Juanita Newman, on Behalf of Herself and All Others Similarly Situated v. Kenneth Apfel, Commissioner of the Social Security Administration

223 F.3d 937, 2000 Cal. Daily Op. Serv. 6417, 2000 Daily Journal DAR 8541, 2000 U.S. App. LEXIS 18350, 2000 WL 1056077
CourtCourt of Appeals for the Ninth Circuit
DecidedAugust 2, 2000
Docket98-56397
StatusPublished
Cited by20 cases

This text of 223 F.3d 937 (Juanita Newman, on Behalf of Herself and All Others Similarly Situated v. Kenneth Apfel, Commissioner of the Social Security Administration) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Juanita Newman, on Behalf of Herself and All Others Similarly Situated v. Kenneth Apfel, Commissioner of the Social Security Administration, 223 F.3d 937, 2000 Cal. Daily Op. Serv. 6417, 2000 Daily Journal DAR 8541, 2000 U.S. App. LEXIS 18350, 2000 WL 1056077 (9th Cir. 2000).

Opinions

Opinion by Judge O’SCANNLAIN; Dissent by Judge REINHARDT.

O’SCANNLAIN, Circuit Judge:

We must decide what discretion the Commissioner of Social Security possesses to make adjustments in Supplemental Security Income benefits based on changes in a recipient’s monthly income.

I

The Supplemental Security Income (“SSI”) program, provided for at 42 U.S.C. § 1381 et seq., provides cash payments to aged, blind, and disabled Americans for the purpose of ensuring that they have “at least a subsistence level income.” Paxton v. Secretary of HHS, 856 F.2d 1352, 1353 (9th Cir.1988) (citing 20 C.F.R. § 416.110). The benefits are meant to “supplement an individual’s other sources of income.” Id.

[939]*939The named plaintiff in this class action, Juanita Newman (“Newman”), challenges a regulation promulgated by the Commissioner of Social Security (“Commissioner”) declaring that there will be no discretionary exception to the standard method of retrospective monthly accounting (“RMA”) used to determine SSI benefits. Under the current RMA regime, the Commissioner does not alter the amount of an SSI recipient’s benefits in response to a change in the recipient’s income until two months after that change has occurred. Congress, however, has enacted a statute directing the Commissioner to promulgate a regulation indicating “reliable” and “currently available” information on which SSI benefits could be adjusted without this two-month delay and has authorized the Commissioner to make current-month adjustments based on this information. Newman, who was adversely affected by the Commissioner’s decision against implementing current-month accounting under any circumstances not expressly required by statute, sued on behalf of herself and others who are similarly situated both for invalidation of the Commissioner’s regulation and recalculation of past benefits under a retroactively applied rule recognizing an exception for income changes like her own.

A

As originally enacted, the SSI program directed calculation of benefits based on the recipient’s projected income in a given quarter. This prospective accounting method resulted, however, in substantial overpayment of benefits. In 1981, Congress amended the program so that benefit levels for a given month would be determined on the basis of the recipient’s monthly income either one or two months before (at the Commissioner’s discretion). See 42 U.S.C. § 1382(c)(1). This is the RMA method. The Commissioner has since consistently relied on income figures from the second month before the current month in calculating benefits. See 20 C.F.R. § 416.420(a).

In 1982, Congress enacted an exception to remedy the fact that the RMA method still resulted in consistent overpayments by delaying the Commissioner’s response to cost-of-living adjustments (“COLAs”) in recipients’ non-SSI government benefits. (Two months would pass under RMA before the Commissioner reduced recipients’ SSI benefits in order to account for the widespread and predictable increases in non-SSI income resulting from COLAs.) The 1982 amendment stated:

(A) [I]f the Commissioner of Social Security determines that reliable information is currently available with respect to the income and other circumstances of an individual for a month (including information with respect to a class of which such individual is a member and information with respect to scheduled cost-of-living adjustments under other benefit programs), the benefit amount of such individual* under this subchapter may be determined on the basis of such information.
(B) The Commissioner of Social Security shall prescribe by regulation the circumstances in which information with respect to an event may be taken into account pursuant to subparagraph (A) in determining benefit amounts under this subchapter.

42 U.S.C. § 1382(c). This exception to the one- or two-month delay caused by the RMA method is known as the “reliable information exception.”1 Notwithstanding this enactment, the Secretary of Health and Human Services (the Commissioner’s [940]*940predecessor)2 never promulgated a regulation indicating the “circumstances in which information with respect to an event maybe taken into account” for the purpose of calculating recipients’ SSI benefits for the current month.

From 1983 until 1987, Newman, a disabled mother and widow, received benefits under both the SSI program and the Social Security Title II program (which is also administered by the Commissioner). In 1987, Newman’s daughter reached the age of 16, and Newman thus lost her eligibility for Title II benefits. The Commissioner apprised Newman of the impending loss of her Title II benefits five months before their discontinuation but, in keeping with the RMA method, did not increase Newman’s SSI benefits in order to offset the loss of income under Title II until two months after that loss occurred. Newman thus went two months of 1987 without meeting the “minimum income level” set by SSI regulations.

Newman filed a class action in federal district court, seeking declaratory and in-junctive relief from the Secretary’s (and, subsequently, the Commissioner’s) failure to promulgate a regulation pursuant to 42 U.S.C. § 1382(c)(4) describing “reliable” and “currently available” information and allowing for current-month calculations of SSI benefits using such information. A similar action was filed in Ohio, and the United States Court of Appeals for the Sixth Circuit ultimately decided that there was no duty to promulgate a regulation describing or allowing the current-month use of “reliable” and “presently available” information unless it was determined that such information existed. See Gould v. Shalala, 30 F.3d 714 (6th Cir.1994). We reached the contrary conclusion in Newman’s case, holding that 42 U.S.C. § 1382(c)(4)(B) required the Commissioner to promulgate a regulation describing what kind of information would amount to “reliable” and “currently available” information and how that information would be used. See Newman v. Chater (Newman I), 87 F.3d 358 (1996). We explicitly declined to address the issue of whether such a regulation would apply retroactively (and thus to Newman’s benefit), indicating that the issue “should be addressed only after the regulation is final.” 87 F.3d at 362.

In response to our decision in Newman I,

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223 F.3d 937, 2000 Cal. Daily Op. Serv. 6417, 2000 Daily Journal DAR 8541, 2000 U.S. App. LEXIS 18350, 2000 WL 1056077, Counsel Stack Legal Research, https://law.counselstack.com/opinion/juanita-newman-on-behalf-of-herself-and-all-others-similarly-situated-v-ca9-2000.