Willis v. SullivanWillis v. Sullivan
Lead Opinion
Plaintiff-appellant Dorothy Willis (“Willis”), appeals the sufficiency of the attorney’s fee award under the Equal Access to Justice Act (“EAJA”),
I. PROCEDURAL HISTORY
A. Disability Determination.
On May 20, 1981, Willis applied for both disability insurance benefits under Title II of the Act,
Willis filed an action in district court on April 29, 1983, seeking review of the Appeals Council’s decision pursuant to
[BJefore supplemental security income may be paid, a determination must be made as to whether the income and resource provisions of the Act are met. You and your client will be advised regarding the non-disability requirements and, if eligible, the amount and the month(s) from which payment will be made.
B. Determination of Excess Income for SSI Benefits.
On January 23, 1985, Willis filed a motion in district court requesting the court to: rule that she was a prevailing party; enter a final judgment stating that she was entitled to both disability benefits under Title II and SSI benefits under Title XVI; and order the Secretary to file a calculation of benefits due her under both Titles II and XVI from August 13, 1980 through the date of the motion. On March 5, 1985, the Secretary filed a notice of action taken during remand and a motion to affirm the Secretary’s decision awarding only Title II disability benefits. On March 6, 1985, the district court affirmed the Appeals Council’s decision on remand and ordered the Secretary to file calculations with the court showing benefits due under both Titles II and XVI. On March 15, 1985, Willis filed a petition for attorney’s fees under the EAJA.
In furtherance of the district court’s order to compute and file calculations, the Appeals Council notified Willis by letter that, since she was entitled to Title II disability benefits, she would also be eligible for Title XVI SSI benefits provided she still met the statutory income requirements. The letter requested Willis to submit updated financial information for the period up to January 17,1985. Willis submitted additional financial information which revealed that from October 1983 through September 1984 she had received $135 per month from her children.
Relying on this new information, the SSA issued a notice of decision on April 2, 1985, stating that Willis was not eligible for SSI benefits for the entire period from August 13, 1980 through March 1985 as a result of the income received from her children
If you believe that this determination is not correct, you may request a reconsideration. You must make this request no later than 60 days from the date you receive this notice. You may make this request through your local Social Security Office. If additional evidence is available, you should submit it with your request.4
C. Claimant’s Motion for Contempt/Mandamus.
Instead of requesting reconsideration of this decision, Willis filed a motion for contempt or, in the alternative, for a writ of mandamus pursuant to
On June 3, 1988, the district court reaffirmed its earlier March 6, 1985 decision and adopted the magistrate’s report which required the Secretary to pay Willis social security benefits and precluded the Secretary from considering income as a criteria for eligibility under Title XVI. The court ordered the Secretary to file computations for SSI benefits within thirty (30) days, stating that the Secretary was permitted “to offset the Title II benefits paid Ms. Willis against the amount of Title XVI benefits yet to be determined.”
The Secretary responded by computing Willis’ SSI benefits in two ways. The first calculation included in Willis’ countable income only her retroactively attributed Title II disability benefits, for a total $7,246.10 retroactive SSI benefit award. The second calculation included in Willis’ countable income not only her retroactively attributed Title II disability benefits, but also her deemed income from her spouse, for a total $0 retroactive SSI benefit award.
D. EAJA Attorney Fees.
On March 15, 1985, Willis filed a petition for attorney fees under the EAJA,
On March 21,1986, the magistrate issued a report and recommendation advising that Willis’ attorney receive EAJA attorney fees for 56 of the 113.90 hours requested at a rate of $75.00 per hour. Of those hours, the magistrate recommended that the request for 41.40 hours be for work performed during administrative proceedings prior to judicial review 3.10 hours be for time spent in an unsuccessful attempt to convince the court to reject the magistrate’s report and recommendation be denied. Further, the magistrate advised that 14.70 hours spent in the subsequent administrative hearing before the Secretary be denied. Finally, the magistrate rejected counsel for plaintiff's request for an EAJA award of $100.00 per hour, based on this court’s decision in Chipman v. Secretary of Health and Human Serv.,
On July 25, 1986, Willis supplemented her request for EAJA fees to reflect time spent by her attorney from January 1985 to July 1986. In that motion, Willis reduced her request for attorney fees to $75.00. The Secretary opposed the amended petition. The district court referred the amended EAJA petition back to the magistrate, who issued a supplemental report recommending that Willis receive the previously recommended amount of $4,200.00 plus 22.40 of the 29.70 additional hours requested, equalling a total attorney fee amount of $5,880.00. Both parties objected. On June 3, 1988, the district court adopted the magistrate’s August 13, 1987 report and final judgment was entered on June 30, 1988.
Willis appealed and the Secretary cross-appealed. On December 16, 1988, this court consolidated both parties’ appeals. Upon motion of the Secretary, this court also stayed proceedings of the consolidated attorney fee appeals until a final judgment on the merits was obtained on August 7, 1989. After the Secretary appealed the district court’s August 7, 1989 final judgment, this court consolidated that appeal with the previously consolidated attorney fee appeals.
II. DISCUSSION
A. Subject Matter Jurisdiction.
The court has jurisdiction over the parties’ appeal of the district court’s final judgments pursuant to
The Secretary argues that the district court lacked subject matter jurisdiction to review the SSA’s initial determination issued on April 2, 1985 denying Willis SSI benefits due to excess income because Willis failed to exhaust her administrative remedies and thereby obtain a final decision of the Secretary. Without a final decision, the Secretary argues that the district court lacked jurisdiction under
In this case Willis requested mandamus relief, and we must therefore consider whether mandamus provided a proper basis for the district court’s exercise of jurisdiction in this case. Mandamus jurisdiction in federal courts is codified at -
The existence of jurisdiction undersection 1361 is inextricably bound with the merits of whether a writ of mandamus should [be] issue[d]. Accordingly, jurisdiction to entertain a petition for its issuance cannot exist unless the plaintiff colorably demonstrates either that he has exhausted all other avenues of relief, orthat further exhaustion should be excused.
Slone v. Secretary of Health and Human Serv.,
Judicial review of social security claims is governed by
[a]ny individual, after any final decision of the Secretary made after a hearing to which he was a party, irrespective of the amount in controversy, may obtain a review of such decision by a civil action commenced within sixty days after the mailing to him of notice of such decision or within such further time as the Secretary may allow. Such action shall be brought in the district court of the United States for the judicial district in which the plaintiff resides or has his principal place of business, or, if he does not reside or have his principal place of business within any such judicial district, in the United States District Court for the District of Columbia.
The findings and decision of the Secretary after a hearing shall be binding upon all individuals who were parties to such hearing. No findings of fact or decision of the Secretary shall be reviewed by any person, tribunal, or governmental agency except as herein provided. No action against the United States, the Secretary, or any officer or employee thereof shall be brought under section 1331 or 1346 of Title 28 to recover on any claim arising under this sub-chapter.
The first two sentences of
Three conditions must be satisfied to obtain judicial review under
Here we are concerned only with the first condition. The Supreme Court has held that the finality requirement consists of two elements. First, a claim for benefits must be presented to the Secretary. This element is jurisdictional, and absent such a claim there can be no review. Second, the decision must be final in that the claimant has exhausted the administrative remedies prescribed by the Secretary. This element is not jurisdictional and can be waived by the Secretary, and in certain circumstances, the court. Bowen v. City of New York,
The Secretary contends that Willis has failed to satisfy the exhaustion prong of the finality requirement. The term “final decision” is left undefined by the Act and pursuant to
In this case, Willis sought mandamus relief from the district court on April 8, 1985, six days after she received the SSA’s post-remand notice of decision denying her application of SSI benefits,
Even if the Secretary had acted improperly initially in requiring further administrative hearings on the issue of Willis’ financial eligibility for purposes of Title XVI, once the Secretary had established that further administrative relief was available, Willis was required to pursue that course of action before proceeding to federal court. In Bisson, the claimant filed a writ of mandamus after the Secretary allegedly abused his discretion in untimely reopening an AU decision regarding the expiration date of the claimant’s insured status for purposes of Title II benefits. In reversing the district court’s grant of summary judgment for the Secretary, we explained that mandamus jurisdiction was improper because the claimant had not exhausted his administrative remedies:
It is true that at the time of filing her complaint it was unclear whether administrative avenues were open to plaintiff, but the July 17, 1984 notice to plaintiff that the Appeals Council was reopening her case gave her the opportunity to submit further evidence and arguments and to request oral argument.... Whether or not the Council ought to have done so, once it reopened the case plaintiff had an adequate remedy in proceeding as the Council directed and then, if necessary, bringing suit under§ 405(g) .
Bisson,
Likewise, in Slone, the claimant filed a writ of mandamus after the Secretary allegedly abused its discretion by reopening and reversing, allegedly without good cause, the AU’s determination awarding disability benefits. In affirming the district court’s dismissal of the petition, we held that, regardless of whether the Secretary’s action in reopening the case was improper, the claimant had failed to satisfy the exhaustion of remedies requirement for obtaining a writ of mandamus:
Unlike the decision to reject a claimant’s request to reopen his case, the Secretary’s decision to reopen Slone’s case resulted in a hearing and a final decision on the merits. Hence, the Secretary’s decision produced the particular type of agency action that is subject to judicial review under§ 405(g) .
Slone,
Nor do we find any evidence in the record to indicate that the exhaustion requirement may be excused. At no time did the Secretary waive that requirement, but instead specifically argued to the district court that if Willis disagreed with the SSA’s determination denying her SSI benefits her “proper recourse ... is to request reconsiderations of this determination under
In sum, we conclude that plaintiff was not entitled to mandamus relief since she failed to exhaust her administrative remedies. We therefore hold that the district court abused its discretion in granting mandamus relief.
B. Award of EAJA Attorney Fees.
Both parties raise various challenges to the district court’s award of EAJA attorney fees. We review EAJA awards for attorney fees under an abuse of discretion standard. Perket v. Secretary of Health and Human Serv.,
1.
On appeal Willis contends that the district court abused its discretion in denying her request for EAJA attorney fees for 41.4 hours for work performed by her attorney during the administrative proceedings prior to judicial review of her disability claim. The Secretary counters that the administrative proceedings prior to judicial review were clearly nonadversarial and therefore not entitled to award of EAJA fees.
The operative provisions are
Willis argues that the Secretary took a position through her attorney during the original administrative proceedings which converted those proceedings into an “adversary adjudication.” Specifically, Willis argues that because the Secretary’s counsel responded by letter denying her request for answers to interrogatories and motions to produce, the Secretary, in essence, was represented by counsel during the administrative proceedings on her disability claim.
We are not persuaded by this argument. At the time of her discovery request, Willis’ case was pending a request for hearing before an AU, and the originals of the interrogatories and motions were submitted to the hearing office on April 12, 1982. Upon receipt of Willis’ interrogatories and motion to produce, the Secretary’s counsel sent a written response to Willis’ attorney on May 13, 1982, not to deny the request as asserted by Willis, but to inform him that the interrogatories and motions had been forwarded to the Tennessee hearing office for further action. The letter also noted that the Federal Rules of Civil Procedure do not apply to claims pending before an AU and that counsel knew of no authority under which interrogatories or other "discovery" materials could beserved on the Secretary in a SSI claim. In addition, the Tennessee Attorney General’s office filed a response to Willis’ request which stated that pursuant to
Neither of these responses by the Secretary constituted a denial of Willis’ right to this information; rather they simply sought to inform her as to the proper administrative procedures, and clearly do not amount to the Secretary taking a position represented by counsel during the administrative phase of Willis’ disability claim. Thus, we find that the district court did not abuse its discretion in denying the request for attorney fees for work done prior to judicial review.
On the other hand, we do find that Willis is entitled to the 14.70 hours in attorney fees for work performed during the administrative proceedings after the district court’s remand of Willis’ disability claims under the authority of Hudson. In Hudson, the Supreme Court held that EAJA fees for representation during the administrative proceedings subsequent to court remand are available subject to the other limitations in the EAJA. Hudson,
2.
Willis also claims that she is entitled to a cost-of-living increase of the hourly fee rate under the EAJA pursuant to
3.
The Secretary argues that the district court abused its discretion in awarding Willis EAJA attorney fees for work expended on unsuccessful or pending and collateral and discrete issues unrelated to the claim on which she succeeded; or alternatively, that the government’s position was substantially justified. Specifically, the Secretary objects to the district court’s award of EAJA attorney fees for Willis’ attempt to have the district court order the Secretary to compute and pay Title II benefits before Title XVI benefits to avoid application of the SSI windfall offset set forth in
The EAJA provides in pertinent that a court shall award fees to a prevailing party other than the United States in any civil action brought by or against the United States in any court having jurisdiction of that action, unless the court finds that the government’s position was substantially justified or that special circumstances make an award unjust.
Accordingly, the district court’s grant of mandamus relief is REVERSED and this action is REMANDED to the district court to be dismissed for lack of jurisdiction. Further, the district court’s award of EAJA attorney fees is AFFIRMED IN PART and REVERSED IN PART in accordance with this opinion.
Notes
. An individual is eligible for SSI benefits on the basis of financial need (including income and resources) and either age, blindness, or disability.
. The income Willis received from her children was included in her total countable income pursuant to
. The income Willis received from her husband was included in her total countable income pursuant to
.This statement was included within the notice pursuant to
. Where a claimant is found entitled to receive retroactive SSI benefits, application of the SSI windfall offset provision may reduce the amount of "past-due” disability benefits from which the Secretary withholds 25% for payment of attorney’s fees. Burnett v. Heckler,
. The SSA did not include the income Willis received from her children in the second calculation, apparently because either the income she received from her children or her retroactively attributed disability benefits were sufficient, in combination with the deemed income from her spouse, to exceed the Federal Benefit Rate.
.
. Title
The Secretary shall have full power and authority to make rules and regulations and to establish procedures, not inconsistent with the provisions of this subchapter, which are necessary or appropriate to carry out such provisions, and shall adopt reasonable and proper rules and regulations to regulate and provide for the nature and extent of the proofs and evidence and the method of taking and furnishing the same in order to establish the right to benefits hereunder.
. An initial determination is defined as:
[those] determinations [SSA] make[s] that are subject to administrative and judicial review. The initial determination will state the important facts and give the reasons for [the SSA's] conclusions. Initial determinations regarding [SSI] benefits include, but are not limited to, determinations about—
(a) [a claimant’s] eligibility for, or the amount of, [his or her SSI] benefits....
. This decision was separate and distinct from the post-remand decision that Willis was eligible for disability benefits under Title II. Accordingly, separate administrative rights and remedies attached to the Social Security Act decision regarding SSI benefits.
. Each determination or decision is binding upon the relevant parties unless the next level of review is involved.
If [a claimant is] dissatisfied with [the Secretary’s decision] in the review process, but [does] not take the next step within the stated time period, [the claimant] will lose [his or her] right to further administrative reviewand. [his or her] right to judicial review, unless [he or she] can show [the Secretary] that there was good cause for [his or her] failure to make a timely request for review.
Id. (emphasis added).
. In Slone, the claimant originally sought judicial relief from the Council under
. The purpose of the motion was to prevent the Secretary from applying the SSI windfall offset provisions in order to enhance the amount of past due benefits used for the calculation of claimant’s attorney fee award under
Dissenting Opinion
dissenting.
Because I find the district court had jurisdiction to issue the writ of mandamus as part of its retained jurisdiction, I dissent from the majority’s holding on the mandamus issue. My conclusion results from a different understanding of the facts. As I view the record, combining the findings of the Secretary in favor of the plaintiff before and after remand, the Secretary had found Dorothy Willis (“Willis”) eligible for benefits. The Secretary, nevertheless, refused to make the nondiscretionary payment of those benefits because the Secretary changed position on one of the Secretary’s earlier conclusions relied on by the court.
I.
The Supreme Court and this Circuit have made clear that a district court can retain jurisdiction to effectuate its decision after remand. In Sullivan v. Hudson,
The majority acknowledges that the Social Security Administration (“SSA”) determined that Willis met the income level requirements. It classifies this finding, however, as “preliminary.” Majority Opinion at 392. The majority indicates that a separate decision denied benefits based on lack of disability and that that determination was “affirmed” by an Administrative Law Judge (“AU”). As I view the facts, the AU found the earnings requirement had been met. The decision of the AU stated “[t]he claimant’s earnings record shows that the special earnings requirements of the Act were met on August 13, 1980, when the claimant allegedly became unable to work, and that these requirements continue to be met through the date of this decision.” Joint Appendix at 576 (AU Decision, Oct. 6, 1982). That decision was declared the final decision of the Secretary by the Appeals Council in its April 19,1983, action denying review. Joint Appendix at 574.
It was that April 19, 1983, decision that Willis challenged in the instant case. Joint Appendix at 287 (Social Security Complaint). In that complaint and in the district court, the only issue raised was disability. Willis had been successful on the earnings issue and the Secretary did not cross-complain on that issue or assert a failure to meet the earnings requirement as an affirmative defense.
On remand, the ALJ found that Willis was disabled, a decision fully favorable to Willis. That decision was adopted as modified by the Appeals Council on January 17, 1985, and was the final decision of the Secretary. Joint Appendix at 91-92 (Appeals Council Decision, Jan. 17, 1985). This decision is the first evidence that the Secretary was attempting to reopen the issue of the earnings requirement. The last paragraph of the decision states that the SSA will advise the claimant regarding the non-disability requirements and, if eligible, the amount and the month(s) for which payment will be made. Since there is no mention of a reversal of previous decisions, at most this language should be read to apply to eligibility for those months on which the Secretary had not made a finding. The prior decision of the Secretary which was the subject of the district court case, and which was not contested there, had only made a finding of eligibility up until that AU decision of October 1982. Joint Appendix at 576.
In affirming the decision of the Secretary, the district court clearly understood the Secretary’s decision to be favorable to Willis and one awarding benefits. The district court stated in its order “[bjecause defendant has shown the Court that Social Security benefits have been or will be awarded plaintiff upon remand, the Court finds the Secretary’s decision should be affirmed.” Joint Appendix at 392-93. (Order, Mar. 6, 1985). The district court, therefore, ordered the Secretary to file with the court calculations of the amount due plaintiff. The court also ordered computation and payment of disability payments before payment of SSI benefits, further indicating by its order that payment of SSI benefits was part of the order. Joint Appendix at 393.
The order specified that the Secretary was to file calculations and make payments. It further specified that final judgment was to be entered only after such calculations were entered. It is therefore clear that the district court was retaining jurisdiction under
It was only after the Secretary was under court order to file calculations with the court and make payment that the Secretary decided to deny benefits based on changing a factual finding which the Secretary had made two and a half years earlier and which had been the basis of the appeal to the district court. It was only when the Secretary sought to change the facts in defiance of the district court that the court issued a writ of mandamus.
II.
Mandamus is an extraordinary remedy, but was appropriate under the circumstances described above. There were other aggravating factors that provoked the district court to resort to mandamus. The magistrate’s recommendation that mandamus be issued recounts a history of inappropriate conduct by the Secretary in this case. The case is replete with delay by the Secretary. After the district court ordered remand on April 11, 1984, the failure of the Secretary to comply with the court’s order compelled Willis to seek contempt. The Secretary responded that although the Secretary had received a copy of the judgement, the district court had not notified the proper official associated with the Secretary. The court declined to issue an order finding contempt at that time even though notice to counsel is normally notice to the party and counsel for the plaintiff indicated that he had personally notified officials
There is a strong suspicion that the Secretary, being dissatisfied with the decisions of this court, has engaged in guerilla warfare against the plaintiff. In spite of protestations at oral argument by counsel for Secretary to the contrary, it is outrageous and offensive to the court for the Secretary to make the argument that plaintiff was not entitled to SSI benefits because she was not disabled, and then, losing this argument, merely failing to pay and, when pressed, coming up with a different reason for denying payment.
Joint Appendix at 471.
Under these circumstances, mandamus was clearly appropriate. The Secretary was refusing to comply with the district court’s order for calculation and payment. It is not disputed that the court has the power to order a calculation. Payment was not discretionary once it had been determined that the statutory requirements had been met. The earnings requirement had been established as part of the facts prior to commencement of the district court action and the district court had acted based upon those facts in the record. Once the disability requirements were also conceded by the Secretary, there was no discretion to withhold the payments. The district court’s mandamus order was necessary to effectuate its prior order implementing its legal conclusions in the case. It was therefore within the retained jurisdiction of the court as provided by the Supreme Court in Hudson and this Court in Buck.
III.
The majority cites Bisson v. Secretary of Health & Human Serv.,
IV.
In this case, there was a finding on the earnings eligibility requirement before litigation on disability commenced. It is therefore not necessary to the decision in this case to determine the appropriateness, under the statute or constitutional due process, of the Secretary dividing a disability determination into multiple components and delaying payment by forcing the claimant to individually exhaust administrative remedies and article III court remedies for each component of entitlement. I would note, however, that the lengthy history of this case illustrates the delay of justice that results under such a scheme. It is now 1991. The application for SSI benefits in this case was filed in 1981. A decade-long delay in receiving payments reserved to only those in poverty seems to exemplify the adage that justice delayed is justice denied. In fact, the allegations that Willis did not meet the earnings requirements result from the determination that, during the time Willis was fighting to get her entitlement payments because of her poverty and disability, her children dared to help
. The Secretary is not an "individual” entitled to sue under