30 Soc - Sec.rep - Ser. 178, Unempl - Ins.rep. CCH 15733a Jerome Brown v. Otis R. Bowen, M.D., As Secretary of The Department of Health and Human Services, 905 F.2d 632, 2d Cir. (1990)
30 Soc - Sec.rep - Ser. 178, Unempl - Ins.rep. CCH 15733a Jerome Brown v. Otis R. Bowen, M.D., As Secretary of The Department of Health and Human Services, 905 F.2d 632, 2d Cir. (1990)
2d 632
Lynda Guild Simpson, Deputy Asst. Atty. Gen., Office of Legal Counsel,
argued, Stuart M. Gerson, on the brief, Washington, D.C., Asst. U.S. Atty. Gen.
Civ. Div. (Dennis C. Vacco, U.S. Atty.; William G. Kanter and Michael J.
Singer, Attys., Appellate Staff, Civ. Div., Dept. of Justice, of counsel), for
defendant-appellee.
Background
Brown's Social Security application also states in capital letters, "I agree to file
an annual report of earnings. The annual report is required by law and failure to
report may result in a monetary penalty." Brown's signature appears on the
page below the statement.
At the time of the interview, Brown was given a printed information sheet. That
sheet stated that if his earnings were over $6,600, the Social Security
Administration might deduct $1 for every $2 earned above that amount. Brown
also received two claim receipts, one for himself and one for his wife. The
claims receipts included a section entitled, "Changes to be Reported and How
to Report." That section provided that "Work Changes," including wage levels,
must be reported to the SSA "at once," by telephone, mail, or in person.
Contrary to his expressed intention to retire in 1984, Brown did not retire until
June, 1985. During 1984, he earned $25,173. Brown did not report his earnings
for 1984 to the Social Security Administration until July 1985. He collected full
Social Security retirement benefits in 1984, and his wife also received benefits
during that time. Benefit overpayments to the Browns for 1984, according to
the Secretary, amount to $8,485.80.3
10
On May 15, 1987, the ALJ found, pursuant to 20 C.F.R. Sec. 404.507, that
Brown was not "without fault" in causing the benefit overpayments.
Accordingly, the ALJ denied waiver of recovery of the overpayments. The
Appeals Council of the Social Security Administration affirmed the ALJ's
decision on August 16, 1988.4
11
Brown then brought action under 42 U.S.C. Sec. 405(g) in Federal District
Court for the Western District of New York before Judge Richard J. Arcara to
review the Secretary's determination. He advanced two arguments: first, that
the excess earnings provisions of the Act, 42 U.S.C. Secs. 403(b), 403(f)(3)
deprive him of equal protection of the laws; and second, that the Secretary's
determination that Brown was not without fault was unfounded. The district
judge rejected both claims.
Discussion
I. The Level of Scrutiny
12
Distinctions made in social welfare statutes are typically reviewed for rational
basis. See, e.g., Lyng v. International Union, 485 U.S. 360, 108 S.Ct. 1184, 99
L.Ed.2d 380 (1988) (statutory provision barring a household from becoming
eligible from food stamps when a member of the household goes on strike
upheld on rational basis test); City of Cleburne v. Cleburne Living Center, Inc.,
473 U.S. 432, 440, 105 S.Ct. 3249, 3254, 87 L.Ed.2d 313 (1985); Mathews v.
de Castro, 429 U.S. 181, 185, 97 S.Ct. 431, 434, 50 L.Ed.2d 389 (1976);
Dandridge v. Williams, 397 U.S. 471, 90 S.Ct. 1153, 25 L.Ed.2d 491 reh'g
denied 398 U.S. 914, 90 S.Ct. 1684, 26 L.Ed.2d 80 (1970) (upholding AFDC
program limitations). It is the responsibility of Congress, not the courts, to
determine how public funds should be spent and how they should be raised.
Such legislative decisions are constrained by fiscal necessity. Every desirable
program cannot be funded, nor can the full needs of every funded program be
met. Lines must inevitably be drawn, and it is the legislature's province to draw
them. The choices made by the legislature will be upheld unless they are
"clearly wrong, a display of arbitrary power, not an exercise of judgment."
Bowen v. Owens, 476 U.S. 340, 345, 106 S.Ct. 1881, 1885, 90 L.Ed.2d 316
(1986) (quoting Mathews v. de Castro, 429 U.S. 181, 185, 97 S.Ct. 431, 434,
50 L.Ed.2d 389 (1976)). The standard of review for such statutes is to
determine whether they have a rational basis and do not engage in invidious
discrimination, regardless whether flaws may be found in their logic.
Dandridge, 397 U.S. at 486, 90 S.Ct. at 1162.
13
Jimenez v. Weinberger, 417 U.S. 628, 94 S.Ct. 2496, 41 L.Ed.2d 363 (1974),
cited by appellant, is not to the contrary. In Jimenez, the Court struck down a
statutory provision denying Social Security disability benefits to certain
illegitimate children on the grounds that "the blanket ... exclusion ... is [not]
reasonably related to the prevention of spurious claims," the government's
ostensible objective. 417 U.S. at 637, 94 S.Ct. at 2502.
14
discriminates on the basis of wealth and because it burdens the right to work, it
must pass a higher standard of scrutiny than rational basis. Although conceding
that strict scrutiny is not warranted, he advocates a "heightened" scrutiny test.
See Zablocki v. Redhail, 434 U.S. 374, 98 S.Ct. 673, 54 L.Ed.2d 618 (1978)
(heightened scrutiny exercised over a Wisconsin statute which interfered with
the "fundamental" right to marry).
15
16
18
The argument is based on the supposition that the system of benefits derives its
justification from the goal of providing (at retirement age) for the needy. That
is not the case. H.R.Rep. No. 615, 74th Cong., 1st Sess. 1 (1935). The program
is rather a forced participation in retirement insurance in which wages are taxed
to finance guaranteed retirement benefits. Eligibility is not based on need.
Indeed, the needy are ineligible to receive benefits unless they have contributed
sufficiently by working for a specified minimum number of quarters in
employment subject to the Social Security tax. Benefits are payable to wealthy
beneficiaries equally with the needy. Further, benefits are not funded by
contributions based on wealth or unearned income. They are funded by taxes
imposed on wages (and other equivalent earned income). See 42 U.S.C. Sec.
401(a). In short, the Social Security old age retirement insurance system is not
based on the system of values presupposed in plaintiff's irrationality argument.
19
The purpose of the old age benefits provisions is to provide workers and their
families with payments at an age when their earnings are likely to diminish by
reason of old age or illness. See Mathews v. de Castro, 429 U.S. at 186, 97
S.Ct. at 434-35. The resources to provide such insurance are limited. The
excess earnings charge is an economy measure which is rationally related to the
objectives of the statute. It recognizes that workers are able to, and do,
postpone their retirements, thus postponing the income loss against which
benefits are intended to provide. It thus relates benefits more directly to actual
retirement than to a presumed time of retirement.
20
There is further rational justification for not taxing income from investments.
To do so might well discourage savings during productive years. If workers
perceived that frugality and thrift would ultimately deprive them of the benefits
they would otherwise receive, that would encourage spendthrift habits. It is
certainly rational to design benefits legislation so as not to encourage such
consequences. See Gainville v. Richardson, 319 F.Supp. 16, 19 (D.Mass.1970).
21
Appellant further argues that Section 403(f)(3), which exempts individuals over
70 from the earned income charge, is an illegal age discrimination. There is
simply no constitutional basis for this argument. Nor is there statutory
authority. Not even the Age Discrimination Act outlaws discrimination in favor
of the elderly. See 42 U.S.C. Secs. 6101-6107. The Social Security system is
designed on age-based distinctions, with eligibility for benefits beginning only
at a specified age. Numerous other statutes, including Medicaid and many
welfare provisions, serve the purpose of aiding persons over a stated age.
22
Even if discrimination in favor of the aged were considered suspect, the over70 exemption at issue would be justified by its objectives. First, just like the
principal provisions of the Social Security system, the exemption serves to
protect the elderly. If those favored by the exemption have continued to work
past age 65, they are likely to have contributed a larger amount to the Social
Security system than younger individuals, having thus earned a greater
entitlement to receive benefits. They are more likely to have actually retired
than 65-year olds, and they will also be employable for a shorter future period
of time than younger counterparts. They are closer to facing costly health
problems as their age advances. They are less likely to be self-sufficient and
more likely to be experiencing financial burdens than at 65. Finally, because
working persons over 70 are a far less numerous class than working persons
over 65, removal of the charge only for those over 70 will have a less harmful
impact on the goal of economizing.
23
Appellant further argues that the exemption for individuals over 70 undermines
an intended goal of the excess earned income charge for those under 70. The
charge in question was originally designed (in part) to encourage retirement at
65 so as to free jobs for younger workers. H.R.Rep. No. 702, 95th Cong., 1st
Sess., pt. I at 49 (1977), reprinted in 1977 U.S.Code Cong. & Admin.News
4155, 4206. The elimination of the charge many years later for those over 70
has the contrary tendency of encouraging workers over 70 to work.
24
This may be so. A complex statute, especially one that has been frequently
amended at different times, rarely functions with all parts in perfect harmony.
Even when a statute is the product of a single enactment, its provisions may
embody compromises of various political and fiscal objectives. When, in
addition, a statute has undergone numerous amendments during a fifty year
history, some of the amendments may well have objectives that are not
completely consistent with the objectives of earlier enacted provisions.
25
Nonetheless, if the component parts had a rational basis when enacted, they are
not rendered invalid by reason of the fact that the rational basis is not wholly
consistent with the objectives of all the other portions of the statute. It would
ask practically the impossible to require of subsequently elected legislatures
that their statutory amendments harmonize perfectly with the original
objectives of all surviving portions of the statutes. If this were the test, few
complex statutes would survive. Bowen v. Owens, 476 U.S. 340, 348, 106 S.Ct.
1881, 1886, 90 L.Ed.2d 316 (1986) (gradual steps to increase survivorship
benefits upheld despite problematic distinctions between widowed spouses who
remarried and similarly situated divorced widowed spouses--Congress may act
"one step at a time").
26
There is a firm reasonable basis in service of the objectives of this statute for
the distinctions here questioned. This is not a case of artful justification of a
maliciously discriminating statute by conjuring up some disingenuous
"rationale." The fact that there has been some shift in congressional purpose
over the years resulting in different provisions having inconsistent, but not
incompatible, tendencies does not invalidate the scheme or any of its constituent
Finally, appellant argues that the Secretary had no basis for finding that
appellant was "not without fault" in receiving overpayments. The Secretary's
decision must be affirmed if it was supported by substantial evidence, and it
was. The pertinent regulation, 20 C.F.R. Sec. 404.511, places on recipients of
benefits the responsibility to exercise "a high degree of care in determining
whether circumstances which may cause deductions from his benefits should
be brought to the attention of the Administration."5 Appellant had signed an
application making representations as to his intended retirement at 65. He
received benefits based on the assumption that he would do so. His failure to
advise the Secretary of his change of plans which required a reduction of his
benefits unquestionably supports the Secretary's finding that plaintiff was "not
without fault" and failed to exercise the "high degree of care" required. His
contention that he believed, based on the Claims Representative's advice, that
his payments would be automatically adjusted is undermined by the undisputed
fact that he continued to receive the overpayments, month after month, for over
a year. The Secretary had substantial evidentiary basis to find that plaintiff was
not "without fault" in failing to exercise the high degree of care required.
Conclusion
28
The Honorable Pierre N. Leval, United States District Judge for the Southern
District of New York, sitting by designation
When plaintiff Jerome Brown applied for Social Security benefits in 1983, 42
U.S.C. Secs. 403(b) and 403(f)(3) (1982) provided in relevant part:
Sec. 403(b). Deductions on account of work
Deductions ... shall be made from any payment under this subchapter ... until
the total of such deductions equals-(1) such individual's benefit or benefits under section 402 of this title for any
month ...
if for such month he is charged with excess earnings under the provisions of
subsection (f) of this section....
Sec. 403(f)(3).
... an individual's excess earnings for a taxable year shall be 50 per centum of
his earings for such year in excess of the applicable exempt amount ...
Notwithstanding the previous provisions ... no part of the excess earnings shall
be charged to any month ... in which such individual was age seventy or over....
The current version of the statute provides that excess earnings will result in a
reduction of benefits of $1 for every $3 earned (above the exempt amount).
2
Although Brown cannot now recall making this statement to the Claims
Representative, he does recall being told by the Claims Representative that if he
earned more than a particular amount, his Social Security checks would be
reduced. However, Brown also claims he was told by the Representative that
his Social Security checks would be automatically adjusted based on his
employer's quarterly report
The Administration has adjusted the benefit overpayment figures to account for
its failure to appropriately increase the Browns' monthly benefit payments in
1985 and 1986
The Appeals Council did conclude that the ALJ had erred by relying on the
wrong regulation, and that the ALJ should have based his conclusions on 20
C.F.R. Sec. 404.510 and Sec. 404.511. Applying the correct standard, the
Appeals Council still concluded that Mr. Brown was not "without fault," and
that recovery of the overpayments could not be waived
20
Administration....