Reed v. Califano

489 F. Supp. 1026, 1980 U.S. Dist. LEXIS 12895
CourtDistrict Court, E.D. Tennessee
DecidedJune 2, 1980
DocketCIV-1-78-295
StatusPublished
Cited by2 cases

This text of 489 F. Supp. 1026 (Reed v. Califano) is published on Counsel Stack Legal Research, covering District Court, E.D. Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Reed v. Califano, 489 F. Supp. 1026, 1980 U.S. Dist. LEXIS 12895 (E.D. Tenn. 1980).

Opinion

MEMORANDUM

FRANK W. WILSON, District Judge.

This is an action for judicial review of a decision by the Appeals Council of the Social Security Administration which reversed the decision of an administrative law judge. The administrative law judge had reopened all previous determinations regarding the plaintiff’s claim for disability under the authority of § 404.957(c)(1) of the Social Security Administration Regulations No. 4, and granted the plaintiff a period of disability and disability insurance benefits based on her first application filed on September 29, 1964.

The case was earlier considered by this Court upon the defendant’s motion to dismiss for failure to state a claim upon which relief can be granted and upon the ground that this Court lacked subject matter jurisdiction. In response the plaintiff had moved for summary judgment or in the alternative for judgment on the record. In a memorandum filed June 18, 1979, this Court ruled that there is no jurisdiction to review the Appeals Council’s decision under § 10 of the Administrative Procedure Act, Title 5, U.S.C. §§ 701, et seq. Similarly, this Court found that the decision of the Appeals Council was not a “final decision” within the meaning of 42 U.S.C., § 405(g) and therefore the Court was without jurisdiction to review the Appeals Council’s decision with respect to whether there is substantial evidence to support the denial of benefits and whether there was an abuse of discretion. Califano v. Sanders, 430 U.S. 99, 97 S.Ct. 980, 51 L.Ed.2d 192 (1977). This Court did find, however, that under the guidance of Sanders when constitutional questions are raised, “judicial review is presumed” and this Court has jurisdiction to adjudicate constitutional questions underlying a claimant’s Social Security claims. Sanders v. Califano, 430 U.S. at 109, 97 S.Ct. at 986, 51 L.Ed.2d at 202.

Accordingly, the Court assumed jurisdiction pursuant to 42 U.S.C. § 405(g) for the limited purpose of determining whether the plaintiff’s constitutional rights had been violated by the Secretary’s decision denying the reopening of the plaintiff’s claim.

It is unnecessary to restate the lengthy history of this case except to note that the plaintiff filed the first of five applications for disability insurance benefits on September 29, 1964. The application was denied initially on November 30, 1964, and on reconsideration by notice dated May 7, 1965. That notice of denial upon reconsideration clearly informed the plaintiff that her insured status had expired on March 31, 1962, and that the plaintiff had six months to request a hearing on her claim (Tr. 164-165). No request for a hearing was made by the plaintiff within the required six-month period following this notice. The history of the plaintiff’s next three applications is set out in the Court’s previous memorandum.

The fifth application which has resulted in this review was filed on March 22, 1977, denied initially on March 28, 1977, and on reconsideration August 25,1977. The plaintiff’s request for a hearing resulted in a brief appearance without counsel before an administrative law judge who advised the plaintiff to seek the assistance of an attor *1028 ney and reset the hearing for March 28, 1978. Following that hearing, which resulted in a favorable decision to the plaintiff on June 5, 1978 (Tr. 35-63), the case was reviewed by the Appeals Council on its own motion (Tr. 34). The Appeals Council found that the administrative law judge had erroneously reopened the plaintiff’s applications. Therefore, it dismissed plaintiff’s earlier request for a hearing which has the effect of negating that hearing and the findings of the administrative law judge. Starcher v. Califano, 464 F.Supp. 997 (N.D.W.Va.1979). (Tr. 8-12).

The case is presently before the Court upon the plaintiff’s motion for judgment on the pleadings and the defendant’s renewed motion to dismiss which the Court will treat as a motion for judgment on the pleadings under Rule 12(c), Federal Rules of Civil Procedure.

The Court turns now to the substantive constitutional arguments made by the plaintiff in favor of a judgment on the pleadings. Rather than setting forth those arguments, counsel for the plaintiff referred the Court to the decision of the administrative law judge on June 5, 1978, which, it is argued, “meticulously recites the gross errors made in the handling of the claim. . . Accordingly, this Court has gleaned from that decision the following alleged violations of the plaintiff’s constitutional rights, which are quoted at length:

Accordingly, the question is whether “fraud or similar fault, of the claimant or some other person,” as set forth in 20 CFR 404.957(c), would encompass (1) a gross disregard of and blind indifference to the documented evidence of the claimant’s incompetence to represent herself at the initial and subsequent administrative levels, (2) or gross misstatements and omissions of the credible and material evidence in the analytical and decisional process, (3) or callous indifference to the documented medical evidence of record, (4) or the denial of due process of law to the claimant through the application of a res judicata syndrome; that is, an abdication of responsibility in the analytical and decisional process by any and all of the aforementioned means, or by a careless indifference directed toward the ratification and adoption of prior judgmental errors. (Tr. 37)
It is the opinion of the undersigned administrative law judge that the Administration’s stern admonition, [regarding false statements] unaccompanied with advice that the claimant is entitled to have an attorney to represent her, denied the claimant due process and equal protection of the law. (Tr. 47)
In my view, the Administration — by failing to even attempt to obtain a .competent representative for the incompetent claimant, or to clearly advise and suggest to the claimant that she obtain an attorney or other competent person to represent her — denied the claimant due process of law. (Tr. 51)
Accordingly, the undersigned administrative law judge finds that the aforementioned quoted statement [referring to the 1973 finding of no new pre-1962 medical reports] amounts to either gross error, negligence, and ignorance, or callous indifference on the part of the person or persons for the Administration, as well as being erroneous on the face of the record. (Tr. 55)
. the Administration’s failure to initially inform the claimant in writing (a) that her insured status continued only through March 31, 1962, (b) that the Administration had been unable to obtain certain requested medical evidence, and (c) that she has a right to have an attorney, or other competent person, to represent her, denied the claimant due process of law.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Berzins v. Review Board of the Indiana Employment Security Division
427 N.E.2d 1121 (Indiana Court of Appeals, 1981)
Berzins v. REVIEW BD. OF IND. EMPLOYMENT
427 N.E.2d 1121 (Indiana Court of Appeals, 1981)

Cite This Page — Counsel Stack

Bluebook (online)
489 F. Supp. 1026, 1980 U.S. Dist. LEXIS 12895, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reed-v-califano-tned-1980.