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E-News Article

 

PWDF: Focus on Mental Disabilities

Counsel’s Corner

 

Social Security Administration Utilizing Multiple Tactics to Push Disabled Beneficiaries Off Disability Benefits and/or to Prevent Them from Getting Benefits, and Is Determined to Keep Claimants from Getting Legal Assistance in Obtaining Social Security Benefits

 

By: Zoya Yarnykh, PWDF Managing Attorney

The Social Security Administration (SSA) is using various mechanisms in its efforts to reduce the number of beneficiaries who receive Social Security and/or Supplemental Security Income (SSI) benefits based on disability. These mechanisms include, but are not limited to: lowering the percentage of cases approved at the Administrative Law Judge (ALJ) hearing level from 63% in 2008-2009 to 45% in 2014;[1] making sure that the statutory attorney fees remain low (they have been capped at $6,000 since 2009); and increasing the number of medical and work reviews in order to cease disabled beneficiaries from benefit checks. This article will focus on the SSA’s efforts to reduce the number of qualified attorneys who practice in this specialized area of law. Not surprisingly, the most effective way of accomplishing this is by making it not financially feasible to continue practicing this area of law. The tactics described herein are inapposite to Congress’s enacting the Omnibus Budget Reconciliation Act of 1990 (OBRA 1990), which allowed Social Security disability attorneys to get paid by a contingency fee, as opposed to itemization of hours, equal to 25% of the disabled claimant’s retroactive benefits owed. This provision was designed to streamline payment of attorney’s fees in the event that a claimant was entitled to past-due benefits, as is usually the case given the long waiting periods and the multi-step appeals process.

In recent years, it has become more and more difficult for People With Disabilities Foundation (PWDF) to obtain attorney fees from the SSA after receiving fully favorable decisions from ALJs awarding claimant benefits. This has been the experience of private Social Security attorneys as well. In a 2016 survey by the National Organization of Social Security Claimants’ Representatives (NOSSCR), Social Security advocates cited the slow payment of fees as one of the reasons for switching areas of practice.[2]  This has resulted in fewer claimants being able to obtain representation when applying for disability benefits[3] and, consequentially, fewer being awarded benefits. (On average, claimants with attorney representation are 3.3 times more likely to be allowed benefits than claimants without attorney representation.)[4]

PWDF has at least 11 cases in which SSA improperly disbursed the attorney’s fees pursuant to 42 U.S.C. § 406, 20 C.F.R. § 404.1725 (SSI), and 20 C.F.R. § 416.1525 (SSDI). Part of the problem is due to SSA’s failure to recognize the requirements that apply to a nonprofit employer, such as PWDF, a § 501(c)(3) entity. The Internal Revenue Code prohibits individual attorneys from retaining any attorney fees – only the nonprofit entity may keep them. Specifically, IRS Revenue Procedures state: Attorney fees must go to the organization not to individual staff attorneys. Staff attorneys and employees must be compensated by a straight salary that does not exceed reasonable amounts and is not established in connection with case fees received for cases handled.[5]  Most recently, SSA rescinded an Authorization to Charge and Collect Fee in a case that PWDF has been working on since 2011; this rescission came after two separate approval authorizations in 2015 and 2017, without notice to PWDF, and without giving PWDF an opportunity to object. This illegal action violates PWDF’s due process rights, both substantive and procedural under the Fifth Amendment of the US Constitution,[6] and we requested review of this rescission in August 2018. This decision comes well after the 15-day statutory period within which a fee determination can be reviewed.[7]  In this case, the rescission came three years after the fee petition was approved by the ALJ. Apparently, it is no longer enough to win the case and get a fee agreement or fee petition approved by the judge hearing the case; SSA continually violates its own rules, regulations, as well as the Internal Revenue Code in processing attorney’s fees, all in an effort to keep disabled individuals who cannot work from getting benefits to which they are entitled.

Other examples of SSA’s improper actions in processing fees include making attorneys wait over a year or more to receive approved fees; ignoring waivers of fees by PWDF’s attorneys and paying the funds directly to claimants instead of to the PWDF attorneys who did not waive fees so the funds can, as required by the IRS, go to PWDF to help other people who cannot afford to pay a lawyer; and splitting the fees between all the attorneys who signed a fee agreement, putting PWDF’s § 501(c)(3) status in jeopardy.  One of the fee issues experienced by PWDF is due to the lack of a provision for attorney’s fees in the context of a non-profit organization in HALLEX.[8]  In particular:

  • HALLEX I-1-2-3 provides that when a claimant is represented by more than one representative associated in a firm, partnership or legal corporation (as is always the case when PWDF represents a claimant), those representatives must sign a single fee agreement; and
  • HALLEX I-1-2-18 requires that the total attorney’s fees are to be split between all representatives who signed the fee agreement.

All of these issues create more work and complications for PWDF and its employees, especially when SSA sends individual attorneys IRS 1099 tax forms based on the fact that SSA paid them as representatives, despite the fact that it also reports the same fees on 1099s to PWDF. This is double-reporting of income to the IRS. In federal court, the SSA stated its rationale for this double-reporting of income is so that a Social Security lawyer’s employer can be informed [again] by the SSA. Yes, this is as bad as it sounds – can you imagine sending an IRS form 1099 both to a contractor who works for you and also report the same income for the company for whom the contractor works!  Thus, not only is SSA causing attorney employees to have to explain to the IRS that the fees reported on the 1099 were not in fact income they received, but SSA is also inserting itself into the employer/employee relationship. The time and resources we spend trying to resolve attorney fee issues with SSA could be dedicated to helping people; instead, we are forced to deal with bureaucrats at multiple levels within SSA.

To date, SSA has failed to pay PWDF fees in the amount of $25,476.65 combined. PWDF, in its efforts to collect the fees due, has sent hundreds of letters to SSA’s various component offices, and filed a lawsuit in federal court alleging these glaring violations of the fee agreement and fee petition processes (PWDF v. Colvin, 3:15-cv-02570-HSG (N.D.Cal. Nov. 14, 2015)). These two processes are the only way to obtain the required SSA approval of fees. PWDF is a small agency with limited resources, and ultimately decided that the attorney fees issues should be pursued by the private bar. PWDF is funded partially by attorney’s fees, and has spent hundreds of hours trying to collect what it is due, usually to no avail.

While PWDF continues to represent individuals who meet its criteria (mental and/or intellectual/developmental disabilities) in their claims for disability benefits, it is understandable that many private practitioners have chosen to leave the field or go out of business completely. The NOSSCR survey results show that law firms practicing Social Security disability law have reduced staff, reduced compensation to both attorneys and staff, terminated more senior staff with higher salaries, and started screening cases much more carefully (rejecting 50% or more, when the previous rejection rate was approximately 10%). Some firms have gone as far as not representing anyone under 50 years of age.[9]

In sum, winning a Social Security disability case has become only half the battle; collecting the fee to which PWDF is entitled by law has been, time and time again, exceedingly difficult. Ultimately, it is the claimants who suffer from these intentional acts by the SSA, its purpose being to keep disabled individuals off the benefits to which they are in dire need.

 

PWDF Profile

Who We Are

People With Disabilities Foundation is an operating 501(c)(3) nonprofit organization based in San Francisco, California, which focuses on the rights of the mentally and developmentally disabled.

Services

Advocacy: PWDF advocates for Social Security claimant’s disability benefits in eight Bay Area counties. We also provide services in disability rights, on issues regarding returning to work, and in ADA consultations, including areas of employment, health care, and education, among others. There is representation before all levels of federal court and Administrative Law Judges. No one is declined due to their inability to pay, and we offer a sliding scale for attorney’s fees.

Education/Public Awareness: To help eliminate the stigma against people with mental disabilities in society, PWDF’s educational program organizes workshops and public seminars, provides guest speakers with backgrounds in mental health, and produces educational materials such as videos.

Continuing Education Provider: State Bar of California MCLE and Commission of Rehabilitation Counselor Certification.

PWDF does not provide legal assistance by email or telephone.

 

  1. Paul N. Van de Water, The Center on Budget and Policy Priorities, “Disability Allowance Rates Fall as Social Security Strengthens Oversight of Hearings” (Feb. 10, 2015) (last visited Sept. 20, 2018).
  2. Nat’l Org. of Soc. Sec. Claimants’ Representatives, The Case for Adjusting the Fee Cap In Fee Agreement Cases: Part II (October 2016).
  3. Id.
  4.  U.S. Gen. Accounting Office, SSA DISABILITY DECISION MAKING: Additional Steps Needed to Ensure Accuracy and Fairness of Decisions at the Hearing Level, GAO-04-14 at 51-52. (Nov. 2003) available at https://www.gao.gov/products/GAO-04-14.
  5. Rev. Proc. 92-59, 1992-2 C.B. 411.
  6. Federal courts in other jurisdictions have recognized that attorneys have a property interest in fees for representing a claimant in Social Security disability matters. See, e.g., Buchanan v. Apfel, 249 F.3d 485 (6th Cir. 2001) (internal citations omitted). See also Califano v. Yamasaki, 442 U.S. 682 (1979) (hearing required when a request for waiver of overpayment is filed).
  7. 42 U.S.C. § 406(a)(3).
  8. HALLEX (Hearings, Appeals and Litigation Law Manual) is a publication from the Social Security Administration’s Office of Hearing Operations (OHO). HALLEX contains policy statements from the SSA’s Appeals Council, as well as procedures, directed to lower levels of the SSA, for carrying out the SSA’s guiding principles.
  9. Nat’l Org. of Soc. Sec. Claimants’ Representatives, supra note 2.

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