Amicus Curiae Brief — United States, Petitioner v. Jose Luis Vaello Madero
Supreme Court briefJun 7, 2021
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No. 20-303
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In The
Supreme Court of the United States
---------------------------------♦--------------------------------UNITED STATES OF AMERICA,
Petitioner,
v.
JOSÉ LUIS VAELLO-MADERO,
Respondent.
---------------------------------♦--------------------------------On Writ Of Certiorari To The
United States Court Of Appeals
For The First Circuit
---------------------------------♦--------------------------------BRIEF OF THE INTERAMERICAN
INSTITUTE FOR CONSTITUTIONAL
RIGHTS AS AMICUS CURIAE
SUPPORTING NEITHER PARTY
---------------------------------♦--------------------------------MANUEL DEL VALLE COLÓN
Counsel of Record
INTERAMERICAN LAW SCHOOL
INTERAMERICAN INSTITUTE
FOR CONSTITUTIONAL RIGHTS
INTERAMERICAN LAW SCHOOL
Urb. Industrial
Calle Federico Costa # 170
Hato Rey, P.R. 00918-1303
787-751-1912
mdelvalle@juris.inter.edu
Counsel for Amicus Curiae
================================================================================================================
COCKLE LEGAL BRIEFS (800) 225-6964
WWW.COCKLELEGALBRIEFS.COM
i
QUESTION PRESENTED
Whether Congress violated the equal-protection
component of the Due Process Clause of the Fifth
Amendment by establishing Supplemental Security
Income—a program that provides benefits to needy
aged, blind, and disabled individuals—in the 50 States
and the District of Columbia, and in the Northern
Mariana Islands pursuant to a negotiated covenant,
but not extending it to Puerto Rico.
ii
TABLE OF CONTENTS
Page
Question Presented .............................................
i
Interest of the Amicus Curiae .............................
1
Introduction .........................................................
2
Argument .............................................................
7
I.
The Puerto Rico Paradigm: Puerto Rico is
Not a Foreign Country ...............................
7
II.
José Luis Vaello-Madero qualified for SSI
benefits in the State of New York and is
entitled to continue receiving those benefits as he does not live in a foreign country.
His benefits should thus be reinstated; he
should be paid back benefits from his
termination date; and his alleged overpayment should be waived or annulled .......... 12
III.
The SSA Administrative Legal Framework for an Overpayment.......................... 14
IV.
José Luis Vaello-Madero has no standing
to bring the claim that Congress violated
the equal-protection component of the Due
Process Clause of the Fifth Amendment by
establishing Supplemental Security Income,
but not extending it to Puerto Rico and the
Supreme Court and the First Court of
Appeals lack subject matter jurisdiction to
hear this claim ........................................... 23
Conclusion............................................................ 26
iii
TABLE OF AUTHORITIES
Page
CASES
Arizona Christian School Tuition Org. v. Winn,
563 U.S. 125 (2011) .................................................24
Califano v. Gautier Torres, 435 U.S. 1 (1977) ...............6
Carney v. Adams, 592 U.S. ___, 141 S.Ct. 493
(2020) .......................................................................24
Clapper v. Amnesty Int’l USA, 568 U.S. 398
(2013) .......................................................................25
Commonwealth of Puerto Rico v. Sanchez Valle,
579 U.S. ___, 136 S.Ct. 1863 (2016) ..........................7
De Lima v. Bidwell, 182 U.S. 1 (1901) ............ 4, 8, 9, 18
Elk Grove United School Dist. v. Newdow, 542
U.S. 1 (2004) ............................................................24
Harris v. Rosario, 446 U.S. 651 (1980) .........................6
Huus v. New York & P[ue]rto Rico S.S. Co., 182
U.S. 392 (1901) ................................................ 4, 8, 18
Isabella Gonzale[z] v. Williams, 192 U.S. 1
(1904)................................................................ 4, 17
Lance v. Coffman, 549 U.S. 434 (2007) .......................25
Posnack v. Secretary of HHS, 631 F.Supp. 1012
(E.D.N.Y. 1986) ........................................................18
Texas v. Pennsylvania, 592 U.S. ___, 141 S.Ct.
1230 (2020) ..............................................................24
Thole v. U.S. Bank, 140 S.Ct. 1615 (2020) ..................24
United States of America v. José Luis VaelloMadero, 956 F.3d 12 (1st Cir. 2020) ........................13
iv
TABLE OF AUTHORITIES—Continued
Page
CONSTITUTION, STATUTES, AND RULES
U.S. Const:
Art. IV, § 3, Cl. 2
Territory Clause ........................................................8
Amend. V
Due Process Clause .................................................23
TREATY, STATUTES, & REGULATIONS
Treaty of Paris, 30 Stat. 1754; Treaty Series
343 ........................................................................ 7
Social Security Amendments of 1972, Ti. II,
§ 301, 86 Stat. 1465-1478 ........................ 3, 19, 20, 21
Title XVI of the Social Security Act, 42 U.S.C.
§ 1382................................................................... 3, 15
42 U.S.C. § 1382(a)(1) .................................................15
42 U.S.C. § 1382c(a)(1)(B)(I) .........................................3
42 U.S.C. § 1382c(e) ....................................................11
42 U.S.C. § 1382(f )(1) ..................................................15
42 U.S.C. § 1383(b) ......................................................19
20 C.F.R. § 404(b) ........................................................20
20 C.F.R. § 404.508 (1985) ..........................................20
20 C.F.R. § 404.509 (1985) ..........................................21
v
TABLE OF AUTHORITIES—Continued
Page
OTHER SOURCES
SSR 87-16c ...................................................... 18, 20, 22
POMS GN 00904.300 .................................................22
POMS GN 00303.120 .................................................12
POMS NL 00601.600 ..................................................13
POMS NL 00801.025 ............................................ 12, 18
POMS SI 02301.205 ............................................. 17, 26
Many Homes Still Without Roofs in Puerto Rico,
2 Years After María at https://www.nbcdfw.
com/news/national-international/puerto-ricosreconstruction-is-in-the-hands-of-organizations/
2020264/ ....................................................................3
SSA, Understanding Supplemental Security
Income (SSI) Eligibility Requirements at
https://www.ssa.gov/pubs/EN-05-1101.pdf
(August 2019) ..........................................................13
SSA OIG Audit Report, Controls to Prevent
Supplemental Security Income Payments to
Recipients Living in Foreign Countries at
https://oig.ssa.gov/controls-prevent-supplementalsecurity-income-payments-recipients-livingforeign-countries at https://oig.ssa.gov/sites/
default/files/audit/full/pdf/A-01-02-12013.pdf
(last visited June 2, 2021) .......................................17
SSA OIG report, The Adequacy of the Residency
Verification Process for the Supplemental
Security Income Program (A-06-96-62001),
May 1997 .................................................................10
vi
TABLE OF AUTHORITIES—Continued
Page
Integrity of the SSI Program (A-01-02-22095) at
https://oig.ssa.gov/sites/default/files/audit/full/
pdf/A-01-02-22095.pdf .............................................10
SSI Eligibility Requirements pamphlet at
https://www.ssa.gov/ssi/text-understandingssi.htm (last visited April 7, 2020) .........................12
United States Census Report at https://www.
census.gov/quickfacts/loizamunicipiopuertorico
(last visited May 4, 2021) ..........................................3
1
In The
Supreme Court of the United States
---------------------------------♦---------------------------------
UNITED STATES OF AMERICA,
Petitioner,
v.
JOSÉ LUIS VAELLO-MADERO,
Respondent.
---------------------------------♦---------------------------------
On Writ Of Certiorari To The
United States Court Of Appeals
For The First Circuit
---------------------------------♦---------------------------------
BRIEF OF THE INTERAMERICAN
INSTITUTE FOR CONSTITUTIONAL
RIGHTS AS AMICUS CURIAE
SUPPORTING NEITHER PARTY
---------------------------------♦---------------------------------
INTEREST OF THE AMICUS CURIAE1
The Interamerican Institute for Constitutional
Rights respectfully submits this brief as amicus curiae
in support of neither party in that we support the
appellant in part and the appellee in part and on
grounds other than those in the judgment of the Court
Appeals for the First Circuit (hereinafter “First
1
The parties have consented to the filing of this rule as
per Rule 37.2(a). No party has made a monetary contribution
intended to fund the preparation or submission of the brief. This
brief was authored by the counsel of record.
2
Circuit”). The goal of the Institute is to promote the
ideal that Puerto Ricans throughout the United States
be afforded the rights provided to all American citizens
under the United States Constitution.
The Institute’s counsel of record was formerly the
Hearing Office Chief Administrative Law Judge of the
San Juan, Puerto Rico Office of Hearings Operations
of the Social Security Administration (hereinafter,
“SSA”), and as such he has a particular vantage point
on the Title XVI Supplemental Security Income
(hereinafter, “SSI”) program before the Court.
---------------------------------♦---------------------------------
INTRODUCTION
This case is a straightforward SSA overpayment
case which presents a misapplication of Social Security
policy in that the SSA has erroneously treated Puerto
Rico as a foreign country by defining Puerto Rico to be
outside of the United States. Hawaii, Alaska, and the
Northern Mariana Islands are all outside the continental United States, and all of them like New York
have SSI programs that benefit their domiciliaries like
José Luis Vaello-Madero and whose benefits are not
terminated when they travel to another part of the
United States for more than 30 consecutive days.
José Luis Vaello-Madero is poor and disabled. He
is a New York domiciliary, who was born in Puerto Rico,
and who qualified for SSI benefits because of his
disability and his low-income status. He traveled out
of New York to take care of his ailing wife. If he had
3
gone to take care of his ailing wife in Hawaii, Alaska,
or even the Northern Mariana Islands, he would have
continued to receive his SSI benefits (so long as he
remained poor and disabled), and this case would
never have made it to the U.S. Supreme Court. Instead,
he journeyed to Loiza, Puerto Rico to take care of his
ailing wife, where he lives under a blue tarp,2 having
lost his roof to Hurricane Maria.
More specifically, José Luis Vaello-Madero was
one of 198,601 SSI recipients in New York State.3 He
had moved to New York in 1985, and was a New York
domiciliary when he applied for SSI benefits in 2012.
He met the SSI income and assets limits along with
the requirement of U.S. citizenship. 42 U.S.C. § 1382;
42 U.S.C. § 1382c(a)(1)(B)(I). In July 2013, he traveled
from New York to Loiza, one of the poorest towns in
Puerto Rico, which in 2019 had a population of
24,553, and where 48.2% of the population lives in
poverty.4
2
“In the months after the hurricane hit, the Federal Emergency Management Agency (FEMA) distributed 125,981 tarps to
the island’s municipalities. At the same time the agency also
provided 59,469 blue roofs, which are temporary roofs professionally installed by the U.S. Army Corps of Engineers.” at
https://www.nbcdfw.com/news/national-international/puerto-ricosreconstruction-is-in-the-hands-of-organizations/2020264/ (last
visited May 27, 2021).
3
https://www.ssa.gov/policy/docs/statcomps/ssi_sc/2015/ny.html
(last visited April 9, 2021).
4
https://www.census.gov/quickfacts/loizamunicipiopuertorico
(last visited May 4, 2021).
4
In 2017, the town of Loiza suffered greatly from
Hurricane Maria, and in the case of José Luis VaelloMadero, Hurricane Maria took off his roof, forcing him
to replace it with a government-provided blue tarp. He
had come to Puerto Rico to take care of his ailing wife
and lived with her in poverty with the support of his
SSI benefits.
This Court addressed the issue of the mischaracterization of Puerto Rico as a foreign country in the
Puerto Rico paradigm trilogy of cases: Isabella
Gonzale[z] v. Williams, 192 U.S. 1 (1904); Huus v. New
York & P[ue]rto Rico S.S. Co., 182 U.S. 392 (1901); and
De Lima v. Bidwell, 182 U.S. 1 (1901).
In Isabella Gonzale[z] v. Williams, supra, a unanimous Supreme Court overruled the Immigration &
Naturalization Service determination that, Isabella
Gonzalez (her name was misspelt at Ellis Island and
has been corrected above), a resident of Puerto Rico
(acquired by the United States in 1898) was an alien,
and, therefore, needed to be deported back to Puerto
Rico.
The Supreme Court held then, and should reaffirm
now, that Puerto Rico is not a foreign country, and that
Puerto Rico like Hawaii and Alaska is not outside of
but part of the United States. This Court should hold
that as long as José Luis Vaello-Madero meets the
disability and low-income requirements for SSI benefits, he should continue to be deemed an SSI recipient,
have his alleged overpayment waived or annulled and
5
be paid back benefits from the date SSA terminated his
SSI benefits.
What José Luis Vaello-Madero does not represent
to this Court is someone who was a domiciliary of
Puerto Rico and because of that reason alone was
deemed ineligible for SSI benefits. He has no standing
to bring that claim having always been eligible for and
having been a recipient of SSI benefits because of his
New York domicile. The Court should reverse the First
Circuit because as José Luis Vaello-Madero had no
standing to bring the claim decided by the Court below,
the Court lacked subject matter jurisdiction on the
question whether the SSI program should or should
not be extended to the domiciliaries of Puerto Rico.
Since José Luis Vaello-Madero had no standing to
bring the case decided by the First Circuit, the First
Circuit’s reliance on 28 U.S.C. § 1345 is misplaced
since without standing there is no subject matter
jurisdiction.
For José Luis Vaello-Madero to have standing, he
would have had to have been a domiciliary of Puerto
Rico, not New York, and would have had to apply for
and been denied SSI benefits in Puerto Rico as a
result of a domicile in Puerto Rico. Instead, SSA’s New
York Division of Disability Determinations (hereinafter, “DDS”) granted his application for SSI benefits
because he was poor, disabled and a New York
domiciliary.
In this case, SSA’s New York DDS office had
already determined that José Luis Vaello-Madero was
6
eligible for the SSI benefits that give rise to the alleged
overpayment in this case, and his demand that the
alleged overpayment be either waived or annulled,
SSA pay him his back benefits, and his SSI benefits be
reinstated. All of those claims are tied to his New York
domiciliary status, and the proper claim he represents
is the mischaracterization of Puerto Rico as a foreign
country resulting in his loss of his New York
domiciliary-based SSI benefits and a demand from
SSA for an overpayment in the amount of $28,081
along with a termination of all of his SSI benefits.
Finally, Califano v. Gautier Torres, 435 U.S. 1
(1977) is inapposite to his alleged overpayment claim
since José Luis Vaello-Madero’s right to travel from
New York to Puerto Rico was never encumbered by
SSA’s misapplication of the foreign country rule to
Puerto Rico. Harris v. Rosario, 446 U.S. 651 (1980), is
also inapposite since the issue in Harris had to do with
lower level of reimbursement provided to Puerto Rico
under the Aid to Families with Dependent Children
Program, and not SSA’s treatment of Puerto Rico as a
foreign country and the misapplication of that SSA
rule to José Luis Vaello-Madero’s SSI benefits.
---------------------------------♦---------------------------------
7
ARGUMENT
I.
The Puerto Rico Paradigm: Puerto Rico is
not a foreign country.
From the time Spain ceded Puerto Rico to the
United States, see Treaty of Paris, 30 Stat. 1754; Treaty
Series 343 (1898).5 Puerto Ricans have had to confront
American officials, who for one reason or another
believed that although acquired by the United States
in 1898 (and thus representing a single sovereign, see
Commonwealth of Puerto Rico v. Sanchez Valle, 579
U.S. ___, 136 S. Ct. 1863; 195 L. Ed. 2d 179 (2016)),
Puerto Rico was to be treated as a foreign country or
Puerto Ricans were to be treated as foreigners.
In Isabella Gonzale[z] v. Williams, supra, at 9-10,
Chief Justice Fuller explained that,
By the cession their allegiance became
due to the United States, which was in
possession and had assumed the government,
and they became entitled to its protection. The
nationality of the island became American
instead of Spanish, and, by the treaty,
Peninsulars, not deciding to preserve their
allegiance to Spain, were to be held to have
‘renounced it, and to have adopted the
nationality of the territory in which they may
reside.’
5
The United States Senate ratified the Treaty of Paris on
February 6, 1899. On March 2, 1899, Congress passed an act to
implement its treaty obligations, and the treaty was proclaimed,
after exchange of ratifications, on April 11, 1899. Isabella
Gonzale[z] v. Williams, supra, at 9-10.
8
Puerto Rico assumed an American nationality by
becoming an American territory within the meaning of
Article IV, Section 3, Clause 2 of the U.S. Constitution.
That made Puerto Rico a part of the United States in
a domestic sense and not a foreign country.
The ports of Puerto Rico ceased to be foreign ports.
In Huus v. New York & P[ue]rto Rico S.S. Co., 182 U.S.
392 (1901), a unanimous Supreme Court held that
Congress had nationalized all Puerto Rican vessels
transforming them into United States vessels,
admitting them to the benefits of the coasting trade, by
placing Puerto Rico “substantially upon the coast of
the Unites States, and vessels engaged in trade
between that island and the continent, as engaged in
the coasting trade.” Id. at 396. Hence, New York’s
pilotage laws did apply to the Ponce vessel. Id. at 397.
On the other hand, SSA’s treatment of Puerto Rico as
a foreign country seeks to displace Puerto Rico from
being part of the “coast of the United States.”
As part of this trilogy of cases, this Court held in
De Lima v. Bidwell, supra, that Puerto Rico was not a
foreign country within the meaning of the United
States tariff laws. In De Lima v. Bidwell, supra, the
Court made plain that “a country ceases to be foreign
the instant it becomes domestic,” which in the case of
Puerto Rico goes back to the Treaty of Paris. Id. at 197.
The Court refused “to acquiesce in this assumption
that a territory may be at the same time both foreign
and domestic.” Id. at 199. Thus, the Court held that
“with the ratification of the treaty of peace between the
United States and Spain, April 11, 1899, the island of
9
P[ue]rto Rico ceased to be a foreign country” within the
meaning of the federal tariff law known as the Dingley
Act. Id. at 201.
Given the consistent treatment by this Court of
Puerto Rico as part of the domestic territory of the
United States, it would be a complete turnaround to
accept SSA’s treatment of Puerto Rico as a foreign
country.
The First Circuit never discussed the genesis of
the policy in question, i.e., stopping the payments of
those who received SSI benefits like José Luis VaelloMadero but moved to a foreign country. The SSA Office
of Inspector General [hereinafter, “SSA OIG”] sheds
light on that policy as follows:
2. EFFORTS TO ENSURE ONLY
INDIVIDUALS RESIDING IN THE UNITED
STATES CLAIM SSI PAYMENTS
Since early in our existence as an OIG, we
have conducted numerous special investigative projects and audits to review U.S.
residency issues for SSI recipients. For example, in 1997, we conducted the Southwest
Tactical Operations Plan, a U.S.-Mexico
border pilot in El Paso, Texas. This project
identified 153 SSI recipients who were ineligible because they were not U.S. residents. Also,
in May 1997, we issued a report recommending procedural improvements for SSA—
including expanded use of private contractors
to conduct home visits of suspected
nonresidents. . . .
10
SSA’s Controls to Identify Nonresidents
Receiving SSI Payments
Section 1614(a)(1)(B) of the Social Security
Act requires that to be eligible for SSI
payments an individual must be a resident of
the United States. Additionally, section
1611(f ) of the Social Security Act states that
no individual shall be considered eligible for
SSI payments for any month throughout
which the individual is outside the United
States. This prohibition also applies to recipients in Puerto Rico and the Virgin Islands.
The only exemptions to collecting SSI payments while outside the United States are for:
•
certain students temporarily studying
abroad and
•
blind or disabled children of military
families stationed overseas.
Once SSI payments are suspended for being
outside the United States, SSI recipients
must be back in the United States for 30
consecutive days before SSI payments
resume. SSA has the following controls in
place to identify SSI recipients outside of the
United States: foreign address alert process
for concurrent beneficiaries and various
special projects or studies. (footnotes omitted)
SSA OIG report, The Adequacy of the
Residency Verification Process for the Supplemental Security Income Program (A-06-9662001), May 1997. Integrity of the SSI
Program (A-01-02-22095) at https://oig.ssa.
11
gov/sites/default/files/audit/full/pdf/A-01-0222095.pdf at 6-7.
The Social Security Administration’s policy was
that those SSI beneficiaries who were no longer
residents of the United States for more than 30 days
would lose their SSI benefits and upon return to the
United States had to wait 30 days to have their SSI
benefits restored.
The problem with SSA’s policy is that it seeks to
avoid the fact that José Luis Vaello-Madero traveled to
Puerto Rico, which is not a foreign country, and his stay
there continued to constitute residence within the
United States.
In sum, SSA’s policy of termination of benefits due
to foreign residence should not have applied to José
Luis Vaello-Madero as it is inconsistent with the
Puerto Rico paradigm that regardless of Puerto Rico’s
status, it is not a foreign country. That definitional
stasis is not altered by the ambiguity found at 42
U.S.C. § 1382c(e), where the statute defines the United
States in a geographical sense to mean the 50 States
and the District of Columbia, since in a geographical
sense neither Hawaii, nor Alaska, nor, subsequently,
the Mariana Islands, form part of the continental
United States. Such a statement is at odds with reality
and with more than one hundred years of consistent
jurisprudence sustained by this Court that Puerto Rico
is not a foreign country, and any action by the SSA to
the contrary in the case of José Luis Vaello-Madero is
a misapplication of its foreign country rule.
12
II.
José Luis Vaello-Madero qualified for SSI
benefits in the State of New York and is
entitled to continue receiving those benefits as he does not live in a foreign country.
His benefits should thus be reinstated; he
should be paid back benefits from his
termination date; and his alleged overpayment should be waived or annulled.
José Luis Vaello-Madero, a United States citizen,
see Program Operation Manual System [hereinafter,
“POMS”] GN 00303.120 A.2 at http://policy.ssa.gov/
poms.nsf/lnx/0200303120 https://secure.ssa.gov/apps10/
poms.nsf/lnx/0200303120 (last visited May 27, 2021),
who was domiciled in New York since 1985 started to
receive SSI payments in New York in 2012 as a qualified SSI recipient, who had a medically determinable
physical or mental impairment which “results in his
inability to do a substantial gainful activity and has
lasted or can be expected to last for a continuous
period of not less than 12 months.” See https://www.
ssa.gov/ssi/text-understanding-ssi.htm, SSI Eligibility
Requirements (last visited April 7, 2020).
As he was born in Puerto Rico, he was a Spanishspeaker, and SSA policy provides that he receive
agency notices in Spanish, see POMS NL 00801.025
A.2. at http://policy.ssa.gov/poms.nsf/lnx/0900801025,
which may not have occurred here. On July 27, 2016,
SSA sent José Luis Vaello-Madero a SSA form L8155U2, see https://secure.ssa.gov/apps10/poms.nsf/lnx/
0900803015 (An SSI “recipient must receive an
13
SSA-L8155 at least 10 days before SSA takes an
adverse action.”) (last visited May 27, 2021).
It appears that SSA may have not followed POMS
NL 00601.600 at https://secure.ssa.gov/apps10/poms.
nsf/lnx/0900601600 (last visited May 27, 2021) which
provides that Spanish-speaking claimants receive “a
Spanish-language notice. . . .” Id. Instead he was sent
a Notice of Planned Action in English advising him
that his SSI benefits were discontinued retroactively
to August 1, 2014 since he had been outside the United
States for 30 days or more—SSA’s foreign country rule.
United States of America v. José Luis Vaello-Madero,
956 F.3d 12, 15 (1st Cir. 2020).
As already noted, José Luis Vaello-Madero arrived
in Puerto Rico in July 2013, where he continued to
receive his SSI benefits until July 2016, when SSA
determined that by staying in Puerto Rico he became
ineligible for his SSI benefit. United States of America
v. José Luis Vaello-Madero, supra, 15-16.
José Luis Vaello-Madero became ineligible for his
SSI benefits since SSA found him to be “absent from
the country for a full calendar month or for 30
consecutive days or more.” See SSA, Understanding
Supplemental Security Income (SSI) Eligibility
Requirements at https://www.ssa.gov/pubs/EN-0511011.pdf at 15 (August 2019); U.S. v. José Luis VaelloMadero, supra, at 15-16.
14
In short, SSA acted contrary to the fact that José
Luis Vaello-Madero was not absent from the United
States for 30 days or more, since Puerto Rico is a part
of the United States and not a foreign country.
III. The SSA Administrative Legal Framework
for an Overpayment
The First Circuit decided this case without the
development of a complete administrative record, so
we do not know whether SSA properly informed the
Claimant by way of a Spanish language notice of his
rights and responsibilities, nor do we know if the
Claimant was aware of his right to request a waiver,
or even to have a hearing before an administrative law
judge. Given the nature of the claimant’s poverty an
administrative law judge may have found him entitled
to a waiver of the $28,081 in overpayment sought by
SSA as he was “without fault in connection with the
overpayment,” and any “recovery on account of such
overpayment in such case would defeat the purposes
of this subchapter, or be against equity and good
conscience.” What the administrative law judge
could not do is overrule the SSA’s foreign country rule
and thus reinstate José Luis Vaello-Madero’s SSI
benefits.
José Vaello-Madero’s specific claim arises from
SSA’s misapplication of the foreign country rule to
Puerto Rico and SSA’s attempt to recover $28,081 in
allegedly overpaid benefits paid to José Luis VaelloMadero who was then and is now disabled and who
15
qualified for those SSI benefits. His overpayment case
is a result of the SSA regulatory structure which relies
on the Social Security Statute and regulations, Social
Security Rulings (hereinafter, “SSR”), SSA’s POMS
which is the operational reference source used by SSA
staff to conduct SSA’s daily business along with
SSA’s regulations, interpretations, bulletins, and
publications.
As he was disabled and met the SSI income means
and limited assets tests, José Luis Vaello-Madero was
eligible for SSI benefits within the meaning of 42
U.S.C. § 1382(a)(1). José Luis Vaello-Madero continued
to be eligible so long as he was disabled, met the
income means and assets tests, and did not fall within
the exception set out at 42 U.S.C. § 1382(f )(1),
Title XVI of the Social Security Act, 42 U.S.C.
§ 1382(f )(1) provides that:
(f )(1) Notwithstanding any other provision
of this title, no individual (other than a child
described in section 1614(a)(1)(B)(ii)) shall be
considered an eligible individual for purposes
of this title for any month during all of which
such individual is outside the United States
(and no person shall be considered the eligible
spouse of an individual for purposes of this
title with respect to any month during all of
which such person is outside the United
States). For purposes of the preceding
sentence, after an individual has been outside
the United States for any period of 30
consecutive days, he shall be treated as
remaining outside the United States until he
16
has been in the United States for a period of
30 consecutive days.
The SSA has told SSI claimants in its official
publication that if they stay in Puerto Rico more than
30 consecutive days, SSA will consider them to have
left the United States, and thus they will lose their SSI
benefits, “What You Need to Know When You Get
Supplemental Security Income (SSI)” says that:
If you leave the United States
Leaving the United States means leaving the
50 states, the District of Columbia, or the
Northern Mariana Islands. Usually, if you
leave the United States for 30 days or more,
you can no longer get SSI.
If you move to Puerto Rico, you’re considered
to be outside the United States for SSI
purposes only. People who live in Puerto Rico
can’t get SSI.
If you plan to leave the United States, tell us
before you leave. We need to know the date
you plan to leave and the date you plan to
come back. Then, we can tell you if your SSI
will be affected.
After you have been outside the United States
for 30 or more days in a row, your SSI can’t
start again until you have been back in the
country for at least 30 straight days.
See https://www.ssa.gov/pubs/EN-05-11011.pdf at
15 (August 2019) On the other hand, were José Luis
Vaello-Madero to return to New York, he could have his
17
SSI benefits reinstated. See POMS SI 02301.205 at
https://secure.ssa.gov/apps10/poms.nsf/lnx/050230120
5 (suspension and reestablishing eligibility).
Similarly, as noted earlier, the SSA’s OIG’s Audit
Report for September 2002 entitled Controls to
Prevent Supplemental Security Income Payments to
Recipients Living in Foreign Countries states:
Section 1611(f ) of the Social Security Act
states that no individual shall be considered
eligible for SSI payments for any month
throughout which the individual is outside
the United States. This prohibition also
applies to recipients in Puerto Rico and the
Virgin Islands.
https://oig.ssa.gov/controls-prevent-supplementalsecurity-income-payments-recipients-livingforeign-countries at https://oig.ssa.gov/sites/
default/files/audit/full/pdf/A-01-02-12013.pdf
(last visited June 2, 2021)
The Inspector General’s report is crystal clear that
Puerto Rico (and the Virgin Islands) are treated no
different than a foreign country much like Isabella
Gonzalez was in 1904. The factual, historical, and legal
problem is that Puerto Rico is not a foreign country, but
is part of the maritime border of the United States.
As a matter of stasis at the definitional level, Puerto
Rico is a part of the United States, not outside its
jurisdiction, power, or territory. Accordingly, the Court
should overrule SSA’s misapplication of its foreign
country rule and reinstate José Luis Vaello-Madero’s
SSI benefits. See Isabella Gonzale[z] v. Williams, supra,
18
Huus v. New York & P[ue]rto Rico, supra,, and De Lima
v. Bidwell, supra (where this Court held that Puerto
Rico is not a foreign country—the Puerto Rico
paradigm).
Under SSA’s POMS, José Luis Vaello-Madero
should have received an SSA SSI Overpayment Notice
stating, “Attached is a letter in English about our
decision not to waive your SSI overpayment. This
means that you have to pay this money back,” See
POMS NL 00801.025 A.2. & C.1. & 2. (Spanish
Language Notices) at https://secure.ssa.gov/apps10/
poms.nsf/lnx/0900801025 (last visited April 7, 2021)
and would have been afforded a right to appeal within
60 days of receipt of the notice” and request a Case
Review, an Informal or a Formal Conference.” Id.
If José Luis Vaello-Madero had made such a
request and SSA determined it was correct in its
overpayment decision, he would have received a notice
stating that and informing him that he had 60 days
within which to request a hearing before an
Administrative Law Judge. Id.
Since this is an overpayment case, José Luis
Vaello-Madero was subject to the legal framework set
out in SSR 87-16c where SSA adopted the reasoning of
Judge Platt in Posnack v. Secretary of HHS, 631
F.Supp. 1012 (E.D.N.Y 1986) and adopted by SSA in
SSR 87-16c. In that case, Judge Platt relied on SSIrelated precedent to explain the nature of an SSI
overpayment:
19
For example, the recovery of overpaid Supplemental Security Income (“SSI”) benefits (Title
XVI) is governed by 42 U.S.C. § 1383(b), which
provides in part:
The Secretary (A) shall make such
provision as he finds appropriate in the
case of payment of more than the correct
amount of benefits with respect to an
individual with a view to avoiding
penalizing such individual or his eligible
spouse who was without fault in
connection with the overpayment, if
adjustment, or recovery on account of such
overpayment in such case would defeat
the purposes of this subchapter, or be
against equity and good conscience. . . .
(Emphasis added.)
In order to make a more informed decision,
the Court shall also draw upon case law which
interprets the recovery of SSI overpayments
under legislative and regulatory provisions
which are not inconsistent with Title II of the
Act. Cf. Harrison. Heckler, 746 F.2d 480, 482
(9th Cir. 1984 (Title XVI uses the same
approach for recovery of overpayments as
Title II).
In situations involving the recovery of
overpayments, such as those in this case, the
burden is on the plaintiff to show that he or
she qualifies for a waiver of recovery. Romero
v. Harris, 675 F.2d 1100, 1103 (10th Cir.
1982); Sierakowski v. Weinberger, 504 F.2d
831, 836 (6th Cir. 1974). The plaintiff,
20
therefore, must present evidence to satisfy at
least two of the three requirements of a
waiver of recovery: (1) that he or she was
without fault in receiving the overpayment
and either (2) that recovery of the overpayment would defeat the purpose of Title II
or (3) that recovery of the overpayment would
be against equity and good conscience.
Drawing from the SSA and its regulations, in SSR
87-16c, SSA sets out the legal framework for an
overpayment and defenses to it:
42 U.S.C. Section 404(b) provides:
In any case in which more than the correct
amount of payment has been made, there
shall be no adjustment of payments to, or
recovery by the United States from, any
person who is without fault if such adjustment or recovery would defeat the purpose of
this subchapter or would be against equity
and good conscience.
The Secretary has promulgated regulations
which interpret the meaning of the statutory
phrases: “defeat the purpose of ” and “against
equity and good conscience.” Defeating the
purpose of Title II is defined at 20 C.F.R.
§ 404.508 (1985):
I.
General. “Defeat the purpose of title II,”
for purposes of this subpart, means defeat
the purpose of benefits under this title,
i.e., to deprive a person of income
required for ordinary and necessary
living expenses. This depends upon
21
whether the person has an income or
financial resources sufficient for more
than ordinary and necessary needs, or is
dependent upon all of his current benefits
for such needs.
***
(b) When adjustment or recovery will
defeat the purpose of title II. Adjustment
or recovery will defeat the purposes of
title II in (but is not limited to) situations
where the person from whom recovery is
sought needs substantially all of his
current income (including social security
monthly benefits) to meet current
ordinary and necessary living expenses.
Against equity and good conscience
is defined at 20 C.F.R. § 404.509
(1985):
“Against equity and good conscience”
means that adjustment or recovery of
an incorrect payment (under title II
or title XVIII) will be considered
inequitable if an individual, because
of a notice that such payment would
be made or by reason of the incorrect
payment, relinquished a valuable
right (examples (1) and (4)) or
changed his or her position for the
worse (examples (2) and (3)). In
reaching such a determination, the
individual’s financial circumstances
are irrelevant.
22
If José Luis Vaello-Madero had gone through the
administrative hearing process, he would have had
the burden to show that he qualified for a waiver of
the alleged overpayment based on being (1) without
fault in his receipt of the SSI benefits; (2) of the
overpayment action defeating the purposes of the
statute; or (3) that SSA’s overpayment action would be
against equity and good conscience. See SRR 87-16c.
José Luis Vaello-Madero never got to this stage of
the administrative process; either he was unaware of
a potential waiver or he was unaware of his right to
contest the overpayment administratively on one of
the above grounds. If he had raised any of these issues
before an Administrative Law Judge, given his poverty
status, he might have obtained a waiver for any of the
above reasons.
Needless to say that the legal framework that an
Administrative Law Judge would have had to consider
had José Luis Vaello-Madero demanded a hearing in
order to have a waiver defense adjudicated. But, no
Administrative Law Judge would be authorized to
correct the misapplication of SSA’s foreign-country
rule to José Luis Vaello-Madero—only this Court has
the authority to do justice in that regard.
As José Luis Vaello-Madero had traveled to Puerto
Rico while a New York SSI beneficiary, SSA’s Puerto
Rico field office became “responsible for such postentitlement (sic) items as overpayments. . . .” POMS
GN 00904.300 at https://secure.ssa.gov/apps10/poms.
nsf/lnx/0200904300 (SSI applications for individuals
who move to Puerto Rico or the U.S. Virgin Islands).
23
Thus, the Puerto Rico DDS was responsible for
preparing the administrative file in this matter. Id. It
is plain that Puerto Rico DDS applied SSA’s foreign
policy rule in terminating José Luis Vaello-Madero’s
SSI benefits.
IV. José Luis Vaello-Madero has no standing
to bring the claim that Congress violated
the equal-protection component of the Due
Process Clause of the Fifth Amendment by
establishing Supplemental Security Income,
but not extending it to Puerto Rico and the
Supreme Court and the First Court of
Appeals lack subject matter jurisdiction to
hear this claim
José Luis Vaello-Madero has no standing to raise
the claim that the failure of Congress to extend the SSI
program to Puerto Rico violates the equal-protection
component of the Due Process Clause of the Fifth
Amendment. To that extent, we agree with the
government that the First Circuit should not have
decided that claim, and José Luis Vaello-Madero’s lack
of standing deprives this court of subject matter
jurisdiction over the due process-equal protection
claim.
José Luis Vaello-Madero is not a Puerto Rico
domiciliary seeking to apply for SSI benefits under
Title XIV of the SSA. Accordingly, this is not a case of
exclusion, i.e., José Luis Vaello-Madero was not denied
the right to apply for or become eligible for SSA’s Title
XVI program of Supplemental Security Income. For
24
this reason, he has no standing to bring a claim before
this Court on behalf of or as an example of Puerto
Ricans who reside in Puerto Rico and who are not
statutorily entitled to participate in the SSI program.
To that extent the Supreme Court lacks and the First
Circuit lacked subject matter jurisdiction over the
claim whether individuals in Puerto Rico should be
eligible for Title XVI SSI benefits, since José Luis
Vaello-Madero was always a participant of the SSI
program. Texas v. Pennsylvania, 592 U.S. ___, 141 S.Ct.
1230 (2020); Arizona Christian School Tuition Org. v.
Winn, 563 U.S. 125 (2011).
Since he has participated in the SSI program since
2012, José Luis Vaello-Madero has not shown an injury
that affects him in a personal and individual way due
to a statutory exclusion since he was not excluded from
applying for or receiving SSI benefits in New York. Cf.
Thole v. U.S. Bank, 140 S.Ct. 1615 (2020) (plaintiffs had
no stake in the lawsuit, win or lose their benefits
remain unchanged). Here win or lose, José Luis VaelloMadero still has a right to have his SSI benefits
reinstated; he has never filed an application for SSI
benefits in Puerto Rico and thus presents no concrete
injury from the alleged statutory exclusion which form
the basis for the First Circuit’s opinion in this case.
Cf. Carney v. Adams, 592 U.S. ___, 141 S.Ct. 493 (2020)
(failure to apply for a judicial vacancy failed to show
personal, concrete, and imminent injury). Arizona
Christian School Tuition Org. v. Winn, 563 U.S. 125
(2011) (lack of personal injury); Elk Grove United
25
School Dist. v. Newdow, 542 U.S. 1 (2004) (lack of
prudential standing).
José Luis Vaello-Madero cannot manufacture
standing by contending that he is suffering a present
injury of potential ineligibility for a Title XVI claim in
Puerto Rico where he never filed his claim for SSI
benefits. He has a distinct claim which arises from his
New York SSI eligibility and the termination of those
benefits by SSA. Cf. Clapper v. Amnesty Int’l USA, 568
U.S. 398 (2013) (claimants could not manufacture
standing by choosing to make expenditures based on a
hypothetical future harm not currently impending).
José Luis Vaello-Madero has no personal stake in
the Court’s resolution of whether persons who are
domiciled in Puerto Rico are eligible for benefits under
Title XVI, and thus he has no right to bring a Title XVI
Social Security claim raising the issue of the possible
eligibility of Puerto Rico claimants, since his claim
derives exclusively from his domicile in New York. Cf.
Lance v. Coffman, 549 U.S. 434 (2007) (citizen had no
personal stake in an Election Clause claim).
On the other hand, José Luis Vaello-Madero was a
full participant of the SSI program having acquired
that status by his successful application for such
benefits in New York, and thus is subject to SSA’s rules
and regulations, including the obligation to repay any
amount the SSA found to constitute an overpayment.
He has suffered from the misapplication of SSA’s rule
that SSI beneficiaries may not receive SSI benefits if
they reside more than 30 days in a foreign country.
26
Given the misapplication of the foreign country rule
resulting in José Vaello-Madero’s alleged overpayment, this Court should hold that he is entitled to
reinstatement into the Title XVI program as an SSI
recipient, should continue receiving benefits like any
other SSI beneficiary who moved to Hawaii, Alaska, or
the Northern Mariana Islands, and should have his
overpayment waived or annulled, his SSI benefits
restored, and should be paid all back benefits due from
the date of the termination of his SSI benefits. See
POMS SI 02301.205 at https://secure.ssa.gov/apps10/
poms.nsf/lnx/0502301205 (suspension and reestablishing eligibility) (last visited May 27, 2021).
---------------------------------♦---------------------------------
CONCLUSION
For the reasons stated above, and those offered by
plaintiff-appellants, the Court should find that SSA
misapplied its foreign country rule in terminating Jose
Luis Vaello-Madero’s SSI benefits, order that his SSI
benefits be restored, that he be paid back benefits from
the date of SSA’s termination of his SSI benefits, and
have the $28,081 alleged overpayment either waived
or annulled.
The Court should also reverse the First Circuit
Court of Appeals on the question of extending SSI
27
benefits to Puerto Rico domiciliaries as José Luis
Vaello-Madero lacked standing to bring such a claim.
Respectfully submitted,
DATED: June 7, 2021
MANUEL DEL VALLE COLÓN
Counsel of Record
INTERAMERICAN LAW SCHOOL
INTERAMERICAN INSTITUTE FOR CONSTITUTIONAL RIGHTS
INTERAMERICAN LAW SCHOOL
Urb. Industrial
Calle Federico Costa # 170
Hato Rey, P.R. 00918-1303
787-751-1912
mdelvalle@juris.inter.edu
Counsel for Amicus Curiae
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.