Lead Opinion
This case presents the question of whether a change in a rule governing the adjudication of social security disability benefits claims that is applied as of its effective date to all pending cases has an impermissibly retroactive effect. In 1999 the Social Security Administration required more detailed proof of disability from obese claimants by eliminating a presumption of disability for obesity. Such presumptions govern the process of administrative adjudication. Changes to such rules, therefore, have their primary effect on claimants’ applications when the claimants appear before the agency to have their claims decided on the merits. The change in the rule is thus not impermissi-bly retroactive.
Plaintiff Barbara Combs initially filed an application for social security disability benefits in November of 1996. At that time, the Social Security Administration (SSA) afforded obese claimants a generous presumption of disability. The Social Security Commissioner deleted obesity from the list of conditions that benefit from this presumption in 1999. In 2003 Combs’ claim came before an Administrative Law Judge (ALJ) on remand from an administrative appeal. The ALJ denied her claim for benefits due in part to the deletion of this obesity listing. Combs appealed the decision administratively without success. She then filed suit in federal district court. There Combs argued that the agency had exceeded its powers granted by the Social Security Act (the Act) by applying the changed listings to her claim retroactively. The Act does not generally give the SSA the power to promulgate retroactive regulations. 42 U.S.C. § 405(a); Bowen v. Georgetown Univ. Hosp.,
The district court rejected Combs’ arguments, holding that the SSA had properly determined her eligibility for benefits without analyzing the deleted listing. This appeal followed. Because the changed listing had its effect on Combs’ claim after its effective date, when Combs’ claim was administratively adjudicated, it was not im-permissibly retroactive in its effect. Moreover, the distinct court correctly concluded that the Agency’s determination in this case is supported by substantial evidence. We therefore affirm.
An understanding of the effect of the change in the regulation requires a brief look at the five-step procedure used by the SSA to determine eligibility for disability benefits. The Act entitles to benefits payments certain claimants who, by virtue of a medically determinable physical or mental impairment of at least a year’s expected duration, cannot engage in “substantial gainful activity.” 42 U.S.C. § 423(d)(1)(A). Such claimants qualify as “disabled.” Id. A claimant qualifies as disabled if she cannot, in light of her age, education, and work experience, “engage in any other kind of substantial gainful work which exists in the national economy.” Id. § 423(d)(2)(A). To identify claimants who satisfy this definition of disability, the SSA uses a five-step “sequential evaluation process.” 20 C.F.R § 404.1520(a)(4). The five steps are as follows:
In step one, the SSA identifies claimants who “are doing substantial gainful activity” and concludes that these claimants are not disabled. Id. § 404.1520(a)(4)(i). If claimants get past this step, the SSA at step two considers the “medical severity” of
At step three, the SSA examines the severity of claimants’ impairments but with a view not solely to their duration but also to the degree of affliction imposed. Id. § 404.1520(a) (4)(iii). Claimants are conclusively presumed to be disabled if they suffer from an infirmity that appears on the SSA’s special list of impairments, or that is at least equal in severity to those listed. Id. § 404.1520(a)(4)(iii), (d). The list identifies and defines impairments that are of sufficient severity as to prevent any gainful activity. See Sullivan v. Zebley,
In the fourth step, the SSA evaluates claimants’ “residual functional capacity,” defined as “the most [the claimant] can still do despite [her] limitations.” 20 C.F.R. § 404.1545(a)(1). Claimants whose residual functional capacity permits them to perform their “past relevant work” are not disabled. Id. § 404.1520(a)(4)(iv), (f). “Past relevant work” is defined as work claimants have done within the past fifteen years that is “substantial gainful activity” and that lasted long enough for the claimant to learn to do it. Id. § 404.1560(b)(1). Claimants who can still do their past relevant work are not disabled. Those who cannot do their past relevant work proceed to the fifth step, in which the SSA determines whether claimants, in light of their residual functional capacity, age, education, and work experience, can perform “substantial gainful activity” other than their past relevant work. See id. § 404.1520(a)(4)(v), (g)(1). Claimants who can perform such work are not disabled. See id.; § 404.1560(c)(1). The SSA bears the burden of proof at step five. See Jones v. Comm’r ofSoc. Sec.,
For use at step three, the Commissioner has promulgated an extensive list of impairments. See generally 20 C.F.R. Part 404, Subpart P, Appx. 1 (2005). The list includes dozens of conditions, ranging from problems of the musculoskeletal system to skin disorders to malignant neoplastic diseases. See id. As late as 1999, obesity was a listed impairment. 20 C.F.R. Part 404, Subpart P, Appx. 1, § 9.09 (1999). The 1999 listing for obesity stated:
9.09 Obesity. Weight equal to or greater than the values specified in Table I for males, Table II for females (100 percent above desired level), and one of the following:
A. History of pain and limitation of motion in any weight-bearing joint or the lumbosacral spine (on physical examination) associated with findings on medically acceptable imaging techniques of arthritis in the affected joint or lum-bosacral spine; or
B. Hypertension with diastolic blood pressure persistently in excess of 100 mm. Hg measured with appropriate size cuff; or
C. History of congestive heart failure manifested by past evidence of vascular congestion such as hepatomegaly, peripheral or pulmonary edema; or
D. Chronic venous insufficiency with superficial varicosities in a lower extremity with pain on weight bearing and persistent edema; or
*644 E. Respiratory disease with total forced vital capacity equal to or less than 2.0 L. or a level of hypoxemia at rest equal to or less than the values specified in Table III-A or III-B or III— C.
Id.
The Commissioner deleted listing 9.09 effective October 25, 1999, following notice and comment. 64 Fed.Reg. 46122, 46123 (Aug. 24, 1999). The Commissioner explained this decision by noting that the criteria in listing 9.09 “were not appropriate indicators of listing-level severity because they did not represent a degree of functional limitation that would prevent an individual from engaging in any gainful activity.” Id. at 46124. In its program and adjudicative experience, the SSA became convinced that the listing had “required findings of disability in some cases in which the claimants were clearly not ‘disabled’ as defined in the Act.” Id. at 46125. Although obesity was no longer a separately listed impairment under step three, the Commissioner explained that obese claimants can still prevail at step three by proving that their obesity combined with other ailments equals the severity of a different listed impairment. See id. at 46123. Indeed, the Commissioner simultaneously amended the introductory text to the musculoskeletal, respiratory, and cardiovascular systems listings to give guidance regarding obesity’s potential to combine with other impairments at step three. See id. at 46123, 46128-29.
The deletion of listing 9.09, the Commissioner stated in response to comments, would have prospective effect only. See id. at 46127. “We will not review prior allowances based on listing 9.09 under the new rules,” the agency explained. Id. The revised listings were to apply to pending applications for benefits, i.e., claims filed but not yet finally adjudicated before listing 9.09 was deleted. See Social Security Ruling, SSR 02-1 p; Titles II and XVI: Evaluation of Obesity, 67 Fed.Reg. 57859, 57863 (Sept. 12, 2002); Social Security Ruling, SSR 00-3 p; Titles II and XVI: Evaluation of Obesity, 65 Fed.Reg. 31039, 31042 (May 15, 2000) (superseded by SSR 02-1 p).
Combs first filed for disability benefits with the SSA on November 4, 1996. She alleged in her application that she had been disabled since May 30, 1996, due to a wide variety of impairments. The SSA initially denied Combs’ application in December of 1996, and upon reconsideration a few months later in February of 1997. Combs requested a hearing before an ALJ later that year in August. The ALJ denied Combs’ request for a hearing in January of 1998. Combs appealed the 1998 denial to the Appeals Council. The Council reversed the ALJ’s decision in October of 1998, granting Combs’ request for a hearing. In the subsequent hearing in March of 1999, the ALJ denied Combs’ claim under the five-step test. The ALJ did not find that Combs’ obesity and other impairments were severe enough for her to prevail at step three under listing 9.09 for obesity or any other listing. The ALJ denied her claim at step five. Combs appealed the ALJ’s decision administratively.
During the pendency of her administrative appeal, the Agency deleted listing 9.09 for obesity on October 25, 1999. The Appeals Council in March of 2000 vacated the ALJ’s 1998 denial of benefits and remanded Combs’ claim for further consideration. On remand, the ALJ in September of 2001 again at step five determined that Combs was not disabled. The ALJ observed at step three that Combs’ medically determinable “impairments do not meet or medically equal one of the listed impairments” needed for her to prevail. Admin. R. at 213. Combs appealed once again. In Sep
This second ALJ issued a decision on February 21, 2003, denying Combs’ claim at step five. The ALJ identified Combs’ medically determinable impairments and concluded, like the previous ALJ, that they “do not meet or medically equal one of the listed impairments” that could entitle her to benefits at step three. Admin. R. at 27. Combs administratively appealed again, this time without success. The second ALJ’s 2003 denial of benefits became the Agency’s final decision.
Combs sought review of the 2003 denial of benefits in the district court below. The district court granted the SSA’s motion for summary judgment, thereby upholding the 2003 denial of benefits. In its opinion, the district court held that the agency’s determination was supported by substantial evidence. The district court also concluded that the SSA acted properly when it did not apply former listing 9.09 to Combs’ claim, because that listing had been deleted prior to the 2003 hearing.
The district court properly refused to require the SSA to apply listing 9.09, notwithstanding the fact that Combs’ claim was initially filed before the deletion of that listing. Combs argues that the application of the current version of the listing was improper because application of the current listing had a retroactive effect on Combs, by virtue of the fact that she had filed her claim before the change in the listing.
While Congress has the power to permit the SSA to promulgate retroactive regulations, Congress generally has not done so. Bowen,
As Landgraf teaches, not all statutes raise retroactivity concerns. “A statute does not operate ‘retrospectively’ merely because it is applied in a case arising from conduct antedating the statute’s enactment ....”
attaches new legal consequences to events completed before its enactment. The conclusion that a particular rule operates “retroactively” comes at the end of a process of judgment concerning the nature and extent of the change in the law and the degree of connection between the operation of the new rule and a relevant past event.... [Fjamiliar considerations of fair notice, reasonable reliance, and settled expectations offer sound guidance.
Landgraf,
The factors articulated in Landgraf — fair notice, reasonable reliance, and settled expectations — weigh against finding a retroactive effect. See id. at 269-70,
This analysis tracks precisely the reasoning of our recent decision in Patel v. Gonzales. In that case we dealt with two versions of a statutory provision for discretionary waiver of removal of relatives of U.S. citizens. The older version applied to parents, spouses, or children of U.S. citizens; the newer version did not apply to parents. We held that the newer version applied to the Patels, even though they fraudulently entered the United States (i.e., committed the acts that formed the basis for their removal) before the change in the statute. Application of the later version of the statute was not impermissi-bly retroactive because
The factors articulated in Landgraf— fair notice, reasonable reliance, and settled expectations — weigh against finding a retroactive effect. In likelihood, Petitioners did not enter the United States through fraud in reliance on the availability of the discretionary waiver. Nor did Petitioners have a settled expectation, given the fact that Petitioners’ son was not a naturalized citizen in 1993, that they would receive a discretionary waiver based on their relationship with their son. Finally, unless Petitioners had notice of the waiver in the first place, they cannot rely on the argument that they need “fair notice” of the change.
Patel,
Moreover, the Supreme Court in Land-graf and Altmann, and our court in Patel, have recognized that changes to procedural rules generally do not have retroactive effect because procedural rules regulate secondary as opposed to primary conduct. See Landgraf,
Our conclusion is buttressed by the requirement — suggested in Landgraf and emphasized in Altmann — that we focus on the “relevant conduct regulated by the [legislative provision]” to determine whether the provision is impermissibly retroactive. In Landgraf, the Supreme Court
The critical issue, I think, is not whether the rule affects ‘vested rights,’ or governs substance or procedure, but rather what is the relevant activity that the rule regulates. Absent clear statement otherwise, only such relevant activity which occurs after the effective date of the statute is covered. Most statutes are meant to regulate primary conduct, and hence will not be applied in trials involving conduct that occurred before their effective date. But other statutes have a different purpose and therefore a different relevant retroactivity event.
Id. at 697 n. 17,
A focus on the “relevant activity” in this case leads inexorably to the conclusion that the change in the regulation was not
The October 1999 listing did not operate retroactively here because, as part of step three in the sequential evaluation process, it regulated only the process of adjudicating social security disability benefits claims — i.e., adjudicatory conduct — -and the adjudicatory conduct regulated here took place years after these listings went into effect when Combs’ claim was finally adjudicated by the SSA.
The entire five-step sequential evaluation process has been designed to regulate adjudicatory conduct for the purpose of making adjudication of claims efficient and flexible. Step three regulates a narrow category of adjudicatory conduct, also to promote adjudicatory efficiency. See Bowen v. Yuckert,
A rule regulating the evaluation and presentation of proof does not normally operate retroactively if it is applied to pending cases. The SSA may freely change rules that purely govern the conduct of adjudication, without fear of retroactive effect, if those changes apply only to pending cases. Naturally, if the SSA had attempted to retry cases that had been adjudicated previously, that might be a different story. But that did not happen here. The application of the October 1999 listing to Combs’ claim was prospective.
Our upholding of the application of the revised listing to pending applications is supported by the unpublished opinion, albeit cursory in this regard, of the Seventh Circuit in Barthelemy v. Barnhart,
We recognize that several district court cases and one unpublished circuit court opinion have stated or assumed that applying the October 1999 listing to pending claims has an impermissibly retroactive effect. Nash v. Apfel,
Kokal and Portlock, two district court opinions, rely upon the assertion that “Plaintiffs rights would be substantively altered if the revision to 20 C.F.R. pt. 404, subpt. P, app. 1 [deleting listing 9.09] was deemed applicable to pending claims, because the revised regulation would raise the bar on proof of disability based on obesity.” Kokal,
The actual substantive right to benefits derives from the Act’s definition of disability, not step three. Combs does not argue that deleting listing 9.09 created a conflict between the Act’s definition of disability and the sequential evaluation process. Such a conflict might result if deleting listing 9.09 truly altered claimants’ substantive rights to benefits, but instead it provides a more accurate way of determining the substantive right to benefits resulting from obesity. For this reason, Kokal and Portlock are not persuasive.
In harmony with Kokal, the district court in Cherry concluded that applying the October 1999 listing to pending claims has a retroactive effect on claimants who filed their claims before the new listing became effective.
The application of the revised listing to claims filed before the change is accordingly not retroactive in a way that would make the regulation beyond the authorized rulemaking power of the Commissioner.
The ALJ stated, “[u]pon reviewing all of the evidence of the record, the undersigned Administrative Law Judge concludes that claimant is not disabled within the meaning of the Social Security Act.” Admin. R. at 22. The ALJ found that Combs still had the residual functional capacity to perform light and sedentary work, her impairments notwithstanding. See Admin. R. at 26, 27. The ALJ based much of his decision on the 2001 ALJ’s recitation of the medical evidence, see Admin. R. at 23, which relied on the examinations and opinions of Dr. Anthony Uy, a state agency physician consultant. See Admin. R. at 209-10 (relying on Dr. Uy), 469-76 (Dr. Uy’s findings). The ALJ stated that he “substantially concurs with, adopts, and incorporates by reference the recitation of the medical evidence contained in the decision dated September 21, 2001.” Admin. R. at 23. The ALJ also noted that Combs had supplied some new evidence of disability.
Dr. Uy found that Combs could lift and carry up to 20 pounds frequently, could stand or walk for up to 6 hours, and could sit without medical limitation. See Admin. R. at 474. Dr. Uy also found that Combs was capable of climbing and balancing frequently. See Admin. R. at 475. When the ALJ incorporated the 2001 ALJ’s recitation of the evidence, he incorporated the 2001 ALJ’s rationale discounting Dr. Templin’s residual functional capacity determination. See Admin. R. at 205-07. In October of 1997, according to the 2001 ALJ, Dr. Templin in effect found that Combs could not perform any gainful work, not even sedentary work. See Admin. R. at 206. Specifically, the 2001 ALJ related that Templin precluded Combs from
*652 any lifting and limited standing and walking to two-and-a-half hours total of an eight-hour workday with only 30 minutes uninterrupted. She could only sit a total of four hours and only one hour at any one time. Nor could she ever climb, balance, stoop, crouch, kneel or crawl. Reaching and handling were affected and [Templin] precluded [Combs] from pushing and pulling on an incline or over rough terrain.... [Templin also] restricted] her from working in humidity or with vibration.
Admin. R. at 206 (emphasis in original). By virtue of his incorporation of the 2001 ALJ’s recitation of the evidence into his own determination, the ALJ agreed with the 2001 ALJ that others of Dr. Templin’s many medical assessments of Combs were inconsistent with this assessment, and that Dr. Templin was therefore less than credible. See Admin. R. at 206. For example, the 2001 ALJ noted that in other residual functional capacity assessments in 1999 and 2000, Dr. Templin said that Combs could lift or carry up to 20 pounds. See Admin R. at 206 (2001 ALJ’s comments), 434 (Templin report dated July 22, 2000), 461 (Templin report dated January 6, 1999). The 2001 ALJ noted further that although Dr. Templin had said that Combs should not sit for more than one hour at a time, Combs “nonetheless engages in such sedentary activities as ‘spending] the day’ watching television.” Admin. R. at 206 n.5. The 2001 ALJ also noted that Dr. Templin’s medical assessments “do not withstand the test of objective and clinical findings.” Admin. R. at 207.
At step five of the sequential evaluation process, the ALJ relied on expert testimony and concluded that Combs could perform a significant number of jobs in the economy. See Admin R. at 26-27; Bom v. Sec’y of Health and Human Servs.,
Combs objects mainly to the ALJ’s discounting of Dr. Templin’s residual functional capacity determination and his crediting of Dr. Uy’s assessment. Given the lack of objective evidence of disability in Dr. Templin’s reports and the ALJ’s other observations, the ALJ could discount his opinion. As we held in Bogle v. Sullivan,
There is substantial evidence in the record as a whole to support the ALJ’s determination that Combs is not disabled.
For the foregoing reasons, the district court’s judgment is affirmed.
“Any test of retroactivity,” the Supreme Court has acknowledged, “will leave room
As luck would have it, however, the rule as applied to Combs’s claim did change in the middle of the game. The Commissioner’s decision to apply the new rule has prompted my colleagues, almost seven years after that change, to spar at length over whether it was substantive or procedural in nature. Of the two positions articulated on that issue, I find Judge Clay’s dissent and Judge Griffin’s separate opinion more persuasive than the lead opinion in explaining why a shift in the burden of proof, or analogous changes that directly affect a party’s prospects for success on the merits, are substantive rather than procedural. In particular, I find both persuasive and apposite the D.C. Circuit’s decision in National Mining Association v. Department of Labor,
I also believe, however, that both the lead opinion and the dissent have failed to see the forest for the trees by allowing these labels — substantive and procedural — to dictate the outcome of this appeal. See Lead Op. at 649 (“The substantive requirements for disability eligibility have not changed, only the way in which the agency goes about determining whether they are present.”); Dissent at 671-72 (“Because the deletion of Listing 9.09 was a substantive change, our analysis should be concluded[.]”). The Supreme Court has cautioned against basing a finding that a particular change in the law operates retrospectively on the particular label attached to that change. See Martin v. Hadix,
Heeding that warning, I cannot agree with the dissent that applying the new rule to Combs’s application is impermissibly retroactive simply because the legal change is more substantive than procedural in nature. Nor do I find persuasive the argument that Combs “planned for the possibility of becoming disabled in reliance on the disability benefits scheme available at the time,” or that “her disability planning would have been significantly different” had she known about possible changes in the rules. Dissent at 674-75.
At the same time, I remain unconvinced by key aspects of the lead opinion, including its reliance on Republic of Austria v. Altmann,
I am thus left with the Supreme Court’s general guidance from Landgraf. There, the Court cited with approval Justice Story’s description of an impermissibly retroactive statute as one that “takes away or impairs vested rights acquired under existing laws, or creates a new obligation, imposes a new duty, or attaches a new disability.” Landgraf
I concur in the judgment affirming the decision below principally because I am not convinced that applying the new rule to Combs’s claims for benefits impaired any “vested right” that Combs may have had, increased her liability “for past conduct,” or “impose[d] new duties” on her with respect to a completed transaction. See id. at 269, 280,
The First Circuit found no retroactivity problem with the use of the new guidelines, squarely rejecting “the proposition that filing an application with an agency essentially fixes an entitlement to the application of those substantive regulations in force on the filing date.” Id. at 122 (emphasis in original). I would follow this reasoning and reject Combs’s retroactivity challenge on the ground that she had no settled expectation — let alone a vested right — in the use of the “substantive regulations in force” when she filed her disability claim. See id. The fact that the change may have been fatal to the success of her claim does not alter the conclusion that Combs had no right to expect that filing an application would freeze the law in its then-current state.
In my view, there is a faint yet discernible line that separates Pine Tree Medical Associates and the present case on the one
Similarly, the D.C. Circuit in National Mining Association declared impermissi-bly retroactive one regulation that created a rebuttable presumption in favor of the applicant and another that expanded the scope of the employers’ liability “by making more dependents and survivors eligible for benefits.”
In both Pine Tree Medical Associates and in the present case, in contrast, the change in the administrative regulations did not impose any kind of liability on either the healthcare provider or Combs, respectively. What the healthcare provider lost was a more favorable regulatory scheme that might have increased its chances of securing reimbursement, just as Combs lost a provision that might have entitled her to a conclusive finding of disability. Both of these parties, in other words, saw a more favorable regulation replaced with one that, while still permitting them to prove their entitlement to the requested funds, made their eventual success less likely. Awareness that the law might change during the application process, however, would not have dissuaded either applicant from seeking the benefits in the first place. That is to say, the possibility of change did not “impact” the “parties’ planning.” Landgraf,
I also do not believe that the rule change in the present case, or the one in Pine Tree Medical Associates, “attache[d] new legal consequences” to completed events. See id. at 270,
In sum, I agree with the lead opinion that the “familiar considerations of fair notice, reasonable reliance, and settled expectations” cut against finding that the application of the new obesity standard to Combs’s case was impermissibly retroactive. See Landgraf,
This last point — that applying the current law to pending cases is the rule rather than the exception — is the final consideration that informs my resolution of this case. We should not forget that at the heart of Landgmf is an attempt to reconcile two general principles of law that seemingly point in opposite directions: (1) that “a court should ‘apply the law in effect at the time it renders its decision,’ ” id. at 264,
As I read Landgmf, the Court resolved “the apparent tension” inherent in these principles by instructing that the current law be applied unless that law would have an impermissible retroactive effect as that concept is defined by the Court’s cases. Id. at 264,
I would also note that Combs would hardly be complaining if Listing 9.09 had first come into existence after she had filed her application and while her case was still pending. Cf. United States v. Real Prop, in Section 9, Town 29 North, Range 1 West Township of Charlton,
Because I do not believe that applying the new obesity standard to Combs’s application was impermissibly retroactive, and because substantial evidence in the record supports the decision of the ALJ, I concur in the judgment reached in the lead opinion. I do not, however, agree with key aspects of the lead opinion’s analysis and would therefore enter judgment only on the strength of the reasons set forth above.
Notes
. We draw this comparison to show that our decision comports with our reasoning in Patel, not to attribute central significance to the question of whether or not claimants become disabled in reliance upon social security listings. In any event, it cannot be that the listing change is impermissibly retroactive because claimants base their insurance planning (as opposed to their becoming disabled) on the presumptions contained in disability list
. It is true that courts have, in contexts quite distinct from the retroactivity inquiry at issue in this case, regarded burden of proof as "substantive.” As Altmann makes clear, a statute that has been held to be substantive in one context is not thereby made substantive for retroactivity purposes. The Court's prior holding that the Foreign Sovereign Immunities Act is substantive for purposes of jurisdiction did not mean that it was also substantive for retroactivity purposes. See Altmann,
There are, it might also be added, other-than-retroactivity contexts where burden of proof is deemed "procedural,” such as ordinary conflict-of-laws practice in the several states. See Restatement (Second) of Conflict of Laws §§ 133-34 (1971); see, e.g., Md. Cas. Co. v. Williams,
. The opinion of the D.C. Circuit in National Mining Association v. Department of Labor, does not compel a different result. That case held that an administratively promulgated regulation creating a rebuttable presumption in favor of claimants seeking black lung benefits could not be applied to pending cases due to its impermissibly retroactive effect. See
First, the National Mining opinion applied the old presumption only to claims filed before the change, and explicitly rejected the possibility of applying the old presumption to claims filed after the effective date, id. at 861, notwithstanding any prior decisions regarding the purchase of insurance. Thus, the case cannot reasonably be read to require non-retroactivity of regulatory changes on a theory of reliance-based planning. See note 1, supra.
Second, the standard applied by the D.C. Circuit in National Mining court is not supported by either Supreme Court or Sixth Circuit precedent. The National Mining court held that "where a rule changes the law in a way that adversely affects [a party's] prospects for success on the merits of the claim, it may operate retroactively even if designated procedural by the Secretary.” Nat’l Mining, 292 F.3d at 860 (internal quotation marks omitted). The Supreme Court has never articulated such a standard, nor has this court. The change in the Foreign Sovereign Immunities Act adversely affected Austria’s prospects for success in Altmann, and the statutory change in Patel adversely affected the Patels' prospects for success. Yet neither provision was impermissibly retroactive.
Third, notwithstanding National Mining, this court in a subsequent unpublished case has already applied the black lung presumption to pending cases and acknowledged that Sixth Circuit case law inconsistent with the presumption was thereby superseded. See Glen Coal Co. v. Dir., Office of Workers’ Compensation Programs. U.S. Dep’t of Labor,
Concurrence Opinion
concurring in part and dissenting in part.
I concur in the result of the plurality’s opinion for the claimed disability period post-October 25, 1999. However, I respectfully dissent from the denial of plaintiffs claim for disability benefits for the period of May 30, 1996, through October 25, 1999. Regarding this portion of plaintiffs claim arising prior to the repeal of Listing 9.09, I would remand for a new hearing with instructions to apply 9.09 to the closed period.
I.
Title 42 U.S.C. § 405(a) provides the Commissioner of Social Security (“the Commissioner”) with the authority to make reasonable rules and regulations that are consistent with the provisions of the U.S. Social Security Act. However, as the Supreme Court cautioned in Bowen v. Georgetown Hospital,
In Landgraf v. USI Film Prods.,
The second step of the Landgraf analysis requires a determination of whether application of the Revised Medical Criteria would have “retroactive” effect.
In this case, several courts have agreed that application of the Revised Medical Criteria to a claimant with a claim pending when Listing 9.09 was deleted would have a “retroactive effect.” Nash v. Apfel,
The Commissioner argues that “[t]he agency’s rules here are akin to procedural rules that the Court has previously found not to be retroactive.” Burdens of proof,
Moreover, other courts have previously rejected similar arguments from the Commissioner. The Cherry court, for example, noted that “[t]he Supreme Court emphasized in Landgraf that the presumption against retroactivity is not restricted to cases involving contractual or property rights or ‘vested rights.’ ”
II.
Next, the parties dispute the date upon which retroactivity should be determined. Combs argues that whether the repeal of Listing 9.09 is retroactive should be measured from November 4, 1996, the date that Combs filed her application for benefits. On the other hand, the Commissioner asserts, and the plurality agrees, that retro-activity should be determined by reference to the date of the adjudication of Combs’ claim for benefits; i.e., January or February 2003.
In my view, because a final determination of disability has never been made in this case due to the numerous appeals and convoluted procedural history, I would remand for a new hearing. For purposes of the hearing, I would afford Combs the benefit of Listing 9.09 for the claimed disability period of May 30, 1996, until the effective date of its repeal, October 25, 1999. In regard to the claimed disability period post-October 25, 1999, I would affirm the denial of disability benefits on the basis that the ALJ’s findings of fact for the period after the effective date of the repeal were supported by substantial evidence. 42 U.S.C. § 405(g); Longworth v. Comm’r of Soc. Sec. Admin.,
At oral argument, the Commissioner argued that bifurcating plaintiffs disability claims into the periods of pre- and post-regulation repeal would be unduly burdensome and may violate 42 U.S.C. § 423(f) of the Act. I disagree with both propositions. First, because retroactive rulemaking is prohibited by law, the Commissioner is not permitted to impose rules retroactively
As to the second argument, the text of 42 U.S.C. § 423 does not address the date that retroactivity should be determined. Rather, § 423(f) provides that a “recipient of benefits” may not have benefits terminated unless substantial evidence demonstrates a change in the medical condition or in the individual’s ability to engage in substantial, gainful employment:
A recipient of benefits under this title [42 U.S.C. §§ 401-434] or title XVIII [42 U.S.C. §§ 1395-1395hhh] based on the disability of any individual may be determined not to be entitled to such benefits on the basis of a finding that the physical or mental impairment on the basis of which such benefits are provided has ceased, does not exist, or is not disabling only if such finding is supported by -
(1) substantial evidence which demonstrates that -
(A) there has been any medical improvement in the individual’s impairment or combination of impairments (other than medical improvement which is not related to the individual’s ability to work), and
(B) the individual is now able to engage in substantial gainful activity; or
(2) substantial evidence which -
(A) consists of new medical evidence and a new assessment of the individual’s residual functional capacity, and demonstrates that -
(i) although the individual has not improved medically, he or she is nonetheless a beneficiary of advances in medical or vocational therapy or technology (related to the individual’s ability to work), and
(ii) the individual is now able to engage in substantial gainful activity, or
(B) demonstrates that -
(i) although the individual has not improved medically, he or she has undergone vocational therapy (related to the individual’s ability to work), and
(ii) the individual is now able to engage in substantial gainful activity; or
(3) substantial evidence which demonstrates that, as determined on the basis of new or improved diagnostic techniques or evaluations, the individual’s impairment or combination of impairments is not as disabling as it was considered to be at the time of the most recent prior decision that he or she was under a disability or continued to be under a disability, and that therefore the individual is able to engage in substantial gainful activity; or
(4) substantial evidence (which may be evidence on the record at the time any prior determination of the entitlement to benefits based on disability was made, or newly obtained evidence which relates to that determination) which demonstrates that a prior determination was in error.
42 U.S.C. § 423(f) (emphasis added).
In the present case, this statutory provision is not applicable because, as a result of numerous appeals, there has not been a final determination and Combs has not received benefits. By its terms, the plain language of § 423(f) does not apply to Combs’ pending claim for benefits. See
20 C.F.R. 404.989, which defines good cause for the reopening of a decision, is also inapplicable:
We will not find good cause to reopen your case if the only reason for reopening is a change of legal interpretation or administrative ruling upon which the determination or decision was made.
Again, however, because there has not been a final disposition of Combs’ disability claim, the reopening of a prior decision is not at issue. The same is true with Social Security Ruling, SSR 02-10p, regarding “periodic continuing disability review” of previously awarded disability benefits.
In summary, the parties have poorly postured this case as an all or nothing proposition. To avoid the prohibition against retroactive rulemaking, Combs asks this court to hold that the determinative date for purposes of retroactivity is the date on which the claim is filed, while defendant argues that this court should base any retroactivity analysis on the date of adjudication. I disagree with both positions and would hold that the operative date for purposes of retroactivity is the effective date that the regulation was changed.
Although disability insurance benefits are determined “for each month [claimed] beginning with the first month after his waiting period, ...” 42 U.S.C. § 423(a)(D) (emphasis added), the ALJ failed to apply the conclusive presumptions of obesity disability specified by Listing 9.09 for plaintiffs month-by-month claims for the period of May 30, 1996, to October 25, 1999.
III.
For these reasons, I respectfully concur in part and dissent in part.
. Although Landgraf addressed the retroactive application of statutes, courts have applied its reasoning to the issue of retroactivity of regulations. See Covey v. Hollydale Mobilehome Estates,
. See also, e.g., Ingram v. Barnhart,
. The most recent adjudication commenced in January 2003 and concluded with a decision rendered by the administrative law judge on February 21, 2003. It is not clear whether the “date of adjudication” argued by defendant and accepted by the plurality is the date the adjudication commenced or concluded. Although it makes no difference in the present case, it may be outcome determinative in other cases.
. Fluctuation in weight is one of the most fluid of all physical conditions. Combs may have been disabled for some, but not all, of the months claimed. Apparently, the dissent would order a determination of her claimed disability on the date of her application, only.
Dissenting Opinion
In finding that the application of newly promulgated obesity rules did not have an impermissible retroactive effect on Plaintiff with respect to her pending application for Social Security disability benefits, the lead opinion seriously misapprehends and oversimplifies the Supreme Court’s retro-activity jurisprudence. At its core, the lead opinion asserts two positions: (1) the shift from Listing 9.09 to the new obesity rules was merely a procedural change that did not have an impermissible retroactive effect; and (2) Plaintiff did not rely on Listing 9.09 in becoming disabled. These positions are incorrect and irrelevant, re
I.
Plaintiff is a former seamstress and daycare employee. Plaintiff claims that as of May 30, 1996, she was disabled due to morbid obesity, fibromyalgia, degenerative disc disease of the lumbosacral spine, degenerative arthritis bilateral knees, and other severe physical ailments, as well as depression. Plaintiff filed an application for disability benefits on November 4, 1996. After an initial denial of her application, Plaintiff requested a hearing before an Administrative Law Judge (“ALJ”). On January 26, 1998, the ALJ denied the request. On October 23, 1998, the appeals council vacated the decision of the ALJ and granted Plaintiff a hearing. In February 1999, over two years after Plaintiffs initial application, the ALJ held a hearing and then subsequently denied Plaintiffs application.
The appeals council vacated the decision of the ALJ and remanded Plaintiffs case on the ground that the ALJ failed to properly analyze Plaintiffs impairments. On September 21, 2001, on remand, the ALJ again denied Plaintiffs application. The appeals council again vacated the decision of the ALJ and remanded Plaintiffs case on the grounds that the ALJ failed to properly analyze Plaintiffs impairments and the ALJ incorrectly analyzed Plaintiffs credibility. The case was remanded to another ALJ, who in February 2003 denied Plaintiffs application as well. The appeals council declined to reverse this decision.
When Plaintiff filed her application for disability benefits in 1996, Listing 9.09 was in effect. That listing stated that an applicant who met a certain weight/height combination so as to demonstrate morbid obesity and who also suffered from an additional, specific impairment would be presumed to be disabled and would be entitled to disability benefits.
II.
The lead opinion expends a scant amount of ink in explaining the nuances of
The Supreme Court’s current position on retroactivity is best described in Landgraf v. USI Film Products. In that case, the plaintiff was employed by the defendant from 1984 to 1986. Id. at 247-48. A fellow employee harassed the plaintiff with inappropriate remarks and physical contact. Id. at 248. The plaintiff complained to the defendant’s management, and management conducted an investigation, reprimanded the harassing employee, and transferred that employee to another department. Id. Four days later, the plaintiff quit. Id. The plaintiff filed a charge against the defendant with the Equal Employment Opportunity Commission (“EEOC”), but the EEOC dismissed the charge because it found that while the plaintiff had suffered from a hostile work environment, the defendant had adequately remedied the situation. Id. The plaintiff then filed suit in federal district court. Id. In a bench trial, the court dismissed the plaintiffs complaint; it found that while the plaintiff had suffered from a hostile work environment, she was not constructively discharged by the defendant. Id. The plaintiff appealed.
On November 21, 1991, while the plaintiffs appeal was pending, the President signed into law the Civil Rights Act of 1991. Id. at 249,
The plaintiff argued before the court of appeals that the court should remand her case to the district court for a jury trial on the issues of compensatory and punitive damages pursuant to the Civil Rights Act of 1991. Id. at 249,
The Supreme Court affirmed. The Court found that the Civil Rights Act of 1991 expanded the potential forms of relief available to a person who has suffered discrimination. Id. at 252-54. In addition, the newly enacted legislation increased the scope of actionable conduct; before the 1991 Act, the “plaintiff could not recover monetary relief unless the discrimination was also found to have some concrete effect on the plaintiffs employment status, such as a denied promotion, a differential in compensation, or termination.” Id. at 254. Under the 1991 Act, however, a plaintiff could recover “in circumstances in which there has been unlawful discrimination in the terms, conditions, or privileges of employment, ... even though the discrimination did not involve a discharge or a loss of pay.” Id. (internal quotation marks and citation omitted).
Next, the Court addressed whether, despite the lack of clear congressional intent, the 1991 Act could be retroactively applied to the defendant. The Court found that there was a long-established presumption against retroactive legislation: “Elementary considerations of fairness dictate that individuals should have an opportunity to know what the law is and to conform their conduct accordingly; settled expectations should not be lightly disrupted.” Id. at 265,
A statute does not apply “retrospectively” merely because it is applied in a case arising from conduct antedating the statute’s enactment ..., or upsets expectations based in prior law. Rather, the court must ask whether the new provision attaches new legal consequences to events completed before its enactment. The conclusion that a particular rule operates “retroactively” comes at the end of a process of judgment concerning the nature and extent of the change in the law and the degree of connection between the operation of the new rule and a relevant past event. Any test of retroactivity will leave room for disagreement in hard cases, and is unlikely to classify the enormous variety of legal changes with perfect philosophical clarity. However, retroactivity is a matter on which judges have “sound ... instinctfs],” ... and familiar considerations of fair notice, reasonable reliance, and settled expectations offer sound guidance.
Id. at 269-70,
Despite the presumption against retro-activity, the Court “recognized that, in many situations, a court should ‘apply the law in effect at the time it renders its decision,’ ... even though that law was enacted after the events that gave rise to the suit.” Id. at 273,
Importantly for Plaintiffs case, the Court also reasoned that
[c]hanges in procedural rules may often be applied in suits arising before their enactment without raising concerns about retroactivity.... We [have] noted*665 the diminished reliance interests in the matter of procedure.... Because rules of procedure regulate secondary rather than primary conduct, the fact that a new procedural rule was instituted after the conduct giving rise to the suit does not make application of the rule at trial retroactive.
Id. at 275,
The Court offered these final words of guidance:
When a case implicates a federal statute enacted after the events in suit, the court’s first task is to determine whether Congress has expressly prescribed the statute’s proper reach. If Congress has done so, of course, there is no need to resort to judicial default rules. When, however, the statute contains no such express command, the court must determine whether the new statute would have retroactive effect, i.e., whether it would impair rights a party possessed when he acted, increase a party’s liability for past conduct, or impose new duties with respect to transactions already completed. If the statute would operate retroactively, our traditional presumption teaches that it does not govern absent clear congressional intent favoring such a result.
Id. at 280,
In Martin v. Hadix,
The Supreme Court answered in the negative. Under the first step of Land-graf, the Court found that Congress had
had a reasonable expectation that work they performed prior to enactment of the PLRA ... would be compensated at the pre-PLRA rates .... [C]ounsel performed a specific task ... and they were told that they would be compensated at a rate of $150 per hour. Thus, when the lawyers ... provided these ... services before the enactment of the PLRA, they worked in reasonable reliance on this fee schedule. The PLRA, as applied to work performed before its effective date, would alter the fee arrangement post hoc by reducing the rate of compensation. To give effect to the PLRA’s fees limitations, after the fact, would “at-tac[h] new legal consequences” to completed conduct.
Id. at 358,
The Court rejected the respondent’s argument that the fee provision of the PLRA was collateral to the main cause of action and therefore was not impermissibly retroactive under Landgraf. Id. at 358-59,
While it may be possible to generalize about types of rules that ordinarily will not raise retroactivity concerns, ... these generalizations do not end the inquiry. For example, in Landgraf, we acknowledged that procedural rules may often be applied to pending suits with no retroactivity problems, ... but we also cautioned that “the mere fact that a new rule is procedural does not mean that it applies to every pending case .... We took pains to dispel the “sugges[tion] that concerns about retroactivity have no application to procedural rules.” ... When determining whether a new statute operates retroactively, it is not enough to attach a label (e.g., “procedural,” “collateral”) to the statute; we must ask whether the statute operates retroactively.
Id. (alteration in the original) (internal citations omitted). The Court found that though the attorney fees were “collateral,” that label did not preclude a retroactivity analysis. Id.
In Republic of Austria v. Altmann, the Supreme Court held that the Foreign Sovereign Immunities Act of 1976 (“FSIA”) applied to claims based on conduct that occurred prior to the FSIA’s enactment.
The Supreme Court disagreed and held that the district court had jurisdiction to hear the case. The Court first noted that while there was language in the FSIA suggesting that Congress intended the FSIA to apply to preenactment conduct, that language was not so clear so as to be an “expres[s] prescription of] the statute’s proper reach.” Id. at 694,
III.
The lead opinion asserts that the deletion of Listing 9.09 and the subsequent implementation of new obesity rules constituted procedural, as opposed to substantive, changes, so that Plaintiff did not suffer from an impermissible retroactive effect. Nothing could be further from the truth. As Judge Griffin explains in his separate opinion, and as Judge Gilman agrees in his separate opinion, burdens of proof are substantive, not procedural, law. See, e.g., Raleigh v. Illinois Dep’t of Revenue,
The analysis of the D.C. Circuit is persuasive in this regard. In National Mining Association v. Department of Labor, the court addressed new rules promulgated by the Department of Health and Human Services (“DHHS”) pursuant to the Black Lung Benefits Act (“BLBA”), legislation designed to provide disability benefits to coal miners.
Rather than rely on “procedural” and “substantive” labels, a court must ask whether the [regulation] operates retroactively. ... This inquiry involves a eom-monsense, functional judgment about whether the new provision attaches new legal consequences to events completed before its enactment. Thus, where a rule changes the law in a way that adversely affects [a party’s] prospects for success on the merits of the claim, it may operate retroactively even if designated “procedural” by the Secretary.
Id. at 859-60 (alterations in the original) (internal quotation marks and citations omitted). A specific example of a seemingly procedural change that the court struck down as impermissibly retroactive was 20 C.F.R. § 725.701. The regulation created
a rebuttable presumption that when a miner who is eligible for black lung benefits receives medical treatment for a pulmonary disorder, the disorder is “caused or aggravated by the miner’s pneumoconiosis.” 20 C.F.R. § 725.701(e). The employer may rebut the presumption with “credible evidence that the medical service or supply provided was for a pulmonary disorder apart from those previously associated with the miner’s disability” or was beyond the treatment necessary to treat the covered disorder, or “was not for a pulmonary disorder at all.” Id.
The instant case presents almost identical circumstances, except that the burden shift was in the opposite direction. Under Listing 9.09, if Plaintiff met certain criteria, there was an irrebuttable presumption that Plaintiff was disabled and thus entitled to benefits. Under the new obesity rules, Plaintiff must actually prove disability at Step Three, Four, or Five of the SSA’s process in order to qualify for benefits. In Kokal v. Massanari, a district court viewed the deletion of Listing 9.09 in this manner: “Here, Plaintiffs rights would be substantively altered if the [change in obesity rules] was deemed applicable to pending claims, because the revised regulation would raise the bar on proof of disability based on obesity.”
Judge Gilman’s position that National Mining Association is directly on point and persuasive therefore clashes and is irreconcilable with his conclusion that the deletion of Listing 9.09 and the application of the new obesity rules to Plaintiff was not impermissibly retroactive. Under National Mining Association, the inquiry is whether “a rule changes the law in a way that adversely affects [a party’s] prospects for success on the merits of the claim.” Nat’l Mining Assoc.,
The lead opinion’s repeated reliance on Altmann, in deeming that the change in the SSA’s obesity rules is procedural, is puzzling. Altmann was not a case whose decision hinged upon the Supreme Court’s determination that the relevant change in law was procedural; indeed, the Supreme Court specifically rejected that argument:
Under Landgraf, ... it is appropriate to ask whether the Act affects substantive rights (and thus would be impermissibly retroactive if applied to preenactment conduct) or addresses only matters of procedure (and thus may be applied to all pending cases regardless of when the underlying conduct occurred). But the FSIA defies such categorization.
The lead opinion’s misapprehension of Altmann is readily apparent when it cites to that case to support the proposition that “a statute that has been held to be substantive in one context is not thereby made substantive for retroactivity purposes.” Lead Op. at 648 n.2. There is absolutely no language in Altmann that says such a thing. As stated above, Altmann explicitly states that the FSIA defied categorization as either substantive or procedural law.
The lead opinion also states that the “relevant activity” here is adjudicatory conduct, so that the deletion of Listing 9.09 and the application of the new rules did not have a retroactive effect:
Changes to these listings consequently have their effect on benefits applications when claimants reach step three in the process of adjudicating their claims.
A rule regulating the evaluation and presentation of proof does not normally operate retroactively if it is applied to pending cases. The SSA may freely change rules that purely govern the conduct of adjudication, without fear of retroactive effect, if those changes apply only to pending cases.
Lead Op. at 649. As an initial note, this is a none-too-subtle repackaging of the lead opinion’s previous argument labeling the deletion of Listing 9.09 and the promulgation of new rules as a procedural change. The phrase “adjudicatory conduct” is simply another way to describe procedure in the litigation process. This is especially apparent in the lead opinion’s use of the phrase “evaluation and presentation of proof’ and the lead opinion’s characterization of Listing 9.09 as a “rule of adjudication”; the lead opinion is reasserting its position that changes in procedure do not give rise to an impermissible retroactive effect. Obviously, a change in the burden of proof or in a presumption addresses the adjudication of a claim; however, this does not necessarily mean that such a change does not have an impermissible retroactive effect. For the reasons set forth in addressing the lead opinion’s procedural-substantive analysis, this argument fails. Moreover, taken to its logical endpoint, the lead opinion’s inquiry is contrary to Supreme Court precedent. For example, in Landgraf, the statute at issue was the Civil Rights Act of 1991, which stated that a plaintiff that brought suit on a discrimination claim could seek compensatory and punitive damages.
IV.
Because the deletion of Listing 9.09 was a substantive change, our analysis should
At the risk of stating the obvious, most if not all of this country’s disabled did not rely on SSA rules and regulations or even disability benefits in becoming disabled. Inherent in this point is that a person generally does not choose to become disabled; a disability is ordinarily the product of circumstances beyond the control of the person whom it afflicts. But the absence of reliance on law in becoming disabled is not dispositive in determining whether a change in that law has an impermissible retroactive effect. Under the lead opinion’s analysis, the SSA could theoretically withdraw the availability of disability benefits from all pending applicants and still pass muster under Landgraf, as none of these applicants relied on SSA rules or regulations or disability benefits in becoming disabled.
It is plain that Plaintiff did not rely on SSA rules and regulations in becoming disabled. This fact, however, is irrelevant as to whether the application of the new rules would work an impermissible retroactive effect. The facts in Landgraf illustrate this point: one could not say that the defendant employer somehow relied on the Civil Rights Act of 1964 and permitted a hostile work environment so that application of the Civil Rights Act of 1991 would have a retroactive effect. It would be facetious to argue that an employer allows a hostile work environment in reliance on the limited remedies provided by the Civil Rights Act of 1964, just as it would be facetious to argue that a person becomes disabled in reliance on the rules and regulations available to establish a disability claim. Yet the Supreme Court still found an impermissible retroactive effect in Landgraf. The question then becomes what exactly was the underlying act in Landgraf that the Supreme Court held to be protected from retroactive application of new law.
The Supreme Court found that the underlying act of the employer in Landgraf was its planning on how to address a hostile work environment claim: “The introduction of a right to compensatory damages is also the type of legal change that would have an impact on private parties’ planning.”
Plaintiffs case presents a similar issue of planning based on the SSA’s eligibility requirements for disability benefits. The difficulty of proving eligibility for benefits is certainly a factor considered by an individual in disability planning. For example, suppose that qualifying for Social Security disability benefits is extremely difficult; only 1% of applicants eventually receive benefits, and this is only after a torturous eligibility review process. An individual might look at the difficulty in proving eligibility and plan accordingly, by purchasing a third party disability insurance policy with less exacting requirements, by increasing her level of savings in case of disability in the future, and other such measures. Likewise, if qualifying for Social Security disability benefits were extremely easy, an individual might have a very different portfolio mix in her planning, as she would not invest heavily in instruments that hedge the risk of disability. Thus, in this case, Plaintiff did not become disabled in reliance on the disability benefits scheme available at the time; but rather, she planned for the possibility of becoming disabled in reliance on the disability benefits scheme available at the time. Had Plaintiff known that the SSA’s requirements for eligibility would have changed so dramatically, she might have been inclined to alter her planning. This is especially true with respect to Plaintiffs situation, where her application for disabil
The lead opinion appears to believe that a reliance theory based on disability planning “proves too much,” as such a theory would “for many, many years” preclude application of newly enacted legislation to those who planned in accordance with the old scheme. Lead Op. at 647 n.l. This is incorrect and contrary to Supreme Court precedent. A simple example will illustrate this point: the Supreme Court did not hold in Landgraf that because the defendant employer, before 1991, relied on the Civil Rights Act of 1964 in planning how to address a hostile work environment, an employee could never raise (or, for many, many years could not raise) a claim under the Civil Rights Act of 1991, even for claims based on events after 1991. Instead, the Supreme Court held that a court could not apply the Civil Rights Act of 1991 to the defendant employer for activity that took place before 1991 because it did not have the opportunity to plan according to that Act with specific respect to such activity. Landgraf
The effect on Plaintiffs disability planning also illustrates why the deletion of Listing 9.09 and the implementation of a new regulation was a substantive, as opposed to a procedural, change. A procedural change usually does not work an impermissible retroactive effect because a party usually does not rely on rules of procedure: “We [have] noted the diminished reliance interests in the matter of procedure .... Because rules of procedure regulate secondary rather than primary conduct, the fact that a new procedural rule was instituted after the conduct giving rise to the suit does not make application of the rule at trial retroactive.” Landgraf,
Inherent in National Mining Association is the notion that the employer-coal mine operators and the insurance companies relied on the then-existing rules and regulations in planning how to address BLBA liability. When the DHHS promulgated new rules that made it easier to establish a BLBA claim, the DHHS disrupted this planning such that application of the new rules to pending claims would have had an impermissible retroactive ef-feet by exposing the coal mine operators to a greater amount of liability, thus subjecting the insurance companies to greater losses than that reflected in the premiums the insurance companies charged under the old regime. Likewise, Plaintiff relied on the then-existing rules and regulations, including Listing 9.09, in her disability planning; the SSA’s application of the new obesity rules would also disrupt this planning so that application to her pending claim would have an impermissible retroactive effect. It goes without saying that Plaintiffs reliance on the SSA’s old regime of rules and regulations is somewhat more subtle and less perceptible than the crystalline form of payment of insurance premiums. This fact, however, does not render Plaintiffs reliance any less real or palpable. The individual consumer is faced with a myriad of decisions to act or to refrain from acting, decisions that are shaped by changes such as the deletion of Listing 9.09 and the implementation of new obesity rules. Just as the coal mine operators and insurance companies would have acted differently in their liability planning under the new BLBA rules and regulations as opposed to the prior system, so too would Plaintiff have acted differently in her disability planning had she known about the change from Listing 9.09 to the new obesity rules.
V.
Because the deletion of Listing 9.09 and the application of the new obesity rules had an impermissible retroactive effect on Plaintiffs pending disability application, I would reverse the order of the district court and remand Plaintiffs case to the SSA so that her application for disability benefits could be considered under Listing 9.09.
. Former Listing 9.09 stated:
9.09 Obesity. Weight equal to or greater than the values specified in Table I for males, Table II for females (100 percent above desired level), and one of the following:
A) History of pain and limitation of motion in any weight-bearing joint or the lumbrosacral spine ... associated with findings on medically acceptable imaging techniques of arthritis in the affected joint or lumbrosacral spine; or
B) Hypertension with diastolic blood pressure persistently in excess of 100 mm. Hg measured with appropriate size cuff; or
C) History of congestive heart failure manifested by past evidence of vascular congestion such as heptomegaly, peripheral or pulmonary edema; or
D) Chronic venous insufficiency with superficial varicosities in a lower extremity with pain on weight bearing and persistent edema; or
E) Respiratory disease with total forced vital capacity equal to or less than 2.0 L. or a level of hypoxemia at rest equal to or less than the values specified in Table III-A or III-B or III— C.
. Contrary to Judge Gilman's contention, this position is not a mere or glib labeling of the change in law as "substantive.” The Supreme Court has stated, "Under Landgraf, ...
. Any attempt to distinguish National Mining Association from the instant case on the grounds that National Mining Association involved potential private party liability, as opposed to government benefits or relief, is unprincipled and must fail. No Supreme Court case has carved out an exception to the general presumption against retroactivity for government benefits or relief. Indeed, in one of its major retroactivity decisions, the Supreme Court found that the deletion of a form of immigration relief had an impermissible retroactive effect on the petitioner’s application for said relief. I.N.S. v. St. Cyr,
. The lead opinion cites to Glen Coal Company v. Director, Office of Workers’ Compensation Programs as an impediment to this Court’s consideration and adoption of the analysis in National Mining Association. The lead opinion claims that in that case, this Court applied the new BLBA rules to pending cases, a decision that is inconsistent with National Mining Association. This argument fails for three reasons. First, while the Court in Glen Coal Company found that the new BLBA rules could be applied to pending cases, this statement was dicta, as the plaintiff employee met the requirements under the old BLBA scheme.
. While Judge Griffin's partial concurrence correctly concludes that the application of the new rules to Plaintiff's claim had an impermissible retroactive effect, the remedy he proposes, remanding Plaintiff’s case to the SSA to determine whether Plaintiff is entitled to disability payments for the window of time beginning with Plaintiff’s application and ending with the enactment of the new rules, is inconsistent with federal law. The application of the new obesity rules either has an impermissible retroactive effect or it does not; this is indeed an all-or-nothing proposition. Under 42 U.S.C. § 423(f), the SSA may terminate benefits only for certain specific reasons, not one of which is the adoption of new rules or regulations.
Judge Griffin attempts to explain away § 423(f) by stating that the provision applies only to recipients of disability benefits, and Plaintiff is not a current recipient of disability benefits; however, this is placing the cart before the horse, as Judge Griffin would still have the SSA determine whether Plaintiff should be a recipient of disability benefits in the first place. If the SSA determines, under Listing 9.09, that Plaintiff is disabled and should receive benefits, the SSA may not then take away these benefits as of the date on which the new rules were enacted, for this would be contrary to § 423(f). Indeed, in the new rules, the SSA specifically states, “When we conduct a periodic continuing disability review (CDR), we will not find that an individual’s disability has ended based on a change in a listing.” Social Security Ruling, SSR 02-0Ip; Titles II and XVI: Evaluation of Obesity, 67 Fed.Reg. 57,859 (2002). If the SSA finds that Plaintiff was disabled as of the date of her application, it must give her disability benefits, and it may not terminate those benefits merely because of a rule change on a later date. In order to terminate benefits, the SSA must follow 42 U.S.C. § 423 and the corresponding rules and regulations.
. Of course, whether such an action by the SSA would survive under Chevron review is an open question that would not affect the retroactivity analysis.
. Such an action by the SSA would raise due process and Chevron concerns that would not affect the retroactivity analysis.
. While it is true that the possibility of a shift to a more demanding disability regime "would not have dissuaded” Plaintiff from filing a claim for disability, Concurring Op., Judge Gilman, at 655, this is somewhat beside the point. Plaintiff's disability planning comprises more than her decision to file a claim for disability. Her planning encompasses all of her financial planning to offset the risk of disability, which would be affected by a more demanding disability regime. See supra.
. The instant case is thus distinguishable from the facts in Patel v. Gonzales,
