Petition for Writ of Certiorari — National Taxpayers Union v. Social Security Administration
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Supreme Court, U.S.
/ FILED
OL=-484 007 99094
In 6) he
F THE CLERK
OFF IG
Supreme Court of the Cite States
.
NATIONAL TAXPAYERS UNION,
Petitioner,
UNITED STATES SOCIAL
SECURITY ADMINSTRATION
and KATHY A. BULLER,
Inspector General, in her Official Capacity,
Respondents.
+
ON PETITION FOR WRIT OF CERTIORARI
TO THE UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
a
PETITION FOR WRIT OF CERTIORARI
.
Michael E. Geltner
Counsel of Record
GELTNER & ASSOCIATES, P.C.
Number 10 E Street, S.E.
Washington, D.C. 20003
(202) 547-1136
Counsel for Petitioner
THE LEX GROUP®© @ One Massachusetts Ave., NW ¢@ Suite 670 ¢ Washington, DC 20001
(202) 789-2400 ¢ Fax: (202) 789-1911 ¢ www.thelexgroupdc.com
l. Ouestion Presented
Whether the Court should grant a writ of
certiorari to resolve a conflict among the Circuits on
whether this Court’s decision in Thunder Basin Coal
Co. v. Reich, 510 U.S. 200 (1994) (“Thunder Basin”)
closes the district court doors to pre-enforcement
judicial review of colorable claims of First Amendment
unconstitutionality of an administrative agency’s
enabling statute, as the Fourth Circuit, joining the First,
Sixth and Eighth Circuits, held in this case, or leaves
the door open so long as there is no final agency order
ripe for Court of Appeals review, as the Second, Third,
Seventh, Ninth, Tenth and District of Columbia
Circuits have held.
li
I. Parties and Corporate Disclosure Statement
The Petitioner is National Taxpayers Union
(“NTU”), a_ not-for-profit Delaware corporation
qualified as a charity under 26 U.S.C. § 501(c). It is not
: wi a publicly held corporation, nor is any part of it owned
by one, and there is no other interested party. The
Respondents are the United States Social Security
Administration (“SSA”), an agency of the United States
of America, and its inspector general, Kathy A. Buller,
sued in her official capacity.
ill
Table of Contents
Page
I. OO FI wisiteisenictcicrdiolesesacsteenataesere i
II. Parties and Corporate Disclosure
I siteiidssisatinsslsianlacnisniinecvnaiindamaaeed li
ee initiinctitctnsisicciic enemas ili
Re Oe Fi aesiiisiishittitininhtaitcee ee v
Ill. Citation to Official and Unofficial Reports ......... 1
IV. Basis for Supreme Court Jurisdiction .................. 1
V. I Ti I isa sicstlanicsinrtesiddaaicinsatearniiesanant 1
FE. —- SARE CE I CR ie iisiitdntcenrecnnscenices 1
A. Jurisdiction in United States
Ie CE aia siscciesaiventetaticlecaiien 1
B PRUE cuhiccnenwnbiitetaceaneieaenniaaek 2
1. The Statutes Summarized.............. Z
r 3 NTU’s Survey/Solicitation............. 3
3. EPIIICE CEE BOE icessecisicessensinseciins 4
b. The District Court
III cossiunctenassitidedsnameeabe 4
4. The Fourth Circuit .0..0.0000.0000ccccccc. 5
a. BERD PDO oa cnsccacecsossscesessscees .)
b. The Fourth Circuit
SPIIIINON cisnsstaconniaehitvsotncanasncesas 6
VII. Reasons for Granting the WTit ..............c000000000.-.. 7
A. Inter-Circuit Conflict ...0.0000.ccccccccccccceceeeeees 7
B The First Amendment .0.0.....0.0...ccccccccceeeee. 10
Vee. “SORGRIDIR icc 11
Appendix
Table of Authorities
Page(s)
Cases:
Abbott Laboratories v. Gardner,
ee Se NE iididcniitincniniieeasiistntcenssnescinsitibnis 8,9
Action for Children’s Television v. F.C.C.,
FF PS AME (D.C, Cie, TGFB) cnccccccsscsccesesccosees 5, 6,7
Board of Trustees v. Fox,
ae A I csnsccisnhivinctinlecalccicitlaanasabeesiniiacsoeal 11
Commodity Trend Service, Inc. v. C.F.T.C.,
149 F.3d 679 (7 Cir. 1998),
later opinion following same rule,
EN 7
Cook v. Pan American World Airways, Inc.,
FEE ek Ne. CD cactentassiscnintenateanseninnnennin 7
Crist v. Leippe,
Be ek Oe CO OE, Ti iarecencennescnssccsncscscnccisneeses 7
Czerkies v. U.S. Dep’t of Labor,
Fa en I le RI cccssccsssiencisosesesneciniionss 7,9
Eastern Bridge L.L.C. v. Chao,
re Ga I ai encscsctsahntanccinsnincnrincesasticiion 7
Great Plains Coop v. C.F.T.C.,
re 3 ae RCE 7
——— ey
vi |
Illinois ex rel Madigan v. |
Telemarketing Associates,
ey Ne ID pi niirnnsinencenscinaesncniitlionansasiniiaia 4,10
Johnson v. Robison,
GE TED, Fae CRI eeneccintanstnsnscnssciaccenensenvacsesansenntans 9
Kreschollek v. Southern Stevedoring Co.,
FO Bk Be ae, TD ivsiccsessnecssnncscancrnssssaceccesene 7
Mace v. Skinner,
34 F.3d 854 (9™ Cir. 1996) ........c.csccrcscersceccsccscesssense 7
Marchiano v. N.A.S.D.,
134 F. Supp. 2d 90 (D.D.C. 2001)... 5
Merritt v. Shuttle, Inc.,
245 F.3d 182 (248 Cir. 2001) .........-ccesssscersersencsaressees 7
Reich v. Manganas Painting Co.,
104 F.3d 801 (6% Cir. 1997) ...........ccccccsscersersreeesonnes 7
Rilev v. Nat'l Fed’n of the Blind,
ABT US, TO CFD wrcrsitcinnisccnnsccnts snsctissninnesisnatoninensés 10
Rocky Mountain Radar, Inc. v. F.C.C.,
i PREG Te Le AB | NEON 7-8
Ryan v. Bentsen,
12 F.3d 245 (D.C. Cir. 1993) .......ccccccscecsesarsncnerenesees 6
Schaumburg v. Citizens fora
Better Environment,
me CeO. 4,10
hm
PND. ee a ae =
Vil
Thunder Basin Coal Co. v. Reich,
OE IPOD wlicintnksasasinnasiinianastacenccicendas passim
Time Warner Entertainment Co. v. F.C.C.,
FD Pe Fae CAPR. COR. TDG) vc scsiccscsssccceasnninsans > 67
Weinberger v. Salfi,
ee PG FP IE eintanctinshslseciontsnsannscenmncesanensontids 6,9
Constitutional Provision:
I a a ad i, 10
Statutes:
i ic ah te i
LE ck Le: | aaa ae OnE 1
ST oh | Oe eae aU ee Oa 1,4
42 U.S.C. § 1320a-7a..... | LEP R yO SOPRA ARO oe PROT ONO DY passim
MUTI OT I asics cesecnsostsacatio 2
PLE Tok [1 ea een nm 2
BOUT GUAM FE nics csscssckcsssescscscscssnsenesanon 2,10
TT gL. Coke eR Te passim
Rule:
Fed. R. Civ. P.12(b)(L) ccccccssssssssscssssssssese Gee. 4
Vill
Other Authorities:
Mine Safety Act ...............c0csccscscsssscsrsnsorsssssesssssssenssesseraees 6,8
National Labor Relations Acct...........................ccccsessscsssenes 8
Ill. Citation to Official and Unofficial Reports
The decision of the United States Court of
Appeals for the Fourth Circuit which this petition seeks
to have the Court review is officially reported at 376 F.
3d 239. It is unofficially reported at Unemployment
Ins. Rep. (CCH) P17, 252B; 2004 U.S. App. LEXIS 14614.
It is reprinted at App. 1A. The District Court opinion is
not reported. It is reprinted at App. 6A.
IV. Basis for Supreme Court Jurisdiction
The decision of the Court of Appeals was filed
July 15, 2004. This Court has jurisdiction to review the
Court of Appeals decision by Writ of Certiorari under
28 U.S.C. § 1254(1).
V. Statutes in Issue
The statutes in issue are the Civil Monetary
Penalty Law (“CMPL”), 42 U.S.C. § 1320a-7a,
reproduced in the Appendix (due to its length) at 26A,
and Section 1140 of the Social Security Act, 42 U.S.C. §
1320b-10, reproduced in the Appendix at 52A.
VI. Statement of the Case
A. Jurisdiction in United States District
Court
Jurisdiction was based on general federal
question jurisdiction, 28 U.S.C. § 1331. The decision on
review, in holding pre-enforcement review barred by
Thunder Basin, supra, sustained the District Court's
grant of a Rule 12(b)(1) motion asserting it lacked
subject matter jurisdiction.
B. Facts
1, The Statutes Summarized
Section 1140! says that no person may use the
words “Social Security” and “Social Security
Administration” in a _ solicitation “or other
communication,” “in a manner which such person
knows or should know would convey, or in a manner
which reasonably could be interpreted as conveying,
the false impression that such item is approved,
endorsed or authorized by the Social Security
Administration...or that such person has some
connection with, or authorization from, the Social
Security Administration...”, and authorizes a civil
monetary penalty of $5,000 for each piece mailed.
CMPL? establishes an administrative process
commencing with an agency charging decision, leading
through an administrative judge hearing and intra-
agency review before SSA and providing for review “of
the proceeding and of the question determined
therein” in a United States Court of Appeals after final
agency order.* Post-final order enforcement is in
United States District Court.#
152A.
226A.
338A, 42 U.S.C. § 1320a-7a(e).
439A-43A, 42 U.S.C. § 1320a-7(f) and (g).
i aah ahaa
2. NTU’s Survey/ Solicitation
NTU is a charitable, non-profit organization
engaged in research, education, »nd public advocacy
concerning issues that it considers important to
American taxpayers. One such issue is the financial
stability of the Social Security program. As part of its
campaign to reform the Social Security program, NTU
distributed a mass mailing comprised of a letter and a
survey. In the letter, NTU argued that the Social
Security program is in dire financial condition and
desperately in need of structural reform. The survey
posed eight questions seeking respondents’ reactions to
the current condition of the Social Security program as
well as NTU’s favored reform, personal investment
accounts. Both the letter and the survey solicited
financial contributions for NTU. The mailing was
marked, “OFFICIAL NATIONAL SURVEY ON
SOCIAL SECURITY COMMISSIONED BY THE
NATIONAL TAXPAYERS UNION FOR THE SOCIAL
SECURITY ADMINISTRATION, WHITE HOUSE
AND CONGRESS OF THE UNITED STATES.” SSA
told NTU that its mailing violated § 1140. SSA
requested that NTU cease distribution of its surveys.
NTU initially indicated that it would change the
design of its mailing to comply with SSA’s demand.
The revised mailing contained the following language:
“OFFICIAL NATIONAL SURVEY ON SOCIAL
SECURITY CONDUCTED BY THE NATIONAL
TAXPAYERS UNION AND COMMISSIONED FOR
THE WHITE HOUSE[,] UNITED STATES HOUSE OF
REPRESENTATIVES [AND] UNITED STATES
SENATE.”
SSA expressed its dissatisfaction with NTU’s
revised mauing and threatened enforcement action.
3. District Court suit
NTU sued SSA in the United States District
Court for the District of Maryland, based upon federal
question jurisdiction. 28 U.S.C. § 1331. NTU alleged,
inter alia, that § 1140 is facially invalid because it is
unconstitutionally overbroad, violating the First
Amendment Overbreadth (“FAO”) doctrine, and that
§1140 is unconstitutional as applied to NTU’s revised
mailing, contending that, as a charitable solicitation,
NTU’s mailing received full First Amendment
protection.°
a. SSA’s Motion
SSA moved to dismiss under Fed. R. Civ. P.
12(b)(1), contending that, under Thunder Basin, the
District Court lacked jurisdiction. NTU cross-moved
for summary judgment.
b. The District Court Decision®
The District Court granted the SSA’s motion to
dismiss the complaint. The court ruled that it lacked
jurisdiction to consider NTU’s _pre-enforcement
challenge to the constitutionality of § 1140. Relying on
5 See Schaumburg v. Citizens for a Better Environment, 444 U.S.
620 (1980); Illinois ex rel Madigan v. Telemarketing Associates, 538
U.S. 600 (2003).
614A.
, pee
5
Thunder Basin, the District Court held that the
administrative review procedures described in CMPL
are the exclusive means for attacking § 1140 prior to its
actual enforcement against NTU.
4. The Fourth Circuit
a.. The Appeal
NTU appealed to the Fourth Circuit. It argued
that this case was unlike Thunder Basin, because the
legislative history of CMPL and § 1140 was silent on
intent to preclude pre-enforcement review, while the
Thunder Basin court relied on explicit evidence of such
intent. It also argued this case was uniquely unlike
Thunder Basin, because there was no agency final
order, and the _ suit involved a facial
unconstitutionality challenge to SSA’s enabling statute.
NTU relied on District of Columbia Circuit authority
sustaining District Court jurisdiction for pre-
enforcement challenges to an agency’s organic act
when there is no final agency order. NTU pointed out
that SSA had no authority to consider the
7 SSA had told NTU that SSA would commence an enforcement
action, but it had not yet done so.
8 See Time Warner Entertainment Co. v. F.C.C., 93 F. 3d 957 (D.C.
Cir. 1996) (“Time Warner”); Action for Children’s Television v.
F.C.C., 59 F.3d 1249 (D.C. Cir. 1995) (“ACT”). See generally,
Marchiano v. N.AS.D., 134 F. Supp. 2d 90, 93 (D.D.C. 2001)
(explaining D.C. Circuit rule).
constitutional challenge to its statute which NTU was
raising.?
b. The Fourth Circuit
Decision!9
In affirming the District Court, the Fourth
Circuit, in an opinion by Judge Shedd, read Thunder
Basin broadly. It held that, like the Mine Safety Act
involved in Thunder Basin, § 1140 and CMPL “too
‘establishes a detailed structure for reviewing
violations’ of the statute.”!! Although admitting the
legislative history was “scant,” the Court of Appeals
felt it was sufficiently similar to Thunder Basin to bar
pre-enforcement challenges.!12 The court concluded
that, because NTU’s constitutional challenges were
reviewable after the agency process, they could not be
considered by a District Court prior to final order.!° In
a long textual footnote, Judge Shedd - inaccurately and
disingenuously in NTU’s view - tried to distinguish
the D.C. Circuit cases, Time Warner and ACT."* Judge
Wilkinson concurred and stated that § 1140 did not
9 Weinberger v. Salfi, 422 U.S. 749, 765-6 (1975); Ryan v. Bentsen,
12 F.3d 245 (D.C. Cir. 1993).
107A.
1 7A.
12 8A.
13 9A-10A.
1410A-11A, n. 3.
seek “to silence criticism of the operations of a
government program.” !9
Vil. Reasons for Granting the Writ
A. Inter-Circuit Conflict
The Court should grant certiorari to resolve a
conflict which has developed among the Circuits. The
Fourth Circuit takes a broad view of Thunder Basin,
reading it to ban pre-enforcement review whenever the
administrative scheme provides for post-final order
Court of Appeals review jurisdiction, joining the First,
Eastern Bridge L.L.C. v. Chao, 320 F.3d 84 (1% Cir.
2003); Sixth, Reich v. Manganas Painting Co., 104 F.3d
801 (6 Cir. 1997); and Eighth, Great Plains Coop v.
C.F.T.C., 205 F.3d 353 (8 Cir. 2000), Circuits in an
expansive reading of Thunder Basin. By contrast, the
District of Columbia Circuit's position that United
States District Courts have jurisdiction to hear pre-
enforcement non-final-agency-order challenges to an
agency’s enabling statute (as opposed to simple agency
action), see Time Warner and ACT, supra, is joined by
the Second, Merritt v. Shuttle, Inc., 245 F.3d 182 (24
Cir. 2001); Cook v. Pan American World Airways, Inc.,
771 F.2d 635 (24 Cir. 1985); Third, Kreschollek_v.
Southern Stevedoring Co., 78 F.3d 868 (3'4 Cir. 1996);
Seventh, Czerkies v. U.S. Dep’t of Labor, 73 F.3d 1435
(7'® Cir. 1996) (en banc); Commodity Trend Service, Inc.
v. C.E.T.C., 149 F.3d 679 (7 Cir. 1998), later opinion
following same rule, 233 F.3d 981 (7 Cir. 2000); Ninth,
Crist v. Leippe, 138 F.3d 801 (9 Cir. 1998); Mace _v.
Skinner, 34 F.3d 854 (9 Cir. 1994); and Tenth, Rocky
15 12A-13A.
Mountain Radar, Inc. v. F.C.C., 158 F.3d 1118 (10% Cir.
1998), Circuits.
In Abbott Laboratories v. Gardner, 387 U.S. 136
(1967) (“Abbott Laboratories”), this Court sustained
District Court jurisdiction for pre-enforcement review
even though post-enforcement final order Court of
Appeals review was available. This Court phrased the
issue as whether there was express Congressional
intent to prohibit review, placing the burden to
establish such intent on the agency seeking to avoid
pre-enforcement review. 387 U.S. at 139-140. The
Thunder Basin opinion appears to state a less pro-pre-
enforcement review test, stating this Court will “find
that Congress has allocated initial review to an
administrative body where such intent ‘is fairly
discernable in the statutory scheme,’” 510 U‘S. at 207,
and relying on an examination of the statute’s
structure, purpose and legislative history, id., rather
than demanding an express statement of preclusive
purpose, as did Abbott Laboratories. Thunder Basin,
however, did not involve a facial challenge to the
agency's enabling statute, and this Court noted the
unusual question raised by the plaintiff! and the fact
that “petitioner expressly disavows any abstract
challenge to the Mine Act's statutory review scheme.”17
Moreover, the Thunder Basin opinion states that
Abbott Laboratories “is not to the contrary,” and the
Thunder Basin court said it had found legislative
6 The claim was that the agency’s threatened action interfered
with the plaintiff's rights under the National Labor Relations Act.
See 510 U.S. at 206.
17510 US. at 218, n. 22.
history in Abbott Laboratories of a design to allow pre-
enforcement review. 510 U.S. at 212. -
The Fourth Circuit, in this case, as well as the
First, Sixth and Eighth Circuits, all point to Thunder
Basin as establishing an unbreachable wall whenever
post-final order Court of Appeals review is available.
By contrast, the Circuits following the District of
Columbia Circuit approach really do reconcile Thunder
Basin with Abbott. Laboratories, allowing _pre-
enforcement review unless there is demonstrable intent
to preclude it or the issue is a run of the mill claim
“cloaked in constitutional terms.” Czerkies, supra, 73
F.3d at 1443.
This split in the Circuits is an important one;
establishing the proper approach courts must use in
analyzing government door-closing arguments will
resolve a large number of cases, and, while each Court
of Appeals decision discusses the specific statutory
administrative scheme - as did this Court in Abbott
Laboratories and Thunder Basin and the Fourth Circuit
in this case - the cited cases from the split Circuits
reveal a fundamental difference in how to approach the
door-closing argument. As Judge Posner noted in
Czerkies, supra, “[e]ach statute must stand on its own
two feet, but each is informed by the presumption.
already mentioned against slamming the judicial door
in the face of constitutional claims.” 73 F.3d at 1441.
Moreover, the District of Columbia Circuit rule
recognizes that agencies cannot declare their enabling
statutes unconstitutional, see Weinberger v. Salfi, supra;
Johnson _v. Robison, 415 U.S. 361 (1974), while the
Fourth Circuit discounts this rule and ignores the
10
crucial fact that, because of the rule, the provisions of
CMPL that the court of appeals “shall have jurisdiction
of the proceeding and of the question determined
therein...” 42 U.S.C. § 1320a-7a(e) (third sentence),'®
may render the enabling statute unconstitutionality
claim unreviewable (because not a “question
determined therein” [i.e., before SSA]) if the District
Court door is closed.
B. The First Amendment
Of course, the District Court door should be
open only if the constitutional attack on the agency's
enabling act is colorable. Judge Wilkinson’s Fourth
Circuit concurrence suggests this is not the case,
because the statute does not seek to “silence criticism”
of government and merely forbids “impersonation.”
However, NTU is a charity, and charitable solicitations
receive full First Amendment protection and are
punishable only for actual fraud and deception.
Illinois ex_rel_ Madigan v. Telemarketing Associates,
supra, 538 U.S. 600, 617-621; Riley v. Nat'l Fed‘n of the
Blind, 487 U.S. 781 (1998); Schaumburg v. Citizens fora
Better Environment, supra. By contrast, § 1140 reaches
not only actual fraud but also negligence (“should
know would convey” a false impression of government
approval) and strict liability with no fault (“in a
manner which reasonably could be interpreted or
construed as conveying” the false impression). While
trying to serve the goal of protecting seniors against
swindlers, Congress overreached. Moreover, § 1140
reaches not only solicitations, but also any “circular,
book, pamphlet, or other communication, or a play,
18 38A.
11
motion picture, broadcast, telecast, or other production”
(emphasis supplied).!? The honest writer, as weli as
the swindler, must worry about § 1140. For that
reason, the overbreadth is so “substantial” as to invoke
the FAO doctrine. See Board of Trustees v. Fox, 492
U.S. 469, 482-4 (1989).
VIII. Conclusion
This is an important case; the Fourth Circuit has
expanded an already disturbing trend to overread
Thunder Basin in the three other Circuits - in
contradistinction to the sensible approach of the D.C.
Circuit and five others - to denigrate an important
constitutional claim which may evade judicial review.
For that reason, the Court should grant the writ.
Respectfully submitted,
/s/ Michael E. Geltner
Michael E. Geltner, Esq.
Geltner & Associates, P.C.
Number 10 E Street, S.E.
Washington, D.C. 20003
(202) 547-1136
Attorney for Petitioner
National Taxpayers Union
19 S2A.
Appendix
Table Of Contents
Appendix Page
Opinion of
The United States Court of Appeals
For the Fourth Circuit
COME FURY TD, BIG seicssssinnnctscssestasnaiosesnssxasarasinne la
Memorandum of
The Honorable William M. Nickerson
Re: Granting Defendants’ Motion for
Summary Judgment; Dismissing Complaint
entered September 3, 200G..........0.:0...0sseassasesncere 14a
Be Ee as nics serena ansaeindaseeshananiceatineeatind 26a
OeRt Se a aie 52a
la
NATIONAL TAXPAYERS UNION, Plaintiff-
Appellant, v. UNITED STATES SOCIAL SECURITY
ADMINISTRATION; KATHY A. BULLER, in her
official capacity as Chief Counsel to the Inspector
General of the United States Social Security
Administration, Defendants-Appellees.
No. 03-2232
UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
376 F.3d 239; 2004 U.S App. LEXIS 14614;
Unemployment Ins. Rep. (CCH) P17,252B
May 7, 2004, Argued
July 15, 2004, Decided
[ENTERED: July 15, 2004]
PRIOR HISTORY: [**1] Appeal from the United States
District Court for the District of Maryland, at
Baltimore. (CA-02-3949-WMN-1). William M.
Nickerson, Senior District Judge.
DISPOSITION: Affirmed.
LexisNexis(R) Headnotes
COUNSEL: ARGUED: Michael Edward Geltner,
GELTNER & ASSOCIATES, Washington, D.C., for
Appellant.
Tara Leigh Grove, Appellate Staff, Civil Division,
UNITED STATES DEPARTMENT OF JUSTICE,
Washington, D.C., for Appellees.
2a
ON BRIEF: Peter D. Keisler, Assistant Attorney
General, UNITED STATES DEPARTMENT OF
JUSTICE, Washington, D.C.; Thomas M. DiBiagio,
United States Attorney, OFFICE OF THE UNITED
STATES ATTORNEY, Baltimore, Maryland; Mark B.
Stern, Appellate Staff, Civil Division, UNITED STATES
DEPARTMENT OF JUSTICE, Washington, D.C., for
Appellees.
JUDGES: Before WILKINSON, LUTTIG, and SHEDD,
Circuit Judges. Judge Shedd wrote the opinion, in
which Judge Luttig joined. Judge Wilkinson wrote a
concurring opinion.
OPINIONBY: Shedd
OPINION: [*240] SHEDD, Circuit Judge:
This appeal presents the question whether the
National Taxpayers Union may challenge the
constitutionality of § 1140 of the Social Security Act, 42
U.S.C. § 1320b-10, in federal district court before the
Social Security Administration undertakes [**2]
administrative proceedings to enforce that provision
against NTU. We hold that it may not. Under Thunder
Basin Coal Co. v. Reich, 510 U.S. 200, 127 L. Ed. 2d 29, 114
S. Ct. 771 (1994), the district court lacks jurisdiction
over NTU's pre-enforcement challenge to the statute.
I.
The National Taxpayers Union ("NTU") is a non-
profit organization engaged in research, education, and
public advocacy concerning issues that it considers
3a
important to American taxpayers. One such issue is the
financial stability of the Social Security program. As
part of its campaign to reform the Social Security
program, NTU distributed a mass mailing comprised
of a letter and a survey. In the letter, NTU argued that
the Social Security program is in a dire financial
condition and desperately in need of structural reform.
The survey posed eight questions seeking respondents'
reactions to the current condition of the Social Security
program as well as NTU's favored reform, personal
investment accounts. Both the letter and the survey
solicited financial contributions for NTU. The mailing
was marked, “OFFICIAL NATIONAL SURVEY ON
SOCIAL SECURITY COMMISSIONED BY THE
NATIONAL TAXPAYERS UNION FOR THE SOCIAL
SECURITY [**3] ADMINISTRATION, WHITE HOUSE
AND CONGRESS OF THE UNITED STATES.” The
enclosed survey was titled, “OFFICIAL SURVEY ON
SOCIAL SECURITY.”
[*241] The Social Security Administration
(“SSA”) advised NTU that its mailing violated § 1140
of the Social Security Act. Section 1140 prohibits the use
of the words “Social Security” or certain related words
in connection with any advertisement, solicitation, or
other communication in a manner that conveys or
could reasonably be construed as conveying the false
impression that such advertisement or solicitation is
approved, endorsed, or authorized by the SSA or other
government agencies. 42 U.S.C. § 1320b-10(a)(1). The
SSA requested that NTU cease distribution of its
surveys.
4a
NTU initially indicated that it would change the
design of its mailing to comply with the statute. The
revised mailing contained the following language:
“OFFICIAL NATIONAL SURVEY ON SOCIAL
SECURITY CONDUCTED BY THE NATIONAL
TAXPAYERS UNION AND COMMISSIONED FOR
THE WHITE HOUSE[,] UNITED STATES HOUSE OF
REPRESENTATIVES [AND] UNITED STATES
SENATE” The survey title, “OFFICIAL SURVEY ON
SOCIAL SECURITY,” remained unchanged.
After the SSA expressed its [**4] dissatisfaction
with NTU's” revised mailing and_ threatened
enforcement action, NTU filed this lawsuit against the
SSA in the district court. NTU alleged that § 1140 is
facially invalid because it is unconstitutionally
overbroad; § 1140 is unconstitutional as applied to
NTU's revised mailing, which contains only legitimate,
truthful representations; and the SSA’s threat of
enforcement amounts to a prior restraint of protected
speech.
The district court granted the SSA's motion to
dismiss the complaint. First, the court ruled that it
lacked jurisdiction to consider NTU's pre-enforcement
challenge to the constitutionality of § 1140. Relying on
Thunder Basin Coal Co. v. Reich, 510 U.S. 200, 127 L. Ed.
2d 29, 114 S. Ct. 771 (1994), the district court held that
the administrative review procedures described in the
relevant statutes are the exclusive means for attacking
§ 1140 prior to its actual enforcement against NTU. The
district court then dismissed NTU's prior restraint
claim on the ground that the SSA's threatening
enforcement action through administrative procedures
5a
was not so burdensome as to amount to a prior
restraint. This appeal followed. nl
nl On appeal, NTU argues only that the
district court erred by _ dismissing _ its
constitutional challenge to § 1140. NTU does not
seek to revive its prior restraint claim, and we
do not address that claim here.
II.
We review de novo the district court's dismissal
of NTU's complaint for lack of subject-matter
jurisdiction. See Columbia Gas Transmission Corp. v.
Drain, 237 F.3d 366, 369 (4th Cir. 2001). “In cases
involving delayed judicial review of final agency
actions, we shall find that Congress has allocated initial
review to an administrative body where such intent is
‘fairly discernible in the statutory scheme.'” Thunder
Basin, 510 U.S. at 207 (quoting Block v. Community
Nutrition Inst., 467 U.S. 340, 351, 81 L. Ed. 2d 270, 104 S.
Ct. 2450 (1984)). In determining whether Congress
intended to preclude initial judicial review in this
instance, we consider “the statute’s language, structure,
and purpose, its legislative history, and whether the
claims can be afforded meaningful judicial review.” Id.
A.
The Supreme Court held in Thunder Basin that a
district court lacks subject-matter [*242] jurisdiction to
entertain pre-enforcement challenges to the Mine
6a
Safety and Health Amendments Act of 1977, 30 U.S.C.
§ 801 et seq. (“Mine Act”). 510 U.S. at 202, 208. First, the
Court noted that the statute “establishes [**6] a
detailed structure for reviewing violations of any
mandatory health or safety standard, rule, order, or
regulation promulgated under the Act.” Id at 207.
Under the Mine Act, a mine operator can challenge an
adverse agency order before an administrative .law
judge, whose decision is reviewable by the Mine Safety
and Health Review Commission. If the mine operator
is dissatisfied with the Commission's ruling, it can
challenge that ruling in the appropriate court of
appeals, which has exclusive jurisdiction over such
cases. Id. at 207-08. Moreover, while the Mine Act
expressly authorizes district court jurisdiction over
actions by the Secretary of Labor to enjoin habitual
violations, it does not confer jurisdiction over actions
by mine operators complaining about agency actions. Id
at 209.
Second, the Court concluded that the legislative
history of the Mine Act suggests that “Congress
intended to direct ordinary challenges under the Mine
Act to a single review process.” Id. at 211. This
legislative history indicated that “enforcement was
hobbled by a cumbersome review process” under the
predecessor statute [**7] and that Congress expressly
rejected a proposal for de novo review of agency actions
in the district courts. Id.
Third, the Court concluded that the claims
asserted in the complaint fell within the class of claims
that Congress intended to be adjudicated within the
review process described by the statute. Thunder Basin,
ee
° ieee ”
7a
510 U.S. at 212. Thunder Basin's statutory claims fell
squarely within the agency's expertise, and _ its
constitutional due process claim could be decided by
the Commission. Id. at 214-15. In any event, the Court
noted that Thunder Basin's statutory and constitutional
claims could be “meaningfully addressed in the court
of appeals.” Id. at 215.
B.
The statutory scheme at issue here resembles the
Mine Act scheme in all relevant respects, and it too
“establishes a detailed structure for reviewing
violations” of the statute. Thunder Basin, 510 U.S. at 207.
Section 1140 authorizes the SSA to impose civil
monetary penalties of up to $ 5,000 (or $ 25,000 in the
case of a broadcast or telecast) per violation against any
person who misuses the phrase “Social Security” in
violation of the statute. [**8] 42 U.S.C. § 1320b-10(b), (d).
Section 1140 further provides a detailed procedure for
assessment and review of such penalties. Id. § 1320b-
10(c)(1) (incorporating most of the provisions of 42
U.S.C. § 1320a-7(a), which governs civil monetary
penalties with respect to other violations concerning
Social Security).
Under this procedure, the SSA may initiate an
enforcement action within six years of the alleged
violation by serving notice of such action as required
by the Federal Rules of Civil Procedure. 42 U.S.C. §
1320a-7a(c)(1). The alleged violator is guaranteed an
opportunity to be heard, with the right to be
represented by counsel and the right to present and
cross-examine witnesses. Id. § 1320a-7a(c)(2). Any party
Sa
aggrieved by the ruling of the agency may petition the
appropriate court of appeals to review that ruling;
upon the filing of the record, the jurisdiction of the
court of appeals is exclusive. Id. § 1320a-7a(e).
[*243] Like the Mine Act, the statute here makes
no distinction between pre-enforcement and_ post-
enforcement claims. See Thunder Basin, 510 U.S. at 208-
09. [**9] Also like the Mine Act, the statute here
specifically authorizes district courts to exercise
jurisdiction over certain actions brought by the agency
but not by private parties. 42 U.S.C. § 1320b-10(c)(2); 42
U.S.C. § 1320a-7a(k). Thus, the text and structure of §
1140 indicate Congress' intention that challenges to that
statute be adjudicated, at least initially, in the
administrative review process. Cf. Sturm, Ruger & Co.,
Inc. v. Chao, 353 U.S. App. D.C. 245, 300 F.3d 867, 873
(D.C. Cir. 2002) (OSHA); Great Plains Coop v. CFTC, 205
F.3d 353, 355 (8th Cir. 2000) (Commodity Exchange
Act); Northeast Erectors Ass'n of BTE4 v. Secretary of
Labor, 62 F.3d 37, 39-40 (1st Cir. 1995) (OSHA).
The Court in Thunder Basin consulted the
legislative history of the Mine Act to confirm the
conclusion it drew from the text and structure of the
statute. n2 Although there is scant legislative history to
consider specifically with respect to the substance of §
1140, the legislative history underlying the civil
monetary penalties provision (incorporated by § 1140)
shows that Congress [**10] specifically rejected a
proposal allowing alleged violators to challenge final
agency actions in trials de novo in district court. See Pub.
L. No. 97-35, § 2105 (codified at 42 U.S.C. § 1320a-/a);
H.R. Conf. Rep. No. 97-208, at 950 (1981), reprinted in
9a
1981 U.S.C.C.A.N. 1010, 1312. This legislative history is
similar to that in Thunder Basin and likewise suggests
that Congress intended pre-enforcement challenges to
§ 1140 to be adjudicated in the first instance by the
administrative agency rather than the district courts.
See 510 U.S. at 211.
n2 In no way did the Court suggest, as
NTU now argues, that the legislative history
stands on equal footing with the text and
structure of the statute or that specific legislative
history is necessary to conclude that Congress
intended to preclude initial judicial review. The
Court concluded from the text and structure of
the Mine Act that Congress intended to preclude
initial judicial resolution of Thunder Basin's
claims; the legislative history merely “confirmed
this interpretation” of the statute. Thunder Basin,
510 US. at 207-09.
[**11]
We further conclude that the claims asserted in
this case are “of the type Congress intended to be
reviewed within this statutory structure.” Thunder
Basin, 510 U.S. at 212. The Court in Thunder Basin noted
that it might be appropriate to bypass administrative
review in cases involving “claims considered ‘wholly
collateral’ to a statute's review provisions and outside
the agency's expertise, particularly where a finding of
preclusion could foreclose all meaningful judicial
review” Id. at 212-13 (internal citations omitted). Such
is not the case here.
10a
On appeal, NTU asserts only constitutional
claims, attacking the substantive provision of § 1140 -
the prohibition against certain uses of the phrase
“Social Security” - as a violation of the First Amendment
on its face and as applied. Although “adjudication of
the constitutionality of congressional enactments has
generally been thought beyond the jurisdiction of
administrative agencies,” the Court in Thunder Basin
noted that “this rule is not mandatory” and concluded
that a district court does not have jurisdiction to
entertain an initial challenge to the constitutionality of
the Mine Act. [**12] Id at 215. The Court seems to have
rested its conclusion on the fact that the plaintiff's
constitutional claim could be meaningfully addressed
by the court of appeals in due course. Id. In this case,
even if the [*244] administrative agency elects not to
decide the constitutional claims presented by NTIS,
this court can do so at the appropriate time. See Shalala
v. Illinois Council on Long Term Care, Inc., 529 U.S. 1, 23-
24, 146 L. Ed. 2d 1, 120 S. Ct. 1084 (2000) (citing Thunder
Basin for the proposition that a court reviewing an
agency determination “has adequate authority to
resolve any statutory or constitutional contention that
the agency does not, or cannot, decide”); Virginia v.
United States, 74 F.3d 517, 523 (4th Cir. 1996) (citing
Thunder Basin for the proposition that “there is simply
no impediment to the adjudication of constitutional
issues through petitions for direct review of final
agency action in the circuit courts”). n3
n3 This is not a case in which the plaintiff
challenges the validity of the agency's enabling
statute in an action wholly independent of the
agency's enforcement of a substantive provision.
4
&
}4
%
a
lla
See, e.g, Time Warner Entm't Co., L.P. v. FCC, 320
U.S. App. D.C 294, 93 F.3d 957 (D.C. Cir. 1996)
(noting that the plaintiffs challenge to certain
statutory provisions was “entirely independent
of any agency proceedings, whether actual or
prospective”). Rather, NTU brought this action
in anticipation of imminent enforcement
proceedings, and its arguments amount to
defenses to enforcement of § 1140. Nor is this a
case in which permitting the constitutional
challenge in district court would be consistent
with other statutory provisions authorizing suits
in district court. See, e.g., Action for Children's
Television v. FCC, 313 U.S. App. D.C. 261, 59 F.3d
1249 (D.C. Cir. 1995) (permitting the plaintiff to
_ bypass administrative review where the relevant
statute authorized suits in district court to
collect on a forfeiture order, such that the
plaintiffs challenging the constitutionality of the
forfeiture statute in defense against such a
collection action was entirely consistent with the
statutory scheme). NTU's challenge is aimed at
the substantive provision of § 1140 - the
prohibition against certain uses of the phrase
“Social Security” - not the SSA's authority to
impose civil monetary penalties for violation of
that provision. In sum, NTU's complaint
represents an impermissible attempt to evade
the administrative review scheme established by
Congress. Cf. Thunder Basin, 510 U.S. at 216;
AFGE v. Loy, 367 F.3d 932, 936 (D.C. Cir. 2004);
Sturm, Ruger, 300 F.3d at 876; Great Plains Coop,
205 F.3d at 354-55; Northeast Erectors, 62 F.3d at
40.
"135i
“The limitation imposed here is channeling of
initial review through the administrative process, not
exclusion of judicial supervision.” Eastern Bridge, LLC v.
Chao, 320 F.3d 84, 90 (Ist Cir. 2003). NTU's
constitutional claims are of the type Congress intended
to be adjudicated in the statutory review process, and
that process will give NTU a meaningful opportunity
to litigate its constitutional challenge to § 1140.
Accordingly, we conclude that NTU's claims must be
adjudicated initially under the administrative review
scheme established by Congress in the statute.
II.
Because the administrative review procedures
available here are nearly indistinguishable from those
at issue in Thunder Basin, and because the claims
asserted here are of the type Congress intended to be
adjudicated, at least initially, through the
administrative review scheme, the district court
properly ruled that it lacked subject-matter jurisdiction
over this case. The decision of the district court is
therefore
AFFIRMED.
CONCURBY: WILKINSON
CONCUR: WILKINSON, Circuit Judge, concurring:
We do not have before us a pre-enforcement
challenge to a statute that seeks to silence criticism of
13a
[**14] the operation of a government program. All that
is at issue is a Statute that forbids the impersonation of
a federal agency by a private organization bent on
sowing confusion among beneficiaries of a program
and thereby thwarting the purposes it was intended to
serve. In this context, Congress had unquestionable
authority to adopt the administrative procedures that it
did. Compare Mathews v. [*245] Eldridge, 424 U.S. 319,
331 n. 11, 47 L. Ed. 2d 18, 96 S. Ct. 893 (1976)
(emphasizing that the “nature of the claim being
asserted and the consequences of deferment of judicial
review’ will often bear on whether district court
jurisdiction is proper prior to final agency disposition).
I am thus happy to concur in Judge Shedd's fine
opinion.
l4a
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF MARYLAND
NATIONAL TAXPAYER
UNION
Vv. ; Civil Action
- WMN-02-3949
UNITED STATES
SOCIAL SECURITY
ADMINISTRATION, et al.
[ENTERED: September 3, 2003]
MEMORANDUM
Plaintiff filed this action challenging the
constitutionality of § 1140 of the Social Security Act, 42
U.S.C. § 1320b-10, a statute that limits the use of certain
federal agency names and programs in solicitations
and other communications. In the Complaint, Plaintiff
asserts that § 1140 is unconstitutional on its face (Count
I) and as applied (Count II), and also argues that the
Social Security Administration's Office of the Inspector
General’s (OIG’s) request for pre-publication
submissions of Plaintiff's mailings, coupled with the
threat of significant civil penalties, constitutes a prior
restraint of speech (Count III). Defendants have filed a
motion to dismiss the complaint Pursuant to Rule
12(b)(1) and Rule 12(b)(6) of the Federal Rules of Civil
Procedure. Paper No. 5. Defendants argue that this
Court lacks jurisdiction over Plaintiff's pre-
enforcement challenge to the statute, and _ that
Plaintiffs prior restraint count fails to state a claim
upon which relief can be granted. Upon review of the
15a
pleadings and the applicable case law, the Court finds
that no hearing is required and that Defendants’
motion should be granted.!
I. FACTUAL BACKGROUND
Plaintiff describes itself as an “organization
which engages in grassroots education, research and
lobbying on issues of importance to taxpayers in the
United States.” Complaint at § 1. One of its current
areas of activity is the reform of the Social Security
system. As part of Plaintiff's efforts in that regard, it
began mailing, in early 2002, surveys about various
aspects of the Social Security system. These surveys
also solicited funds. Plaintiff's mailings were sent out
in envelopes marked, “OFFICIAL NATIONAL
SURVEY ON SOCIAL SECURITY COMMISSIONED
BY THE NATIONAL TAXPAYERS UNION FOR THE
SOCIAL SECURITY ADMINISTRATION, WHITE
HOUSE AND CONGRESS OF THE UNITED STATES.”
The surveys inside the envelope repeated that these
were “OFFICIAL SURVEY(S) ON SOCIAL
SECURITY.”
On April 3, 2002, the OIG sent Plaintiff a notice
that it had determined that this survey violated § 1140
of the Social Security Act. Section 1140 prohibits the
use of the words “Social Security” or related words,
acronyms, emblems and symbols in connection with
1 Plaintiff has also filed a cross motion for partial summary
judgment, arguing that it is entitled to judgment as a matter of law
as to Counts I and II of the Complaint. Paper No. 11. Because the
Court finds that it lacks subject matter jurisdiction over those
claims, Plaintiff's motion will be denied as moot.
125 1 ety Tp 2
l6a
any advertisement, solicitation or other communication
“in a manner which such person knows or should
know would convey, or in a manner which reasonably
could be interpreted or construed as conveying, the
false impression that such item is approved, enforced
or authorized by the Social Security Administration.”
42 U.S.C. § 1320b-10(a). The OIG’s letter requested that
Plaintiff cease such prohibited use.
Plaintiff responded on April 12, 2002, indicating
that it would voluntarily change the design of its
survey and solicitation to comply with the statute. In
September 2002, however, the OIG received another
copy of a survey distributed by Plaintiff that, in the
OIG’s view, contained essentially the same violative
language. The OIG sent Plaintiff another letter
informing that it found the revised survey still in
violation of § 1140, and requested written confirmation
that Plaintiff would voluntarily comply with the
statute. The letter also stated that if such confirmation
were not received within 10 days, the OIG would
commence a formal enforcement action. Plaintiff
responded with a letter stating that it viewed § 1140
unconstitutional as applied, and that it would not
provide a written confirmation of compliance. Shortly
thereafter, Plaintiff filed the instant suit.
Il. DISCUSSION
A. Jurisdiction over Pre-enforcement
Challenges
Section 1140 authorizes the SSA to impose civil
monetary penalties on those that violate its provisions.
1 Shi Ak NLR AAD GA ROSY ALERTS RNY Mea a Sa NER ON et ROM OTE! eA ER ROR ME ESTE EO
17a
If the violation involves printed material, each
violation is subject to a penalty of up to $5,000. In the
case of mass mailings, each individual piece of mail can
be considered a separate violation. 42 U.S.C. § 1320b-
10(b). Enforcement of these provisions is through the
OIG. 42 U.S.C. § 1320b(d).
The statute, in conjunction with _ its
implementing regulations, see 20 C.F.R. §§ 498.100-
498.224, also provides a comprehensive administrative
process for the assessment of penalties, and the review
of those assessments. Briefly summarized, this process
provides the alleged violator, or “respondent,” with
notice, the opportunity for a full evidentiary hearing
before an Administrative Law Judge, the right to
appeal the ALJ's decision to the Departmental Appeals
Board of the United States Department of Health and
Human Services, and ultimately, the right to appeal
any final adverse penalty determination to the federal
courts of appeals.
In Thunder Basin Coal Co. v. Reich, 510 U.S. 200
(1994), the Supreme Court set out the standard for
determining whether a district court could assume
jurisdiction over a pre-enforcement challenge to an
agency’s action where a statutory administrative
procedure had been established. The Court instructed:
[i]In cases involving delayed judicial
review of agency actions, we shall find
that Congress has allocated initial review
to an administrative body where such
intent is “fairly discernible in the
statutory scheme.” Whether a statute is
18a
intended to preclude initial judicial
review is determined from the statute's
language, structure, and purpose, its
legislative history, and whether the
claims can be afforded meaningful
review.
510 U.S. at 207 (quoting Block v. Community Nutrition
Institute, 467 U.S. 340, 351 (1984)).
Thunder Basin arose out of a coal mine
operator’s challenge to the actions of a federal Mine
Safety and Health Administration (MSHA) official,
who had instructed the operator to post certain
information in accordance with regulations
promulgated under the Federal Mine Safety and
Health Amendments Act of 1977. Rather than waiting
for the MSHA to issue a citation, and then challenging
the agency’s action through the administrative
procedure provided for in the Act, the mine operator
sought injunctive relief in a federal district court. The
district court issued a preliminary injunction, but the
Tenth Circuit Court of Appeals reversed that decision,
concluding that the district court was without
jurisdiction. The Supreme Court affirmed the decision
of the Tenth Circuit, holding that “the statutory review
scheme in the Federal Mine Safety and Health
Amendments Act of 1977 prevents a district court from
exercising subject matter jurisdiction over a pre-
enforcement challenge to the Act.” Id. at 202.
Applying its test for determining Congress’
intent, the Supreme Court first noted that the Mine Act
“establishe[d] a detailed structure for reviewing
———
19a
violations of any mandatory health or safety standard,
rule, order, or regulation promulgated under the Act.”
Id. at 207 (internal quotations omitted). The Court
pointed to several factors in support of this argument.
The Mine Act specified a time period of thirty days
_during which a mine operator could challenge any
citation, directed that all challenges be heard by an
ALJ, established the Federal Mine Safety and Health
Review Commission (FMSHRC) to review the ALJ's
decisions, invested the sole power to impose penalties
for violations of the Act in the FMSHRC, and granted
mine operators the right to appeal adverse FMSHRC
rulings to the appropriate federal court of appeals. Id.
at 207-08. Moreover, the Court noted that the Act did
not “distinguish between preenforcement and
postenforcement challenges, but applie[d] to all
violations of the Act and its regulations.” Id. at 208-09.
Significantly, the Mine Act expressly authorized
district court jurisdiction in only two instances--both of
which could be initiated only by the agency, not by a
mine operator. Id. at 209.
The Court also looked to the legislative history
of the Mine Act to support its holding that initial
judicial review of the agency’s action in the district
court was precluded. In particular, the Court observed
that the Mine Act attempted to correct a system in
which civil penalties for safety violations in United
States mines “were not always mandatory and were
too low to compel compliance, and enforcement was
hobbled by a cumbersome review process. Congress
expressed particular concern that under the previous
Coal Act, mine operators could contest civil-penalty
assessments de novo in federal district court once the
20a
administrative review process was complete, thereby
seriously hampering the collection of civil penalties.”
Id. at 209-10 (internal quotations omitted). The Court
concluded that the legislative history was “persuasive
evidence that Congress intended to direct ordinary
challenges under the Mine Act.to a single review
process.” Id. at 211.
Finally, the Court concluded that the plaintiff's
claims could be afforded “meaningful review” through
the administrative process established under the Mine
Act, for plaintiffs claims were within the scope of the
statute’s review provisions and the agency's expertise,
and they could be meaningfully addressed by the
Court of Appeals. See id. at 212-15.
Applying this same three part test to the
provisions of § 1140, and the regulatory scheme
promulgated thereunder, this Court concludes that it is
without jurisdiction to hear Plaintiff's pre-enforcement
challenges to the statute. First, the Court finds that the
language, structure, and purpose of § 1140 support a
holding that the administrative process is the exclusive
remedy for claims challenging the statute. The review
scheme established for the enforcement of § 1140 is
very similar to that considered in Thunder Basin. Both
statutes: specify the time and procedures for contesting
an agency enforcement action, refer all such contests to
an ALJ for an evidentiary hearing; and, grant an appeal
of any adverse rulings, first to a designated
intermediate body, and then to a federal circuit court
appeals. Furthermore, § 1140, like the Mine Act,
authorizes original actions in the district courts in a
finite number of situations, but only to be initiated by
LTA ALLE TS eS ee
SF SATHANA TOD De it aed ee
21a
—
the agency, and not by the respondent. See 42 U.S.C. §
1320a-7a(k) and 1320b-10(c)(2)
The legislative history of § 1140, while
somewhat scant, is also consistent with a congressional
intent to limit judicial review of § 1140 violations to the
review of final determinations in the courts of appeals.
This legislation was passed to address a pattern of
deceptive advertising that was targeted to senior
citizens. Advertisers produced mailings that were
designed so that they appeared to be official notices
from the federal government in order to lure seniors
into making (and paying for) useless calls to “1-900"
telephone numbers, or into paying for services that
could be accomplished for free or at a minimal cost by
dealing directly with the SSA. See Committee on
House Ways and Means, Subcommittees on Oversight
and on Social Security, Deceptive Solicitations (Comm.
Print 1992) at 3-5. Congress concluded that these
practices not only harmed vulnerable senior citizens,
but also “potentially interfere[] with the ability of the
Government to effectively correspond with the public
and increase[] the likelihood that true Government
mailings will be destroyed without being opened.” Id.
at 5.
In 1994, § 1140 was amended to remedy what
-was perceived as weaknesses in its enforcement
provisions. An annual $10,000 cap on penalties was
eliminated in response to concerns that a $10,000
penalty “did not serve as_an adequate deterrent to
groups who can take in millions of dollars each year by
engaging in deceptive practices.” H.R. Rep. No. 103-
506, 1034 Cong. 24 Sess. 71 (1994), reprinted in 1994
— a
U.S.C.C.A.N. 1494, 1524. The amendment also repealed
a requirement that the Department of Health and
Human Services obtain a formal declination from the
Department of Justice before pursuing penalties under
§ 1140. Congress found that this requirement had
unnecessarily delayed the assessment of penalties. Id.
at 1525.
The Court also concludes that Plaintiff's claims
are “of the type Congress intended to be reviewed
within this statutory structure,” and can be afforded
meaningful review through that process. Thunder
Basin, 510 US. at 212. In similar contexts, courts have
consistently held that both “as applied,” as well as
“facial” constitutional pre-enforcement challenges
must be resolved through the administrative process,
with judicial review only in the circuit courts. See
Thunder Basin; Sturm, Ruger & Co. v Chao, 300 F.3d
867 (2002) (holding that district court had no subject
matter jurisdiction over Fourth Amendment privacy
interest challenge to data collection initiative of
Occupational Safety and Health Administration, and
that plaintiff must pursue claim through administrative
review process prescribed by Occupational Safety and
Health Act); Virginia v. United States, 74 F.3d 517 (4"
Cir. 1996) (holding that the plaintiff could not evade
the judicial review provision of the Clean Air Act by
casting its complaint as a constitutional attack on the
Act itself); Southern Pines Assoc. v. United States, 912
F.2d 713, 717 (4% Cir. 1990) (affirming district court's
dismissal of pre-enforcement due process challenge to
the Clean Water Act); General Electric Co. v. Whitman,
257 FSupp.2d 8, 28 (D.D.C. 2003) (observing that
“whether a statute precludes or delays judicial review
23a
of a particular claim should not turn on some artificial
or clever distinction put forth by the party attempting
evade the statute’s judicial review limitation - whether
constitutional versus statutory, facial versus as-applied,
or procedural versus substantive”). Here, Plaintiff
makes no claim that it would be precluded from
raising its constitutional challenges before the
appropriate circuit court.
In arguing that it should be afforded pre-
enforcement judicial review, Plaintiff relies primarily
on the Supreme Court decision Abbott Laboratories v.
Gardner, 387 U.S. 136 (1967). In Abbott, The Supreme
Court did hold that statutory review of certain
provisions of the Food, Drug, and Cosmetic Act did not
preclude district court jurisdiction over a _ pre-
enforcement challenge to regulations promulgated
under separate provisions of that act. It did so,
however, only after finding that the presence of a
statutory savings clause and the statute’s legislative
history demonstrated, “rather conclusively that the
specific review provisions were designed to give an
additional remedy and not to cut down more
traditional channels of review.” 387 U.S. at 142.
Although Plaintiff identifies Abbott Laboratories as the
“seminal case” in the area of pre-enforcement
challenges, it offers no argument as to how § 1140
might be similar to the statute at issue in that decision.?
? Plaintiff also relies on Commodity Trend Service v. Commodity
Futures Trading Comm'n, 233 F.3d 981 (7 Cir. 2000). In
Commodity Trend, however, the issue was ripeness, not statutory
prectusion of district court jurisdiction.
24a
Plaintiff also argues that preclusion in this
instance is inappropriate because “the escalating nature
of the fines which the agency can impose on a per-mail-
piece basis,” is requiring Plaintiff to “self-censor.” Opp.
at 6. The Supreme Court rejected a similar argument in
Thunder Basin, noting that “although the Act's civil
penalties unquestionably may become onerous if
petitioner chooses not to comply, the Secretary's
penalty assessments become final and payable only
after full review by the Commission and _ the
appropriate court of appeals.” 510 US. at 218; see also
Strum, Ruger, 300 F.3d at 252 (noting that one wishing
to challenge the statute can refuse to comply, “draw a
citation from OSHA, and then contest the citation
through the statutory review procedures _ that
ultimately ends in a court of appeals”).
For these reasons, the Court finds that Plaintiff's
facial and as applied constitutional challenges must be
dismissed as this Court has no jurisdiction over those
claims.
B. Prior Restraints of Speech
In moving to dismiss Plaintiff's prior restraint
claim, Defendants again rely on Thunder Basin,
observing that, like Thunder Basin, “this as not a
situation where compliance is so burdensome and the
threat of penalties so potent that a constitutionally
intolerable choice is presented.” Motion at 33. To bring
its mailing into compliance, Defendants have indicated
that Plaintiff would need to do no more than identify
its mailing as “NTU’s Official National Survey on
Social Security,” as opposed to “Official National
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25a
Survey on Social Security.” As to the scope of potential
penalties, Defendants note that while Congress
repealed the $10,000 cap, that repeal certainly does not
mandate the imposition of the maximum penalties
allowed under the statute. Any penalties assessed must
still be reasonable, and the agency is required to take
into account such factors as the nature and
circumstances of the communication, the degree of
culpability, the history of prior offenses, and the
financial condition of the respondent. See 42 U.S.C.
§ 1320a-7a(d). Defendants also note that proposed
penalties do not become final and payable until the
agency makes a final decision, and the regulations
include provisions for a stay of the effective date of any
penalty pending appeal. See 20 U.S.C. § 498.223. In its
meager opposition, Plaintiff does not respond directly
to any of these arguments.
The Court concludes that the complaint does not
state a claim for an unlawful prior restraint of speech.
Il. CONCLUSION
For the reasons stated above, the Court
concludes that Defendants’ motion should be granted,
and the complaint dismissed. A separate order will
issue.
/s/ William M. Nickerson
William M Nickerson
Senior United States District Judge
Dated: September 3, 2003
26a
TITLE 42 > CHAPTER 7 > SUBCHAPTER XI > Part A
> Sec. 1320a-7a.
Sec. 1320a-7a. - Civil monetary penalties
(a) Improperly filed claims
Any person (including an organization, agency,
or other entity, but excluding a beneficiary, as
defined in subsection (i)(5) of this section) that -
(1)
knowingly presents or causes to be presented
to an officer, employee, or agent of the United
States, or of any department or agency thereof,
or of any State agency (as defined in subsection
(i)(1) of this section), a claim (as defined in
subsection (i)(2) of this section) that the
Secretary determines -
(A)
is for a medical or other item or service
that the person knows or should know was
not provided as claimed, including any
person who engages in a pattern or practice
of presenting or causing to be presented a
claim for an item or service that is based on a
code that the person knows or should know
will result in a greater payment to the person
than the code the person knows or should
know is applicable to the item or service
actually provided,
27a
(B)
is for a medical or other item or service
and the person knows or should know the
claim is false or fraudulent,
(C)
is presented for a physician's service (or
an item or service incident to a physician's
service) by a person who knows or should
know that the individual who furnished (or
supervised the furnishing of) the service -
(i)
was not licensed as a physician,
(ii)
was licensed as a physician, but such
license had been obtained through a
misrepresentation of material fact
(including cheating on an examination
required for licensing); or
(iii)
represented to the patient at the time
the service was furnished that the
physician was certified in a medical
specialty by a medical specialty board
when the individual was not so certified,
28a
(D)
is for a medical or other item or service
furnished during a period in which the
person was excluded from the program
under which the claim was made pursuant to
a determination by the Secretary under this
section or under section 1320a-7, 1320c-5,
1320c-9(b) (as in effect on September 2, 1982),
1395y(d) (as in effect on August 18, 1987), or
1395cc(b) of this title or as a result of the
application of the provisions of section
1395u(j)(2) of this title, or
(E)
is for a pattern of medical or other items
or services that a person knows or should
know are not medically necessary;
(2)
knowingly presents or causes to be presented
to any person a request for payment which is in
violation of the terms of
(A)
an assignment under section
1395u(b)(3)(B)(ii) of this title, or
(B)
an agreement with a State agency (or
other requirement of a State plan under
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29a
subchapter XIX of this chapter) not to charge
a person for an item or service in excess of
the amount permitted to be charged, or
(C)
an agreement to be a_ participating
physician or supplier under _ section
1395u(h)(1) of this title, or
(D)
an agreement pursuant to _ section
1395cc(a)(1)(G) of this title;
knowingly gives or causes to be given to any
person, with respect to coverage under
subchapter XVIII of this chapter of inpatient
hospital services subject to the provisions of
section 1395ww of this title, information that he
knows or should know is false or misleading,
and that could reasonably be expected to
influence the decision when to discharge such
person or another individual from the hospital;
in the case of a person who is not an
organization, agency, or other entity, is excluded
from participating in a program under
subchapter XVIII of this chapter or a State health
care program in accordance with this subsection
30a
or under section 1320a-7 of this title and who, at
the time of a violation of this subsection -
(A)
ng ante aE ley Pobre Koma wet
retains a direct or indirect ownership or
control interest in an entity that is
participating in a program under subchapter
XVIII of this chapter or a State health care
program, and who knows or should know of
the action constituting the basis for the
exclusion; or
:
:
Hq
(B)
is an officer or managing employee (as
defined in section 1320a-5(b) of this title) of
such an entity;
(5)
offers to or transfers remuneration to any
individual eligible for benefits under subchapter
XVIII of this chapter, or under a State health care
program (as defined in section 1320a-7(h) of this
title) that such person knows or should know is
likely to influence such individual to order or
receive from a particular provider, practitioner,
or supplier any item or service for which
payment may be made, in whole or in part,
under subchapter XVIII of this chapter, or a
State health care program (as so defined);
ad
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(6)
arranges or contracts (by employment or
otherwise) with an individual or entity that the
person knows or should know is excluded from
participation in a Federal health care program
(as defined in section 1320a-7b(f) of this title), for
the provision of items or services for which
payment may be made under such a program,
or |
(7)
commits an act described in paragraph (1) or
(2) of section 1320a-7b(b) of this title;
shall be subject, in addition to any other
penalties that may be prescribed by law, to a civil
money penalty of not more than $10,000 for each
item or service (or, in cases under paragraph (3),
$15,000 for each individual with respect to whom
false or misleading information was given; in cases
under paragraph (4), $10,000 for each day the
prohibited relationship occurs; or in cases under
paragraph (7), $50,000 for each such act). In
addition, such a person shall be subject to an
assessment of not more than 3 times the amount
claimed for each such item or service in lieu of
damages sustained by the United States or a State
agency because of such claim (or, in cases under
paragraph (7), damages of not more than 3 times
the total amount of remuneration offered, paid,
solicited, or received, without regard to whether a
portion of such remuneration was offered, paid,
32a
solicited, or received for a lawful purpose). In
addition the Secretary may make a determination in
the same proceeding to exclude the person from
participation in the Federal health care programs
(as defined in section 1320a-7b(f)(1) of this title) and
to direct the appropriate State agency to exclude the
person from participation in any State health care
_ program.
(b) Payments to induce reduction or limitation of
services
RPGS ROLES ARENAS Ite WO FORE 8 Hele Te + me
SPs Steg Bad cM Ade
(1)
If a hospital or a critical access hospital
knowingly makes a payment, directly or
indirectly, to a physician as an inducement to
reduce or limit services provided with respect to
individuals who -
t
i
2
s
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}
&
(A)
are entitled to benefits under part A or
part B of subchapter XVIII of this chapter or
to medical assistance under a State plan
approved under subchapter XIX of this
chapter, and
(B)
are under the direct care of the physician,
the hospital or a critical access hospital shall be
subject, in addition to any other penalties that may
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33a
be prescribed by law, to a civil money penalty of
not more than $2,000 for each such individual with
respect to whom the payment is made.
(2)
Any physician who knowingly accepts
receipt of a payment described in paragraph (1)
shall be subject, in addition to any other
penalties that may be prescribed by law, to a
civil money penalty of not more than $2,000 for
each individual described in such paragraph
with respect to whom the payment is made.
(3)
(A)
Any physician who executes a document
described in subparagraph (B) with respect
to an individual knowing that all of the
requirements referred to in _ such
subparagraph are not met with respect to the
individual shall be subject to a civil monetary
penalty of not more than the greater of -
(i)
$5,000, or
(ii)
three times the amount of the
payments under subchapter XVIII of this
34a
chapter for home health services which
are made pursuant to such certification.
(B)
A document described in ___ this
subparagraph is any document that certifies,
for purposes of subchapter XVIII of this
chapter, that an individual meets the
requirements of section 1395f(a)(2)(C) or
1395n(a)(2)(A) of this title in the case of home
health services furnished to the individual.
(c) Initiation of proceeding; authorization by Attorney
General, notice, etc., estoppel, failure to comply with
order or procedure
(1)
The Secretary may initiate a proceeding to
determine whether to impose a civil money
penalty, assessment, or exclusion under
subsection (a) or (b) of this section only as
authorized by the Attorney General pursuant to
procedures agreed upon by them. The Secretary
may not initiate an action under this section
with respect to any claim, request for payment,
or other occurrence described in this section
later than six years after the date the claim was
presented, the request for payment was made,
or the occurrence took place. The Secretary may
initiate an action under this section by serving
notice of the action in any manner authorized by
Rule 4 of the Federal Rules of Civil Procedure.
nascent eH UTA ROR We Seat i> de Sakae
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35a
The Secretary shall not make a determination
adverse to any person under subsection (a) or
(b) of this section until the person has been
given written notice and an opportunity for the
determination to be made on the record after a
hearing at which the person is entitled to be
represented by counsel, to present witnesses,
and to cross-examine witnesses against the
person.
(3)
In a proceeding under subsection (a) or (b) of
this section which -
(A)
is against a person who has been
convicted (whether upon a verdict after trial
or upon a plea of guilty or nolo contendere)
of a Federal crime charging fraud or false
statements, and
(B)
involves the same transaction as in the
criminal action,
the person is estopped from denying the
essential elements of the criminal offense.
(4)
36a
The official conducting a hearing under this
section may sanction a person, including any
party or attorney, for failing to comply with an
order or procedure, failing to defend an action,
or other misconduct as would interfere with the
speedy, orderly, or fair conduct of the hearing.
Such sanction shall reasonably relate to the
severity and nature of the failure or misconduct.
Such sanction may include -
(A)
in the case of refusal to provide or permit
discovery, drawing negative factual
inferences or treating such refusal as an
admission by deeming the matter, or certain
facts, to be established,
(B)
prohibiting a party from introducing
certain evidence or otherwise supporting a
particular claim or defense,
(C)
striking pleadings, in whole or in part,
(D)
staying the proceedings,
(E)
dismissal of the action,
(F)
entering a default judgment,
(G)
ordering the party or attorney to pay
attorneys' fees and other costs caused by the
failure or misconduct, and
(H)
refusing to consider any motion or other
action which is not filed in a timely manner.
(d) Amount or scope of penalty, assessment, or
exclusion -
In determining the amount or scope of any
penalty, assessment, or exclusion imposed pursuant
to subsection (a) or (b) of this section, the Secretary
shall take into account -
(1)
the nature of claims and the circumstances
under which they were presented,
(2)
the degree of culpability, history of prior
offenses, and financial condition of the person
presenting the claims, and
(3)
such other matters as justice may require.
(e) Review by courts of appeals
Any person adversely affected by a
determination of the Secretary under this section
may obtain a review of such determination in the
United States Court of Appeals for the circuit in
which the person resides, or in which the claim was
presented, by filing in such court (within sixty days
following the date the person is notified of the
Secretary's determination) a written petition
requesting that the determination be modified or
set aside. A copy of the petition shall be forthwith
transmitted by the clerk of the court to the
Secretary, and thereupon the Secretary shall file in
the Court! the record in the proceeding as provided
in section 2112, of title 28. Upon such filing, the
court shall have jurisdiction of the proceeding and
of the question determined therein, and shall have
the power to make and enter upon the pleadings,
testimony, and proceedings set forth in such record
a decree affirming, modifying, remanding for
further consideration, or setting aside, in whole or
in part, the determination of the Secretary and
enforcing the same to the extent that such order is
Oe a ae ee
39a
affirmed or modified. No objection that has not
been urged before the Secretary shall be considered
by the court, unless the failure or neglect to urge
such objection shall be excused because of
extraordinary circumstances. The findings of the
Secretary with respect to questions of fact, if
supported by substantial evidence on the record
considered as a whole, shall be conclusive. If any
party shall apply to the court for leave to adduce
additional evidence and shall show to the
satisfaction of the court that such additional
evidence is material and that there were reasonable
grounds for the failure to adduce such evidence in
the hearing before the Secretary, the court may
order such additional evidence to be taken before
the Secretary and to be made a part of the record.
The Secretary may modify his findings as to the
facts, or make new findings, by reason of additional
evidence so taken and filed, and he shall file with
the court such modified or new findings, which
findings with respect to questions of fact, if
supported by substantial evidence on the record
considered as a whole, shall be conclusive, and his
recommendations, if any, for the modification or
setting aside of his original order. Upon the filing of
the record with it, the jurisdiction of the court shall
be exclusive and its judgment and decree shall be
final, except that the same shall be subject to review
by the Supreme Court of the United States, as
provided in section 1254 of title 28.
ch Lh OGL NIE Re LEE ODI I Mi intl Pelscel ebibde hatdeakiobes oe uote eae a a
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(f) Compromise of penalties and assessments; recovery;
use of funds recovered
40a
Civil money penalties and assessments imposed
under this section may be compromised by the
Secretary and may be recovered in a civil action in
the name of the United States brought in United
States district court for the district where the claim
was presented, or where the claimant resides, as
determined by the Secretary. Amounts recovered
under this section shall be paid to the Secretary and
disposed of as follows:
(1)
(A)
In the case of amounts recovered arising
out of a claim under subchapter XIX of this
chapter, there shall be paid to the State
agency an amount bearing the same
proportion to the total amount recovered as
the State's share of the amount paid by the
State agency for such claim bears to the total
amount paid for such claim.
In the case of amounts recovered arising
out of a claim under an allotment to a State
under subchapter V of this chapter, there
shall be paid to the State agency an amount
equal to three-sevenths of the amount
recovered.
4la
(2)
Such portion of the amounts recovered as is
determined to have been paid out of the trust
funds under sections 1395i and 1395t of this title
shall be repaid to such trust funds.
(3)
With respect to amounts recovered arising
out of a claim under a Federal health care
program (as defined in section 1320a-7b(f) of
this title), the portion of such amounts as is
determined to have been paid by the program
shall be repaid to the program, and the portion
of such amounts attributable to the amounts
recovered under this section by reason of the
amendments made by the Health Insurance
Portability and Accountability Act of 1996 (as
estimated by the Secretary) shall be deposited
into the Federal Hospital Insurance Trust Fund
pursuant to section 1395i(k)(2)(C) of this title.
The remainder of the amounts recovered
shall be deposited as miscellaneous receipts of
the Treasury of the United States.
The amount of such penalty or assessment,
| when finally determined, or the amount agreed
é upon in compromise, may be deducted from any
sum then or later owing by the United States or a
42a
State agency to the person against whom the
penalty or assessment has been assessed.
(g) Finality of determination respecting penalty,
assessment, or exclusion
A determination by the Secretary to impose a
penalty, assessment, or exclusion under subsection
(a) or (b) of this section shall be final upon the
expiration of the sixty-day period referred to in
subsection (e) of this section. Matters that were
raised or that could have been raised in a hearing
before the Secretary or in an appeal pursuant to
subsection (e) of this section may not be raised as a
defense to a civil action by the United States to
collect a penalty, assessment, or exclusion assessed
under this section.
(h) Notification of appropriate entities of finality of
determination
Whenever the Secretary's determination to
impose a penalty, assessment, or exclusion under
subsection (a) or (b) of this section becomes final, he
shall notify the appropriate State or local medical or
professional organization, the appropriate State
agency or agencies administering or supervising the
administration of State health care programs (as
defined in section 1320a-7(h) of this title), and the
appropriate utilization and quality control peer
review organization, and the appropriate State or
local licensing agency or organization (including
the agency specified in section 1395aa(a) and
1396a(a)(33) of this title) that such a penalty,
43a
assessment, or exclusion has become final and the
reasons therefor.
(i) Definitions
For the purposes of this section:
(1)
(2)
(3)
The term "State agency" means the agency
established or designated to administer or
supervise the administration of the State plan
under subchapter XIX of this chapter or
designated to administer the State's program
under subchapter V of this chapter or
subchapter XX of this chapter.
The term "claim" means an application for
payments for items and services under a Federal
health care program (as defined in section
1320a-7b(f) of this title).
The term "item or service" includes
(A)
any particular item, device, medical
supply, or service claimed to have been
provided to a patient and listed in an
itemized claim for payment, and
(4)
44a
(B)
in the case of a claim based on costs, any
entry in the cost report, books of account or
other documents supporting such claim.
The term "agency of the United States"
includes any contractor acting as a_ fiscal
intermediary, carrier, or fiscal agent or any other
claims processing agent for a Federal health care
program (as so defined).
The term "beneficiary" means an individual
who is eligible to receive items or services for
which payment may be made under a Federal
health care program (as so defined) but does not
include a provider, supplier, or practitioner.
The term "remuneration" includes the waiver
of coinsurance and deductible amounts (or any
part thereof), and transfers of items or services
for free or for other than fair market value. The
term "remuneration" does not include -
(A)
the waiver of coinsurance and deductible
amounts by a person, if -
45a
the waiver is not offered as part of any
advertisement or solicitation;
(ii)
the person does not routinely waive
coinsurance or deductible amounts; and
(iii)
the person -
(I)
waives the coinsurance and
deductible amounts after determining
in good faith that the individual is in
financial need; or
(II)
fails to collect coinsurance or
deductible amounts after making
reasonable collection efforts;
(B)
subject to subsection (n) of this section,
any permissible practice described in any
subparagraph of section 1320a-7b(b)(3) of
this title or in regulations issued by the
Secretary;
46a
(C)
differentials in coinsurance and
deductible amounts as part of a benefit plan
design as long as the differentials have been
disclosed in writing to all beneficiaries, third
party payers, and providers, to whom claims
are presented and as long as the differentials
meet the standards as defined in regulations
promulgated by the Secretary not later than
180 days after August 21, 1996; or
(D)
2 incentives given to individuals to
promote the delivery of preventive care as
determined by the Secretary in regulations so
promulgated,
(D)
2 a reduction in the copayment amount
for covered OPD services under section
13951(t)(5)(B) (FOOTNOTE 3) of this title.
(7)
The term "should know" means that a
person, with respect to information -
(A)
acts in deliberate ignorance of the truth or
falsity of the information, or
_ 47a
(B)
acts in reckless disregard of the truth or
falsity of the information, and no proof of
specific intent to defraud is required.
(j) Subpoenas
(1)
The provisions of subsections (d) and (e) of
section 405 of this title shall apply with respect
to this section to the same extent as they are
applicable with respect to subchapter II of this
chapter. The Secretary may delegate the
authority granted by section 405(d) of this title
(as made applicable to this section) to the
Inspector General of the Department of Health
and Human Services for purposes of any
investigation under this section.
The Secretary may delegate authority
granted under this section and under section
1320a-7 of this title to the Inspector General of
the Department of Health and Human Services.
(k) Injunctions
Whenever the Secretary has reason to believe
that any person has engaged, is engaging, or is
about to engage in any activity which makes the
person subject to a civil monetary penalty under
48a
this section, the Secretary may bring an action in an
appropriate district court of the United States (or, if
applicable, a United States court of any territory) to
enjoin such activity, or to enjoin the person from
concealing, removing, encumbering, or disposing of
assets which may be required in order to pay a civil
monetary penalty if any such penalty were to be
imposed or to seek other appropriate relief.
Liability of principal for acts of agent
A principal is liable for penalties, assessments,
and an exclusion under this section for the actions
of the principal's agent acting within the scope of
the agency.
(m) Claims within jurisdiction of other departments or
agencies
(1)
For purposes of this section, with respect to a
Federal health care program not contained in
this chapter, references to the Secretary in this
section shall be deemed to be references to the
Secretary or Administrator of the department or
agency with jurisdiction over such program and
references to the Inspector General of the
Department of Health and Human Services in
this section shall be deemed to be references to
the Inspector General of the applicable
department or agency. Hs
(B)
The Secretary and Administrator of the
departments and agencies referred to in
paragraph (1) may include in any ac*:on
pursuant to this section, claims within the
jurisdiction of other Federal departments or
agencies as long as the following conditions
are satisfied:
(i)
The case involves primarily claims
submitted to the Federal health care
programs of the department or agency
initiating the action.
(ii)
The Secretary or Administrator of the
department or agency initiating the
action gives notice and an opportunity to
participate in the investigation to the
Inspector General of the department or
agency with primary jurisdiction over the
Federal health care programs to which
the claims were submitted.
If the conditions specified in
subparag) aph (A) are fulfilled, the Inspector
General of the department or agency
50a
initiating the action is authorized to exercise
all powers granted under the Inspector
General Act of 1978 (5 U.S.C. App.) with
respect to the claims submitted to the other
departments or agencies to the same manner
and extent as provided in that Act with
respect to claims submitted to such
departments or agencies.
(n) Safe harbor for payment of medigap premiums
Subparagraph (B) of subsection (i)(6) of this
section shall not apply to a practice described in
paragraph (2) unless -
the Secretary, through the Inspector
General of the Department of Health and
Human Services, promulgates a_ rule
authorizing such a practice as an exception to
remuneration; and
the remuneration is offered or transferred
by a person under such rule during the 2-
year period beginning on the date the rule is
first promulgated.
A practice described in this paragraph is a
practice under which a health care provider or
facility pays, in whole or in part, premiums for
medicare supplemental policies for individuals
entitled to benefits under part A of subchapter
XVIII of this chapter pursuant to section 426-1 of
this title
‘So in original. Probably should not be capitalized.
2 So in original. Two subpars. (D) have been enacted.
52a
TITLE 42 > CHAPTER 7 > SUBCHAPTER XI > Part A > Sec.
1320b-10.
Sec. 1320b-10. - Prohibition of misuse of symbols,
emblems, or names in reference to Social Security or
Medicare
(a) Prohibited acts
(1)
No person may use, in connection with any item
constituting an advertisement, solicitation, circular,
book, pamphlet, or other communication, or a play,
motion picture, broadcast, telecast, or other
production, alone or with other words, letters,
symbols, or emblems -
(A)
the words "Social Security", "Social Security
Account", "Social Security System", "Social
Security Administration", "Medicare", "Health
Care Financing Administration", "Department of
Health and Human Services", "Health and
Human Services", "Supplemental Security Income
Program", or "Medicaid", the letters "SSA",
"HCFA", "DHHS", "NHS", or "SSI", or any other
combination or variation of such words or letters,
or
(B)
a symbol or emblem of the Social Security
Administration, Health Care Financing
Administration, or Department of Health and
EES IIIA AY OA as
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2 n> yr
53a
Human Services (including the design of, or a
reasonable facsimile of the design of, the social
security card issued pursuant to _ section
405(c)(2)(f) of this title or the Medicare card,,! the
check used for payment of benefits under
subchapter II of this chapter, or envelopes or
other stationery used by the Social Security
Administration, |Health Care Financing
Administration, or Department of Health and
Human Services), or any other combination or
variation of such symbols or emblems, in a
manner which such person knows or should
know would convey, or in a manner which
reasonably could be interpreted or construed as
conveying, the false impression that such item is
approved, endorsed, or authorized by the Social
Security Administration, the Health Care
Financing Administration, or the Department of
Health and Human Services or that such person
has some connection with, or authorization from,
the Social Security Administration, the Health
Care Financing Administration, or _ the
Department of Health and Human Services. The
preceding provisions of this subsection shall not
apply with respect to the use by any agency or
instrumentality of a State or political subdivision
of a State of any words or letters which identify
an agency or instrumentality of such State or of a
political subdivision of such State or the use by
any such agency or instrumentality of any symbol
or emblem of an agency or instrumentality of
such State or a political subdivision of such State.
(3)
54a
(A)
No person may, for a fee, reproduce, reprint,
or distribute any item consisting of a form,
application, or other publication of the Social
Security Administration unless such person has
obtained specific, written authorization for such
activity in accordance with regulations which the
Commissioner of Social Security shall prescribe.
(B)
No person may, for a fee, reproduce, reprint,
or distribute any item consisting of a form,
application, or other publication of the
Department of Health and Human Services
unless such person has obtained specific, written
authorization for such activity in accordance with
regulations which the Secretary shall prescribe.
Any determination of whether the use of one or
more words, letters, symbols, or emblems (or any
combination or variation thereof) in connection with
an item described in paragraph (1) or the
reproduction, reprinting, or distribution of an item
described in paragraph (2) is a violation of this
subsection shall be made without regard to any
inclusion in such item (or any so reproduced,
reprinted, or distributed copy thereof) of a disclaimer
of affiliation with the United States Government or
any particular agency or instrumentality thereof.
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(b) Civil penalties
The Commissioner or the Secretary (as applicable)
may, pursuant to regulations, impose a civil money
penalty not to exceed -
(1)
except as provided in paragraph (2), $5,000, or
(2)
in the case of a violation consisting of a broadcast
or telecast, $25,000,
against any person for each violation by such person
of subsection (a) of this section. In the case of any items
referred to in subsection (a)(1) of this section consisting
of pieces of mail, each such piece of mail which contains
one or more words, letters, symbols, or emblems in
violation of subsection (a) of this section shall represent
a separate violation. In the case of any item referred to in
subsection (a)(2) of this section, the reproduction,
reprinting, or distribution of such item shall be treated
as a separate violation with respect to each copy thereof
so reproduced, reprinted, or distributed.
(c) Application of other law; compromise, recovery, and
deposit into Treasury of civil money penalties
(1)
The provisions of section 1320a-7a of this title
(other than subsections (a), (b), (f), (h), and (i) and the
first sentence of subsection (c)) shall apply to civil
money penalties under subsection (b) of this section
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in the same manner as such provisions apply to a
penalty or proceeding under section 1320a-7a(a) of
this title.
(2)
Penalties imposed against a person under
subsection (b) of this section may be compromised by
the Commissioner or the Secretary (as applicable)
and may be recovered in a civil action in the name of
the United States brought in the district court of the
United States for the district in which the violation
occurred or where the person resides, has its
principal office, or may be found, as determined by
the Commissioner or the Secretary (as applicable).
Amounts recovered under this section shall be paid
to the Commissioner or the Secretary (as applicable)
and shall be deposited as miscellaneous receipts of
the Treasury of the United States, except that
(A)
to the extent that such amounts are recovered
under this section as penalties imposed for
misuse of words, letters, symbols, or emblems
relating to the Social Security Administration,
such amounts shall be deposited into the Federal
Old-Age and Survivors Insurance Trust Fund,
and
(B)
to the extent that such amounts are recovered
under this section as penalties imposed for
misuse of words, letters, symbols, or emblems
relating to the Department of Health and Human
EIN LER ALAA IO LIN LS i IO IBNIEH OE nS og Ft
Eaeliimentes |
57a
Services, such amounts shall be deposited into the
Federal Hospital Insurance Trust Fund or the
Federal Supplementary Medical Insurance Trust
Fund, as appropriate. The amount of such penalty
when finally determined, or the amount agreed
upon in compromise, may be deducted from any
sum then or later owing by the United States to
the person against whom the penalty has been
imposed.
(d) Enforcement
The preceding provisions of this section may be
enforced through the Office of the Inspector General of
the Social Security Administration or the Office of the
Inspector General of the Department of Health and
Human Services (as appropriate)
‘So in original.
This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.