Lane v. Richardson

327 F. Supp. 411, 1971 U.S. Dist. LEXIS 13120
CourtDistrict Court, W.D. Virginia
DecidedMay 26, 1971
DocketCiv. A. No. 69-C-3-A
StatusPublished

This text of 327 F. Supp. 411 (Lane v. Richardson) is published on Counsel Stack Legal Research, covering District Court, W.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lane v. Richardson, 327 F. Supp. 411, 1971 U.S. Dist. LEXIS 13120 (W.D. Va. 1971).

Opinion

OPINION

WIDENER, District Judge.

Plaintiff, Calvin Lane, brings this action to obtain review of a final decision of the Secretary of Health, Education and Welfare denying his fourth application for a period of disability and disability insurance benefits under §§ 216(i) and 223 of the Social Security Act, 42 U.S.C.A. §§ 416(i) and 423. The Secretary urges in his motion for summary judgment that plaintiff’s failure to seek review of administrative decisions denying his earlier applications rendered those decisions res judicata as to all issues raised therein. The court finds that contention to be well founded and holds that, in the present case, judicial review of the sort provided for in § 205(g) of the Act, 42 U.S.C.A. § 405(g), is precluded by the doctrine of res judicata.

Plaintiff last met the special insured status requirements of the Act on September 30, 1954. He first applied for disability insurance benefits on December 10, 1956, claiming that he had become disabled in 1949 because of epilepsy. The application was denied on December 17, 1957. Plaintiff was advised on that date, and again on May 15, 1958, of his right to request, within six months of the denial, reconsideration of his application or a hearing thereon. He did not further pursue that application.

Plaintiff filed his second application on January 31, 1961, claiming a disability as of March, 1960 1 due to “Seizures Grand Mal.” A hearing was held following which, on August 13, 1962, the hearing examiner concluded that plaintiff’s epilepsy did not render him disabled within the meaning of the statute. On October 17, 1962, the Appeals Council denied a request for review of the hearing examiner’s decision and notified plaintiff that he could obtain judicial review of the decision within sixty days. The application was not further pursued.

Plaintiff next applied for benefits on October 5, 1965, alleging a disability as of February, 1949, on account of epilepsy, lung trouble and a nose condition. His application was denied initially on December 16, 1965, and upon reconsideration on May 6, 1966, the Administration advising plaintiff that the denial was based upon its evaluation of all the evidence previously adduced, under both the 1965 amendments to the Act and the [413]*413pre-1965 provisions. Plaintiff was notified on May 6, 1966 that he could request a hearing within six months, but no hearing was thereafter requested.

Plaintiff filed his fourth application on March 6, 1968, again claiming a disability as of February, 1949, due to epilepsy. Additional evidence was submitted and another hearing was held on September 24, 1968. The application was thereafter denied by a hearing examiner, who concluded that plaintiff was not disabled on or before September 30, 1954, that the issues presented in plaintiff’s first application were res judicata as concerned matters involving the pre1965 provisions of the Act, and that no good cause had been shown for reopening the “prior decision.”2 Plaintiff’s request for review of the hearing examiner’s decision was denied by the Appeals Council on January 8, 1969, and this action followed.

The applicability of the doctrine of administrative res judicata in the context of Social Security matters is now well settled. See, e. g., Hughes v. Finch, 432 F.2d 93 (4th Cir. 1970); Craig v. Finch, 416 F.2d 721 (5th Cir. 1969); Domozik v. Cohen, 413 F.2d 5 (3d Cir. 1969); James v. Gardner, 384 F.2d 784 (4th Cir. 1967), cert. den. 390 U.S. 999, 88 S.Ct. 1205, 20 L.Ed.2d 99; Myers v. Gardner, 361 F.2d 343 (9th Cir. 1966); Salyers v. Celebrezze, 214 F.Supp. 834 (W.D.Va.1962). The Social Security Act itself delimits administrative and judicial review of the Secretary’s determinations and provides that his “findings and decisions * * * after a hearing shall be binding upon all individuals who were parties to such hearing.” 42 U.S.C. § 405(h). Regulations promulgated thereunder operate to further insulate his decisions from review except as provided in the Act. Under § 404.940 of those Regulations, a hearing examiner’s decision denying an application becomes final and binding upon an applicant when the latter fails to seek judicial review thereof within sixty days after a request for administrative review has been denied by the Appeals Council. 20 C.F.R., § 404.940. See also 20 C.F.R., §§ 404.908, 404.916.

It would be plainly inconsistent with the Act to deprive the decision denying plaintiff’s 1961 application of the finality which the Act has accorded it. It was rendered following a full hearing at which extensive medical evidence was presented and during which plaintiff was represented by counsel. Plaintiff’s failure thereafter to pursue the remedy afforded by the Act foreclosed his right to judicial review of the issues decided therein. To the extent that plaintiff’s latest application is an attempt to resurrect that right, it is outside the framework of the Act and of no avail.

The doctrine of administrative res judicata was recently held to preclude judicial review in a ease strikingly similar to the instant case in its procedural setting. In Easley v. Finch, 431 F.2d 1351 (4th Cir. 1970), a disability benefits claimant filed applications in 1960, 1962, 1964, and 1965. Easley sought no review after his 1960 application was denied initially. His 1962 application was denied following a hearing and Easley failed to request review of the hearing examiner’s decision. A request for a hearing on his 1964 application was denied on the ground that the issues had already been determined and that no new evidence bearing on that determination had been offered. Easley’s 1965 application was denied following a hearing at which additional medical evidence was submitted. The hearing examiner’s denial was based upon his findings that the question of Easley’s disability had been determined at the first hearing and that such determination was final and binding. He further found that nothing in the evidence warranted reopening of the earlier determination. Easley then sought and obtained relief in the District Court, which held that res judicata [414]*414was inapplicable because Easley had not had an attorney at his first hearing and because he had never before obtained judicial review of his claims. The Court of Appeals reversed, stating in part:

“In enacting the Social Security Act, Congress deliberately imposed severe restrictions on the power of the federal courts to review administrative decisions made in the implementation of the Act. * * * [T]aken together, these statutory restrictions * * * necessarily imply the existence of an administrative form of the res judicata doctrine.

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Related

Salyers v. Celebrezze
214 F. Supp. 834 (W.D. Virginia, 1962)
Casey v. Cohen
295 F. Supp. 561 (W.D. Virginia, 1968)
Mullins v. Cohen
296 F. Supp. 260 (W.D. Virginia, 1969)
Lyall v. Cohen
297 F. Supp. 606 (W.D. Virginia, 1969)
Berard v. Finch
307 F. Supp. 568 (D. Massachusetts, 1969)
Hughes v. Finch
432 F.2d 93 (Fourth Circuit, 1970)

Cite This Page — Counsel Stack

Bluebook (online)
327 F. Supp. 411, 1971 U.S. Dist. LEXIS 13120, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lane-v-richardson-vawd-1971.