# Reply Brief — Forney v. Apfel

> Briefs, arguments, decisions, and more.

URL: https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40385014_0193%3A08

## Record

- **Collection:** Supreme Court brief
- **Document type:** Reply Brief
- **Published:** January 1, 1998
- **Citation:** 524 U.S. 266

## Text

rN

& Sugreme «Court, U -
FILED
No. 97-5737
In The CLERK

Supreme Court of the United States

October Term, 1997
¢

SANDRA K. FORNEY,

Petitioner,

KENNETH S. APFEL,
Commissioner of Social Security,

Respondent.
¢

On Writ Of Certiorari
To The United States Court Of Appeals
For The Ninth Circuit
.

REPLY BRIEF FOR PETITIONER
6

RavpH W'LBoRN
(Counsel of Record for Petitioner)
RavpH WILBORN AND

Erra L. Wicsorn, P.C.
1580 Valley Drive, Suite 170
Eugene, Oregon 97401
(541) 485-4265

Etta L. WiLBporN
Tim WILBORN
RavrpH WILBORN AND

Etta L. Wivsorn, P.C.
1580 Valley Drive, Suite 170
Eugene, Oregon 97401
(541) 485-4265

Eric SCHNAUFER

2501 N. Lincoln Ave. #285
Chicago, Illinois 60614
(773) 935-4016

Counsel for Petitioner

COCKLE LAW BRIEF PRINTING CO., (800) 225-6964
OR CALL COLLECT (402) 342-2831

Il.

IV.

VI.

TABLE OF CONTENTS

Page

The Positions Of Petitioner, The Commissioner
Of Social Security, And Amicus .............

Under Its Own Rationale, The District Court
Should Have Entered Judgment Reversing The
Commissioner’s Final Decision, Without A
Remand For A Rehearing, To Award Benefits

Petitioner Did Not Get “Everything She Asked
PU Sa GaSb CRNSE NER UeCROEE Sos aderetusvecesss

The Availability Of Judicial Review Following
An Unfavorable Decision After New Adminis-
trative Proceedings Upon Remand Will Not
Provide Petitioner With An Adequate Forum
To Challenge The District Court’s Judgment
EN Site 90 bes Wen ebedestee cedgececs cess

Recognizing That Plaintiffs Such As Petitioner
May Appeal Would Likely Decrease Appellate
PN 5 6 sScesesecectenecstesesevessecess

a ee

10

12

TABLE OF AUTHORITIES

Page
Cases
Allen v. Bowen, 881 F.2d 37 (3d Cir. 1989) .......... 4,6
Bowen v. Yuckert, 482 U.S. 137 (1997)..............4.. 4
California v. Rooney, 483 U.S. 307 (1987) .............. 8
Consolidated Edison Co. v. NLRB, 305 U.S. 197
ti BM 12
Detrick v. Chater, 115 F.3d 573 (8th Cir. 1997)......... -)
Director, OWCP v. Greenwich Collieries, 512 U.S. 267
(0 | PPM Sree 4
Drummond v. Commissioner of Social Security, 126
RS S57 (6th Cle. S000)... o000cc00000neeeeneeeeeeee 2
Electrical Fittings Corp. v. Thomas & Betts Co., 307
US. 260 (IGG)... occcescscveuueeheuaneeeneene 8
Faucher v. Secretary of HHS, 17 F.3d 171 (6th Cir.
BODE)... occ cenvccesenessenp sus seein nnn 8, 9

Gibson-Jones v. Apfel, __ F. Supp. __. No. 95-
C-874, 1998 WL 57080 (N.D. Ill. Jan. 23, 1998) .... 19

Johnson v. Heckler, 741 F.2d 948 (7th Cir. 1984)........ 6
Johnson v. New York, N.H. & H.R. Co., 344 U.S. 48

(2962) . . oo ce cesccenswoutthe ue onan enn 17
Key v. Sullivan, 925 F.2d 1056 (7th Cir. 1991) ......... 2
Lester v. Chater, 81 F.3d 821 (9th Cir. 1995).......... 16
Lewis v. Callahan, 125 F.3d 1436 (11th Cir. 1997) ...... 5
Light v. Social Security Admin., 119 F.3d 789 (9th

Cig. 2997) ...cccccveneckpoesus eeu )

Parr v. United States, 351 U.S. 513 (1956) ......... 16, 17

TABLE OF AUTHORITIES — Continued

Page

Partmar Corp. v. Paramount Pictures Theatres Corp.,
CC 12
Richardson v. Perales, 402 U.S. 389 (1971) ............. 6
Shalala v. Schaefer, 509 U.S. 292 (1993)............... 16
Smith v. Shalala, 46 F.3d 45 (8th Cir. 1995)............ 4
Smolen v. Chater, 80 F.3d 1273 (9th Cir. 1996)......... 5
Stone v. Heckler, 761 F.2d 530 (9th Cir. 1985).......... 6
Sullivan v. Finkelstein, 496 U.S. 617 (1990)..... 2, 16, 17, 18
Terry v. Sullivan, 903 F.2d 1273 (9th Cir. 1990)........ 4
Titus v. Callahan, 133 F.3d 561 (8th Cir. 1997)......... 4

United States v. Jose, 117 S. Ct. 463 (1996) ..... 2, 15, 16

STATUTES

EID 6, 13, 16
ccicncbmdacdevcescesccccccscece passim
eee cba eGbcdscccncceoscctcccccccce 6
REGULATIONS

ee ED, ee ee 3
20 C.F.R. § 404.1520(f) (1997)... 2... 2... e ees 3, 4

Orner AUTHORITY

Social Security Ruling 96-8p, 61 Fed. Reg. 34,474
Cis E Cpa seeSGcbbdecsecccovccevccosce cee 5

1

Il. The Positions Of Petitioner, The Commissioner Of
Social Security, And Amicus.

The issue presented is whether a plaintiff seeking
Social Security Disability benefits may appeal a district
court judgment entered pursuant to sentence four of 42
U.S.C. § 405(g), reversing, with a remand for a rehearing,
a final decision of the Commissioner of Social Security, in
order to obtain a reversal of the Commissioner's final
decision, without a remand for a rehearing (or a more
favorable remand order). Petitioner and the Commis-
sioner agree that Petitioner may appeal such a sentence-
four judgment and that Petitioner is aggrieved by that
judgment, but they disagree about matters related to the
latter conclusion. (See Br. for Pet’r at 17-28; Br. for the
Resp’t at 31; see also id. at 16-23.) Amicus argues that
Petitioner is not aggrieved by the judgment, and that the
judgment is not appealable. (Br. of Amicus Curiae (“Br. of
A.C.”) at 12-19.)

Petitioner and Amicus disagree whether Petitioner is
aggrieved by the legal effect the district court's disposi-
tion of Petitioner‘s Complaint will have on any new
administrative proceedings upon remand. While Amicus
does not dispute that the law of the case applies during
any new administrative proceedings, or that the Commis-
sioner is bound by any district court remand order,
Amicus contends that the effect of the law of the case, or
any district court remand order, does not make Petitioner
an aggrieved party. (Br. of A.C. at 22-25.) With respect to
issue preclusion, Petitioner and Amicus disagree about
which of the district court's rulings are “necessary to the
judgment.” Amicus contends that issue preclusion
applies only to a single issue, while Petitioner contends
the district court’s judgment precludes more issues.

2

The Commissioner appears to take the extraordinary
position that (1) issue preclusion’ does not apply generally
to sentence-four judgments reversing with a remand for a
rehearing, (Br. for Resp’t at 30-34); (2) the law of the case?
does not apply to administrative proceedings following a
sentence-four judgment but may be invoked only in subse-
quent civil litigation, (id. at 33 & n.19); and (3) on remand,
the Commissioner is “free to,” but not required to, follow
the district court’s remand order, regardless of whether the
court remand order includes rulings favorable or unfavor-
able to the non-government party, (id. at 24, 34).

The Court should conclude that the district court's
final decision is appealable under the normal rules of civil
litigation with special reference to the procedural posture
of Petitioner’s case and the plain language of sentence four
of 42 U.S.C. § 405(g). United States v. Jose, 117 S. Ct. 463
(1996); Sullivan v. Finkelstein, 496 U.S. 617 (1990).

Il. Under Its Own Rationale, The District Court
Should Have Entered Judgment Reversing The
Commissioner’s Final Decision, Without A Remand
For A Rehearing, To Award Benefits.

Sentence four of 42 U.S.C. § 405(g) provides that a court
“shall have power to enter, upon the pleadings and

' The Commissioner's attack on issue preclusion based on
court judgments is an extension of his attack on issue preclusion
based on final agency actions. See, e.g., Drummond v.
Commissioner of Social Security, 126 F.3d 837 (6th Cir. 1997).

2 In civil litigation after a new final decision of the
Commissioner, the Commissioner has resisted the reach of the
law of the case. See, e.g., Key v. Sullivan, 925 F.2d 1056 (7th Cir.
1991). (See also Br. of A.C. at 22 n.18 (noting tension in
Commissioner's litigation position).)

3

transcript of the record, a judgment affirming, modifying, or
reversing the decision of the Commissioner of Social Secu-
rity, with or without remanding the cause for a rehearing.” 42
U.S.C. § 405(g) (emphasis added). Petitioner appealed a dis-
trict court sentence-four judgment reversing a final decision,
with a remand for a rehearing, on the basis that the district
court was required to enter a sentence-four judgment without
a remand for a rehearing.

Given the district court’s own rationale, absent an
articulated legitimate justification, the district court
should have entered a sentence-four judgment without a
remand for a rehearing. A Social Security disability claim-
ant may be found “disabled” either at step three or at
step five of the sequential analysis of disability. 20 C.F.R.
§ 404.1520(d) (1997) (step three); 20 C.F.R. § 404.1520(f)
(1997) (step five). The Commissioner found Petitioner
“not disabled” at step five. (J.A. at 27-28.) When it
reviewed the Commissioner’s decision finding Petitioner
not disabled, the district court accepted that the Commis-
sioner had the “burden of showing that [Petitioner] can
engage in substantial gainful work in the economy/|.]”
(J.A. at 128.) Moreover, the district court held that the
Commissioner “did not sustain her burden of proof in
step five of the five-step evaluative process in determin-
ing whether [Petitioner] is entitled to benefits.” (J.A. at
128.) The court reached this conclusion accepting as true
the Commissioner’s factual findings regarding Peti-
tioner’s residual functional capacity and vocational char-
acteristics. (J.A. at 125-28.) Given the foregoing, Petitioner
established her claim. Because the district court articu-
lated no reason to give the Commissioner another oppor-
tunity to show that Petitioner could perform a significant
number of jobs, the district court should have entered

4

judgment reversing the Commissioner's final decision
without a remand for a rehearing. See, e.g., Allen v. Bowen,
881 F.2d 37 (3d Cir. 1989) (“The Secretary, in effect, asks
this court for a second chance to prove his case because
the testimony given by the first vocational expert did not
satisfy the Podedworny teaching. We see no reason, how-
ever, why the Secretary should be afforded such an addi-
tional opportunity.”).

As matters of law, public policy, and fairness, absent
the court's articulated and legitimate justification, there
should be no further administrative proceedings concern-
ing the merits of a claim when a claimant fer Social
Security disability insurance benefits proves to a court
that she has satisfied any burden of proof, including any
burden of production or persuasion, she may have had
and when the government did not satisfy any burden of
proof, including any burden of production or persuasion,
it may have had. Through 42 U.S.C. § 405(g), Congress
has accorded claimants for Social Security disability
insurance benefits this very protection — the right to court
judgments reversing, without remands for rehearing,
unfavorable agency decisions.*

’ A “burden of proof” may be a burden of production and/
or a burden of persuasion. Director, OWCP v. Greenwich
Collieries, 512 U.S. 267, 272-74 (1994). The issue of the precise
nature of the allocation of the burden of proof at step five of the
sequential analysis, 20 C.F.R. § 404.1520(f) (1997), is not before
this Court. Nonetheless we note that in Bowen v. Yuckert, 482
U.S. 137 (1997), this Court observed that the Commissioner
“bears the burden of proof at step five,” and that this “allocation
of burdens of proof” was within the Commissioner's regulatory
authority, id. at 146 n.5.

5

Petitioner appealed the district court's judgment for
other reasons as well At step five, a claimant is “dis-
abled” if she cannot work on a full-time basis. See Social
Security Ruling 96-8p, 61 Fed. Reg. 34,474, 34,476 (1996)
(Titles II and XVI: Assessing Residual Functional Capac-
ity in Initial Claims). Due to this full-time work require-
ment, the district court should have found Petitioner
disabled for two reasons. If the district court had
accepted Petitioner's arguments regarding the weight
due a treating physician's opinion and/or the evaluation
of her credibility, the district court would have found that
Petitioner could not work full time and that she was
therefore disabled. (Pl.-Appellant’s Br. at 18-23, 28.)4

The Amicus grounds its arguments in the erroneous
assertion that Petitioner did not appeal the district court's
judgment and that Petitioner’s Ninth Circuit appeal was
directed solely against the Commissioner's decision. (See
e.g. Br. of A.C. at 3, 5, 21, 23-25.) Amicus overlooks that
Petitioner's Notice of Appeal expressly appealed from
the district court judgment. Amicus also fails to appreci-
ate that Petitioner's appeal arose under appellate law
governing Social Security appeals. When, pursuant to 42

* Contrary to appellate authority, Amicus asserts that the
issues Petitioner raised (in addition to the failure of the
vocational expert's testimony to carry the Commissioner's
burden of proof) “are scarcely the type of challenges that, even
when credited, lend themselves to outright reversal by a court
lacking the authority to reweigh the evidence.” (Br. of A.C. at 19
n.15.) See, e.g., Lewis v. Callahan, 125 F.3d 1436 (11th Cir. 1997)
(awarding benefits based on review of Commissioner's
evaluation of treating source opinions); Smolen v. Chater, 80 F.3d
1273 (9th Cir. 1996) (awarding benefits based on review of
Commissioner's evaluation of claimant's testimony and treating
source opinions).

6

U.S.C. § 405(g), a plaintiff initiates a civil action for
judicial review of a final decision of the Commissioner
finding that she was not under a “disability,” 42 U.S.C.
§ 423(d), a district court determines both whether sub-
stantial evidence supports the Commissioner’s final deci-
sion, including its essential subsidiary factual findings,
and whether the Commissioner applied the proper legal
standards when making his decision, 42 U.S.C. § 405(g)
(sentence five).

Moreover, if a district court enters judgment under
sentence four of section 405(g) affirming the Commis-
sioner’s decision, and the plaintiff appeals the district
court’s final decision, 28 U.S.C. § 1291, an appellate court
applies the same substantial-evidence standard of review
the district court applied. Richardson v. Perales, 402 U.S.
389, 401, 91 S. Ct. 1420 (1971); Johnson v. Heckler, 741 F.2d
948, 953 (7th Cir. 1984) (“Our standard of review is the
same as that of the district court pursuant to. . . 42 U.S.C.
§ 405(g).”). The standard of appellate review is thus de
novo. Although an appellate court may reference a district
court’s rationale, see, e.g., Allen, 881 F.2d at 41, ultimately
at issue is the Commissioner's final decision, not the dis-
trict court’s rationale for affirmance of that decision, see,
e.g., Stone v. Heckler, 761 F.2d 530, 532 (9th Cir. 1985).
Given the foregoing, in the Ninth Circuit, Petitioner
argued that the Commissioner's decision was not supported
by substantial evidence and that it was based on the
application of incorrect legal standards. When arguing
that Petitioner did not attack the district court’s judgment
in the Ninth Circuit, Amicus thus overlooks both the
applicable standard of appellate review and that, in the
Ninth Circuit, Petitioner expressly appealed from the dis-
trict court’s judgment:

7

This is an appeal, in a Social Security dis-
ability case, from the Judgment of Robert E.
Jones, U.S. District Judge, District of Oregon,
vacating the agency’s final decision that Forney
was not disabled, but remanding to the agency
for further proceedings. Forney appeals, and
requests a finding of disability and payment of
benefits, instead of remand for additional pro-
ceedings.
(Pl.-Appellant’s Br. at 2.) Because the appellate standard
of review is de novo, on appeal of the district court's
sentence-four judgment, Petitioner, of course, focused on
errors in the Commissioner’s final decision. The unwary
appellant challenges the district court’s rationale, neglect-
ing the ultimate issue - whether the Commissioner’s final
decision should be reversed and, if so, in what manner.

Amicus asserts that Petitioner “seeks reversal of the
agency decision, for reasons different than those stated in
the district court opinion.” (Br. of A.C. at 3 (emphasis
original).) Amicus makes a similar assertion in his state-
ment of the Question Presented:

Whether a social security claimant who suc-
ceeds in winning a district court judgment pur-
suant to 42 U.S.C. § 405(g), setting aside an
agency decision to deny benefits and remanding
to give the claimant an opportunity to secure all
the benefits she seeks, is entitled to bring an
appeal seeking reversal of the agency’s decision
for additional reasons not relied upon by the district
court in entering judgment in the claimant's favor.

(Br. of A.C. at i (emphasis added).) Amicus thus over-
looks that Petitioner appealed the district court’s judg-
ment because, given its own reasoning and findings, the
district court should have entered judgment reversing the
Commissioner’s final decision, without a remand for a
rehearing. At the appellate court, Petitioner argued that,

8

given its own rationale, the district court should have
entered judgment reversing the Commissioner's decision,
without a remand for a rehearing. Petitioner is thus
aggrieved by the district court’s final judgment.

Amicus also erroneously argues that “a remand is
plainly necessary so that additional evidence may be
taken on whether employment opportunities exist for
someone with [Petitioner's] ability.” (Br. of A.C. at 19 n.15
(emphasis original).) With this proposition, Amicus
ignores the significance of its citation to Faucher v. Secre-
tary of HHS, 17 F.3d 171 (6th Cir. 1994).

Petitioner has endured two administrative hearings
and, according to the district court, the record already
includes the Commissioner’s proffer of step-five voca-
tional evidence for someone with Petitioner’s residual
functional capacity and vocational characteristics. (J.A. at
47, 125-28.) This is consistent with the record. In response
to a question from an administrative law judge (ALJ), a
vocational expert identified two occupations which Peti-
tioner purportedly could perform. In response to a ques-
tion whether there were any other jobs the vocational
expert could rely on, the vocational expert answered
“No.” (Transcript at 88; Pl.-Appellant’s Reply Br. at 14.)

The district court held that the ALJ’s finding Peti-
tioner could perform the jobs identified by the vocational
expert — assuming the validity of the AL]’s own findings
regarding Petitioner's residual functional capacity —- was not

5 In light of Petitioner’s challenge of the district court's
judgment on its own terms, Amicus’ heavy reliance on California
v. Rooney, 483 U.S. 307 (1987), and its attempt to distinguish
Electrical Fittings Corp. v. Thomas & Betts Co., 307 U.S. 241 (1939),
are inapposite. (Br. of Amicus Curiae at 20-22 (Rooney); id. at
24-25 (Electrical Fittings).)

_

9

supported by substantial evidence. At that point, the
district court should have reversed the ALJ’s decision
and directed that Petitioner be found disabled because,
assuming the residual functional capacity as ultimately
found by the ALJ, the vocational expert could not identify
any other jobs Petitioner could perform. Thus, with the
two inappropriate jobs eliminated (by the district court’s
holding) and no other jobs identifiable, it is established
that Petitioner cannot perform any jobs, and she is, there-
fore, disabled. Under these circumstances, “all essential
factual issues have been resolved and the record ade-
quately establishes a plaintiff's entitlement to benefits.”
Faucher, 17 F.3d at 176.

Under such circumstances, where the Commissioner
fails to satisfy his burden at step five, a court has author-
ity to hold — and in some cases is required to hold — that
the Commissioner’s final decision should be reversed
without a remand for a rehearing, i.e., the court should
hold that the claimant is under a disability. See, e.g., Terry
v. Sullivan, 903 F.2d 1273, 1278-80 (9th Cir. 1990) (holding
the Commissioner did not satisfy his step-five burden
and further fact-finding was unwarranted); Detrick v. Cha-
ter, 115 F.3d 573, 575 (8th Cir. 1997) (similar); Smith v.
Shalala, 46 F.3d 45, 47 (8th Cir. 1995) (similar).

Petitioner acknowledges that the Commissioner’s
failure to satisfy his burden of proof at step five, however
construed, does not always warrant reversal of the Com-
missioner’s final decision, without a remand for a rehear-
ing. The Commissioner’s failure sometimes warrants
reversal with a remand for a rehearing,-see, e.g., Light v.
Social Security Admin., 119 F.3d 789, 793-94 (9th Cir. 1997);
Titus v. Callahan, 133 F.3d 561, 564-65 (8th Cir. 1997).
However, this Court should not find that the district

10

court’s judgment below was not appealable, based on the
Amicus’ erroneous assertion that Petitioner would not be
able to prevail on the merits before the Ninth Circuit (i.e.,
to procure a Ninth Circuit decision holding that reversal
of the Commissioner’s final decision without a remand
for a rehearing was warranted).

III. Petitioner Did Not Get “Everything She Asked
For.”

The Amicus erroneously states that “as a matter of
pleading, [Petitioner] got everything she asked for when
the District Court set aside the agency decision and
remanded.” (Br. of A.C. 14 (emphasis added).) Petitioner
sought first and foremost reversal of the Commissioner's
final decision without a remand for a rehearing, i.e.,
reversal and a remand for a (ministerial) finding that she
was under a disability (and thus entitled to benefits).
(J.A. at 37, 92-93.) Only as a lesser relief did Petitioner
seek a judgment reversing with a remand “for proper
evaluation of the evidence or a hearing de novo.” (J.A. at
37.) Petitioner received only part® of the latter relief.”

6 Petitioner received a remand, but not for proper
evaluation of the evidence and not for a de novo rehearing.
Instead, the district court expressly ordered the agency to apply
improper standards to the evaluation of the evidence during
remand proceedings and to narrowly restrict those proceedings:
“IT IS ORDERED that this case be REMANDED to the Secretary
for further proceedings in accordance with this opinion.” (J.A. at
128 (emphasis added).)

7 Amicus claims that after the district court entered
judgment Petitioner only “belatedly and self-servingly” argued
that she sought as her primary relief reversal of the
Commissioner’s final decision without a remand for a rehearing

11

A sentence-four judgment reversing a final decision
of the Commissioner, with a remand for a rehearing, is
necessarily a denial of the request for a judgment revers-
ing without a remand for a rehearing. When the district
court remanded this matter for a rehearing, it implicitly
denied Petitioner’s request for a judgment reversing the
Commissioner’s final decision without a remand for a
rehearing. Thus, Amicus is simply wrong to assert that
Petitioner “got everything she asked for,” (Br. of A.C. at
14), particularly when Amicus accepts that, all else being
equal, Petitioner has only a sixty percent chance of being
found disabled after her claim is reheard by the agency,
(id. at 13).

Amicus further argues that because Petitioner
“emphatically does not challenge the judgment in her
favor,” Petitioner “runs afoul of the rule that courts
review judgments, not statements in opinions.” (Br. of
A.C. at 8 (emphasis original).) Petitioner discussed above
how this is not true. Properly understood, Petitioner’s
challenge to the rulings underlying the district court’s
denial of this requested relief is a challenge to the judg-
ment. Hence, contrary to Amicus’ arguments, issues Peti-
tioner raised in the Ninth Circuit (besides the significance

as opposed to reversal with a remand for a rehearing. (Br. of
A.C. at 15 n.12.) This claim is unreasonable given that in her
Complaint Petitioner plainly stated that she first sought a
reversal of the Commissioner’s final decision without a remand
for-a rehearing and only if that relief were not granted a reversal
with a remand for a “de novo” rehearing. (J.A. at 37.) Further, in
the district court, Petitioner concluded her brief with a request
for relief that mentioned only reversal without a remand for a
rehearing, i.e., for a finding of disability. (J.A. at 92-93 (“and
Plaintiff should be found disabled”).)

12

of the Commissioner’s failure to satisfy his step-five bur-
den of proof), are subject to issue preclusion in subse-
quent administrative and judicial proceedings insofar as
the district court’s rulings on those issues were necessary
to the district court’s denial of Petitioner’s request for a
judgment reversing without a remand for a rehearing.
Thus aggrieved, Petitioner has standing to appeal the
district court’s final decision for reasons other than the
district court's failure to appreciate the significance of the
Commissioner’s failure to satisfy his burden of proof.
Partmar Corp. v. Paramount Pictures Theatres Corp., 347 U.S.
89, 99-101 (1954).

IV. The Availability Of Judicial Review Following An
Unfavorable Decision After New Administrative
Proceedings Upon Remand Will Not Provide Peti-
tioner With An Adequate Forum To Challenge The
District Court’s Judgment And Order.

In support of his position that the district court's
judgment is not appealable, Amicus argues that Peti-
tioner may obtain judicial review of any of the district
court’s rulings if she is not found disabled after the
remand proceedings. (Br. of A.C. at 14, 23, 26-29.) Amicus
does not acknowledge the significance of the standard of
judicial review of a new final decision of the Commis-
sioner. If Petitioner receives an unfavorable final decision
after her claim is reheard by the agency, and if Petitioner
files a new complaint, the district court will determine
whether substantial evidence supports the Commissioner’s
new final decision. 42 U.S.C. § 405(g) (sentence five).
Because substantial evidence is less than a preponderance
of the evidence, Consolidated Edison Co. v. NLRB, 305 U.S.

13

197, 229 (1938), a district court may (in some circum-
stances) properly enter a sentence-four judgment affirming
the Commissioner's new final decision even if on remand
Petitioner established to the Commissioner by a prepon-
derance of the evidence that she was disabled. Given the
substantial-evidence standard of review, this Court
should find that Petitioner's right to file a new complaint
following receipt of an unfavorable decision after her
claim is reheard does not provide Petitioner with an
adequate forum to challenge the district court’s prior
rulings.

The importance of the substantial-evidence standard
of review is stark when one assumes, as the Court should
to resolve the issue of appealability of the district court's
final decision pursuant to 28 U.S.C. § 1291, that Petitioner
correctly maintains that the district court should have
entered a sentence-four judgment reversing the Commis-
sioner’s final decision, without a remand for a rehearing.
Amicus would permit Petitioner to be denied benefits
even though the record showed three times that she was
disabled at step five, as follows: First, the Commissioner
should have found Petitioner disabled at the hearing
level. Second, the district court should have found Peti-
tioner disabled and accordingly entered a sentence-four
judgment reversing, without a remand for a rehearing,
the Commissioner’s final decision. Third, after the
hypothesized proceedings upon remand, the Commis-
sioner should have found Petitioner disabled, but a court
would not reverse the Commissioner’s new decision
because although it was not based on a preponderance of
the evidence, it was supported by substantial evidence.
This Court should not endorse Amicus’ position leading
to this anomalous, inequitable result, particularly since

14

the express language of section 405(g) empowers a court
to enter a judgment reversing the Commissioner's deci-
sion without a remand for a rehearing.

Furthermore, a Social Security plaintiff will not be
able to obtain review of many of the unfavorable rulings
in a district court’s decision related to a sentence-four
judgment reversing with a remand for a rehearing a final
decision of the Commissioner. In most cases in which
there is a rehearing following a district court reversal,
additional evidence will be submitted by the claimant, by
the Commissioner, or both. Judicial review of a Commis-
sioner’s unfavorable final decision following the rehear-
ing will thus commonly involve review of significantly
different factual findings on a significantly different fac-
tual record. For some matters, an expanded record will
permit the Commissioner a second, third, or even fourth
opportunity to satisfy his burden of proof at step five -
subject only to deferential substantial evidence review -
even though the pre-remand evidentiary record war-
ranted a finding of disability.

Moreover, during remand proceedings the Commis-
sioner may generally create new medical evidence - e.g.,
opinion evidence from a non-examining medical source
or a report from an examining medical source - that may
be substantial evidence permitting judicial affirmance of
the Commissioner's incorrect final decision following
remand proceedings.

Petitioner disagrees with the Commissioner and
Amicus that a forty-percent chance of being found “not
disabled” after a plaintiff's claim is reheard, (Br. of A.C.
at 30 n.25; Br. of Resp’t at 27), provides adequate protec-
tion of Petitioner’s interests. This is especially true when,
as in Petitioner’s case, the pre-remand evidentiary record

15

interpreted in light of the applicable legal standard mandates
a finding of disability: Petitioner appealed the district
court’s judgment because the Commissioner should not
be permitted a third bite at the apple.

Viewed differently, Amicus neglects or denigrates the
aspect of the district court’s decision ordering the Com-
missioner to conduct remand proceedings consistent with
its opinion. (J.A. at 128 (“IT IS ORDERED that this case be
REMANDED to the Secretary for further proceedings in
accordance with this opinion.” (italicized emphasis
added).)* Because the Commissioner was ordered to con-
form its remand proceedings to the district court’s Opin-
ion and Order (J.A. at 118-28), Amicus’ attempt to
distinguish Jose, 117 S. Ct. 473, fails. Amicus argues that,

8 In order to diminish the legal significance of the district
court’s remand order, Amicus posits, “As is customary, the
District Court did not specify the precise proceedings that must
take place on remand.” (Br. of Amicus Curiae at 5 n.3.) It is
unclear how Amicus knows what customarily accompanies
sentence-four judgments reversing, with remands for
rehearings, final decisions of the Commissioner. In any case, it is
clear that the Commissioner, during remand proceedings, could
not, at least for the time period previously adjudicated, find
Petitioner “not disabled” at step four of the sequential analysis
of disability. Nor could the Commissioner find Petitioner “not
disabled” at step five, without supporting vocational expert
testimony. Moreover, although pursuant to the district court’s
order, the Commissioner should not revisit the precise issues
Petitioner lost in the district court, if the Commissioner did
revisit those issues in a manner advantageous to Petitioner,
neither the Petitioner nor the Commissioner would have
standing to argue in later judicial proceedings that the
Commissioner did not comply with those rulings as
incorporated in the district court’s remand order.

16

unlike the order at issue in Jose, the district court’s deci-
sion herein “imposes absolutely no <estrictions (injunc-
tive or otherwise) on [Petitioner] [.]” (Br. of A.C. at 26.)

To the contrary, the district court ordered the Commis-
sioner on remand to follow the district court’s analyses
regarding the evaluation of an opinion from Petitioner's
treating source and regarding Petitioner’s own credibility.
If the Commissioner complies with the court’s mandate,
Petitioner will have a much more difficult time establish-
ing disability. Indeed, treating source opinions and claim-
ants’ credibility often are dispositive of a claim for
disability insurance benefits. See, e.g., Lester v. Chater, 81
F.3d 821, 830-34 (9th Cir. 1995).

Nor is Parr v. United States, 351 U.S. 513 (1956), per-
suasive authority that the availability of judicial review
following an unfavorable final decision means that Peti-
tioner is not aggrieved. (Br. of A.C. at 16-19.) This Court
held that Parr could not appeal an order of dismissal of
an indictment because until Parr was retried he was not
aggrieved by the indictment’s dismissal. Parr, 351 U.S. at
518-21. Importantly, Parr is based on the principle that
only final district court dispositions are appealable. Id. at
517-20. Here Finkelstein teaches that the district court's
disposition of Plaintiff's Complaint is final for the pur-
pose of 28 U.S.C. § 1291. Finkelstein, 496 U.S. at 624-25,
629; see also Shalala v. Schaefer, 509 U.S. 292, 299 (1993)
(following Finkelstein). The Parr Court, in contrast,
expressly characterized the indictment’s dismissal as
“interlocutory,” Parr, 351 U.S. at 518. In the instant case,
the district court’s sentence-four judgment was not inter-
locutory. Finkelstein, 496 U.S. at 629.9 Moreover, if an

*° Amicus’ reliance on the general rule that a court remand
to an agency for further proceedings is not appealable as

17

analogy is to be drawn to the criminal context, it is
significant that Parr had not been tried and jeopardy had
not attached. Parr, 351 U.S. at 518. Petitioner, on the other
hand, has been “tried” - she has undergone two adminis-
trative hearings and a district court review. Having estab-
lished that she is “disabled,” she opposes a rehearing on
double jeopardy grounds.

V. Recognizing That Plaintiffs Such As Petitioner May
Appeal Would Likely Decrease Appellate Work-
loads.

Amicus speculates that recognizing the right to
appeal of plaintiffs such as Petitioner could lead to a
“substantial” increase in the number of appellate cases.
(Br. of A.C. at 33.) Such speculation ignores a central
function of the appellate courts - providing guidance to
district courts regarding proper legal standards.'° If, for
example, Petitioner were to convince the Ninth Circuit
that the district court should have entered a judgment
reversing without a remand for a rehearing, and if the
Ninth Circuit were to publish its decision, district courts
within the circuit might be less likely to fail to enter,
when appropriate, sentence-four judgments reversing

interlocutory, (Br. of A.C. at 10 n.7), is misguided in light of the
plain language of § 405(g). As explained in Finkelstein, a
judgment entered pursuant to sentence four of § 405(g) is final
(i.e., not interlocutory), even though that judgment is
accompanied by an order of remand.

10 Cf. Johnson v. New York, N.H. & H.R. Co., 344 U.S. 48, 55
(1952) (Frankfurter, J., dissenting) (“Not the least important
business of this Court is to guide the lower courts and the Bar in
the effective and economical conduct of litigation.”)

18

without remands for rehearings. Application by the dis-
trict courts of such appellate guidance would substan-
tially reduce the need for appellate litigation, and it
would simultaneously obviate many unnecessary new
administrative proceedings. Of itself, the value of such
guidance is reason to permit Petitioner to appeal.

Amicus’ speculation that there would be a “substan-
tial” increase in the number of appeals to federal appel-
late courts if this Court found that plaintiffs such as
Petitioner could appeal is unfounded. Finkelstein was
published in 1990, and it fairly announced sentence-four
judgments to be appealable. Under the deferential “sub-
stantial evidence” standard of review, however, appellate
courts affirm the vast majority of appeals of final deci-
sions of the Commissioner finding claimants “not dis-
abled.” Moreover, since the publication of Finkelstein,
apart from Petitioner’s, there are only two published
cases, and a handful of unpublished cases, where such
plaintiffs have appealed sentence-four judgments
remanding for a rehearing.'! Given this background, it is
unlikely that this Court’s clarifying Petitioner’s right to
appeal will suddenly inspire similarly situated plaintiffs

to appeal.

To achieve outright reversals, appellants must show
not only that substantial evidence does not support the
Commissioner's final decision but that the existing record
necessarily establishes entitlement to benefits ander
applicable legal standards. This daunting challenge likely
explains why Finkelstein itself did not open the flood-
gates.

1! See Br. for Resp’t. at 22 n.13; Br. for Pet. at 29-30.

19

Amicus also fails to acknowledge that appellate liti-
gation is extremely time consuming for claimants’ attor-
neys. It is not highly remunerative - Social Security
claimants win relatively few appeals. The appellate
courts will not be flooded with appeals from attorneys
sinking (very) roughly one hundred hours into an appeal
subject to a deferential standard of review.'?

In any case, because a plaintiff such as Petitioner has
a statutory right to a judgment reversing without a
remand for a rehearing, 42 U.S.C. § 405(g), even if permit-
ting such appeals were to result in increased appellate
litigation, given the plain language of the statute, it is
likely that Congress intended the balance to favor
appeals to ensure that claimants timely receive the bene-
fits to which they are lawfully entitled.

Amicus and the government also overlook the value
of a central function of appellate court decisions — broad-
casting the correct legal standards to district courts
within the circuit. For future purposes, if the appellate
court were to hold that the district court erroneously
failed to enter judgment reversing, without a remand for
a rehearing, i.e., that the district court should have found
Petitioner disabled, then the appellate court’s decision
would inform that district court specifically, and district
courts within the circuit generally, that they should cor-
rectly assess whether claimants are entitled to outright
awards of benefits, thereby negating any further judicial
or administrative delay over such claims. The text of

12 See, e.g., Gibson-Jones v. Apfel, __ F. Supp. __, No. 95-
C-874, 1998 WL 57080, at *2-3 (N.D. Ill. Jan. 23, 1998) (referring
to 96.5 hours of attorney time expended appealing a district
court's affirmance of the Commissioner’s decision finding a
claimant not disabled).

20

section 405(g), and practical and jurisprudential factors,
thus weigh in favor of holding the district court’s judg-
ment was appealable.

VI. Conclusion

The Court should recognize that the effect of the
plain language of section 405(g) is to permit Petitioner to
appeal and that this result is consistent with Congres-
sional intent. The Court should reverse the Ninth Cir-
cuit’s dismissal of Petitioner’s appeal and order the Ninth
Circuit to consider the merits of the appeal.

Respectfully submitted,

RatepH WILBORN
(Counsel of Record for Petitioner)

Erra L. WILBoRN
Tim WILBORN
RactpH WILBORN AND

Etta L. Wicsorn, P.C.
1580 Valley Drive, Suite 170
Eugene, Oregon 97401
(541) 485-4265

Eric SCHNAUFER

2501 N. Lincoln Ave. #285
Chicago, Illinois 60614
(773) 935-4016

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40385014_0193%3A08. Public record. Not legal advice.
