Caswell v. Califano

435 F. Supp. 127, 1977 U.S. Dist. LEXIS 14916
CourtDistrict Court, D. Maine
DecidedJuly 19, 1977
DocketCiv. 76-25-ND
StatusPublished
Cited by13 cases

This text of 435 F. Supp. 127 (Caswell v. Califano) is published on Counsel Stack Legal Research, covering District Court, D. Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Caswell v. Califano, 435 F. Supp. 127, 1977 U.S. Dist. LEXIS 14916 (D. Me. 1977).

Opinion

OPINION AND ORDER OF THE COURT

GIGNOUX, District Judge.

Leonard Caswell and seven other named plaintiffs 1 have brought this action on behalf of themselves and all others similarly situated against the Secretary of the Department of Health, Education, and Welfare seeking an end to extensive delays in the scheduling of the administrative hearings afforded to applicants for Social Security disability benefits under Title II of the Social Security Act, 42 U.S.C. §§ 405(b), 423, and its implementing regulation, 20 C.F.R. § 404.917. The complaint sets forth three causes of action against the Secretary: (1) Count I alleges that failure to provide a prompt hearing to challenge the denial of benefits violates 42 U.S.C. §§ 405(b), 423; (2) Count II asserts a violation of the sections of the Administrative Procedure Act, 5 U.S.C. §§ 555(b), 706(1), which provide that agency action must be taken “within a reasonable time” and that a federal court may compel agency action unreasonably delayed; and (3) Count III alleges a deprivation of a statutory benefit without due process of law in violation of the Fifth Amendment. Jurisdiction is variously asserted pursuant to 28 U.S.C. §§ 1331 and 1361; 5 U.S.C. §§ 701-704, 706; and 42 U.S.C. § 405(g). The amount in controversy is alleged to exceed $10,000, exclusive of interest and costs. Plaintiffs seek a declaratory judgment pursuant to 28 U.S.C. §§ 2201 and 2202 and injunctive relief mandating a time limit within which the statutory hearings must be held. They also request that defendant be directed to provide interim disability benefits to those applicants for whom hearings are not scheduled in accordance with the Court’s order. Ninety days is advanced as the optimum time period in which a hearing should be scheduled. 2

By order of May 5, 1976, and without objection, plaintiffs’ class was certified as all residents of the District of Maine who have applied for Social Security disability benefits pursuant to 42 U.S.C. § 423; who have received a notice of initial determination from defendant denying their applications; who have received a notice of reconsideration determination from defendant affirming the initial denial; who have filed a timely request for hearing pursuant to 42 U.S.C. § 405; whose request for hearing has been pending for sixty days or longer; and for whom a hearing date has not been scheduled. Plaintiffs and defendant have attempted over the past year to achieve an informal reconciliation and settlement that would dispose of the pending backlog of Social Security disability cases and assure timely disposition of future requests for hearing. These efforts have, however, reached an impasse.

Presently before the Court is plaintiffs’ motion for summary judgment. Concurring with the views expressed by the three district courts which have granted relief in analogous cases (Barnett v. Weinberger, Civ. No. 74-270 (D.Vt. opinions of May 5, 1975, January 13, 1976) and Barnett v. Mathews (D.Vt. opinion of February 22, 1977); White v. Mathews, 434 F.Supp. 1252 (D.Conn.1976); Blankenship v. Mathews, Civ. No. C 75-0185 L(A) (W.D.Ky. opinion of May 6, 1976), the Court holds that it has jurisdiction of the action; that the pleadings, answers to interrogatories, affidavits and admissions on file show that there is no genuine issue as to any material fact; and that plaintiffs are entitled to a judgment as a matter of law. Fed.R.Civ.P. 56(c). Plaintiffs’ motion for summary judgment is therefore granted.

*130 I.

Factual Background

A. Statutory and Regulatory Provisions The Title II disability insurance program is administered jointly by state and federal agencies. The initial determination whether a covered worker is disabled is made by the state agency pursuant to standards and procedures prescribed by the Secretary, 42 U.S.C. § 421(a), (b). 3 To establish an initial entitlement to disability benefits under Title II, a wage earner must demonstrate that he is unable

to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can expected to last for a continuous period of not less than 12 months .

42 U.S.C. § 423(d)(1)(A). The evidence presented by the applicant must establish the existence of a disability by means of “medically acceptable clinical and laboratory diagnostic techniques,” id. § 423(d)(3), and that the disability is of such severity that

[the applicant] is not only unable to do his previous work but cannot, considering his age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy, regardless of whether such work exists in the immediate area in which he lives, or whether specific job vacancy exists for him, or whether he would be hired if he applied for work.

Id. § 423(d)(2)(A). Eligibility for disability benefits is not based directly on financial need. The level of benefit payments is based on several factors, including age and the prior average monthly earnings of the applicant while employed.

Once a wage earner files an application for benefits under § 423, an initial determination of eligibility is made by the Social Security Administration (SSA). 20 C.F.R. §§ 404.905-404.908. If the result is adverse to the applicant, he may request de novo reconsideration of the decision and submit additional evidence. 20 C.F.R. §§ 404.909-404.916.

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Related

Cobell v. Norton
283 F. Supp. 2d 66 (District of Columbia, 2003)
Matawan Regional Teachers Ass'n v. Matawan-Aberdeen Regional Board of Education
514 A.2d 1361 (New Jersey Superior Court App Division, 1986)
Sullivan v. Heckler
602 F. Supp. 85 (D. Maryland, 1985)
Goins v. Harris
487 F. Supp. 1200 (N.D. Iowa, 1980)
McMahon v. Califano
476 F. Supp. 978 (D. Massachusetts, 1979)
Cockrum v. Califano
475 F. Supp. 1222 (District of Columbia, 1979)
Northeast Emergency Medical Associates, P. C. v. Califano
470 F. Supp. 1111 (E.D. Pennsylvania, 1979)
Wilkinson v. Abrams
81 F.R.D. 52 (E.D. Pennsylvania, 1978)
Leonard Caswell v. Joseph A. Califano, Jr., Etc.
583 F.2d 9 (First Circuit, 1978)
Barnett v. Califano
580 F.2d 28 (Second Circuit, 1978)

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Bluebook (online)
435 F. Supp. 127, 1977 U.S. Dist. LEXIS 14916, Counsel Stack Legal Research, https://law.counselstack.com/opinion/caswell-v-califano-med-1977.