Kathleen FITZGERALD, Appellant v. Kenneth S. APFEL Commissioner of Social Security

148 F.3d 232, 1998 WL 294016
CourtCourt of Appeals for the Third Circuit
DecidedJune 8, 1998
Docket97-1605
StatusPublished
Cited by41 cases

This text of 148 F.3d 232 (Kathleen FITZGERALD, Appellant v. Kenneth S. APFEL Commissioner of Social Security) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kathleen FITZGERALD, Appellant v. Kenneth S. APFEL Commissioner of Social Security, 148 F.3d 232, 1998 WL 294016 (3d Cir. 1998).

Opinion

OPINION OF THE COURT

ALITO, Circuit Judge:

Appellant Kathleen Fitzgerald appeals from the dismissal of her complaint against Kenneth S. Apfel, the Commissioner of Social Security, by the district court. The district court held that: it lacked subject matter jurisdiction over her claim for benefits; interim benefits were not authorized by statute; and Fitzgerald’s due process claim failed on the merits. On appeal, Fitzgerald argues that the district court erred in concluding that interim benefits are unavailable and that her due process claim failed to state a claim upon which relief could be granted. Because we find that the district court did not have jurisdiction over Fitzgerald’s claim for interim benefits, we will affirm the dismissal of her complaint. 1

I.

Kathleen Fitzgerald applied for supplemental social security income and disability insurance benefits on July 16, 1993, and August 31, 1993, respectively. Fitzgerald’s claims were denied initially and on reconsideration. Fitzgerald filed a timely request for a hearing on October 24,1994.

A hearing was held before an administrative law judge (“ALJ”) on July 18,1995. The ALJ issued a decision on March 18, 1996, finding that Fitzgerald was not disabled. On March 20, 1996, Fitzgerald requested review from the Appeals Council. In her letter to the Appeals Council, counsel requested that “this claim be treated as one involving CRITICAL NEED and that the matter raised below be Considered as expeditiously as possible.” (App. at 8). Counsel did not elaborate on this request.

On November 29, 1996, Fitzgerald’s counsel sent another letter to the Appeals Council, stating that “[m]y client Kathleen Fitzgerald is in desperate financial need. I requested review on her behalf more than eight months ago. I have heard nothing from you about the matter.” (App. at 10). Having not heard from the Appeals Council, Fitzgerald began the present action on April 16, 1997. 2

*234 In her complaint, Fitzgerald alleged that she was disabled and entitled to disability insurance benefits and supplemental security income. She further alleged that she was in dire financial straits due to the extensive delay in deciding her application. Fitzgerald claimed that the failure of the Appeals Council to rule on her request for more than a year, despite the fact that she had informed them that she was destitute, constituted a constructive denial of her claim. She further alleged that the unreasonable delay violated her Due Process rights under the Fifth Amendment and the Social Security Act. Fitzgerald requested as relief: .

that the district court find that she was entitled to the benefits sought; interim benefits during the pendency of any further proceedings; and “such other relief as the court finds just and proper.” (App. at 7). Fitzgerald filed a motion requesting interim benefits on May 2,1997.

On July 24, 1997, the district court issued an order denying the motion for interim benefits. See Fitzgerald v. Callahan, No. Civ. A. 97-2508, 1997 WL 438483 (E.D.Pa. July 24, 1997). The district court held that interim benefits were not provided for by statute and that it lacked the equitable power to grant them. The court also dismissed Fitzgerald’s claim for benefits for lack of subject matter jurisdiction, since she failed to exhaust her administrative remedies. Finally, the court found that Fitzgerald’s due process claim failed to state a claim upon which relief could be granted. This appeal followed.

II.

On appeal, Fitzgerald argues that the district court erred in determining that interim benefits were not available and that her due process claim failed as a matter of law. She apparently concedes that the district court lacked jurisdiction over her claim of entitlement to final benefits. Because we find that the district court lacked jurisdiction to consider the availability of interim benefits, we need not decide whether such benefits are precluded by statute.

Jurisdiction over Social Security benefits cases is provided by 42 U.S.C. § 405(g), which provides, in relevant part: “[a]ny individual, after any final decision of the Secretary made after a hearing to which he was a party ... may obtain a review of such decision by a civil action.... ” Ordinarily, judicial review is barred absent a “final decision” by the Commissioner of Social Security. Mathews v. Eldridge, 424 U.S. 319, 328, 96 S.Ct. 893, 47 L.Ed.2d 18 (1976).

A final decision is “central to the requisite grant of subject matter jurisdiction.” Id. The Supreme Court has stated that the “final decision” requirement

consists of two elements, only one of which is purely “jurisdictional” in the sense that it cannot be waived by the Secretary in a particular case. The waivable element is the requirement that the administrative remedies prescribed by the Secretary be exhausted. The nonwaivable element is the requirement that a claim for benefits shall have been presented to the Secretary.

Id.

If a plaintiffs claim is collateral to her claim for benefits, exhaustion may be waived under certain circumstances. See Bowen v. City of New York, 476 U.S. 467, 483, 106 S.Ct. 2022, 90 L.Ed.2d 462 (1986). “A claim is collateral if it is not essentially a claim for benefits.” Johnson v. Shalala, 2 F.3d 918, 921 (9th Cir.1993) (citing Bowen, supra).

The district court lacked jurisdiction over Fitzgerald’s claim for interim benefits both because she failed to present a demand for such benefits to the Commissioner and because her claim is not collateral to a claim for benefits. As to the former point, there is no indication in the record that Fitzgerald ever requested interim benefits from the Social Security Administration pending the outcome of the proceedings. Although she presented a general claim of disability, she did not address her claim of entitlement to interim benefits due to the excessive delay to the Commissioner. The failure to raise such a *235 claim violates the nonwaivable jurisdictional aspect of exhaustion and is fatal to her claim.

Furthermore, the district court lacked jurisdiction over Fitzgerald’s claim for interim benefits because such a demand is not collateral to her claim for final benefits. Whether predicated on § 405(g) or on the due process clause, it is beyond cavil that interim benefits are linked to disability benefits. First, they are two forms of the same entitlement. More importantly, Fitzgerald’s claim to interim benefits is linked to her entitlément to final benefits. Indeed, Fitzgerald repeatedly emphasized in her briefs and at argument that she was entitled to such benefits not just because of the extensive delay, but also because of her indigency and the merits of her case. Cf. Bush v.

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148 F.3d 232, 1998 WL 294016, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kathleen-fitzgerald-appellant-v-kenneth-s-apfel-commissioner-of-social-ca3-1998.