20 soc.sec.rep.ser. 60, unempl.ins.rep. Cch 17,696 Claire McDonald v. Secretary of Health and Human Services

834 F.2d 1085, 1987 U.S. App. LEXIS 16089, 1987 WL 20928
CourtCourt of Appeals for the First Circuit
DecidedDecember 8, 1987
Docket87-1261
StatusPublished
Cited by20 cases

This text of 834 F.2d 1085 (20 soc.sec.rep.ser. 60, unempl.ins.rep. Cch 17,696 Claire McDonald v. Secretary of Health and Human Services) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
20 soc.sec.rep.ser. 60, unempl.ins.rep. Cch 17,696 Claire McDonald v. Secretary of Health and Human Services, 834 F.2d 1085, 1987 U.S. App. LEXIS 16089, 1987 WL 20928 (1st Cir. 1987).

Opinion

LEVIN H. CAMPBELL, Chief Judge.

This is an appeal by the Secretary of Health and Human Services (the Secretary) from two remedial orders of the district court that were issued as an aftermath to our 1986 decision on the merits of this class action. McDonald v. Secretary of Health & Human Services, 795 F.2d 1118 (1st Cir.1986). In that decision, we reversed the district court and upheld the so-called step 2 severity regulation as construed by the Secretary in his Ruling 85-28. The Supreme Court has also since sustained the step 2 regulation. Bowen v. Yuckert, — U.S. —, 107 S.Ct. 2287, 96 L.Ed.2d 119 (1987). While reversing the district court's rejection of the severity regulation, we affirmed its overturning of the Secretary’s pre-1984 refusal to consider the combined effects of non-severe impairments. McDonald, 795 F.2d at 1126-27.

Upon remand the district court issued the two orders from which the Secretary now appeals. These orders would revitalize disability claims of class members that lay dormant in the administrative pipeline during the pendency of this case. The first order, dated January 29, 1987, directed the Secretary to notify members of the plaintiff class — consisting of Massachusetts residents whose disability claims were administratively denied at step 2 while the litigation challenging step 2 was ongoing — that they could now resume the Secretary’s re *1087 view process, including review of their step 2 denial. The second appealed order, dated April 10, 1986, provided time deadlines and procedures for implementation of the earlier order.

The issue in this appeal is whether the district court had the jurisdiction and authority to direct the Secretary to permit class members who, during the pendency of this case, failed to appeal to the next administrative review level within the allowed 60-day period, to seek such administrative review now.

We sustain the district court.

I.

Before proceeding, we mention the context in which this narrow issue arises. The appeals before us stem from two federal social security disability benefits programs. Title II of the Social Security Act provides for the payment of insurance benefits to contributors who suffer from physical or mental disability. 42 U.S.C. § 423(a)(1)(D) (1982 & Supp. III). Title XVI provides for the payment of disability benefits to indigent persons under the supplemental security income program. 42 U.S.C. § 1382(a). For both programs, the Secretary of Health and Human Services considers a claimant “disabled” if he or she is unable “to engage in any substantial and gainful activity by reason of any medically determinable physical or mental impairment....” 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). In order to make such a determination, the Secretary has since 1976 utilized a five-step sequential inquiry that includes the “step 2” inquiry challenged in this case. 20 C.F.R. §§ 404.1520, 416.903 (1986).

An initial determination of the claimant’s disabled status is made by a state agency under the authority and supervision of the Secretary. 42 U.S.C. §§ 421(a), 1383b(a); 20 C.F.R. §§ 404.1503, 416.903. If the state agency makes a finding of no disability, the applicant has available several levels of administrative review within which to seek a different outcome. In each instance, he or she must request review at the next administrative level within 60 days of receipt of an adverse determination at the preceding level. The prior determination becomes binding if review is not sought within the proper time limits. 42 U.S.C. §§ 405(b)(1), 1383(c)(1) (1982 & Supp. Ill); 20 C.F.R. §§ 404.904, 404.905(a), 404.-929, 404.967 et seq., §§ 416.1404, 416.1405, 416.1409(a), 416.1429, 416.1467 et seq., §§ 422.01 et seq. (1986).

Once having obtained a “final decision” of the Secretary, the claimant may within 60 days obtain judicial review of such decision by bringing a civil action in the federal district court. 42 U.S.C. § 405(g) (1982). See generally Bowen v. Yuckert, — U.S. —, 107 S.Ct. 2287, 96 L.Ed.2d 119 (1987); Bowen v. City of New York, 476 U.S. 467, 106 S.Ct. 2022, 90 L.Ed.2d 462 (1986); McDonald v. Secretary of Health & Human Services, 795 F.2d 1118 (1st Cir.1986). In general, section 405(g) provides the only avenue for judicial review of the Secretary’s disposition of benefits. See page 1089 infra.

The plaintiffs instituted this class action for the purpose of challenging, inter alia, the legality of step 2 of the sequential inquiry established in the Secretary’s regulations. They initially met with success in the district court, but on appeal this court held that the severity regulations, as interpreted by the Secretary in Ruling 85-28, issued in October 1985, were valid under the Social Security Act as a de minimis screening device. McDonald, 795 F.2d 1118. This court vacated the district court’s injunction. We remanded the disability cases of the named plaintiffs “for any action in their pending individual review petitions as may be appropriate, including determination (in review petitions properly before the court) of whether the proper standard, as set forth in Ruling 85-28 and this opinion were applied by the Secretary when their claims were denied as not severe.” Id. at 1126. With respect to the class plaintiffs, we stated that “because we assume that the Secretary will hereafter endeavor to apply the proper standards at the severity stage, we shall expect all claimants, including those who were members of the class certified by the *1088 district court, who have not yet exhausted their administrative remedies to do so before seeking review in the district court.” Id. (emphasis supplied).

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834 F.2d 1085, 1987 U.S. App. LEXIS 16089, 1987 WL 20928, Counsel Stack Legal Research, https://law.counselstack.com/opinion/20-socsecrepser-60-unemplinsrep-cch-17696-claire-mcdonald-v-ca1-1987.