Ferraro v. Secretary of the United States Department of Health & Human Services

770 F. Supp. 100, 1991 U.S. Dist. LEXIS 11705, 1991 WL 162895
CourtDistrict Court, E.D. New York
DecidedAugust 14, 1991
DocketNo. CV 90-1489
StatusPublished
Cited by1 cases

This text of 770 F. Supp. 100 (Ferraro v. Secretary of the United States Department of Health & Human Services) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ferraro v. Secretary of the United States Department of Health & Human Services, 770 F. Supp. 100, 1991 U.S. Dist. LEXIS 11705, 1991 WL 162895 (E.D.N.Y. 1991).

Opinion

WEXLER, District Judge.

In the above-referenced action, plaintiff Patricia Ferraro (“plaintiff”) originally sought a review of a final determination by the Secretary of Health and Human Services (“Secretary”) which denied plaintiff’s application for disability insurance benefits, pursuant to the Social Security Act, 42 U.S.C. § 405(g). Defendant Louis Sullivan, the Secretary, moves to remand this case for a new hearing. Plaintiff opposes the Secretary’s motion to remand, and seeks an order affirming the granting of disability benefits sought by plaintiff’s application. After a brief review of the background facts, the Court will turn to consider the parties’ current applications.

BACKGROUND

Plaintiff initially filed for disability benefits with Health and Human Services in April of 1977. That application was denied. On July 11, 1977, the denial was affirmed on reconsideration. At that point, plaintiff did not appeal the denial any further. [101]*101On August 31, 1988, plaintiff refiled for disability benefits and alleged an onset date for her disability of June 6, 1975. That application was denied on February 28, 1989, and the denial was affirmed on reconsideration. Plaintiff filed a timely request for a hearing, which was granted and ultimately heard by Administrative Law Judge Joseph Halpem (the “AU”). In a decision dated September 26, 1989, the AU found, inter alia: (1) that plaintiff last met the insured status of the Social Security Act for disability purposes on December 31, 1980; (2) that plaintiff was disabled due to her orthopedic impairments and was entitled to a period of disability from June 5, 1975 to May 31, 1978; (3) that plaintiff became disabled again on October 19,1982, and was entitled to a new period of disability commencing on that date; and (4) that finding the plaintiff disabled from June 6, 1975 to March 8, 1978 extended her last insured date to March 31, 1983, which was subsequent to the October 19, 1982 date from which she had proven disability. The AU’s decision does not indicate whether or not he had knowledge of plaintiff’s initial application for benefits in April 1977. This Court is unable to review the complete record of the administrative hearing because the Secretary cannot locate the audiotape of the hearing, and therefore no transcript exists.

On February 5, 1990, the Appeals Council reopened the AU’s decision on its own initiative, pursuant to 20 C.F.R. § 404.988. In a letter dated February 20, 1990, plaintiff challenged the Appeals Council’s authority to review a hearing decision sua sponte 131 days after the decision was rendered. On March 30, 1990, the Council found that plaintiff’s rejected application of April 1977 was a final and binding determination which could not be reopened and that plaintiff’s insured status was improperly extended beyond December 31, 1980. In sum, the Council found that plaintiff was not entitled to benefits for either period of disability.

DISCUSSION

In the case at bar, plaintiff renews her contention that the Appeals Council did not have jurisdiction to reopen the AU’s decision. The Appeals Council is permitted to review, sua sponte, a decision by an AU pursuant to 20 C.F.R. § 404.969. That regulation states:

Anytime within 60 days after the date of a hearing decision or dismissal, the Appeals Council itself may decide to review the action that was taken. If the Appeals Council does review the hearing decision or dismissal, notice of the action will be mailed to all parties at their last known address.

20 C.F.R. § 404.969 (1990). In the case at bar, the Appeals Council reopened the AU’s decision two months after the sixty-day limit had run. Plaintiff contends that the Appeals Council exceeded its authority, and requests a reinstatement of the AU’s decision.

The Secretary, on the other hand, argues that the Appeals Council properly reopened the AU’s decision pursuant to 20 C.F.R. § 404.988.1 The denial of plaintiff’s initial application for disability benefits on February 28, 1989, signified the “initial determination” of plaintiff’s claim for the purposes of the regulation. The Appeals Council reopened the AU’s decision less than one year later on February 5, 1990.

The courts of appeals which have directly addressed the issue at bar have rendered inconsistent decisions. The First and Eleventh Circuits have held that the Appeals [102]*102Council may not reopen a social security disability claim on its own initiative more than sixty days after the AU’s decision is issued. See McCuin v. Secretary of Health and Human Servs., 817 F.2d 161, 174 (1st Cir.1987); Butterworth v. Bowen, 796 F.2d 1379, 1386 (11th Cir.1986). However, the majority of circuits have supported the Secretary’s interpretation of the regulations by allowing the Appeals Council to reopen a case within twelve months, without cause, pursuant to 20 C.F.R. § 404.988. See Zimmerman v. Heckler, 774 F.2d 615, 617 (4th Cir.1985); Cieutat v. Bowen, 824 F.2d 348, 354-55 (5th Cir.1987); Fox v. Bowen, 835 F.2d 1159, 1163 (6th Cir.1987); Munsinger v. Schweiker, 709 F.2d 1212, 1216 (8th Cir.1983); Overend v. Sullivan, 879 F.2d 673, 675 (9th Cir.1989); Descheenie on Behalf of Descheenie v. Bowen, 850 F.2d 624, 627 (10th Cir.1988); Sheppard v. Sullivan, 906 F.2d 756, 758-59 (D.C.Cir.1990).

In Gutierrez v. Bowen, 898 F.2d 307 (2d Cir.1990), the plaintiff claimed that the Appeals Council’s decision to reopen her favorable administrative decision sua sponte was improper. Although the Second Circuit noted that the First Circuit’s rationale in McCuin was “persuasive”, id. at 310, the Court did not take the opportunity to affirmatively decide the issue presented.

This Court finds that the sixty-day limit for sua sponte

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
770 F. Supp. 100, 1991 U.S. Dist. LEXIS 11705, 1991 WL 162895, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ferraro-v-secretary-of-the-united-states-department-of-health-human-nyed-1991.