Respondents Brief — Manfredo M. Salinas, Petitioner v. United States Railroad Retirement Board
Supreme Court briefJun 8, 2020
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No. 19-199
In the Supreme Court of the United States
MANFREDO M. SALINAS, PETITIONER
v.
UNITED STATES RAILROAD RETIREMENT BOARD
ON WRIT OF CERTIORARI
TO THE UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT
BRIEF FOR THE RESPONDENT
ANA M. KOCUR
General Counsel
MARGUERITE P. DADABO
Assistant General Counsel
PETER J. ORLOWICZ
General Attorney
U.S. Railroad Retirement
Board
Chicago, Ill. 60611
NOEL J. FRANCISCO
Solicitor General
Counsel of Record
EDWIN S. KNEEDLER
Deputy Solicitor General
JOSEPH H. HUNT
Assistant Attorney General
AUSTIN L. RAYNOR
Assistant to the Solicitor
General
CHARLES W. SCARBOROUGH
SONIA M. CARSON
Attorneys
Department of Justice
Washington, D.C. 20530-0001
SupremeCtBriefs@usdoj.gov
(202) 514-2217
QUESTION PRESENTED
Whether the United States Railroad Retirement
Board’s denial of a request to reopen a prior benefits
determination is subject to judicial review under 45
U.S.C. 231g and 355(f ).
(I)
TABLE OF CONTENTS
Page
Opinions below .............................................................................. 1
Jurisdiction .................................................................................... 1
Statutory provisions involved ...................................................... 2
Statement:
A. Legal framework ........................................................ 2
B. Procedural history ...................................................... 8
Summary of argument ............................................................... 12
Argument..................................................................................... 16
I. Reopening decisions are not subject to judicial
review ............................................................................... 17
A. Section 355(f ) is limited to f inal decisions under
Section 355(c) ............................................................ 17
1. The text of Section 355(f ) limits judicial
review to f inal decisions under Section 355(c) .... 17
2. The structure of Section 355 confirms that
review is limited to Section 355(c)
determinations ..................................................... 20
3. Petitioner’s counterarguments lack merit ........ 24
B. Section 231g reinforces that reopening
decisions are not judicially reviewable ................... 29
C. Additional structural features of both statutes
conf irm this interpretation ...................................... 34
1. Reopening is a matter of agency grace ............. 34
2. Judicial review of reopening denials would
undermine other statutory constraints ............. 39
II. Petitioner’s remaining counterarguments lack
merit ................................................................................. 41
A. The presumption of judicial review does not
dictate a contrary conclusion ................................... 41
B. The government’s interpretation does not
broadly foreclose review of other Board
determinations .......................................................... 43
C. The Board has not conceded that reopening
denials are subject to judicial review ...................... 47
(III)
IV
Table of Contents—Continued:
Page
Conclusion ................................................................................... 49
Appendix — Statutory provisions ........................................... 1a
TABLE OF AUTHORITIES
Cases:
Abbruzzese v. Railroad Ret. Bd., 63 F.3d 972
(10th Cir. 1995) .................................................................... 48
BNSF Ry. Co. v. Loos, 139 S. Ct. 893 (2019) ...................... 20
Bennett v. Spear, 520 U.S. 154 (1997).................................. 33
Block v. Community Nutrition Inst., 467 U.S. 340
(1984) .................................................................................... 42
Bowen v. Michigan Acad. of Family Physicians,
476 U.S. 667 (1986)........................................................ 41, 42
Califano v. Sanders, 430 U.S. 99 (1977) ..................... passim
Chevron U.S.A. Inc. v. Natural Res. Def. Council,
Inc., 467 U.S. 837 (1984) ..................................................... 31
Cunningham v. Railroad Ret. Bd., 392 F.3d 567
(3d Cir. 2004) ....................................................................... 48
Cuozzo Speed Techs., LLC v. Lee, 136 S. Ct. 2131
(2016) .................................................................................... 42
Dada v. Mukasey, 554 U.S. 1 (2008) .................................... 37
Department of Homeland Sec. v. MacLean,
574 U.S. 383 (2015).............................................................. 28
Elgin v. Department of Treasury, 567 U.S. 1 (2012) ......... 46
Federal Mar. Comm’n v. Seatrain Lines, Inc.,
411 U.S. 726 (1973).............................................................. 26
Harris v. United States R.R. Ret. Bd., 198 F.3d 139
(4th Cir. 1999) ...................................................................... 48
ICC v. Brotherhood of Locomotive Eng’rs,
482 U.S. 270 (1987)........................................................ 36, 42
Kucana v. Holder, 558 U.S. 233 (2010) ............................... 37
V
Cases—Continued:
Page
Lockhart v. United States, 136 S. Ct. 958 (2016) .......... 24, 25
Mach Mining, LLC v. EEOC, 575 U.S. 480 (2015) ...... 41, 43
Paroline v. United States, 572 U.S. 434
(2014) .................................................................. 18, 25, 26, 27
Porto Rico Ry., Light & Power Co. v. Mor,
253 U.S. 345 (1920).............................................................. 26
Rimini St., Inc. v. Oracle USA, Inc.,
139 S. Ct. 873 (2019) ........................................................... 27
Roberts v. United States R.R. Ret. Bd.,
346 F.3d 139 (5th Cir. 2003) ................................... 11, 12, 48
SEC v. Louisiana Pub. Serv. Comm’n, 353 U.S. 368
(1957) .................................................................................... 32
Smith v. Berryhill, 139 S. Ct. 1765 (2019) .............. 30, 36, 38
Sones v. United States R.R. Ret. Bd., 933 F.2d 636
(8th Cir. 1991) ...................................................................... 48
Steebe v. United States R.R. Ret. Bd., 708 F.2d 250
(7th Cir.), cert. denied, 464 U.S. 997 (1983) ..................... 48
Stovic v. Railroad Ret. Bd., 826 F.3d 500 (D.C. Cir.),
cert. denied, 137 S. Ct. 399 (2016) ..................................... 48
Szostak v. Railroad Ret. Bd., 370 F.2d 253
(2d Cir. 1966) ....................................................................... 48
Taylor v. United States, 136 S. Ct. 2074 (2016) .................. 18
Thryv, Inc. v. Click-to-Call Techs., LP,
140 S. Ct. 1367 (2020) ......................................................... 47
United States v. Bass, 404 U.S. 336 (1971) ......................... 26
United States v. Standard Brewery, Inc.,
251 U.S. 210 (1920).............................................................. 26
United States v. United Verde Copper Co.,
196 U.S. 207 (1905).............................................................. 26
United States Army Corps of Eng’rs v. Hawkes Co.,
136 S. Ct. 1807 (2016) ................................................... 33, 38
VI
Cases—Continued:
Page
Webster v. Doe, 486 U.S. 592 (1988) ..................................... 46
Your Home Visiting Nurse Servs., Inc. v. Shalala,
525 U.S. 449 (1999)..................................................... passim
Statutes and regulations:
Act of July 31, 1946, ch. 709, Divs. II, III,
§§ 215, 311, 60 Stat. 735, 738 .............................................. 34
§ 215, 60 Stat. 735 ............................................................ 47
Administrative Procedure Act, 5 U.S.C. 701 et seq............ 33
5 U.S.C. 704 ...................................................................... 33
Clean Water Act, 33 U.S.C. 1251 et seq. .............................. 38
Railroad Retirement Act of 1937:
45 U.S.C. 228k (1940) ................................................ 47, 48
Railroad Retirement Act of 1974, 45 U.S.C. 231
et seq. ...................................................................................... 2
45 U.S.C. 231a .................................................................... 3
45 U.S.C. 231a(a) ............................................................... 4
45 U.S.C. 231a(a)(1) ........................................................... 3
45 U.S.C. 231a(a)(1)(i) ....................................................... 3
45 U.S.C. 231a(a)(1)(v) ...................................................... 3
45 U.S.C. 231f(a) .......................................................... 2, 1a
45 U.S.C. 231f(b)(3) ....................................................... 3, 4
45 U.S.C. 231f(b)(5) ..................................................... 3, 3a
45 U.S.C. 231g..................................................passim, 17a
45 U.S.C. 231h.................................................................. 45
Railroad Unemployment Insurance Act, 45 U.S.C.
351 et seq. ............................................................................... 3
45 U.S.C. 351(n) ................................................................. 5
45 U.S.C. 352 (2020) .......................................................... 3
45 U.S.C. 352(c)(1)(A) ....................................................... 3
45 U.S.C. 355 ............................... 13, 17, 20, 23, 29, 34, 18a
VII
Statutes and regulations—Continued:
Page
45 U.S.C. 355(b)-(c) ........................................................... 6
45 U.S.C. 355(c) ...............................................passim, 19a
45 U.S.C. 355(c)(1) ....................................5, 21, 44, 45, 19a
45 U.S.C. 355(c)(1)-(4) ......................................... 21, 30, 44
45 U.S.C. 355(c)(2) ......................................... 5, 44, 45, 19a
45 U.S.C. 355(c)(2)-(4) ..................................................... 21
45 U.S.C. 355(c)(3) ............................................... 5, 45, 20a
45 U.S.C. 355(c)(4) ......................................... 5, 33, 45, 20a
45 U.S.C. 355(c)(5) ........................................21, 30, 45, 21a
45 U.S.C. 355(d) ................................................... 6, 21, 22a
45 U.S.C. 355(f ) ...............................................passim, 23a
45 U.S.C. 355(g) ...............................................passim, 25a
45 U.S.C. 358 ...................................................................... 5
Railway Labor Act, 45 U.S.C. 151 et seq. ............................ 17
Social Security Act, 42 U.S.C. 301 et seq. ............................ 31
42 U.S.C. 405(g) (1976) ............................................. 12, 20
42 U.S.C. 1395oo(a)(1)(A)(i)............................................ 31
18 U.S.C. 2252(b)(2) ............................................................... 25
18 U.S.C. 2259(b)(3)(F) (2012) ........................................ 25, 26
31 U.S.C. 3526 ........................................................................ 23
31 U.S.C. 3530 ........................................................................ 23
20 C.F.R.:
Pt. 216 ............................................................................. 3, 4
Pt. 260:
Section 260.1(a) ............................................................ 4
Section 260.1(a)(4) ..................................................... 44
Section 260.3(a)-(c) ...................................................... 4
Section 260.3(d) ............................................................ 4
Section 260.5(a)-(c) ...................................................... 4
Section 260.9(a) ............................................................ 4
Section 260.9(b)-(c) ...................................................... 4
VIII
Regulations—Continued:
Page
Pt. 261 ............................................................................... 35
Section 261.1(a) ............................................................ 4
Section 261.1(b) ............................................................ 4
Section 261.2......................................................... 10, 11
Section 261.2(a) ............................................................ 4
Section 261.2(b) ...................................................... 5, 10
Section 261.2(c) .......................................................... 10
Section 261.2(c)(1) ........................................................ 5
Section 261.2(c)(7) .................................................. 5, 40
Section 261.11......................................................... 5, 30
Pt. 320 ................................................................................. 6
Section 320.6(a) .......................................................... 44
Section 320.38............................................................. 21
Pt. 325:
Section 325.4(b) ............................................................ 3
Pt. 349 ........................................................................... 6, 35
Section 349.1(a) ............................................................ 6
Section 349.2................................................................. 6
Section 349.8................................................................. 6
Miscellaneous:
Railroad Retirement: Hearings on H.R. 1362
Before the House Comm. on Interstate and
Foreign Commerce, 79th Cong., 1st Sess. Pt. 1
(1945) .................................................................................... 34
Jeremy L. Ross, A Rule of Last Resort: A History of
the Doctrine of the Last Antecedent in the United
States Supreme Court, 39 Sw. L. Rev. 325 (2009) ........... 24
U.S. R.R. Ret. Bd. Gen. Counsel, Legal Op.:
No. 39-527 (Aug. 16, 1939) .............................................. 35
No. 42-673 (Dec. 15, 1942) .............................................. 47
In the Supreme Court of the United States
No. 19-199
MANFREDO M. SALINAS, PETITIONER
v.
UNITED STATES RAILROAD RETIREMENT BOARD
ON WRIT OF CERTIORARI
TO THE UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT
BRIEF FOR THE RESPONDENT
OPINIONS BELOW
The opinion of the court of appeals (Pet. App. 1a-4a)
is not published in the Federal Reporter but is reprinted at 765 Fed. Appx. 79. The decisions of the
United States Railroad Retirement Board (Board) (Pet.
App. 5a-8a) and the Board’s Bureau of Hearings and
Appeals (Pet. App. 9a-17a) are unreported.
JURISDICTION
The judgment of the court of appeals was entered on
April 17, 2019. On May 20, 2019, Justice Alito extended
the time within which to file a petition for a writ of certiorari to and including August 15, 2019, and the petition
was filed on that date. The petition for a writ of certiorari was granted on January 10, 2020. The jurisdiction
of this Court rests on 28 U.S.C. 1254(1).
(1)
2
STATUTORY PROVISIONS INVOLVED
Pertinent statutory provisions are reproduced in the
appendix to this brief. App., infra, 1a-26a.
STATEMENT
This case involves the availability of judicial review
for decisions of the United States Railroad Retirement
Board (Board) denying reopening of prior benefits determinations. Petitioner applied for disability benefits
in 2006, and the agency denied his claim in an initial determination. Pet. App. 12a. Petitioner filed an untimely
motion for reconsideration, which the agency also denied, concluding that petitioner had failed to establish
good cause for his late filing. Ibid. Nearly a decade
later, petitioner moved to reopen the prior benefits denial, see Administrative Record (A.R.) 332, but the
Board determined that the case did not warrant reopening under its regulations. Pet. App. 8a. Petitioner subsequently filed a petition for review, and the Fifth Circuit dismissed for lack of jurisdiction on the ground that
the relevant statutes limit judicial review to a discrete
class of Board determinations, which does not include
denials of reopening. Id. at 1a-4a.
A. Legal Framework
1. The Board is an “independent agency in the executive branch” composed of three presidentially appointed members. 45 U.S.C. 231f(a). The Board administers two statutes providing separate, but related, systems of benefits for railroad employees.
The first statute—the one directly at issue here—is
the Railroad Retirement Act of 1974 (RRA), 45 U.S.C.
231 et seq., which establishes a system of disability and
retirement benefits. The RRA covers various categories of former railroad employees, including those “who
3
have attained retirement age,” 45 U.S.C. 231a(a)(1)(i),
and those “whose permanent physical or mental condition is such that they are unable to engage in any regular employment.” 45 U.S.C. 231a(a)(1)(v). To obtain
benefits, an applicant must submit evidence demonstrating his eligibility.
See generally 45 U.S.C.
231a(a)(1); 20 C.F.R. Pt. 216. Benefits under the RRA
typically take the form of long-term annuities. See
45 U.S.C. 231a.
The second statute is the Railroad Unemployment
Insurance Act (RUIA), 45 U.S.C. 351 et seq. The RUIA
offers per-day benefits for work missed as a result of
unemployment or sickness. See generally 45 U.S.C. 352
(2020). Unlike annuities in the RRA context, benefits
under the RUIA are short-term, and claimants must reapply every two weeks as long as their unemployment
persists. See 20 C.F.R. 325.4(b); see also 45 U.S.C.
352(c)(1)(A) (capping maximum benefit days in a single
year at 130).
2. The RUIA and the RRA and their respective implementing regulations set forth largely parallel processes for claim application and exhaustion.
a. The RRA authorizes the Board to delegate the
power to make initial benefits determinations to subordinate officials, but guarantees a “right to appeal to the
Board” for “any person aggrieved by a decision on his
application for an annuity or other benefit.” 45 U.S.C.
231f(b)(3). The statute otherwise leaves it to the Board
to flesh out the procedures for administrative review,
conferring the power to “establish and promulgate rules
and regulations to provide for the adjustment of all controversial matters arising in the administration of [the
RRA].” 45 U.S.C. 231f(b)(5).
4
Pursuant to this grant of authority, the Board has
adopted regulations specifying a multistep review process. First, an individual seeking benefits must file a
claim with the Board demonstrating his eligibility, see
45 U.S.C. 231a(a); 20 C.F.R. Pt. 216, and a claims examiner then issues an “initial decision” on the claim. 20
C.F.R. 260.1(a). A claimant who receives an adverse initial determination may request reconsideration from
the Reconsideration Section within 60 days, unless the
claimant shows that there is “good cause” to excuse the
delay. 20 C.F.R. 260.3(a)-(c). The regulations provide
a nonexclusive list of circumstances that establish good
cause, such as a serious illness affecting the claimant or
the claimant’s immediate family member. 20 C.F.R.
260.3(d). If the Reconsideration Section rejects the request, the claimant may seek further review in the Bureau of Hearings and Appeals (Bureau) within 60 days,
again unless the claimant shows “good cause.”
20 C.F.R. 260.5(a)-(c). Lastly, if the Bureau rules
against the claimant, he may then pursue a “final appeal” to the Board. 20 C.F.R. 260.9(a); see 45 U.S.C.
231f(b)(3). Absent good cause, the claimant must file
the appeal within 60 days. 20 C.F.R. 260.9(b)-(c).
Although the RRA does not include a provision for
reopening of final agency decisions, the Board has provided for reopening by regulation. See 20 C.F.R.
261.1(b). A final decision may “be reopened and revised” by the agency entity that issued the original decision or by “a higher level” of the agency. 20 C.F.R.
261.1(a). A final decision may be reopened within 12
months “for any reason.” 20 C.F.R. 261.2(a). Reopening is permissible within four years “if there is new and
material evidence or there was adjudicative error not
5
consistent with the evidence of record at the time of adjudication.” 20 C.F.R. 261.2(b). And finally, a decision
may be reopened at any time for certain specified reasons, such as if the decision was “obtained by fraud” or
“to correct clerical error.” 20 C.F.R. 261.2(c)(1) and (7).
Ultimately, despite these general rules, the threemember Board retains plenary discretion over reopening. 20 C.F.R. 261.11 (“[T]he Board may direct that any
decision, which is otherwise subject to reopening under
this part, shall not be reopened or direct that any decision, which is otherwise not subject to reopening under
this part, shall be reopened.”).
b. A separate set of statutory and regulatory provisions governs administrative review under the RUIA.
Like the RRA, the RUIA permits the Board to delegate
decision-making power to subordinate officials, but
guarantees administrative review of initial benefits decisions and other key substantive determinations,
45 U.S.C. 355(c). Specifically, Section 355(c) requires
the Board to provide internal review for four basic categories of decisions: a denial of benefits on the ground
that the claimant is not a “qualified employee” or a
grant of benefits at less than the proper rate, 45 U.S.C.
355(c)(2); a denial of benefits on any other ground,
45 U.S.C. 355(c)(1); a determination of whether a company qualifies as a covered employer, 45 U.S.C.
355(c)(4); and a grant of benefits when the base-year
employer objects for any reason other than that it is not
a covered employer, 45 U.S.C. 355(c)(3). 1 Section 355(c)
also provides for notice to, and participation by, various
A base-year employer is the company that employed the claimant in the year preceding the benefits claim. See 45 U.S.C. 351(n).
Base-year employers are interested parties because a grant of benefits may affect their contribution rate. See 45 U.S.C. 358.
1
6
interested parties other than the claimant himself, such
as the claimant’s base-year employer. 45 U.S.C. 355(b)(c). And it states that “[a]ny properly interested party
notified * * * of his right to participate in the proceedings may obtain a review of any such decision by which
he claims to be aggrieved or the determination of any
issue therein in the manner provided in subsection (f ).”
45 U.S.C. 355(c); see pp. 6-7, infra (discussing Section
355(f )).
The RUIA also authorizes the Board to promulgate
regulations further delineating the administrative review process. See 45 U.S.C. 355(d) (“The Board shall
prescribe regulations governing the filing of cases with
and the decision of cases by reviewing bodies, and the
review of such decisions.”). Pursuant to this grant of
authority, the Board has adopted a review scheme that
largely parallels the RRA framework and provides multiple internal levels of review, including reconsideration, intermediate appeal, and final appeal. See generally 20 C.F.R. Pt. 320. In addition, although the RUIA
does not mention reopening, the Board has also provided for reopening of final RUIA determinations. See
generally 20 C.F.R. Pt. 349. As under the RRA, the
Board’s RUIA regulations specify various circumstances permitting reopening, 20 C.F.R. 349.2, but the
decision remains “solely within the discretion of the
Board,” 20 C.F.R. 349.1(a); see also 20 C.F.R. 349.8 (retaining discretion of three-member Board to direct reopening of any decision).
3. Both the RUIA and the RRA provide for judicial
review following exhaustion of administrative remedies.
The RUIA establishes the basic framework. Section
355(f ) identifies four different categories of parties eligible to seek judicial review: “[a]ny claimant,” “any
7
railway labor organization” satisfying certain criteria,
“any base-year employer of the claimant,” and “any
other party aggrieved by a final decision under subsection (c) of this section.” 45 U.S.C. 355(f ). Any such
party may, after exhausting administrative remedies,
“obtain a review of any final decision of the Board by
filing a petition for review” in the Court of Appeals for
the D.C. Circuit, the Seventh Circuit, or the circuit in
which the petitioner resides or maintains his or her
principal place of business “within ninety days after the
mailing of notice of such decision to the claimant or
other party.” Ibid. On review, “[t]he findings of the
Board as to the facts, if supported by evidence and in
the absence of fraud, shall be conclusive.” Ibid.
Section 355(g), in turn, governs the “[f ]inality of
Board decisions” under the RUIA and makes clear that
Section 355(f ) is the exclusive path to judicial review.
45 U.S.C. 355(g) (emphasis omitted). It provides that
the Board’s “determination of any claim for benefits or
refund, the determination of any other matter pursuant
to subsection (c) of this section, and the determination
of the Board that the unexpended funds in the account
are available for the payment of any claim for benefits
or refund” are “binding and conclusive for all purposes
and upon all persons,” “except as provided in subsection
(f ).” Ibid.; see p. 22 n.4, infra (discussing “unexpended
funds” clause). And to reinforce the point, it states that
such determinations “shall not be subject to review in
any manner other than that set forth in subsection (f ).”
45 U.S.C. 355(g).
The RRA incorporates the RUIA framework for judicial review, with minor exceptions. Section 231g provides that Board decisions “determining the rights or
8
liabilities of any person under [the RRA] shall be subject to judicial review in the same manner, subject to
the same limitations, and all provisions of law shall apply in the same manner as though the decision were a
determination of corresponding rights or liabilities under the” RUIA. 45 U.S.C. 231g. The RRA modifies the
RUIA statute of limitations for a particular subset of
decisions, stating that the limitations period for “review
of a decision with respect to an annuity, supplemental
annuity, or lump-sum benefit * * * shall be one year”
after notice of the decision is provided to the claimant.
Ibid.
B. Procedural History
1. Petitioner is a former railroad employee who has
filed four applications for disability benefits. Pet. App.
9a-12a. Petitioner filed his first application on March 3,
1992. Id. at 11a-12a. The agency issued an initial determination denying the application after petitioner’s
spouse informed the Board that petitioner had returned
to work, finding that he was not disabled for all regular
work. Id. at 12a. Petitioner did not seek administrative
review of that decision. Ibid.
On April 20, 1994, petitioner filed a second application. The agency again issued an initial determination
denying the claim because petitioner had failed to show
that he was disabled such that he could not maintain any
regular employment. Pet. App. 12a. Again, petitioner
did not seek administrative review of that decision.
Ibid.
On February 28, 2006, petitioner filed a third application. Pet. App. 12a. On August 28, 2006, a claims examiner denied petitioner’s request for a “total and permanent” disability annuity, again on the ground that pe-
9
titioner had failed to show that he was unable to maintain any regular employment. A.R. 205. Based on medical records, the examiner concluded that petitioner had
a “normal range of motion, muscle strength and sensation in [his] shoulders, arms, left hand, legs, knees and
feet,” though he had “some decreased grip strength in
[his] right hand.” Ibid. The examiner further observed
that “[a] psychiatric examination revealed some depression, however, [petitioner] performed well on mental
status and concentration testing.” Ibid. The examiner
also denied an occupational disability annuity on the
ground that petitioner had not attained the age of 60 or
240 months of service. Ibid.
With the assistance of counsel, petitioner submitted
an untimely request for reconsideration on November
30, 2006, urging the agency to excuse the late filing due
to his limited English proficiency, inability to obtain
medical records, and mental-health issues. A.R. 207.
The Reconsideration Section denied petitioner’s request, explaining that “[l]ate filing is allowed only in situations where good cause for the delay is evident, such
as serious illness which prevented the annuitant from
contacting the Board, a death or serious illness in the
annuitant’s immediate family, the destruction of important and relevant records, or the failure to be notified of a decision.” A.R. 208. The denial notice informed
petitioner that although no further action could be
taken on his application for benefits, he could seek reconsideration of the timeliness determination itself
within 60 days. Ibid. Petitioner did not seek further
review. Pet. App. 12a.
In December 2013, petitioner filed a fourth application for disability benefits. Pet. App. 9a. This time, the
agency granted the application. Id. at 6a. The claims
10
examiner concluded that petitioner was disabled and
unable to maintain regular employment as of October 9,
2010, and was eligible to begin receiving annuity payments as of December 1, 2012. Id. at 9a. Petitioner unsuccessfully sought reconsideration of the annuity start
date calculated by the claims examiner, and then appealed. Ibid. On appeal, in addition to challenging the
annuity start date, petitioner sought to reopen the
agency’s August 28, 2006 denial of his benefits application, arguing that reopening was warranted because he
“lacked the mental capacity to understand the procedures for requesting review” of that decision due to “a
language barrier, depression, anxiety and agoraphobia.” Id. at 13a. 2
On August 26, 2016, the hearings officer affirmed the
start date calculated by the claims examiner and declined to reopen the agency’s 2006 decision. Pet. App.
9a-17a. Applying the Board’s regulations governing reopening, see 20 C.F.R. 261.2, the hearings officer explained that the 2006 decision could not be reopened
based on new evidence or administrative error because
the decision was more than four years old, see 20 C.F.R.
261.2(b). And the officer further observed that petitioner had not satisfied any of the conditions permitting
reopening without regard to the time elapsed. See 20
C.F.R. 261.2(c). Pet. App. 14a.
Petitioner filed a timely appeal to the Board, which
affirmed both the annuity start date and the denial of
reopening. Pet. App. 5a-8a. As to reopening, the Board
“place[d] particular importance on [petitioner’s] untimely request for reconsideration,” which evidenced
Petitioner initially sought to reopen the 1992 and 1994 determinations as well, but has since abandoned that request. See Pet. 1213.
2
11
both that he “received the August 28, 2006 denial letter”
and that his arguments “that he was unable to understand his appeal rights in 2006 due to limited English
proficiency and mental impairments were presented to
the RRB in 2006.” Id. at 8a. The Board noted that the
Reconsideration Section “considered these arguments
at the time and determined that [petitioner] had not
shown good cause for filing an untimely request for reconsideration.” Ibid. The Board further observed that
petitioner did not file any appeal of the reconsideration
decision, though his filing of the reconsideration motion
itself demonstrated his ability to pursue exhaustion and
the reconsideration notice expressly informed him of
his right to seek further review. Ibid. The Board accordingly concluded that the 2006 decision was not subject to reopening under 20 C.F.R. 261.2. Pet. App. 8a.
2. Petitioner sought judicial review of the Board’s
reopening denial in the Fifth Circuit, see 45 U.S.C.
355(f ) (permitting suit in “the circuit in which the claimant * * * resides”), which dismissed for lack of jurisdiction. Pet. App. 1a-4a. Acknowledging a circuit split
on the question of reviewability, the court ruled that it
was bound by its decision in Roberts v. United States
Railroad Retirement Board, 346 F.3d 139 (5th Cir.
2003), in which the court had “sided with the majority
of circuits” in holding that the Board’s refusal to reopen
a benefits claim was not subject to review under Sections 231g and 355(f ). Pet. App. 3a.
The Roberts court explained that the text of Section
355(f ) “provide[s] for review in the courts of appeals of
‘a final decision under subsection (c),’ ” and that Section
355(c) in turn is limited to “Board decisions on the
merits of a claim for benefits after administrative appeals have been exhausted.” 346 F.3d at 140 (quoting
12
45 U.S.C. 355(f )). Reopening decisions, it noted, do not
fall within that category. Ibid. The court observed that
“[t]here is no provision in the RRA or the RUIA allowing the Board to reopen a prior claim for benefits,” and
“[l]ikewise there is no provision providing for federal
court review of such a decision.” Id. at 140-141.
Roberts found further support for its holding in Califano v. Sanders, 430 U.S. 99 (1977), which held that a
similar provision authorizing judicial review of any “final decision * * * made after a hearing” by the Social
Security Administration, 42 U.S.C. 405(g) (1976), did
not permit review of the agency’s discretionary refusal
to reopen a prior benefits decision. 430 U.S. at 107-108.
The Roberts court explained that, as in Sanders, reopening was available under the RRA and RUIA only as
a matter of agency grace pursuant to regulation, and judicial review of reopening denials would “eviscerate”
the “statutory limit on the time to appeal decisions on
the merits.” 346 F.3d at 141.
SUMMARY OF ARGUMENT
Judicial review under the RRA is based on the judicial review provision of the RUIA, 45 U.S.C. 355(f ),
which permits any “claimant,” certain “railway labor organization[s]” or “employer[s],” “or any other party aggrieved by a final decision under subsection (c) of this
section” to obtain review of a “final decision” of the
Board after exhausting administrative remedies. The
RRA, in 45 U.S.C. 231g, imports this framework by
providing for judicial review of determinations of
“rights or liabilities of any person under [the RRA]” to
the same extent as “determination[s] of corresponding
rights or liabilities under the [RUIA].” Under this
framework, Board decisions denying motions to reopen
13
prior benefits determinations are not subject to judicial
review.
I. The plain text of Section 355(f ) forecloses judicial
review of reopening decisions. In specifying the parties
who may seek judicial review, the provision includes a
residual clause covering “any other party aggrieved by
a final decision under subsection (c).” 45 U.S.C. 355(f )
(emphasis added). That language is naturally read to
qualify each of the prior list items, with the consequence
that only parties aggrieved by a decision under Section
355(c) may seek review. Because reopening decisions
do not fall within Section 355(c), they are not subject to
judicial review.
The statutory structure confirms this interpretation.
Section 355 contemplates a cohesive review scheme:
Section 355(c) establishes mandatory exhaustion procedures for a certain category of core substantive agency
determinations; Section 355(f ) provides for judicial review of those determinations; and Section 355(g) makes
Section 355(f ) the exclusive path to judicial review for
those determinations. See 45 U.S.C. 355(c), (f ), and (g).
These sub-provisions are thus aligned such that each covers the same basic category of decisions. Petitioner’s
interpretation, in contrast, would lead to haphazard results. In his view, Section 355(c) encompasses one set
of Board determinations, Section 355(f ) encompasses a
different set, and Section 355(g) encompasses yet a
third set. There is no indication Congress intended
such a scheme.
Petitioner contends that the phrase “aggrieved by a
final decision under subsection (c),” 45 U.S.C. 355(f ),
applies only to the final listed party, rather than all
listed parties, and thus does not limit the availability for
14
other listed parties of judicial review of Board determinations made outside Section 355(c). In support of this
construction, he invokes the last-antecedent rule. But
this Court has repeatedly held that Congress’s use of
the word “other” to set off a residual clause evinces its
intent for the entire list to be governed by the clause.
Section 231g reinforces the conclusion that reopening decisions are not subject to judicial review. In referencing determinations of “rights or liabilities,” Section 231g makes clear that not all final determinations
by the Board are subject to review under the RUIA and
RRA. 45 U.S.C. 231g. Instead, this language is consistent with the proposition that review under Section
355(f ) is limited to determinations under Section 355(c),
each of which speaks directly to a party’s substantive
obligations and entitlements under the statute and thus
determines “rights or liabilities.” Ibid. Section 231g’s
reference to “rights or liabilities” serves to distill and
summarize the kinds of decisions reviewable under Section 355(f ), and make those same kinds of decisions reviewable under Section 231g. A denial of reopening
does not determine “rights or liabilities,” but is instead
a “refusal to make a new determination.” Your Home
Visiting Nurse Servs., Inc. v. Shalala, 525 U.S. 449, 453
(1999).
Other key structural features of the two statutes further support this conclusion. Neither the RUIA nor the
RRA expressly provides for reopening. And when an
agency chooses to offer reopening as an additional opportunity beyond the mandatory exhaustion process—
which itself culminates in judicial review—there is no
good reason to afford the claimant yet another opportunity for court review. Doing so would create disincentives for the agency to offer reopening in the first place.
15
Indeed, in denying review in both Califano v. Sanders,
430 U.S. 99 (1977), and Your Home, this Court emphasized that “[t]he right of a [claimant] to seek reopening
exists only by grace of the [agency].” Your Home,
525 U.S. at 454; see Sanders, 430 U.S. at 108. In addition, permitting judicial review of reopening denials
would enable claimants—through the simple mechanism of filing a motion for reopening and then seeking
judicial review of the agency’s denial—to circumvent
the limitations period and the exhaustion requirement
imposed by Congress on review of primary benefits determinations.
II. Petitioner’s remaining counterarguments lack
merit. Petitioner invokes the presumption in favor of
judicial review, but in Sanders, Your Home, and similar
decisions addressing reopening, this Court has declined
to apply or (in some cases) even to mention the presumption. That makes sense, as a claimant seeking reopening will, by definition, have already had access to
judicial review upon exhausting the primary claim.
Even if the presumption did apply, however, it would be
overcome here, where the statutory text and structure
amply evidence Congress’s intent to foreclose judicial
review.
Petitioner also argues that the government’s interpretation would foreclose review for a broad range of
Board decisions, thus upsetting past practice. But a
critical basis for nonreviewability of reopening denials
is that the party had a prior opportunity for judicial review of the primary decision, and that analysis would
not render unreviewable many (if any) of petitioner’s
examples. And foreclosing review of garden-variety reopening motions like the one here would not raise any
16
distinct issue of a rare case in which a denial of reopening might be challenged on constitutional grounds.
Lastly, petitioner argues the Board has taken an inconsistent position on the question presented, citing a
Board opinion from 1942 purportedly suggesting that
reopening denials were judicially reviewable. That
opinion, however, concerned a materially broader review provision that is no longer in effect. The Board has
argued for decades that reopening denials are not subject to judicial review, and this Court should affirm that
longstanding interpretation of the RRA and RUIA.
ARGUMENT
The RRA and RUIA establish highly reticulated
benefits schemes and set forth frameworks governing
the filing of an application for benefits, exhaustion of
administrative procedures, and judicial review of the
agency’s final determination. Each statute includes express provisions ensuring thorough agency and judicial
review of the key substantive determinations made as
part of the primary application process. In recognition
of the possibility of agency error and out of solicitude
for the population it serves, however, the Board has
chosen—as a matter of agency discretion—to offer a reopening mechanism above and beyond the review process for primary benefits determinations. This Court
should reject petitioner’s attempt to leverage the
agency’s act of generosity into a second bite at the apple
in court.
17
I. REOPENING DECISIONS ARE NOT SUBJECT TO JUDICIAL REVIEW
The plain text of the RUIA and RRA establishes that
Board reopening decisions are not subject to judicial review, and multiple structural features of the two statutes confirm this interpretation.
A. Section 355(f ) Is Limited To Final Decisions Under Section 355(c)
By its terms, Section 355(f ) limits review to Board
determinations made under Section 355(c). This interpretation also harmonizes Section 355’s various subsections, rendering the same set of Board decisions subject
to exhaustion in Section 355(c), judicial review in Section 355(f ), and review exclusivity in Section 355(g). See
45 U.S.C. 355(c), (f ), and (g). Petitioner does not contest
that reopening decisions fall outside Section 355(c), and
they are accordingly not subject to judicial review.
1. The text of Section 355(f) limits judicial review to
final decisions under Section 355(c)
The plain text of Section 355(f ) of the RUIA authorizes judicial review only for Board determinations made
under Section 355(c). 45 U.S.C. 355(c) and (f ). Section
355(f ) provides, in relevant part:
Any claimant, or any railway labor organization organized in accordance with the provisions of the Railway Labor Act [45 U.S.C. 151 et seq.], of which claimant is a member, or any base-year employer of the
claimant, or any other party aggrieved by a final decision under subsection (c) of this section, may, only
after all administrative remedies within the Board
will have been availed of and exhausted, obtain a review of any final decision of the Board by filing a petition for review within ninety days after the mailing
18
of notice of such decision to the claimant or other
party, or within such further time as the Board may
allow, in [certain courts of appeals]. * * * Upon the
filing of such petition the court * * * shall have
power to enter a decree affirming, modifying, or reversing the decision of the Board, with or without remanding the cause for rehearing.
45 U.S.C. 355(f ).
This provision identifies four sets of parties that may
seek review: “[a]ny claimant,” a qualifying “railway labor organization,” any “base-year employer of the
claimant,” or “any other party aggrieved by a final decision under subsection (c).” 45 U.S.C. 355(f ). By referring to “any other party aggrieved by a final decision
under subsection (c),” the text makes clear that all of
the preceding listed parties share the same critical
characteristic, namely, they are “aggrieved by a final
decision under” Section 355(c). Ibid. The statute thus
employs a commonplace structure for delineating the
scope of a particular category: it specifically enumerates salient members of that category, and then includes a residual clause to sweep in the remaining members. See, e.g., Taylor v. United States, 136 S. Ct. 2074,
2079 (2016) (addressing a similar statutory structure);
Paroline v. United States, 572 U.S. 434, 446 (2014)
(same).
This interpretation furnishes a coherent reading of
the rest of the provision, which specifies a straightforward process by which a party aggrieved by a determination “under subsection (c)” may exhaust administrative procedures and then obtain judicial review of that
same decision. 45 U.S.C. 355(f ). Section 355(f ) provides that a party aggrieved by an initial determination
19
under Section 355(c) must first “exhaust[]” all “administrative remedies within the Board.” Ibid. The Board
then issues a “final decision” and mails “notice of such
decision to the claimant or other party”—i.e., the same
“claimant” or “other party” mentioned at the outset of
the provision, who is aggrieved by a decision “under
subsection (c).” Ibid. The party may, in turn, “obtain a
review” of that final decision by “filing a petition for review within ninety days.” Ibid. And the court shall
“have power to enter a decree affirming, modifying, or
reversing the decision.” Ibid. In short, Section 355(f )
consistently refers to the same “decision” and “party”
throughout.
Petitioner’s reading, in contrast, breaks the link between the provision’s various uses of the term “decision” and deletes any aggrievement requirement whatsoever for the first three listed parties. Although petitioner protests (Br. 33) that under his reading, “no mismatch exists between who can sue and what types of decisions they can challenge,” that is sheer ipse dixit. Under the logic of his position, “claimant[s],” “railway labor organization[s],” and “base-year employer[s]” may
sue to challenge any final decision, whether it aggrieves
them or not. 45 U.S.C. 355(f ). And “any other party
aggrieved by a final decision under subsection (c),”
ibid., may also presumably sue to challenge any final
decision, whether under Section 355(c) or otherwise.
Petitioner offers no plausible explanation for why Congress might have intended such a regime. And as explained below, see pp. 23-24, infra, petitioner’s interpretation also causes dislocations in the statutory
framework beyond Section 355(f ).
20
This Court addressed a review provision with a
structure parallel to Section 355(f ) in Califano v. Sanders, 430 U.S. 99 (1977). There, the applicant sought judicial review of the Social Security Administration’s refusal to reopen its prior decision denying a claim for
benefits. Id. at 102-104. The relevant statutory provision “authorize[d] federal judicial review of ‘any
final decision of the Secretary made after a hearing to
which [the claimant] was a party.’ ” Id. at 102 (quoting
42 U.S.C. 405(g) (1976)) (brackets in original). The
Court found that “[t]his provision clearly limits judicial
review to a particular type of agency action, a ‘final decision of the Secretary made after a hearing.’ ” Id. at
108. The Court ruled that the statute did not authorize
judicial review of reopening decisions because, among
other reasons, see pp. 35, 39-40, infra, petitions for reopening could “be denied without a hearing” and thus
fell outside the category of claims the statute subjected
to review. Sanders, 430 U.S. at 108. The structure of
the relevant statutory provisions here is the same: Section 355(f ) authorizes review only as to those determinations under Section 355(c), which do not include
reopening decisions. See BNSF Ry. Co. v. Loos, 139 S.
Ct. 893, 898 (2019) (observing that “Congress created
both the railroad retirement system and the Social Security system” during the same period, and the programs’ “statutory foundations mirror each other”).
2. The structure of Section 355 confirms that review is
limited to Section 355(c) determinations
Limiting judicial review to those determinations provided for in Section 355(c) respects the interlocking
structure of Section 355’s various subsections by rendering the same set of Board decisions subject to exhaustion in Section 355(c), judicial review in Section
21
355(f ), and review exclusivity in Section 355(g). Read in
this fashion, the three provisions work in tandem to ensure that the most important Board determinations receive thorough agency and judicial review, without requiring the same burdensome processes for any and all
Board decisions.
Section 355(c) establishes an exhaustion procedure
that requires the Board to afford internal review for key
substantive determinations regarding a party’s entitlements or obligations under the RUIA, such as benefits
denials. 45 U.S.C. 355(c)(1)-(4). Section 355(c) then
provides that notice of any final decision made by the
Board “shall be communicated to the claimant and to
the other interested parties within fifteen days after it
is made,” 3 and that “[a]ny properly interested party notified, as hereinabove provided, of his right to participate in the proceedings may obtain a review of any such
decision by which he claims to be aggrieved or the determination of any issue therein in the manner provided
in subsection (f ) of this section.” 45 U.S.C. 355(c)(5).
Section 355(c) thus feeds directly into Section 355(f ),
which permits a party “aggrieved by a final decision under subsection (c) of this section” to obtain review of
that decision. 45 U.S.C. 355(f ). Section 355(f) requires,
Section 355(c)(5) provides for notice of decisions under the “preceding three paragraphs,” i.e., Section 355(c)(2)-(4). 45 U.S.C.
355(c). Decisions under those provisions are made by the Board,
whereas decisions under the remaining subsection—Section
355(c)(1)—may be made by an intermediate reviewing body. Section 355(c)(1) determinations are subject to appeal to the Board and
become final upon completion of the appeal or expiration of the time
limits for taking the appeal. See 20 C.F.R. 320.38; 45 U.S.C. 355(d).
Once exhausted, those decisions may be reviewed in court under
Section 355(f ) along with all other Section 355(c) determinations.
3
22
however, that prior to judicial review, “all administrative remedies within the Board”—namely, those contained in Section 355(c) and its implementing regulations—
must “have been availed of and exhausted.” Ibid. An
aggrieved party must file a “petition for review within
ninety days after the mailing of notice of such decision
to the claimant or other party”—again, the same notice
required by Section 355(c). Ibid.
Finally, Section 355(g) provides that “[f ]indings of
fact and conclusions of law of the Board in the determination of any claim for benefits or refund, [or] the determination of any other matter pursuant to subsection
(c) of this section * * * shall not be subject to review in
any manner other than that set forth in subsection (f )
of this section.” 45 U.S.C. 355(g). As with Section
355(f ), see p. 18, supra, Section 355(g)’s residual reference to “any other matter pursuant to subsection (c),”
45 U.S.C. 355(g) (emphasis added), demonstrates that
Congress intended the qualifying phrase “pursuant to
subsection (c)” to apply to both preceding list items.
The provision is thus limited to decisions under Section
355(c), and its reference to “[f ]indings of fact and conclusions of law”—but not discretionary determinations—
reinforces that it does not encompass reopening denials.
Ibid. Section 355(g) accordingly confirms that Section
355(c) determinations are reviewable under Section
355(f ), and further establishes that Section 355(f ) provides the exclusive avenue for review of those determinations. 4
As petitioner notes (Br. 35), Section 355(g) also refers to “determination[s] of the Board that the unexpended funds in the account
are available for the payment of any claim for benefits or refund
under this chapter.” 45 U.S.C. 355(g). But the purpose of this reference is simply to insulate such determinations from review by the
4
23
In short, the government’s interpretation accords
the various sub-provisions of Section 355 a logical interrelationship. Taken as a whole, Section 355 contemplates exhaustion of an adverse decision under Section
355(c), followed by exclusive judicial review of that same
decision under Section 355(f ) and (g). Petitioner’s interpretation, in contrast, is haphazard. In his view, Section 355(c) encompasses one set of Board determinations, Section 355(f ) encompasses a different set, and
Section 355(g) encompasses yet a third set. See, e.g.,
Pet. Br. 35 (arguing that Section 355(g) “covers many
decisions that section 355(c) does not”); id. at 36 (arguing that the category of Board decisions reviewable under Section 355(f ) includes “many final decisions that do
not fall within either section 355(c) or section 355(g)”).
There is no logic to that purported scheme, and petitioner does not explain why Congress would have
adopted such a mismatched framework for exhaustion,
judicial review, and review exclusivity.
Petitioner’s interpretation would also produce bizarre results. Because in his view the category of reviewable decisions is broader than the category of decisions covered by Section 355(g)’s exclusivity mandate,
it would seem that there exists some undefined category
of decisions that is reviewable outside the Section 355(f )
framework. But even petitioner is unwilling to endorse
that result, conceding (Br. 38) that Section 355(f ) “appears to be the only means of mounting challenges to
“Comptroller General,” ibid., who would otherwise have authority
to review this kind of decision, see, e.g., 31 U.S.C. 3526, 3530. These
determinations fall outside Section 355(c) and, as discussed below,
nothing in Section 355(g) independently provides for judicial review.
See pp. 28-29, infra. Thus, as to the category of judicially reviewable decisions, Section 355(g) is congruent with Section 355(f ).
24
statutory provisions or regulations,” and noting that
“[c]ourts have held that section 355(g) prescribes judicial review under section 355(f ) as the exclusive channel
for judicial review.” He thus has no coherent explanation for what function Section 355(g) serves in relation
to Section 355(f ). On the government’s view, in contrast, the two provisions match precisely: for all decisions subject to judicial review under the RUIA, Section
355(g) makes Section 355(f ) the exclusive avenue for review.
3. Petitioner’s counterarguments lack merit
Petitioner’s principal response to the above analysis
is to invoke (Br. 31) the “last-antecedent rule,” according to which “ ‘a limiting clause or phrase should ordinarily be read as modifying only the noun or phrase that
it immediately follows.’ ” Lockhart v. United States,
136 S. Ct. 958, 962-963 (2016) (ellipsis and citation omitted). He contends (Br. 30-32) that the last-antecedent
rule requires construing the phrase “aggrieved by a final decision under subsection (c)” in Section 355(f ) to
apply only to the fourth listed party—“any other
party”—and not the first three listed parties. See
45 U.S.C. 355(f ). As petitioner concedes (Br. 31) and
this Court has emphasized, however, the rule “can assuredly be overcome by other indicia of meaning.”
Lockhart, 136 S. Ct. at 963 (citation omitted); see Jeremy L. Ross, A Rule of Last Resort: A History of the
Doctrine of the Last Antecedent in the United States
Supreme Court, 39 Sw. L. Rev. 325, 337 (2009) (noting
frequent departures from the rule). Here, the statutory
text and structure plainly overcome whatever weak inference the rule might otherwise provide.
Petitioner’s main source for the last-antecedent rule
is Lockhart, which interpreted the phrase “aggravated
25
sexual abuse, sexual abuse, or abusive sexual conduct
involving a minor or ward” and held that the modifier
“involving a minor or ward” limited only the third list
item (“abusive sexual conduct”), not the first two (“aggravated sexual abuse, sexual abuse”). 136 S. Ct. at 961
(quoting 18 U.S.C. 2252(b)(2)). Unlike the statute at issue in Lockhart, however, the final list item here is set
off by the word “other.” Specifically, Section 355(f ) authorizes a “claimant,” “railway labor organization,”
“employer,” or “any other party aggrieved by a final decision under subsection (c)” to seek judicial review.
45 U.S.C. 355(f ) (emphasis added). As a matter of plain
English, the word “other” signals that the prior list
items share the same specified characteristic as the final list item. To take an example: a grocery store manager who orders “fruit, vegetables, or any other fresh
produce” would be dissatisfied to receive prunes or kale
chips. In short, all four list items together enumerate
different members of a single category—parties “aggrieved by a final decision under subsection (c)”—and
the final list item functions as a catchall within that category. Ibid.
Consistent with common usage, this Court has repeatedly recognized that the presence of the word
“other” preceding a final list item defeats the lastantecedent rule. For example, in Paroline, the Court
construed a statute “enumerat[ing] six categories of
covered losses” (like medical expenses), including “a final catchall category for ‘any other losses suffered by
the victim as a proximate result of the offense.’ ” 572 U.S.
at 446 (quoting 18 U.S.C. 2259(b)(3)(F) (2012)) (emphasis added). In holding that each of the six enumerated
categories of losses had to be suffered “ ‘as a proximate
result of the offense,’ ” the Court reasoned that the final
26
“category is most naturally understood as a summary of
the type of losses covered” and that it is a “ ‘familiar
canon of statutory construction that [catchall] clauses
are to be read as bringing within a statute categories
similar in type to those specifically enumerated.’ ” Id.
at 447 (quoting 18 U.S.C. 2259(b)(3)(F) (2012) and Federal Mar. Comm’n v. Seatrain Lines, Inc., 411 U.S. 726,
734 (1973)) (brackets in original). Other cases recognize
the same principle of construction. See, e.g., United
States v. Standard Brewery, Inc., 251 U.S. 210, 218
(1920) (construing a statute that covered “ ‘beer, wine,
or other intoxicating malt or vinous liquors’ ” and finding “it clear that the framers of the statute intentionally
used the phrase ‘other intoxicating’ as relating to and
defining the immediately preceding designation of beer
and wine”); United States v. United Verde Copper Co.,
196 U.S. 207, 213-214 (1905) (rejecting argument “that
the word ‘other’ should be * * * eliminated from the
statute”).
Even apart from the word “other,” this Court has
recognized that “[w]hen several words are followed by
a clause which is applicable as much to the first and
other words as to the last, the natural construction of
the language demands that the clause be read as applicable to all.” Paroline, 572 U.S. at 447 (quoting Porto
Rico Ry., Light & Power Co. v. Mor, 253 U.S. 345, 348
(1920)); see United States v. Bass, 404 U.S. 336, 339-340
(1971) (“Since ‘in commerce or affecting commerce’ undeniably applies to at least one antecedent, and since it
makes sense with all three, the more plausible construction here is that it in fact applies to all three.”). Here,
the phrase “aggrieved by a final decision under subsection (c)” plainly may be sensibly applied to the first
three listed parties, 45 U.S.C. 355(f ), and petitioner
27
does not contend otherwise. Indeed, applying the modifier across the entire list produces a far more sensible
interpretation of the provision as a whole. See pp. 1819, supra.
Petitioner responds (Br. 32) that, had Congress
wished to apply the modifier across the entire list, it
could have “simply said that ‘any party aggrieved by a
decision under section 355(c)’ can sue.” But Congress
may have wished to specifically identify the parties it
was most concerned should have access to judicial
review—to rebut, for example, any inference that only
certain aggrieved parties (like benefits claimants)
would be able to appeal adverse decisions under Section
355(f ). The Court made precisely this point in Paroline,
where “the victim argue[d] that the first five categories
of losses enumerated in [the statute] would be superfluous if all were governed by a proximate-cause requirement.” 572 U.S. at 447. The Court deemed that argument “unpersuasive,” reasoning that “[t]he first five
categories provide guidance to district courts as to the
specific types of losses Congress thought would often be
the proximate result of [an] offense and could as a general matter be included in an award of restitution.” Id.
at 448. Nor was Paroline an outlier: delineating a category by enumerating salient members of that category
and then adding a residual clause is common in statutory drafting. See p. 18, supra.
Petitioner’s remaining textual arguments also lack
merit. Petitioner emphasizes (Br. 19) that Section
355(f ) permits review of “any” final decision, but that
merely begs the question whether the agency action he
challenges is a “final decision” within the scope of that
provision. See Rimini St., Inc. v. Oracle USA, Inc., 139
S. Ct. 873, 878 (2019) (observing that the term “ ‘full’ ”
28
denotes “quantity or amount,” and simply “means the
complete measure of the noun it modifies”) (citation
omitted). The government agrees that Section 355(f )
permits review of “any” final decision under Section
355(c). Petitioner also asserts that “[e]lsewhere in section 355(f ), Congress used clear qualifiers to single out
specific subcategories of final decisions for special
treatment,” Pet. Br. 19-20, and notes that when “Congress ‘uses particular language in one section of a statute but omits it in another,’ this Court presumes that
choice was deliberate,” id. at 20 (quoting Department of
Homeland Sec. v. MacLean, 574 U.S. 383, 391 (2015));
see also id. at 34-35. This argument also assumes the
conclusion. There is no dispute that Section 355(f ) “single[s] out” “decision[s] under subsection (c),” 45 U.S.C.
355(f ), for “special treatment.” Pet. Br. 20. The only
question is whether that qualifier is limited to the final
list item, or instead qualifies the provision more generally. Petitioner’s canon sheds no light on that question.
Petitioner also proffers a structural argument, contending that the government’s interpretation is “incompatible with section 355(g),” which he asserts “identifies
various categories of decisions that are reviewable under section 355(f )—many of which are not decisions under section 355(c).” Pet. Br. 17 (emphasis omitted). As
explained, see pp. 23-24, supra, it is petitioner’s interpretation, not the government’s, that drives a wedge between Section 355(f ) and (g). Petitioner’s argument
also rests on the mistaken assumption that all decisions
listed in Section 355(g) are automatically subject to judicial review. The provision’s plain text belies that view:
it states only that certain Board determinations “shall
not be subject to review in any manner other than that
set forth in subsection (f ).” 45 U.S.C. 355(g). In other
29
words, Section 355(g) simply provides that if those determinations are subject to judicial review, Section
355(f ) provides the exclusive mechanism.
B. Section 231g Reinforces That Reopening Decisions Are
Not Judicially Reviewable
Section 231g, which incorporates into the RRA the
judicial review framework of the RUIA, reinforces the
conclusion that reopening decisions are not subject to
judicial review. It authorizes review only of Board determinations of “rights or liabilities,” 45 U.S.C. 231g—
language that describes the same general category of
decisions enumerated in Section 355(c). A reopening
denial does not determine “rights or liabilities,” ibid.,
but is instead a “refusal to make a new determination,”
Your Home Visiting Nurse Servs., Inc. v. Shalala, 525
U.S. 449, 453 (1999).
1. Section 355 is located within the RUIA and does
not directly govern judicial review of RRA determinations. Instead, Section 231g imports the Section 355
framework, mutatis mutandis, into the RRA. 45 U.S.C.
231g. Section 231g states, in relevant part:
Decisions of the Board determining the rights or liabilities of any person under [the RRA] shall be subject to judicial review in the same manner, subject to
the same limitations, and all provisions of law shall
apply in the same manner as though the decision
were a determination of corresponding rights or liabilities under the Railroad Unemployment Insurance Act.
Ibid.
Notably, Section 231g does not authorize judicial review of all “final decisions” of the Board. Pet. Br. 14.
Instead, it provides for review only of those decisions
30
that determine “rights or liabilities * * * under [the
RRA].” 45 U.S.C. 231g. And with its reference to “corresponding rights or liabilities under the [RUIA],” it reinforces the conclusion that the RUIA does not provide
for judicial review of all “final decisions,” either. Ibid.
Indeed, this language confirms that review under the
RUIA is limited to determinations under Section 355(c).
Although Section 355(c) covers a diverse array of Board
determinations, all of them determine rights or liabilities under the statute, i.e., all have a direct effect on a
party’s entitlements or obligations under the Act. See
45 U.S.C. 355(c)(1)-(4) (describing various categories of
decisions); see also 45 U.S.C. 355(c)(5) (providing that
determinations under subsection (c) “shall conclusively
establish all rights and obligations”). Section 231g’s
reference to “rights or liabilities” thus serves to distill
and summarize the kinds of decisions reviewable under
Section 355(c), and provides that the same subset of
Board decisions is reviewable under the RRA.
A reopening denial does not determine “rights or liabilities * * * under [the RRA].” 45 U.S.C. 231g. Because reopening is not provided by statute, it could
hardly qualify as a statutory entitlement “under” the
RRA in the first place. Cf. Smith v. Berryhill, 139 S. Ct.
1765, 1775 (2019) (observing that, in contrast to reopening, “the claimant’s access to [a] first bite at the apple is
indeed a matter of legislative right”). Even under the
regulations, a claimant has no “right” to reopening,
which is purely discretionary. See 20 C.F.R. 261.11.
Moreover, the net effect of a reopening denial is to leave
the Board’s original decision intact: it does not alter the
amount of benefits awarded, the date when benefits will
start, or any other substantive aspect of the claimant’s
benefits entitlement. It simply precludes a claimant
31
from relitigating a prior claim for benefits. In short,
there is no new determination of “rights or liabilities.”
45 U.S.C. 231g.
The Court’s precedents confirm this interpretation.
In Your Home, the Court considered a provision of the
Social Security Act (SSA), 42 U.S.C. 301 et seq., addressing reimbursement of healthcare providers for
services rendered to Medicare beneficiaries. 525 U.S.
at 450-451. The statute provided for an initial determination by a fiscal intermediary. Id. at 451. If the provider was dissatisfied with the intermediary’s determination, it could obtain a hearing before a review board
of “a final determination * * * as to the amount of total
program reimbursement due the provider.” 42 U.S.C.
1395oo(a)(1)(A)(i); see Your Home, 525 U.S. at 451, 453.
The board’s determination was subject to judicial review. Your Home, 525 U.S. at 451. By regulation, a
provider could also ask the intermediary to reopen a reimbursement determination. Ibid. In this Court, the
government argued that the board lacked jurisdiction
over a reopening denial on the ground that such a denial
was not “a final determination * * * as to the amount
of total program reimbursement due the provider,”
42 U.S.C. 1395oo(a)(1)(A)(i), “but rather the refusal to
make a new determination.” Your Home, 525 U.S. at
453. The Court agreed, noting that the government’s
“reading * * * frankly seems to us the more natural,”
and ultimately deferring to that reading under Chevron
U.S.A. Inc. v. Natural Resources Defense Council, Inc.,
467 U.S. 837, 842 (1984). Your Home, 525 U.S. at 453.
Petitioner contends (Br. 23) that Your Home did not
involve “judicial review of the final agency action,” as
opposed to one “administrative entity’s appellate jurisdiction over another.” But the plain consequence of the
32
Court’s holding that the review board lacked jurisdiction over the intermediary’s reopening decision was
that judicial review of the merits of that decision was
also unavailable. See Your Home, 525 U.S. at 452, 456.
And although petitioner observes (Br. 23-24) that the
Court in Your Home ultimately deferred to the government’s interpretation under Chevron, he does not contest the fact that it expressly approved that interpretation as the more natural reading of the text. See Your
Home, 525 U.S. at 453.
The Court took a similar approach in SEC v. Louisiana Public Service Commission, 353 U.S. 368 (1957)
(per curiam), where it considered the reviewability of an
SEC decision denying reopening of a divestment order.
The statute in that case expressly authorized reopening, providing that “[t]he Commission may by order revoke or modify any order previously made under this
subsection,” and further stating that “[a]ny order made
under this subsection shall be subject to judicial review.” Id. at 371 (citation omitted). The Court nevertheless held that judicial review was unavailable. It reasoned that “the orders made judicially reviewable by
the quoted language [were] the directory orders mentioned in, and authorized by, [the relevant subsection],
and orders which may ‘revoke or modify’ any such order
previously made under that subsection,” but did “not include an order merely denying a petition to reopen * * *
proceedings.” Ibid. The same logic applies here, where
a denial of reopening does not determine any “rights or
liabilities” but simply leaves a prior determination intact. 45 U.S.C. 231g.
2. Petitioner’s arguments to the contrary are unpersuasive. He asserts that Section 231g’s reference to de-
33
cisions determining “rights or liabilities” is merely “another way of saying ‘any final decision.’ ” Pet. Br. 21
(citation omitted). But the only support he cites for this
assertion is United States Army Corps of Engineers v.
Hawkes Co., 136 S. Ct. 1807 (2016), which defines a “final agency action” for purposes of the Administrative
Procedure Act (APA), 5 U.S.C. 701 et seq.; see 5 U.S.C.
704, in relevant part, as “one by which rights or obligations have been determined, or from which legal consequences will flow.” 136 S. Ct. at 1813 (quoting Bennett
v. Spear, 520 U.S. 154, 178 (1997)) (emphasis added).
That definition supports the government’s position. It
is phrased in the disjunctive, and only the first prong
even arguably corresponds to Section 231g’s reference
to “rights or liabilities.” See id. at 1814 (finding existence of final decision based on “legal consequences”
alone). Thus, to the extent the APA definition is relevant at all, it confirms that Section 231g provides for review of a narrower category of decisions than all “final
decisions.”
Petitioner also observes (Br. 21) that Section 231g
singles out decisions respecting “an annuity, supplemental annuity, or lump-sum benefit” by applying a
longer limitations period to them. 45 U.S.C. 231g. He
notes (Br. 21) that these three categories of decisions
necessarily represent a subset of the broader universe
of reviewable decisions under the RRA. But that fact
alone sheds no light on the interpretive question presented here. Even under the government’s interpretation, there remain Board decisions subject to judicial review beyond the three categories of decisions governed
by the extended limitations period in Section 231g. For
example, determinations of employer status are covered by Section 355(c)(4) and therefore reviewable
34
under Section 355(f ), but do not directly respect an
“annuity, supplemental annuity, or lump-sum benefit.”
45 U.S.C. 231g.
C. Additional Structural Features Of Both Statutes Confirm This Interpretation
Two additional structural features of the RRA and
RUIA further confirm that reopening denials are not
reviewable. Under this Court’s decisions in Sanders
and Your Home, Congress’s choice to afford the agency
the latitude to offer reopening as a matter of discretion—
rather than codifying it in either the RUIA or RRA—
suggests that Congress did not intend to subject such
decisions to judicial review. In addition, permitting judicial review of reopening would enable plaintiffs to circumvent the statutory limitations period and exhaustion requirement imposed by Congress.
1. Reopening is a matter of agency grace
Nothing in the RUIA or the RRA requires the Board
to afford parties the opportunity to seek reopening of
final agency determinations. Congress expressly considered providing for reopening at the same time it was
adopting (in large part) the modern versions of the judicial review provisions in Sections 231g and 355, see
Act of July 31, 1946 (1946 Act), ch. 709, Divs. II, III,
§§ 215, 311, 60 Stat. 735, 738, but it declined to do so,
instead “leav[ing] [reopening] rules to be prescribed by
Railroad Retirement Board regulations,” Railroad Retirement: Hearings on H.R. 1362 Before the House
Comm. on Interstate and Foreign Commerce, 79th
Cong., 1st Sess. Pt. 1, at 23 (1945) (statement of David
B. Robertson, Committee Chairman, Railway Labor
Executives’ Association). The agency has nevertheless
chosen to grant parties a procedural mechanism above
35
and beyond what the statute requires by authorizing reopening in the agency’s discretion. See 20 C.F.R. Pt.
261 (RRA); 20 C.F.R. Pt. 349 (RUIA). Because parties
lack any statutory entitlement to reopening, the agency
is free to rescind that provision if it determines that doing so would best advance its administration of the two
Acts. 5
In both Sanders and Your Home, this Court invoked
the fact that the respective statutory schemes did not
require an opportunity for reopening to support its conclusion that the statutes similarly did not require judicial review of reopening decisions. The Sanders Court,
in finding the statute at issue there did not afford jurisdiction, observed that “the opportunity to reopen final
decisions and any hearing convened to determine
the propriety of such action are afforded by the Secretary’s regulations and not by the Social Security Act.”
430 U.S. at 108.
Then, in Your Home, the Court cited Sanders to support its conclusion that there was no review of a reopening denial, reasoning that “[t]he right of a provider to
seek reopening exists only by grace of the Secretary.”
525 U.S. at 454. And in rejecting petitioner’s argument
Citing a Board legal opinion from 1939, petitioner contends (Br.
27) that “the Board from its inception believed that Congress implicitly required it to reopen prior determinations to prevent arbitrary and capricious decision-making.” But the cited opinion
acknowledges that, as relevant here, no “provision appears in the
Act for revision of claims once adjudicated,” although “[e]xpress
provisions are common where it is sought to reserve power in the
administrative agency to revise awards.” U.S. R.R. Ret. Bd. Gen.
Counsel, Legal Op. No. 39-527, at 18 (Aug. 16, 1939). The mere fact
that the Board viewed (and continues to view) reopening as consonant with the purposes of the RRA and RUIA, ibid., does not suggest the Board has ever believed reopening to be mandatory.
5
36
that the agency’s position ran afoul of the separate statutory requirement that it provide “for the making of
suitable retroactive corrective adjustments” to reimbursement determinations, ibid. (citation omitted), the
Court noted that the statute already guaranteed a right
to review of an initial determination and that the
reopening regulation did no more than “generously
give[ ] [providers] a second chance to get the decision
changed.” Id. at 455. The Court deemed that overall
scheme a “ ‘suitable’ procedure,” “especially in light of
the traditional rule of administrative law that an
agency’s refusal to reopen a closed case is generally
‘committed to agency discretion by law’ and therefore
exempt from judicial review.” Ibid. (quoting ICC v.
Brotherhood of Locomotive Eng’rs, 482 U.S. 270, 282
(1987)). 6 Petitioner’s contention (Br. 42) that Sanders’s
logic is “statute-specific” cannot be squared with Your
Home’s reaffirmation of that logic in a different statutory context. See 525 U.S. at 454.
Under Sanders and Your Home, Congress’s omission of a statutory provision for reopening indicates that
it did not intend to afford judicial review for any
reopening decisions the agency decides to make in its
discretion. Here, as in those cases, the RUIA and RRA
ensure the claimant’s right to judicial review of his
“first bite at the apple,” Smith, 139 S. Ct. at 1775, and
Locomotive Engineers reaffirmed the traditional rule that,
when a claimant seeks reopening on the ground that the prior decision contains material error (as opposed to on the basis of new evidence), the agency’s denial of that request is committed to agency
discretion by law and thus nonreviewable. 482 U.S. at 278-280.
Here, even if the Court disagrees that reopening decisions categorically fall outside Section 355(f ), it should at the least make clear
that this traditional rule applies to the RRA and RUIA.
6
37
the Board has further decided, in solicitude of affected
parties, to permit a motion to reopen after the mandatory exhaustion process has been completed. But this
opportunity simply serves as a check on an earlier process that includes both agency and judicial review, and
there is no reason to allow a claimant to leverage the
agency’s generosity into a second court proceeding.
Petitioner stresses (Br. 28-29) the importance to
claimants of the Board’s benefits determinations and
the potential for error in processing a large number of
claims. But given that, under the statute, the benefits
scheme could be administered without reopening at all,
there is no reason to conclude that Congress believed
judicial review of reopening decisions was necessary to
avoid error. And the possibility for error is no greater
here than it was in Sanders, under the SSA. Requiring
judicial review in this context could also have the perverse consequence of discouraging the agency from offering reopening in the first place. 7
Petitioner also attacks (Br. 42) a straw man, disputing the existence of any “blanket rule that agency-created
procedures are immune from judicial review just because Congress gave the agency the discretion to establish them.” The government asserts no such blanket
rule. There is a critical difference between the reopen-
The availability of judicial review for immigration reopening decisions is not to the contrary. Review in that context rests on a variety of unique considerations not present here, including that
“[f ]ederal-court review of administrative decisions denying motions
to reopen removal proceedings dates back to at least 1916.” Kucana
v. Holder, 558 U.S. 233, 240 n.5, 242 (2010); see also Dada v.
Mukasey, 554 U.S. 1, 12-15 (2008) (discussing distinctive history of
reopening in immigration cases, including its codification as a “statutory form of relief ”).
7
38
ing regulations here, which simply offer claimants a discretionary opportunity outside the mandatory exhaustion process, and regulations that constrict a claimant’s
ability to claim a statutory entitlement. All of petitioner’s examples fall in the second bucket.
Petitioner first points to Smith, but the claimant
there was “not seeking a second look at an already-final
denial; he argue[d] that he was wrongly prevented from
continuing to pursue his primary claim for benefits,”
which “is indeed a matter of statutory entitlement.”
139 S. Ct. at 1778. Petitioner also invokes Hawkes,
which involved the Army Corps of Engineers’ jurisdictional determinations as to whether certain bodies of
water fell within the scope of the Clean Water Act,
33 U.S.C. 1251 et seq. 136 S. Ct. at 1811. A party could
discharge pollutants into covered waters only if it first
obtained a permit. Id. at 1812. The only question in
that case, however, was whether jurisdictional determinations were reviewable on a standalone basis or at the
conclusion of the statutory permitting process. Id. at
1816. The agency conceded that such determinations,
which were a threshold issue in the permitting process,
could be challenged upon completion of that process.
Ibid. The determinations at issue in Hawkes thus bore
no resemblance to reopening decisions, which are a matter of agency grace and take place entirely outside the
process for exhausting a claim for benefits. Finally, petitioner suggests (Br. 43) that the government’s rule
would exempt from review “modifications of benefits,
which exist by virtue of regulations.” But modifications
(unlike reopening denials) directly affect a claimant’s
statutory entitlement to benefits and are reviewable under the government’s interpretation. See p. 44, infra.
39
2. Judicial review of reopening denials would undermine other statutory constraints
Allowing claimants to seek judicial review of the
Board’s refusals to reopen would also thwart the statutory limitations period and exhaustion requirement for
challenging primary benefits determinations.
a. Section 355(f ) requires a claimant to file a petition
for review of a Board decision under Section 355(c)
“within ninety days after the mailing of notice of such
decision to the claimant or other party.” 45 U.S.C.
355(f ). Section 231g imports this rule to the RRA, with
the exception “that the time within which proceedings
for the review of a decision with respect to an annuity,
supplemental annuity, or lump-sum benefit may be
commenced shall be one year after the decision will
have been entered upon the records of the Board and
communicated to the claimant.” 45 U.S.C. 231g. Permitting claimants to seek reopening, and then obtain judicial review, years after the Board’s disposition of a
benefits claim would undermine these limitations and
subvert congressional intent.
This Court recognized as much in Sanders, where it
held that “an interpretation that would allow a claimant
judicial review simply by filing—and being denied—a
petition to reopen his claim would frustrate the congressional purpose, plainly evidenced in [Section] 205 (g), to
impose a 60-day limitation upon judicial review.” 430
U.S. at 108. The Court properly recognized that “Congress’ determination so to limit judicial review to the
original decision denying benefits is a policy choice obviously designed to forestall repetitive or belated litigation of stale eligibility claims,” and that “[the Court’s]
duty, of course, is to respect that choice.” Ibid. Then,
in Your Home, the Court reiterated that any statutory
40
limitations period “would be frustrated by permitting
requests to reopen to be reviewed indefinitely.” 525 U.S.
at 454.
Petitioner has no real response to this point, asserting (Br. 44) only that, in light of Congress’s decision to
specify a one-year limitations period for a subset of
RRA determinations, “one might infer that Congress
did not mind drawn-out litigation in some cases.” This
suggestion is implausible. Nothing about the statutory
scheme remotely suggests that Congress contemplated
that certain decisions would, as a practical matter, be
subject to no limitations period at all. To the contrary,
Congress’s determination that a precise subcategory of
decisions warranted a distinctive statute of limitations
indicates that it paid careful attention to this particular
issue, and provides all the more reason “to respect
[Congress’s] choice.” Sanders, 430 U.S. at 108.
b. Judicial review of reopening decisions would also
enable claimants to circumvent the statutorily required
exhaustion process. See 45 U.S.C. 355(f ). This case illustrates the problem. Petitioner failed to exhaust administrative remedies for the agency’s denial of both his
2006 benefits application and his untimely reconsideration motion. See p. 9, supra. Nevertheless, he now
seeks to reopen those prior denials on the ground that
“an error * * * appears on the face of the evidence that
was considered when the determination or decision was
made.” Pet. C.A. Br. 8 (quoting 20 C.F.R. 261.2(c)(7)).
The current suit thus effectively seeks judicial review of
a 14-year-old agency determination that petitioner
failed to exhaust, raising arguments that petitioner
could have raised in 2006. The Court should not countenance that result.
41
II. PETITIONER’S REMAINING COUNTERARGUMENTS
LACK MERIT
Petitioner advances three additional arguments in
support of reviewability: he invokes the presumption
favoring judicial review; argues that the government’s
position would upset longstanding practice; and claims
the Board has taken inconsistent positions on the question presented. These arguments are wrong on their
own terms and could not support ignoring the plain import of the statutory text and structure.
A. The Presumption Of Judicial Review Does Not Dictate
A Contrary Conclusion
Petitioner invokes the “presumption favoring judicial review of administrative action,” which he claims
can be overcome only by “clear and convincing evidence.” Pet. Br. 24-26 (quoting Mach Mining, LLC v.
EEOC, 575 U.S. 480, 486 (2015); Bowen v. Michigan
Acad. of Family Physicians, 476 U.S. 667, 671 (1986)).
That presumption has little force here. No one disputes
that a claimant is fully entitled to judicial review of a
Board decision on the merits of his benefits claim. The
only question is whether he is entitled to a second round
of review following his unsuccessful attempt to reopen
a prior final decision pursuant to Board regulations. As
explained above, see pp. 35-37, supra, the more natural
inference in a large benefits program like that here and
the Social Security program in Sanders is that Congress does not intend to afford judicial review when it
leaves the availability of reopening entirely to agency
discretion.
Indeed, in this Court’s seminal cases assessing—and
rejecting—the reviewability of reopening decisions in
similar contexts, the Court declined even to mention
42
the general presumption that petitioner invokes, despite arguments from the affected parties and other Justices that it applied. See Sanders, 430 U.S. at 109 (noting
presumption in favor of review of constitutional questions only); Resp. Br. at 8, Sanders, supra (No. 75-1443)
(“[T]he presumption of review should prevail.”) (emphasis omitted); Your Home, 525 U.S. at 453-454 (denying
review without referencing presumption); Pet. Br. at 11,
Your Home, supra (No. 97-1489) (“[T]he Secretary’s interpretation of the statute (which would allow her to cut
off all judicial review of refusals to reopen) is inconsistent with the presumption of judicial review.”); see
also Locomotive Eng’rs, 482 U.S. at 280 (denying review
without referencing presumption); Locomotive Eng’rs,
482 U.S. at 293 (Stevens, J., concurring in the judgment) (Congress should “be presumed to have intended
that the courts should fulfill their traditional role of defining and maintaining the proper bounds of administrative discretion”) (citation omitted). These decisions
cannot be squared with petitioner’s assertion that a
“ ‘strong presumption’ ” applies and resolves “any
doubts” in his favor. Pet. Br. 24 (citation omitted).
Even if the presumption did apply in this context, it
would be overcome here. This Court “has never applied
the clear and convincing evidence standard in the strict
evidentiary sense.” Bowen, 476 U.S. at 672 n.3 (citation
and internal quotation marks omitted); see, e.g., Cuozzo
Speed Techs., LLC v. Lee, 136 S. Ct. 2131, 2140 (2016).
To the contrary, “the Court has found the standard met,
and the presumption favoring judicial review overcome,
whenever the congressional intent to preclude judicial
review is fairly discernible in the statutory scheme.”
Block v. Community Nutrition Inst., 467 U.S. 340, 351
(1984) (citation and internal quotation marks omitted);
43
see Mach Mining, LLC, 575 U.S. at 486 (explaining that
the presumption “fails when a statute’s language or
structure demonstrates that Congress wanted an agency
to police its own conduct”). Here, the statutory text and
structure, reinforced by cases like Sanders and Your
Home, amply evidence Congress’s intention to limit judicial review under Section 355(f ) to determinations under Section 355(c), and not to afford a right to judicial
review where a claimant “seeks only an additional opportunity to establish that he satisfies the [RRA’s]
eligibility standards for disability benefits.” Sanders,
430 U.S. at 109.
B. The Government’s Interpretation Does Not Broadly
Foreclose Review Of Other Board Determinations
Petitioner claims (Br. 35-36) that the government’s
interpretation would foreclose review of a broad range
of Board decisions. In support, he identifies a handful
of Board decisions that various lower courts have reviewed in the past but that, he contends, fall outside
Section 355(c). The Court need not wade into the question of whether Board determinations far afield from
the reopening denial at issue here are subject to judicial
review. This Court has never addressed the decisions
on which petitioner relies, and caution in reaching beyond the question presented is especially prudent in
this context. The RUIA and RRA benefits schemes are
highly reticulated, and many of the agency decisions petitioner highlights are potentially subject to review in
certain postures but not others. In any event, because
those decisions likely are reviewable to a significant extent under the government’s approach, petitioner’s argument should not give the Court pause. Given the
breadth of Sections 231g and 355(c), the universe of
nonreviewable Board decisions is narrow.
44
Petitioner’s principal example (Br. 35) consists of
“[d]ecisions terminating or modifying benefits.” He
contends that these decisions fall outside Section 355(c)
because “they are not ‘initial determination[s].’ ” Ibid.
(quoting 45 U.S.C. 355(c)(1) and (2)) (brackets in original). This argument rests on a misunderstanding of the
phrase “initial determination,” which petitioner appears to read as limited to the Board’s original disposition of a claim for benefits. Instead, the phrase refers
to the first determination on a particular issue in the hierarchical agency review process. Context supports
this interpretation: because Section 355(c) is an exhaustion provision authorizing aggrieved parties to appeal
to a higher authority within the agency, see 45 U.S.C.
355(c)(1)-(4), it makes sense to read “initial determination” to mean the decision by the lowest-level agency
adjudicator. The Board’s implementing regulations reflect the same understanding. See, e.g., 20 C.F.R.
320.6(a) (“The term ‘adjudicating office’ means any subordinate office of the Board which is authorized to make
initial determinations.”). “Initial determinations” under Section 355(c) (and corresponding determinations
under the RRA) become judicially reviewable when
they ripen into final agency decisions upon exhaustion.
In short, nothing about this language excludes termination or modification decisions from review. See 20
C.F.R. 260.1(a)(4) (defining “initial decisions” in the
RRA context to include “termination”).
Next, petitioner notes (Br. 36) that “the Board often
decides whether to grant or deny credit to claimants for
service or compensation that was not reflected in their
railroad employer’s records,” and that these determinations have a direct effect on benefits eligibility. He
points out that the RRA generally requires claimants to
45
“challenge any errors in [compensation] determinations
within four years,” and worries that this period could
expire “long before the employee seeks benefits.” Ibid.
(citing, e.g., 45 U.S.C. 231h). The structure of the statute suggests that even credit determinations made in
advance of a benefits claim should be reviewable, given
the logical priority of credit determinations to benefits
decisions under Section 355(c) and the time limitation
on challenging those determinations. Cf. 45 U.S.C.
355(c)(5) (providing for judicial review of a final decision
“or the determination of any issue therein”).
Finally, petitioner points (Br. 36) to “Board orders
requiring beneficiaries to repay erroneous payments.”
But at least a subset of these decisions are explicitly
covered by Section 355(c). See 45 U.S.C. 355(c)(3) (“The
Board shall take such action as is appropriate to recover
the amount of such benefits.”); 45 U.S.C. 355(c)(4)
(providing for payment “subject to a right of recovery”).
And any recovery of overpayments that directly deprives a claimant of benefits would likely fall under Section 355(c)(1) and (2), which govern the denial of benefits claims. 45 U.S.C. 355(c)(1) and (2). Petitioner’s argument to the contrary again depends on his erroneous
view that Board determinations post-dating the original
resolution of a benefits claim do not qualify as “initial
determination[s].” Ibid.; see Pet. Br. 37 (arguing that
“overpayment recovery involves developments after the
initial grant of benefits”).
On the basis of his incorrect assumption (Pet. Br. 39)
that the government’s interpretation would “seal[ ] off
many of the Board’s critical decisions from executive or
judicial accountability,” petitioner argues (Br. 37-40)
that precluding judicial review of reopening decisions
46
would raise separation-of-powers concerns. Even setting aside the mistaken premise, petitioner does not actually contend that excluding denials of reopening from
judicial review would violate the Constitution.
Regardless, petitioner fails to muster any real-world
support for his rhetoric that the government’s position
would subject railroad workers “to the mercy of an unchecked bureaucracy” (Br. 38) and transform the Board
into “a law unto itself ” (Br. 40). He fails to cite a single
reopening decision or regulation in the Board’s entire
nearly 85-year history even remotely resembling his
far-fetched hypotheticals (Br. 38) about decisions “limiting reopening to redheaded claimants” or “terminating all annuities granted in leap years.” Nor, contrary
to petitioner’s assertion (Br. 39), does the Board’s unusual composition have any bearing on the suitability or
availability of judicial review of reopening denials in a
large benefits program like this.
Petitioner does not challenge the denial of his
reopening request on constitutional grounds. See
Sanders, 430 U.S. at 109 (“This is not one of those rare
instances where the Secretary’s denial of a petition to
reopen is challenged on constitutional grounds.”). The
Court therefore need not decide whether judicial review
would be available in some manner where a substantial
constitutional challenge was raised, including the applicability of this Court’s decisions stating that a
“heightened showing” is required if “Congress intends
to preclude judicial review of constitutional claims” altogether. Elgin v. Department of Treasury, 567 U.S. 1,
9 (2012) (quoting Webster v. Doe, 486 U.S. 592, 603
(1988)). The Court also need “not decide whether mandamus would be available in an extraordinary case.”
47
Thryv, Inc. v. Click-to-Call Techs., LP, 140 S. Ct. 1367,
1374 n.6 (2020).
C. The Board Has Not Conceded That Reopening Denials
Are Subject To Judicial Review
Lastly, petitioner asserts the Board has changed positions on the question presented, pointing (Br. 27-28)
to a legal opinion issued in 1942 by the Board’s General
Counsel. The General Counsel there urged the Board
to reopen a prior final decision in light of a subsequent
court decision rejecting the Board’s reasoning in a different case presenting the same issue. U.S. R.R. Ret.
Bd. Gen. Counsel, Legal Op. No. 42-673, at 2-3 (Dec. 15,
1942) (Legal Op.). The General Counsel advised that
“[a]ny action by the Board refusing to reopen” the decision “could not, in [his] opinion, be successfully sustained in court, particularly in view of the very clear
mandate of the Circuit Court.” Id. at 4. Petitioner argues (Br. 27) that this opinion shows “the Board understood as early as 1942 that denials of reopening were
subject to judicial review.”
Petitioner’s reliance on the opinion is misplaced.
Prior to 1946, Section 355(f ) (which is part of the RUIA)
was not applicable to claims under the RRA. See 1946
Act § 215, 60 Stat. 735. At the time of the General Counsel’s opinion, the RRA had its own, separate judicial review provision, which provided that “[a]n employee or
other person aggrieved may” seek judicial review “to
compel” the Board “to set aside an action or decision of
the Board” or “to take action or to make a decision.” 45
U.S.C. 228k (1940). It is against this backdrop that the
General Counsel advised that the Board’s “action * * *
refusing to reopen” the prior decision could not be “sustained in court.” Legal Op. 4. That 78-year-old discussion of a materially different statute is irrelevant to the
48
question presented here. If anything, it suggests that
reopening decisions are not reviewable under the current framework, given the General Counsel’s characterization of reopening denial as an “action,” which, unlike
a “decision,” is not subject to review under Sections
231g or 355(f ). See 45 U.S.C. 228k (1940) (subjecting
both “action[s]” and “decision[s]” to review).
Petitioner thus points to no indication that the Board
has ever considered reopening denials to be judicially
reviewable under Sections 231g or 355(f ). To the contrary, the Board has argued for decades that its denial
of a reopening motion is not reviewable, and the majority of the courts of appeals that have considered the
question have agreed. See Cunningham v. Railroad
Ret. Bd., 392 F.3d 567, 571-573 & n.5 (3d Cir. 2004);
Harris v. United States R.R. Ret. Bd., 198 F.3d 139, 142
(4th Cir. 1999); Roberts v. United States R.R. Ret. Bd.,
346 F.3d 139, 141 (5th Cir. 2003); Steebe v. United States
R.R. Ret. Bd., 708 F.2d 250, 254-255 (7th Cir.), cert. denied, 464 U.S. 997 (1983); Abbruzzese v. Railroad Ret.
Bd., 63 F.3d 972, 974 (10th Cir. 1995); but see also Stovic
v. Railroad Ret. Bd., 826 F.3d 500, 505-506 (D.C. Cir.)
(Kavanaugh, J.), cert. denied, 137 S. Ct. 399 (2016);
Sones v. United States R.R. Ret. Bd., 933 F.2d 636, 638
(8th Cir. 1991); Szostak v. Railroad Ret. Bd., 370 F.2d
253, 254-255 (2d Cir. 1966). This Court should so hold
as well.
49
CONCLUSION
The judgment of the court of appeals should be affirmed.
Respectfully submitted.
ANA M. KOCUR
General Counsel
MARGUERITE P. DADABO
Assistant General Counsel
P ETER J. ORLOWICZ
General Attorney
U.S. Railroad Retirement
Board
JUNE 2020
NOEL J. FRANCISCO
Solicitor General
EDWIN S. KNEEDLER
Deputy Solicitor General
JOSEPH H. HUNT
Assistant Attorney General
AUSTIN L. RAYNOR
Assistant to the Solicitor
General
CHARLES W. SCARBOROUGH
SONIA M. CARSON
Attorneys
APPENDIX
1.
45 U.S.C. 231f provides:
Railroad Retirement Board
(a)
Administration
This subchapter shall be administered by the Railroad Retirement Board established by the Railroad Retirement Act of 1937 [45 U.S.C. 228a et seq.] as an independent agency in the executive branch of the Government and composed of three members appointed by the
President, by and with the advice and consent of the
Senate. Each member shall hold office for a term of
five years, except that any member appointed to fill a
vacancy occurring prior to the expiration of the term for
which his predecessor was appointed shall be appointed
for the remainder of the term and any member holding
office pursuant to appointment under the Railroad Retirement Act of 1937 when this subchapter becomes effective shall hold office until the term for which he was
appointed under such Railroad Retirement Act of 1937
expires. One member shall be appointed from recommendations made by representatives of the employees
and one member shall be appointed from recommendations made by representatives of employers as defined
in paragraph (i) of section 231(a)(1) of this title, in both
cases as the President shall direct, so as to provide representation on the Board satisfactory to the largest
number, respectively, of employees and employers concerned. One member, who shall be the chairman of the
Board, shall be appointed without recommendation by
either employers or employees and shall not be in the
employment of or be pecuniarily or otherwise interested
(1a)
2a
in any employer or organization of employees. Vacancies in the Board shall not impair the powers or affect
the duties of the Board or of the remaining members of
the Board, of whom a majority of those in office shall
constitute a quorum for the transaction of business.
Upon the expiration of his term of office a member shall
continue to serve until his successor is appointed and
shall have qualified.
(b)
Powers and duties
(1) The Board shall have and exercise all the duties
and powers necessary to administer this subchapter.
The Board shall take such steps as may be necessary to
enforce such subchapter and make awards and certify
payments. Decisions by the Board upon issues of law
and fact relating to annuities or death benefits shall not
be subject to review by any other administrative or accounting officer, agent, or employee of the United States.
(2) In the case of—
(A) an individual who will have completed ten
years of service (or five or more years of service, all
of which accrues after December 31, 1995) creditable
under this subchapter,
(B) the wife or divorced wife or husband of such
an individual,
(C) any survivor of such an individual if such
survivor is entitled, or could upon application become
entitled, to an annuity under section 231a of this title,
and
(D) any other person entitled to benefits under
title II of the Social Security Act [42 U.S.C. 401 et
seq.] on the basis of the wages and self-employment
3a
income of such an individual (except a survivor of
such an individual where such individual did not have
a current connection with the railroad industry at the
time of his death);
the Board shall provide for the payment on behalf of the
Managing Trustee of the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability
Insurance Trust Fund of monthly benefits payable
under title II of the Social Security Act [42 U.S.C. 401
et seq.] which are certified by the Secretary to it for payment under the provisions of title II of the Social Security Act.
(3) If the Board finds that an applicant is entitled to
an annuity or death benefit under the provisions of this
subchapter then the Board shall make an award fixing
the amount of the annuity or benefit, as the case may be,
and shall certify the payment thereof as hereinafter provided; otherwise the application shall be denied. For
purposes of this section, the Board shall have and exercise such of the powers, duties and remedies provided in
subsections (a), (b), (d), and (n) of section 12 of the Railroad Unemployment Insurance Act [45 U.S.C. 362] as
are not inconsistent with the express provisions of this
subchapter. The Board is authorized to delegate to
any member, officer, or employee of the Board any of
the powers conferred upon the Board by this subchapter, excluding only the power to prescribe rules and regulations, including the power to make decisions on applications for annuities or other benefits: Provided, however, That any person aggrieved by a decision on his application for an annuity or other benefit shall have the
right to appeal to the Board. Notice of a decision of the
4a
Board, or of an employee thereof, shall be communicated to the applicant in writing within thirty days after
such decision shall have been made.
(4)(A) The Secretary of the Treasury shall serve as
the disbursing agent for benefits payable under this
subchapter, under such rules and regulations as the Secretary may in the Secretary’s discretion prescribe.
(B) The Board shall from time to time certify—
(i)
to the Secretary of the Treasury the amounts
required to be transferred from the Social Security
Equivalent Benefit Account and the Dual Benefits
Payments Account to the disbursing agent to make
payments of benefits and the Secretary of the Treasury shall transfer those amounts;
(ii) to the Board of Trustees of the National
Railroad Retirement Investment Trust the amounts
required to be transferred from the National Railroad Retirement Investment Trust to the disbursing
agent to make payments of benefits and the Board of
Trustees shall transfer those amounts; and
(iii) to the disbursing agent the name and address of each individual entitled to receive a payment,
the amount of such payment, and the time at which
the payment should be made.
(5) The Board shall establish and promulgate rules
and regulations to provide for the adjustment of all controversial matters arising in the administration of this
subchapter. All rules, regulations, or decisions of the
Board shall require the approval of at least two members, and they shall be entered upon the records of the
Board, which shall be a public record.
5a
(6) The Board shall gather, keep, compile, and publish in convenient form such records and data as may be
necessary to assure proper administration of this subchapter, including subdivision (2) of this subsection.
The Board shall have power to require all employers and
employees and any officer, board, commission, or other
agency of the United States to furnish such information
and records as shall be necessary for the administration
of this subchapter, including subdivision (2) of this subsection. The several district courts of the United
States shall have jurisdiction upon suit by the Board to
compel obedience to any order of the Board issued pursuant to this section. The orders, writs, and processes
of the United States District Court for the District of
Columbia in such suits may run and be served anywhere
in the United States. Witnesses summoned before the
Board shall be paid the same fees and mileage that are
paid witnesses in the district courts of the United States.
The Board shall make an annual report to the President
of the United States to be submitted to Congress.
(7) Notwithstanding any other provision of law, the
Secretary of Health and Human Services shall furnish
the Board certified reports of wages, self-employment
income, and periods of service and of other records in
his possession, or which he may secure, pertinent to the
administration of this subchapter, the Railroad Unemployment Insurance Act [45 U.S.C. 351 et seq.],, 1 the
Milwaukee Railroad Restructuring Act [45 U.S.C. 901 et
seq.], and the Rock Island Railroad Transition and Employee Assistance Act [45 U.S.C. 1001 et seq.]..1 The
Board shall furnish the Secretary of Health and Human
Services certified reports of records of compensation
1
So in original.
6a
and periods of service reported to it pursuant to section
231h of this title, of determinations under section 231a
of this title, and of other records in its possession, or
which it may secure, pertinent to subsection (c) of this
section or to the administration of the Social Security
Act [42 U.S.C. 301 et seq.] as affected by section 231q of
this title. Such certified reports shall be conclusive in
adjudication as to the matters covered therein: Provided, however, That if the Board or the Secretary of
Health and Human Services receives evidence inconsistent with a certified report and the application involved is still in course of adjudication or otherwise open
for such evidence such recertification of such report
shall be made as, in the judgment of the Board or the
Secretary of Health and Human Services, whichever
made the original certification, the evidence warrants.
Such recertification and any subsequent recertification
shall be treated in the same manner and be subject to
the same conditions as an original certification.
(8) Any department or agency of the United States
maintaining records of military service, at the request
of the Board, shall certify to the Board, with respect to
any individual, the number of months of military service
which such department or agency finds the individual to
have had during any period or periods with respect to
which the Board’s request is made, the date and manner
of entry into such military service, and the conditions
under which such service was continued. Any department or agency of the United States which is authorized
to make awards of pensions, disability compensation, or
any other gratuitous benefits or allowances payable, on
the periodic basis or otherwise, under any other Act of
Congress on the basis of military service, at the request
of the Board, shall certify to the Board, with respect to
7a
any individual, the calendar months for all or part of
which any such pension, compensation, benefit, or allowance is payable to, or with respect to, the individual, the
amounts of any such pension, compensation, benefit, or
allowance, and the military service on which such pension, compensation, benefit, or allowance is based. Any
certification made pursuant to the provisions of this subdivision shall be conclusive on the Board: Provided,
however, That if evidence inconsistent with any such
certification is submitted, and the claim is in the course
of adjudication or is otherwise open for such evidence,
the Board shall refer such evidence to the department
or agency which made the original certification and such
department or agency shall make such recertification as
in its judgment the evidence warrants. Such recertification, and any subsequent recertification, shall be conclusive, made in the same manner, and subject to the
same conditions as an original certification.
(9) The Board shall maintain such offices, provide
such equipment, furnishings, supplies, services, and facilities, and employ such individuals and provide for their
compensation and expenses as may be necessary for the
proper discharge of its functions. All positions to which
such individuals are appointed, except one administrative assistant to each member of the Board, shall be in
and under the competitive civil service and shall not be
removed or excepted therefrom. In the employment of
such individuals under the civil service laws and rules
the Board shall give preference over all others to individuals who have had experience in railroad service, if,
in the judgment of the Board, they possess the qualifications necessary for the proper discharge of the duties
of the positions to which they are to be appointed. For
purposes of its administration of this subchapter or the
8a
Railroad Unemployment Insurance Act [45 U.S.C. 351
et seq.], or both, the Board may place, without regard to
the numerical limitations contained in section
5108(c)(9) 2 of title 5, four positions in grade GS-16 of the
General Schedule established by that Act, four positions
in grade GS-17 of such schedule, and one position in
grade GS-18 of such schedule.
(c)
Sources of payments; adjustments
(1) Benefit payments determined by the Board to be
payable under this subchapter shall be made by the disbursing agent under subsection (b)(4) from money transferred to it from the National Railroad Retirement Investment Trust or the Social Security Equivalent Benefit Account, as the case may be, except that payments of
annuity amounts made under sections 231b(h), 231c(e),
and 231c(h) of this title and under sections 204(a)(3),
204(a)(4), 206(3), and 207(3) of Public Law 93-445 shall
be made by the disbursing agent under subsection (b)(4)
from money transferred to it from the Dual Benefits
Payments Account. In any fiscal year, the total amounts
paid under such sections shall not exceed the total sums
appropriated to the Dual Benefits Payments Account
for that fiscal year. The Board shall prescribe regulations for allocation of annuity amounts which would
without regard to such regulations be payable under sections 231b(h), 231c(e), and 231c(h) of this title and sections 204(a)(3), 204(a)(4), 206(3), and 207(3) of Public
Law 93-445 so that the sums appropriated to the Dual
Benefits Payments Account for a fiscal year so far as
practicable, are expended in equal monthly installments
throughout such fiscal year, and are distributed so that
2
See References in Text note below.
9a
recipients are paid annuity amounts which bear the
same ratio to the annuity amounts such recipients would
have received but for such regulations as the ratio of the
total sums appropriated to pay such annuity amounts
bear to the total sums necessary to pay such annuity
amounts without regard to such regulations. Notwithstanding any other provision of law, the entitlement of
an individual to an annuity amount under section 231b(h),
231c(e), or 231c(h) of this title or section 204(a)(3),
204(a)(4), 206(3), or 207(3) of Public Law 93-445 for any
month in which the amount payable to such individual is
allocated under the regulations prescribed by the Board
under this subsection shall not exceed the amount so allocated for that month to such individual.
(2) At the close of the fiscal year ending June 30,
1975, and each fiscal year thereafter, the Board and the
Secretary of Health and Human Services shall determine the amounts, if any, which if added to or subtracted
from the Federal Old-Age and Survivors Insurance
Trust Fund, the Federal Disability Insurance Trust
Fund, and the Federal Hospital Insurance Trust Fund
would place each such Trust Fund in the same position
in which it would have been if (A) service as an employee
after December 31, 1936, had been included in the term
“employment” as defined in the Social Security Act
[42 U.S.C. 301 et seq.] and in the Federal Insurance
Contributions Act [26 U.S.C. 3101 et seq.] and (B) this
subchapter had not been enacted. Such determination
with respect to each such Trust Fund shall be made no
later than June 15 following the close of the fiscal year.
If, pursuant to any such determination, any amount is to
be added to any such Trust Fund, the Board shall, within
ten days after the determination, certify such amount to
10a
the Secretary of the Treasury for transfer from the Railroad Retirement Account to such Trust Fund. If, pursuant to any such determination, any amount is to be
subtracted from any such Trust Fund, the Secretary of
Health and Human Services shall, within ten days after
the determination, certify such amount to the Secretary
of the Treasury for transfer from such Trust Fund to
the Railroad Retirement Account. Any amounts so
certified shall further include interest (at the rate determined in subdivision (3) for the fiscal year under consideration) payable from the close of such fiscal year until
the date of certification. The Secretary of the Treasury is authorized and directed to transfer to the Railroad Retirement Account from the Federal Old-Age and
Survivors Insurance Trust Fund, the Federal Disability
Insurance Trust Fund, or the Federal Hospital Insurance Trust Fund or to any such Trust Fund from the
Railroad Retirement Account, as the case may be, such
amounts as, from time to time, may be determined by
the Board and the Secretary of Health and Human Services pursuant to the provisions of this subdivision and
certified by the Board or the Secretary of Health and
Human Services for transfer from any such Trust Fund
or from the Railroad Retirement Account.
(3) For purposes of subdivision (2), for any fiscal
year, the rate of interest to be used shall be equal to the
average rate of interest, computed as of May 31 preceding the close of such fiscal year, borne by all interestbearing obligations of the United States then forming a
part of the public debt; except that where such average
rate is not a multiple of one-eighth of 1 per centum, the
rate of interest shall be the multiple of one-eighth of 1
per centum next lower than such average rate.
11a
(4) After the end of each month beginning with the
month of October 1983, the Board shall determine the
net amount, if any, which if added to or subtracted from
the Federal Old-Age and Survivors Insurance Trust
Fund, the Federal Disability Insurance Trust Fund, and
the Federal Hospital Insurance Trust Fund would, with
respect to such month, place those Trust Funds, taken
as a whole, in the same position in which they would have
been if (A) service as an employee after December 31,
1936, had been included in the term “employment” as
defined in the Social Security Act [42 U.S.C. 301 et seq.]
and in the Federal Insurance Contributions Act [26
U.S.C. 3101 et seq.], and (B) this subchapter had not
been enacted. If for any month the net amount so determined would be subtracted from those Trust Funds,
the Board shall, within ten days after the end of such
month, report such amount to the Secretary of the
Treasury for transfer from the general fund to the Railroad Retirement Account. Any amount so reported
shall further include interest (at an annual rate equal to
the rate of interest borne by a special obligation issued
to the Railroad Retirement Account in the month in
which the transfer is made to the Account) payable from
the close of the month for which the transfer is made
until the date of transfer. The Secretary of the Treasury is authorized and directed to transfer to the Railroad Retirement Account from the general fund such
amounts as, from time to time, may be determined by
the Board pursuant to the provisions of this subdivision
and reported by the Board for transfer. For such purpose the Secretary of the Treasury is authorized to use
as a public debt transaction the proceeds of the sale of
any securities issued after August 12, 1983, under section 3102 of title 31, and the purpose for which securities
12a
may be issued under section 3102 of title 31 are extended
to include such purpose. Each such transfer shall be
made by the Secretary of the Treasury within five days
after a report of the amount to be transferred is received. Not later than December 31 following the close
of each fiscal year beginning with the fiscal year ending
September 30, 1984, the Board shall certify to the Secretary of the Treasury the total of all amounts transferred pursuant to the provisions of this subdivision for
months in such fiscal year. Within ten days after a
transfer, or transfers, pursuant to subdivision (2) for a
particular fiscal year, the Board shall request the Secretary of the Treasury to retransfer from the Railroad Retirement Account to the general fund an amount equal
to (A) the total of all amounts, exclusive of interest,
transferred to such Account pursuant to the provisions
of this subdivision for months in such fiscal year, plus
(B) interest (at the rate determined in subdivision (3) for
such fiscal year) payable with respect to each amount
transferred for a month during such fiscal year from the
close of the month for which the transfer of the amount
was made until the date of retransfer of such amount.
The Secretary of the Treasury is authorized and directed to retransfer from the Railroad Retirement Account to the general fund such amounts as, from time to
time, may be determined by the Board pursuant to the
provisions of the preceding sentence of this subdivision
and reported by the Board for retransfer.
13a
(d)
Hospital insurance benefits; certified beneficiaries;
disability insurance benefits; services in Canada;
exchange of information
(1) The Board shall, for purposes of this subsection,
have the same authority to determine the rights of individuals described in subdivision (2) to have payments
made on their behalf for hospital insurance benefits consisting of inpatient hospital services, posthospital extended care services, home health services, hospice care,
and outpatient hospital diagnostic services (all hereinafter referred to as “services”) under section 226 [42 U.S.C.
426], and parts A and E of title XVIII [42 U.S.C. 1395c
et seq., 1395x et seq.], of the Social Security Act as the
Secretary of Health and Human Services has under such
section and such parts with respect to individuals to
whom such sections and such parts apply. For purposes of section 231g of this title, a determination with
respect to the rights of an individual under this subsection shall, except in the case of a provider of services, be
considered to be a decision with respect to an annuity.
(2) Except as otherwise provided in this subsection,
every person who—
(i) has attained age 65 and (A) is entitled to an
annuity under this subchapter or (B) would be entitled to such an annuity had he ceased compensated
service and, in the case of a spouse or divorced wife,
had such spouse’s husband or wife ceased compensated service or (C) bears a relationship to an employee which, by reason of section 231b(f )(2) of this
title, has been, or would be, taken into account in calculating the amount of the annuity of such employee;
or
14a
(ii) has not attained age 65 and (A) has been entitled to an annuity under section 231a of this title, or
under the Railroad Retirement Act of 1937 [45 U.S.C.
228a et seq.] and section 231a of this title, or could
have been includible in the computation of an annuity
under section 231b(f )(2) of this title, for not less than
24 months and (B) could have been entitled for 24 calendar months, and could currently be entitled, to
monthly insurance benefits under section 223 of the
Social Security Act [42 U.S.C. 423] or under section
202 of that Act [42 U.S.C. 402] on the basis of disability if service as an employee after December 31, 1936,
had been included in the term “employment” as defined in that Act and if an application for disability
benefits had been filed,
shall be certified to the Secretary of Health and Human
Services as a qualified railroad retirement beneficiary
under section 226 of the Social Security Act [42 U.S.C.
426].
(3) If an individual entitled to an annuity under paragraph (iv) or (v) of section 231a(a)(1) of this title would
have been insured for disability insurance benefits as
determined under section 223(c)(1) of the Social Security Act [42 U.S.C. 423(c)(1)] at the time such annuity
began, he shall be deemed, solely for purposes of paragraph (ii) of subdivision (2), to be entitled to a disability
insurance benefit under section 223 of the Social Security Act for each month, and beginning with the first
month, in which he would meet the requirements for entitlement to such a benefit, other than the requirement
of being insured for disability insurance benefits, if service as an employee after December 31, 1936, had been
15a
included in the term “employment” as defined in the Social Security Act [42 U.S.C. 301 et seq.] and if an application for disability benefits had been filed.
(4) The rights of individuals described in subdivision (2) of this subsection to have payment made on their
behalf for the services referred to in subdivision (1) but
provided in Canada shall be the same as those of individuals to whom section 226 [42 U.S.C. 426] and part A
of title XVIII [42 U.S.C. 1395c et seq.] of the Social Security Act apply, and this subdivision shall be administered by the Board as if the provisions of section 226 and
part A of title XVIII of the Social Security Act were applicable, as if references to the Secretary of Health
and Human Services were to the Board, as if references
to the Federal Hospital Insurance Trust Fund were
to the Railroad Retirement Account, as if references to
the United States or a State included Canada or a subdivision thereof, and as if the provisions of sections
1862(a)(4), 1863, 1864, 1868, 1869, 1874(b), and 1875
[42 U.S.C. 1395y(a)(4), 1395z, 1395aa, 1395ee, 1395ff,
1395kk(b), 1395ll] were not included in such title. The
payments for services herein provided for in Canada
shall be made from the Railroad Retirement Account (in
accordance with, and subject to, the conditions applicable under subsection (b) of this section, in making payment of other benefits) to the hospital, extended care facility, or home health agency providing such services in
Canada to individuals to whom subdivision (2) of this
subsection applies, but only to the extent that the amount
of payments for services otherwise hereunder provided
for an individual exceeds the amount payable for like
services provided pursuant to the law in effect in the
place in Canada where such services are furnished.
16a
For the purposes of section 231i of this title, any overpayment under this subdivision shall be treated as if it
were an overpayment of an annuity.
(5) The Board and the Secretary of Health and Human Services shall furnish each other with such information, records, and documents as may be considered
necessary to the administration of this subsection or
section 226 [42 U.S.C. 426], and part A of title XVIII
[42 U.S.C. 1395c et seq.], of the Social Security Act.
(e)
Acceptance of gifts and bequests
The Board is authorized to accept on behalf of the
United States money gifts and bequests made unconditionally to the Railroad Retirement Account, to the Railroad Retirement Supplemental Account, or to the Railroad Unemployment Insurance Account, or to the Board,
or any member, officer, or employee thereof, for the benefit of such accounts or any activity financed through
such accounts. Any such gift accepted pursuant to the
authority granted in this subsection shall be deposited
in the specific account designated by the donor or, if the
donor has made no such specific designation, in the Railroad Retirement Account.
(f )
Congressional copies of documents submitted or
transmitted to President or Office of Management
and Budget
Whenever the Board submits or transmits any budget estimate, budget request, supplemental budget estimate, or other budget information, legislative recommendation, prepared testimony for congressional hearings, or comment on legislation to the President or to
the Office of Management and Budget, it shall concur-
17a
rently transmit a copy thereof to the Congress. No officer or agency of the United States shall have any authority to require the Board to submit its budget requests or estimates, legislative recommendations, prepared testimony for congressional hearings, or comments on legislation to any officer or agency of the
United States for approval, comments, or review, prior
to the submission of such recommendations, testimony,
or comments to the Congress.
2.
45 U.S.C. 231g provides:
Court jurisdiction
Decisions of the Board determining the rights or liabilities of any person under this subchapter shall be subject to judicial review in the same manner, subject to the
same limitations, and all provisions of law shall apply in
the same manner as though the decision were a determination of corresponding rights or liabilities under the
Railroad Unemployment Insurance Act [45 U.S.C. 351
et seq.] except that the time within which proceedings
for the review of a decision with respect to an annuity,
supplemental annuity, or lump-sum benefit may be commenced shall be one year after the decision will have
been entered upon the records of the Board and communicated to the claimant.
18a
3.
45 U.S.C. 355 provides:
Claims for benefits
(a)
Publication of Board’s regulations
Claims for benefits and appeals from determinations
with respect thereto shall be made in accordance with
such regulations as the Board shall prescribe. Each
employer shall post and maintain, in places readily accessible to employees in his service, such printed statements concerning such regulations as the Board supplies to him for such purpose, and shall keep available to
his employees copies of such printed statements. Such
printed statements shall be supplied by the Board to
each employer without cost to him.
(b)
Findings, hearings, investigations, etc., by Board
The Board is authorized and directed to make findings of fact with respect to any claim for benefits and to
make decisions as to the right of any claimant to benefits. The Board is further authorized to hold such hearings, to conduct such investigations and other proceedings, and to establish, by regulations or otherwise, such
procedures as it may deem necessary or proper for the
determination of a right to benefits. When a claim for
benefits is filed with the Board, the Board shall provide
notice of such claim to the claimant’s base-year employer
or employers and afford such employer or employers an
opportunity to submit information relevant to the claim
before making an initial determination on the claim.
When the Board initially determines to pay benefits to a
claimant under this chapter, the Board shall provide notice of such determination to the claimant’s base-year
employer or employers.
19a
(c)
Hearing and review of decisions on claims
(1) Each qualified employee whose claim for benefits has been denied in whole or in part upon an initial
determination with respect thereto upon a basis other
than one which is reviewable pursuant to one of the succeeding paragraphs of this subsection, shall be granted
an opportunity for a fair hearing thereon before a referee or such other reviewing body as the Board may establish or assign thereto. In any such case the Board
or the person or reviewing body so established or assigned shall, by publication or otherwise, notify all parties properly interested of their right to participate in
the hearing and of the time and place of the hearing.
(2) Any claimant whose claim for benefits has been
denied in an initial determination with respect thereto
upon the basis of his not being a qualified employee, and
any claimant who contends that under an initial determination of his claim he has been awarded benefits at
less than the proper rate, may appeal to the Board for
the review of such determination. Thereupon the Board
shall review the determination and for such review may
designate one of its officers or employees to receive evidence and to report to the Board thereon together with
recommendations. In any such case the Board or the
person so designated shall, by publication or otherwise,
notify all parties properly interested of their right to
participate in the proceeding and, if a hearing is to be
held, of the time and place of the hearing. At the request of any party properly interested the Board shall
provide for a hearing, and may provide for a hearing on
its own motion. The Board shall prescribe regulations
governing the appeals provided for in this paragraph
and for decisions upon such appeal.
20a
(3) Any base-year employer of a claimant whose
claim for benefits has been granted in whole or in part,
either in an initial determination with respect thereto or
in a determination after a hearing pursuant to paragraph
(1), and who contends that the determination is erroneous for a reason or reasons other than a reason that is
reviewable under paragraph (4), may appeal to the
Board for review of such determination. Despite such
an appeal, the benefits awarded shall be paid to such
claimant, subject to recovery by the Board if and to the
extent found on the appeal to have been erroneously
awarded. The Board shall take such action as is appropriate to recover the amount of such benefits including
if feasible adjustment in subsequent payments pursuant
to the first two paragraphs of section 352(d) of this title.
Upon an appeal, the Board shall review the determination appealed from and for such review may designate
one of its officers or employees to receive evidence and
report to the Board thereof together with recommendations. In any such case the Board or the person so designated shall, by publication or otherwise, notify all parties properly interested of their right to participate in
the proceeding and, if a hearing is to be held, of the time
and place of the hearing. At the request of any party
properly interested the Board shall provide for a hearing, and may provide for a hearing on its own motion.
The Board shall prescribe regulations governing the appeals provided for in this paragraph and for decisions
upon such appeal.
(4) In any case in which benefits are awarded to a
claimant in whole or in part upon the basis of pay earned
in the service of a person or company found by the Board
to be an employer as defined in this chapter but which
denies that it is such an employer, such benefits awarded
21a
on such basis shall be paid to such claimant subject to a
right of recovery of such benefits. The Board shall thereupon designate one of its officers or employees to receive
evidence and to report to the Board on whether such
benefits should be repaid. The Board may also designate one of its officers or employees to receive evidence
and report to the Board whether or not any person or
company is entitled to a refund of contributions or
should be required to pay contributions under this chapter, regardless of whether or not any claims for benefits
will have been filed upon the basis of service in the employ of such person or company, and shall follow such
procedure if contributions are assessed and payment is
refused or payment is made and a refund claimed upon
the basis that such person or company is or will not have
been liable for such contributions. In any such case the
Board or the person so designated shall, by publication
or otherwise, notify all parties properly interested of
their right to participate in the proceeding and, if a hearing is to be held, of the time and place of the hearing.
At the request of any party properly interested the
Board shall provide for a hearing, and may provide for a
hearing on its own motion. The Board shall prescribe
regulations governing the proceedings provided for in
this paragraph and for decisions upon such proceedings.
(5) Final decision of the Board in the cases provided
for in the preceding three paragraphs shall be communicated to the claimant and to the other interested parties within fifteen days after it is made. Any properly
interested party notified, as hereinabove provided, of
his right to participate in the proceedings may obtain a
review of any such decision by which he claims to be aggrieved or the determination of any issue therein in the
manner provided in subsection (f ) of this section with
22a
respect to the review of the Board’s decisions upon
claims for benefits and subject to all provisions of law
applicable to the review of such decisions. Subject only
to such review, the decision of the Board upon all issues
determined in such decision shall be final and conclusive
for all purposes and shall conclusively establish all
rights and obligations, arising under this chapter, of
every party notified as hereinabove provided of his right
to participate in the proceedings.
(6) For purposes of this subsection and subsections
(d) and (f ), any base-year employer of the claimant is a
properly interested party.
(7) Any issue determinable pursuant to this subsection and subsection (f ) of this section shall not be determined in any manner other than pursuant to this subsection and subsection (f ).
(d)
Decisions of reviewing bodies; review and finality
The Board shall prescribe regulations governing the
filing of cases with and the decision of cases by reviewing bodies, and the review of such decisions. The
Board may provide for intermediate reviews of such decisions by such bodies as the Board may establish or assign thereto. The Board may (i) on its own motion review a decision of an intermediate reviewing body on the
basis of the evidence previously submitted in such case,
and may direct the taking of additional evidence, or (ii)
permit such parties as it finds properly interested in the
proceedings to take appeals to the Board. Unless a review or an appeal is had pursuant to this subsection,
the decision of an intermediate reviewing body shall,
subject to such regulations as the Board may prescribe,
be deemed to be the final decision of the Board.
23a
(e)
Application of rules of evidence in law and equity;
notice of findings
In any proceeding other than a court proceeding, the
rules of evidence prevailing in courts of law or equity
shall not be controlling, but a full and complete record
shall be kept of all proceedings and testimony, and the
Board’s final determination, together with its findings of
fact and conclusions of law in connection therewith, shall
be communicated to the parties within fifteen days after
the date of such final determination.
(f )
Review of final decision of Board by Courts of
Appeals; costs
Any claimant, or any railway labor organization organized in accordance with the provisions of the Railway
Labor Act [45 U.S.C. 151 et seq.], of which claimant is a
member, or any base-year employer of the claimant, or
any other party aggrieved by a final decision under subsection (c) of this section, may, only after all administrative remedies within the Board will have been availed of
and exhausted, obtain a review of any final decision of
the Board by filing a petition for review within ninety
days after the mailing of notice of such decision to the
claimant or other party, or within such further time as
the Board may allow, in the United States court of appeals for the circuit in which the claimant or other party
resides or will have had his principal place of business
or principal executive office, or in the United States
Court of Appeals for the Seventh Circuit or in the United
States Court of Appeals for the District of Columbia.
A copy of such petition, together with initial process,
shall forth-with be served upon the Board or any officer
designated by it for such purpose. A copy of such petition also shall forthwith be served upon any other properly
24a
interested party, and such party shall be a party to the
review proceeding. Service may be made upon the
Board by registered mail addressed to the Chairman.
Within thirty days after receipt of service, or within
such additional time as the court may allow, the Board
shall file with the court in which such petition has been
filed the record upon which the findings and decision
complained of are based, as provided in section 2112 of
title 28. Upon the filing of such petition the court shall
have exclusive jurisdiction of the proceeding and of the
question determined therein. It shall have power to
enter a decree affirming, modifying, or reversing the decision of the Board, with or without remanding the cause
for rehearing. The findings of the Board as to the facts,
if supported by evidence and in the absence of fraud,
shall be conclusive. No additional evidence shall be received by the court but the court may order additional
evidence to be taken before the Board, and the Board
may, after hearing such additional evidence, modify its
findings of fact and conclusions and file such additional
or modified findings and conclusions with the court, and
the Board shall file with the court the additional record.
The judgment and decree of the court shall be final, subject to review as in equity cases.
An applicant for review of a final decision of the
Board concerning a claim for benefits shall not be liable
for costs, including costs of service, or costs of printing
records, except that costs may be assessed by the court
against such applicant if the court determines that the
proceedings for such review have been instituted or continued without reasonable ground.
25a
(g)
Finality of Board decisions
Findings of fact and conclusions of law of the Board
in the determination of any claim for benefits or refund,
the determination of any other matter pursuant to subsection (c) of this section, and the determination of the
Board that the unexpended funds in the account are
available for the payment of any claim for benefits or
refund under this chapter, shall be, except as provided
in subsection (f ) of this section, binding and conclusive
for all purposes and upon all persons, including the Comptroller General and any other administrative or accounting
officer, employee, or agent of the United States, and shall
not be subject to review in any manner other than that
set forth in subsection (f ) of this section.
(h)
Benefits payable prior to final decision of Board
Except as may be otherwise prescribed by regulations of the Board, benefits payable with respect to any
period prior to the date of a final decision of the Board
with respect to a claim therefor, shall be paid only after
such final decision.
(i)
Fees for presenting claims; penalties
No claimant or other properly interested person
claiming benefits shall be charged fees of any kind by
the Board, its employees or representatives, with respect to such claim. Any such claimant or other properly
interested person may be represented by counsel or
other duly authorized agent, in any proceeding before
the Board or its representatives or a court, but no such
counsel or agent for a claimant shall either charge or receive for such services more than an amount approved
by the Board or by the court before whom the proceed-
26a
ings of the Board are reviewed. Any person who violates any provision of this subsection shall be punished
by a fine of not more than $10,000 or by imprisonment
not exceeding one year.
This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.