756 F.2d 779 | 10th Cir. | 1985
Five recipients of social security benefits appeal from the district court’s dismissal of their proposed class action for lack of subject matter jurisdiction. They sought to challenge the efforts of the Social Security Administration (SSA) to collect alleged overpayments of Supplemental Security Income (SSI) benefits by withholding current Old Age, Survivors and Disability Insurance (OASDI) benefits.
I.
BACKGROUND
Before becoming eligible for OASDI benefits, each named plaintiff below received SSI benefits. Leo Reed is a sixty-five year old veteran who currently receives $189.00 per month in OASDI benefits and a $254.83 per month veterans pension. In 1982 he received an SSI Notice of Overpayment Action for an outstanding balance of $69.18 resulting from alleged overpayments between July and September 1976. After his initial appeal and request for a waiver were denied, he was told he could repay the entire overpayment at once, pay monthly installments, or have the overpayment deducted from his OASDI benefits.
Fidel Cisneros is a sixty-three year old veteran who receives $223.33 per month in OASDI benefits and $220.00 monthly in veterans benefits. He received an SSI notice of overpayment which stated that he owed the SSA $10,645.78 and asked him to refund it immediately. The form did not advise him when this overpayment occurred or provide a monthly breakdown of the alleged overpayments, but did contain a tear sheet that Mr. Cisneros was intended to return. The tear sheet stated: “For my convenience, please withhold my full social security benefit each month until my supplemental security income (SSI) overpayment of $_ is fully recovered.” Rec., vol. I, at 34. The SSA Debt Collection Center subsequently concluded that Mr. Cisneros could repay the alleged overpayment at the rate of $100.00 per month, more than 20 percent of his monthly income. Mr. Cisneros appealed.
Nina Nicol is a sixty-four year old widow whose income consists of $318 per month OASDI widow’s benefits, and approximately $34 per month Colorado Old Age Pension benefits. In 1982 she received a similar notice of overpayment for the amount of $1,569.57, a debt apparently incurred during an overlap in her benefit payments between June 1974 and June 1975. An employee at the SSA Debt Collection Center examined Mrs. Nicol’s living expenses, determined that she could afford to pay $44.00 per month, and rejected her offer to repay the debt at a rate of $10.00 per month. When Mrs. Nicol refused to enter into the proposed repayment agreement, she was informed that her account would be referred to the General Accounting Office for possible filing of a civil action against her unless she paid the full balance by November 30, 1982. This action was apparently not taken, but the Debt Collection Center continued to contact Mrs. Nicol and seek repayment.
Abraham Manzanares is a fifty-seven year old man whose income consists of $293.00 per month in OASDI benefits and about $327.00 per month in part-time employment. He was advised of an overpayment of $83.80, which he agreed to repay at the rate of $10.00 per month. He com
The final named plaintiff, Margaret Gardner, is a thirty-seven year old woman who lives in a nursing home. Because of her mental illness, she receives $298.00 per month in OASDI benefits, which is paid directly to the nursing home since the SSA has determined she is incapable of managing her own money. In 1982 she was notified that she had been overpaid $5,784.85, which she later learned had occurred between January 1974 and September 1975. Ms. Gardner was then induced to sign an “agreement” which would require her to make monthly payments of $100.00 on the alleged overpayment. This is more than one-third of her monthly income. A month later, she arranged to have the monthly payment reduced to $50.00. Finally, however, she decided to rescind the agreement. She filed an appeal of the overpayment determination and alternatively sought a waiver. At that time, the SSA waived only $1,941.68 of the total, leaving a balance of $3,843.17.
Plaintiffs’ suit in the district court challenged on statutory and constitutional grounds the Cross Program Recovery plan that permits recovery of SSI overpayments by the reduction of OASDI benefits; the sufficiency of notice concerning both the substance of the claims and the plaintiffs’ procedural rights; the rulemaking procedure of the SSA; the attempt to recover overpayments from those who subsequently had been found no longer disabled; and the efforts of the SSA to recover amounts so small that the cost of recovery exceeded the alleged overpayment. The named plaintiffs also sought class certification.
The district court never reached the merits, holding instead that it had no subject matter jurisdiction because plaintiffs had failed to exhaust their administrative remedies.
On appeal, the issues of jurisdiction and class certification are complicated by the subsequent overpayment waivers granted by the SSA. The Secretary contends that, even assuming there is subject matter jurisdiction, the merits of the case are moot as a result of the waivers. We turn first to the issue of subject matter jurisdiction, and then we address the class certification and mootness contentions.
II.
SUBJECT MATTER JURISDICTION
In Weinberger v. Salfi, 422 U.S. 749, 95 S.Ct. 2457, 45 L.Ed.2d 522 (1975), the Supreme Court held that section 205(h) of the Social Security Act, 42 U.S.C. § 405(h) (1982), bars general federal question jurisdiction in actions challenging denial of claimed benefits. Section 205(g) of the Act, 42 U.S.C. § 405(g), thus provides the only means of judicial review and requires a final decision by the Secretary as a jurisdictional prerequisite. See also Mathews, 424 U.S. at 327, 96 S.Ct. at 899. In Mathews, the Court recognized an excep
In this case, the district court recognized that each of the named plaintiffs had satisfied the nonwaivable element of the exhaustion requirement, with the possible exception of Fidel Cisneros.
We disagree. Each plaintiff alleged acute mental and physical distress in the face of the proposed reductions of their benefits. All but one of plaintiffs are elderly and all but one alleged that if their OASDI checks were reduced they would be unable to meet the minimal costs of subsistence. The specter of thousands of dollars of debt under these circumstances, with inadequate notice as to procedural rights or the source of the debt, can cause irreparable harm while awaiting administrative review. Cf. Mathews, 424 U.S. at 331 n. 11, 96 S.Ct. at 901 n. 11. Plaintiffs in this case allegedly were afraid they would not be able to survive economically. Margaret Gardner alleges that she became severely depressed and even contemplated suicide. This kind of emotional harm, faced by numerous OASDI recipients who have been threatened with substantial cuts, constitutes the type of situation where deference to the agency’s judgment is inappropriate. Since the allegations of the complaint are uncontroverted and must be construed favorably to plaintiffs, see Scheuer v. Rhodes, 416 U.S. 232, 236, 94 S.Ct. 1683, 1686, 40 L.Ed.2d 90 (1974), we must accept them as true. See Eaton v. Dorchester Development, Inc., 692 F.2d 727, 731 (11th Cir.1982); Ardalan v. United States, 534 F.Supp. 721, 723 (D.Colo.1982); 5 C. Wright & A. Miller, Federal Practice & Procedure § 1350, at 551-52 (1969 & Supp.1983). We believe plaintiffs have raised at least a
The Secretary argues that, nonetheless, plaintiffs’ claims are not collateral to their claims for unreduced and uninterrupted benefits. In Ringer, — U.S. -, 104 5. Ct. 2013, 80 L.Ed.2d 622, the Supreme Court considered whether four Medicare claimants seeking reimbursement for a certain surgical procedure had asserted truly collateral constitutional claims. Although those plaintiffs raised procedural objections to the manner in which the Secretary reached her decision not to reimburse, the Court determined that these claims were nothing more than, “at bottom, a claim that they should be paid for their ... surgery.”
Here, plaintiffs raise significant due process issues which are sufficiently distinct from their challenges to recoupment of overpayments to distinguish this case from Ringer. Foremost is their challenge to the Secretary’s power to implement a Cross Program Recovery plan which has not been authorized by Congress. This circuit recently recognized a similar challenge as collateral to the substantive claim of entitlement in Bartlett, 719 F.2d at 1061. The plaintiffs there claimed that the local agency had no authority to terminate their benefits.
A second cluster of claims challenges the sufficiency of notice concerning both the source of the alleged overpayments and plaintiffs’ procedural rights. These claims, we believe, closely parallel the claim for a pretermination hearing recognized in Mathews as collateral. 424 U.S. at 330, 96 S.Ct. at 900. The Court held that “denying El-dridge’s substantive claim ‘for other reasons’ or upholding it ‘under other provisions’ at the post-termination stage would not answer his constitutional challenge.” Id. at 331-32, 96 S.Ct. at 901 (citations omitted). Similarly, waivers granted “for other reasons” in this case would not answer the constitutional challenges raised by these plaintiffs. Instead, the challenges would be lost and possibly never addressed. See McGrath v. Weinberger, 541 F.2d 249, 253 (10th Cir.1976), cert. denied, 430 U.S. 933, 97 S.Ct. 1557, 51 L.Ed.2d 778 (1977); cf. Heckler v. Lopez, — U.S. -, 104 S.Ct. 221, 224, 78 L.Ed.2d 217 (1983) (Stevens, J., dissenting in part from memorandum decision denying application to vacate stay). Although the Secretary has the power to revise her policy, a fact indicating that commitment to the administrative process would be appropriate, see Wilson v. Secretary of Health & Human Services, 671 F.2d 673, 679 (1st Cir.1982), Mathews found this not to be a controlling factor. “It is unrealistic to expect that the Secretary would consider substantial changes ... at the behest of a single aid recipient raising a constitutional challenge in an adjudicatory context.” Mathews, 424 U.S. at 330, 96 S.Ct. at 900.
Plaintiffs assert statutory as well as constitutional claims. Many courts have extended the exhaustion exception to include statutory claims. See, e.g., Lopez v. Heckler, 725 F.2d 1489, 1503 (9th Cir.), vacated on other grounds, — U.S.-, 105 S.Ct. 583, 83 L.Ed.2d 694 (1984); Kuehner v. Schweiker, 717 F.2d 813, 817-18 (3d Cir. 1983), vacated on other grounds, — U.S. -, 105 S.Ct. 376, 83 L.Ed.2d 312 (1984); Wright v. Califano, 587 F.2d 345, 349 (7th Cir.1978); Caswell v. Califano, 583 F.2d 9, 14 (1st Cir.1978); Jones v. Califano, 576 F.2d 12, 20-21 (2d Cir.1978); Liberty Alliance of the Blind v. Califano, 568 F.2d 333, 346 (3d Cir.1977); Fitzgerald v. Schweiker, 538 F.Supp. 992, 997-98 (D.Md. 1982). This circuit has never considered the issue. Although we believe that constitutional issues present a more compelling case for judicial intervention, see Califano v. Sanders, 430 U.S. 99, 109, 97 S.Ct. 980,
The Third Circuit became the first court to extend the exception to statutory claims in Liberty Alliance of the Blind. There the court held that when the agency does have authority to decide a statutory legal issue, the test for exhaustion should be whether the Secretary has taken a final position on the issue. 568 F.2d at 346. Here plaintiffs allege that the SSA has undertaken to recover alleged SSI overpay-ments from an entire class of recipients. This is supported by an SSA memorandum dated February 16, 1982 which states that “there is a large class of backlogged, or aged, SSI overpayment cases with a high potential for collection,” ree., vol. I, at 216, and identifies current recipients of benefits as targets.
We find support for this conclusion from the Second Circuit in Jones, 576 F.2d at 20-21. That court recognized that when the issue is one of statutory construction, “[t]o require each claimant to pursue his individual administrative remedy [vindicates] no legitimate agency interest.” Id. Therefore, deference is inappropriate when a statutory interpretation can be universally applied to all eligible claimants. Id. at 21. Moreover, as indicated by the facts in this case, those who challenge the determination are frequently granted waivers or else are administratively held not to have made an overpayment. Those who fail to appeal, however, whether through ignorance or resignation, face reduction of their benefits, an unfair result given the acknowledged age and unreliability of some of the alleged overpayments. See rec., vol. I, at 217; cf. Jones, 576 F.2d at 18. A judicial determination of the statutory claim would prevent this inconsistency.
In sum, we hold that the district court has subject matter jurisdiction over both the constitutional and statutory claims raised in this action.
III.
MOOTNESS AND CLASS CERTIFICATION
The Secretary contends that even if the district court has jurisdiction, the satisfaction of plaintiffs’ individual administrative appeals renders this case moot on the merits of plaintiffs’ claims. As a general rule, a suit brought as a class action must be dismissed for mootness when the personal claims of the named plaintiffs are satisfied and no class has been properly certified. See Bailey v. Patterson, 369 U.S. 31, 32-33, 82 S.Ct. 549, 550, 7 L.Ed.2d 512 (1962); Wilson, 671 F.2d at 679; Zeidman v. J. Ray McDermott & Co., 651 F.2d 1030, 1045 (5th Cir.1981); cf. Sosna v. Iowa, 419 U.S. 393, 95 S.Ct. 553, 42 L.Ed.2d 532 (1975). Clearly, however, this case would not be moot if the district court had certified the proposed class of OASDI recipients. Although the court gave no reason for the denial of class certification, we presume that it did so because of the conclusion that it lacked subject matter jurisdiction.
The Supreme Court faced a similar question in United States Parole Commission v. Geraghty, 445 U.S. 388, 100 S.Ct. 1202, 63 L.Ed.2d 479 (1980). Geraghty was a federal prisoner who brought a proposed class action challenging parole guidelines.
Certain factors, however, distinguish Geraghty from our case and require scrutiny to determine whether it controls our situation. In Geraghty, motions for intervention and substitution indicated that the controversy was still a live one for at least some members of the class Geraghty proposed to represent. Geraghty, 445 U.S. at 396, 100 S.Ct. at 1208. We have no such motions before us, but the SSA memorandum discussed above indicates a continuing policy of cross program recovery of over-payments. The Secretary has not contended that the policy has changed.
In addition, the claim in Geraghty was inherently transitory in nature and expired with the mere passage of time, an important factor in those cases where the Court has applied the relation back doctrine. See Swisher v. Brady, 438 U.S. 204, 98 S.Ct. 2699, 57 L.Ed.2d 705 (1978); Gerstein v. Pugh, 420 U.S. 103, 95 S.Ct. 854, 43 L.Ed.2d 54 (1975). Here, the plaintiffs’ claims are not inherently transitory; rather, they have received favorable judgments from the agency that they sued. The Ger-aghty Court specifically left open the question whether settlement of the named plaintiff’s personal claim would render the case moot. See Geraghty, 445 U.S. at 404 n. 10, 100 S.Ct. at 1212 n. 10. We are persuaded by the thorough opinion in Zeid-man, 651 F.2d 1030, however, that we should extend Geraghty to class claims that have been rendered moot by purposeful action of the defendants. See id. at 1049-50. The Zeidman court held that a suit brought as a class action should not be dismissed for mootness upon tender to the named plaintiffs of their personal claims when a diligently pursued motion for class certification is pending before the district
As did the Zeidman court, we find additional support for this conclusion in cases where courts have held that a defendant governmental agency’s voluntary performance of a specific action demanded in the lawsuit could not prevent a decision on the plaintiff’s motion for certification by rendering the named plaintiff’s claim moot. See id. at 1051 (citing DeBrown v. Trainor, 598 F.2d 1069, 1072 (7th Cir.1979) (eligibility for food stamps restored by defendant state welfare agency); White v. Mathews, 559 F.2d 852, 857 (2d Cir.1977) (administrative hearing and decision granted by defendant Department of Health, Education and Welfare), cert. denied, 435 U.S. 908, 98 S.Ct. 1458, 55 L.Ed.2d 500 (1978); Basel v. Knebel, 551 F.2d 395, 397 n. 1 (D.C.Cir.1977) (eligibility for food stamps restored by defendant state agency); cf. Frost v. Weinberger, 515 F.2d 57, 63-64 (2d Cir.1975) (summary judgment in plaintiffs’ favor, in suit challenging denial of Social Security survivors’ benefits, rendered before class was properly certified), cert. denied, 424 U.S. 958, 96 S.Ct. 1435, 47 L.Ed.2d 364 (1976)); see also Wright v. Califano, 603 F.2d 666, 669-70 (7th Cir. 1979), cert. denied, 447 U.S. 911, 100 S.Ct. 2999, 64 L.Ed.2d 862 (1980) (satisfaction of named plaintiff’s OASDI claim did not moot proposed class action; class related back to date of complaint).
Accordingly, we conclude that resolution of the named plaintiffs’ claims has not mooted this appeal. On remand, the district court should reconsider the issue of class certification.
The district court judgment dismissing the case for lack of subject matter jurisdiction is reversed. The case is remanded for further proceedings.
. The SSI program, 42 U.S.C. § 1381 et seq. (1982), is a federally funded public assistance
. The Secretary seeks to justify both the notice and the entire program by arguing that reduction of benefits is voluntary. The notice states: "If you cannot repay the entire overpayment today, you may arrange to pay by monthly installments or you may choose to have the overpayment deducted from your Social Security benefits." Brief of Appellees at 5 (emphasis added by Appellees). We understand the notice to offer only a choice in the method of payment. Since payment is obligatory, the choice is illusory for most recipients.
. The court also held that plaintiffs could not invoke mandamus jurisdiction under 28 U.S.C. § 1361 (1982). Since we find jurisdiction under the Social Security Act, 42 U.S.C. § 405(g), we do not reach the issue of mandamus jurisdiction.
. The Secretary may waive exhaustion when it appears that no further administrative review is warranted, either because the internal needs of the agency have been satisfied or because the relief sought is beyond the Secretary's power to confer. Bartlett v. Schweiker, 719 F.2d 1059, 1061 (10th Cir.1983).
. Mr. Cisneros’ alleged overpayment had already been waived by the Secretary and defendants contended that his claim was moot. In light of our conclusion concerning mootness, infra, and our remand for reconsideration of class certification, we find this fact insignificant. We note, however, that all members of a proposed class action under § 405(g) must satisfy this exhaustion requirement. See Califano v. Yamasaki, 442 U.S. 682, 703-04, 99 S.Ct. 2545, 2558-59, 61 L.Ed.2d 176 (1979).
. We find this distinction unhelpful, since almost any claim could be reduced, at bottom, to a substantive claim of entitlement. We note that plaintiffs would have had no standing under § 405(g) were they not challenging that determination.
. Although the memo targets recipients of "SSI or RSDI benefits,” we believe that the obvious implication, as shown by the facts in this case, is that other program beneficiaries are also subject to this practice.
. The Secretary apparently agrees with this inference because she argues in her brief that the jurisdictional issue was a threshold question obviating the need for the court to make detailed findings on the class issue. Brief of the Defendants-Appellees at 33.
. Moreover, the Geraghty Court recognized that "the constant existence of a class of persons suffering the deprivation is certain. The attorney representing the named respondents is a public defender, and we can safely assume that he has other clients with a continuing live interest in the case." Id. at 399, 100 S.Ct. at 1210 (quoting Gerstein v. Pugh, 420 U.S. 103, 110 n. 11, 95 S.Ct. 854, 861 n. 11, 43 L.Ed.2d 54 (1975)). Here, we have indigent plaintiffs represented by a legal services agency challenging a continuing policy of the SSA. We assume there are other legal services clients with a continuing live interest in the case who can represent the class if necessary for certification. As the Court further explained, this type of class action is "more analogous to the private attorney general concept than to the type of interest traditionally thought to satisfy the 'personal stake’ requirement.” Id., 445 U.S. at 403, 100 S.Ct. at 1212.
. Although the class certification motion was pending at the time defendants settled the named plaintiffs’ individual claims, see Zeid-man, 651 F.2d at 1040-41, we find this fact insignificant in light of Geraghty.
. The Supreme Court recognized in Califano v. Yamasaki, 442 U.S. at 697, 701, 99 S.Ct. at 2555, 2557 (1979), "that class relief for claims such as those presented by respondents in this case is peculiarly appropriate.” There, as here, the plaintiffs were challenging the procedures whereby the Secretary sought to recoup over-payments made to social security recipients.