Ford v. Shalala

87 F. Supp. 2d 163, 1999 U.S. Dist. LEXIS 21638, 68 Soc. Serv. Rev. 102
CourtDistrict Court, E.D. New York
DecidedSeptember 29, 1999
DocketCV-94-2736CPSSMG
StatusPublished
Cited by10 cases

This text of 87 F. Supp. 2d 163 (Ford v. Shalala) 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
Ford v. Shalala, 87 F. Supp. 2d 163, 1999 U.S. Dist. LEXIS 21638, 68 Soc. Serv. Rev. 102 (E.D.N.Y. 1999).

Opinion

MEMORANDUM DECISION AND ORDER

SIFTON, Chief Judge.

This is an action brought by plaintiff, Robert Ford, individually and on behalf of all others similarly situated, against defen-. dant Secretary of the United States Department of Health and Human Services (“HHS”), 1 alleging due process violations due to inadequacies in written notices to *165 Supplemental Security Income Program (“SSI”) beneficiaries and equal protection violations said to be the result of defendant’s failure to promulgate regulations requiring that SSI beneficiaries receive information in their benefit notices equivalent to that received by beneficiaries of other federal entitlement programs. The matter was tried before the undersigned sitting without a jury. For the reasons set forth below, I conclude that defendant’s current notices are constitutionally defective because they violate plaintiffs’ rights to due process of law. What follows sets forth the findings of fact and conclusions of law on which this determination is based, as required by Fed.R.Civ.P. 52(a). Plaintiffs’ claim that defendant’s notices violate plaintiffs’ equal protection rights is dismissed because a rational basis exists that distinguishes the differences between the notices at issue.

BACKGROUND

The SSI program was created by Congress in 1972 to provide a national program, administered by the Social Security Administration (“SSA”), to provide supplemental security income to individuals who have attained the age of 65 or are blind or disabled. See 42 U.S.C. § 1381. The SSI program replaced various state programs providing assistance to the aged, blind, and disabled (“AABD”). See Pub.L. No. 92-603 § 303(b).

In order to be entitled to benefits, applicants for SSI must show (1) their “categorical” eligibility, i.e., their status within the statutory categories of aged, blind, or disabled, and (2) their financial eligibility. See 42- U.S.C. §§ 1382, 1382a, 1382b, 1382c; 20 C.F.R. §§ 416.202, 416.202 Sub-parts K and L. Once SSI benefits are awarded, the SSI recipient must periodically demonstrate continuing eligibility in order to retain them. See 42 U.S.C. §§ 1382 et seq.

The amount of SSI benefits payable to an SSI claimant 2 is determined by SSA based on the claimant’s income, resources, 3 and other relevant characteristics. 4 See 42 U.S.C. § 1382(c)(1). SSI payments are made up of a federal benefit, plus an optional state supplement available in many states, less the amount of non-excluded or “countable” income a claimant receives. See 42 U.S.C. §§ 1382(b)(1), 1382a(a), 1382e(a). A claimant’s SSI eligibility for a given month is generally based on his or her income, resources, and other characteristics for that month, but the amount of SSI benefits is usually determined based on income in the immediately preceding month. See 42 U.S.C. § 1382(c); Tr. at 66, 209. 5 Other characteristics that can affect a claimant’s eligibility for, and the amount of, SSI benefits include the claimant’s living arrangements, for example, whether a claimant is staying in a hospital or nursing home, is an inmate in a prison or other public institution, is outside the United States, or is living in a homeless shelter. See 42 U.S.C. §§ 1382(e), (f).

To qualify for SSI, an individual claimant cannot possess resources in excess of $2,000, and a claimant couple cannot possess resources in excess of $3,000. (Tr. at 18, 24, 202.) SSA is required by statute to exclude from resource calculations the full value of a claimant’s homestead, the value of household goods and personal effects up to $2,000, the value of an automobile up to $4,500 (or the full value of the automobile if it is necessary for employment or medi *166 cal treatment or if it is modified for operation by a handicapped person), the cash surrender value of life insurance policies if their total face value does not exceed $1,500, the value of burial funds up to $1,500, and the full value of property used for self-support. See 42 U.S.C. §§ 1382b(a), (d); 20 C.F.R. § 416.1218(b).

For certain claimants, the resources of other persons are deemed to be available to the claimant whether or not the claimant actually owns or has access to these resources. See 42 U.S.C. § 1382c(f). Thus, the resources of a cohabiting spouse are deemed to be available to the claimant spouse, and the non-excluded resources of a cohabiting parent and/or parent’s spouse are deemed to be available to a claimant child. See 42 U.S.C. § 1382e(f)(l).

In 1997, SSA denied 40,500 SSI applications and suspended 35,500 claimants from continued receipt of SSI benefits on the basis of excess resources. (Ex. 24A at 29, 32.) 6 Given the number of factors that may be considered in determining financial eligibility, the amount and extent of a claimant’s countable resources is an eligibility factor that is subject to frequent change, thereby affecting the level of payments on a regular basis. (Tr. at 26, 27; Ex. 24A at 10.)

SSA is, by statute, required to provide “reasonable notice” to claimants of any determination regarding the claimant’s eligibility for, or regarding the amount of, the claimant’s benefits. 42 U.S.C. § 1383(c)(1)(A). SSI notices must, again by statute, be written in simple and clear language. See 42 U.S.C. § 1383(o). Regulations issued by SSA require that SSA give the claimant written notice of any initial determination of eligibility or amount of benefits and the reasons for the determination. 20 C.F.R.

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

Related

Brooks v. Roberts
251 F. Supp. 3d 401 (N.D. New York, 2017)
Davis v. Proud
2 F. Supp. 3d 460 (E.D. New York, 2014)
Baker v. STATE, DHSS
191 P.3d 1005 (Alaska Supreme Court, 2008)
Calef Ex Rel. Calef v. Barnhart
309 F. Supp. 2d 425 (E.D. New York, 2004)
Kapps v. Wing
283 F. Supp. 2d 866 (E.D. New York, 2003)
Connecticut State Department of Social Services v. Thompson
242 F. Supp. 2d 127 (D. Connecticut, 2003)
Hecht v. Barnhart
217 F. Supp. 2d 356 (E.D. New York, 2002)
Healey v. Thompson
186 F. Supp. 2d 105 (D. Connecticut, 2001)
Henrietta D. v. Giuliani
119 F. Supp. 2d 181 (E.D. New York, 2000)

Cite This Page — Counsel Stack

Bluebook (online)
87 F. Supp. 2d 163, 1999 U.S. Dist. LEXIS 21638, 68 Soc. Serv. Rev. 102, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ford-v-shalala-nyed-1999.