Luther D. Mullen v. Otis Bowen, Secretary of Health and Human Services, Richard G. Shepherd v. Otis Bowen, Secretary of Health and Human Services

800 F.2d 535, 90 A.L.R. Fed. 237
CourtCourt of Appeals for the Sixth Circuit
DecidedSeptember 2, 1986
Docket84-1455, 84-5352
StatusPublished
Cited by1,624 cases

This text of 800 F.2d 535 (Luther D. Mullen v. Otis Bowen, Secretary of Health and Human Services, Richard G. Shepherd v. Otis Bowen, Secretary of Health and Human Services) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Luther D. Mullen v. Otis Bowen, Secretary of Health and Human Services, Richard G. Shepherd v. Otis Bowen, Secretary of Health and Human Services, 800 F.2d 535, 90 A.L.R. Fed. 237 (6th Cir. 1986).

Opinions

ENGEL, Circuit Judge.

We granted en banc rehearing in these consolidated social security disability appeals to resolve an inconsistency between two decisions by different panels of our court relating to the role of the Appeals Council in the scheme of review of disability determinations. Compare Newsome v. Secretary of Health and Human Services, 753 F.2d 44 (6th Cir.1985), with Beavers v. Secretary of Health, Education & Welfare, 577 F.2d 383 (6th Cir.1978). We are also necessarily required to consider what standard of review should be applied by the district courts and our circuit where the Appeals Council has disagreed with an administrative law judge’s determination of disability and hence denied an award of benefits. We further consider whether, because of the Secretary’s regulations, any different standard should govern our consideration depending upon how the issues were presented to the Appeals Council in the first place. To put these issues into their proper perspective, it is helpful at the outset to provide a brief overview of the relationship between the Secretary and the Appeals Council under the Social Security Act and regulations promulgated thereunder.

I.

The Secretary of Health and Human Services is entrusted with the responsibility of administering disability benefits under Title II of the Social Security Act (Act). Thus, section 205(b)(1) directs the Secretary “to make findings of fact, and decisions as to the rights of any individual applying” for disability benefits. 42 U.S.C. § 405(b)(1). That section further authorizes the Secretary, “on his own motion, to hold such hearings and to conduct such investigations and other proceedings as he may deem necessary or proper for the administration” of benefits under the Act.1 [537]*537In addition, section 205(h) provides that “[t]he findings and decision of the Secretary after a hearing shall be binding upon all individuals who were parties to such hearing.” 42 U.S.C. § 405(h). Finally, section 205(g) provides that, for purposes of judicial review in a federal district court, “[t]he findings of the Secretary as to any fact, if supported by substantial evidence, shall be conclusive____” 42 U.S.C. § 405(g).

Under this scheme, the Secretary’s responsibilities are broad indeed. Yet given the number of cases handled by the Social Security Administration, it is obvious that the Secretary himself cannot participate in every disability determination. As the Supreme Court observed: “The system’s administrative structure and procedures, with essential determinations numbering into the millions, are of a size and extent difficult to comprehend.” Richardson v. Pe-rales, 402 U.S. 389, 399, 91 S.Ct. 1420, 1426, 28 L.Ed.2d 842 (1971). Congress has therefore authorized the Secretary “to make rules and regulations and to establish procedures ... which are necessary or appropriate to carry out ...” his responsibilities under the Act. 42 U.S.C. § 405(a).

Pursuant to these rulemaking powers, the Secretary has created and delegated to the Appeals Council all duties, powers and functions relating to the review of hearing decisions under Title II of the Act. See 20 C.F.R. §§ 404.900-.996 (1985). See also 20 C.F.R. § 422.205 (1985). Significantly, the Appeals Council has possessed this authority since at least 1946.2

Under the Secretary’s regulations, claims for social security benefits can come before the Appeals Council in a variety of ways. First, a disappointed wage earner, whose claims for coverage have been rejected by an administrative law judge (AU), may request review by the Appeals Council. 20 C.F.R. § 404.967. In addition, the Secretary’s regulations confer general review powers on the Council, a power commonly called “own-motion” review. 20 C.F.R. § 404.969. The Appeals Council can also review a recommended decision that has been sent to it by an AU. 20 C.F.R. § 404.977. The Appeals Council also has jurisdiction over a social security claim where a case has been remanded by a federal district court, 20 C.F.R. § 404.983, and where the Appeals Council itself assumes the responsibility for conducting a hearing. 20 C.F.R. § 404.956. The Secretary’s regulations further provide that the Appeals Council will review a case if an AU commits an abuse of discretion, there is an error of law, the findings of the AU are not supported by substantial evidence, or there is an important policy issue that may affect the public interest. 20 C.F.R. § 404.970(a). Finally, under the Secretary’s regulations, the decision of the Appeals Council is binding upon the parties unless an action is commenced in a federal district court. See 20 C.F.R. §§ 404.981, 422.210.

[538]*538Thus, although purely a creature of administrative law, the Appeals Council, and its role in the overall scheme of the Act, is pervasive and longstanding. Moreover, because the Secretary has delegated to the Appeals Council his “duties, powers and functions relating to the holding of hearings” under the Act, it is well settled that final action by the Appeals Council becomes indeed the final determination of the Secretary for purposes of judicial review under section 205(g), 42 U.S.C. § 405(g). See, e.g., Hall v. Celebrezze, 340 F.2d 608, (6th Cir.1965); Cody v. Ribicoff, 289 F.2d 394, 395 (8th Cir.1961); Goldman v. Folsom, 246 F.2d 776, 778 (3d Cir.1957); cf. Weinberger v. Salfi, 422 U.S. 749, 765, 95 S.Ct. 2457, 2466, 45 L.Ed.2d 522 (1975).

II.

Each of these appeals involves a disability determination by an AU favorable to the wage-earner but which was subsequently reversed by the Appeals Council. The issue then becomes whether the statutorily-mandated deference to findings of fact under 42 U.S.C.

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Bluebook (online)
800 F.2d 535, 90 A.L.R. Fed. 237, Counsel Stack Legal Research, https://law.counselstack.com/opinion/luther-d-mullen-v-otis-bowen-secretary-of-health-and-human-services-ca6-1986.