26 Soc - Sec.rep - Ser. 60, Unempl - Ins.rep. CCH 14695a Eladio Colon v. Secretary of Health and Human Services, 877 F.2d 148, 1st Cir. (1989)
26 Soc - Sec.rep - Ser. 60, Unempl - Ins.rep. CCH 14695a Eladio Colon v. Secretary of Health and Human Services, 877 F.2d 148, 1st Cir. (1989)
2d 148
Daniel F. Lopez Romo, Hato Rey, P.R., U.S. Atty., Donald A. Gonya,
Chief Counsel for Social Sec., Randolph W. Gaines, Deputy Chief
Counsel for Social Sec. Litigation, A. George Lowe, Chief, Baltimore,
Md., Disability Litigation Branch, and Donald H. Romano, Atty., Office
of the Gen. Counsel, Social Sec. Div., Department of Health and Human
Services, on brief, for defendant, appellant.
Before CAMPBELL, Chief Judge, BOWNES and BREYER, Circuit
Judges.
PER CURIAM.
This appeal raises two issues. First, do we have jurisdiction over an appeal by
the Secretary of Health and Human Services (the Secretary) from a district
court order remanding this social security disability insurance benefits case to
the Secretary for further proceedings? Second, if we have appellate jurisdiction,
did the district court, as the Secretary contends, lack jurisdiction to order the
Secretary to reopen a prior final decision? For the reasons which follow, we
answer both questions in the affirmative.
I. BACKGROUND
2
In November 1983, the claimant filed a new application for benefits alleging
the same disability onset date of July 24, 1971. The Secretary denied the
application. Again the claimant requested a hearing before an ALJ. The ALJ
construed this second application as an implied request for revision and
reopening of the February 24, 1983 decision, inasmuch as it alleged disability
in a period ruled upon by that prior decision. The ALJ determined that no new
and material evidence had been submitted to warrant a different decision than
that given on February 24th, nor was there error on the face of the evidence on
which the February 24th decision was based. The ALJ, therefore, denied the
request to reopen the prior decision and ruled that the period prior to February
25, 1983 was res judicata. The ALJ went on to conclude that the claimant was
also not under a disability from February 25, 1983 forward through the date of
this latest decision, October 11, 1984.
The Appeals Council denied review. The claimant appealed to the federal
district court. While the appeal was pending, the district court concluded that a
remand to the Secretary was appropriate for reconsideration whether the
claimant was entitled to disability benefits in accordance with new mental
impairment regulations promulgated pursuant to the Social Security Disability
Benefits Reform Act of 1984, Pub. Law No. 98-460 (the 1984 Disability
Amendments). Although the claimant had not alleged a disabling mental
impairment in his application for benefits, (in fact, he had not alleged such an
impairment in either of his applications), apparently the district court concluded
that remand for reconsideration in light of the new mental impairment
regulations was appropriate because a consultative psychiatric evaluation had
indicated a generalized anxiety disorder (which the ALJ, in the October 11,
1984 decision, had concluded was not severe).
6
The Appeals Council then reviewed this recommended decision. The claimant
objected to the recommended decision, apparently arguing that the ALJ should
have reopened the February 24, 1983 decision and also, because that decision
was reviewing the cessation of benefits, should have applied the medical
improvement standard to the issue of the existence of a mental impairment. The
Appeals Council concluded that the 1984 Disability Amendments, mandating
review, were inapplicable to the February 24, 1983 decision since the claimant
did not have an active appeal pending as of the pertinent date described in the
Amendments and that, additionally, there was no evidence that showed a
mental impairment existed during the period adjudicated in the February 24,
1983 decision. The Appeals Council therefore rejected the claimant's objection
to the failure to reopen the February 24, 1983 decision. The Appeals Council
adopted the ALJ's recommended decision and held that the claimant was
entitled to disability insurance benefits for a period of disability commencing
on February 9, 1984.
(1) The claimant was disabled from July 24, 1971 to March 1982.
10
(2) The claimant was not disabled from March 1982 to February 24, 1983 (the
date of the ALJ decision affirming the termination of benefits). The Secretary
held this adjudicated period to be res judicata and declined to reopen it.
11
(3) The claimant was also not disabled from February 25, 1983 to February 8,
1984.
12
13
The case thereafter resumed in the district court from whence it had been
remanded. A magistrate filed a report and recommendation which advised that
judicial review of the Secretary's decision not to reopen the February 24, 1983
decision was foreclosed and that there was substantial evidence to support the
Secretary's decision that the claimant was not disabled from February 25, 1983
to February 8, 1984.
14
The district court, however, without discussing its jurisdiction, found that there
was "good cause" to reopen the prior decision of February 24, 1983 and
ordered the case remanded to the Secretary with instructions to reopen that
decision and reassess whether the claimant met the disability standard during
the period March 1982 to February 1984. Aside from its failure to indicate its
authoritative basis for ordering the reopening of the prior decision,
notwithstanding the Secretary's denial of the claimant's request to reopen, the
district court also did not expressly address whether substantial evidence
supported the Secretary's determination that the claimant was not disabled from
February 25, 1983 to February 8, 1984. Rather, the district court's opinion
suggests that it simply disagreed with the Secretary's assessment of the
evidence for the entire period of March 1982 to February 1984.
15
The Secretary then filed a notice of appeal from this district court order of
remand, which brings us to a consideration of the two questions set out at the
beginning of this opinion. The claimant/appellee did not file any brief on
appeal.
The Secretary concedes that, ordinarily, a remand order is not a final decision
of the district court, as that term is construed pursuant to 28 U.S.C. Sec. 1291,
and thus provides no basis for our assertion of jurisdiction. See Mall Properties,
Inc. v. Marsh, 841 F.2d 440, 441 (1st Cir.), cert. denied, --- U.S. ----, 109 S.Ct.
128, 102 L.Ed.2d 101 (1988). The Secretary argues, however, that this case
18
As in the Lopez Lopez case, we conclude that this matter is properly before us,
either on appeal or pursuant to a writ of mandamus. In this case, the district
court has ordered the Secretary to reopen his prior decision of February 24,
1983. The Secretary contends that the district court is without jurisdiction to
order such a reopening. Unless an immediate appeal is allowed, the Secretary is
unlikely to obtain review of this important issue which is distinct from the
underlying merits of the claim of disability. Once the Secretary complies with
the district court order, the issue of the district court's jurisdiction is, in all
likelihood, moot, whatever the ultimate determination of the claimant's
disability claim. If the Secretary were to award benefits upon reopening, it is
doubtful whether the Secretary could then appeal from his own decision to
grant benefits. See Stone v. Heckler, 722 F.2d at 467. If benefits are denied
after reopening, the sole, meaningful issue on the next appeal, if there is one,
may be the substantiality of the evidence of disability. See Pickett v. Bowen,
833 F.2d 288, 290-91 (11th Cir. 1987) (an appeal which argues that claims of
certain class members are not entitled to remand, redetermination and benefits
pending redetermination would be rendered moot and meaningless if such an
appeal could only be heard after the Secretary had complied with the district
court and had, in fact, redetermined the claims and paid benefits pending
redetermination); Cohen v. Perales, 412 F.2d 44, 48 (5th Cir.1969) (the
contention that the district court erred in its determination of the admissibility
of evidence in an administrative hearing may be effectively unreviewable after
remand to the Secretary), rev'd on other grounds sub nom., Richardson v.
Perales, 402 U.S. 389, 91 S.Ct. 1420, 28 L.Ed.2d 842 (1971). Arguing that the
district court has no jurisdiction to order the Secretary to reopen a previous final
decision after that decision, in fact, has been reopened is largely an academic
exercise of little practical significance. Furthermore, the Secretary's position is
so clearly persuasive, see section III infra, discussing Califano v. Sanders, 430
U.S. 99, 97 S.Ct. 980, 51 L.Ed.2d 192 (1977), that to disallow review at this
time serves only to require the Secretary to employ his not-unlimited resources
on an activity which Congress has determined to be unwarranted.
19
In Califano v. Sanders, 430 U.S. 99, 97 S.Ct. 980, 51 L.Ed.2d 192 (1977), the
Supreme Court held that neither the Social Security Act nor the Administrative
Procedure Act authorizes judicial review of a final decision of the Secretary not
to reopen a claim of benefits. The claimant could have sought judicial review
of the February 24, 1983 decision, which concluded that his disability had
ceased as of March 1982 and that he was not disabled during the period March
1982 through February 24, 1983. The claimant, however, did not seek judicial
review. See 42 U.S.C. Sec. 405(g) (claimant may obtain review of final
decision of Secretary by filing civil action in federal district court within sixty
days after the mailing to him of notice of the Secretary's decision). Although
the time within which the claimant may seek judicial review of a final decision
of the Secretary has expired, the claimant may request that the Secretary reopen
and revise that decision. 20 C.F.R. Sec. 404.987 (1988). If the Secretary denies
that request, however, the claimant is not entitled to judicial review of that
decision and, concomitantly, a review of the decision denying or terminating
benefits as to which the appeal period has already expired.
23
We, (as well as our sister circuits), have repeatedly reiterated the Court's
holding in the Sanders case. See e.g., Torres v. Secretary of Health and Human
Services, 845 F.2d 1136, 1138 (1st Cir.1988); Dudley v. Secretary of Health
and Human Services, 816 F.2d 792, 795 (1st Cir.1987); Dvareckas v. Secretary
of Health & Human Services, 804 F.2d 770, 771-72 (1st Cir.1986); Rios v.
Secretary of Health, Ed. and Welfare, 614 F.2d 25, 26 (1st Cir.1980); Matos v.
Secretary of H.E.W., 581 F.2d 282, 285-87 (1st Cir.1978). As in the Sanders
case, "[t]his is not one of those rare instances where the Secretary's denial of a
petition to reopen is challenged on constitutional grounds." Califano v. Sanders,
430 U.S. at 109, 97 S.Ct. at 986. Indeed, the district court did not even purport
to order a reopening because of any challenge on constitutional grounds to the
denial of reopening. Rather, the district court, it seems, ordered a reopening
because, in its estimation of the evidence, the Secretary should have reopened
its February 24, 1983 decision. With respect to a decision whether to reopen a
prior final decision, however, the district court simply has no authority to
reweigh the evidence and substitute its judgment for that of the Secretary's in
denying a request to reopen.
24
The district court ordered the Secretary to reassess the evidence of the
claimant's disability during the entire period of March 1982 through February
1984. As discussed, supra, judicial review of the period March 1982 through
February 24, 1983 is foreclosed. In ordering the reopening and the
reassessment, the district court made no distinction between that period
foreclosed from judicial review and that period properly before it for review,
i.e., February 25, 1983 through February 8, 1984. We are unable to conclude
from the district court opinion that it utilized the proper standard, (i.e., whether
there is substantial evidence to support the Secretary's determination), in
reviewing the Secretary's decision as to that alleged period of disability.
25
We, therefore, vacate the order of the district court remanding this case to the
Secretary. Judicial review of the period March 1982 through February 24, 1983
is foreclosed. We remand to the district court for consideration whether
substantial evidence supports the Secretary's decision with respect to the period
February 25, 1983 through February 8, 1984.
26