigation prescribed by paragraph (f)(1) of this section to
ensure that the fiduciary continues to meet the qualifications for
service and there is no current bar to service under Sec. 13.130.
(3) The Hub Manager must conduct the requirements of paragraphs
(f)(1)(i),(ii) and (iii) for every subsequent appointment of the
fiduciary for each beneficiary.
(4) VA will not conduct the investigation prescribed by paragraph
(f) of this section if the proposed fiduciary is an entity, such as the
trust department of a bank that provides fiduciary services.
(g) Expedited appointment. The Hub Manager may waive the
requirements of paragraphs (f)(1)(i) through (iii) of this section and
expedite the appointment of a proposed fiduciary if the Hub Manager
determines that an expedited appointment would be in the beneficiary's
interest and:
(1) The proposed fiduciary is:
(i) The beneficiary's parent (natural, adopted, or step-parent) and
the beneficiary is less than the age of majority, or
(ii) The beneficiary's spouse; or
(2) The annual amount of VA benefits the proposed fiduciary would
manage for the beneficiary does not exceed the amount specified in 38
U.S.C. 5507(c)(2)(D), as adjusted by VA pursuant to 38 U.S.C. 5312.
(h) Temporary fiduciary appointments. (1) The Hub Manager may
appoint a temporary fiduciary for a period not to exceed 120 days in
any of the following circumstances:
(i) VA has removed a fiduciary for cause under Sec. 13.500 and
cannot expedite the appointment of a successor fiduciary, and the
beneficiary has an immediate need for fiduciary services; or
(ii) The Hub Manager determines that the beneficiary has an
immediate need for fiduciary services and it would not be in the
beneficiary's or the beneficiary's dependents' interest to pay benefits
to the beneficiary until a fiduciary is appointed.
(2) Any temporary fiduciary appointed under this paragraph (h) must
be:
(i) An individual or entity that has already been subject to the
procedures for appointment in paragraphs (d) and (f) of this section,
and
(ii) Performing satisfactorily as a fiduciary for at least one
other VA beneficiary for whom the fiduciary has submitted an annual
accounting that VA has approved.
(i) Authorization for disclosure of information. The Hub Manager
will:
(1) Obtain from every proposed fiduciary who is an individual a
written authorization for VA to disclose to the beneficiary information
regarding any fiduciary matter that may be appealed under Sec. 13.600,
including but not limited to the fiduciary's qualifications for
appointment under Sec. 13.100 or misuse of benefits under Sec.
13.400. Such disclosures may occur in VA's correspondence with the
beneficiary, in a VA fiduciary appointment or misuse of benefits
decision, in a statement of the case for purposes of appeal under Sec.
13.600, or upon request by the beneficiary, the beneficiary's guardian,
or the beneficiary's accredited attorney, claims agent, or
representative;
(2) Notify the proposed fiduciary that the disclosed information
may be used by the beneficiary in appealing a VA appointment or misuse
decision to the Board of Veterans' Appeals under Sec. 13.600; and
(3) Terminate consideration of a proposed fiduciary if the
individual refuses to provide the authorization prescribed in paragraph
(i)(1) of this section. Such refusal is a bar to serving as a fiduciary
for a beneficiary under Sec. 13.130(b).
(Authority: 38 U.S.C. 501, 5502, 5506, 5507)
Sec. 13.110 Supervised direct payment.
(a) Authority. The Hub Manager may authorize the payment of VA
benefits directly to an adult beneficiary in the fiduciary program who
has reached the age of majority if the Hub Manager determines, based
upon a field examination, that the beneficiary can manage his or her VA
benefits with limited and temporary VA supervision. In making this
determination, the Hub Manager will consider:
(1) Whether the beneficiary is aware of his or her monthly income;
(2) Whether the beneficiary is aware of his or her fixed monthly
expenses such as rent, mortgage, utilities, clothing, food, and medical
bills;
(3) The beneficiary's ability to:
(i) Allocate appropriate funds to fixed monthly expenses and
discretionary items;
(ii) Pay monthly bills in a timely manner; and
(iii) Conserve excess funds; and
(4) Any other information that demonstrates the beneficiary's
actual ability to manage his or her VA benefits with limited VA
supervision.
(b) Supervision. The limited and temporary supervision of
beneficiaries receiving direct payment under paragraph (a) of this
section will consist of:
(1) Assistance in the development of a budget regarding the
beneficiary's income and expenses,
(2) Assistance with creating a fund usage report to aid the
beneficiary in tracking his or her income and expenses, and
(3) Periodic reviews of the beneficiary's fund usage report, as
required by the Hub Manager.
(c) Reassessment. The Hub Manager will reassess the beneficiary's
ability to manage his or her VA benefits at or before the end of the
first 12-month period of supervision. Based upon a field examination,
an evaluation of the factors listed in paragraph (a) of this section,
and the results of the supervision prescribed in paragraph (b) of this
section, the Hub Manager will determine whether the beneficiary can
manage his or her benefits without VA supervision.
(1) If the beneficiary demonstrates the ability to manage his or
her VA benefits without supervision, the Hub Manager will prepare a
report that summarizes the findings and refer the matter with a
recommendation and supporting evidence to the rating authority for
application of Sec. 3.353(b)(3) of this chapter regarding reevaluation
of ability to manage VA benefits and Sec. 3.353(d) of this chapter
regarding the presumption of ability to manage VA benefits without
restriction.
(2) If the beneficiary does not demonstrate the ability to manage
his or her VA benefits without VA supervision, the Hub Manager will:
(i) Appoint a fiduciary, or
[[Page 32742]]
(ii) Continue supervised direct payment for not longer than one
additional 12-month period based upon evidence that additional
supervision might assist the beneficiary in developing the ability to
manage his or her own VA benefits. At the conclusion of the additional
period of supervised direct payment, the Hub Manager will conduct the
reassessment prescribed by paragraph (c) of this section and either
recommend reevaluation under paragraph (c)(1) of this section or
appoint a fiduciary under paragraph (c)(2)(i) of this section.
(Authority: 38 U.S.C. 501, 5502)
Sec. 13.120 Field examinations.
(a) Authority. The Hub Manager will order a field examination
regarding fiduciary matters within the Hub Manager's jurisdiction for
any of the reasons prescribed in paragraph (c) of this section. For
purposes of this section, field examination means the inquiry,
investigation, or monitoring activity conducted by designated fiduciary
hub or other qualified VA personnel who are authorized to:
(1) Interview beneficiaries, dependents, and other interested
persons regarding fiduciary matters;
(2) Interview proposed fiduciaries and current fiduciaries
regarding their qualifications, performance, or compliance with VA
regulations;
(3) Conduct investigations and examine witnesses regarding any
fiduciary matter;
(4) Take affidavits;
(5) Administer oaths and affirmations;
(6) Certify copies of public or private documents; and
(7) Aid claimants and beneficiaries in the preparation of claims
for VA benefits or other fiduciary or claim-related material.
(b) Scope of field examinations. Field examinations may include,
but are not limited to:
(1) Assessing a beneficiary's and the beneficiary's dependents'
welfare and physical and mental well-being, environmental and social
conditions, and overall financial situation, based upon visiting the
beneficiary's current residence and conducting a face-to-face interview
of the beneficiary and the beneficiary's dependents, when practicable;
(i) The Hub Manager will waive the requirements of paragraph (b)(1)
of this section if the Veterans Health Administration (VHA) has
approved the fiduciary as the beneficiary's family caregiver, and VHA's
status report regarding the beneficiary indicates the beneficiary is in
an excellent situation.
(ii) The provisions of paragraph (b)(1)(i) of this section do not
apply when the Hub Manager has information that a fiduciary, who is
also the beneficiary's VHA-designated family caregiver, is misusing a
beneficiary's VA funds under management, is neglecting a beneficiary,
or has failed to comply with the requirements of Sec. 13.140, or there
is insufficient evidence to determine the beneficiary's well-being.
(2) Assessing the beneficiary's ability to manage his or her own VA
benefits with only limited VA supervision (see Sec. 13.110 regarding
supervised direct payment);
(3) Collecting and reviewing financial documentation, including
income and expenditure information;
(4) Providing any necessary assistance to the beneficiary with
issues affecting current or additional VA benefits, claims, and non-VA
matters that may affect or conflict with VA benefits;
(5) Making appropriate referrals in cases of actual or suspected
physical or mental abuse, neglect, or other harm to a beneficiary;
(6) Investigating, when necessary, allegations that a beneficiary's
fiduciary has engaged in misconduct or misused VA benefits to include
but not limited to allegations regarding:
(i) Theft or misappropriation of funds,
(ii) Failure to comply with the responsibilities of a fiduciary as
prescribed in Sec. 13.140,
(iii) Other allegations of inappropriate fund management by a
fiduciary, and
(iv) Other special circumstances which require a visit with or
onsite review of the fiduciary, such as a change in an award of
benefits or benefit status, or non-fiduciary program matters.
(c) Reasons for conducting field examinations. A Hub Manager will
order a field examination to:
(1) Determine whether benefits should be paid directly to a
beneficiary under Sec. 13.110 or to a fiduciary appointed for the
beneficiary under Sec. 13.100;
(2) Determine whether benefit payments should continue to be made
directly to a beneficiary under Sec. 13.110 or to a fiduciary on
behalf of a beneficiary; or
(3) Ensure the well-being of a beneficiary in the fiduciary program
or to protect a beneficiary's VA benefit funds.
(Authority: U.S.C. 501, 512, 5502, 5506, 5507, 5711)
(Approved by the Office of Management and Budget under control
numbers 2900-0815 and 2900-0803.)
Sec. 13.130 Bars to serving as a fiduciary.
(a) An individual or entity may not serve as a fiduciary for a VA
beneficiary if the individual or entity:
(1) Misused or misappropriated a beneficiary's VA benefits while
serving as the beneficiary's fiduciary;
(2) Has been convicted of a felony offense. For purposes of this
paragraph, felony offense means a criminal offense for which the
minimum period of imprisonment is 1 year or more, regardless of the
actual sentence imposed or the actual time served. However, such
conviction is not a bar to serving as a fiduciary for a beneficiary if
all of the following conditions are met:
(i) The conviction occurred more than 10 years preceding the
proposed date of appointment;
(ii) The conviction did not involve any of the following offenses:
(A) Fraud;
(B) Theft;
(C) Bribery;
(D) Embezzlement;
(E) Identity theft;
(F) Money laundering;
(G) Forgery;
(H) The abuse of or neglect of another person; or
(I) Any other financial crime;
(iii) There is no other person or entity who is willing and
qualified to serve; and
(iv) The Hub Manager determines that the nature of the conviction
is such that appointment of the individual poses no risk to the
beneficiary and is in the beneficiary's interest.
(b) An individual may not serve as a fiduciary for a VA beneficiary
if the individual:
(1) Refuses or neglects to provide the authorization for VA
disclosure of information prescribed in Sec. 13.100(i);
(2) Is unable to manage his or her own Federal or state benefits
and is in a Federal or state agency's fiduciary, representative
payment, or similar program;
(3) Has been adjudicated by a court with jurisdiction as being
unable to manage his or her own financial affairs;
(4) Is incarcerated in a Federal, state, local, or other penal
institution or correctional facility, sentenced to home confinement,
released from incarceration to a half-way house, or on house arrest or
in custody in any facility awaiting trial on pending criminal charges;
(5) Has felony charges pending;
(6) Has been removed as legal guardian by a state court for
misconduct;
(7) Is under the age of majority; or
(8) Knowingly violates or refuses to comply with the regulations in
this part.
(Authority: 38 U.S.C. 501, 5502, 5506, 5507, 6101, 6106)
[[Page 32743]]
Sec. 13.140 Responsibilities of fiduciaries.
Any individual or entity appointed by VA as a fiduciary to receive
VA benefit payments on behalf of a beneficiary in the fiduciary program
must fulfill certain responsibilities associated with the services of a
fiduciary. These responsibilities include:
(a) General. (1) Fiduciaries appointed by VA to manage the VA funds
of a beneficiary are also responsible for monitoring the beneficiary's
well-being and using available funds to ensure that the beneficiary's
needs are met. Fiduciaries owe VA and beneficiaries the duties of good
faith and candor and must administer a beneficiary's funds under
management in accordance with paragraph (b) of this section. In all
cases, the fiduciary must disburse or otherwise manage funds according
to the best interests of the beneficiary and the beneficiary's
dependents and in light of the beneficiary's unique circumstances,
needs, desires, beliefs, and values.
(2) The fiduciary must take all reasonable precautions to protect
the beneficiary's private information contained in the fiduciary's
paper and electronic records.
(i) For purposes of this section:
(A) Reasonable precautions means protecting against any
unauthorized access to or use of the beneficiary's private information
that may result in substantial harm or inconvenience to the
beneficiary; and
(B) Private information means a beneficiary's first name and last
name or first initial and last name in combination with any one or more
of the following data elements that relate to such beneficiary: VA
claim number, Social Security number, date of birth, address, driver's
license number or state-issued identification card number, or financial
account number or credit card or debit card number, with or without any
required security code, access code, personal identification number, or
password, that would permit access to the beneficiary's account.
(ii) At a minimum, fiduciaries must place reasonable restrictions
upon access to paper records containing the beneficiary's private
information, including storage of such records in locked facilities,
storage areas, or containers.
(iii) For electronic records containing the beneficiary's private
information, the fiduciary must:
(A) Use unique identifications and passwords, which are not vendor-
supplied default identifications and passwords, for computer, network,
or online site access that are reasonably designed to maintain the
security of the beneficiary's information and the fiduciary's financial
transactions;
(B) Control access to data security passwords to ensure that such
passwords are kept in a location and format that do not compromise the
security of the beneficiary's private information; and
(C) For records containing private information on a computer system
that is connected to the internet, keep reasonably up-to-date firewall
and virus protection and operating system security patches to maintain
the integrity of the beneficiary's private information and prevent
unauthorized disclosure. For purposes of this section, a system is
reasonably updated if the fiduciary installs software updates
immediately upon release by the original equipment or software
manufacturer, uses internet browser security settings suitable for
transmission of private information, and maintains password-protected
wireless connections or other networks.
(iv) The fiduciary must keep all paper and electronic records
relating to the fiduciary's management of VA benefit funds for the
beneficiary for the duration of service as fiduciary for the
beneficiary and for a minimum of 2 years from the date that VA removes
the fiduciary under Sec. 13.500 or from the date that the fiduciary
withdraws as fiduciary for the beneficiary under Sec. 13.510.
(b) Financial responsibilities. The fiduciary's primary financial
responsibilities include, but are not limited to:
(1) The use of the beneficiary's VA benefit funds under management
only for the care, support, education, health, and welfare of the
beneficiary and his or her dependents. Except as authorized under Sec.
13.220 regarding fiduciary fees, a fiduciary may not derive a personal
financial benefit from management or use of the beneficiary's funds;
(2) Protection of the beneficiary's VA benefits from loss or
diversion;
(3) Except as prescribed in Sec. 13.200 regarding fiduciary
accounts, maintenance of separate financial accounts to prevent
commingling of the beneficiary's funds with the fiduciary's own funds
or the funds of any other beneficiary for whom the fiduciary has funds
under management;
(4) Determination of the beneficiary's just debts. For purposes of
this section, just debts mean the beneficiary's legitimate, legally
enforceable debts;
(5) Timely payment of the beneficiary's just debts, provided that
the fiduciary has VA benefit funds under management for the beneficiary
to cover such debts;
(6) Providing the beneficiary with information regarding VA benefit
funds under management for the beneficiary, including fund usage, upon
request;
(7) Providing the beneficiary with a copy of the annual accounting
approved by VA under Sec. 13.280;
(8) Ensuring that any best-interest determination regarding the use
of funds is consistent with VA policy, which recognizes that
beneficiaries in the fiduciary program are entitled to the same
standard of living as any other beneficiary with the same or similar
financial resources, and that the fiduciary program is not primarily
for the purpose of preserving funds for the beneficiary's heirs or
disbursing funds according to the fiduciary's own beliefs, values,
preferences, and interests; and
(9) Protecting the beneficiary's funds from the claims of creditors
as described in Sec. 13.270.
(c) Non-financial responsibilities. The fiduciary's primary non-
financial responsibilities include, but are not limited to:
(1) Contacting social workers, mental health professionals, or the
beneficiary's legal guardian regarding the beneficiary, when necessary;
(2) To the extent possible, ensuring the beneficiary receives
appropriate medical care;
(3) Correcting any discord or uncomfortable living or other
situations when possible;
(4) Acknowledging and addressing any complaints or concerns of the
beneficiary to the best of the fiduciary's ability;
(5) Reporting to the appropriate authorities, including any legal
guardian, any type of known or suspected abuse of the beneficiary;
(6) Maintaining contact with the beneficiary for purposes of
assessing the beneficiary's capabilities, limitations, needs, and
opportunities;
(7) Being responsive to the beneficiary and ensuring the
beneficiary and his or her legal guardian have the fiduciary's current
contact information.
(d) The fiduciary's responsibilities to VA. Any fiduciary who has
VA benefit funds under management on behalf of a beneficiary in the
fiduciary program must:
(1) If the fiduciary is also appointed by a court, annually provide
to the fiduciary hub with jurisdiction a certified copy of the
accounting(s) provided to the court or facilitate the hub's receipt of
such accountings;
(2) Notify the fiduciary hub regarding any change in the
beneficiary's circumstances, to include the beneficiary's relocation,
the beneficiary's serious illness, or any
[[Page 32744]]
other significant change in the beneficiary's circumstances which might
adversely impact the beneficiary's well-being;
(3) Provide documentation or verification of any records concerning
the beneficiary or matters relating to the fiduciary's responsibilities
within 30 days of a VA request, unless otherwise directed by the Hub
Manager;
(4) When necessary, appear before VA for face-to-face meetings; and
(5) Comply with the policies and procedures prescribed in this
part.
(Authority: 38 U.S.C. 501, 512, 5502, 5507, 5509, 5711)
(Approved by the Office of Management and Budget under control
numbers 2900-0017 and 2900-0085.)
Sec. 13.200 Fiduciary accounts.
Except as prescribed in paragraph (b) of this section, any
fiduciary appointed by VA to receive payments on behalf of a
beneficiary must deposit the beneficiary's VA benefits in a fiduciary
account that meets the requirements prescribed in paragraph (a) of this
section.
(a) Separate accounts. Except as prescribed in paragraph (b) of
this section, a fiduciary must establish and maintain a separate
financial institution account for each VA beneficiary that the
fiduciary serves. The fiduciary must not commingle a beneficiary's
funds with the fiduciary's funds or any other beneficiary's funds,
either upon or after receipt. The account must be:
(1) Established for direct deposit of VA benefits,
(2) Established in a Federally-insured financial institution, and
in Federally-insured accounts when funds qualify for such deposit
insurance, and
(3) Titled in the beneficiary's and fiduciary's names and note the
existence of the fiduciary relationship.
(b) Exceptions. The general rule prescribed in paragraph (a) of
this section regarding establishment and maintenance of separate
accounts does not apply to the following fiduciaries:
(1) The beneficiary's spouse;
(2) State or local Government entities;
(3) Institutions, such as public or private medical care
facilities, nursing homes, or other residential care facilities, when
an annual accounting is not required. See Sec. 13.280 regarding
accounting requirements; or
(4) A trust company or a bank with trust powers organized under the
laws of the United States or a state.
(Authority: U.S.C. 501, 5502, 5509, 5711)
Sec. 13.210 Fiduciary investments.
(a) General. A fiduciary must conserve or invest any VA benefits
that the fiduciary receives on behalf of a beneficiary, whether such
benefits are in the form of recurring monthly payments or a one-time
payment, if the beneficiary or the beneficiary's dependents do not need
the benefits for current maintenance, reasonably foreseeable expenses,
or reasonable improvements in the beneficiary's and the beneficiary's
dependents' standard of living. Conservation of beneficiary funds is
for the purpose of addressing unforeseen circumstances or planning for
future care needs given the beneficiary's disabilities, circumstances,
and eligibility for care furnished by the Government at Government
expense. Fiduciaries should not conserve VA benefit funds under
management for a beneficiary based primarily upon the interests of the
beneficiary's heirs or according to the fiduciary's own values,
preferences, and interests.
(b) Types of investments. An investment must be prudent and in the
best interest of the beneficiary. Authorized investments include United
States savings bonds or interest or dividend-paying accounts insured
under Federal law. Any such investment must be clearly titled in the
beneficiary's and fiduciary's names and identify the fiduciary
relationship.
(c) Exceptions. The general rules regarding investment of VA
benefits do not apply to the following fiduciaries:
(1) The beneficiary's spouse, and
(2) The chief officer of an institution in which the beneficiary is
being furnished hospital treatment or institutional, nursing, or
domiciliary care. VA benefits paid to the chief officer may not be
invested.
(Authority: 38 U.S.C. 501, 5502)
Sec. 13.220 Fiduciary fees.
(a) Authority. The Hub Manager with jurisdiction over a fiduciary
appointment may determine whether a fee is necessary to obtain the
services of a fiduciary. A fee is necessary only if no other person or
entity is qualified and willing to serve without a fee and the
beneficiary's interests would be served by the appointment of a
qualified paid fiduciary. The Hub Manager will not authorize a fee if
the fiduciary:
(1) Is a spouse, dependent, or other relative of the beneficiary;
or
(2) Will receive any other form of payment in connection with
providing fiduciary services for the beneficiary.
(b) Limitation on fees. The Hub Manager will authorize a fiduciary
to whom a fee is payable under paragraph (a) of this section to deduct
from the beneficiary's account a reasonable monthly fee for fiduciary
services rendered.
(1) For purposes of this section, reasonable monthly fee means a
monetary amount that is authorized by the Hub Manager and does not
exceed 4 percent of the monthly VA benefit paid to the fiduciary on
behalf of the beneficiary for a month in which the fiduciary is
eligible under paragraph (b)(2) of this section to collect a fee.
(2) A monthly fee may be collected for any month during which the
fiduciary:
(i) Provides fiduciary services on behalf of the beneficiary,
(ii) Receives a recurring VA benefit payment for the beneficiary,
and
(iii) Is authorized by the Hub Manager to receive a fee for
fiduciary services.
(3) Fees may not be computed based upon:
(i) Any one-time, retroactive, or lump-sum payment made to the
fiduciary on behalf of the beneficiary;
(ii) Any funds conserved by the fiduciary for the beneficiary in
the beneficiary's account under Sec. 13.200 or invested by the
fiduciary for the beneficiary under Sec. 13.210, to include any
interest income and return on investment derived from any account; or
(iii) Any funds transferred to the fiduciary by a prior fiduciary
for the beneficiary, or from the personal funds of patients or any
other source.
(4) The Hub Manager will not authorize a fee for any month for
which:
(i) VA or a court with jurisdiction determines that the fiduciary
misused or misappropriated benefits, or
(ii) The beneficiary does not receive a VA benefit payment.
However, the Hub Manager may authorize a fee for a month in which the
beneficiary did not receive a benefit payment if VA later issues
benefits for that month and the fiduciary:
(A) Receives VA approval to collect a fee for the month for which
payment was made,
(B) Provided fiduciary services during the month for which payment
was made, and
(C) Was the beneficiary's fiduciary when VA made the retroactive
payment.
(Authority: 38 U.S.C. 501, 5502, 6101, 6106)
Sec. 13.230 Protection of beneficiary funds.
(a) General. Except as prescribed in paragraph (c) of this section,
within 60 days of appointment, the fiduciary must furnish to the
fiduciary hub with jurisdiction a corporate surety bond that is
conditioned upon faithful discharge of all of the responsibilities of a
fiduciary prescribed in Sec. 13.140 and meets the requirements of
paragraph (d) of this section, if the VA benefit funds that are due and
to be paid for the beneficiary will exceed $25,000 at the time of
appointment. The Hub Manager
[[Page 32745]]
will not authorize the release of a retroactive, one-time, or other
pending lump-sum benefit payment to the fiduciary until the fiduciary
has furnished the bond prescribed by this section.
(b) Accumulated funds. The provisions of paragraph (a) of this
section, which require a fiduciary to furnish a surety bond, apply in
any case in which the accumulation over time of VA benefit funds under
management by a fiduciary for a beneficiary exceeds $25,000. Except as
prescribed in paragraph (c) of this section, within 60 days of
accumulated funds exceeding the prescribed threshold, the fiduciary
will furnish to the fiduciary hub a bond that meets the requirements of
paragraph (d) of this section.
(c) Exceptions. (1) The provisions of paragraphs (a) and (b) of
this section do not apply to:
(i) A fiduciary that is a trust company or a bank with trust powers
organized under the laws of the United States or a state;
(ii) A fiduciary who is the beneficiary's spouse; or
(iii) A fiduciary in the Commonwealth of Puerto Rico, Guam, or
another territory of the United States, or in the Republic of the
Philippines, who has entered into a restricted withdrawal agreement in
lieu of a surety bond.
(2) The Hub Manager may, at any time, require the fiduciary to
obtain a bond described in paragraph (a) of this section and meeting
the requirements of paragraph (d) of this section, without regard to
the amount of VA benefit funds under management by the fiduciary for
the beneficiary, if special circumstances indicate that obtaining a
bond would be in the beneficiary's interest. Such special circumstances
may include but are not limited to:
(i) A marginal credit report for the fiduciary; or
(ii) A fiduciary's misdemeanor criminal conviction either before or
after appointment for any offense listed in Sec. 13.130(a)(2)(ii);
(d) Bond requirements. A bond furnished by a fiduciary under
paragraph (a) or (b) of this section must meet the following
requirements:
(1) The bond must be a corporate surety bond in an amount
sufficient to cover the value of the VA benefit funds under management
by the fiduciary for the beneficiary.
(2) After furnishing the prescribed bond to the fiduciary hub, the
fiduciary must:
(i) Adjust the bond amount to account for any increase or decrease
of more than 20 percent in the VA benefit funds under management by the
fiduciary for the beneficiary; and
(ii) Furnish proof of the adjustment to the fiduciary hub not later
than 60 days after a change in circumstance described in paragraph
(d)(2)(i) of this section.
(3) The bond furnished by the fiduciary must also:
(i) Identify the fiduciary, the beneficiary, and the bonding
company; and
(ii) Contain a statement that the bond is payable to the Secretary
of Veterans Affairs.
(e) Periodic proof of bond. A fiduciary must furnish proof of
adequate bonding:
(1) With each annual accounting prescribed by Sec. 13.280; and
(2) At any other time the Hub Manager with jurisdiction requests
proof.
(f) Liability. (1) Except as otherwise provided by the terms of the
bond, the surety and the fiduciary guaranteed by the surety are jointly
and severally liable for any misappropriation or misuse of VA benefits
by the fiduciary.
(2) VA may collect on the bond regardless of any prior reissuance
of benefits by VA under Sec. 13.410 and until liability under the
terms of the bond is exhausted.
(g) Bond expenses--(1) Authority. The fiduciary may deduct from the
beneficiary's account any expense related to obtaining, maintaining, or
adjusting a bond prescribed by this section.
(2) Notice. The Hub Manager will provide the beneficiary written
notice regarding any bond furnished at the beneficiary's expense under
paragraph (a), (b), or (c)(2) of this section or adjusted under
paragraph (d)(2) of this section.
(Authority: 38 U.S.C. 501, 5502, 5507)
(Approved by the Office of Management and Budget under control
numbers 2900-0017 and 2900-0804.)
Sec. 13.240 Funds of beneficiaries less than the age of majority.
(a) General. Except as prescribed in paragraph (b) of this section,
a fiduciary who receives VA benefits on behalf of a beneficiary who is
less than the age of majority may use the benefits only for the use and
benefit of that beneficiary and only if the fiduciary first determines
that the person or persons who have custody of the beneficiary and are
responsible for the beneficiary's needs are unable to provide for those
needs.
(b) Education benefits. A fiduciary who receives VA education
benefits on behalf of a beneficiary who is less than the age of
majority may use the benefits for the beneficiary's education
regardless of the ability of the person or persons who have custody of
the beneficiary to pay for the beneficiary's education.
(Authority: 38 U.S.C. 501, 5502)
Sec. 13.250 Funds of deceased beneficiaries.
(a) General. When a beneficiary who has a fiduciary dies without
leaving a valid will and without heirs, all VA benefit funds under
management by the fiduciary for the deceased beneficiary on the date of
death, less any deductions authorized by paragraph (c) of this section,
must be returned to VA if such funds would escheat to a state.
(b) Accountings. Upon the death of a beneficiary described in
paragraph (a) for whom the fiduciary must return to VA all benefit
funds under management, less any deductions authorized under paragraph
(c) of this section, or upon the death of any beneficiary for whom a
fiduciary was required to submit an annual accounting to VA under Sec.
13.280, the fiduciary must submit a final accounting to the fiduciary
hub with jurisdiction within 90 days of the beneficiary's death.
(c) Expenses. The fiduciary may deduct a reasonable fee from the
deceased beneficiary's account for purposes of determining whether the
beneficiary's funds under management would escheat to a state under
state law or whether the deceased beneficiary left a valid will or is
survived by heirs. For the purpose of this section, reasonable fee
means an amount customarily charged by attorneys or other professionals
authorized to do such work in the state where the deceased beneficiary
had his or her permanent place of residence.
(d) Estate matters. Upon the death of a beneficiary who has a valid
will or heirs, the fiduciary must hold the remaining funds under
management in trust for the deceased beneficiary's estate until the
will is probated or heirs are ascertained, and disburse the funds
according to applicable state law.
(Authority: U.S.C. 501, 5502)
Sec. 13.260 Personal funds of patients.
(a) Distribution of funds. Benefits deposited by VA in the personal
funds of patients account for a veteran who was rated by VA as being
unable to manage his or her VA benefits and who died leaving an account
balance are payable to an eligible person. For purposes of this
section, eligible person means an individual living at the time the
account balance is distributed in the following order of preference:
(1) The deceased veteran's spouse, as defined by Sec. 3.1000(d)(1)
of this chapter;
(2) The veteran's children (in equal shares), as defined by Sec.
3.57 of this
[[Page 32746]]
chapter, but without regard to age or marital status; or
(3) The veteran's dependent parents (in equal shares) or surviving
parent, as defined by Sec. 3.59 of this chapter, provided that the
parents were or parent was dependent within the meaning of Sec. 3.250
of this chapter on the date of the veteran's death.
(4) Any balance remaining in the personal funds of patients account
that cannot be distributed in accordance with paragraphs (a)(1) through
(3) of this section will be used by VA to reimburse anyone who bore the
expense of the veteran's last sickness or burial or will be deposited
to the credit of the applicable current VA appropriation.
(b) Application. A person who seeks distribution of a deceased
veteran's funds from the personal funds of patients account under
paragraph (a) of this section must file an application with VA not
later than 5 years after the veteran's death. If any person who seeks
such distribution is under a legal disability that prevents him or her
from filing an application at the time of the veteran's death, the 5-
year period will run from the date of termination or removal of the
legal disability.
(Authority: 38 U.S.C. 501, 5502)
Sec. 13.270 Creditors' claims.
Under 38 U.S.C. 5301(a)(1), VA benefit payments are exempt, both
before and after receipt by the beneficiary, from the claims of
creditors and taxation. The fiduciary should invoke this defense in
applicable circumstances. If the fiduciary does not do so, the Hub
Manager may refer the matter to the District Counsel for evaluation and
appropriate legal action.
(Authority: 38 U.S.C. 501, 512, 5301)
Sec. 13.280 Accountings.
(a) General. Except as prescribed in paragraph (d) of this section,
a fiduciary for a beneficiary must submit to the fiduciary hub with
jurisdiction an annual accounting regarding the VA benefit funds under
management by the fiduciary for the beneficiary if:
(1) The amount of VA benefit funds under management for the
beneficiary exceeds $10,000;
(2) The fiduciary deducts a fee authorized under Sec. 13.220 from
the beneficiary's account;
(3) The beneficiary is being paid VA compensation benefits at a
total disability rating (100 percent), whether schedular, extra-
schedular, or based on individual unemployability; or
(4) The Hub Manager determines an accounting is necessary to ensure
the fiduciary has properly managed the beneficiary's funds.
(b) Scope of accounting. For purposes of this section, accounting
means the fiduciary's written report regarding the income and funds
under management by the fiduciary for the beneficiary during the
accounting period prescribed by the Hub Manager. The accounting
prescribed by this section pertains to all activity in the
beneficiary's accounts, regardless of the source of funds maintained in
those accounts. An accounting consists of:
(1) A beginning inventory or account balance,
(2) An itemization of income,
(3) An itemization of expenses,
(4) An ending inventory or account balance,
(5) Copies of financial institution documents reflecting receipts,
expenditures, and beginning and ending balances, and
(6) Receipts, when required by the Hub Manager.
(c) Submission requirements. Fiduciaries must submit annual
accountings to the fiduciary hub as follows:
(1) The fiduciary must submit accountings on the appropriate VA
form not later than 30 days after the end of the accounting period
prescribed by the Hub Manager.
(2) The fiduciary must submit a corrected or supplemental
accounting not later than 14 days after the date of VA notice of an
accounting discrepancy.
(d) Exceptions. The provisions of this section that generally
require the submission of an annual accounting do not apply to a
fiduciary who is:
(1) The beneficiary's spouse;
(2) A chief officer of a Federal institution;
(3) A chief officer of a non-VA facility receiving benefits for a
beneficiary institutionalized in the facility and:
(i) The beneficiary's monthly care, maintenance, and personal use
expenses equal or exceed the amount of the beneficiary's monthly VA
benefit; and
(ii) The amount of VA benefit funds under management by the
fiduciary does not exceed $10,000; or
(4) A fiduciary who receives benefits on behalf of a beneficiary
and both permanently resides outside of the United States or in the
Commonwealth of Puerto Rico or the Republic of the Philippines, and the
fiduciary was appointed outside of the United States or in the
Commonwealth of Puerto Rico or the Republic of the Philippines.
(e) Failure to comply with accounting requirements. The Hub Manager
will treat any willful neglect or refusal to file proper accountings as
prima facie evidence of embezzlement or misappropriation of VA
benefits. Such evidence is grounds for starting a misuse investigation
under Sec. 13.400.
(Authority: 38 U.S.C. 501, 5502, 5509, 6101)
(Approved by the Office of Management and Budget under control
number 2900-0017.)
Sec. 13.300 Onsite reviews.
(a) Periodic onsite reviews. (1) The Hub Manager will conduct a
periodic, scheduled, onsite review of any fiduciary in the United
States, whether the fiduciary is an individual or an entity, if:
(i) The fiduciary serves 20 or more beneficiaries, and
(ii) The total annual amount of recurring VA benefits paid to the
fiduciary for such beneficiaries exceeds the threshold established in
38 U.S.C. 5508 as adjusted by VA under 38 U.S.C. 5312.
(2) The Hub Manager must complete at least one periodic onsite
review triennially if the fiduciary meets the requirements of paragraph
(a)(1) of this section.
(3) VA will provide the fiduciary with written notice of the
periodic onsite review at least 30 days before the scheduled review
date. The notice will:
(i) Inform the fiduciary of the pending review and the fiduciary's
obligation under this part to cooperate in the onsite review process,
and
(ii) Request that the fiduciary make available for review all
relevant records, including but not limited to case files, bank
statements, accountings, ledgers, check registers, receipts, bills, and
any other items necessary to determine that the fiduciary has been
acting in the best interest of VA beneficiaries and meeting the
responsibilities of fiduciaries prescribed in Sec. 13.140.
(b) Unscheduled onsite reviews. The Hub Manager may conduct
unscheduled onsite reviews of any fiduciary, regardless of the number
of beneficiaries served by the fiduciary or the total amount of VA
benefit funds under management by the fiduciary, if:
(1) VA receives from any source credible information that the
fiduciary has misused or is misusing VA benefits;
(2) The fiduciary's annual accounting is seriously delinquent. For
purposes of this section, seriously delinquent means the fiduciary
failed to submit the required accounting within 120 days after the
ending date of the annual accounting period;
(3) VA receives from any source credible information that the
fiduciary is not adequately performing the responsibilities of a
fiduciary prescribed in Sec. 13.140; or
(4) The Hub Manager determines that an unscheduled onsite review is
necessary to ensure that the fiduciary is
[[Page 32747]]
acting in the interest of the beneficiary or beneficiaries served by
the fiduciary.
(c) Procedures. (1) Onsite reviews will consist of the following:
(i) A face-to-face meeting with the fiduciary. In the case of a
fiduciary that is an entity, the face-to-face meeting will be with a
representative of the entity;
(ii) A review of all relevant records maintained by the fiduciary,
including but not limited to case files, bank statements, accountings,
ledgers, check registers, receipts, bills, and any other items
necessary to determine whether the fiduciary has been acting in the
interest of VA beneficiaries; and
(iii) Interviews of beneficiaries, the fiduciary's employees, and
other individuals as determined necessary by the Hub Manager.
(2) Not later than 30 days after completing a periodic or
unscheduled onsite review, the Hub Manager will provide the fiduciary a
written report of VA's findings, recommendations for correction of
deficiencies, requests for additional information, and notice of VA's
intent regarding further action.
(3) Unless good cause for an extension is shown, not later than 30
days after the date that VA mails the report prescribed by paragraph
(d)(2) of this section, the fiduciary must submit to the fiduciary hub
a response to any VA request for additional information or
recommendation for corrective action.
(4) The Hub Manager will remove the fiduciary for all VA
beneficiaries whom the fiduciary serves if the fiduciary:
(i) Refuses to cooperate with VA during a periodic or unscheduled
onsite review,
(ii) Is unable to produce necessary records,
(iii) Fails to respond to a VA request for additional information
or recommendation for corrective action, or
(iv) Is found during an onsite review to have misused VA benefits.
(Authority: 38 U.S.C. 501, 5508)
Sec. 13.400 Misuse of benefits.
(a) Definition of misuse. Misuse of benefits by a fiduciary occurs
in any case in which the fiduciary receives payment of benefits for the
use and benefit of a beneficiary and the beneficiary's dependents, if
any, and uses any part of such payment for a use other than the use and
benefit of the beneficiary or the beneficiary's dependents. For the
purpose of this section, use and benefit means any expenditure
reasonably intended for the care, support, or maintenance of the
beneficiary or the beneficiary's dependents. Such expenditures may
include the fiduciary's efforts to improve the beneficiary's standard
of living under rules prescribed in this part.
(b) Misuse determinations. Upon receipt of information from any
source regarding possible misuse of VA benefits by a fiduciary, the Hub
Manager may, upon his or her discretion, investigate the matter and
issue a misuse determination in writing. This decision will:
(1) Identify the beneficiary,
(2) Identify the fiduciary,
(3) State whether the fiduciary is an individual fiduciary serving
10 or more beneficiaries or a corporation or other entity serving one
or more beneficiaries,
(4) Identify the source of the information,
(5) Describe in detail the facts found as a result of the
investigation,
(6) State the reasons for the Hub Manager's determination regarding
whether the fiduciary misused any part of the beneficiary's benefit
paid to the fiduciary, and
(7) If the Hub Manager determines that the fiduciary did misuse any
part of the beneficiary's benefit, identify the months in which such
misuse occurred.
(c) Notice. The Hub Manager will provide written notice of the
misuse determination prescribed in paragraph (b) of this section,
including a copy of the Hub Manager's written decision, an explanation
regarding the reconsideration procedure prescribed in paragraph (d) of
this section, and the beneficiary's right to appeal under Sec. 13.600,
to:
(1) The fiduciary;
(2) The beneficiary or the beneficiary's legal guardian, and the
beneficiary's accredited representative, attorney, or claims agents;
(3) The court of jurisdiction if the fiduciary is also the
beneficiary's court-appointed guardian and/or conservator; and
(4) The Director of the Pension and Fiduciary Service.
(d) Finality and reconsideration of misuse determinations. (1) The
Hub Manager's misuse determination is a final decision, unless:
(i) The Hub Manager receives a written request for reconsideration
from the fiduciary or the beneficiary not later than 30 days after the
date that the Hub Manager mailed notice of his or her misuse
determination; or
(ii) The Hub Manager receives a notice of disagreement from the
beneficiary not later than 1 year after the date that the Hub Manager
mailed notice of his or her misuse determination.
(2) The fiduciary or the beneficiary may submit additional
information pertinent to reconsideration of the misuse determination
and not previously considered by the Hub Manager, provided that the
additional information is submitted with the written reconsideration
request.
(3) The Hub Manager will close the record regarding reconsideration
at the end of the 30-day period described in paragraph (d)(1)(i) of
this section and furnish a timely request submitted by the fiduciary or
the beneficiary, including any new information, to the Director of the
VA Regional Office with jurisdiction over the fiduciary hub for a final
decision.
(4) In making the misuse determination on reconsideration, the
Regional Office Director's decision will be based upon a review of the
information of record as of the date of the Hub Manager's misuse
determination and any new information submitted with the request. The
decision will:
(i) Identify the beneficiary,
(ii) Identify the fiduciary,
(iii) Identify if the fiduciary is also the beneficiary's court-
appointed guardian or conservator,
(iv) Identify the date of the Hub Manager's prior decision,
(v) Describe in detail the facts found as a result of the
Director's review of the Hub Manager's decision and any new information
submitted with the reconsideration request, and
(vi) State the reasons for the Director's final decision, which may
affirm, modify, or overturn the Hub Manager's decision.
(5) The Hub Manager will provide written notice of the Regional
Office Director's final decision on reconsideration to:
(i) The fiduciary,
(ii) The beneficiary or the beneficiary's legal guardian, and the
beneficiary's accredited representative, attorney, or claims agent;
(iii) The court, if the fiduciary is also the beneficiary's court-
appointed guardian or conservator; and
(iv) The Director of the Pension and Fiduciary Service.
(e) Reporting of misuse. Except as prescribed in Sec. 1.204 of
this chapter, which requires VA management officials to promptly report
possible criminal matters involving felonies to the VA Office of
Inspector General, reporting of misuse cases will occur as follows:
(1) Not later than 30 days after a final determination is made
under paragraph (d) of this section that a fiduciary has misused VA
benefits, the Director of the VA Regional Office who has jurisdiction
over the fiduciary hub will notify the
[[Page 32748]]
VA Office of Inspector General for purposes of any further action that
the Inspector General deems appropriate under separate authority, and
the court of jurisdiction if the fiduciary is also the beneficiary's
court-appointed legal guardian and/or conservator.
(2) For purposes of application of Sec. 13.410 regarding
reissuance and recoupment of benefits, the Office of Inspector General
will advise the Director of the Pension and Fiduciary Service of any
final decision regarding prosecution of a fiduciary who misused VA
benefits and any final judgment of a court in such a prosecution not
later than 30 days after the decision is made or judgment is entered.
(Authority: 38 U.S.C. 501, 5502, 6106)
Sec. 13.410 Reissuance and recoupment of misused benefits.
(a) General. (1) If the Hub Manager or the Regional Office Director
upon reconsideration determines that a fiduciary described in paragraph
(a)(2) of this section misused any part of a beneficiary's benefit paid
to the fiduciary, the Regional Office Director will reissue benefits to
the beneficiary's successor fiduciary in an amount equal to the amount
of funds misused.
(2) This paragraph (a) applies to a fiduciary that is:
(i) An individual who served 10 or more beneficiaries during any
month in which misuse occurred; or
(ii) A corporation or other entity serving one or more
beneficiaries.
(b) Negligence. In any case in which the Hub Manager or the
Regional Office Director upon reconsideration determines that an
individual fiduciary who served fewer than 10 beneficiaries during any
month in which misuse occurred misused a beneficiary's funds under
management by the fiduciary, the Hub Manager will refer the matter to
the Director, Pension and Fiduciary Service, for a determination of
whether VA negligence caused the misuse. The Regional Office Director
will reissue benefits to the beneficiary's successor fiduciary in an
amount equal to the amount of funds misused if the Director of the
Pension and Fiduciary Service determines that VA negligence caused the
misuse. The Pension and Fiduciary Service Director's negligence
determination will be based upon a review of the VA information of
record as of the date of the Hub Manager's or Regional Office
Director's misuse determination. For purposes of this section, VA
negligence causes misuse when:
(1) The Hub Manager failed to properly investigate or monitor the
fiduciary; for example, when:
(i) The Hub Manager failed to review the fiduciary's accounting
within 60 days after the date on which the accounting was scheduled for
review. The date that an accounting is scheduled for review is the date
the fiduciary hub receives the accounting;
(ii) The Hub Manager did not decide whether to investigate an
allegation of misuse within 60 days of receipt of the allegation;
(iii) After deciding to investigate an allegation of misuse and
finding misuse, the Hub Manager failed to initiate action within 60
days of receipt of the misuse allegation to terminate the fiduciary.
(2) Actual negligence by VA is shown. For purposes of this section,
actual negligence means the Hub Manager's failure to exercise toward a
beneficiary in the fiduciary program the care which a reasonable or
prudent person would exercise in the circumstances, or the Hub
Manager's taking action that a reasonable or prudent person would not
take. The Regional Office Director shall reissue benefits based on
actual negligence if the Director of the Pension and Fiduciary Service
determines that:
(i) The Hub Manager owed a duty to the beneficiary under this part,
(ii) The Hub Manager's action or failure to act was negligent, and
(iii) The Hub Manager's negligence proximately caused the misuse of
benefits by the fiduciary. For purposes of this section, proximate
cause means that the misuse would not have occurred but for the Hub
Manager's negligence.
(c) Recoupment of misused benefits. In all cases in which the Hub
Manager or Regional Office Director upon reconsideration determines
that a fiduciary misused benefits, VA will make a good faith effort to
recoup the total amount of misused benefits from the fiduciary.
(1) For purposes of this section, good faith effort means that the
Hub Manager will:
(i) Recover any misused benefits from the surety company, if a
surety bond was in place regarding protection of beneficiary funds; or
(ii) In cases in which no surety bond was in place and the
fiduciary does not repay all misused benefits within the time
prescribed by the Hub Manager in consultation with the fiduciary:
(A) Request the creation of a debt to the United States in the
amount of any misused benefits that remain unpaid; and
(B) Coordinate further recoupment action, including collection of
any debt owed by the fiduciary to the United States as a result of the
misuse, with the appropriate Federal and state agencies.
(2) VA will pay benefits recouped under paragraph (c) of this
section to the beneficiary's successor fiduciary after deducting any
amount reissued under paragraph (a) or (b) of this section.
(d) Notice. The Hub Manager, or in the case of a negligence
determination, the Director of the Pension and Fiduciary Service, will
provide the beneficiary or the beneficiary's legal guardian, and the
beneficiary's accredited representative, attorney or claims agent
written notice of any decision regarding reissuance or recoupment of
benefits under this section.
(Authority: 38 U.S.C. 501, 6106, 6107)
Sec. 13.500 Removal of fiduciaries.
(a) The Hub Manager may remove a fiduciary if the Hub Manager
determines that fiduciary services are no longer required for a
beneficiary or removal is in the beneficiary's interest. Reasons for
removal include, but are not limited to:
(1) Beneficiary reasons. (i) A VA rating authority determines that
the beneficiary can manage his or her own VA benefits without VA
supervision or appointment of a fiduciary;
(ii) The beneficiary requests appointment of a successor fiduciary
under Sec. 13.100;
(iii) The beneficiary requests supervised direct payment of
benefits under Sec. 13.110; or
(iv) The beneficiary dies.
(2) Fiduciary reasons. (i) The fiduciary's further service is
barred under Sec. 13.130;
(ii) The fiduciary fails to maintain his or her qualifications or
does not adequately perform the responsibilities of a fiduciary
prescribed in Sec. 13.140;
(iii) The fiduciary fails to timely submit a complete accounting as
prescribed in Sec. 13.280;
(iv) VA or a court with jurisdiction determines that the fiduciary
misused or misappropriated VA benefits;
(v) The fiduciary fails to respond to a VA request for information
within 30 days after such request is made, unless the Hub Manager
grants an extension based upon good cause shown by the fiduciary;
(vi) The fiduciary is unable or unwilling to provide the surety
bond prescribed by Sec. 13.230 or, if applicable, enter into a
restricted withdrawal agreement;
(vii) The fiduciary no longer meets the requirements for
appointment under Sec. 13.100; or
(viii) The fiduciary is unable or unwilling to manage the
beneficiary's benefit payments, accounts, or investments.
[[Page 32749]]
(b) Procedures. (1) If the Hub Manager determines that it is
necessary to remove a fiduciary and appoint a successor fiduciary, the
Hub Manager will:
(i) Provide the fiduciary and the beneficiary written notice of the
removal; and
(ii) Instruct the fiduciary regarding the fiduciary's
responsibilities prior to transfer of funds to a successor fiduciary or
provide other instructions to the fiduciary.
(2) The fiduciary must:
(i) Continue as fiduciary for the beneficiary until the Hub Manager
provides the fiduciary with the name and address of the successor
fiduciary and instructions regarding the transfer of funds to the
successor fiduciary; and
(ii) Not later than 30 days after transferring funds to the
successor fiduciary or as otherwise instructed by the Hub Manager,
provide the fiduciary hub a final accounting.
(Authority: 38 U.S.C. 501, 5502, 5507, 6106)
Sec. 13.510 Fiduciary withdrawals.
(a) General. A fiduciary may not withdraw as fiduciary for a
beneficiary until the fiduciary receives notice from the Hub Manager
regarding transfer of the beneficiary's funds to a successor fiduciary.
(b) Voluntary withdrawal. (1) Subject to the limitation prescribed
in paragraph (a) of this section, a fiduciary who has VA benefit funds
under management for a beneficiary may withdraw from the fiduciary
relationship with the beneficiary at any time if the fiduciary:
(i) Provides the fiduciary hub with jurisdiction written notice of
the fiduciary's intent to withdraw as fiduciary for the beneficiary;
(ii) Describes the reasons for withdrawal;
(iii) Continues as fiduciary for the beneficiary until the Hub
Manager provides the fiduciary with the name and address of the
successor fiduciary and instructions regarding the transfer of funds to
the successor fiduciary; and
(iv) Not later than 30 days after transferring funds to the
successor fiduciary or as otherwise instructed by the Hub Manager,
provides the fiduciary hub with jurisdiction a final accounting.
(2) Upon receipt of the notice of intent to withdraw prescribed in
paragraph (b)(1)(i) of this section, the Hub Manager will make a
reasonable effort under the circumstances to expedite the appointment
of a successor fiduciary. In determining the extent to which the
fiduciary hub must expedite the appointment of a successor fiduciary,
the Hub Manager will consider:
(i) The reasons for the withdrawal request provided under paragraph
(b)(1)(ii) of this section;
(ii) The number of beneficiaries affected;
(iii) The relationship between the affected beneficiary or
beneficiaries and the fiduciary; and
(iv) Whether expedited appointment of a successor fiduciary is
necessary to protect the interests of the beneficiary or beneficiaries.
(c) Notice. If a fiduciary requests to withdraw from service for a
beneficiary, the Hub Manager will provide the beneficiary or the
beneficiary's legal guardian, and the beneficiary's accredited
representative, attorney, or claims agent written notice of the
withdrawal request and the procedures for appointment of a successor
fiduciary.
(Authority: 38 U.S.C. 501, 5502)
Sec. 13.600 Appeals.
Except as prescribed in paragraph (a) of this section, VA decisions
regarding fiduciary matters are committed to the Secretary of Veterans
Affairs' discretion by law, as delegated to subordinate officials under
this part, and cannot be appealed to the Board of Veterans' Appeals or
any court.
(a) Appealable decisions. A beneficiary may appeal to the Board of
Veterans' Appeals the following decisions:
(1) The Hub Manager's appointment of a fiduciary under Sec.
13.100;
(2) The Hub Manager's removal of a fiduciary under Sec. 13.500;
(3) The Hub Manager's misuse determination under Sec. 13.400;
(4) The VA Regional Office Director's final decision upon
reconsideration of a misuse determination under Sec. 13.400(d); and
(5) The Director of the Pension and Fiduciary Service's negligence
determination for purposes of reissuance of benefits under Sec.
13.410.
(b) Procedures. (1) VA decisions regarding fiduciary matters are
final, subject only to the right of appeal prescribed in this section.
(2) The initiation and processing of appeals under this section are
governed by parts 19 and 20 of this chapter.
(Authority: 38 U.S.C. 501)
(Approved by the Office of Management and Budget under control
number 2900-0085.)
[FR Doc. 2018-14856 Filed 7-12-18; 8:45 am]
BILLING CODE 8320-01-P