Orr v. Commissioner of Social Security

• Court: District Court, S.D. New York
• Decided: May 31, 2019
• Docket: 1:19-cv-04926
• Status: Unknown

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK DEBORAH ORR, Plaintiff, 19-CV-4926 (LLS) -against- ORDER TO AMEND COMMISSIONER OF SOCIAL SECURITY, Defendant. LOUIS L. STANTON, United States District Judge: Plaintiff, Deborah Orr, appearing pro se, brings this action under 42 U.S.C. § 405(g), seeking judicial review of a final decision of the Commissioner of Social Security. By order dated May 28, 2019, the Court granted Plaintiff’s request to proceed without prepayment of fees, that is, in forma pauperis. For the reasons set forth below, the Court grants Plaintiff leave to file an amended complaint within sixty days of the date of this order. STANDARD OF REVIEW The Court must dismiss an in forma pauperis complaint, or portion thereof, that is frivolous or malicious, fails to state a claim on which relief may be granted, or seeks monetary relief from a defendant who is immune from such relief. 28 U.S.C. § 1915(e)(2)(B); see Livingston v. Adirondack Beverage Co., 141 F.3d 434, 437 (2d Cir. 1998). The Court must also dismiss a complaint when the Court lacks subject matter jurisdiction. See Fed. R. Civ. P. 12(h)(3). While the law mandates dismissal on any of these grounds, the Court is obliged to construe pro se pleadings liberally, Harris v. Mills, 572 F.3d 66, 72 (2d Cir. 2009), and interpret them to raise the “strongest [claims] that they suggest,” Triestman v. Fed. Bureau of Prisons, 470 F.3d 471, 474 (2d Cir. 2006) (internal quotation marks and citations omitted, emphasis in original). BACKGROUND Plaintiff uses the Court’s form for actions brought under 42 U.S.C. § 405(g), but she did not fill it out completely. Plaintiff leaves blank the portion of the complaint that asks if she requested a hearing before an administrative law judge, received an adverse decision, requested a review from the Appeals Council, and received a decision. (ECF No. 2 at 2.) Also, Plaintiff

provides a Manhattan address, but she claims to be a resident of Queens County. (Id. at 1.) Plaintiff does not attach any documentation regarding these matters. DISCUSSION A. Exhaustion The Social Security Act permits claimants to seek review in federal court of a “final decision of the Commissioner of Social Security made after a hearing to which [the claimant] was party.” 42 U.S.C. § 405(g). If a complaint does not contain allegations showing that there has been a final decision, then it does not satisfy the requirements for jurisdiction under § 405(g). See Weinberger v. Salfi, 422 U.S. 749, 764 (1975) (“The statute empowers district courts to review a particular type of decision by the Secretary, that type being those which are ‘final’ and ‘made after a hearing.’”).

The “final decision” requirement has two elements. The first is the requirement that a claim for benefits be presented to the Commissioner of Social Security. The second is the requirement that the administrative remedies of the Social Security Administration (SSA) be exhausted. Abbey v. Sullivan, 978 F.2d 37, 43 (2d Cir. 1992) (citing Bowen v. City of New York, 476 U.S. 467, 483 (1986)). To exhaust the administrative review process, a plaintiff must: (1) receive an initial determination concerning the computation of benefits; (2) seek reconsideration; (3) request a hearing before an administrative law judge (ALJ); and (4) request that the Appeals Council review the ALJ’s decision. 42 U.S.C. § 405(g); 20 C.F.R. § 404.900(a)(1)-(5). Once the Appeals Council issues a final decision, the plaintiff may seek review of it in a federal district court.1 A plaintiff’s failure to exhaust may be excused, either by the Commissioner or, under limited circumstances, by the courts. City of New York v. Heckler, 742 F.2d 729, 736 (2d Cir. 1984). But “exhaustion is the rule, waiver the exception.” Abbey, 978 F.2d at 44. Courts look to

the following factors to excuse failure to exhaust: “(1) that the claim is collateral to a demand for benefits; (2) that exhaustion would be futile; and (3) that plaintiff[] would suffer irreparable harm if required to exhaust administrative remedies.” Pavano v. Shalala, 95 F.3d 147, 150 (2d Cir. 1996) (citing Abbey, 978 F.2d at 44). It is not clear from Plaintiff’s complaint that she exhausted administrative remedies or received a final decision from the Commissioner of Social Security regarding her claims for benefits. Plaintiff also does not set forth facts demonstrating that any failure to exhaust should be excused. Because Plaintiff does not allege facts showing that this Court has jurisdiction under § 405(g) to hear her claims, her complaint cannot proceed at this time.

1 “[I]f . . . the [Appeals] Council denies the request for review, the ALJ’s opinion becomes the final decision.” Sims v. Apfel, 530 U.S. 103, 107 (2000). “If a claimant fails to request review from the Council, there is no final decision and, as a result, no judicial review in most cases.” Id. B. Venue An action filed under 42 U.S.C. §§ 405(g) or 1383(c)(3) may be brought only in: the district court of the United States for the judicial district in which the plaintiff resides, or has his principal place of business, or, if he does not reside or have his principal place of business within any such judicial district, in the United States District Court for the District of Columbia. 42 U.S.C. § 405(g); see § 1383(c)(3) (“The final determination of the Commissioner of Social Security after a hearing under [§ 1383(c)(1)] shall be subject to judicial review as provided in section 405(g).”). The Southern District of New York, which is the judicial district for this Court, includes the following New York State counties: New York (Borough of Manhattan), Bronx, Westchester, Dutchess, Rockland, Orange, Putnam, and Sullivan. 28 U.S.C. § 112(b). The Eastern District of New York includes the following New York State counties: Kings (Borough of Brooklyn), Queens, Richmond (Borough of Staten Island), Nassau, and Suffolk. § 112(c). It is unclear whether Plaintiff resides or has her principal place of business in this judicial district, the Southern District of New York. Plaintiff provides a Manhattan address, but also asserts that she is a resident of Queens County. It is therefore unclear whether this Court is a proper venue for this action. Second Circuit precedent is clear that “[a] pro se complaint should not [be] dismiss[ed] without [the Court’s] granting leave to amend at least once when a liberal reading of the complaint gives any indication that a valid claim might be stated.” Dolan v. Connolly, 794 F.3d 290, 295 (2d Cir. 2015) (quoting Chavis v. Chappius, 618 F.3d 162, 170 (2d Cir. 2010) (internal

quotation marks omitted)). Because the nature and viability of Plaintiff’s claims are not clear, the Court grants Plaintiff leave to amend her complaint to show that she exhausted administrative remedies with the SSA before filing this action in federal court, or to set forth facts showing that her failure to exhaust administrative remedies should be excused, consistent with the standards set forth above. In addition, Plaintiff should clarify whether she is a resident of New York County or Queens County. If she resides in Queens County, this matter will be transferred to the United States District Court for the Eastern District of New York LEAVE TO AMEND Plaintiff is granted leave to amend her complaint to detail her claim. Using the complaint form for actions brought under 42 U.S.C. § 405(g), Plaintiff must: a) provide the date of the ALJ’s decision; b) provide the date of the Appeals Council letter; c) provide the date she received the Appeals Council letter; and d) attach a copy of the Appeals Council letter to her amended complaint, or explain why she is unable to do so. If Plaintiff has not exhausted her administrative remedies, she must include facts showing that her failure to exhaust his administrative remedies should be excused. Plaintiff must also state the county in which she resides. Because Plaintiff’s amended complaint will completely replace, not supplement, the original complaint, any facts or claims that Plaintiff wishes to maintain must be included in the amended complaint. CONCLUSION The Clerk of Court is directed to assign this matter to my docket, mail a copy of this order to Plaintiff, and note service on the docket. Plaintiff is granted leave to file an amended complaint that complies with the standards set forth above. Plaintiff must submit the amended complaint to this Court’s Pro Se Intake Unit within sixty days of the date of this order, caption the document as an “Amended Complaint,” and label the document with docket number 19-CV-

4926 (LLS). An Amended Social Security Complaint form is attached to this order. No summons will issue at this time. If Plaintiff fails to comply within the time allowed and cannot show good cause to excuse such failure, the complaint will be dismissed for failure to state a claim upon which relief may be granted. The Court certifies under 28 U.S.C. § 1915(a)(3) that any appeal from this order would not be taken in good faith, and therefore in forma pauperis status is denied for the purpose of an appeal. Cf. Coppedge v. United States, 369 U.S. 438, 444-45 (1962) (holding that an appellant demonstrates good faith when he seeks review of a nonfrivolous issue). The Clerk of Court is directed to docket this as a “written opinion” within the meaning of Section 205(a)(5) of the E-Government Act of 2002. SO ORDERED. Dated: May 31, 2019 New York, New York

US.D.J.

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ____________________________________________X : ___________________________________________ : (Your Name & Social Security Number) : AMENDED : Plaintiff, : COMPLAINT : -against- : ____ Civ. _________ (____) : COMMISSIONER OF SOCIAL SECURITY, : : Defendant. : ____________________________________________X Plaintiff respectfully alleges: 1. This is an action seeking court review of the decision of the administrative law judge pursuant to section 205(g) and/or section 1631(c)(3) of the Social Security Act, as amended, 42 U.S.C. § 405(g) and/or § 1383(c)(3). 2. Plaintiff resides at_________________________________________________ ________________________________________________________________________ 3. Defendant is the Commissioner of Social Security. 4. Plaintiff became entitled to receive disability insurance benefits and/or Supplemental Security Income benefits because of the following disability____________ ________________________________________________________________________ ________________________________________________________________________ 5. The disability began on this date _____________________. 6. That the Bureau of Disability Insurance of the Social Security Administration disallowed plaintiff’s application upon the ground that plaintiff failed to establish a period

of disability and/or upon the ground that plaintiff did not have an impairment or combination of impairments of the severity prescribed by the pertinent provisions of the Social Security Act to establish a period of disability or to allow disability insurance benefits or Supplemental Security Income benefits. 7. Subsequent thereto, plaintiff requested a hearing, and on _____________[date of

hearing], a hearing was held which resulted in a denial of plaintiff’s claim on _____________ [date of administrative law judge decision]. 8. Thereafter, plaintiff requested review by the Appeals Council, and after its consideration, the decision of the administrative law judge was affirmed on _______________ [date of Appeals Council letter]. Plaintiff received this letter on

_________________, thereby making the administrative law judge’s decision the “final decision” of the Commissioner, subject to judicial review pursuant to 42 U.S.C. § 405(g)and/or §1383(c)(3). IMPORTANT: ATTACH A COPY OF THE APPEALS COUNCIL LETTER TO THE BACK OF THIS COMPLAINT. 9. The decision of the administrative law judge was erroneous, not supported by

substantial evidence on the record, and/or contrary to the law. WHEREFORE, plaintiff respectfully prays that: (a) A summons be issued directing defendant to appear before the Court;

2 (b) Defendant be ordered to submit a certified copy of the transcript of the record, including the evidence upon which the findings and decision complained of are based;

(c) Upon such record, this Court should modify the decision of the defendant to grant monthly maximum insurance and/or Supplemental Security Income benefits to the plaintiff, retroactive to the date of the initial disability, or in the alternative, remand to the Commissioner of Social Security for reconsideration of the evidence; and, (d) For such other and further relief as may be just and proper.

Dated: __________________ ______________________________ Plaintiff’s Signature ______________________________ Area Code and Telephone Rev.11/2010