Starcher v. Califano

464 F. Supp. 997, 1979 U.S. Dist. LEXIS 14437
CourtDistrict Court, N.D. West Virginia
DecidedFebruary 15, 1979
DocketCiv. A. 77-0030-P
StatusPublished
Cited by3 cases

This text of 464 F. Supp. 997 (Starcher v. Califano) is published on Counsel Stack Legal Research, covering District Court, N.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Starcher v. Califano, 464 F. Supp. 997, 1979 U.S. Dist. LEXIS 14437 (N.D.W. Va. 1979).

Opinion

MEMORANDUM OPINION AND ORDER

HADEN, District Judge.

This is an action brought pursuant to Section 205(g) of the Social Security Act, 42 U.S.C. § 405(g), in which Plaintiff seeks judicial review of the dismissal by the Defendant of his claims for a period of disability and disability insurance benefits under Title II of the Social Security Act, 42 U.S.C. §§ 401-431. Presently pending before the Court is Defendant’s motion pursuant to Rule 60(b)(6), Federal Rules of Civil Procedure, whereby Defendant asks this Court to vacate its prior order of March 30, 1978, which order denied, without prejudice, Defendant’s previously filed motion to dismiss. The record presently before the Court consists of the complaint, Defendant’s motion pursuant to Rule 60 and motion to dismiss and briefs and affidavits in support thereof. To date, Plaintiff has not responded to any of Defendant’s motions.

The uncontroverted affidavit of Leonard K. Portuguese, Chief of Section IV of the Bureau of Hearings and Appeals, Social Security Administration (Administration), establishes that the present action involves Plaintiff’s third application for disability benefits.

*998 The first application, filed on May 13, 1964, in which Plaintiff alleged an inability to work beginning September 5, 1963, was denied at all levels of the Administration, through and including the Appeals Council. Plaintiff did not seek judicial review of that denial.

The second application, filed January 19, 1971, in which Plaintiff again alleged disability commencing in September, 1963, was denied initially, on reconsideration, and finally by decision of an Administrative Law Judge (ALJ) dated September 26, 1972. Once again, Plaintiff did not seek judicial review of the administrative action. The various decisions noted above and filed herein with the affidavit of Mr. Portuguese, further established, that as to all applications for benefits involved herein, Plaintiff met the special earnings requirements of the Act only through June 30, 1967. Accordingly, Plaintiff’s burden is to establish his disability as of June 30, 1967.

Plaintiff’s third application, in which he alleged an inability to work beginning in January, 1969, was filed on August 6,1974. The claim was initially denied on February 24,1975, on the basis that Plaintiff failed to meet the “earnings requirements of the law at the time [he] became disabled or at any later date.” On reconsideration, the application was denied for the stated reasons that the new material submitted by Plaintiff failed to establish any new facts about Plaintiff’s condition on or before June 30, 1967, and, therefore, the September 26, 1972, denial of Plaintiff’s second claim was found to be determinative of Plaintiff’s third claim.

Plaintiff then sought and received a hearing before an ALJ on April 9, 1976. By decision dated March 18, 1977, the ALJ found: an insufficient evidentiary basis for reopening the denials of the first two applications; that the September 26, 1972, decision was binding on Plaintiff; that Plaintiff met the special earnings requirements only through June 30, 1967; and that Plaintiff had failed to establish that he was disabled on or before June 30, 1967; and accordingly, the ALJ denied benefits. Plaintiff then requested review by the Appeals Council. By a decision dated June 7, 1977, the Appeals Council took the following action: the Council granted Plaintiff’s request for review of the AU’s decision of March 18, 1977; concluded that Plaintiff’s new evidence was not “new and material” and, therefore, the September 26, 1972, decision could not be reopened; found that Plaintiff’s request for a hearing before an ALJ on his third application should have been dismissed by the ALJ pursuant to 20 C.F.R. 404.937 and 404.937(a); and accordingly, pursuant to 20 C.F.R. 404.947, the Appeals Council retroactively dismissed Plaintiff’s request for a hearing before an ALJ on his third claim and ruled that the ALJ’s decision of March 18, 1977, was null and of no effect; and finally, ruled that the final decision of September 26, 1972, remained binding on Plaintiff’s third claim.

In response to Plaintiff’s complaint before this Court, Defendant moved to dismiss for lack of jurisdiction. The Court, by order dated March 30, 1978, denied that motion without prejudice to its subsequent renewal. Defendant has now moved the Court to vacate that prior order, and dismiss the pending action.

As a general rule, a decision by the Secretary made without a hearing not to reopen a previous application for disability benefits is not subject to judicial review pursuant to Section 205(g) of the Social Security Act, 42 U.S.C. § 405(g). Califano v. Sanders, 430 U.S. 99, 97 S.Ct. 980, 51 L.Ed.2d 192 (1977). The same general rule has been held applicable to dismissals of claims, without a hearing, premised upon a finding by the Secretary that the claim is barred by administrative res judicata. See Teague v. Califano, 560 F.2d 615 (4th Cir. 1977) (opinion by Leonard Moore, J.); Matos v. Secretary, HEW, 581 F.2d 282 (1st Cir. 1978) (opinion by Leonard Moore, J.); Easely v. Finch, 431 F.2d 1351 (4th Cir. 1970); Adkins v. Califano, 430 F.Supp. 448 *999 (S.D.W.Va.1977). Therefore, if Plaintiff’s claim here at issue was dismissed by the Secretary because of a refusal to reopen the earlier claims, or on the basis of administrative res judicata, and if the Secretary’s action was taken without a hearing, then the dismissal of Plaintiff’s claim is not subject to review in this Court.

There is no question that Plaintiff was afforded a hearing before an ALJ on his third application. The hearing was held on April 9, 1976, and the ALJ’s written decision rendered March 18, 1977. Nevertheless, on review the Appeals Council retroactively dismissed Plaintiff’s request for a hearing before an ALJ. This action was taken pursuant to the authority vested in the Appeals Council by 20 C.F.R. § 404.947, which provides:

“Action by Appeals Council on Review.

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Related

Ware v. Secretary of Health & Human Services
638 F. Supp. 892 (District of Columbia, 1986)
Reed v. Califano
489 F. Supp. 1026 (E.D. Tennessee, 1980)

Cite This Page — Counsel Stack

Bluebook (online)
464 F. Supp. 997, 1979 U.S. Dist. LEXIS 14437, Counsel Stack Legal Research, https://law.counselstack.com/opinion/starcher-v-califano-wvnd-1979.