Heckler v. Day

467 U.S. 104, 104 S. Ct. 2249, 81 L. Ed. 2d 88, 1984 U.S. LEXIS 89, 52 U.S.L.W. 4636
CourtSupreme Court of the United States
DecidedMay 22, 1984
Docket82-1371
StatusPublished
Cited by199 cases

This text of 467 U.S. 104 (Heckler v. Day) is published on Counsel Stack Legal Research, covering Supreme Court of the United States primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Heckler v. Day, 467 U.S. 104, 104 S. Ct. 2249, 81 L. Ed. 2d 88, 1984 U.S. LEXIS 89, 52 U.S.L.W. 4636 (1984).

Opinions

Justice Powell

delivered the opinion of the Court.

The question presented is the validity of an injunction issued on behalf of a statewide class that requires the Secretary of Health and Human Services to adjudicate all future disputed disability claims under Title II of the Social Security Act, 42 U. S. C. §401 et seq., according to judicially established deadlines and to pay interim benefits in all cases of noncompliance with those deadlines.

h-H

Title II of the Social Security Act (Act) was passed m 1935. 49 Stat. 622, as amended, 42 U. S. C. §401 et seq. Among other things, it provides for the payment of disability insur-[106]*106anee benefits to those whose disability prevents them from pursuing gainful employment. 42 U. S. C. §423.1 Disability benefits also are payable under the Supplemental Security Income (SSI) program established by Title XVI of the Act, 76 Stat. 197, as amended, 42 U. S. C. § 1381. The disability programs administered under Titles II and XVI “are of a size and extent difficult to comprehend.” Richardson v. Perales, 402 U. S. 389, 399 (1971). Approximately two million disability claims were filed under these two Titles in fiscal year 1983.2 Over 320,000 of these claims must be heard by some 800 administrative law judges each year.3 To facilitate the orderly and sympathetic administration of the disability program of Title II, the Secretary and Congress have established an unusually protective four-step process for the review and adjudication of disputed claims. First, a state agency determines whether the claimant has a disability and the date the disability began or ceased.4 42 U. S. C. § 421(a); 20 CFR § 404.1503 (1983). Second, if the claimant is dissatisfied with that determination, he may request reconsideration of the determination. This involves a de novo reconsideration of the disability claim by the state agency, [107]*107and in some cases a full evidentiary hearing. §§404.907-404.921. Additional evidence may be submitted at this stage, either on the request of the claimant or by order of the agency. Third, if the claimant receives an adverse reconsideration determination, he is entitled by statute to an evidentiary hearing and to a de novo review by an Administrative Law Judge (ALJ). 42 U. S. C. §405(b); 20 CFR §§404.929-404.961 (1983). Finally, if the claimant is dissatisfied with the decision of the ALJ, he may take an appeal to the Appeals Council of the Department of Health and Human Services (HHS).5 §§404.967-404.983. These four steps exhaust the claimant’s administrative remedies. Thereafter, he may seek judicial review in federal district court. 42 U. S. C. § 405(g).

In this class action, the named plaintiffs sought declaratory and injunctive relief from delays encountered in steps two and three above. The action was initiated by Leon Day in November 1978 after his disability benefits were terminated and he suffered substantial delays in obtaining a reconsideration determination and in securing a hearing before an ALJ.6 After suffering similar delays, Amedie Maurais intervened in the action.7 On June 14, 1979, the District Court certified a statewide class consisting of:

“All present and future Vermont residents seeking to secure Social Security disability benefits who, following an initial determination by the defendant that no disability [108]*108exists, experience an unreasonable delay in the scheduling of and/or issuance of decisions in reconsiderations and fair hearings.” App. to Pet. for Cert. 12a, n. 1.

Plaintiffs argued before the District Court that the delays they had experienced violated their statutory right under 42 U. S. C. § 405(b) (1976 ed., Supp. V) to a hearing within a reasonable time.8 Both parties submitted the case to the District Court on motions for summary judgment. On the basis of the undisputed evidence, the District Court held that, as to all claimants for Title II disability benefits in Vermont, delays of more than 90 days from a request for hearing before an ALJ to the hearing itself were unreasonable.9 It granted partial summary judgment to the plaintiff class on that issue in December 1979.

After the submission of additional evidence, the District Court considered motions for summary judgment concerning the reasonableness of delays in the reconsideration process. The additional evidence also was undisputed. It consisted of factual summaries of 77 randomly selected disability cases submitted by the Secretary. The District Court noted that the “summaries support the positions of both parties. They show the reconsideration process is often time consuming and [109]*109complex. They also show that the process is replete with unexplained delay; other requests are processed with commendable dispatch.” App. to Pet. for Cert. 25a. In 27 of the 77 cases, reconsideration determinations took longer than 90 days. In each of these 27, the District Court concluded that the delays were caused by agency inefficiencies and were not justified by the “necessary steps in the reconsideration process.” Id., at 28a. On the basis of this survey, the District Court concluded that, as a rule, delays of more than 90 days in making reconsideration determinations were unreasonable and violated the claimant’s statutory rights.10 In August 1981, the District Court granted summary judgment for respondents on the reconsideration aspect of the case.

In November 1981, the District Court issued an injunction in favor of the statewide class that “ordered and directed [the Secretary] to conclude reconsideration processing and issue reconsideration determinations within 90 days of requests for reconsideration made by claimants.”11 The injunction also required ALJs to provide hearings within 90 days after the [110]*110request is made by claimants.12 Finally, it ordered payment of interim benefits to any claimant who did not receive a reconsideration determination or hearing within 180 days of the request for reconsideration or who did not receive a hearing within 90 days of the hearing request.13

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Bluebook (online)
467 U.S. 104, 104 S. Ct. 2249, 81 L. Ed. 2d 88, 1984 U.S. LEXIS 89, 52 U.S.L.W. 4636, Counsel Stack Legal Research, https://law.counselstack.com/opinion/heckler-v-day-scotus-1984.