Maldonado Ex Rel. Maldonado v. Apfel

55 F. Supp. 2d 296, 1999 U.S. Dist. LEXIS 10931, 1999 WL 511836
CourtDistrict Court, S.D. New York
DecidedJuly 19, 1999
Docket98 Civ. 9037(AKH), 98 Civ. 9038(DC)
StatusPublished
Cited by20 cases

This text of 55 F. Supp. 2d 296 (Maldonado Ex Rel. Maldonado v. Apfel) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Maldonado Ex Rel. Maldonado v. Apfel, 55 F. Supp. 2d 296, 1999 U.S. Dist. LEXIS 10931, 1999 WL 511836 (S.D.N.Y. 1999).

Opinion

*297 OPINION

CHIN and HELLERSTEIN, District Judges.

These appeals from the denial of applications by minors for social security benefits were brought on their behalves by their parents, who are not attorneys. Relying on Second Circuit decisions holding, generally, that non-attorney parents may not represent their children.in litigation, the Commissioner of Social Security (the “government”) argues in both cases that the Court must either appoint counsel for the minors, or dismiss their complaints without prejudice if counsel cannot be found. We heard argument and considered the two cases together because the issue is an important one. For the reasons set forth below, the government’s arguments are rejected and we hold that plaintiffs may prosecute these appeals on behalf of their children with or without the assistance of counsel.

BACKGROUND

A. Supplemental Security Income (“SSI”)

The purpose of the SSI program is to maintain recipients’ income “ ‘at a level viewed by Congress as the minimum necessary’ for subsistence.” Jacques v. United States R.R. Retirement Bd., 736 F.2d 34, 37-38 n. 2 (2d Cir.1984) (quoting Whaley v. Schweiker, 663 F.2d 871, 873 (9th Cir.1981)). To qualify for SSI benefits, a person “must meet stringent income and resources standards” and must also be aged, blind, or disabled. Id. at 38 n. 2; see Gordon v. Shalala, 56 F.3d 101, 101-02 (2d Cir.1995), cert. denied, 517 U.S. 1103, 116 S.Ct. 1317, 134 L.Ed.2d 470 (1996). SSI provides recipients with cash benefits as well as access to Medicaid. See Linda C. Fentiman, Health Care Access for Children With Disabilities, 19 Pace L.Rev. 245, 247 (1999).

Children as well as adults may qualify for SSI benefits. As of March 1999, the average monthly payment for recipients under eighteen was $451 per month. See Social Security Administration, Highlights of Supplemental Security Income Data, March 1999 (visited June 2, 1999) <http://www.ssa.gov/statistics/hi-ghssi.html>. In some cases, these payments permit low-income families “to buy necessary supportive products and services, such as state of the art wheelchairs, nutritional supplements, and other items not covered by Medicaid,” as well as “child care services that permit [the parents] to work more hours, and thus, try to bring the family out of poverty.” Fentiman, supra, at 247-48.

Applications for SSI benefits for disabled children are often made by their parents. See generally Robert L. Raper, An Advocate’s Guide to Childhood Disability Under the New Supplemental Security Income Standard, 6 Ky. Children’s Rts. J. 1 (1998) (describing the process of applying for benefits). Regulations provide procedures to assure that parents “are of good character and in good repute, possessed of the necessary qualifications to enable them to render [their children] valuable service, and otherwise competent to advise and assist [their children] in the presentation of their cases.” 42 U.S.C. § 406(a)(1). 1 A parent, on behalf of the child, submits the initial application for benefits, with supporting documentation, to the Social Security Administration (the *298 “SSA”). See 20 C.F.R. §§ 416.310 & 416.315(b). If the SSA determines that a minor child is qualified to receive benefits, cash benefits are paid to the parent or other qualified representative, termed a “representative payee.” Id. § 416.621(b). See generally id. §§ 416.601-665. The representative payee is required to “[u]se the payments he or she receives only for the use and benefit of the beneficiary.” Id. § 416.635(a). Where a child is entitled to past due benefits, a lump-sum retroactive benefit is paid. In such cases, the representative payee is required to establish a dedicated account for the child’s benefit, id. §§ 416.546 & 416.640(e), and must maintain records and receipts of all deposits to and withdrawals from the dedicated account, id. § 416.640(e)(3). The payee can be held liable for the unauthorized use of these funds. Id. § 416.640(e)(4).

If the parent wishes to appeal an adverse determination of the initial application for benefits, the first step is filing a request for reconsideration. Id. §§ 416.1407 & 416.1409(a). On reconsideration, a parent has a right to request a hearing and may present additional evidence. Id. § 416.1413. If the claim for benefits is denied upon reconsideration, the parent may file a request for a hearing before an administrative law judge (“ALJ”). Id. § 416.1429. To contest an ALJ’s decision, or the denial of the request for a hearing, a parent may request that the Appeals Council review the determination by filing a written request and supporting documentation. Id. §§ 416.1467-1468. Finally, a civil action may be filed in district court to obtain review of a final adverse determination of the SSA 42 U.S.C. § 405(g); 20 C.F.R. § 416.1481.

In passing the legislation that provides SSI benefits for disabled children living in low-income households, Congress found that such children were “among the most disadvantaged of all Americans.” H.R.Rep. No. 92-231 (1971), reprinted in 1972 U.S.C.C.AN. 4989, 5133-34; see also Raper, supra, at 2 (discussing this legislative history). SSI was intended to provide them with “special assistance in order to help them become self-supporting members of our society.” Id. at 5134. The benefits provided by Congress, and the procedures established by statute and regulations to carry out these benefits, were thus intended to flow to those in need at the time of their need to enable them to overcome their disabilities and enter society.

B. The Facts

1. Maldonado

On August 30, 1994, Nurys Maldonado (“Ms.Maldonado”) applied for SSI benefits on behalf of her six-year-old son, Rogelio Maldonado (“Rogelio”). (Maldonado Admin. R. at 17-20). 2 Ms. Maldonado alleged that Rogelio suffered from severe visual problems and has been diagnosed as legally blind. (Maldonado Aff. ¶ 2). Ms.

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Bluebook (online)
55 F. Supp. 2d 296, 1999 U.S. Dist. LEXIS 10931, 1999 WL 511836, Counsel Stack Legal Research, https://law.counselstack.com/opinion/maldonado-ex-rel-maldonado-v-apfel-nysd-1999.