(SS) Allen v. Price, No. 1:2017cv00239 - Document 37 (E.D. Cal. 2019)

Court Description: FINDINGS and RECOMMENDATIONS that Plaintiff's Social Security Appeal be Dismissed on the Merits; Objections, if any, Due within Fourteen (14) Days signed by Magistrate Judge Jeremy D. Peterson on 1/3/2019. Referred to Judge Dale A. Drozd. (Sant Agata, S)

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1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 EASTERN DISTRICT OF CALIFORNIA 10 GEORGE N. ALLEN, 11 Plaintiff, 12 v. 13 NANCY A. BERRYHILL, Acting Commissioner of Social Security, 14 15 Defendant. Case No. 1:17-cv-00239-DAD-JDP FINDINGS AND RECOMMENDATIONS THAT THAT PLAINTIFF’S SOCIAL SECURITY APPEAL BE DISMISSED ON THE MERITS OBJECTIONS, IF ANY, DUE WITHIN FOURTEEN DAYS 16 17 Plaintiff, referred to herein as “claimant,” seeks judicial review of a final decision by the 18 19 Commissioner of Social Security concluding that he was erroneously paid $20,647 in Social 20 Security retirement benefits while he was a civil detainee held at state expense at the Coalinga 21 State Hospital. The matter is currently before the court on the parties’ briefs, which are referred 22 without oral argument to the undersigned Magistrate Judge.1 The undersigned will recommend 23 that the court dismiss plaintiff’s appeal on the merits.2 24 25 26 27 28 1 On May 22, 2017, the Commissioner declined to consent to the assignment of this case to a U.S. Magistrate Judge for trial and disposition and requested the assignment of this case to a U.S. District Court Judge. ECF No. 11. 2 The Commissioner has withdrawn her argument that plaintiff’s appeal should be dismissed as untimely. ECF No. 36 at 3. 1 I. 1 BACKGROUND In March 1995, Mr. Allen was convicted of two counts of rape in violation of California 2 3 Penal Code § 261. ECF No. 13-1, Certified Administrative R. (“CAR”) 42. In September 2003, 4 Mr. Allen was paroled from prison for his rape convictions. Id. On September 4, 2003, prior to 5 his release on parole, the Los Angeles County Superior Court ordered that Mr. Allen be detained 6 pending further proceedings under the California Sexually Violent Predator Act (“SVPA”)3 7 because it was “likely that he would engage in sexually violent behavior if released from the 8 jurisdiction of the Department of Corrections.” ECF No. 31-6, Req. for Judicial Notice (“RJN”) 9 Ex. 1. On May 25, 2011, the Los Angeles County Superior Court again ordered that Mr. Allen be 10 detained pending further proceedings under the SVPA because it was “likely that [he] will engage 11 in sexually violent criminal conduct[] if released.” (ECF No. 31-7, RJN Ex. 2; CAR 42). On 12 February 21, 2018, Mr. Allen was found by a jury to be a sexually violent predator (“SVP”) under 13 California Welfare and Institutions Code § 6603. ECF No. 28; ECF No. 31-8, RJN Ex. 3. From 14 the date of his 2003 parole until the present, Mr. Allen has been confined by court order in a 15 public institution at public expense. RJN Ex. 1; RJN Ex. 2; RJN Ex. 3; ECF No. 28; CAR 127- 16 28. In February 2012, while Mr. Allen was confined under the May 2011 court order, he 17 18 applied for Social Security retirement benefits. CAR 13-17. From March 2012 until May 2014, 19 he received $20,647 in Social Security payments. CAR 18-24, 27-29. On May 16, 2014, the 20 Social Security Administration (“SSA”) notified him that he had been overpaid $20,647 in 21 benefits because he was incarcerated at the time he received the benefits. CAR 10, 21. Mr. Allen 22 challenged that determination, and, on December 9, 2015, an Administrative Law Judge issued a 23 decision concluding that Mr. Allen had been overpaid because, even though he had not yet had a 24 trial pursuant to § 6603, he was nonetheless a sexually-violent-predator civil detainee confined in 25 26 27 28 3 The SVPA provides a procedural mechanism for the State of California to continue confinement of individuals who have been convicted of certain sexually violent crimes after those individuals would otherwise be released from prison. See Cal. Welf. & Inst. Code § 6600(a). Section 6602, providing for an interim, probable-cause hearing prior to a full civil trial, was the statutory authority for plaintiff’s initial SVPA confinement. Id. § 6602. 2 1 a public institution at public expense. CAR 7-12. The decision of the Administrative Law 2 Judge to deny benefits became the final decision of the Commissioner when the Commissioner’s 3 Appeals Council denied Allen’s request to review the appeal. See 42 U.S.C. §§ 405(g), 4 1383(c)(3); 20 C.F.R. §§ 404.981, 416.1481. Mr. Allen filed this lawsuit on February 17, 2017. 5 ECF No. 1. 6 II. STANDARD OF REVIEW Congress has provided for limited judicial review of the Commissioner’s decisions to 7 8 deny benefits under the Act. In reviewing findings of fact with respect to such determinations, 9 this court must determine whether the decision of the Commissioner is supported by substantial 10 evidence. 42 U.S.C. § 405(g). “Substantial evidence means more than a scintilla but less than a 11 preponderance.” Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). It is “relevant evidence 12 which, considering the record as a whole, a reasonable person might accept as adequate to support 13 a conclusion.” Id. “Where the evidence is susceptible to more than one rational interpretation, 14 one of which supports the ALJ’s decision, the ALJ’s conclusion must be upheld.” Id. 15 Nevertheless, a decision supported by substantial evidence will still be set aside if the ALJ did not 16 apply proper legal standards. Bray v. Comm’r of Soc. Sec. Admin., 554 F.3d 1219, 1222 (9th Cir. 17 2009); see also Benton v. Barnhart, 331 F.3d 1030, 1035 (9th Cir. 2003) (requiring that a 18 Commissioner’s decision be free of “legal error”). 19 20 III. DISCUSSION A. California Sexually Violent Predator Act 21 A brief overview of the California Sexually Violent Predator Act—the statute that 22 provides for the State of California to continue confinement of individuals who have been 23 convicted of certain sexually violent crimes after those individuals would otherwise be released 24 from prison—will put the facts here in context. See Cal. Welf. & Inst. Code § 6600(a). An 25 individual’s initial or extended commitment under the SVPA depends upon his or her status as an 26 SVP. An SVP is: 27 28 a person who has been convicted of a sexually violent offense against two or more victims for which he or she received a determinate sentence and who has a diagnosed mental disorder that 3 makes the person a danger to the health and safety of others in that it is likely that he or she will engage in sexually violent criminal behavior. 1 2 3 4 Id. § 6600(a)(1). The process for determining whether a convicted sex offender is an SVP takes place in 5 several stages, both administrative and judicial. Generally, the California Department of 6 Corrections and Rehabilitation (“CDCR”) screens inmates in its custody at least six months 7 before their scheduled date of release from prison. Id. § 6601(a). If CDCR finds that an inmate 8 may be an SVP, the CDCR Director forwards a request for a commitment petition to the county 9 in which the person was convicted of the offense for which he or she was incarcerated. Id. 10 § 6601(h)-(i). If the county’s legal counsel agrees with the request, a petition for commitment is 11 filed in the superior court. Id. § 6601(i). The superior court reviews the petition and determines 12 at a hearing whether there is “probable cause” to believe that the person is likely to engage in 13 sexually violent predatory criminal behavior upon release. Id. § 6602. The alleged predator is 14 entitled to the assistance of counsel at this hearing. Id. If the court finds probable cause, the 15 court orders continued confinement for the individual and a trial to determine whether he or she is 16 an SVP under section 6600. Id. §§ 6601(b), 6602. 17 At trial, the alleged predator is entitled to “the assistance of counsel, the right to retain 18 experts or professional persons to perform an examination on his or her behalf, and . . . access to 19 all relevant medical and psychological records and reports.” Id. § 6603(a). Either party may 20 demand and receive a trial by jury. Id. § 6603(a)-(c). The trier of fact is charged with 21 determining whether the requirements for classification as an SVP have been established “beyond 22 a reasonable doubt.” Id. § 6604. Any jury verdict on the issue must be unanimous. Id. 23 § 6603(d). 24 25 B. Social Security Act’s Prohibition on Payment to Certain Individuals The Social Security Act prohibits payment of benefits to prisoners, certain other inmates 26 of publicly funded institutions, fugitives, probationers, and parolees. See 42 U.S.C. § 402(x). 27 The prohibition on payment of benefits to “certain individuals who are held at public expense in 28 public institutions” includes, inter alia, persons confined pursuant to a finding that he or she is 4 1 sexually dangerous. Id. § 402(x)(1)(A)(iii). Specifically, the Social Security Act prohibits 2 payment of benefits to individuals who “immediately upon completion of confinement [in a 3 prison, jail, or other correctional institution] pursuant to conviction of a criminal offense an 4 element of which is sexual activity, [are] confined by court order in an institution at public 5 expense pursuant to a finding that the individual is a sexually dangerous person or a sexual 6 predator or a similar finding . . . .” Id. This subsection prevents payment of Social Security 7 benefits to any individual who: (1) is confined in an institution at public expense, (2) by court 8 order pursuant to a finding that the individual is a sexually dangerous person or a sexual predator 9 or a similar finding, and (3) enters that confinement immediately upon completion of 10 imprisonment for a crime that contains sexual activity as an element of the offense. C. Analysis 11 12 Here, the first and third prongs of § 402(x)(1)(A)(iii) are undeniably met: claimant was 13 confined in an institution at public expense, and he entered this confinement immediately upon 14 completion of imprisonment for a crime that contains sexual activity as an element of the offense. 15 The second prong raises the question at the heart of claimant’s appeal: is confinement pursuant to 16 a probable-cause hearing under California Welfare & Institutions Code § 6602, rather than 17 confinement pursuant to a full civil-commitment trial under § 6603, “confine[ment] by court 18 order in an institution at public expense pursuant to a finding that the individual is a sexually 19 dangerous person or a sexual predator or a similar finding.” 42 U.S.C. § 402(x)(1)(A)(iii). Claimant urges us to interpret 42 U.S.C. § 402(x)(1)(A)(iii) narrowly.4 He argues that 20 21 “confined by court order . . . pursuant to a finding that the individual is a sexually dangerous 22 23 24 25 26 27 28 In his reply brief, plaintiff also argues that, “Section 204(x)(1)(A)(ii) gives the definition of what a ‘similar finding’ means.” ECF No. 32 at 4. It does not. Section 204(x)(1)(A)(ii), which immediately precedes the subsection at issue here, provides: 4 (x) Limitation on payments to prisoners, certain other inmates of publicly funded institutions, fugitives, probationers, and parolees (1)(A) Notwithstanding any other provision of this subchapter, no monthly benefits shall be paid under this section or under section 423 of this title to any individual for any month ending with or during or beginning with or 5 1 person or a sexual predator or a similar finding” must mean confinement pursuant to a definitive 2 finding that he is an SVP “beyond all reasonable doubt” after a full civil-commitment trial. See 3 Cal. Welf. & Inst. Code §§ 6603, 6604. Since, at the time of his application for benefits, claimant 4 was confined pursuant to an interim finding after a § 6602 probable-cause hearing, he argues that 5 he was not prohibited from receiving benefits under the statute. 6 The Commissioner favors a broader interpretation of 42 U.S.C. § 402(x)(1)(A)(iii). She 7 argues that the statute must be construed to include persons in claimant’s circumstance. (Doc. 8 No. 31, at 7 (“[F]indings . . . made pursuant to a probable cause hearing conducted under Welfare 9 & Institutions Code § 6602, . . . qualify as a ‘finding that [Mr. Allen] is a sexually dangerous 10 11 person or a sexual predator or a similar finding’ under § 402(x)(1)(A)(iii).”).) As with any question of statutory interpretation, “we begin with the text of the statute.” 12 Limtiaco v. Camacho, 549 U.S. 483, 488 (2007). The provision at issue prohibits payment of 13 benefits to certain individuals who are “confined by court order . . . pursuant to a finding that the 14 individual is a sexually dangerous person or a sexual predator or a similar finding . . . .” 42 15 U.S.C. § 402(x)(1)(A)(iii). At the relevant time, claimant had not been found to be a sexually 16 dangerous person or a sexual predator at a § 6603 trial; he had been found likely to be an SVP at a 17 18 19 20 21 22 23 24 25 26 27 28 during a period of more than 30 days throughout all of which such individual-... (ii) is confined by court order in an institution at public expense in connection with-(I) a verdict or finding that the individual is guilty but insane, with respect to a criminal offense, (II) a verdict or finding that the individual is not guilty of such an offense by reason of insanity, (III) a finding that such individual is incompetent to stand trial under an allegation of such an offense, or (IV) a similar verdict or finding with respect to such an offense based on similar factors (such as a mental disease, a mental defect, or mental incompetence) 42 U.S.C.A. § 402(x)(1)(A)(ii). Though section 204(x)(1)(A)(ii) uses the words “similar” and “finding,” it neither defines them nor sheds light on the meaning of “similar finding” in section 402(x)(1)(A)(iii). 6 1 § 6602 probable-cause hearing. (RJN Ex. 1.) The question thus becomes whether the probable- 2 cause finding that an individual is likely to be an SVP at a § 6602 probable-cause hearing is “a 3 similar finding” to a finding beyond a reasonable doubt that an individual is a sexually dangerous 4 person or a sexual predator. 42 U.S.C. § 402(x)(1)(A)(iii). This is not the easiest of questions to 5 resolve, since a § 6602 finding by a court in some ways resembles and in other ways differs from 6 a § 6603 determination. 7 As far as similarities, a § 6602 probable-cause hearing and a § 6603 trial can both result in 8 a finding relating to sexual violence that permits civil detention of an individual at public cost. In 9 terms of differences, a § 6603 trial affords the alleged SVP more rights: a right to a trial by jury, a 10 right to retain experts or professional persons to perform an examination, a requirement of a 11 showing beyond a reasonable doubt, and a right to all relevant medical and psychological records 12 and reports. See Cal. Welf. & Inst. Code §§ 6602, 6603, 6604. Because the text alone does not 13 resolve the question, we must consider which characteristics are most significant in the context of 14 the Social Security Act’s prohibition of payment of benefits to certain individuals as provided by 15 § 402(x) generally. 16 Section 402(x) is titled, “Limitation on Payment to Prisoners, Certain Other Inmates of 17 Publicly Funded Institutions, Fugitives, Probationers, and Parolees.” The subsections of § 402(x) 18 list several categories of individuals ineligible for benefits, covering a wide array of persons 19 involuntarily confined at public expense, including persons convicted of a criminal offense, 20 persons deemed incompetent to stand trial, and persons found not guilty by reason of insanity. 21 See 42 U.S.C. § 402(x). In contrast, the statute specifies that similarly-situated persons who are 22 not so confined may be eligible for benefits: 23 24 25 26 27 [A]n individual shall not be considered confined in an institution comprising a jail, prison, or other penal institution or correctional facility during any month throughout which such individual is residing outside such institution at no expense (other than the cost of monitoring) to such institution or the penal system or to any agency to which the penal system has transferred jurisdiction over the individual. 28 7 1 Id. § 402(x)(1)(B)(i) (emphasis added). The statutory context thus reflects the desire not to 2 permit individuals confined at public expense to collect Social Security benefits. 3 The apparent intent to bar payments to public detainees is borne out in the Social Security 4 Act’s legislative history. Prior to 1980, an otherwise qualified prisoner was eligible for Social 5 Security disability and retirement benefits. In 1980, Congress amended section 223 of the Social 6 Security Act to suspend disability benefits to convicted felons confined in jail, prison, or other 7 penal institution or correctional facility, during the period of confinement. Act of October 19, 8 1980, Pub. L. No. 96-473, § 5(a)(1), 94 Stat. 2263, 2264-65 (1980). The purposes for the change 9 are explained in the Senate Report accompanying the bill proposing the amendment. The Report 10 11 12 13 14 15 16 provides: The committee believes that the basic purposes of the social security program are not served by the unrestricted payment of benefits to individuals who are in prison or whose eligibility arises from the commission of a crime. The disability program exists to provide a continuing source of monthly income to those whose earnings are cut off because they have suffered a severe disability. The need for this continuing source of income is clearly absent in the case of an individual who is being maintained at public expense in prison. 17 S. Rep. No. 96-987, at 7-8 (1980), as reprinted in 1980 U.S.C.C.A.N. 4787, 4794. In 1983, 18 Congress repealed the aforementioned provision and, as a substitute, amended section 202 of the 19 Social Security Act to add subsection (x). Employing nearly identical language as the 1980 20 provision, Congress expanded the suspension on social security benefits to include retirement, as 21 well as, disability benefits. Social Security Amendments of 1983, Pub. L. No. 98-21, § 339(a), 97 22 Stat. 65, 133 (1983). Congress has revised 42 U.S.C. § 402(x) since 1983, but it has retained the 23 same basic prohibition against the receipt of benefits by persons confined in public institutions. 24 See Act of October 22, 1994, Pub. L. No. 103-387, § 4(a), 108 Stat. 4071, 4076 (1994) (extending 25 prohibition to include criminally insane individuals confined to institutions); H.R. Rep. No. 103- 26 491, at 7-8 (1994), as reprinted in 1994 U.S.C.C.A.N. 3266, 3267, 3272-74. Allowing claimant, 27 who is detained at public expense, to receive benefits would contravene the apparent 28 congressional intent to prevent individuals whose basic costs of living were already being paid 8 1 from the public treasury from receiving additional income at public cost in the form of Social 2 Security benefits.5 It is further worth noting that, if the court were to hold that § 402(x)(1)(A)(iii) applies 3 4 only after a full civil-commitment trial under § 6603 of the SVPA, we would render the section a 5 virtual nullity in California. Under the state’s current statutory scheme for designating persons as 6 sexually violent predators, potential sexual predators are first held pursuant to a probable-cause 7 hearing. See Cal. Welf. & Inst. Code §§ 6601-02. The full civil-commitment trial does not 8 typically occur until months, or, such as here, years later. See id. Since § 402(x)(1)(A)(iii) 9 applies only to persons who are confined “immediately” after a criminal sentence “pursuant to a 10 finding that the individual is a sexually dangerous person or a sexual predator or a similar 11 finding,” if the court adopted claimant’s interpretation, then no person found to be an SVP in 12 California’s system would fall within the prohibition. The undersigned concludes that a probable-cause finding under § 6602 that an individual 13 14 is likely to be a sexually violent predator is “similar” within the meaning of 42 U.S.C. 15 § 402(x)(1)(A)(iii) to a determination beyond a reasonable doubt under § 6603 and § 6604 that an 16 individual is a sexually violent predator. Accordingly, even if claimant’s appeal were timely, it 17 5 18 19 20 21 22 23 24 25 26 27 28 The Social Security Administration’s Program Operations Manual System (“POMS”) may be of some relevance. POMS is an internal agency document used to assist in processing Social Security claims, which addresses how to process claims by individuals confined in California pursuant to a probable-cause hearing under the SVPA. See PR 06805.006 California, A. PR 13052 Suspension of Title II Benefits for Confined Persons Identified as Sexually Dangerous Predators in California, https://secure.ssa.gov/poms.nsf/lnx/1506805006. Courts have indicated that POMS may be due some weight in interpreting statutory provisions. See Evelyn v. Schweiker, 685 F.2d 351, 352 n. 5 (9th Cir. 1982) (“Because we believe that there is adequate support elsewhere for our holding in this case, we only mention POMS as additional support; we need not address the disputed matter of the precise legal force or persuasiveness of [POMS]. Suffice it to say that while the guidelines do not have the force and effect of law . . . , they are not of absolutely no effect or persuasive force.” (citations omitted)); see also Warre v. Comm’r of Soc. Sec. Admin., 439 F.3d 1001, 1005 (9th Cir. 2006) (interpreting a regulation and stating, “The POMS does not have the force of law, but it is persuasive authority.”). POMS states that suspension of benefits is appropriate for individuals who “remain[] in custody through the time of the probable cause hearing” as well as “[d]uring the period between the probable cause hearing and the trial” because those individuals “remain[] in custody in a secure facility.” This view comports with the Commissioner’s view that 42 U.S.C. § 402(x)(1)(A)(iii) bars plaintiff’s collection of Social Security benefits. Id. n.8. 9 1 would lack merit. The Commissioner’s decision stands; claimant was overpaid $20,647 in Social 2 Security retirement benefits under section 204(a)(1)(A) of the Social Security Act. 3 IV. FINDINGS AND RECOMMENDATIONS Accordingly, the undersigned recommends that this appeal be DISMISSED as untimely. 4 5 The undersigned submits the findings and recommendations to the district judge under 28 6 U.S.C. § 636(b)(1)(B) and Rule 304 of the Local Rules of Practice for the United States District 7 Court, Eastern District of California. Within 14 days of the service of the findings and 8 recommendations, claimant may file written objections to the findings and recommendations 9 with the court and serve a copy on all parties. Claimant’s objection should be captioned 10 “Objections to Magistrate Judge’s Findings and Recommendations.” The district judge will 11 review the findings and recommendations under 28 U.S.C. § 636(b)(1)(C). Claimant’s failure to 12 file objections within the specified time may result in the waiver of rights on appeal. See 13 Wilkerson v. Wheeler, 772 F.3d 834, 839 (9th Cir. 2014). 14 15 16 IT IS SO ORDERED. 17 Dated: 18 January 3, 2019 UNITED STATES MAGISTRATE JUDGE 19 20 21 22 23 24 25 26 27 28 10

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