IN THE CASE OF: BOARD DATE: 24 January 2023 DOCKET NUMBER: AR20220003675 APPLICANT REQUESTS: change her uncharacterized character of service to a medical discharge. APPLICANT'S SUPPORTING DOCUMENT(S) CONSIDERED BY THE BOARD: * DD Form 293 (Application for the Army Discharge Review Board) * DD Form 214 (Certificate of Release or Discharge from Active Duty) * DD Form 93 (Record of Emergency Data) FACTS: 1. The applicant did not file within the 3-year time frame provided in Title 10, United States Code (USC), section 1552 (b) (Correction of Military Records: Claims Incident Thereto). However, the Army Board for Correction of Military Records (ABCMR) conducted a substantive review of this case and determined it is in the interest of justice to excuse the applicant's failure to timely file. 2. The applicant states the Army discharged her because she tested positive for HIV (Human Immunodeficiency Virus), but she maintains, "I was not positive when I entered." a. The applicant further states she joined the Army on a 4-year enlistment contract, and "my physical taken showed me as HIV – by the time I shipped out to basic, I was HIV." b. The applicant continues, "While in Basic training I tested positive for HIV1 and was told that I would have to be sent home due to this reason. This was 2 weeks in, but I had to remain there to complete training. I stayed until the day before graduation." c. “I was told my discharge would be honorable + medical. I went to Fort Jackson for my training. While I was there, an enlisted private male physical(ly) assaulted me & tried to rape me. He was arrested, but I never felt safe until I left that base." 3. A review of the applicant's service records show: a. On 21 September 2001, the applicant underwent an enlistment physical; her DD Form 2808 (Report of Medical Examination) indicates, at the time, her HIV test results were negative, and the examining physician declared her qualified for service in the Army. b. On 8 July 2003 (more than 21 months after her entry physical), the applicant enlisted into the Regular Army for 4 years; orders transferred her to Fort Jackson, SC for BCT, and she arrived at her BCT unit, on or about 18 July 2003. c. On or about 18 August 2003, an Army civilian doctor completed an Optional Form 275 (Medical Record Report), in which he stated, "24 year old Soldier with positive human immunodeficiency virus test. Soldier was seen two weeks ago and had a negative GC and negative Chlamydia test." Under subjective and objective findings, the doctor wrote, "Soldier with positive HIV Test." d. On 18 August 2003, a medical evaluation board (MEB) determined the applicant failed medical retention standards because she was "Blood Donor Ineligible." The MEB cited paragraph 3-7h (Blood and Blood-Forming Tissue Diseases – HIV), Army Regulation (AR) 40-501 (Standards of Medical Fitness) failed medical retention standards and indicated her condition had existed prior to service (EPTS) and was not permanently aggravated by service. The board recommended the applicant's separation, under the provisions of AR 635-40 (Physical Evaluation for Retention, Retirement, or Separation), chapter 5 (Separation for Non-Service Aggravated, EPTS Conditions upon Soldier's Waiver of PEB (physical evaluation board) Evaluation); on 18 August 2003, the applicant concurred with the MEB's findings and recommendations. e. On 18 August 2003, the applicant requested discharge for physical disability based on the MEB's findings and recommendations. The applicant affirmed she had been fully informed and understood she was entitled to the same consideration and processing as any other Soldier separated for disability; however, she elected not to exercise her right. The applicant further affirmed she realized, if the separation authority approved her request, she would be separated due to having an EPTS condition and would receive a discharge "in keeping with the character of my service as decided by the officer designated to effect my separation." f. On 19 August 2003, the separation authority approved the applicant's separation; without declaring a character of service for the applicant, the separation authority directed, "[Applicant] will be separated from service IAW (in accordance with) chapter 5, AR 635-40." g. On 20 August 2003, orders discharged the applicant with an uncharacterized character of service; her DD Form 214 shows she was discharged under the provisions of AR 635-40, chapter 5, due to disability that existed prior to service. She received an uncharacterized discharge. She completed 1 month and 15 days of her 4-year enlistment contract. 4. AR 40-501, in effect at the time, prescribed policies and procedures for identifying and referring for Disability Evaluation System (DES) processing those Soldiers who failed the medical retention standards. a. Chapter 3 (Medical Fitness Standards for Retention and Separation, including Retirement) listed the various disqualifying medical conditions and/or physical defects requiring DES referral. b. Paragraph 3-7h stated that Soldiers should be referred to an MEB when "HIV confirmed antibody positivity, with the presence of progressive clinical illness or immunological deficiency. For regular Army soldiers and Reserve Component Soldiers on active duty for more than 30 days, an MEB must be accomplished and, if appropriate, the Soldier must be referred to a PEB under AR 635–40." 5. AR 635-40, in effect at the time, prescribed policies and procedures for the Army's implementation of the Disability Evaluation System (DES). a. Federal law established the DES, and its stated objectives were to maintain effective and fit military organizations with maximum use of available manpower; provide benefits for eligible Soldiers whose service were terminated due to a service- connected disability; and to provide prompt disability processing while ensuring the Soldiers' rights and the interests of both the government and Soldiers' were protected. b. Chapter 5 outlined procedures for the separation of Soldiers who had been on active duty for more than 30 days, had been identified with non-service aggravated EPTS conditions, and had waived physical evaluation board (PEB) evaluation. (1) Eligibility criteria for this provision required the Soldier to meet the following: * Eligible for referral into the DES * Failed medical retention standards, as determined by an MEB * Had a disqualifying defect or condition that existed prior to entry on current period of service and was not aggravated by that service * Was mentally competent * Knowledge of information about his or her medical conditions would not be harmful to the Soldier's well-being * Further hospitalization or institutional care was not required * After being advised of the right to a full and fair hearing, the Soldier desired to waive PEB action * Soldier had been advised that a PEB evaluation was required for the receipt of Army benefits, but waiver of the PEB would not prevent the Soldier from applying for Department of Veterans Affairs benefits (2) The regulation stated separation authorities were to execute the Soldier's separation expeditiously and issue an honorable or general under honorable conditions discharge; however, Soldiers in an entry-level status were to receive an uncharacterized character of service. 6. AR 635-200 (Personnel Separations – Enlisted Personnel), in effect at the time, included criteria for determining characters of service. Based on a Department of Defense change in policy and implemented by the Army in October 1982, Soldiers separated while in an entry-level status received uncharacterized characters of service; for Regular Army Soldiers, entry-level status began upon their entry on active duty and continued until they had either completed 180 days of continuous active duty service. 7. MEDICAL REVIEW: The Army Review Boards Agency (ARBA) Medical Advisor was asked to review this case. Documentation reviewed included the applicant’s ABCMR application and accompanying documentation, the military electronic medical record (AHLTA), the VA electronic medical record (JLV), the electronic Physical Evaluation Board (ePEB), the Medical Electronic Data Care History and Readiness Tracking (MEDCHART) application, and/or the Interactive Personnel Electronic Records Management System (iPERMS). The ARBA Medical Advisor made the following findings and recommendations: a. The applicant is applying to the ABCMR requesting, in essence, a referral to the Disability Evaluation System. She states: “I was discharged because I tested HIV positive. I was not positive when I entered. I want a medical discharge.” b. The Record of Proceedings details the applicant’s military service and the circumstances of the case. Her DD 214 shows he entered the regular Army on 8 July 2003 and received an uncharacterized discharge on 22 August 2003 under the provisions in Chapter 5 of AR 635-40, Physical Evaluation for Retention, Retirement, or Separation (17 October 1990): Separation for Non-Service Aggravated, EPTS {existed prior to service} Conditions upon Soldier's Waiver of PEB Evaluation. The military separation code KFN denotes “Disability, Existed Prior to Service, Med Board.” c. Chapter 5 of AR 635-40 allows a Soldier to waive a physical evaluation board (PEB) for a medical condition which fails medical retention standards but would be non- compensable because it existed prior to service and was not permanently aggravated by service. A medical evaluation board (MEB) is completed to validate these criteria have been met and separation under chapter 5 is applicable. The Soldier is advised that a PEB evaluation is required for receipt of Army disability benefits, but waiver of the PEB will not prevent applying for VA benefits. d. The applicant’s 21 September 2001 pre-entrance Report of Medical History and Report of Medical Examination show she was in good health, without significant medical history or conditions. Her HIV test at that time was negative. e. The applicant’s undated Medical Record Report states she had had undergone an evaluation for sexually transmitted diseases on 29 July 2003 and that her HIV test was positive. f. There were 22 months between her entrance physical with its negative HIV test and the date she entered the Army; the positive HIV test was done within three weeks of her entering the Army; seroconversion, the period during which the body starts producing detectable levels of HIV antibodies, usually occurs several weeks after initially contracting the virus; and no in-service mechanism for her to have contracted the virus immedicably after entering the service was identified. g. She was counseled on this positive test result and that it had been determined to have existed prior to her service. She requested separation for the Army and a waiver of a physical evaluation board on 18 August 2003: (1) I request discharge for physical disability based upon the findings and recommendations of a medical evaluation board (MEBD). The MEBD considers me unqualified for retention in the military service because of physical disability that was found to have existed prior to my entry into active service (EPTS). The MEBD found the disability neither incident to nor aggravated by my military service. (2) I have been fully informed and understand that I am entitled to the same consideration and processing as any other soldier of the Army separated for physical disability. I understand this includes consideration of my case by a Physical Evaluation Board (PEB). However, I elect not to exercise this right. I also understand the Department of Veterans Affairs (VA) will determine entitlement to VA benefits. (3) If this application is approved, I understand that I will be separated by reason of EPTS physical disability. I also understand that I will receive a discharge in keeping with the character of my service as decided by the officer designated to affect my separation.” h. On 18 August 2003, she concurred with the medical evaluation boards’ conclusion that she should be separated from the Army for this pre-existing condition. i. An uncharacterized discharge is given to individuals who separate prior to completing 180 days of military service, or when the discharge action was initiated prior to 180 days of service. This type of discharge does not attempt to characterize service as good or bad. Through no fault of his own, he simply had a medical condition which was, unfortunately, not within either enlistment or retention standards. j. It is the opinion of the Agency Medical Advisor that referral of her case to the DES is not warranted. BOARD DISCUSSION: After reviewing the application, all supporting documents, and the evidence found within the military record, the Board found that relief was not warranted. The applicant’s contentions, the military record, and regulatory guidance were carefully considered. a. The applicant was separated on 20 August 2003, under AR 635-40, chapter 5, due to disability that existed prior to service. She received an uncharacterized discharge. She completed 1 month and 15 days of active service. The Board reviewed and agreed with the medical advisory finding that there were 22 months between her entrance physical with its negative HIV test and the date she entered the Army; the positive HIV test was done within three weeks of her entering the Army; seroconversion, the period during which the body starts producing detectable levels of HIV antibodies, usually occurs several weeks after initially contracting the virus; and no in-service mechanism for her to have contracted the virus immedicably after entering the service was identified. She was counseled on this positive test result and that it had been determined to have existed prior to her service. She requested separation for the Army and a waiver of a physical evaluation board on 18 August 2003: b. An uncharacterized discharge is given to individuals who separate prior to completing 180 days of military service, or when the discharge action was initiated prior to 180 days of service. The Board determined that referral to the military’s disability evaluation system is not warranted in this case. BOARD VOTE: Mbr 1 Mbr 2 Mbr 3 : : : GRANT FULL RELIEF : : : GRANT PARTIAL RELIEF : : : GRANT FORMAL HEARING :X :X :X DENY APPLICATION BOARD DETERMINATION/RECOMMENDATION: The evidence presented does not demonstrate the existence of a probable error or injustice. Therefore, the Board determined the overall merits of this case are insufficient as a basis for correction of the records of the individual concerned. I certify that herein is recorded the true and complete record of the proceedings of the Army Board for Correction of Military Records in this case. REFERENCES: 1. Title 10, USC, section 1552(b), provides that applications for correction of military records must be filed within 3 years after discovery of the alleged error or injustice. This provision of law also allows the ABCMR to excuse an applicant's failure to timely file within the 3-year statute of limitations if the ABCMR determines it would be in the interest of justice to do so. 2. Title 10, United State Code, section 1556 (Ex Parte Communications Prohibited) provides the Secretary of the Army shall ensure that an applicant seeking corrective action by ARBA is provided a copy of all correspondence and communications, including summaries of verbal communications, with any agencies or persons external to agency or board, or a member of the staff of the agency or Board, that directly pertains to or has material effect on the applicant's case, except as authorized by statute. 3. AR 40-501, in effect at the time, prescribed policies and procedures for identifying and referring for DES processing those Soldiers who failed the medical retention standards. a. Chapter 3 listed the various disqualifying medical conditions and/or physical defects requiring DES referral. b. Paragraph 3-7h stated Soldiers should be referred to an MEB when "HIV confirmed antibody positivity, with the presence of progressive clinical illness or immunological deficiency. For regular Army soldiers and Reserve Component Soldiers on active duty for more than 30 days, an MEB must be accomplished and, if appropriate, the Soldier must be referred to a PEB under AR 635–40." 4. AR 635-40, in effect at the time, prescribed policies and procedures for the Army's implementation of the Disability Evaluation System (DES). a. Federal law established the DES, and its stated objectives were to maintain effective and fit military organizations with maximum use of available manpower; provide benefits for eligible Soldiers whose service were terminated due to a service- connected disability; and to provide prompt disability processing while ensuring the Soldiers' rights and the interests of both the government and Soldiers' were protected. b. Chapter 5 outlined procedures for the separation of Soldiers who had been on active duty for more than 30 days, had been identified with non-service aggravated EPTS conditions, and had waived physical evaluation board (PEB) evaluation. (1) Eligibility criteria for this provision required the Soldier meet the following: * Eligible for referral into the DES * Failed medical retention standards, as determined by an MEB * Disqualifying defect or condition existed prior to entry on current period of service and was not aggravated by that service * Mentally competent * Knowledge of information about his or her medical conditions would not be harmful to the Soldier's well-being * Further hospitalization or institutional care was not required * After being advised of the right to a full and fair hearing, the Soldier desired to waive PEB action * Soldier had been advised that a PEB evaluation was required for the receipt of Army benefits, but waiver of the PEB would not prevent the Soldier from applying for Department of Veterans Affairs benefits (2) The regulation stated separation authorities were to execute the Soldier's separation expeditiously and issue an honorable or general under honorable conditions discharge; Soldiers in an entry-level status received an uncharacterized character of service. 5. AR 635-200 (Personnel Separations – Enlisted Personnel), in effect at the time, identified criteria for determining characters of service. Based on a Department of Defense change in policy and implemented by the Army in October 1982, Soldiers separated while in an entry-level status received uncharacterized characters of service; for Regular Army Soldiers, entry-level status began upon their entry on active duty and continued until they had either completed 180 days of continuous active duty service. 6. On 25?August 2017, the Office of the Undersecretary of Defense for Personnel and Readiness issued clarifying guidance for the Secretary of Defense Directive to DRBs and BCM/NRs when considering requests by Veterans for modification of their discharges due in whole or in part to: mental health conditions, including PTSD; Traumatic Brain Injury; sexual assault; or sexual harassment. Boards are to give liberal consideration to Veterans petitioning for discharge relief when the application for relief is based in whole or in part to those conditions or experiences. The guidance further describes evidence sources and criteria and requires Boards to consider the conditions or experiences presented in evidence as potential mitigation for misconduct that led to the discharge. 7. On 25?July 2018, the Under Secretary of Defense for Personnel and Readiness issued guidance to Military DRBs and BCM/NRs regarding equity, injustice, or clemency determinations. Clemency generally refers to relief specifically granted from a criminal sentence. BCM/NRs may grant clemency regardless of the type of court-martial. However, the guidance applies to more than clemency from a sentencing in a court- martial; it also applies to other corrections, including changes in a discharge, which may be warranted based on equity or relief from injustice. a. This guidance does not mandate relief, but rather provides standards and principles to guide Boards in application of their equitable relief authority. In determining whether to grant relief on the basis of equity, injustice, or clemency grounds, BCM/NRs shall consider the prospect for rehabilitation, external evidence, sworn testimony, policy changes, relative severity of misconduct, mental and behavioral health conditions, official governmental acknowledgement that a relevant error or injustice was committed, and uniformity of punishment. b. Changes to the narrative reason for discharge and/or an upgraded character of service granted solely on equity, injustice, or clemency grounds normally should not result in separation pay, retroactive promotions, and payment of past medical expenses or similar benefits that might have been received if the original discharge had been for the revised reason or had the upgraded service characterization. //NOTHING FOLLOWS// ABCMR Record of Proceedings (cont) AR20220003675 1 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS 1