Tracy Hannah v. Comm'r of Soc. Sec.

CourtCourt of Appeals for the Sixth Circuit
DecidedFebruary 3, 2021
Docket19-6474
StatusPublished

This text of Tracy Hannah v. Comm'r of Soc. Sec. (Tracy Hannah v. Comm'r of Soc. Sec.) 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
Tracy Hannah v. Comm'r of Soc. Sec., (6th Cir. 2021).

Opinion

RECOMMENDED FOR PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 21a0024p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

CAROLYN GRIFFITH (19-6395); TIMOTHY HOWARD (19-6396); ROBERT ┐ MARTIN (19-6397); PATRICIA LANE RICHARDS (19-6398); REGINA │ REED (19-6399); ROSS CLAYTON FLEMING (19-6400); TERESA AKERS │ (19-6401); STEPHEN KIDD (19-6402); ELIZABETH WRIGHT (19-6403); │ MARGIE LEWIS (19-6412); TOMMY MAYNARD (19-6413); LANA │ GRESHAM (19-6414); RODNEY JUSTICE (19-6415); MARSHA F. KIDD > Nos. 19-6395 et al. │ (19-6419); BENNY COLE (19-6422); MICHAEL CLINE (19-6432); │ GREGORY SALISBURY (19-6433); EDDIE REED (19-6438); MARGARET │ COPLEY (19-6439); RANIE COLEMAN (19-6440); JANIE SHEPHERD (19- │ 6441); LENNY NEWSOME (19-6442); JANICE WORKMAN (19-6443); │ JOANN HOLBROOK (19-6444); BETTY ROBINSON (19-6445); KATHY │ RAMEY (19-6446); CAROLYN BATES (19-6452); KATHLEEN CAMPBELL │ CURTIS (19-6453); CHAD SHEPHERD (19-6472); DANNY REED (19- │ 6473); TRACY HANNAH (19-6474); MARTIN GILLESPIE (19-6487); │ CHESSIE GRAY (19-6488); CLINTON MULLINS (19-6489); ROBERT │ MUNCY II (19-6490); MARY SEXTON (19-6491); BRENDA STEWART │ (19-6492); JOHN PERKINS (20-5057); EDD PAIGE (20-5058); MICHELLE │ MAYNARD (20-5059); DANNY JOHNSON (20-5060); JAMES TAYLOR │ (20-5061); TERRY SHEPHERD (20-5062); JANET FAYE SKAGGS (20- │ 5063); PATRICIA GAY LEMASTER (20-5064); MARCIA KAY HYLTON │ (20-5065); JIMMY KILGORE (20-5066); TERESA HINKLE-SPEARS (20- │ 5067); TAMMY SLONE (20-5078); CORA NEACE RUSSELBURG (20- │ 5079); SHERRI LYNN COMBS (20-5080); MARTHA NEACE (20-5106); │ ELIZABETH ANN WHITE (20-5107); DONNA JEWELL (20-5108); PEGGY │ WOLFORD (20-5109); SHARON THOMPSON (20-5146); DALE WIREMAN │ (20-5159), │ Plaintiffs-Appellants, │ │ v. │ │ │ COMMISSIONER OF SOCIAL SECURITY, │ Defendant-Appellee. │ ┘

Appeal from the United States District Court for the Eastern District of Kentucky at Pikeville. Nos. 19-6395 et al. Griffith et al. v. Comm’r of Soc. Sec. Page 3

JUSTICE, Washington, D.C., for Appellee. ON BRIEF: Amy Lishinski, Daniel S. Volchok, Arpit K. Garg, WILMER CUTLER PICKERING HALE AND DORR LLP, Washington, D.C., Evan B. Smith, APPALRED LEGAL AID, Prestonsburg, Kentucky, Wolodymyr Cybriwski, Prestonsburg, Kentucky, Derek D. Humfleet, RADEN HUMFLEET LAW, PLC, Lexington, Kentucky, George Piemonte, MARTIN, JONES& PIEMONTE, Decatur, Georgia, Ned Pillersdorf, PILLERSDORF, DEROSSETT & LANE, Prestonsburg, Kentucky, for Appellants. Jaynie Lilley, Charles Scarborough, UNITED STATES DEPARTMENT OF JUSTICE, Washington, D.C., for Appellee.

GIBBONS, J., delivered the opinion of the court in which ROGERS, J., joined. MOORE, J. (pp. 23–26), delivered a separate dissenting opinion.

_________________

OPINION _________________

JULIA SMITH GIBBONS, Circuit Judge. In Hicks v. Commissioner of Social Security, a majority of this panel concluded that the government’s process for redetermining plaintiffs’ eligibility for social security benefits was constitutionally and statutorily deficient. 909 F.3d 786, 791–92 (6th Cir. 2018). So we remanded the eleven cases that we had consolidated on appeal to three district courts for further proceedings consistent with our opinion. After remand, those plaintiffs, as well as forty-six other plaintiffs whose cases had been stayed pending a decision in Hicks, filed motions for attorney’s fees under the Equal Access to Justice Act. The district courts unanimously denied fees because they concluded that the government’s position in the Hicks litigation was “substantially justified.” We agree and affirm.

I.

Throughout the 2000s and early 2010s, attorney Eric Conn obtained social security benefits for his clients by “submitting fraudulent reports to the Social Security Administration” and bribing an Administrative Law Judge. Hicks, 909 F.3d at 791–92. After the government discovered this fraud, the SSA decided to redetermine whether each of Conn’s clients (over 1,500 claimants) were actually eligible for disability benefits. Id. at 794. The SSA held hearings for each of the claimants and allowed them to submit evidence that they were entitled to benefits. Id. at 795. However, the SSA categorically excluded medical reports created by the four doctors with whom Conn had conspired because it had “reason to believe” fraud was involved in the Nos. 19-6395 et al. Griffith et al. v. Comm’r of Soc. Sec. Page 4

creation of the reports. Id. at 794–95 (citing 42 U.S.C. § 1383(e)(7)(A)(ii)). The claimants were not given the opportunity to challenge the factual finding that there was reason to believe that fraud was involved in the creation of the medical reports. Id. After individual hearings before administrative law judges, plaintiffs’ claims for disability benefits were denied. Id. at 795.

Fifty-seven plaintiffs then filed suit in the Eastern District of Kentucky challenging the exclusion of the medical reports under the Due Process Clause, the Administrative Procedure Act, and the Social Security Act. Id. at 796. Judge Amul Thapar, then on the district court, heard seven of these cases and concluded that the exclusion of the medical reports violated the Due Process Clause because plaintiffs were not given the opportunity to challenge the factual finding that there was “reason to believe” fraud had been involved in the creation of the reports. Id. Judge Reeves heard three of the cases and held that the government had not violated plaintiffs’ due process rights or the APA. Id. Judge Hood also heard one of the cases and reached the same conclusion as Judge Reeves. Id. This court consolidated these eleven cases on appeal, and the forty-six other cases were stayed pending a decision by this court. Id. at 792.

The panel majority held that the exclusion of the reports violated both the Due Process Clause and the APA. Id. On the due process claim, the majority held that the balancing test announced in Mathews v. Eldridge did not apply because this case involved “minimum due process.” Id. at 799. Additionally, the majority concluded that, even if Mathews applied, the balancing weighed in plaintiffs’ favor. Id. at 800–04. Therefore, the government had violated plaintiffs’ due process rights by refusing to give them the opportunity to challenge the factual finding that fraud had been involved in the creation of the medical reports. Id. at 804. On the APA claim, the majority held that the government had failed to comply with the APA’s “formal adjudication requirements” and had acted arbitrarily and capriciously by treating cases involving fraud investigated by the Office of the Inspector General (such as plaintiffs’ cases) differently than cases involving fraud investigated by the SSA. Id. at 804–09. Finally, the panel unanimously agreed that the government had not violated the Social Security Act. Id. at 809–13; id. at 827 (Rogers, J., concurring in Part II.C).

Judge Rogers dissented because he believed that the government had provided due process and complied with the APA. Id. at 813–27 (Rogers, J., dissenting). On the due process Nos. 19-6395 et al. Griffith et al. v. Comm’r of Soc. Sec. Page 5

claim, Judge Rogers disagreed with the majority’s contention that this case could be decided without invoking Mathews and with the majority’s application of Mathews. Id. at 813–23. On the APA claim, he would have held that the government did not have to comply with the APA’s formal adjudication requirements. Id. at 823–25. He also would have held that plaintiffs had forfeited their arbitrary and capricious claim, and, even if they had not, the government’s reason for treating OIG-instigated cases differently than SSA-instigated cases—that OIG cases are typically on a larger-scale—was rational. Id. at 825–27.

The panel then remanded the cases to the district courts.

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