# Appendix — Bowen v. Jordan

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## Record

- **Collection:** Supreme Court brief
- **Document type:** Appendix
- **Published:** January 1, 1987
- **Citation:** 484 U.S. 918

## Text

a oe

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In the Supreme Court of the United States

OCTOBER TERM, 1987

Otis R. BOWEN, SECRETARY OF
HEALTH AND HUMAN SERVICES, APPELLANT

Vv.
JEANNE A. JORDAN, ET AL.

ON APPEAL FROM THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF OKLAHOMA

Otis R. BOWEN, SECRETARY OF
HEALTH AND HUMAN SERVICES, PETITIONER

Vv.
JEANNE A. JORDAN, ET AL.

ON WRIT OF CERTIORARI TO THE
UNITED STATES COURT OF APPEALS
FOR THE TENTH CIRCUIT

CONSOLIDATED APPENDIX

CHARLES FRIED
Solicitor General

RICHARD K. WILLARD
Assistant Attorney General

ALBERT G. LAUBER, JR.

Deputy Solicitor General
EDWIN S. KNEEDLER

Assistant to the Solicitor General
CHRISTINE R. WHITTAKER

Attorney

Department of Justice

Washington, D.C. 20530
(202) 633-2217

“*

TABLE OF CONTENTS

Page
Appendix A (district court order of Apr. 10, 1987) ...... la
Appendix B (notice of appeal of May 8, 1987} -............ 6a
Appendix C (district court order of Sept. 26, 1980) ...... 8a
Appendix D (district court order of Mar. 17, 1983)...... 23a
Appendix E (district court order of Mar. 26, 1984) ...... 4la
Appendix F (district court order of July 2, 1984)........ 44a
Appendix G (district court order of Jan. 18, 1985) ........ 48a

Appendix H (court of appeals opinion of Jan. 5,1987).. 56a
Appendix I (court of appeals opinion of Sept. 24,1985).. 63a
Appendix J (court of appeals order of June 19, 1987).... 73a
Appendix K (court of appeals order of Apr. 16, 1986).. 75a
Appendix L (statutory provisions involved) .................. 76a

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ct

APPENDIX A

IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF OKLAHOMA

No. CIV-79-994-W

JEANNE A. JORDAN, ET AL., PLAINTIFFS
vs.

OTIs T. BOWEN, M.D., Secretary
of Health and Human Services, DEFENDANT

[Filed Apr. 10, 1987]

ORDER

This action was initiated by the plaintiffs on Sep-
tember 7, 1979, to challenge the Social Security Ad-
ministration’s (SSA) failure to monitor individuals
who act as representative payees for the receipt and
disbursement of Social Security and Supplemental
Security Income benefits. The plaintiffs brought
ve vious claims including a claim under the due proc-
ess clause of the fifth amendment. They contended
that the SSA had violated their due process rights
by failing to implement an accounting system by
which to determine if representative payees were
carrying out their statutory duty to spend the bene-
fits received solely for the use of the plaintiff-
beneficiaries.

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2a

On March 17, 1983, this Court issued its Order
rejecting the position of the defendant, Richard S.
Schweiker, then Secretary of Health and Human
Services (the Secretary), that the SSA had no obli-
gation to monitor the expenditures of benefits by
representative payees. Jordan v. Schweiker, No.
CIV-79-994-W, slip op. at 17 (W.D. Okla. March 17,
1983). The Court found that “the discretionary ac-
counting procedures . . . in effect [did] not provide
due process to the social security beneficiaries for
whom representative payees [had] been appointed.”
Id. The Secretary was directed to institute a man-
datory periodic accounting system within one year.
Id.

In an attempt to comply with the Court’s Order
of March 17, 1983, the Secretary took a random sur-
vey of only ten percent (10%) of all payees. Such
action prompted the plaintiffs to file a Motion for
Order Enforcing Judgment.

On March 26, 1984, the Court in ruling on the
motion found that the due process rights of the
plaintiff could only be protected by universal annual
accountings and directed the Secertary to take “im-
mediate steps” to implement such a system. Jordan
v. Schweiker, No. CIV-79-994-W, slip op. at 3 (W.D.
Okla. March 26, 1984). Upon subsequent motion by
the Secretary, then Margaret Heckler, the Court
aniended its Order of March 26, 1984, to allow the
SSA to monitor state institutional payees through
its on-site review programs. Jordan v. Heckler, No.
CIV-79-994-W (W.D. Okla. July 2, 1984).

On August 29, 1984, the Secretary filed a notice
of appeal with the United States Court of Appeals
for the Tenth Circuit from this Court’s Order of
March 26, 1984, as amended, July 2, 1984. There-
after on October 16, 1984, the Secretary filed with

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this Court a Motion for Indicative Ruling and Re-
lief from Judgment under Rule 6(0(b)(6), F-.R.
Civ.P.

In the motion, the Secretary argued that recent
legislation had been enacted which was contrary to
this Court’s Order requiring mandatory accounting
of all representative payees. The legislation, the So-
cial Security Disability Reform Act of 1984, Section
16, Pub. L. No. 98-460 (effective October 9, 1984),
created a mandatory accounting system but ex-
empted from such system the parents and spouses
serving as representative payees for beneficiaries in
their custody.

On January 18, 1985, the Court acknowledged that
it was without jurisdiction to grant the motion but
advised the parties if such a motion under Rule 60
(b) were considered by the Court it would deny the
relief requested. The Court stated in part:

“While the Court is well aware of the deference
usually given Congressional actions, the fact
that Congress has enacted some reforms does not
change the constitutional requirements. The
only way by which the Secretary can avoid the
mandatory annual accounting is to establish
that beneficiaries’ due process rights are being
adequately provided through some alternative
means ... [N]o such showing has been made
for either of the two categories [spousal/par-
ental payees and federal institutions] set out
above. Beneficiaries in these two categories
have the same rights under the due process
clause as do all other beneficiaries for whom
representative payees have been appointed.”

Jordan v. Heckler, No. CIV-79-994-W, slip op. at
6-7 (W.D. Okla. January 18, 1985).

4a

On January 5, 1987, the United States Court of
Appeals for the Tenth Circuit found that the Sec-
retary, then Otis R. Bowen, M.D., had abandoned
the earlier appeal filed August 29, 1984, wherein
this Court’s Order of March 26, 1984, as amended,
July 2, 1984, had been challenged and further that
the Secretary had failed to file a timely notice of
appeal from this Court’s Order of January 18, 1985.
Jordan v. Bowen, 808 F.2d 733, 736 (10th Cir.
1984). The appellate court dismissed the appeal
without addressing the correctness of the latter Or-
der. Now pending before the appellate court is a
Petition for Rehearing and Suggestion for Rehear-
ing En Rane and a Motion in the Alternative for
Stay of Action on Rehearing Petition.

The matter now comes before this Court on the
Secretary’s Motion for Relief of Judgment filed pur-
suant to Rule 60(b)(6) wherein the Court is asked
to vacate its Orders of March 17, 1983, and March
26, 1984, as amended, July 2, 1984. The plaintiffs
have responded in opposition to the motion and again
the parties have acknowledged that this Court is
without jurisdiction to grant the instant motion.
E.g., Aune v. Reynders, 344 F.2d 835, 841 (10th
Cir. 1965). The Court can either deny the motion
or, if it concludes that the motion has merit, should
so advise the parties who can then request the appel-
late court to remand the matter so that this Court
can act. Id.

The Court has reviewed the motion and the objec-
tions thereto of the plaintiffs and again finds that
the Secretary is not entitled to the relief sought.
The Court not only has engaged once in the analysis
required by Mathews v. Eldridge, 424 U.S. 319
(1976), see Order of March 17, 1983, but also has

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5a

already considered the legislative provisions cited by
the Secretary and the need for protecting the due
process rights of those beneficiaries for whom par-
ents or spouses have been appointed representative
payees. See Order of March 26, 1984, as amended
July 2, 1984. Thus, the Court finds it unnecessary
to readdress those arguments presented by tlie Sec-
retary. Accordingly, the Secretary’s instant Motion
for Relief of Judgment should be and is hereby
DENIED.

ENTERED this 10th day of April, 1987.

/s/ Lee R. West
LEE R. WEST
United States District Judge

6a
APPENDIX B

IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF OKLAHOMA

CIV 79-994-W
JEANNE A. JORDAN, ET AL., PLAINTIFFS
-U8-

Otis T. BOWEN, M.D., Secretary
of Health and Human Services, DEFENDANT

{Filed May 8, 1987]

NOTICE OF APPEAL

NOTICE IS HEREBY GIVEN that the defend-
ant, Otis T. Bowen, M.D., Secretary of the Depart-
ment of Health and Human Services, hereby appeals
to the Supreme Court of the United States from the
final Order entered in this action on April 10, 1987.

This appeal is taken pursuant to 28 U.S.C. § 1252
and 28 U.S.C. § 2101.

Dated this 8th day of May 1987.

Ta

Respectfully submitted,

RICHARD K. WILLARD
Assistant Attorney General

WILLIAM S. PRICE
United States Attorney
Western District of Oklahoma

/s/ Roger Griffith
ROGER GRIFFITH
Assistant U.S. Attorney

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APPENDIX C

IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF OKLAHOMA

CIV-79-994-W

JEANNE A. JORDAN, individually and on behalf
of all other persons similarly situated, PLAINTIFF

vs.

PATRICIA R. HARRIS, individually and in her
official capacity as Secretary of Health and
Human Services, DEFENDANT-

[Filed Sep. 26, 1980]

ORDER

Background

This cause is before the Court on defendant’s Mo-
tion to Dismiss for lack of jurisdiction or in the
alternative to Deny Class Certification.

The plaintiff, Jeanne A. Jordan, became entitled to
disability benefits under Title II of the Social Security
Act in December, 1976. Although legally competent,
it was determined that she was not capable of man-
aging her benefits. Her sister, Cathy J. Culp, was
therefore, designated as representative payee for Ms.

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Jordan, pursuant to the Social Security Administra-
tion’s procedures under § 205(j) of the Social Secu-
rity Act, 42 U.S.C. § 405(j), in which the Secretary
may designate a representative payee to whom the
payment of benefits is made on behalf of a benefi-
ciary.’

In October, 1977, upon a determination that she
was no longer disabled, Ms. Jordan’s benefits were
terminated. As a result, Ms. Jordan alleges Ms. Culp
forced her to leave her home and ceased in any way
to act on Ms. Jordan’s behalf, (Plaintiff’s Complaint
{7 23 and 24). Ms. Jordan administratively appealed
the termination of her benefits and, after ten months,
an administrative law judge reinstated her benefit
status, effective from October 1977. However, the
notice of her reinstatement, dated September 9, 1978,
and the check for her past-due benefits which had
accrued during the pendency of her appeal were sent
to Ms. Culp, even though, plaintiff alleges, neither
she nor her counsel was informed that Ms. Culp
would be the payee. Plaintiff further alleges that at
that time the whereabouts of the former payee were
unknown to plaintiff and her attorney and that she
had not even seen the payee for over one year.

On September 29, 1978, Ms. Jordan’s husband,
Michael A. Jordan, applied tc be his wife’s repre-
- sentative payee. On November 13, 1978, Ms. Jordan’s

1 Title 42 § 405(j) reads:

When it appears to the Secretary tnat the interest of
an applicant entitled to a payment would be served there-
by, certification of payment may be made, regardless of
the legal competency or incompetency of the :ndividual
entitled thereto, either for direct payment to such appli-
cant, or for his use and benefit to a relative or some other
person.

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attorney wrote the first in a series of letters request-
ing that the Social Security Administration reim-
burse Ms. Jordan for the past-due benefit check and
another monthly benefit check which Ms. Jordan did
not receive.

Ms. Jordan alleges that her plight was aggravated
when the Secretary immediately disclaimed any fur-
ther responsibility for the paid-out benefits on being
informed that they had been missent. She contends
that it was a year later before the Social Security
Administrator communicated retrieval-of-check in-
formation to her attorney. Plaintiff alleges that there
is no rehabilitative procedure applicable to her case.

Finally, plaintiff alleges that the defendant, solely
for administrative convenience, has suspended the re-
quirement that the representative payees, whom the
defendant had designated, make an annual account-
ing of the funds received. Thus, she seeks in addi-
tion, mandatory annual accountings by payees.

Statement of Issues

Unsatisfied with the results of her attorney’s cor-
respondence with the Social Security Administration
regarding her representative payee, on September 7,
1979, Ms. Jordan, as a recipient of disability-
insurance benefits under Title II of the Social Secu-
rity Act and in “representative payment” status,
filed this civil action on behalf of herself and all
others similarly situated. She alleges, inter alia, that
the Social Security Administration’s procedures pur-
suant to §205(j) of the Social Security Act, 42
U.S.C. § 405(j) and the corresponding regulations
20 C.F.R. §§ 404.1601, 404.1602, 404.1609, for the
representative payment of Social Security benefits,
deny her and the alleged class due process of law

_—__

lla

under the Fifth Amendment to the Constitution of ~
the United States. In support of this allegation, she
contends that the defendant Secretary of Health and
Human Services has proceeded under § 205(j) of
the Social Security Act to name representative pay-
ees to receive the beneficiaries’ payments without
any semblance of due process as to notice and hear-
ing whereby the beneficiaries are unable to prescribe
or even nominate whom the payee should be.

Accordingly, the plaintiff asks this court to take
jurisdiction pursuant to 42 U.S.C. § 405(g) or 28
U.S.C. § 1361, to certify this section as a class action
pursuant to Rule 23(c)(1), to declare § 405(j) and
its implementing regulation unconstitutional; to en-
join the Secretary from further enforcement of § 405
(j); and to order the promulgation of new regula-
tions.

On February 12, 1980, as a result of negotiations
aimed at settling this civil action, a check in the
amount of $2,356.90 was sent to Ms. Jordan as pay-
ment of benefits for the period from November 1977
through October, 1978. Ms. Jordan has refused to
withdraw this law suit, however, contending that this
payment has no bearing on the issues in this case.

In response to plaintiff’s allegations and requests
for relief, the defendant has made Motion to Dismiss
and in the alternative, Motion to Deny class certifica-
tion, asserting that even if plaintiff has a claim aris-
ing under the Constitution that such constitutional
question must first be resolved through exhaustion of
administrative remedies as dictated by 42 U.S.C.
§ 405(j). Defendant, in support of its motion to
deny class certification, states that its action to re-
store payments wrongfully made to plaintiff’s repre-
sentative payee and subsequent actions to name an-

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other representtive payee deprive plaintiff of the
status of being representative of the class.

Jurisdiction

The Secretary of Health and Human Services, the
defendant herein, submits that this Court lacks juris-
diction grounded on Title 28 U.S.C. § 1361, the fed-
eral mandamus statute, and contends further that
subject-matter jurisdiction for judicial review of
matters arising under Title II of the Social Security
Act is exclusively limited to section 205(g) of the

Act, 42 U.S.C. § 405(g)? and the limitation set forth
in section 205(b) of the Act, 42 U.S.C. § 405(h).?

2 Section 405(g) provides, in pertinent part:

Any individual, after any final decision of the Secre-
tary made after a hearing to which he was a party,
irrespective of the amcunt in controversy, may obtain a
review of such decision by a civil action commenced
within sixty days after the mailing to him of notice of
such decision or within such further time as the Secre-
tary may allow. Such action shall be brought in the dis-
trict court of the United States for the judicial district
in which the plaintiff resides or has his principal place of
business, or, if he does not reside or have his principal
place of business within any such judicia! district, in the
United States District Court for the District of Columbia.

3 Section 405 (h) reads:

The findings and decision of the Secretary after a hear-
ing shall be binding upon all individuals who were parties
to such hearing. No findings of fact or decision of the
Secretary shall be reviewed by any person, tribunal, or
governmental agency except as herein provided. No action
against the United States, the Secretary, or any officer or
employee thereof shall be brought under section 1331 or
1346 of Title 28 to recover on any claim arising under
this subchapter.

|

13a

The Secretary argues that review is not available to
plaintiffs because they have not satisfied the juris-
dictional prerequisites to review under § 405(g), to
wit, exhaustion of remedies and receipt of a final
decision.

Plaintiff, on the other hand, contends that this case
is not concerned with establishing an entitlement or
claim for Social Security benefits, but with a consti-
tutional right to due process regarding a claim or
entitlement that is already an established property
right. Therefore, plaintiff contends exhaustion of
remedies is not required. She further argues that she
has met the “final decision” requirement under § 405
(g)(h) and that in any case, because her claim is a
constitutional challenge, jurisdiction under Title 28
U.S.C. § 1361 is also proper.

In view of the recent decision of Califano v.
Yemaski, US. , 99 S.Ct. 2545, 2553
1979, in which the Court commented on the District
* Courts’ and the Court of Appeals’ “somewhat short
shrift” in failing to give due consideration to the
statutory remedy in preference to “unnecessary con-
stitutional adjudication”, and in view of the holding
in Weinberger v. Salfi, 422 U.S. 749, 95 S.Ct. 2457,
2465 (1975), that in some cases, “the Social Security
Act provides jurisdiction for constitutional challenges
to its provisions”, this Court will analyze the statu-
tory provisions first to determine if they are a basis
for jurisdiction in this case.

Analysis of 28 U.S.C. § 405(q)
as Jurisdictional Basis

Based on our interpretation of Justice Rehnquist’s
opinion in Weinberger v. Salfi, supra, and its prog-
eny, this Court believes that the limitations the Sec-

l4a

retary attributes to 42 U.S.C. § 405(g) are not con-
trolling in the case at bar. In Salfi the Court held:

“$405(h) ... extends to any “action” seeking
to recover on any Social Security claim.”

422 U.S. 762, 95 S.Ct. 2465.

As plaintiff has assiduously argued, however,
there is no controversy here about whether the plain-
tiffs are entitled to recover on a Social Security
claim. Thus, while Salfi focused on trying to recover
on a Social Security claim by establishing an entitle-
ment, and Mathews v. Eldridge, 424 U.S. 319, 47
L.Ed.2d 18, 96 S.Ct. 893 (1976), on trying to re-
cover Social Security claims that were being ter-
minated, in the case at bar there is no issue as to
any claim of entitlement arising under 42 U.S.C.
§ 405(g). Plaintiffs have been determined as en-
titled and thus they have “property” interests con-
stitutionally protected. For the Court in Mathews v.
Eldridge held:

“'3] Procedural due process imposes con-
straints on governmental decision which deprive
individuals of “liberty” or “property” interests
within the meaning of the Due Process Clause
of the Fifth or Fourteenth Amendment. The
Secretary does not contend that procedural due
process is inapplicable to terminations of Social
Security disability benefits. He recognizes, as
has been implicit in our prior decisions, e.g.,
Richardson v. Belcher, 404 U.S. 78, 80-81, 92
S.Ct. 254, 256-257, 30 L.Ed.2d 231 (1971);
Richardson v. Perales, 402 U.S. 389, 401-402,
91 S.Ct. 1420, 1427-1428, 28 L.Ed.2d 842
(1971); Flemming v. Nestor, 363 U.S. 603, 611,
80 S.Ct. 1367, 1372-1373, 4 L.Ed.2d 1435

15a

(1960), that the interest of an individual in
continued reecipt of these benefits is a statuto-
rily created “property” interest protected by the
Fifth Amendment.” (emphasis added)

Id. at 424 U.S. 332, 333, 96 S.Ct. 901-902.

Thus, what we have at issue is, in our opinion,
a purely constitutional question, a matter collateral
to an entitlement a challenge to a procedure that
allows the Secretary to (1) make an ex parte ap-
pointment of another to receive the benefits without
so much as a by-your-leave from the recipients, and
(2) a procedure that does not require the payee to
give an annual accounting of the benefits that he has
received on behalf of the recipient.

Despite this collateral constitutional claim, how-
ever, plaintiff argues that this court has jurisdiction
under § 405(¢). We do not think so. In both Salfi
and Eldridge, supra, and in subsequent comments on
those cases in Califano v. Sanders, 430 U.S. 99, 97
S.Ct. 908 (1977), the Court discussed that requisite
of a “final decision” from the Secretary before in-
voking 405(g) jurisdiction. 430 U.S. 108-109, 97
S.Ct. 986.

The plaintiff, however, citing Mathews v. EI-
dridge, supra, argues that she has met the “final deci-
sion” requisite. Eldridge holds that the “final deci-
sion” is the Secretary’s response to Eldridge’s claim
of protest to the Secretary when he was notified that
his current status as a recipient was to be ter-
minated. 422 U.S. 328-329, 96 S.Ct. 899-900. The
Court said:

“Salfi identfiied several conditions which must
be satisfied in order to obtain judicial review -
under § 405(g). Of these, the requirement that
there be a final decision by the Secretary after

16a

a hearing was regarded as “central to the requi-
site grant of subject-matter jurisdiction ... .”
422 U.S., at 764, 95 S.Ct. at 2466. Implicit in
Salfi, however, is the principle that this condi-
tion consists of two elements, only one of which
is purely “jurisdictional” in the sense that it
cannot be “waived” by the Secretary in a par-
ticular case. The waivable element is the re-
quirement that the administrative remedies pre-
scribed by the Secretary be exhausted. The non-
waivable element is the requirement that a
claim for benefits shall have been presented to
the Secretary. Absent such a claim there can be
no “decision” of any type. And some decision by
the Secretary is clearly required by the statute.

* * * *

Eldridge has fulfilled this ervcial nrerequisite.
Through his answers to the state agency ques-
tionnaire, and his letter in response to the tenta-
tive determination that his disability has ceased,
he specifically presented the claim that his bene-
fits should not be terminated because he was
still disabled. This claim was denied by the
state agency and its decision was accepted by
the SSA.” (emphasis added)

Furthermore, the Salfi Court says that notwith-
standing a constitutional challenge, judicial review
under § 405(g)(h) requires: (1) a final decision of
the Secretary made after a hearing, (2) commence-
ment of a civil action within 60 days after the mail-
ing of notice of such a decision, and (3) filing of the
action in an appropriate district court, with only
the first requirement being “central to the requisite
grant of subject-matter jurisdiction.” Jd. at 422
U.S. 763-764, 95 S.Ct. 2466.

17a

While it is true that plaintiffs’ constitutional claim
in Salfi was only “colorable’’, in which plaintiffs were
trying to establish entitlement to social security
benefits and in this case entitlement is already estab-
lished, under 405(g) it appears that a “final deci-
sion” on the controversy at issue is nonetheless re-
quired, and this Court does not believe that plaintiff
has met this “final decision” requirement.

Plaintiff, we think, misconstrues the term “final
decision” by arguing that her claims for social secu-
rity benefits and her being adjudged a qualified
recipient is a “final decision” in regard to this case.
While it is true that plaintiff’s being declared a
qualified recipient is a “final decision’ by the Sec-
retary, that “final decision” has uo bearing on this
controversy. Here, we think, “final decision” would
have been plaintiff’s protesting administratively the
procedures for the Secretary’s selection of a “repre-
senttaive payee,” and the Secretary’s decision to this
response. |

Therefore, we hold that this Court does not have
jurisdiction under 42 U.S.C. § 402(g), but we fur-
ther hold that 42 U.S.C. § 402(g) is not intended to
control in this case, or if it does, it is unconstitu-
tional and, a fortiori, not applicable. While Congress
may, by statute, vest constitutional rights. Once
vested such rights cannot be proscribed by substitute
mandatory administrative procedures in place of
constitutional remedies. Congress and the agencies
which it creates simply lack the power to make ad-
ministrative regulations superior to rights arising
under the Constitution. Courts are created to decide
those rights.

Furthermore, dicta in Califano v. Sanders, supra,
says the following regarding constitutional claims:

18a

“Constitutional questions obviously are unsuited
to resolution in administrative hearing proce-
dures and, therefore, access to the courts is es-
sential to the decision of such questions... .
[W]hen constitutional questions are in issue,
the availability of judicial review is presumed,
and we will not read a statutory scheme to take
the “extraordinary” step of foreclosing jurisdic-
tion unless Congress’ intent to do so is mani-
fested by ‘clear and convincing’ evidence. 422
U.S. at 762, 95 S.Ct., at 2465; Johnson v.
Robinson, 415 U.S. 361, 366-67, 94 S.Ct. 1160,
1165-66, 39 L.Ed.2d 389 (1974).”

430 U.S. 108, 97 S.Ct. 986.

Analysis of Title 28 U.S.C. § 1361
As Basis for Jurisdiction

This Court now examines the mandamus statute
to determine if it has jurisdiction under Title 28
U.S.C. § 1361. This statute reads in toto:

“$1361. Action to compel an officer of the
United States to perform his duty

The district courts shall have original juris-
diction of any action in the nature of mandamus
to compel an officer or employee of the United
States or any agency thereof to perform a duty
owed to the plaintiff.”

This statute has traditionally been used to compel
compliance with due process requirements and to
provide jurisdiction “to declare the due process re-
quirements applicable to [the challenge] proceed-
ings.” Elliott v. Weinberger, 564 F.2d 1219, 1226
(9th Cir. 1977). See also, Ryan v. Shea, 525 F.2d

19a

268, 271-272 (10th Cir. 1975); Knuckles v. Wein-
berger, 511 F.2d 1221 (9th Cir. 1975).

In Ryan v. Shea, supra, the Tenth Circuit said of
Salfi and 28 U.S.C. § 1361:

“.. In the instant case we are not concerned
with the denial of a claim as such, but with the
determination by the Secretary to terminate
disability benefits in an allegedly unconstitu-
tional manner, i.e., without notice and hearing.
“ . . In sum, Salfi does not apply and 42 U.S.C.
§ 405(g) is certainly not in our view the exclu-
sive way to tackle the precise problem here
sought to be raised.

“We therefore conclude that the triai court
had jurisdiction to entertain the present proceed-
ing under 28 U.S.C. § 1361.”

Id. at 272.

Regarding the mandamus statute, the Ninth Cir-
cuit in Elliott v. Weinberger, 564 F.2d 1219, 1227
(1977), commented:

“TNo] clear and convincing evidence exist[s}
that Congress intended to limit mandamus juris-
diction at all by § 405(h). Section 1361 did not
exist when § 405(h) was enacted in 1935 pre-
cluding jurisdiction under section 41 of Title 28
for recovery of Social Security claims. In at least
one other instance where Congress intended a
statutory limitation to encompass § 1361, a spe-
cific amendment to the limiting statute was
made.”

The Court further comments at 1227, note 12:

“When § 405(h) was enacted in 1935, section
41 of Title 28 contained all of that title’s grants

20a

of jurisdiction to district courts, including
§ 1331’s predecessor. See, 28 U.S.C. § 41(1)
(1940). It did not contain any grant to federal
courts to entertain actions in the nature of man-
damus. It was not until 1962 when Congress, in
enacting § 1361, extended to all federal courts
jurisdiction to hear suits seeking mandamus re-
lief—such jurisdiction prior thereto reposed only
in the federal courts of the District of Columbia.
Thus, § 1361 actions cannot be considered pre-
cluded under § 405(h) simply because § 1361 did
not exist when § 405(h) was enacted. One might
argue that Congress intended all further addi-
tions to Title 28’s grants of jurisdiction to be, by

_ the mere statutory location of those additions,
subsumed within the proscription of § 405(h).
However, no such congressional intent is any-
where evidenced.”

Therefore, the Court holds under the above author-
ity that 28 U.S.C. § 1361 is the jurisdictional basis
for its hearing this case in which recipients of Social
Security benefits (1) challenge the Secretary’s ap-
pointment of representative payees to receive their
Social Security benefits without giving them adequate
notice and a meaningful opportunity for a prior hear-
ing on the initial selection of an individual as a repre-
sentative payee (or continuation of an individual as
a representative payee when a beneficiary’s benefits
have been interrupted), and (2) seek to enforce what
they claim is a constitutional right to a mandatory
and annual accounting by payees.

Class Certification

Pursuant to the Federal Rules of Civil Procedure,
Rule 23(c)(1), (a), and (b)(2) and Rex v. Owens

2la

ex rel. State of Oklahoma, 585 F.2d 432, 435 (10th
Cir. 1978), this Court certifies Jeanne A. Jordan, as
representative of the class, and as a class all recipi-
ents and Social Security benedts (Title II of the
Social Security Act, as amended) and Supplemental
Security Income (Title XVI of the Act) who now
have or have had a representative payee within six
years prior to the filing of this action. The class does
not include the following persons:

(1) Those who are named plaintiff or are mem-
bers of a plaintiff class in pending actions
against the Secretevy which raise similar
issues in other disvuricts.

(2) Those who have participated as plaintiffs or
members of a plaintiff class in litigation
against the Secretary on similar issues, if a
decision on the merits has been rendered.

Inasmuch as we hold that this Court’s jurisdiction
is grounded on Title 28 U.S.C. § 1361 and not on 42
U.S.C.§ 405(g), this Court need not consider the ob-
jections the Secretary raises under § 405(g).

Regarding the Secretary’s allegation that the claim
of the named plaintiff is not typical of the claims
alleged on behalf of the class, we disagree. All quali-
fied recipients of Social Security benefits which Ms.
Jordan wants to include in the class, can claim the
same deprivation of constitutional rights alleged by
Ms. Jordan: (1) denial of due process caused by the
lack of provision for prior hearings in the selection
process of a representative payee, (2) denial of due
process from a lack of hearing in the event of inter-
ruption and reinstatement of benefits before auto-
matically continuing the representative payee in that
status, and (3) denial of due process because of the

elated

22a

lack of a mandatory annual accounting requirement
in the representative payment program.

Thus, we do not see that the legal competence or
incompetence of a Social Security beneficiary is con-
trolling inasmuch as a recipient, even if incompetent,
still has constitutional rights, and the same is true of
minors and institutionalized people. Vecchione v.
Wohlgemath, 377 F.Supp. 1361, aff'd, 558 F.2d 150,
cert denied, Beal v. Vecchione, 434 U.S. 943, 98 S.Ct.
439, 54 L.Ed.2d 304 (1974).

Finally, this Court does not agree that because the
Secretary has, after months have passed, made res-
titution to Ms. Jordan, that as to her the case is
moot. That argument belies the obvious; that is, that
Ms. Jordan is still subject to the same alleged mal-
feasance. Restitution in no way reduced the risk of
further injury since the same procedures that allowed
the first injury are still in full force and effect. See,
Southern Pacific Terminal Co. v. ICC, 219 U.S. 498,
515, 31 S.Ct. 279, 288, 55 L.Ed. 310 (1911), for the
principle that the case will not be moot if the issue is
capable of repetition, yet evading review. This prin-
ciple was followed in Rex v. Owens, supra.

WHEREOF, defendant’s Motions to Dismiss and
to Deny Class Certification are denied. This Court
takes jurisdiction and certifies this case as a class-
action suit.

IT IS SO ORDERED this 25th day of September,
1980.

/s/ Lee R. West
United States District Judge

”

23a
APPENDIX D

IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF OKLAHOMA

CIV-79-994-W
JEANNE A. JORDAN, ET AL., PLAINTIFFS
vs.

RICHARD S. SCHWEIKER, Secretary of Health and
Human Services, DEFENDANTS

[Filed Mar. 17, 1983]

ORDER

This matter comes before the Court upon the
Motion for Summary Judgment, or Alternatively, to
Dismiss of the defendant and the Cross-Motion for
Summary Judgment of the plaintiffs. Defendant
filed a Reply Brief and plaintiffs filed a Supplemental
Memorandum in Support of Cross-Motion for Sum-
mary Judgment. Oral argument on these cross-
motions was held March 2, 1983.

Plaintiff Jeanne A. Jordan became entitled to dis-
ability insurance benefits under Title II of the Social
Security Act in December 1976. Although legally
competent, it was determined that she was not capable
of managing her benefits. Her sister, Cathy J. Culp,

aaa ae

24a

was therefore designated as representative payee for
Ms. Jordan.

In October 1977, upon a determination that she was
no longer disabled, Ms. Jordan’s disability benefits
were terminated. As a result, Ms. Jordan alleges, Ms.
Culp forced her to leave her home and ceased in any
way to act on Ms. Jordan’s behalf. Ms. Jordan ad-
ministratively appealed the termination of her bene-
fits and after a hearing before an administrative law
judge her benefit status was reinstated effective from
October 1977. However, the notice of her reinstate-
ment, dated September 9, 1978, and the check for her
past-due benefits which had accrued during the pend-
ency of her appeal, were sent to Ms. Culp.

On September 29, 1978, Ms. Jordan’s husband,
Michael A. Jordan, applied to be her representative
payee. On November 13, 1978, Mr. Jordan was des-
ignated as representative payee for his wife and
began receiving monthly benefits on her behalf.

Plaintiff filed her Complaint on September 7, 1979.
On February 12, 1980, a check in the amount of
$2,356.90 was sent to Ms. Jordan as payment of ben-
efits for the period from November 1977 through
October 1978.

On September 26, 1980, this Court took jurisdic-
tion and certified this case as a class-action suit. On
April 5, 1982, this Court granted plaintiffs’ Motion
to Intervene Barbara Leeds.

Maude Miller, on February 11, 1977, was recom-
mended by the Social Security Administration (SSA)
to be made representative payee on behalf of Barbara
Leeds. barbara Leeds agreed to the appointment of
Maude Miller as her representative payee. However,
on April 27, 1977, Barbara Leeds requested that pay-
ments be made directly to herself.

25a

On June 6, 1977, Maude Miller was directed to
make an accounting of how benefits received on be-
half of Barbara Leeds from June 1974 through May
1977 were used. On December 27, 1978, Barbara
Leeds alleged misuse of funds by Maude Miller. SSA
found no misuse. Barbara Leeds requested a recon-
sideration of this finding. On January 10, 1980, SSA
found, after a review of the case that its “previous
decision, that misuse is not an issue, was correct.”

Defendant contends that procedures for the repre-
sentative payment of social security benefits do not
violate a beneficiary’s right to due process of law;
that due process does not require mandatory periodic
accounting by representative payees; and that this
case should be dismissed for lack of jurisdiction.

Plaintiff contends that under either 42 U.S.C. § 405
(j) or the Due Process Clause of the Fifth Amend-
ment the Secretary of Health and Human Services is
required to provide the opportunity for an oral hear-
ing prior to the initial selection or continuation of a
payee; that mandatory periodic accountings are re-
quired by the provisions of the Social Security Act
allowing for representative payment and due process;
and that full administrative and judicial review of
claims of misuse is required by the Due Process
Clause and by statute.

On a motion for summary judgment, this Court
must construe the facts in a way most favorable to
the nonmovant. United States v. Diebold, Inc., 369
U.S. 654 (1962). Cross-motions for summary judg-
ment are to be treated separately; the denial of one
does not require the grant of another. See S.E.C. v.
American Commodity Exchange, Inc., 545 F.2d 1361
(10th Cir. 1976). The existence of any “genuine
issue as to any material fact precludes the grant of

|

26a

summary judgment.” Rule 56, Fed.R.Civ.P. This
Court does not find that any genuine issue of mate-
rial fact exists, therefore summary judgment is
appropriate.
Jurisdiction

Defendant contends that this case should be dis-
missed for lack of jurisdiction. In its Order of Sep-
tember 26, 1980, this Court dealt with defendant’s
claim of lack of jurisdiction and found that this Court
has jurisdiction under 28 U.S.C. § 1361. Accordingly,
defendant’s Motion for Summary Judgment based
upon its claim of lack of jurisdiction should be and is
hereby DENIED.

Oral Hearing Prior to the Initial Selection
or Continuation of a Payee

The defendant states that the Secretary’s authority
to appoint a representative payee for social security
benefits is set forth in section 405(j) of the Social
Security Act, 42 U.S.C. § 405(j). The Secretary has
implemented the mandate of section 405(j) through
20 C.F.R. §§ 404.1601-1610 and §§ 416.601-690 and
Part 02 of the Social Security Administration’s Pro-
gram Operation Manual System.

Under these procedures, prior to a determination
that a beneficiary is in need of a representative payee
and prior to the selection of a payee, the SSA pro-
vides all adult beneficiaries who have not been ad-
judged legally incompetent with advance notice of
the proposed determinations. POMS GN 00502.240.
The advance notice provides the beneficiary with the
opportunity to object to the proposed determinations
before they are formalized and to submit additional
information. The advance notice states that if no
notice protest is received within ten days, the pro-

LL ee ee a

27a

posed action will be processed. POMS GN 00502.-
300B.

If a beneficiary protests the proposed determina-
tion, considerable weight is given to the protest. In
such cases, direct payment continues unless convinc-
ing evidence clearly establishes that the beneficiary
is not able to handle his or her own funds. POMS
GN 00502.260. Where no protest is received, or
there is sufficient evidence to appoint a representa-
tive payee in spite of a protest, the payee is proc-
essed and the beneficiary is sent a formal notice of
the determination which provides information re-
garding his or her right to appeal. POMS GN
00504.285A. Thus, for an adult beneficiary not ad-
judged legally incompetent, there is advance notice
of both the determination of need for representative
payee status and the determination of who the rep-
resentative payee will be. Both the “need” and the
“who” determinations are “initial” determinations
subject to full administrative appeal and judicial re-
view. 20 C.F.R. § 404.905(n).

For adult beneficiaries who have been adjudged
legally incompetent the procedures are slightly dif-
ferent. In such cases the determination regarding
the “need” to appoint a representative payee is not
an initial determination and is, therefore, not sub-
ject to the administrative appeal process. The de-
termination regarding “who” will be appointed rep-
resentative payee is, however, an initial determina-
tion and is, therefore, subject to full advance notice
and post-determination appeal procedures. 20 C.F.R.
§ 404.905(n). Where the legal representative of the
adjudged incompetent beneficiary is not the proposed
payee, an advance notice of proposed payee selection
is provided the legal representative. The advance
notice gives the legal representative an opportunity

|

28a

to object to the proposed payee selection before it is
formalized and to submit additional information.
The advance notice states that if no protest is re-
ceived within ten days, the proposed action will be
processed. POMS GN 00502.245, 00502.300C. Where
no protest is received, or where there is sufficient evi-
dence to appoint a particular payee in spite of a pro-
test, the payee action is processed and the legal
guardian is sent a formal notice of the determina-
tion which provides information regarding the right
to appeal the determination. POMS GN 00504.285B.

The defendant claims that the SSA goes to great
length to find a representative payee who is genuinely
interested in the welfare of the beneficiary. POMS
GN 00502. The relationship of the potential payee
with the beneficiary is evaluated. Preference is given
to a legal guardian, spouse, relative, friend or lastly
an institution. POMS GN 00502.130.

The defendant contends that in ordér to monitor
the impact of these procedures SSA listed all initial.
and post-entitlement rep payee determinations be-
tween January 1977 and June 1979. Of over 52,000
rep payee determinations on initia! claims, less than
2% of the beneficiaries protested the proposed de-
termination. Of those protests, SSA’s determination
was split evenly in sustaining the protest or making
the determination in spite of the protest. In over
287,000 post-entitlement rep payee determinations
only 4.4% of the affected beneficiaries protested.
SSA’s determinations upon protest were evenly split
with a 2.3% of the protests honored and 2.1% of the
proposed determinations made in spite of the protest.

Defendant further contends that requiring a hear-
ing before the selection of a rep payee would create
a hardship for the beneficiary. Pursuant to 20 C.F.R.

€

Ti icc

29a

404.95(n) the rep payee selection determination is an
“initial determination” snbject to the Secretary’s
four-step administrative appeal and ultimate judicial
review pursuant to 405(g) of the Act, 42 U.S.C.
405(g). Defendant contends that it is more sensibie
for SSA to certify payment of benefits to its choice
as payee rather than to have certification of payment
of benefits delayed awaiting the outcome of an ad-
versary hearing to settle a dispute over a rep payee
selection.

Defendant, therefore, contends that neither the
Social Security Act nor the Due Process Clause of
the Fifth Amendment requires the opportunity for
an oral hearing prior to the selection of a repre-
sentative payee.

Plaintiffs contend that the Secretary’s policy of
limiting an “incapable” beneficiary to written ob-
jections does not adequately protect the beneficiary
from appointment of an incompetent or untrust-
worthy payee absent a prior hearing. Plaintiffs fur-
ther contend that in evaluating a payee-applicant’s
“concern for a beneficiary’s best interest” the Secre-
tary must assess the state of mind hence, credibility)
of the payee-applicant which requires an oral “‘face-
to-face” meeting. Therefore, plaintiffs contend that
both 42 U.S.C. § 405(j) and the Due Process Clause
of the Fifth Amendment require that the Secretary
provide adequate notice and a meaningful oppor-
tunity for a prior hearing concerning the initial se-
lection or continuation of an individual as payee.

The United States Supreme Court in Mathews v.
Eldridge, 424 U.S. 319, 335, stated that

identification of the specific dictates of due proc-
ess generally requires consideration of three dis-
tinct factors: First, the private interest that

30a

will be affected by the official action; second, the
risk of an erroneous deprivation of such interest
through the procedures used, and the probable
value, if any, of additional or substitute proce-
dural safeguards; and finally, the Government’s
interest, including the function involved and t
fiscal and administrative burdens that the addi-
tional or substitute procedural requirement
would entail.

This Court concludes that application of the factors
in Mathews v. Eldridge to the facts in this case is
necessary.

This Court agrees with plaintiffs that the private
interest of beneficiaries in the receipt and proper
use of social security benefits is substantial.

This Court does not agree with plaintiffs’ conten-
tions that the risk of error under the Secretary’s pro-
cedures is great and the value of an oral hearing
prior to selection or continuation of a payee is sub-
stantial. In Tidwell, et al. v. Califaiw, et al., Nos.
73-C-3014 and 74-C-183 (N.D. Ill., March 5, 1979),
plaintiffs filed suit on behalf of all individuals who
had been or were at that time patients in Illinois
state mental hospitals. The panel addressed the
issues of whether or not “due process requires an
initial determination at the Incompetency Need Stage
and whether due process requires more than the ‘pan-
oply of administrative and judicial review rights’
which are provided by the initial determination
where it is required.” The Tidwell court initially
found the Secretary’s old (prior to 1976) representa-
tive payee procedures were in violation of the Fifth
Amendment and so ruled. Tidwell, et al. v. Wein-
berger, Nos. 73-C-3014 and 74-C-183 (N.D. Ill., June
23, 1976). Subsequently, the Secretary’s current pro-

3la

cedures were implemented and considered by the
Tidwell court which stated at p. 8-9:

In our Order we indicated that Mathews v.
Eldridge, 424 U.S. 319 (1976), addresses the
issue of whether procedures prior to and during
the selection of a representative payee meet due
process standards. In weighing the different fac-
tors then under consideration and juxtaposing
our findings against the Hld7idge criteria, we
held that “the administrative procedures in the
present case obviously lack any procedural safe-
guards.” (Order, p. 17). We also found, how-
ever, that, although need stage hearings would
provide the greatest safeguards, they were not
constitutionally required. (Order, p. 16).

It was in the context of these findings that we
set forth the criteria, heretofore mentioned, that
must be followed during a determination to ap-
point a representative payee. We have examined
the revised regulations, and now find that they
satisfy our criteria and therefore comport with
due process requirements. *

In Fulk, et al. v. Moritz, et al., No. C74-230 (N.D.
Ohio, September 28, 1981) plaintiffs were individ-
uals who were committed for rehabilitative treat-
ment to institutions under control of the Ohio De-
partment of Mental Health and Mental Retardation.
A three-judge panel addressed the issue of whether
or not federal defendants provided the plaintiffs with
procedural safeguards when designating representa-

* That part of the decision relied upon by this Court was
not appealed by State of Illinois to the United States Court
of Appeals, Seventh Circuit, in Tidwell v. Schweiker, 677 F.2d
560, 564 (7th Cir. 1982).

32a

tive payees for benefits to which plaintiffs are en-
titled under federal law. The court at page 5 stated
that

[i]t is clear today that at the very least the mat-
ter of who shall be named as a designated payee
requires full notice and hearing, and is appeal-
able, by proper procedural steps, to the United
States Courts.

Originally, a three-judge court of the North-
ern District of Illinois found, in the case of Tid-
well, et al. v. Weinberger, Nos. 73-6-3014 and
74-6-183 (June 28, 1976), that the earlier pro-
visions did not comport with due process. How-
ever, upon a later motion by the defendant in
these cases to alter or amend the judgment, that
Court held that it had examined the revised reg-
ulations and found that they comport with due
process.

This Court agrees with the conclusions of the
Tidwell court. Even if this Court had jurisdic-
tion to determine the issue, it would find that
the plaintiffs’ substantive claims are without
merit, and this action should be dismissed.

In McGrath v. Weinberger, 541 F.2d 249, 254 (10th
Cir. 1976), cert. denied, 430 U.S. 933 (1977), the
action was brought by two social security recipients
to challenge the constitutionality of the SSA proce-
dure whereby a recipient may be determined to be
incapable of managing his monetary benefits and a
representative payee appointed. The Court held that
“the Due Process Clause does not demand that prior
notice and an opportunity for a hearing be afforded
Social Security beneficiaries who are determined to
be incapable of managing their own benefits.” Fi-
nally, in Mathews v. Eldridge, swpra,- respondent

33a

brought the action challenging the constitutionality
of the procedures for terminating disability benefits.
The Supreme Court held at page 321 that “an evi-
dentiary hearing is not required prior to the termi-
nation of Social Security disability payments and the
administrative procedures prescribed under the Act
fully comport with due process.”

This Court concludes that neither 42 U.S.C.
§ 405(j) nor the Due Process Clause of the Fifth
Amendment requires the Secretary to provide the
opportunity for an oral hearing prior to the initial
selection or continuation of a representative payee.
Given the procedures in effect for the determination
that a beneficiary is in need of a representative payee
and for the selection of a representative payee, this
Court finds that the risk that a representative payee
will be appointed who will not care for the welfare
of the beneficiary is slight and the provision for an
oral hearing prior to the selection of a payee will not
significantly reduce the risk of possible error. The
procedures provided sufficiently protect a benefici-
ary’s right to due process and further are in balance —
with the Government’s fiscal and administrative bur-
den. While this Court is sympathetic to plaintiffs’
claims, “procedural due process rules are shaped by
the risk of error inherent in the truth-finding process
as applied to the generality of cases, not the rare
exceptions.” Mathews v. Eldridge, supra, at page
344. Accordingly, this Court finds that the plaintiffs’
Cross-Motion for Summary Judgment with respect
to the provision of an oral hearing prior to the initial
selection or continuation of a payee should be and is
hereby DENIED and defendant’s Motion for Sum-
mary Judgment should be and is hereby GRANTED.

EE

34a

Mendatory Periodic Accountings

The defendant contends that due process does not
require mandatory periodic accountings by represen-
tative payees. Defendant states that there are more
than 5 million social security Seneficiaries in need of
representative payment and for whom a payee has
been selected and that an enormous fiscal and admin-
istrative burden would be created if each payee were
required to file periodic accounts with the Social Se-
curity Administration. In addition, defendant claims
that misuse in the rep payee program is limited to
.5% of the cases. Defendant contends that the com-
prehensive procedures for the determination of need
for representative payment and selection of a payee
in conjunction with discretionary accounting provide
adequate protection for the beneficiaries’ property in-
terest without creating an oppressive fiscal burden.

Defendant also contends that 42 U.S.C. § 405(j)
does not vest beneficiaries with a right to “receipt
and proper expenditure” of their benefits. Defendant
cites Watson v. Califano, 487 F.Supp. 179, 186 S.D.
N.Y. 1979), aff'd, 622 F.2d 577 (2nd Cir. 1980). In
Watson minor children of a disabled worker sued the
Secretary of Health, Education and Welfare to re-
cover disability benefits paid for their benefit to their
father as their representative payee. The court
stated

Because section 405 ( j) does not require any on-
going supervision or representative payees, and
because section 405(a) gives the Secretary full
power to promulgate any regulations which are
necessary or appropriate to carry out that sub-
chapter, “a court has quite literally no indicia
by which it may evaluate that exercise (of dis-

35a

cretion) and hence no power of review under
§ 701(a)(2).” Greater New York Hospital
Ass’n v. Mathews, supra, at 498.

If the Secretary’s actions were subject to re-
view, the failure over a five year period to en-
sure that the benefits would be used for the bene-
ficiaries would be found inexcusable. The lan-
guage of the regulations and the suspended por-
tions of the Social Security Claims Manual indi-
eates that the Social Security Administration
was keenly aware of the need to supervise rep-
resentative payees in order to protect benefici-
aries. In addition, the requirement of some type
of annual accounting would not have been an
undue burden on the Administration, but would
have been vorne by the representative payee re-
quired to prepare the submission. Even if the
Administration lacked the resources to review
the submission, or to verify them every third
year as provided by the Manual, the mere threat
of review and potential federal prosecution may
have been enough to induce Mr. Watson to use
the money for the benefit of his children.

* * * *

The situation here is a very unfortunate one,
but one for which there is no remedy for the
plaintiffs. Absent a broader jurisdictional grant
and a more stringent Congressional mandate, the
court is unable to impose upon the Secretary
duties and responsibilities beyond those required
in the statute.

Plaintiffs in Watson asserted that the jurisdiction of
the court was based on 42 U.S.C. § 405(g), see page
182. Apparently, the court was not presented with
a due process claim concerning the need for manda-

———

36a

tory periodic accounting nor was Watson a class-
action suit.

Plaintiffs contend that by definition, an individual
who has been determined correctly to need a repre-
sentative payee is not capable of monitoring or super-
vising the payee. Plaintiffs state that although de-
fendant maintains that its preliminary study shows
the rate of misuse of funds by payees to be only
5%, defendant also contends that an additional 1.3%
of payees in the small preliminary sample were
guilty of “improper” use, 20% of payees performed
in a manner less than satisfactory, 7.4°> of the cases
examined warranted a change of payee, 6.1% of the
~ayees kept inadequate records and another 17.9%
uf ne payees had at least minor inconsistencies in
their records. Plaintiffs state that their arguments
do not depend on a contention that the majority of
payees misuse funds; rather, plaintiffs contend that
the risk of misuse or of other improper use is real,
significant, and inherent in any representative pay-
ment system and that a recognition of such risk must
enter into any analysis of the proper conduct of the
representative payment program.

Plaintiffs further contend that using defendant’s
figures that the $9.7 million cash value of the 489
work-years saved by eliminating accounting and veri-
fication from the representative payee workload in
1979 divided by the 4,460,123 Social Security and
S.S.L beneficiaries who had representative payees re-
sulted in a savings of $2.17 per beneficiary in payee
status. Plaintiffs claim that not only is $2.17 a small
fraction of each beneficiary’s annual entitlement but
that accounting will negate much of the cost incurred
from payouts to representative payees not perform-
ing their duties satisfactorily.

ee er a

37a

Applying the factors in Mathews v. Eldridge,
supra, this Court again finds that the private interest
of beneficiaries in the receipt and proper use of social
security benefits is substantial. This Court also finds
that the risk of an erroneous deprivation of this in-
terest through the procedures used is great and the
probable value of mandatory accounting is substan-
tial. This Court also finds that the fiscal and admin-
istrative burdens that mandatory accounting would
entail would not be great.

In this class-action suit this Court has been pre-
sented with a due process claim concerning the need
for mandatory periodic accounting. This Court con-
cludes that the discretionary accounting procedures
now in effect do not provide due process to the social
security beneficiaries for whom representative payees
have been appointed. Accordingly, defendant’s Mo-
tion for Summary Judgment with respect to the pro-
vision for mandatory periodic accounting should be
and is hereby DENIED. Plaintiffs’ Cross-Motion for
Summary Judgment with respect to the provision for
mandatory periodic accounting should be and is
hereby GRANTED. Defendant is directed to imple-
ment appropriate mandatory periodic accounting pro-
cedures within one year from the date of this Order.

Administrative and Judicial Review
of Cla ims of Misuse

Defendant contends that neither the Social Secu-
rity Act nor the Fifth Amendment requires admin-
istrative and judicial review of a claim of misuse
made by a beneficiary against his representative
payee. Defendant contends that the Social Security
Act makes it clear that the payment of benefits pur-
suant to section 405(j) is “a complete settlement and

38a

satisfaction of any claim, right, or interest in and
to such payment.” Section 405(k) of the Act, 42
U.S.C. 405(k). No due process violation exists due
to failure of the Secretary to provide administrative
and judicial review of a determination on a misuse
claim because the claimant is deprived of nothing.
Accordingly, defendant contends, the Secretary is not
liable to the beneficiary for misuse by the rep payee
of the beneficiary’s funds; rather, if in fact a rep
payee has converted funds of the beneficiary, the
beneficiary can seek redress in state courts.

Plaintiffs contend that when an individual who
has discovered that his or her representative payee
misused benefits files a complaint of misuse with the
Secretary, the Secretary’s decision concerning misuse
of benefits is, as a practical matter, dispositive of
whether that individual will obtain redress of misuse
of benefits or remain permanently deprived of all or
part of the benefits to which he or she is entitled. If
the SSA finds that misuse has occurred, its policy is
to set in force various mechanisms in order to obtain
redress for the beneficiary. Plaintiffs further contend
that the Secretary’s refusal to provide a hearing on a
decision concerning misuse of benefits is that if a
decision of “no misuse” is made the mechanisms
available to the SSA for redress of misuse will not be
triggered and the beneficiary will have no further
practical remedy.

Applying the factors in Mathews v. Eldridge,
supra, this Court again finds that the private interest
of beneficiaries in the receipt and proper use of social
security benefits is substantial. However, this Court
finds that the risk of an erroneous deprivation of this
interest through the procedures used is small and the
probable value of administrative and judicial review

er ed

39a

of claims of misuse is not substantial. Additionally,
the fiscal and administrative burdens that adminis-
trative and judicial review of claims of misuse would
entail would be great. Accordingly, this Court finds
that the plaintiffs’ Cross-Motion for Summary Judg-
ment with respect to the provision of administrative
and judicial review of claims of misuse should be and
is hereby DENIED and defendant’s Motion for Sum-
mary Judgment should be and is hereby GRANTED.

In summary, after a review of the contentions of
the parties individually and as a whole to determine
the “multiple effect”, this Court finds that the defend-
ant’s Motion for Summary Judgment based upon its
claim of lack of jurisdiction should be and is hereby
DENIED; that the plaintiffs’ Cross-Motion for Sum-
mary Judgment with respect to the provision of an
oral hearing prior to the initial selection or continua-
tion of a payee should be and is hereby DENIED and
defendant’s Motion for Summary Judgment should be
and is hereby GRANTED with respect to this issue;
that the defendant’s Motion for Summary Judgment
with respect to the provision for mandatory periodic
accounting should be and is hereby DENIED and
plaintiffs’ Cross-Motion for Summary Judgment with
respect to the provision for mandatory periodic ac-
counting, should be and is hereby GRANTED; and
that the plaintiffs’ Cross-Motion for Summary Judg-
ment with respect to the provision of administrative
and judicial review of claims of misuse should be and
is hereby DENIED and defendant’s Motion for Sum-
mary Judgment should be and is hereby GRANTED
as it pertains to administrative and judicial review
of claims of misuse. Defendant is directed to comply
with this Order with respect to the provision for man-

40a

datory periodic accounting within one year from the
date of this Order.

IT IS SO ORDERED this 17th day of March, 1983.

/s/ Lee R. West
LEE R. WEST
United States District Judge

Entered In Judgment Docket
on 3-11-83

4la

APPENDIX E

IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF OKLAHOMA

CIV-79-994-W
JEANNE A. JORDAN, ET AL., PLAINTIFFS
Vs.

RICHARD S. SCHWEIKER, Secretary of Health and
Human Services, DEFENDANT

[Filed Mar. 26, 1984]

ORDER

This matter comes before the Court upon plaintiffs’
Motion for Order Enforcing Judgment. The parties
submitted written memoranda and presented oral
arguments on March 20, 1984.

On March 17, 1983, this Court directed the defend-
ants to implement appropriate mandatory accounting
procedures within one year in order to provide due
process to social security beneficiaries for whom
representative payees have been appointed. A judg-
ment was entered and the defendants appealed from
that judgment. Thereafter, defendant requested that
the appeal be dismissed and the Court of Appeals
granted the request.

The Social Security Administration (SSA) formu-
lated a plan which it contends complies with the

Fl on cst nie

42a

requirements of this Court’s Order. The plaintiffs
allege that the proposed plan does not comport with
this Court’s mandate. Briefly stated, SSA’s proposed
plan requires that a form be sent to a random sample
of ten percent payee repersentatives. After the forms
are returned to SSA, they would be evaluated and if
the answers provided by the representatives raised
any questions, personal contact would be made and
an additional form filled out.

Plaintiffs object to the proposed plan contending
that it is inadequate. According to the plaintiffs, the
form to be sent to the selected representative payees
(Form SSA-623) does not require the representative
payee to account for expenditures of social security
benefits. Plaintiffs further argue that all representa-
tive payees should be required to complete an account-
ing form annually. Lastly, the plaintiffs contend that
the Secretary’s procedure for the review of account-
ings is inadequate.

The defendant contends that the proposed plan is
both effective and efficient. According to the defend-
ant, Form SSA-623 is an initial form designed to be
an indicator of representative payee performance and
not a final accounting statement. The defendant fur-
ther contends that having a random sample of repre-
sentative payees complete Form SSA-623 is adequate
because SSA could not annually review accounting
forms from all representative payees. Requiring only
10 percent of the representative payees to complete
Form SSA-623 lessens needless paperwork for both
SSA and the representative payees. The defendant
also contends that the procedure for review of repre-
sentative payee accour. ng forms is adequate.

After considering the written submissions by the
parties and the oral arguments of counsel, the Court

43a

is persuaded that the substantial interest of Social
Security beneficiaries for whom representative payees
have been appointed can only be adequately protected
by requiring universal annual accountings. The Court
is net convinced, however, that the Form SSA-623
adopted by the defendant is inadequate as an initial
indicator of payee performance. The Court is mind-
ful of the limited information which may be gleaned
from this form, but the SSA-623 appears to be an
acceptable compromise between ease in understanding
and interpretation for the representative payees on
one hand, and the need for adequate safeguards on
the other. Additionally, a more complete accounting
on Form SSA-624 will be required when answers on
SSA-623 indicate thére is such a need.

At this time, it appears that the defendant’s pro-
posals for verifying information on Form SSA-623 is
adequate, and the Court is not dispoged to set a mini-
mum number of forms which must be verified. The
Court assumes, of course, that the defendants will
verify a reasonable number of forms in order to pro-
tect the social security beneficiaries’ interest.

Accordingly, it is the order of this Court that the
defendant take immediate steps to provide all repre-
sentative payees with SSA-623 forms and ensure the
completion and return of those forms. The def€ndant
is further ordered to implement or maintain reason-
able methods of verifying information submitted by
representative payees.

IT IS SO ORDERED this 26th day of March, 1984.

caw. Wie PRE WS hen bl i abe

s/ Lee R. West
LEE R. WEST
United States District Judge

e

e

Da wn

44a

APPENDIX F

IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF OKLAHOMA

CIV-79-994-W
JEANNE A. JORDAN, ET AL., PLAINTIFFS
Vs.

MARGARET HECKLER, Secretary
of Health and Human Services, DEFENDANTS

{Filed July 2, 1984]

ORDER

This matter comes before the Court upon Motion
to Amend by the defendant, the Secretary of Health
and Human Services. The plaintiffs have responded
in opposition to this motion.

By Order dated March 26, 1984, this Court ruled
that the Secretary’s proposed accounting program
was inadequate to comply with the Court’s summary
judgment ruling of March 17, 1983. The Court
determined that in order to protect all beneficiaries
for whom SSA has selected representative payees,
all such payees must be required to annually report
to the Secretary. The Secretary’s proposal form
SSA-623 was found to be an adequate initial indica-

tn th Ot

45a

tor of the propriety of the expenditure of the bene-
ficiary’s Social Security funds.

In her motion te amend, the Secretary has re-
quested that the required universal accounting be
waived for those beneficiaries who are institutional-
ized in the State facilities for the mentally ill and
mentally retarded for whom the State institutions
act as representative payee. As an alternative to the
annual completion of form SSA-623 for these bene-
ficiaries, the Secretary proposes the performance of
on-site inspections at these institutions. The on-site
review program was instituted in 1970 to monitor
the performance of State institutions as representa-
tive payees. These inspections include interviews
with staff members, review of the institution’s ex-
penditures and review of the institution’s records
for individual beneficiaries. The Social Security Ad-
ministration has implemented some changes in the
existing structure for conducting these on-site re-
views. The program proposed by the Secretary (the
Boston pilot program) significantly reduces the
amount of time the Social Security Administration
staff members spend at the institution and also
abolishes interviews with the beneficiaries. On the
other hand, the results of the inspection are made
immediately available to the institution’s administra-
tion instead of the lengthy delay under the old pro-
gram. These on-site inspections are to be conducted
at least once every three years.

The Secretary suggests that the revised on-site
review program provides meaningful information re-
garding the expenditure of funds for these institu-
tionalized beneficiaries. According to the Secretary,
the needs of beneficiaries confined to institutions are
distinct from those of other beneficiaries and are bet-

46a

ter addressed by a program specifically designed for
them.

In opposition to this motion, plaintiffs argue that
although an on-site review program might be an ac-
ceptable method of protecting institutionalized bene-
ficiaries, the program proposed by the Secretary is
inadequate. In particular, plaintiffs object to the
discontinuation of interviews with individual bene-
ficiaries and the lack of a requirement that each
institution be visited only once every three years.
Plantiffs contend that the institutions should be re-
quired to complete form SSA-623 for all patients.
According to plaintiffs, the institutions already
maintain all information for completing the form
so the additional burden on the institution would
be slight. Additionally, plaintiffs contend that re-
viewing these forms along with the institution’s in-
dividual patient accounts would provide adequate
protection for the institutionalized beneficiary.

The Court is persuaded that the distinct needs of
beneficiaries who are mentally ill or retarded and
institutionalized in state or federal institutions and
for whom the institution is the representative payee,
can be better met by an on-site program than by the
completion of form SSA-623. In order to adequately
protect the needs of institutionalized beneficiaries,
each institution acting as a representative payee
must be the subject of an on-site review at least once
every three years. The outline of the review con-
ducted in the Boston pilot program appears to be
adequate to protect the interests of these bene-
ficiaries. The immediate communication of the re-
sults of the review to the institution’s staff is par-
ticularly desirable. *

While the Court is somewhat concerned by the -
frequency of the on-site reviews and their duration,

a ee eC a ee

47a

it is also apparent that these reviews are not the
only evaluations of institutional performance which
are conducted. In addition to the on-site inspections
by reviewing teams, the district Social Security of-
fices monitor the institution’s performance as a rep-
resentative payee. State mental health agencies also
review the performance of institutions in providing
care to the beneficiaries. The highly regulated
nature of these institutions makes institutional mis-
appropriation of funds less likely than in the case of
individual representative payees.

Accordingly, it is the order of this Court that due
to the distinct posture of beneficiaries institutional-
ized in state and federal facilities for the mentally
ill and mentally retarded, the Secretary need not re-
quire the completion of form SSA-623 by institutions
acting as payee representatives for those institu-
tions. In lieu of this annual accounting procedure,
the Secretary will perform on-site inspections at
each of these institutions at least once every three
years, as well as providing continual monitoring by
district social security offices.

IT IS SO ORDERED this 2nd day of July, 1984.

/s/ Lee R. West
LEE R. WEST
United States District Judge

482
APPENDIX G

IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF OKLAHOMA

CIV-79-994-W

JEANNE A. JORDAN, ET AL., PLAINTIFFS
vs.

MARGARET HECKLER, Secretary
of Health and Human Services, DEFENDANT

[Filed Jan. 18, 1985]

ORDER

This matter comes before the Court upon defend-
ant’s Motion For An Indicative Ruling and For Re-
,lief From Judgment. This case is currently pending
before the United States Court of Appeals for the
Tenth Circuit, therefore this Court is without juris-
diction to rule on a motion for relief from judgment
pursuant to Rule 60(b). The Court will, however,
grant defendant’s motion for an indicative ruling
and advise the parties that were such a motion pre-
sented, it would be denied.

Factual Backaround

Only a brief narration of the facts of this lengthy

case is necessary in order to dispose of this motion.

49a

On March 17, 1983, this Court entered an order find-
ing, inter alia, that the due process clause of the
Fifth Amendment required that the Social Security
Administration implement mandatory, periodic ac-
counting procedures:

Applying the factors in Mathews v. Eldridge,
supra, this Court again finds that the private
interest of beneficiaries in the receipt and
proper use of social security benefits is substan-
tial. This Court also finds that the risk of an
erroneous deprivation of this interest through
the procedures used is great and the probable
value of mandatory accounting is substantial.
This Court also finds that the fiscal and admin-
istrative burdens that mandatory accounting
would entail would not be great.

In this class-action suit this Court has been
presented with a due process claim concerning
the need for mandatory periodic accounting.
This Court concludes that the discretionary ac-
counting procedures now in effect do not provide
due process to the social security beneficiaries
for whom representative payees have been ap-
pointed.

Order, March 17, 1983.

On March 26, 1984, this case was once more be-
fore the Court.’ At that time the Court was asked
to determine whether defendant’s plan to submit an
accounting form to only ten percent of payee repre-
sentatives was adequate to comply with the Court’s

. 1 Notice of appeal of the Court’s March 26, 1984, order was
filed by defendant on August 29, 1984. It is this appeal which
is currently pending before the United States Court of Ap-
peals for the Tenth Circuit.

| ee ee

50a

order. The Court found that the substantial interest
of Social Security beneficiaries for whom representa-
tive payees have been appointed could be adequately
protected only by requiring universal annual account-
ings.

The Secretary thereafter requested that the Court
amend its March 26, 1984, order so as to exempt
from the mandatory annual accountings State insti-
tutions which act as representative payees for bene-
ficiaries who are institutionalized in State facili-
ties. The Court did allow the Secretary to waive the
filing requirements of these representative payees.
However, the Court made it clear that its decision
to waive the annual accounting by these institutions
was due to the careful scrutiny these representative
payees receive from other sources:

While the Court is somewhat concerned by
the frequency of the on-site reviews and their
duration, it is also apparent that these reviews
are not the only evaluations of institutional per-
formance which are conducted. In addition to
the on-site inspections by reviewing teams, the
district Social Security offices monitor the
institution’s performance as a_ representative
payee. State mental health agencies also review
the performance of institutions in providing
care to the beneficiaries. The highly regulated
nature of these institutions makes institutional
misappropriation of funds less likely than in the
ease of individual representative payees.

Contentions of the Parties

In her motion, the Secretary argues that the Court
should indicate its willingness to grant a motion for
relief from judgment or order pursuant to Rule

5la

60(b), Fed. R. Civ. P. In support of her argument,
the Secretary relies on Rule 60(b) (6):

“On motion and upon such terms as are just,
the court may relieve a party or his legal repre-
sentative from a final judgment, order, or pro-
ceeding for the following reasons: ... (6) any
other reason justifying relief from the operation
of the judgment.”

Rule 60(b) (6), Fed. R. Civ. P. Defendant argues
that she is entitled to such relief due to the enact-
ment of Public Law No. 98-460. According to the
Secretary, that statute conflicts with the Court’s or-
der requiring mandatory annual accounting and the
order should, therefore, be amended to comply with
the statute.

In response plaintiffs argue that the Court has al-
ready determined that mandatory periodic account-
ing is required by the due process clause of the Fifth
Amendment. According to plaintiffs, this constitu-
tional requirement establishes a minimal requirement
of payee accountability which was not abrogated by
the enactment of Public Law No. 98-460.

Indicative Ruling

Normally, the filing of a notice of appeal deprives
the trial court of jurisdiction. The trial court does,
however, retain jurisdiction to consider how it would
rule on a Rule 60(b) motion. Aune v. Reynders, 344
F.2d 835, 841 (10th Cir. 1965). If the Court indi-
cates that it will grant the motion the movant may
then ask the Court of Appeals to remand the case,
thus avoiding the necessity of a ruling on the appeal.
Id. In order to expedite this already old case, the
Court will grant defendant’s motion for an indica-
tive ruling.

52a

The Court must, however, agree with plaintiffs’
argument that defendant is not entitled to relief
from judgment.

The Social Security Disability Benefits Reform
Act of 1984, Public Law No. 98-460, was enacted on
Octoebr 9, 1984. Section 16 of Public Law No. 98-
460 provides the following:

Sec. 16.(a) Section 205(j) of the Social Se-
curity Act is amended by inserting “(1)” after
“(j)” and by adding at the end thereof the fol-
lowing new paragraphs:

* * * - *

(3)(A) In any case where payment under
this title is made to a person other than the
individual entitled to such payment, the Secre-
tary shall establish a system of accountability
monitoring whereby such person shall report not
less often than annually with respect to the use
of such payments. The Secretary shall establish
and implement statistically valid procedures for
reviewing such reports in order to identify in-
stances in which such persons are not properly
using such payments.

(B) Subparagraph (A) shall not apply in
any case where the other person to whom such
payment is made is a parent or spouse of the
individual entitled to such payment who lives in
the same household as such individual. The Sec-
retary shall require such parent or spouse to
verify on a periodic basis that such parent or
spouse continues to live in the same household
as such individual.

(C) Subparagraph (A) shall not apply in
any case where the other person to whom such
payment ‘s made is a State institution. In such

53a

cases, the Secretary shall establish a system of
accountability monitoring for institutions in
each State.

(D) Subparagraph (A) shall not apply in
any case where the individual entitled to such
payment is a resident of a Federal institution
and the other person to whom such payment is
made is the institution.

(E) Notwithstanding subparagraphs (A),
(B), (C), and (D), the Secretary may require
a report at any time from any person receiving
payments on behalf of another, if the Secretary
has reason to believe that the person receiving
such payments is misusing such payments...

Section 16(b) of Public Law No. 98-460 amends
Section 1631(a)(2) of the Social Security Act by
adding the same requirements as those in Section
16(a) for payments made to representative payees
under Section 1631(A) (2).?

As defendant notes, the amendments in Section 16
differ in two respects from the requirements set out
in this Court’s orders, e.g., (1) representative payees
who are parents or spouses of the beneficiary and
who are living in the same household with the bene-
ficiary need only verify the continuation of that liv-
ing arrangement and are not required to file an an-
nual accounting; and (2) Federal institutions are
exempt from accounting.

2 Implicit in Congress’ exception for spouses and parents
who live in the same house is the assumption that a repre-
sentative payee who is closely related to the beneficiary need
not be monitored as closely as others. The Court directs the
readers attention to the original complaint in this case in
which the named plaintiff, Jeanne Jordan, challenged the
propriety of her sister’s actions while her sister acted as
Jordan’s representative payee.

54a

Defendant has not offered any evidence that the
due process requirements relied upon by this Court in
its prior orders have been satisfied. The Court quite
specifically ruled in its March 17, 1983, order that
due process required mandatory periodic accounting
by payee representatives. While the Court is well
aware of the deference usually given Congressional
actions, the fact that Congress has enacted some re-
forms does not change the constitutional require-
ments. The only way by which the Secretary can
avoid the mandatory annual accounting is to estab-
lish that beneficiaries’ due process rights are being
adequately provided through some alternative means.
The Court’s finding that due process was being pro-
vided in the case of institutional beneficiaries was the
basis for the Court’s allowing the Secretary to waive
an accounting by State institutions under certain cir-
cumstances. However, no such showing has been
made for either of the two categories set out above.
Beneficiaries in these two categories have the same
rights under the due process clause as do all other
beneficiaries for whom representative payees have
been appointed.

Defendant shouid not read this order as an invi-
tation to present further evidente on the two cate-
gories of beneficiaries above. The Court is aware
that with a case of such magnitude it is difficult to
anticipate all questions which may arise in imple-
menting a program such as here prescribed. How-
ever, the Secretary has had several chances to pre-
sent the necessary evidence and has failed to do so.
The Court will not indefinitely delay the termination
of this case to allow the Secretary to present evidence
which could have been presented at least ten months
ago.

55a

Accordingly, it is the order of this Court that de-
fendant’s Motion For An Indicative Ruling should be
and hereby is GRANTED. The Court has determined

that it could not grant a Rule 60(b) motion were
such motion presented.

IT IS SO ORDERED this 18th day of January,
1985.

/s/ Lee R. West
LEE R. WEST
United States District Judge

56a

APPENDIX H

UNITED STATES COURT OF APPEALS
TENTH CIRCUIT

No. 84-2226
JEANNE A. JORDAN, ET AL., PLAINTIFFS-APPELLEES
Vv.

OTIS T. BOWEN, Secretary of Health and
Human Services, DEFENDANT-APPELLANT

Appeal from the United States District Court
For the Western District of Oklahoma

(D.C. No. CIV-79-994-W)

[Viled Jan. 5, 1987]

Before HOLLOWAY, Chief Judge, and BALDOCK
and MeWILLIAMS, Circuit Judges.

MeWILLIAMS, Circuit Judge.

Under the Social Security Act, a “representative
payee” appointed by the Secretary of Health and

57a

Human Services receives benefits for the use of a
“beneficiary” unable to manage his or her own af-
fairs. 42 U.S.C. §$405(j) and 1383(a)(2). The
individual plaintiffs brought the present action in
September, 1979, against the Secretary, seeking,
inter alia, to compel the Secretary to adopt a plan
calling for mandatory periodic accounting by such
representative payees. There are approximately 5.5
million Title II and Title XVI beneficiaries in repre-
sentative payment status.

In September, 1980, the district court certified a
nationwide plaintiff class consisting of all recipients
of Social Security benefits (Title I1) and Supple-
mental Security Income (Title XVI) who then had
a representative payee or had such a payee within
six years prior to the filing of the action. Discovery
ensued, and thereafter the plaintiffs and the defend-
ant filed motions for summary judgment.

On March 17, 1983, the district court ruled against
the plaintiffs on all issues raised by the motions for
summary judgment except the one that precipitates
the present appeal. In this latter regard, the district
court held that due process requires mandatory peri-
odie accounting by representative payees and ordered
the Secretary to “implement appropriate mandatory
periodic accounting procedures within one year from
the date of this Order.” Both parties appealed from
this order. The Secretary later moved to dismiss his
appeal, which motion was granted and his appeal
was dismissed. The plaintiffs’ cross-appeal continued
and was later heard by a panel of this Court, which
affirmed that portion of the order of the district court
which the plaintiffs appealed. Jordan v. Heckler, 744
F.2d 1397 (10th Cir. 1984).

On February 1, 1984, plaintiffs filed a motion to
enforce the judgment and order of March 17, 1983.

58a

proposed accounting program for representative pay-

The Secretary, in \ meantime, had developed a

ees, which, in essendy, included notification to all
representative payees that they must maintain rec-
ords regarding the use of benefits received and that
they might be required to account for the use of
these benefits. Further, under the proposed plan,
there would be an annual selection of 10 percent of
these representative payees for an actual accounting
and a follow-up verification for those payees who did
not respond to the request for an accounting or those
response was inadequate."

The plaintiffs objected to the Secretary’s proposed
plan, and the district court, after hearing, on March
26, 1984, rejected the proposed plan, holding, .in es-
sence, that due process required that all representa-
tive payees make a periodic accounting. Specifically,
the district court ordered the Secretary to take “im-
mediate steps to provide all representative payees
with SSA-623 forms and ensure the completion and
return of those forms. The defendant is further or-
dered to implement or maintain reasonable methods
of verifying information submitted by representative

”2

payees.

1We do not know whether a formal proposed accounting
program was actually submitted to the district court. How-
ever, the essentials of the p-ogram were outlined in docu-
ments filed with the district court and inc'uded in the record
on appeal. As proposed, the plan would have resulted in
annual accountings for approximately 550,000 beneficiaries
whose payments were made through representative payees.

2SSA Form-623 was an initial form designed to be an
indicator of representative payee performance. Based on the
payee’s responses or non-responses, the form could trigger
Form SSA-624, which would require more detailed expendi-
tures information and involve a home visit and interviews.

59a

The Secretary filed a notice of appeal from the
district court’s order of March 26, 1984.° That ap-
peal was dismissed by this Court as being premature
since a motion under Fed. R. Civ. P. 59 was then
pending in the district court. On July 2, 1984, the
district court granted the Rule 59 motion and
amended its earlier order of March 26, 1984, to the
end that the Secretary need not require the completion
of form SSA-623 by institutions acting as repre-
sentative payees for mentally ill and mentally re-
tarded beneficiaries within their institutions, the dis-
trict court believing that an on-site inspection of such
institutions was sufficient.‘ On August 29, 1984, the
Secretary again filed a notice of appeal from the dis-
trict court’s order of March 26, 1984, as amended
by its order of July 2, 1984. A stay of the district
court’s order, as amended, was granted by another
panel of this Court.

On October 9, 1984, the Social Security Disability
Benefits Reform Act of 1984, Pub. L. No. 98-460,
98 Stat. 1794, became law. Section 16 of this Act
provides for monitoring of all representative payees
through, inter alia, an accounting program. The stat-
ute, however, exempts from the accounting program
all representative payees whose beneficiaries are
their children or their spouse and who live in the
same household as the representative payee. We are
advised that the Secretary, while the present appeal

3 We express no opinion as to whether the district court’s
order of March 26, 1984, is a final judgment. From the record
before us it is difficult to tell.

* The district court ordered that institutions acting as rep-
resentative payees must undergo on-site reviews by the Sec-
retary at least once every three years; further, continual
monitoring by district Social Security offices must be provided.

60a

was pending in this Court, filed a motion in the dis-
trict court for an “Indicative Ruling” and Relief
from Judgment, asserting that the new statutory ac-
counting requirements were adequate and thus the
district court’s earlier order was unnecessary.’ In
connection with that motion, the district court, by
order of January 18, 1985, recognized that it had no
jurisdiction to grant relief from judgment under
Fed. R. Civ. P. 60(b) since an appeal was then pend-
ing in this Court. However, the district court, citing
Aune v. Reynders, 344 F.2d 835 (10th Cir. 1965),
“indicated” that it would not grant any relief from
judgment on the grounds urged by the Secretary, Le.,
the intervening Act of Congress. In thus indicating,
the district court opined that the 1984 Act of Con-
gress did not measure up to the requirements of due
process, and that due process required some form of
mandatory periodic accounting by a/l representative
payees, excepting only institutions acting as repre-
sentative payees.

The present appeal is from the district court’s or-
der of March 26, 1984, as amended by its order of
July 2, 1984. Appellate procedure requires that an
appellant's brief shall contain an argument with ap-
pellant’s contentions with respect to the issues pre-
sented, and the reasons therefor, with citations to
the authorities, statutes and parts of the record re-
lied on. Fed. R. App. P. 28(a)(4). Appellants who
fail to argue the issue in their brief are deemed to
have waived their contention on appeal. Bledsoe v.
Garcia, 742 F.2d 1237, 1244 (10th Cir. 1984).

In this Court, the Secretary makes no attack, as
such, on the March 26 order of the district court.

* The motion is not included in the record before us. Hence,
we do not know its contents.

6la

In other words, the Secretary in the present appeal
makes no argument that an annual accounting by 10
percent of the representative payees meets due proc-
ess. Accordingly, the Secretary has, in a real sense,
abandoned any challenge to the order from which the
appeal is taken. In such circumstance, the appeal
should be dismissed.

However, the Secretary, in the present appeal, at-
tempts to challenge, and vigorously so, the district
court’s so-called indicative order of January 18,
1985. In this connection, the Secretary argues that
the 1984 Act of Congress is constitutional, i.e., it is
not violative of due process even though because of
its exceptions it does not require mandatory periodic
accounting by all representative payees, and that the
Act therefore controls. We do not regard that par-
ticular matter to be before us in the present appeal.

In its order of January 18, 1985, the district court
relied on Aune v. Reynders, 344 F.2d 835 (10th Cir.
1965) as authority for its consideration of the Sec-
retary’s motion for relief from judgment. In Aune,
at page 841, this Court spoke as follows:

In ordinary civil cases the rule is that after an
appeal has been taken the district court retains
jurisdiction to consider and deny a Rule 60(b)
motion and, if it indicates that it will grant the
motion, the movant may then ask the Court of
Appeals to remand the case so that the district
court may act. If the motion is denied, the
movant may appeal from the order of denial.

In its order of January 18, 1985, the district
court purported to “grant” the Secretary's motion
for an indicative ruling, but, at the same time, the
district court also clearly stated that it would nof

62a

grant the Secretary any relief from the judgment
entered on March 26, 1984. Although such does not
comport precisely with the language from Avne
above cited, the effect of the district court’s order of
January 18, 1985, was, and clearly so, to deny the
Secretary any relief from judgment." From our
search of the record before us, no appeal was taken
by the Secretary from the district court’s order of
January 18, 1985. Therefore, the correctness of that
particular order is not before us by direct appeal
and cannot somehow be rejected into the appeal from
the district court’s order of March 26, 1984.

This appeal is dismissed.

* This Court in Aune cited Greear v. Greear, 288 F.2d 466
(9th Cir. 1961). In Greear, the Ninth Circuit commented as
follows:

In such circumstances the proper procedure is for ap-
pellant to file its rule 60(b) motion in the district court.
If that court indicates that it will grant the motion, ap-
pellant should then make a motion in this court for a
remand of the case in order that the district court may
grant such relief, following which a supplemental record
showing such proceedings may be filed in this court.
Appellant may appeal from an order of the district court
denying the rule 60(b) motion, and appellee may appeal
from an order of the district court granting such relief,
any such appeal to be consolidated with the pending
appeals. Citing Binks Mfg. Co. v. Ransburg Electro-
Coating Co., 281 F.2d 252, 260-61 (7th Cir. 1960) ; Ferrell
v. Trailmobile, Inc., 223 F.2d 697, 699 (5th Cir. 1955);
Smith v. Pollin, 194 F.2d 349-350, (D.C. Cir. 1952).

63a
APPENDIX I

UNITED STATES COURT OF APPEALS
TENTH CIRCUIT

Nos. 83-1636, 84-1438

JEANNE A. JORDAN, individually, and on behalf
of all other persons similarly situated,
PLAINTIFF-APPELLANT

v.
MARGARET M. HECKLER, individually, and in her offi-

cial capacity as Secretary of the Department of
Health and Human Services, DEFENDANT-APPELLEE

JEANNE A. JORDAN, individually, and on behalf
of all other persons similarly situated,
PLAINTIFF-APPELLEE

v.
MARGARET M. HECKLER, individually, and in her offi-

cial capacity as Secretary of the Department of
Health and Human Services, DEFENDANT-APPELLANT

Sept. 24, 1984
Rehearing Denied Jan. 22, 1985

in No. 84-1438

64a

Before SETH, Chief Judge, and DOYLE and
SEYMOUR, Circuit Judges.

SETH, Chief Judge.

The Social Security Act at 42 U.S.C. § 405(j) pro-
vides that benefits under certain circumstances may
be paid directly to the applicant or to a representa-
tive for the benefit of the applicant. Thus:

“When it appears to the Secretary that the inter-
est of an applicant entitled to a payment would
be served thereby, certification of payment may
be made, regardless of the legal competency or
incompetency of the individual entitled thereto,
either for direct payment to such applicant, or
for his use and benefit to a relative or some other
person.”

The “certification” is the significant act of the Sec-
retary in this context. Procedures have been estab-
lished to determine the “need” for a representative
and “‘who” it should be with notice to the claimant.

The trial court concluded that the procedure was
adequate under the statute and met due process re-
quirements after making the evaluation under
Mathews v. Eldridge, 424 U.S. 319, 96 S.Ct. 893,
47 L.Ed.2d 18, and Tidwell v. Schweiker, 677 F.2d
560 (7th Cir.). This issue was considered by this
court in McGrath v. Weinberger, 541 F.2d 249 (10th
Cir.).

Thus, this is the approved procedure for the deter-
mination of “need” and who is to act as a representa-
tive. The plaintiffs in the trial court contested this
issue asserting that more was required. However,
they did not pursue their appeal on this issue. Their
appeal or cross-appeal is now directed only to claims

65a

that the person selected as a representative as above
described has misapplied the funds.

In this context we should first note a significant
and basic statutory provision in 42 U.S.C. § 405(k)
which relates to the remaining issue of misuse. This
subsection reads in part:

“Any payment made after December 31, 1939,
under conditions set forth in subsection (j), any
payment made before January 1, 1940, to, or on
behalf of, a legally incompetent individual, and
any payment made after December 31, 1939, to
a legally incompetent individual without knowl-
edge by the Secretary of incompetency prior to
certification of payment, if otherwise valid under
this title, shall be a complete settlement and sat-
isfaction of any claim, right or interest in and
to such payment.”

Under the statute the payment to the representative
discharges the Secretary from any further obligation
“as to such payment.” The plaintiffs thus challenge
the procedure followed by the Secretary in handling
claims made by beneficiaries (or for them) of misuse
of funds by the representative certified to receive
payment as above described. The plaintiffs urge that
uuder 42 U.S.C. § 405(b) there should be a hearing
and review when such a claim of misuse is made.
The Secretary’s position and the regulations promul-
gated under § 405(b) is that only actions which pre}-
udice the claimant’s rights specifically provided in
the Act trigger an administrative hearing and judi-
cial review. These actions are described as “initial
determinations” in the regulations. Claims as to a
representative’s misuse of funds are not within that
category under the regulations. See Califano v. San-

66a

ders, 430 U.S. 99, 97 S.Ct. 980, 51 L.Ed.2d 192. The
claimant’s right to payments under § 405(j) is es-
tablished by the certification of payment to the rep-
resentative.

Under existing procedure the agency examines the
objection and makes a decision to request restitution
or to take no action. There is no “hearing” on the
claim. Again, the Secretary has discharged her duty
upon certification and payment. A claim may be the
basis. for a change in the representative, but this
does not have any consequences as to the dollars.
There is an adequate remedy for impairment of the
free use of benefits. McGrath v. Weinberger, 541
F.2d 249 (10th Cir.).

The only action that the agency can take if there
appears to be a misapplication of funds by the payee
is to “request” restitution and refer the incident to
the General Accounting Office. Claims of this nature
in this appeal have no relation whatsoever to a ter-
mination of benefits or to the dollars from the
agency. The claims could however go against the
representative as an individual with state law reme-
dies available. The regulations provide procedures
for change of representatives. Requests for a change
of representative may be made at any time. The trial
court on this matter of claims of misuse of funds
again made an analysis under Mathews v. Eldridge,
424 U.S. 319, 96 S.Ct. 893, 47 L.Ed.2d 18, and we
agree that the circumstances do not warrant the
treatment of such claims as an initial determination.

As we have seen, a hearing on claims of misuse
would add no statutorily required nor due process
procedures. The trial court ordered that the agency
require, beginning at a date in the future, periodic
accountings by the representatives. The Secretary

67a

apparently has agreed to do this. The accountings
would in no way change the legal nature of the pro-
ceedings taken on misuse complaints under the Act
or as to due process nor add requirements.

We express no opinion as to whether accountings
can be required under the Act or for due process
reasons.

The judgment of the trial court is affirmed as to
its disposition of ail issues except the one relating to
accountings by representatives which is not consid-
ered to be an issue on this appeal.

IT IS SO ORDERED.
84-1438

This is an appeal by the Government (consolidated
with No. 83-1636) of an Order which assessed attor-
ney fees against it in the amount of $76,159.20 under
the Equal Access to Justice Act (28 U.S.C. § 2412).
The suit challenged the procedure whereby repre-
sentatives are selected to receive payments on behalf
of Social Security benefit recipients, whether such
representatives should be required to make periodic
accountings, and how complaints of misuse of funds
should be handled.

The portion of the case which was appealed is set
forth above in No. 83-1636, Jordan v. Heckler.

In this appeal the Government asserts that the trial
court was in error in using, at least in part, 28
U.S.C. § 2412(b) of the Act, and so placing reliance
on a common fund or common benefit theory. The
Government also challenges the ‘exceptional success”
determination by the trial court as it was applied to
decide compensable hours in view of the plaintiffs’
success on but one out of the three claims advanced.

68a

The issue whether the several claims were related or
unrelated for this purpose is also raised.

We must conclude that the doctrines arising from
traditional practice in equity of common fund or
common benefit included in 18 U.S.C. § 2412(b) are
not applicable to this case. The trial court referred
to and used § 2412(b) in its analysis and order. The
court in part said: “[J]urisdiction over the subject
matter of this suit makes possible an award that will
operate to spread the costs proportionately among
each of these beneficiaries.”

An award of fees against the Secretary does not
have such a consequence. If the award is taken from
the Social Security Trust Fund it will not in any
way reduce the payments to Social Security recipi-
ents in representative status. The Trust Fund comes
from Social Security taxes on all workers and from
general Treasury funds. Is is simply an award
against the Government or all persons who pay Social
Security taxes and is not related or restricted to
those who number some four million.

This situation thus does not resemble the suit
against the union in Hall v. Cole, 412 U.S. 1, 93 S.Ct.
1948, 36 L.Ed.2d 702, nor the shareholder derivative
cases such as Mills v. Electric Auto-Lite Co., 396 U.S.
375, 90 S.Ct. 616, 24 L.Ed.2d 5938, the issue in
Sprague v. Ticonic Nat’l Bank, 307 U.S. 161, 59 S.Ct.
777, 83 L.Ed. 1184, nor the pension fund in Kiser v.
Huge, 517 F.2d 1275 (D.C.Cir.).

In Mills the court determined that with the fees
paid by the corporation, the benefits of the merger
suit would be proportionately spread among the
shareholders which was the group benefited. In the
union case, Hall v. Cole, 412 U.S. 1, 93 S.Ct. 1943,
36 L.Ed.2d 702, the benefits under the disclosure act
obtained by the action accrued to each union member

69a

and payment out of union funds according to the
Court “shift[s] the costs of litigation to ‘the class
that has benefited ....’” Thus the costs are spread
among the group members who have benefited and
spread in a reasonable and fair manner. The “spread-
ing” of the burden in the case before us was not
among the group which was benefited but placed on a
much larger group, most of whom had no interest.

Of course, the basic considerations are expressed
by the Court in Alyeska Pipeline Co. v. Wilderness
Society, 421 U.S. 240, 95 S.Ct. 1612, 44 L.Ed.2d 141,
where reference in a note is made to its previous
opinions:

“In this Court’s common-fund and common-
benefit decisions, the classes of beneficiaries were
small in number and easily identifiable. The
benefits could be traced with some accuracy, and
there was reason for confidence that the costs
could indeed be shifted with some exactituue to
those benefiting.”

There is no way in the case before us that with the
fees assessed against the Secretary there was any
allocation to those four million recipients with repre-
sentative payees if they were the parties benefited.

Thus again in Boeing Co. v. Van Gemert, 444 U.S.
472, 100 S.Ct. 745, 62 L.Ed.2d 676, the Court said
after discussing the common fund cases and the
origin of the doctrine:

“The doctrine rests on the perception that per-
sons who obtain the benefit of a lawsuit without
contributing to its cost are unjustly enriched at
the successful litigant’s expense.”

And:

70a

“Jurisdiction over the fund involved in the liti-
gation allows a court to prevent this inequity by
assessing attorney’s fees against the entire fund,
thus spreading fees proportionately among those
benefited by the suit.”

The Court in Boeing also refers to the statements in
Alyeska where shifting of fees was appropriate. Thus
where the classes benefited were “small in number
and easily identifiable,” the “benefits could be traced
with some accuracy,” where the shifting could be
accomplished, “with some exactitude to those bene-
fiting.” Thus the fees here considered can properly
be assessed only under § 2412(d) which in part pro-
vides that the court shall award fees unless it finds
that “the position of the United States was substan-
tially justified or that special circumstances make an
award unjust.” A maximum per hour rate is speci-
fied. The fees are to be “reasonable” and based on
the “prevailing market rate.” The “reasonable” pro-
viso would seem to draw into the consideration of
fees the opinions under other statutes wherein the
reasonable standard is expressly provided.

As the opinion on the merits indicates, the plain-
tiffs advanced three claims and they prevailed on one
—that representatives should be required to file peri-
odie accountings. The claim for a hearing before a
representative was designated and was lost as was a
claim for a hearing on claims made against repre-
sentatives for misuse of funds.

Plaintiffs’ success was partial. The trial court de-
termined that plaintiffs were the prevailing parties
apparently based on the accounting claim. This ap-
pears to be a close question. We cannot say however
that the trial court abused its discretion. The Secre-
tary had some years before instituted an accounting
requirement although of a limited scope. This was

Tla

dropped, according to the record, because of budget
limitations. During the same period as the litigation
was underway a study was being conducted as to
the need for accountings. This study was completed
and filed with the court. It concluded that account-
ings were necessary. The Secretary did not appeal
the trial court’s order as to accounting, and indicated
that it agreed with it. The Secretary asserts in this
appeal that she did not oppose in principle the ac-
counting claim in the trial court. The trial court’s
original order was in general terms.

We have considered various aspects of attorney
fees claims under several statutes in Cooper v. Singer,
719 F.2d 1496 (10th Cir.), Ramos v. Lamm, 713 F.2d
546 (10th Cir.), Gurule v. Wilson, 635 F.2d 782
(10th Cir.), Battle v. Anderson, 614 F.2d 251 (10th
Cir.), and in Francia v. White, 594 F.2d 778 (10th
Cir.), and other cases.

The Supreme Court in Hensley v. Eckerhart, 461
U.S. 424, 103 S.Ct. 1933, 76 L.Ed.2d 40, shortly be-
fore our decision in Ramos v. Lamm, laid down the
basic considerations. The Court in March of this
year in Blum v. Stenson, USS. , 104 S.Ct.
1541, 79 L.Ed.2d 891, in a 42 U.S.C. § 1988 claim,
set forth most if not all of the basic standards. It
also contains a strong message for the simplification
of the analysis. Blum also describes the assumptions
or presumptions now to be applied to the typical ele-
ments. For example, the novelty and complexity are
“reflected” in the number of hours; the “skill” ele-
ment and “quality” are reflected in the reasonable-
ness of the rates. The Court also there states that
“results” are subsumed in other factors used to calcu-
late a reasonable fee.” Further, in Blum the Court
said: “Nor do we believe that the number of persons
benefited is a consideration of significance in calculat-

72a

ing fees under § 1988.” (Emphasis in original.)
Apparently the only element not treated in Blum was
that of “risk” of loss.

Blum, of course, starts with the position (as in
Hensley) that the prevailing market rate times rea-
sonable hours should produce a reasonable fee. The
inference in Blum is that a strong showing is re-
quired for a variation.

Blum also for our purposes repeats the “excep-
tional success” formulation. Thus:

“In sum, we reiterate what was said in Hensley:
‘where a plaintiff has obtained excellent results,
his attorney should recover a fully compensatory
fee. Normally this will encompass all hours rea-
sonably expended on the litigation, and indeed in
some cases of exceptional success an enhance-
ment award may be justified.’ Hensley, [461]
U.S., at [435] [103 S.Ct., at 1940].”

We understand the “excellent results” pertain to the
entire litigation—considering it as a whole.

The court here decided that the plaintiffs had ob-
tained “excellent results” although they did not pre-
vail on all their claims. We do not know whether we
would have arrived at the same conclusion, but we
cannot say that the trial court abused its discretion.
The trial court made a finding that the Government’s
position was not substantially justified, and we find
no abuse of discretion on this point.

Thus the fees should be computed on all the hours
reasonably expended in the litigation by plaintiffs’
counsel within the statutory limitation on the hourly
rate since no special circumstances have been found
to exist. The trial court made no determination.

The case (84-1438) is remanded for a determina-
tion of fees as provided herein. IT IS SO OR-
DERED.

ee |

ee

73a

APPENDIX J

UNITED STATES COURT OF APPEALS
TENTH CIRCUIT

No. 84-2226

JEANNE A. JORDAN, individually and on behalf of
all other persons similarly situated,
PLAINTIFF-APPELLEE

vs.

Otis R. BOWEN, individually and in his official ca-
pacity as Secretary of the Department of Health
and Human Services, DEFENDANT-APPELLANT

June 19, 1987

Before Honorable William J. Holloway, Jr., Honor-
able Robert H. McWilliams, Honorable Monroe G.
McKay, Honorable James K. Logan, Honorable Step-
hanie K. Seymour, Honorable John P. Moore, Hon-
orable Stephen H. Anderson, Honorable Deanell R.
Tacha and Honorable Bobby R. Baldock, Circuit
Judges

The court has for consideration in the captioned
case:

1. Appellee’s motion to vacate the court’s April 16,
1986 order staying orders of the United States Dis-

T4a

trict Court for the Western District of Oklahoma
pending appeal and appellant’s response.

2. Appellant’s petition for rehearing and sugges-
tion for rehearing en banc, appellee’s memorandum
in opposition thereto, and appeliant’s motion to stay
action on the petition for rehearing.

3. Appellant’s letter of April 27, 1987, and ap-
pellee’s motion to strike that letter.

Upon consideration whereof, the hearing panel,
consisting of Judges Holloway, McWilliams and Bal-
dock, denies appellee’s motion to strike and orders
appellant’s April 27, 1987 letter docketed and in-
cluded in the case file.

The hearing panel further denies appellants’ mo-
tion to stay action on the petition for rehearing and
hereby denies the petition for rehearing.

The petition for rehearing having been denied by
the panel to whom the case was argued and sub-
mitted, and no member of the panel nor judge in
regular active service on the Court having requested
tha. the Court be polled on rehearing en banc, Rule
35, Federal Rules of Appellate Procedure, the sug-
gestion for rehearing en banc is denied.

Issuance of the mandate on June 29, 1987, pur-
suant to Fed.R.App.P. 41(a) will automatically ter-
minate the stay entered on April 16, 1986, and will
render appellee’s motion to vacate the stay moot.

‘'s/ Robert L. Hoecker
ROBERT L. HOECKER
Clerk

T5a
APPENDIX K

UNITED STATES COURT OF APPEALS
TENTH CIRCUIT

No. 84-2226

JEANNE A. JORDAN, individually and on behalf of
all other persons similarly situated,
PLAINTIFFS-APPELLEES

v.

Otis T. BOWEN, Secretary of Health and
Human Services, DEFENDANT-APPELLANT

April 16, 1986

Before Honorable John P. Moore and Honorable
Deanell R. Tacha, Circuit Judges, United States
Court of Appeals

This matter is before the court on appellees’ mo-
tion to dismiss the appeal for lack of jurisdiction and
appellant’s motion for stay pending appeal.

Upon consideration thereof, it is ordered that the
motion to dismiss is denied.

It is further ordered that orders of the United
States District Court for the Western District of
Oklahoma in case No. CIV 79-994-W entered March
26, 1984, and July 2, 1984, are stayed during the
pendency of this appeal. It is further ordered that
appellees’ answer brief shall be filed and served
within thirty days of the date of this order.

/s/ Robert L. Hoecker
ROBERT L. HOECKER
Clerk

76a
APPENDIX L

STATUTORY PROVISIONS INVOLVED

1. Section 205(j) of the Social Security Act, as
amended by Section 16 of the Social Security Dis-
ability Benefits Reform Act of 1984, Pub. L. No.
98-460, 98 Stat. 1809, and as coidfied at 42 U.S.C.
(Supp. III) 405(j), provides:

Certification for direct or indirect payment; in-
vestigation; accountability monitoring; excep-
tions; reports to Congress

(1) When it appears to the Secretary that
the interest of an applicant entitled to a pay-
ment would be served thereby, certification of
payment may be made, regardless of the legal
competency or incompetency of the individual
entitled thereto, either for direct payment to
such applicant, or for his use and benefit to a
relative or some other person.

(2) An certification made under paragraph
(1) for payment to a person other than the in-
dividual entitled to such payment must be made
on the basis of an investigation, carried out
either prior to such certification or within forty-
five days after such certification, and on the
basis of adequate evidence that such certification
is in the interest of the individual entitled to
such payment (as determined by the Secretary
in regulations). The Secretary shall ensure that
such certifications are adequately reviewed.

(3)(A) In any case where payment under
this subchapter is made to a person other than
the individual entitled to such payment, the Sec-

Te

77a

retary shall establish a system of accountability
monitoring whereby such person shall report not
less often than annually with respect to the use
of such payments. The Secretary shall establish
and implement statistically valid procedures for
reviewing such reports in order to identify in-
stances in which such persons are not properly
using such payments.

(B) Subpargraph (A) shall not apply in any
case where the other person to whom such pay-
ment is made is a parent or spouse of the indi-
vidual entitled to such payment who lives in the
same household as such individual. The Secre-
tary shall require such parent or spouse to verify
on a periodic basis that such parent or spouse
continues to live in the same household as such
individual.

(C) Subparagraph (A) shall not apply in
any case where the other person to whom such
payment is made is a State institution. In such
cases, the Secretary shall establish a system of
accountability monitoring for institutions in
each State.

(D) Subparagraph (A) shall not apply in
any case where the individual entitled to such
payment is a resident of a Federal institution
and the other person to whom such payment is
made is the institution.

(E) Notwithstanding subparagraphs (A),
(B), (C), and (D), the Secretary may require
a report at any time from any person receiving
payments on behalf of another, if the Secretary
has reason to believe that the person receiving
such payments is misusing such payments.

(4)(A) The Secretary shall make an initial
report to each House of the Congress on the im-

78a

plementation of paragraphs (2) and (8) within
270 days after October 9, 1984.

(B) The Secretary shall include as a part of
the annual report required under section 904 of
this title, information with respect to the imple-
mentation of paragraphs (2) and (3), including
the number of cases in which the payee was
changed, the number of cases discovered where
there has been a misuse of funds, how any such
cases were dealt with by the Secretary, the final
disposition of such cases, including any criminal
penalties iniposed, and such other information as
the Secretary determines to be appropriate.

2. Section 1631(a) (2) of the Social Security Act,
as amended by Section 16 of the Social Security Dis-
ability Benefits Reform Act of 1984, Pub. L. No.
98-460, 98 Stat. 1809-1810, and codified at 42 U.S.C.
(Supp. III) 1383(a) (2), provides:

§ 1383. Procedure for payment of benefits

(a) Time, manner, form, and duration of pay-
ments; promulgation of regulations

* * * * *

(2)(A) Payments of the benefit of any in-
dividual may be made to any such individual or
to his eligible spouse (if any) or partly to each,
or, if the Secretary deems it appropriate to any
other person (ineluding an appropriate public or
private agency) who is interested in or concerned
with the welfare of such individual (or spouse).
Notwithstanding the provisions of the preceding
sentence, in the case of any individual or eligible
spouse referred to in section 1382(e) (3) (A) of
this title, the Secretary shall provide for making
payments of the benefit to any other person (in-

79a

cluding an appropriate public or private agency )
who is interested in or concerned with the wel-
fare of such individual (or spouse).

(B) Any determination made under subpara-
graph (A) that payment should be made to a
person other than the individual or spouse en-
titled to such payment must be made on the basis
of an investigation, carried out either prior to
such determination or within forty-five days
after such determination, and on the basis of
adequate evidence that such determination is in
the interest of the individual or spouse entitled
to such payment (as determined by the Secretary
in regulations). The Secretary shall ensure that
such determinations are adequately reviewed.

(C) (i) In any case where payment is made
under this subchapter to a person other than the
individual or spouse entitled to such payment,
the Secretary shall establish a system of account-
ability monitoring whereby such person shall re-
port not less often than annually with respect to
the use of such payments. The Secretary shall
establish and implement statistically valid pro-
cedures for reviewing such reports in order to
identify instances in which such persons are not
properly using such payments.

(ii) Clause (i) shall not apply in any case
where the other person to whom such payment is
made is a parent or spouse of the individual en-
titled to such payment who lives in the same
household as such individual. The Secretary shall
require such parent or spouse to verify on a
periodic basis that such parent or spouse con-
tinues to live in the same household as such in-
dividual.

80a

(iii) Clause (i) shall not apply in any case
where the other person to whom such payment
is made is a State institution. In such cases, the
Secretary shall establish a system of account-
ability monitoring for institutions in each State.

(iv) Clause (i) shall not apply in any case
where the individual entitled to such payment is
a resident of a Federal institution and the other
person to whom such payment is made is the
institution.

(v) Notwithstanding clauses (i), (ii), (iii),
and (iv), the Secretary may require a report at
any time from any person receiving payments
on behalf of another, if the Secretary has reason
to believe that the person receiving such pay-
ments is misusing such payments.

(D) The Secretary shall make an initial re-
port to each House of the Congress on the imple-
mentation of subparagraphs (B) and (C) within
270 days after October 9, 1984. The Secretary
shall include in the annual report required un-
der section 904 of this title, information with
respect to the implementation of subparagraphs
(B) and (C), including the same factors as are
required to be included in the Secretary’s report
under section 405(j) (4) (B) of this title.

W ou. 6. GOVERNMENT PRINTING orrics,; 1987 181483 40427

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40385017_0607%3A2. Public record. Not legal advice.
