Ryan v. Bentsen

• Decision Date: 28 December 1993
• Docket Number: No. 91-5236,91-5236
• Parties: , 43 Soc.Sec.Rep.Ser. 237, Unempl.Ins.Rep. (CCH) P 17664A James RYAN, Appellant, v. Lloyd BENTSEN, Secretary of the Treasury, et al., Appellees.
• Court: U.S. Court of Appeals — District of Columbia Circuit

Page 245

12 F.3d 245

304 U.S.App.D.C. 219, 43 Soc.Sec.Rep.Ser. 237,

Unempl.Ins.Rep. (CCH) P 17664A

James RYAN, Appellant, v. Lloyd BENTSEN, Secretary of the Treasury, et al., Appellees.

No. 91-5236.

United States Court of Appeals, District of Columbia Circuit.

Argued Sept. 7, 1993.

Decided Dec. 28, 1993.

Appeal from the United States District Court for the District of Columbia (Civil Action No. 91-608).

William H. Dempsey, Washington, DC (appointed by the Court), argued the cause for amicus curiae. On brief was Warner W. Gardner, Washington, DC.

Marina Utgoff Braswell, Asst. U.S. Atty., Washington, DC, argued the cause for the appellees. On brief were J. Ramsey Johnson, U.S. Atty., and John D. Bates and R. Craig Lawrence, Asst. U.S. Attys.

Before: BUCKLEY, GINSBURG and HENDERSON, Circuit Judges.

Opinion for the court filed by Circuit Judge KAREN LeCRAFT HENDERSON.

KAREN LeCRAFT HENDERSON, Circuit Judge:

James Ryan appeals the district court's dismissal of his claim for lack of subject matter jurisdiction. Before the district court Ryan challenged the suspension of his Social Security retirement benefits. The court found that Ryan's case arose under the Social Security Act and that Ryan had failed to exhaust his administrative remedies as required by 42 U.S.C. Sec. 405(g). For the reasons set forth below, we affirm.

I.

In 1987 Ryan became eligible for and began receiving Social Security retirement benefits. 42 U.S.C. Secs. 401 et seq. In 1989 Ryan was convicted of a felony and confined to a federal prison. Section 402(x) of the Social Security Act (Act) prohibits the payment of benefits to incarcerated felons; ¹ acting pursuant to section 402(x), the Mid-Atlantic regional office of the Social Security Administration (SSA) terminated Ryan's benefits in late 1989. Ryan sought reconsideration but was unsuccessful. He did not request a hearing before an administrative law judge or Appeals Council review as provided by the Act. See 42 U.S.C. Sec. 405(g); 20 C.F.R. Sec. 404.900(a)(1)-(4). Proceeding pro se, Ryan then filed this lawsuit in the United States District Court for the District of Columbia. Ryan's challenge to the suspension of his benefits arises from the fact that section 402(x) prohibits payment of Social Security benefits to incarcerated felons but not to incarcerated misdemeanants; according to Ryan, the statutory distinction between felons and misdemeanants violates the due process clauses of both the fifth and the fourteenth amendments.

The district court dismissed Ryan's case for lack of subject matter jurisdiction because he had not exhausted his administrative remedies. See Ryan v. Brady, 776 F.Supp. 1, 2 (D.D.C.1991). The court found that Ryan's claim arose under the Act and that he had not received a "final decision" of the Secretary (Secretary) of the Department of Health and Human Services (Department) rendered after a hearing, as required by 42 U.S.C. Sec. 405(g). Ryan, 776 F.Supp. at 2. When Ryan sought summary reversal of the lower court's decision, and the Secretary sought summary affirmance, this Court appointed an amicus curiae to address numerous issues raised by Ryan's appeal. ² Today we need reach only one of those issues: whether we should waive the exhaustion requirement and remand the case to the district court to consider the constitutionality of section 402(x).

II.

Judicial review of Social Security benefit determinations is circumscribed by the Act. See 42 U.S.C. Secs. 405(g)-(h). Specifically, section 405(g) permits judicial review of the Department's action only after a "final decision of the Secretary made after a hearing." 42 U.S.C. Sec. 405(g). The Secretary renders a "final decision" after a benefit claimant receives an initial determination of his right to benefits by the regional SSA office, asks that office to reconsider its determination, requests a hearing before an administrative law judge (ALJ) and requests Appeals Council review of the ALJ's decision. See 20 C.F.R. Sec. 404.900(a)(1)-(4). The Secretary's "final decision" is a prerequisite to subject matter jurisdiction in the district court and consists of two components, a presentment requirement and an exhaustion requirement. ³ See Mathews v. Eldridge, 424 U.S. 319, 328, 96 S.Ct. 893, 899, 47 L.Ed.2d 18 (1976). Only the presentment requirement is purely jurisdictional in the sense that it cannot be waived. Id. The exhaustion requirement, by contrast, can be waived. Id.

Thus far, the Supreme Court has found waiver appropriate in two situations. First, waiver can occur when the Secretary determines that the only issue before him is one of the constitutionality of a provision of the Act and that he cannot allow or disallow benefits on any ground other than the constitutional ground. Because the constitutionality of a statutory provision is an issue beyond his competence to decide, exhaustion is futile. Weinberger v. Salfi, 422 U.S. 749, 765-66, 95 S.Ct. 2457, 2466-67, 45 L.Ed.2d 522 (1975). Further agency review would not serve the purposes of exhaustion, namely, "preventing premature interference with agency processes, ... afford[ing] the parties and the courts the benefit of [the agency's] experience and expertise, ... [or] compil[ing] a record which is adequate for judicial review." Id. at 765, 95 S.Ct. at 2467. When exhaustion is futile, the Salfi Court held, the Secretary may waive the exhaustion requirement. The Court further indicated that "[t]he term 'final decision' is not only left undefined by the Act, but its meaning is left to the Secretary to flesh out by regulation." Id. at 766, 95 S.Ct. at 2467. The Secretary heeded the Court and has by regulation enabled a benefit claimant to bypass the final two stages of administrative review by creating an expedited appeals process (EAP) the claimant can use if he contends, and the SSA agrees, that the only obstacle preventing him from receiving benefits is a provision of the Act he alleges is unconstitutional. See 20 C.F.R. Secs. 404.923-404.924. Agreement to use the EAP constitutes a "final decision" for the purpose of judicial review. 20 C.F.R. Sec. 404.926(e).

Second, the Supreme Court has sanctioned waiver when the claimant's constitutional challenge is collateral to his claim of entitlement and he stands to suffer irreparable harm if forced to exhaust his administrative remedies. Eldridge, 424 U.S. at 330-31, 96 S.Ct. at 900-01. In such a case, "deference to the agency's judgment is inappropriate," and the court itself may waive the exhaustion requirement. Id. at 330, 96 S.Ct. at 900. In this case, Ryan has not shown that he would suffer irreparable harm if forced to exhaust his remedies and therefore he may not invoke the second exception to the exhaustion requirement.

Ryan's challenge does, however, fit the first exception: the only issue is his constitutional challenge to section 402(x) and his benefits cannot be suspended or continued on the basis of any other section of the Act. Thus, exhaustion would appear to be futile. Nevertheless, the Secretary has not waived the exhaustion requirement. We must consider therefore whether we may effectively waive the requirement and, if so, whether we should.

As a preliminary matter, we note that the Supreme Court has not explicitly stated that a court may waive the exhaustion requirement when exhaustion would be futile. Rather, the Court has declared only that the Secretary may waive when he finds futility. See Eldridge, 424 U.S. at 330, 96 S.Ct. at 900. We have noted, however, that "the Court has extended the term ["waiver"] to situations where the Secretary staunchly demands that the claim be dismissed for want of exhaustion, but the Court itself has excused non-compliance." Tataranowicz v. Sullivan, 959 F.2d 268, 274 (D.C.Cir.1992) (excusing exhaustion where claimant challenged statutory, not constitutional, interpretation) (citing Eldridge, 424 U.S. at 328, 96 S.Ct. at 899; Mathews v. Diaz, 426 U.S. 67, 76-77, 96 S.Ct. 1883, 1889-1890, 48 L.Ed.2d 478 (1976); Bowen v. City of New York, 476 U.S. 467, 483, 106 S.Ct. 2022, 2031, 90 L.Ed.2d 462 (1986)). Thus, if the Secretary agrees that no facts are in dispute and that the only issue is the constitutionality of a provision of the Act, the court could, so far as prior cases are concerned, find futility and therefore deem the exhaustion requirement waived.

Given, then, that we can find futility and deem the exhaustion requirement waived, the question becomes whether we should. We decline to waive the exhaustion requirement, however, because the Secretary has expressly provided the EAP for a benefit claimant who argues that exhaustion of the usual procedures would be futile because the constitutional issue he raises is the sole issue. The EAP allows a claimant who receives an initial determination, and a reconsideration of that decision, to avoid the next two steps of administrative review. If the claimant stipulates that the only barrier to his receipt of benefits is a provision of the Act that he believes to be unconstitutional, and the SSA agrees that the dispute is so limited, the exhaustion requirement is waived. 20 C.F.R. Sec. 404.923. We conclude that resort to the EAP procedure would not have been futile. ⁴

The EAP procedure benefits both the parties and the court. First, it allows the claimant to circumvent full Department review. At the same time, when a claimant has availed himself of the EAP, the parties come to court in agreement as to the facts and the applicable law; only the statute's constitutionality remains in dispute. This means that when the case reaches the district court there will be no question regarding exhaustion of remedies or applicability of the futility doctrine. Nor will either party be faced with novel legal or factual claims beyond the constitutional question. Hence, the constitutional issue will be isolated for thorough analysis. ⁵

Additionally, the court will benefit from the parties' use of the EAP....