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Lopez v. Commissioner of Social Security, 16-cv-02732-LB. (2016)

Court: District Court, N.D. California Number: infdco20161223a46 Visitors: 13
Filed: Dec. 22, 2016
Latest Update: Dec. 22, 2016
Summary: ORDER GRANTING THE DEFENDANT'S MOTION TO DISMISS AND DENYING THE REMAINING MOTIONS AS MOOT Re: ECF Nos. 29, 32, 39, 43, 46, 48, and 49 LAUREL BEELER , Magistrate Judge . INTRODUCTION Mr. Lopez, who is representing himself, filed a complaint for judicial review of his disability benefits for his claimed disability of hemiplegia, a neurological disorder, sustained as a result of being involved in a motor vehicle accident. 1 Mr. Lopez seeks reinstatement of his disability benefits. 2 He a
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ORDER GRANTING THE DEFENDANT'S MOTION TO DISMISS AND DENYING THE REMAINING MOTIONS AS MOOT

Re: ECF Nos. 29, 32, 39, 43, 46, 48, and 49

INTRODUCTION

Mr. Lopez, who is representing himself, filed a complaint for judicial review of his disability benefits for his claimed disability of hemiplegia, a neurological disorder, sustained as a result of being involved in a motor vehicle accident.1

Mr. Lopez seeks reinstatement of his disability benefits.2 He also moved for a preliminary injunction, again seeing reinstatement of his disability benefits.3 In October 2016, the court denied the motion for injunctive relief and advised Mr. Lopez it would consider all of his arguments after the parties fully briefed the dispute.4 In December 2016, Mr. Lopez filed motions for an order to show cause, for sanctions, to consolidate this case with his constitutional tort case against the SSA, and to reconsider the court's decision to decide the motions without a hearing.5

The Commissioner opposes Mr. Lopez's application for judicial review and moves to dismiss the complaint and the related motions on the ground that the court lacks subject-matter jurisdiction because there is no final agency decision because Mr. Lopez did not exhaust his administrative remedies.6

Pursuant to Civil Local Rule 16-5, the matter is deemed submitted for decision by this court without oral argument. Moreover, the court finds that it can decide the matter without oral argument under Civil Local Rule 7-1(b). All parties have consented to magistrate jurisdiction.7 The court dismisses the complaint without leave to amend for lack of subject-matter jurisdiction. The court denies Mr. Lopez's other motions.

STATEMENT

The SSA determined that Mr. Lopez was disabled under Title II of the Social Security Act, and it awarded him monthly benefits effective February 15, 2003.8 On August 20, 2013, pursuant to its statutory mandate to review disability determinations, see 42 U.S.C. § 421(i)(1), the SSA determined that Mr. Lopez's disability had ceased.9 Mr. Lopez requested reconsideration of this determination in September 2013, waived his right to a hearing, and asked for a disability officer to hear his case.10 In March 2014, a disability hearing officer concluded there was insufficient evidence to establish that Mr. Lopez had a disability because Mr. Lopez would not fill out his reconsideration application or the "Activities of Daily Living" questionnaire, and he refused to attend two psychological and two internist consultive examinations.11 On March 19, 2014, the SSA sent Mr. Lopez a Notice of Reconsideration telling him that he was no longer entitled to Title II benefits based on a disability and that he had 60 days to request a hearing before an ALJ.12

On May 8, 2014, Mr. Lopez filed his request for a hearing before an ALJ, saying that he would provide additional information at the hearing instead of providing the name and address of sources that the SSA could contact to get information about his disability.13 The hearing was scheduled for August 26, 2015.14 The SSA sent Mr. Lopez a notice about his hearing date, tried to call him regarding the hearing, and sent a reminder warning him that a failure to appear would result in the dismissal of his appeal; the notices were mailed to the address that Mr. Lopez provided in his hearing request.15

Mr. Lopez asserts that he responded to the notice of hearing by mailing the assigned ALJ (Sally C. Reason) a letter that advised her of (1) his difficulties with the local social-security office (which was — he alleged — impermissibly forcing him to fill out administrative forms to reinstate his benefits) and (2) his Bivens lawsuit in the Central District, which he alleges was a conflict of interest that prevented his attending the hearing.16 He did not appear at the hearing, and the ALJ dismissed his request for a hearing and issued a notice of dismissal.17 Mr. Lopez timely asked Appeals Council to review the ALJ's order dismissing his case.18 The appeals council denied the request, concluding that there was no "good cause" for Mr. Lopez's failure to appear.19

ANALYSIS

The Commissioner asserts that the court lacks subject matter over the Commissioner's non-final decision.20 The plaintiff has the burden of establishing jurisdiction. See Kokkonen v. Guardian Life Ins. Co. of Am., 511 U.S. 375, 377 (1994).

Here, the ALJ dismissed Mr. Lopez's request for a hearing because he did not appear, despite being warned that his failure to appear would result in dismissal of his hearing without further notice. The relevant regulation is 20 C.F.R. § 404.957, which provides that an ALJ may dismiss a request for a hearing without further notice if (1) the claimant or his representative did not appear, (2) the claimant was "notified before the time set for the hearing that your request for hearing may be dismissed without further notice if you did not appear at the time and place of hearing," and (3) "good cause has not been found by the administrative law judge for your failure to appear." Id. § 404.97(b)(1)(i).

The issue is whether Mr. Lopez exhausted his administrative remedies and thus whether the SSA issued a final decision.

The Social Security Act authorizes judicial review of only final Social Security Administration decisions made after a hearing. 42 U.S.C. § 405(g); Califano v. Sanders, 430 U.S. 99, 108 (1977) (Section 405(g) "clearly limits judicial review to a particular type of agency action, a `final decision' of the Secretary made after a hearing."). A "final decision" is not defined by the Social Security Act and is instead defined by regulation. See 20 C.F.R. § 404.900(a)(1)-(4). Under the regulations, a claimant obtains a final decision only after completing the four steps of the administrative review process: (1) an initial determination; (2) reconsideration; (3) a hearing before an ALJ; and (4) review by the Appeals Council. Id; see Kildare v. Saenz, 325 F.3d 1078, 1082 (9th Cir. 2003) ("[a] final decision has two elements: (1) presentment of the claim to the Commissioner, and (2) complete exhaustion of administrative remedies.") (citing Johnson v. Shalala, 2 F.3d 918, 921 (9th Cir. 1993)).

The cessation of disability benefits following a continuing disability review is an initial determination 42 C.F.R. § 404.902(a). Before appealing to this court, the plantiff must exhaust hearing, and then a final review by the Appeals Council. 20 C.F.R. § 900(a)(1)-(5). By not administrative remedies. Hoye v. Suillivan, 985 F.2d 990, 991 (9th Cir. 1993); accord Subia v. Comm'r of Soc. Sec., 264 F.3d 899, 902 ((th Cir. 2001). Thus, there was no final decision.

And as the Commissioner poinst out, there is no exception that justifies judicial review.21Mr. Lopez does not establish that exhaustion would have been futile, and his claim is not collateral to his claim of entitlement of benefits.22 Indeed, he claims entitlement to benefits, his entitlement to benefits.

In sum, without a final agency decision, the court has no jurisdiction. Mr. Lopez's remedy is refile for benefits.

The court denies the remaining motions as moot.

CONCLUSION

The court dismisses the complaint for lack of jurisdiction and denis the other motions as moot. This disposes of ECF Nos. 29, 32, 39, 43, 46, 48, and 49.

IT IS SO ORDERED.

FootNotes


1. Compl. — ECF No. 1. Record citations are to material in the Electronic Case File ("ECF"); pinpoint citations refer to the ECF-generated page numbers at the top of documents.
2. Id. at 7.
3. ECF No. 29.
4. ECF No. 33.
5. ECF Nos. 39, 43, 46, 48, and 49.
6. ECF No. 32 at 1, 13.
7. Consent Forms 2012 ECF Nos. 7, 15.
8. Chung Decl. — ECF 32-1, ¶ 3(a) & Ex. 1 — ECF No. 32-1 at 5.
9. Id. ¶ 3(b) & Ex. 2. — ECF No. 32-1 at 8.
10. Id. ¶ 3(c) & Ex. 3 — ECF No. 32-1 at 9.
11. Id. ¶ 3(d) & Ex. 4 — ECF No. 32-1 at 14.
12. Id. ¶ 3(e) & Ex. 5 — ECF No. 32-1 at 200336 22.
13. Id. ¶ 3(f) & Ex. 6 — ECF No. 32-1 at 23.
14. Id. ¶ 3(g) & Ex. 7 — ECF No. 32-1 at 30.
15. Id. ¶ 3(g-i) & Exs. 7-9 — ECF No. 32-1 at 30-37.
16. Compl. — ECF No. 1 at 2-3.
17. Id.; Chung Decl. — ECF 32-1, ¶ 3(j) & Ex. 10 — ECF No. 32-1 at 39.
18. Id. ¶ 3(k) & Ex. 11 — ECF No. 32-1 at 47.
19. Id. ¶ 3(l) & Ex. 12 — ECF No. 32-1 at 49.
20. Motion — ECF No. 32 at 7.
21. Motion — ECF No. 32 at 11-12.
22. Id. (citing Kildare v. Soenz, 325 F.3d 1078, 1082 (9th Cir. 2003); Hoye, 985 F.3d at 991-992; and Bass v. Soc. Sec. Admin., 872 F.2d 832 833 (9th Cir. 1989).
Source:  Leagle

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