RICHARD SCHWEIKER, ET AL., PETITIONERS V. JAMES CHILICKY, ET AL. No. 86-1781 In the Supreme Court of the United States October Term, 1987 On Writ of Certiorari to the United States Court of Appeals for the Ninth Circuit Brief for the Petitioners PARTIES TO THE PROCEEDINGS The petitioners are Richard Schweiker, former Secretary of Health and Human Services; John Svahn, former Commissioner of Social Security; and William R. Simms, Director of the Arizona Disability Determination Service. Respondents are James Chilicky, Dora Adelerte, and Spencer Harris. /*/ TABLE OF CONTENTS Question Presented Opinions below Jurisdiction Statutory provisions involved Statement: A. The statutory and regulatory framework 1. Procedural provisions 2. Continuing disability review B. The proceedings in this case Summary of argument Argument: A disability claimant challenging the termination of his benefits must follow the administrative and judicial review procedures prescribed by Congress and may not also seek damages under an implied constitutional cause of action against officials responsible for the termination A. Introduction B. Congress has expressly declared that the Social Security Act provides the exclusive mode of redress for a wrongful termination of disability benefits C. Congress has completely occupied the field of social security disability benefits with a carefully drawn, comprehensive set of procedures that provide meaningful remedies for any constitutional violations that might occur in the processing of claims for benefits D. The sheer size of the social security system is a special factor that counsels against judicial creation of a damages remedy Conclusion OPINIONS BELOW The opinion of the court of appeals (Pet. App. 1a-14a) is reported at 796 F.2d 1131. The opinion of the district court (Pet. App. 15a-18a) is unreported. JURISDICTION The judgment of the court of appeals (Pet. App. 19a-20a) was entered on August 12, 1986. A petition for rehearing with suggestion for rehearing en banc was denied on December 8, 1986 (Pet. App. 21a-22a). On February 27, 1987, Justice O'Connor extended the time for filing a petition for a writ of certiorari to and including May 7, 1987, and the petition was filed on May 6, 1987. The petition for a writ of certiorari was granted on October 5, 1987. The jurisdiction of this Court is invoked under 28 U.S.C. 1254(1). STATUTORY PROVISIONS INVOLVED 1. Section 205(g) of the Social Security Act, 42 U.S.C. 405(g), provides: Judicial review. Any individual, after any final decision of the Secretary made after a hearing to which he was a party, irrespective of the amount in controversy, may obtain a review of such decision by a civil action commenced within sixty days after the mailing to him of notice of such decision or within such further time as the Secretary may allow. Such action shall be brought in the district court of the United States for the judicial district in which the plaintiff resides, or has his principal place of business, or, if he does not reside or have his principal place of business within any such judicial district, in the United States District Court for the District of Columbia. As part of his answer the Secretary shall file a certified copy of the transcript of the record including the evidence upon which the findings and decision complained of are based. The court shall have power to enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or reversing the decision of the Secretary, with or without remanding the cause for a rehearing. The findings of the Secretary as to any fact, if supported by substantial evidence, shall be conclusive, and where a claim has been denied by the Secretary or a decision is rendered under subsection (b) of this section which is adverse to an individual who was a party to the hearing before the Secretary, because of failure of the claimant or such individual to submit proof in conformity with any regulation prescribed under subsection (a) of this section, the court shall review only the question of conformity with such regulations and the validity of such regulations. The court may, on motion of the Secretary made for good cause shown before he files his answer, remand the case to the Secretary for further action by the Secretary, and it may at any time order additional evidence to be taken before the Secretary, but only upon a showing that there is new evidence which is material and that there is good cause for the failure to incorporate such evidence into the record in a prior proceeding; and the Secretary shall, after the case is remanded, and after hearing such additional evidence if so ordered, modify or affirm his findings of fact or his decision, or both, and shall file with the court any such additional and modified findings of fact and decision, and a transcript of the additional record and testimony upon which his action in modifying or affirming was based. Such additional or modified findings of fact and decision shall be reviewable only to the extent provided for review of the original findings of fact and decision. The judgment of the court shall be final except that it shall be subject to review in the same manner as a judgment in other civil actions. Any action instituted in accordance with this subsection shall survive notwithstanding any change in the person occupying the office of Secretary or any vacancy in such office. 2. Section 205(h) of the Social Security Act, 42 U.S.C. (Supp. III) 405(h), provides: Finality of Secretary's decision. The findings and decision of the Secretary after a hearing shall be binding upon all individuals who were parties to such hearing. No findings of fact or decision of the Secretary shall be reviewed by any person, tribunal, or governmental agency except as herein provided. No action against the United States, the Secretary, or any officer or employee thereof shall be brought under sections 1331 or 1346 of title 28 to recover on any claim arising under this subchapter. QUESTION PRESENTED Whether a Bivens remedy should be implied for alleged due process violations in the denial of social security disability benefits. STATEMENT This is a Bivens suit brought by three recipients of Social Security disability benefits whose benefits were terminated pursuant to disability reviews conducted by the Social Security Administration. The benefits of all three respondents were fully restored during administrative review or on a subsequent application for new benefits. Respondents nonetheless seek personal damages from the former Secretary of Health and Human Services and two other high-level officials for alleged due process violations in the handling of their claims. A. The Statutory and Regulatory Framework The Federal Government provides benefits to disabled persons under two distinct programs administered by the Social Security Administration (SSA). Title II of the Social Security Act provides for the payment of disability insurance benefits to persons who have contributed to the program and who suffer from a mental or physical disability. 42 U.S.C. (& Supp. III) 423. Disability benefits are also payable to indigent disabled persons under the Supplemental Security Income (SSI) program established by Title XVI of the Act, 42 U.S.C. (& Supp. III) 1382(a). See generally Bowen v. City of New York, No. 84-1923 (June 2, 1986), slip op. 1-2. Under both programs, a person is considered disabled if, because of a physical or mental impairment, he is unable to do his previous work or to "engage in any * * * kind of substantial gainful work which exists in the national economy." 42 U.S.C. (& Supp. III) 423(d)(2)(A), 1382c(a)(3)(B). The disability programs administered under Titles II and XVI "are of a size and extent difficult to comprehend." Richardson v. Perales, 402 U.S. 389, 399 (1971). "Approximately two million disability claims were filed under these two titles in fiscal year 1983." Heckler v. Day, 467 U.S. 104, 106 (1984). In fiscal year 1987, an estimated 1.3 million new claimants sought benefits under Title II, and 1.49 million sought disability benefits under Title XVI. It was further estimated that approximately 7 million persons would be receiving disability benefits under the two titles as of September 30, 1987. See SSA 1987 Ann. Rep. to the Congress 29, 31 (1987). The Secretary of Health and Human Services has promulgated detailed regulations governing the procedures for the adjudication of claims for benefits. In addition, Congress has mandated continuing review of those persons receiving benefits who are not permanently disabled to ensure their continued eligibility. 1. Procedural Provisions "To facilitate the orderly and sympathetic administration of the disability program(s) * * * the Secretary and Congress have established an unusually protective * * * process for the review and adjudication of disputed claims." Heckler v. Day, 467 U.S. at 106. If it is determined at any stage of this process that the individual is eligible for benefits (and if he has not been receiving benefits), he is entitled to retroactive payments for the entire period of his eligibility, up to 12 months prior to his initial application. See Mathews v. Eldridge, 424 U.S. 319, 339 (1976). a. Congress has directed that the determination whether an individual is under a disability shall be made in the first instance by a state agency, pursuant to regulations, guidelines, and performance standards established by the Secretary through SSA. 42 U.S.C. (& Supp. III) 421(a), 1383b(a); 20 C.F.R. 404.1503, 416.903. See Mathews v. Eldridge, 424 U.S. at 335; Heckler v. Day, 467 U.S. at 106. The state agency renders an initial determination on the basis of its consideration of an application submitted by a person seeking benefits for the first time. See Mathews v. Eldridge, 424 U.S. at 337-338. b. If the state agency initially determines that a new applicant is not disabled, the individual may request a de novo reconsideration by the state agency. 20 C.F.R. 404.904, 404.907-404.921, 416.1404, 416.1407-416.1421. Governing regulations provide -- and the claimant is personally notified -- that the adverse initial determination becomes "binding" if he does not request reconsideration within 60 days of his receipt of the adverse initial determination. 20 C.F.R. 404.904, 404.905, 404.909(a)(1), 416.1404, 416.1405, 416.1409(a). /1/ c. Under 42 U.S.C. (& Supp. III) 421(d), if an individual is dissatisfied with the decision by the state agency after its initial determination and reconsideration of the claim, he "shall be entitled to a hearing thereon by the Secretary to the same extent as is provided in (42 U.S.C. (& Supp. III) 405(b))." See also 42 U.S.C. 1383(c)(1); 20 C.F.R. 404.944-404.965, 416.1429-416.1465. The Act requires -- and the claimant is personally notified -- that the state agency's decision becomes binding upon the claimant if he does not request such a hearing within 60 days of his receipt of the state agency's determination. 42 U.S.C. (& Supp. III) 405(b)(1); 42 U.S.C. 1383(c)(1); 20 C.F.R. 404.920, 404.921, 404.933(b), 416.1404(b)(3), 416.1405, 416.1420, 416-1421, 416.1433(b). The evidentiary hearing is conducted by an administrative law judge (ALJ) within SSA's separate Office of Hearings and Appeals (20 C.F.R. 404.929, 416.1429, 422.201 et seq.). The ALJ is directed to "look() fully into the issues" (20 C.F.R. 404.944, 416.1444). See Heckler v. Campbell, 461 U.S. 458, 469 n.12 (1983). Either the claimant or the ALJ may develop new evidence or raise new issues that were not presented to the state agency, and the claimant or his representative has a right to make an oral or written statement regarding the facts and applicable law. 20 C.F.R. 404.929, 404.944, 404.946, 404.949, 404.950, 416.1429, 416.1444, 416.1446, 416.1449, 416.1450. In rendering his decision, the ALJ must follow SSA's published regulations and formal Social Security Rulings (20 C.F.R. 422.408), but he is not bound by the Programs Operations Manual System and other instructional material that SSA furnishes to the state agencies to guide them in their preliminary evaluation of disability claims. See Heckler v. Ringer, 466 U.S. 602, 607-608 (1984); S. Rep. 98-466, 98th Cong., 2d Sess. 18-19 (1984); H.R. Rep. 98-618, 98th Cong., 2d Sess. 20-22 (1984). d. If the decision by the ALJ after a hearing under either Title II or Title XVI is adverse to the claimant, he then may seek review by the Appeals Council in SSA. 20 C.F.R. 404.967-404.983, 416.1467-416.1483. Governing regulations provide -- and the claimant is once again personally notified -- that the adverse ALJ's decision becomes binding if the claimant does not seek Appeals Council review within 60 days or such further period as the Secretary permits. 20 C.F.R. 404.955(a), 404.968(a)(1), 416.1455(a), 416.1468. e. The Appeals Council's denial of review or decision on the merits constitutes the Secretary's "final decision" on the individual's claim for benefits. At that point, the Act and implementing regulations provide for the claimant to seek judicial review in federal district court, pursuant to 42 U.S.C. 405(g). See 42 U.S.C. (& Supp. III) 421(d), 1383(c)(3); 20 C.F.R. 404.900(a)(5), 404.981, 416.1400(a)(5), 416.1481, 422.210. Section 405(g) requires that the claimant seek such review "within sixty days after the mailing to him of notice of (the final) decision or within such further time as the Secretary may allow," and the notice of the Appeals Council's decision informs the claimant of this requirement. See 20 C.F.R. 404.982, 416.1482 (Secretary may extend time for filing for good cause shown). If judicial review is not sought within the time allowed, the Appeals Council's decision (or the ALJ's decision, if the Appeals Council denied review) is expressly made binding upon the claimant. 20 C.F.R. 404.981, 404.982, 416.1481, 416.1482. f. Although an adverse decision at any step of the administrative process becomes binding upon the claimant if he does not seek further review within the time allowed, the Secretary has provided by regulation that such a decision may be reopened within 12 months of the initial determination for any reason, within either two or four years for good cause, and at any time if the decision was obtained by fraud or similar fault. 20 C.F.R. 404.987-404.989, 416.1487-416.1489. However, the Secretary's denial of a request to reopen is not subject to administrative or judicial review. 20 C.F.R. 404.903(l), 416.1403(a)(5). See Califano v. Sanders, 430 U.S. 99, 108 (1977). 2. Continuing Disability Review An individual who is found to be disabled under either Title II or Title XVI is entitled to benefits only for as long as he continues to be disabled under the statutory definition of disability. 42 U.S.C. (& Supp. III) 423(a)(1), 425, 1381a; 20 C.F.R. 404.1594, 404.1597, 416.994, 416.1331(b). Prior to legislation enacted in 1980 (effective January, 1982), however, "(a)dministrative procedures * * * provide(d) that a disability beneficiary's continued eligibility for benefits be reexamined only under a limited number of circumstances." H.R. Conf. Rep. 96-944, 96th Cong., 2d Sess. 60 (1980). The 1980 legislation sought to ensure that only those qualified received payments by amending Title II of the Social Security Act to require that, "except * * * where a finding has been made that (a claimant's) disability is permanent," "the case shall be reviewed * * * for purposes of continuing eligibility, at least once every 3 years * * *." Pub. L. No. 96-265, Section 311(a), 94 Stat. 460, codified at 42 U.S.C. (& Supp. III) 421(i). Notwithstanding the January 1, 1982, statutory effective date of this continuing disability review (CDR) program (42 U.S.C. 421 note), the Secretary began the CDR process in March, 1981 (Pet. App. 2a; H.R. Rep. 98-618, supra, at 10). /2/ a. When an individual's case is reviewed he bears the burden of showing, "by means of 'medically acceptable clinical and laboratory diagnostic techniques,'" that he continues to have a physical or mental impairment of sufficient severity to satisfy the statutory standard of disability. Mathews v. Eldridge, 424 U.S. 319, 336 (1976) (quoting 42 U.S.C. 423(d)(3)). The individual is first notified by the state that his case has been selected for review and is requested to furnish information about his current medical condition and the identity of his treating physician. 20 C.F.R. 404.1593, 416.993. If the state agency then makes a tentative determination that his disability has ceased, the individual is given an advance written notice and explanation and is informed that he has 10 days within which to submit any additional information. 20 C.F.R. 404.1594-404.1595, 416.994. After this 10-day period and the receipt of any further evidence, the state agency makes its initial determination. See Mathews v. Eldridge, 424 U.S. at 337-338 (describing continuing eligibility investigation process as it existed before the 1980 amendment). Once the state has made an initial determination that a recipient is no longer disabled, the process of administrative and judicial review follows, with certain exceptions, the same path as that for new claimants. b. The CDR process generated considerable controversy because of the high number of state determinations that individuals had ceased to be disabled and the high percentage of subsequent reversals of those determinations. "In the early stages of the continuing disability investigation (CDI) review process," the Senate Finance Committee in 1982 found that, "while reviews have been focused on cases most likely to be found ineligible, States have been terminating benefits in approximately 45 percent of the cases reviewed. Of those cases which appeal, approximately 65 percent have benefits reinstated by an administrative law judge." S. Rep. 97-648, 97th Cong., 2d Sess. 6 (1982). /3/ From the commencement of the CDR process in 1981, the Secretary had assured compliance with Goldberg v. Kelly, 397 U.S. 254 (1970), in the need-based Title XVI program by allowing an SSI recipient to elect to continue to receive benefits from the date of the state agency's determination that he no longer is disabled until the ALJ has rendered his decision following a hearing. 20 C.F.R. 416.1336(b). But in view of the Court's decision in Mathews v. Eldridge, 424 U.S. at 349, that the Due Process Clause does not require the Secretary to continue non-need-based Title II payments until the individual has had an opportunity for an ALJ hearing, no similar protection was provided to Title II beneficiaries. Rather, at the time the CDR process was begun, Title II benefits were terminated effective two months after the month in which the recipient ceased to be disabled, regardless of the recipient's pursuit of administrative or judicial review. 42 U.S.C. (& Supp. III) 423(a). See Mathews v. Eldridge, 424 U.S. at 338; H.R. Conf. Rep. 98-1039, 98th Cong., 2d Sess. 33 (1984). Thus, during the pendency of their administrative appeals, Title II beneficiaries were without benefits. /4/ Concluding that "some emergency relief" was warranted (S. Rep. 97-648, supra, at 6), Congress enacted legislation, the Act of Jan. 12, 1983, Pub. L. No. 97-455, 96 Stat. 2497, making temporary provision for Title II claimants to continue to receive benefits following the state agency's termination decision, pending receipt of the ALJ's decision, and subject to recoupment if the ALJ affirms the state agency's determination. Pub. L. No. 97-455, Section 2, 96 Stat. 2498, codified at 42 U.S.C. (& Supp. III) 423(g). /5/ Congress also provided that following the initial determination by the state that a recipient is no longer disabled, the state must provide a face-to-face hearing on any motion for reconsideration. Section 4, 96 Stat. 2499-2500, codified at 42 U.S.C. 405(b)(2). See 20 C.F.R. 404.917. At the same time, Congress eliminated the requirement that beneficiaries with nonpermanent disabilities be reviewed every three years, and instead provided that the Secretary should, after consultation with the state agency and based on a number of factors, determine the number of cases to be reviewed in each State. Pub. L. No. 97-455, Section 3, 96 Stat. 2499, codified at 42 U.S.C. 421(i)(2). Finally, Congress required that the Secretary file semiannual reports to the appropriate congressional committees, including statistics on the actual operation and results of the continuing disability review process. Section 6, 96 Stat. 2500-2501, codified at 42 U.S.C. 421(i)(3). c. Despite these amendments, the CDR process continued to generate widespread controversy and litigation, primarily centered on the so-called "medical improvement" issue. That issue concerns the evidentiary standards that the Secretary must utilize in determining whether a person receiving disability benefits continues to be disabled. When the CDR process began in 1981, the Social Security Act did not impose any special standards for continuing disability reviews, and the claimant bore the burden of proving by medical evidence that he met the statutory standard of eligibility when his status was reviewed. See Mathews v. Eldridge, 424 U.S. 319, 336 (1976). The Secretary determined that the continuing eligibility inquiry should focus on whether the claimant's current condition satisfied applicable standards, rather than on whether his condition had changed. It was not the Secretary's position, however, that the prior finding of disability was irrelevant, because it might well shed light on the claimant's current condition. SSR 81-6 (1981); 20 C.F.R. 404.1579, 404.1586, 404.1594, 416.994 (1981). Many claimants challenged the Secretary's approach, often in the form of massive class actions that substantially disrupted the orderly administration of the Social Security disability program. See, e.g., Lopez v. Heckler, 725 F.2d 1489 (9th Cir. 1984), vacated and remanded, 469 U.S. 1082 (1984); Kuehner v. Schweiker, 717 F.2d 813 (3d Cir. 1983), vacated and remanded, 469 U.S. 1082 (1984). They typically argued that if an individual was once found to be disabled he was entitled to a presumption that he continued to be disabled when his eligibility was subject to review, thereby effectively shifting to the Secretary the burden of producing evidence that the individual no longer was disabled. A number of courts of appeals agreed and held that the claimant should be afforded a presumption of continuing disability. /6/ Citing the "pressing need to end the acrimonious litigation that has engulfed this program" /7/ (130 Cong. Rec. S11454 (daily ed. Sept. 19, 1984) (remarks of Sen. Dole, Chairman of the Senate Finance Committee)), Congress passed the Social Security Disability Benefits Reform Act of 1984, Pub. L. No. 98-460, 98 Stat. 1794, which was signed into law on October 9, 1984. Section 2 of the Act, 98 Stat. 1794-1797, codified at 42 U.S.C. (Supp. III) 423(f), prescribed detailed standards for the termination of disability benefits that are somewhere in between those standards applied by the Secretary and those applied by some courts. See H.R. Conf. Rep. 98-1039, supra, at 26. /8/ Congress also made specific provision "to resolve the existing controversy over the medical improvement issue in the courts" (id. at 27) by prohibiting the certification of new classes on the issue and by mandating a remand of pending actions to the Secretary for reconsideration under the new standards. Pub. L. No. 98-460, Section 2(d), 98 Stat. 1797-1798. See Heckler v. Lopez, 469 U.S. 1082 (1984); Kuehner v. Schweiker, 469 U.S. 977 (1984). Congress made a number of other adjustments to the CDR program in the same Act. Among other actions, /9/ Congress extended the interim benefits authorization under Title II until January 1, 1988. Pub. L. No. 98-460, Section 7(a)(2), 98 Stat. 1803, codified at 42 U.S.C. (Supp. III) 423(g). It also required the Secretary to establish demonstration projects in at least five states, pursuant to which the Secretary gives Title II and Title XVI recipients subject to a continuing disability review the opportunity for a personal appearance prior to the initial determination of ineligibility, rather than afterwards. Section 6(d), 98 Stat. 1802, codified at 42 U.S.C. (Supp. III) 421 note. Thus, a recipient in the states covered by the demonstration project is enabled to argue his claim in advance of the initial determination, where the state agency has reached a preliminary conclusion adverse to the claimant. Congress has directed the Secretary to file a report concerning these projects. Ibid. B. The Proceedings in This Case 1. Respondents are three individuals /10/ who were recipients of disability benefits under Title II. They filed suit against Richard Schweiker, John Svahn, and William R. Sims in their official and individual capacities. /11/ Richard Schweiker is the former Secretary of Health and Human Services; John Svahn is the former Commissioner of Social Security; and William R. Sims is the present director of the Arizona Disability Determination Service (Arizona DDS). /12/ Pet. App. 2a, 15a-16a. Respondents were subject to "continuing disability review" (CDR), and had their benefits terminated pursuant to the CDR process. Their benefits, however, were ultimately reinstated through the administrative appeals process or on a subsequent application for new benefits. See Pet. App. 5a. Respondent Dora Adelerte began receiving disability benefits in May, 1973. An initial determination was made by the Arizona DDS in June, 1981 that her disability had ceased, and her benefits were terminated on the last day of July, 1981. An ALJ decision following a hearing restored her benefits and awarded retroactive benefits in August, 1982. Spencer Harris began receiving disability benefits in July, 1980. An initial determination was made that his disability had ceased in January, 1982 and his benefits were terminated in March. An ALJ decision reinstated his benefits in October, 1982 and retroactive benefits were paid in January, 1983. Respondent James Chilicky began receiving benefits in October, 1977. His benefits were terminated in November, 1981. Chilicky did not seek ALJ review of the termination decision which therefore became binding upon him. Instead he filed a new application for disability benefits in June, 1983 and was awarded benefits retroactive to July, 1982. /13/ In their complaint, respondents claimed that petitioners had violated their due process rights by, inter alia, accelerating the starting date of the CDR process; illegally nonacquiescing in the law of the Ninth Circuit regarding "medical improvement"; failing to apply uniform written standards in implementing the CDR process; failing to render decisions consistent with allegedly dispositive evidence; and using an impermissible quota system under which state agencies were required to terminate a certain number of recipients. Pet. App. 2a-3a; see also pp. 21-22 n.15, infra. Respondents sought injunctive and declaratory relief, and money damages for "emotional distress and for loss of food, shelter and other necessities proximately caused by (petitioners') denial of benefits without due process" (Pet. App. 3a n.2). 2. The district court dismissed the case in its entirety on qualified immunity grounds (Pet. App. 15a-18a). It concluded that the government's policy of accelerated review and alleged nonacquiescence violated no clearly established statutory or constitutional rights and, thus, that Harlow v. Fitzgerald, 457 U.S. 800 (1982), barred respondents' damage claims with respect to these policies (Pet. App. 16a-18a). The district court did not discuss respondents' other claims, but apparently determined that they were barred by qualified immunity as well (see id. at 16a, 18a). 3. Respondents appealed to the United States Court of Appeals for the Ninth Circuit, which affirmed in part, reversed in part, and remanded the case to the district court for further proceedings (Pet. App. 1a-14a). On appeal, the only issues raised by respondents pertained to their Bivens /14/ claims for money damages against petitioners in their individual capacities (see Resp. C.A. Br. ii). Petitioners contended that there was no subject matter jurisdiction to entertain respondents' claims, since the procedures set forth in 42 U.S.C. 405(g) are the exclusive means of redress for actions "arising under" the relevant provisions of the Social Security Act. See 42 U.S.C. (& Supp. III) 405(h). They also pointed out that the existence of the Act's elaborate procedures for resolving disability claims counsels strongly against judicial implication of a damages remedy, and that there could be no colorable claim of denial of due process when respondents were afforded the protections of Section 405(g). Petitioners further contended that the district court lacked personal jurisdiction over them and that, in any event, respondents' claims were barred by qualified immunity. The court of appeals found that the district court had subject matter jurisdiction (Pet. App. 4a-6a). It reasoned that the action was not for restoration of disability benefits, but rather for damages stemming from alleged constitutional violations committed in terminating those benefits, so that it did not "arise under" the Social Security Act and was not barred by Section 405(h) (Pet. App. 6a). The court then ruled that the officials waived their personal jurisdiction defense by not raising it at the appropriate stage in the district court proceedings (id. at 7a-9a). Finally, the court of appeals affirmed the district court's dismissal on qualified immunity grounds of respondents' acceleration of review and nonacquiescence claims (id. at 11a-13a), but reversed the district court's dismissal on qualified immunity grounds of the balance of respondents' claims /15/ and remanded for further proceedings (id. at 13a-14a). The court of appeals concluded that under the current record it could not determine that respondents could prove no state of facts establishing an actionable due process violation for the latter claims (id. at 14a). The court of appeals denied petitioners' petition for rehearing with a suggestion of rehearing en banc, which was limited to the question of subject matter jurisdiction (Pet. App. 21a-22a). SUMMARY OF ARGUMENT The issue presented in this case is whether a disability claimant may bring a Bivens action to challenge alleged violations of his constitutional rights occurring in the course of proceedings leading to the termination of his disability benefits. In its decisions, this Court has recognized that three distinct but not mutually exclusive lines of reasoning may render such an implied cause of action inappropriate. First, Congress may expressly preclude such a remedy, by declaring that other remedies of its own creation are exclusive. Second, Congress may implicitly preclude a constitutional remedy by cresting its own remedy, equally effective in the eyes of Congress, or by otherwise occupying the field with a comprehensive legislative scheme. Third, even apart from any express or implied decision by Congress, there may exist special factors counselling hesitation in the recognition of a constitutional remedy, because of the identifiable consequences such a remedy would have. All three of these lines of reasoning indicate that a Bivens remedy should not be recognized in this case. 1. Section 405(h) of Title 42, United States Code, should be taken as an express declaration by Congress that a Bivens remedy is precluded in this context. The second sentence of Section 405(h) states that the Secretary's findings of fact and decisions shall not be reviewed "except as herein provided," and Section 405(g) provides the exclusive avenue of review under the Act with specified forms of relief. Because a Bivens action seeking damages from an individual for alleged constitutional violations is not provided under Section 405(g), it is foreclosed by the explicit terms of Section 405(h). Furthermore, the third sentence of Section 405(h) provides, inter alia, that no action "arising under" the Title II disability provisions shall be brought against an employee of the United States pursuant to 28 U.S.C. 1331, which is the essential jurisdictional predicate for a Bivens action. The present action, seeking relief for alleged constitutional wrongs occurring in the course of the administrative process leading to the temporary termination of respondents' benefits, plainly "arises under" the Title II provisions. This conclusion is not altered by either the constitutional nature of respondents' claims or by the fact that the relief they seek is not provided by the statute. Otherwise the bar to Section 1331 jurisdiction would exist only where it is redundant because a Section 405(g) remedy was already available. Because respondents' claims "arise under" the statute, and because Section 1331 is the essential jurisdictional predicate for a Bivens action, the third sentence of Section 405(h) expressly bars that avenue of relief. 2. By the creation and refinement of an elaborate, multi-step system of remedies for persons claiming entitlement to disability benefits, Congress has occupied the field and implicitly foreclosed the recognition of additional judicial remedies. Like the Civil Service Reform Act at issue in Bush v. Lucas, 462 U.S. 367 (1983), the Social Security Act and its statutory review procedures are the product of a carefully considered step-by-step fine-tuning by Congress. In fact, Congress twice modified the Continuing Disability Review (CDR) process in which each of respondents was involved, first in 1983 and again in 1984, after consideration of the very concerns raised by respondents here. The four-step review process provided by statute is designed to assure that no beneficiary loses benefits as a result of arbitrary decision-making. It has been liberally construed by this Court in various ways, and while the statute does not allow the full measure of damages that would be available under Bivens, it is in several respects, including speed and the absence of an immunity defense, more favorable to claimants than an implied constitutional remedy would be. As in Bush v. Lucas, Congress's statutory remedial scheme under the Social Security Act is both comprehensive and provides meaningful relief for the alleged constitutional wrongs related to the termination of benefits. Accordingly, it should be viewed as barring implication of an additional constitutional remedy. 3. Finally, the sheer size of Social Security Act programs, and particularly the Title II disability program at issue here, is a special factor counselling hesitation in the implication of such a judicial remedy. The millions of claims processed by the Social Security Administration mean that a remedy recognized here would bring major additional burdens to the courts and to the government officials who would be named as defendants and would participate in the defense of these cases. Given the already enormous commitment of resources to these programs and the serious governmental concern to control the future expansion of costs, the implication of such a further remedy could have seriously disruptive consequences. ARGUMENT A DISABILITY CLAIMANT CHALLENGING THE TERMINATION OF HIS BENEFITS MUST FOLLOW THE ADMINISTRATIVE AND JUDICIAL REVIEW PROCEDURES PRESCRIBED BY CONGRESS AND MAY NOT ALSO SEEK DAMAGES UNDER AN IMPLIED CONSTITUTIONAL CAUSE OF ACTION AGAINST OFFICIALS RESPONSIBLE FOR THE TERMINATION A. Introduction 1. Although the Constitution establishes rights, it does not in general specify the remedy for violations of those rights. Congress and the courts, therefore, must prescribe remedies for constitutional violations. It is, however, axiomatic that unless the Constitution itself requires a particular form of relief, a federal court cannot provide a remedy unless it is authorized to do so explicitly or implicitly by statute. See, e.g., Sheldon v. Still, 49 U.S. (8 How.) 441, 448-449 (1850); United States v. Hudson & Goodwin, 11 U.S. (7 Cranch) 32, 33 (1812); Ex parte Bollman, 8 U.S. (4 Cranch) 75, 94 (1807) (Marshall, C.J.) ("the power to award the writ (of habeas corpus) by any of the courts of the United States, must be given by written law"). In Bivens v. Six Unknown Fed. Narcotics Agents, 403 U.S. 388 (1971), this Court allowed a plaintiff to seek damages from federal officials for an alleged violation of his Fourth Amendment rights. The Court specifically noted that it was not holding that the Constitution itself required the creation of the remedy (id. at 396), and Congress had not explicitly authorized such relief. But the Court noted that Congress had granted federal district courts general jurisdiction (28 U.S.C. 1331) to entertain claims arising under the Constitution, see 403 U.S. at 396, quoting Bell v. Hood, 327 U.S. 678, 684 (1946); 403 U.S. at 405 (Harlan, J., concurring in the judgment), and that Congress itself had not prescribed a more specific remedy for Fourth Amendment violations, see 403 U.S. at 390, 397. Since Congress had created courts with jurisdiction over the claims, but had not established a specific remedy, the Court in Bivens concluded that federal courts were free to implement the remedies, including damages, that courts "(h)istorically" and "normally" have provided. See 403 U.S. at 395, 397; see also id. at 405, 408 n.8 (Harlan, J., concurring in the judgment); Montana-Dakota Utilities Co. v. Northwestern Pub. Serv. Co., 341 U.S. 246, 261 (1951) (Frankfurter, J., dissenting) ("Courts, unlike administrative agencies, are organs with historic antecedents which bring with them well-defined powers. They do not require explicit statutory authorization for familiar remedies * * *."). In two subsequent cases, the Court followed the Bivens reasoning in recognizing an implied damage remedy under the Constitution. Davis v. Passman, 442 U.S. 228 (1979), recognized a plaintiff's claim that she had been discharged from her position as a congressional employee because of her sex, in violation of the Fifth Amendment. 442 U.S. at 241-242, 245. In Davis, unlike Bivens, there was a relevant statutory remedial scheme -- Section 717 of the Civil Rights Act of 1964, 42 U.S.C. 2000e-16, which provides a remedy for most acts of employment discrimination by the federal government. But the Court noted that Section 717 did not address the remedial question at issue in Davis itself because congressional employees are excluded from the coverage of Section 717 (see 42 U.S.C. 2000e-16(a), and, the Court ruled, Congress did not intend this exclusion to leave congressional employees remediless by precluding them from invoking other remedies for unconstitutional employment discrimination. See 442 U.S. at 247. The Court accordingly held that the plaintiff retained "the judicial remedies * * * (she) might otherwise possess" (ibid.). In Carlson v. Green, 446 U.S. 14 (1980), the plaintiff was the survivor of a prisoner who allegedly died as a result of Eighth Amendment violations in the form of failure to give proper medical care. The plaintiff could have brought suit under the Federal Tort Claims Act (FTCA), 28 U.S.C. 1346(b) and 2671 et seq., for the wrongs asserted in the complaint. But the Court concluded, principally on the basis of the "crystal clear" legislative history of the 1974 FTCA amendment allowing FTCA actions based on intentional torts of law enforcement officers, that "Congress * * * contemplate(d) that victims of the kind of intentional wrongdoing alleged in (the) complaint shall have an action under (the) FTCA against the United States as well as a Bivens action against the individual officers alleged to have infringed their constitutional rights" (446 U.S. at 20). See also id. at 19 n.5 ("Congress * * * view(ed the FTCA remedy) as fully adequate only in combination with the Bivens remedy."). In Bush v. Lucas, 462 U.S. 367 (1983), a similar inquiry into the apparent intent of Congress and the consequences of recognizing an implied constitutional remedy led the Court to reject the implied remedy. The plaintiff asked this Court to authorize a Bivens remedy for federal employees whose First Amendment rights are allegedly violated by their employers. The Court noted that Congress had "not resolved the question presented by this case by expressly denying petitioner the judicial remedy he seeks or by providing him with an equally effective substitute" (422 U.S. at 378). It assumed that the "civil service remedies were not as effective as an individual damages remedy and did not fully compensate (plaintiff) for the harm he suffered" (462 U.S. at 372 (footnotes omitted)). The Court nonetheless held that, in light of the comprehensive procedural and substantive provisions of the civil service laws governing the employment relationship between the government and its employees, which the Court emphasized had "been constructed step by step, with careful attention to conflicting policy considerations" (id. at 382), it would be inappropriate to create a new Bivens remedy. Id. at 388-390; see also id. at 390-392 (Marshall, J., concurring). 2. In each of the cases leading up to Bush, the Court ensured before allowing a damages remedy that Congress had neither expressly foreclosed an implied constitutional remedy, nor legislated in a manner so as to occupy the field and therefore preclude an implied judicial remedy. In Bush, the Court recognized that, where Congress has occupied the field, with a "comprehensive scheme" that provides "meaningful remedies" for alleged constitutional violations (462 U.S. at 386), it is inappropriate for courts to fashion such a remedy even without an express congressional statement to that effect. The Court has also noted that additional "special factors counselling hesitation" may preclude a Bivens remedy even "in the absence of affirmative action by Congress." Bivens, 403 U.S. at 396; see, e.g., Chappell v. Wallace, 462 U.S. 296, 298 (1983). Bivens and its progeny thus establish three distinct but not mutually exclusive lines of reasoning that may, in a given case, lead to the conclusion that an implied constitutional remedy would be inappropriate. First, Congress may have "expressly precluded the creation of such a remedy by declaring that existing statutes provide the exclusive mode of redress." Bush v. Lucas, 462 U.S. at 373; see Carlson v. Green, 446 U.S. at 19; Davis v. Passman, 442 U.S. at 247; Bivens, 403 U.S. at 397. Second, Congress may have impliedly precluded the creation of such a remedy either by creating "another remedy, equally effective in the view of Congress," Bivens, 403 U.S. at 397; see Bush v. Lucas, 462 U.S. at 388; Carlson v. Green, 446 U.S. at 19; Davis v. Passman, 442 U.S. at 248, or by occupying the field with a "comprehensive scheme" that provides remedies that are "meaningful" even though "not as effective as an individual damages remedy." Bush v. Lucas, 462 U.S. at 372, 386. And, third, there may be other "special factors" that "counsel() hesitation" even "in the absence of affirmative action by Congress." Bivens, 403 U.S. at 396; see Bush v. Lucas, 462 U.S. at 377; Chappell v. Wallace, 462 U.S. at 298; Carlson v. Green, 446 U.S. at 18; Davis v. Passman, 442 U.S. at 245. /16/ We submit that each of these lines of reasoning makes clear that creation of a Bivens remedy is inappropriate here. Congress has expressly precluded judicial creation of a constitutional damage remedy by providing that the statutory remedies are the exclusive mode of redress for a wrongful termination or denial of benefits. Additionally, Congress has completely occupied the field of Social Security disability benefits with a carefully drawn, comprehensive set of procedures that provides meaningful remedies for any constitutional violations that might occur in the processing of claims for benefits. Finally, there are additional special factors arising out of the sheer size of the Social Security system that counsel great hesitation in the judicial implication of a Bivens remedy. B. Congress Has Expressly Declared That The Social Security Act Provides The Exclusive Mode Of Redress For A Wrongful Termination of Disability Benefits This Court has not yet had occasion to consider in any detail what constitutes an "express" congressional declaration that a Bivens remedy should not be implied in any particular context. But the Court has stressed that no "magic words" are required to effect such a result. Carlson v. Green, 446 U.S. at 19 n.5. Congress need not exclude or even mention a constitutional damage action by name. The question is rather whether Congress has declared that the remedies it has provided constitute the exclusive mode of redress for the alleged wrong. That is precisely what Congress has done here, and deference to that legislative judgment is required by "the Court's longstanding recognition that Congress is ultimately the appropriate body to create federal remedies." Id. at 27 (Powell, J., concurring in the judgment). Section 405(h) of Title 42, /17/ in two distinct ways, expressly deprives the courts of federal-question jurisdiction over claims "arising under" the Social Security Act and at the same time provides that the only remedies available for such claims are those offered pursuant to the administrative and judicial review process set forth in Section 405(g). /18/ 1. The second sentence of Section 405(h) provides that "(n)o findings of fact or decision of the Secretary shall be reviewed by any person, tribunal, or governmental agency except as herein provided." This language precludes review except as provided in the Social Security Act, and Section 405(g) is the only mechanism in the Act for the review of findings of fact or decisions of the Secretary. Thus, judicial review of administrative decisions on claims for social security benefits is unavailable except as expressly authorized by Section 405(g). See Califano v. Sanders, 430 U.S. 99, 110 (1977) (Stewart, J., concurring in the judgment); S. Rep. 734, 76th Cong., 1st Sess. 52 (1939); H.R. Rep. 728, 76th Cong., 1st Sess. 43-44 (1939). Because the full remedy available from administrative or judicial review under Section 405(g) is the retroactive payment of disability benefits wrongfully terminated, it follows that Congress has expressly precluded any further remedy -- such as damages -- for an allegedly wrongful decision of the Secretary to terminate benefits. Respondents may contend that this language constitutes only an exhaustion of administrative remedies requirement that does not apply to them since they are not in this instance seeking any remedy provided to them by the statute. /19/ That reading, however, mistakes the plain terms of the second sentence, which categorically bar review, other than under Section 405(g), of all findings of fact or other decisions of the Secretary concerning benefit awards. Thus, Justice Stewart was quite correct, concurring in the judgment in Califano v. Sanders, 430 U.S. at 110, in seeing "no reason in this case why the second sentence of Section (4)05(h) should not be read to mean exactly what it says -- that the decision before us is reviewable under Section (4)05(g) or not at all." Because respondents seek to invoke remedies beyond those provided by the statute, to challenge alleged constitutional violations leading to the temporary termination of their benefits, their actions are precluded. /20/ 2. The third sentence of Section 405(h) provides that "(n)o action against the United States, the Secretary, or any officer or employee thereof shall be brought under Sections 1331 or 1346 of Title 28 to recover on any claims arising under this subchapter." While the second sentence of Section 405(h) requires all challenges to the findings or decision of the Secretary to be brought under Section 405(g), the third sentence precludes suit and deprives the court of jurisdiction under 28 U.S.C. 1331 "on any claim arising under" the social security disability program. /21/ "That the third sentence of Section 405(h) is more than a codified requirement of administrative exhaustion is plain from its own language, which is sweeping and direct and which states that no action shall be brought under Section 1331, not merely that only those actions shall be brought in which administrative remedies have been exhausted." Weinberger v. Salfi, 422 U.S. at 757 (emphasis in original). 4 The court of appeals' holding that the district court properly entertained this action under 28 U.S.C. 1331 directly contravenes this jurisdictional bar. Weinberger v. Salfi, 422 U.S. at 757. The disability benefits statute "provides both the standing and the substantive basis for (respondents') constitutional contentions." Id. at 760-761; see Heckler v. Ringer, 466 U.S. 602, 615 (1984). This Bivens suit is exclusively concerned with the Secretary's administration of that statute and with rights created under it. More specifically, respondents complain of improprieties that allegedly occurred in the course of the administrative process related to their benefit claims. It follows that general federal question jurisdiction will not support the suit, and that respondents' Bivens action must fail because Congress has explicitly restricted them to those remedies provided in the statute. /22/ Respondents might argue that, because they are alleging constitutional violations in the procedures employed by the Secretary, their claims do not "arise under" the Social Security Act, but rather directly under the Constitution. That precise argument, however, has been squarely rejected by this Court. In Weinberger v. Salfi, 422 U.S. at 760-761, the Court held that the jurisdictional preclusion in Section 405(h) cannot be avoided simply because the plaintiff casts his allegations in constitutional terms. The Court adhered to that view in Heckler v. Ringer, 466 U.S. at 601 & n.7, 614-616, 622, holding that a constitutional challenge to the procedures utilized in the adjudication of claims "arises under" the Social Security Act for purposes of Section 405(h). See also Mathews v. Eldridge, 424 U.S. 319, 327, 330 (1976) (recognizing that federal-question jurisdiction is barred by 42 U.S.C. 405(h) even in a case where claimant is raising a constitutional challenge to the administrative procedures used to terminate welfare benefits that is "entirely collateral to his substantive claim of entitlement"). Alternatively, respondents might contend, as they did in their brief in opposition (at 19-20) and as did the court of appeals (Pet. App. 6a), that their claims did not "arise under" the Social Security Act because they are not seeking benefits provided by the Act. Rather they are seeking damages over and above any restoration of benefits. In Weinberger v. Salfi, Mathews v. Eldridge, and Heckler v. Ringer, the litigant's ultimate goal was the receipt of benefits. That is not true here where full benefits have already been restored. Because respondents are seeking a form of relief not provided by the statute, they argue that their claims do not "arise under" the statute. Respondents are surely correct that the relief they seek is not provided by the Social Security Act, but they draw exactly the wrong conclusion from that premise. Sections 405(g) and (h) would serve little purpose if, while creating an exclusive statutory remedy for review of benefits decisions, they were also read to allow non-statutory remedies under Section 1331 on the ground that such remedies are not permitted under the Act. Plainly, challenges to the way in which specific benefits decisions are made to arise under the statute and, thus, may not be brought pursuant to the general federal question provision, 28 U.S.C. 1331, regardless of the relief sought. In Heckler v. Ringer, 466 U.S. at 624, this Court explicitly rejected the suggestion that a "claim somehow changes and 'arises under' another statute" simply because the relief sought is not available under Section 405(g). The relief requested does not alter the nature of respondents' claims (that their benefits were terminated unconstitutionally), and this Court's precedents -- Heckler v. Ringer; Mathews v. Eldridge -- indicate that all such claims "arise under" the Social Security Act and, thus, cannot be brought under Section 1331. The scope of the preclusion in Section 405(h) is not limited by the scope of relief allowed under Section 405(g). Section 405(h) serves rather to limit claimants to Section 405(g) whatever the relief therein provided. Respondents claims cannot therefore be "characterized in a different way for purposes of Section 1331 jurisdiction" (Heckler v. Ringer, 466 U.S. at 624) simply because they seek a form of relief that Congress has not provided in Section 405(g). Those claims "arise under" the Act within the meaning of Section 405(h), thereby precluding Section 1331 jurisdiction, despite the fact that the relief sought is not permitted by the Act. Congress plainly did not contemplate bifurcated proceedings in which a claimant proceeds both under Section 405(g) to restore his benefits as well as under 28 U.S.C. 1331 for damages stemming from the termination. Both claims "arise under" the Social Security Act and thus the latter may not be brought under Section 1331 even though precluded under Section 405(g). /23/ The Section 405(g) remedy is not, as respondents argue, an essential "predicate" for a subsequent Bivens action (Br. in Opp. 6); it is the exclusive remedy provided by Congress for the harm in question. C. Congress Has Completely Occupied The Field Of Social Security Disability Benefits With A Carefully Drawn, Comprehensive Set Of Procedures That Provide Meaningful Remedies For Any Constitutional Violations That Might Occur In The Processing Of Claims For Benefits In Bush v. Lucas, the Court assumed that the "civil service remedies were not as effective as an individual damages remedy and did not fully compensate (plaintiff) for the harm he suffered" (462 U.S. at 372 (footnotes omitted)). It concluded, however, that the proper focus for analysis was not on "what remedy the court should provide for a wrong that would otherwise go unredressed," but rather on "whether an elaborate remedial system that has been constructed step by step, with careful attention to conflicting policy considerations, should be augmented by the creation of a new judicial remedy for the constitutional violation at issue" (id. at 388). The Court held that, in light of the comprehensive procedural and substantive provisions of the civil service laws governing the employment relationship between the government and its employees, which the Court emphasized had been carefully constructed by Congress over many years, it would be inappropriate to recognize a new Bivens remedy. Id. at 388-390; see also id. at 390-392 (Marshall, J., concurring). Like the civil service laws at issue in Bush, the Social Security Act's statutory review procedures were the result of a carefully considered, step-by-step fine-tuning by Congress. See, e.g., Heckler v. Day, 467 U.S. 104, 111-118 (1984). They also provide meaningful remedies for any wrongful denial or termination of benefits. Indeed, as this Court has noted, "the Secretary and Congress have established an unusually protective four-step process for the review and adjudication of disputed (Title II) claims" (id. at 106 (emphasis added)). "The Act and regulations * * * create an orderly administrative mechanism, with district court review of the final decision of the Secretary, to assist in the processing of the more than 7,600,000 claims filed annually with the administration." Califano v. Sanders, 430 U.S. 99, 102 (1977). 1. The very problems at issue in this case, associated with the CDR process, have been thoroughly considered and addressed by Congress. See pp. 9-17, supra. First in 1983 and again in 1984, Congress responded to the problems created by the high percentage of disability determinations subsequently reversed in the administrative process. To deal with the financial and emotional harm suffered by beneficiaries whose benefits were cut off while they pursued their administrative remedies, Congress made temporary provision (later extended to January 1, 1988) for claimants in Title II disability cessation cases to elect to continue to receive benefits pending receipt of the ALJ's decision. See 42 U.S.C. (& Supp. III) 423(g). See Act of Jan. 12, 1983, Pub. L. No. 97-455, Section 2, 96 Stat. 2498-2499, amended in 1984, Social Security Disability Benefits Reform Act of 1984, Pub. L. No. 98-460, Section 7(a), 98 Stat. 1803. /24/ Congress also tried to improve the quality of the state agency decision-making process by providing for a face-to-face hearing on any motion for reconsideration (42 U.S.C. 405(b)(2)), and by establishing demonstration projects in five states pursuant to which Title II and Title XVI recipients subject to continuing disability review have the opportunity for a personal appearance prior to the initial determination of ineligibility rather than afterwards (42 U.S.C. (Supp. III) 421 note). A close look at respondents' allegations (see Pet. App. 13a-14a; n.15, supra) shows that they embody the very concerns that have occupied Congress in the formulation of recent amendments to the Act. See H.R. Rep. 98-618, supra, at 6-22; S. Rep. 98-466, supra, at 7-26. Respondents' allegations that the Secretary has made "(k)nowing use of unpublished criteria and rules and standards contrary to the Social Security Act," and has denied benefits based on "quotas" or "the type of disabling impairments" are addressed in Congress's prescription of detailed standards for the termination of benefits (42 U.S.C. (& Supp. III) 423(f), 1382c) and in the requirement that the Secretary publish uniform standards for disability terminations binding at both the state and federal levels (42 U.S.C. (Supp. III) 421(k)(1)) as well as standards for determining the frequency of the continuing disability reviews (42 U.S.C. (Supp. III) 421 note). Respondents' complaint that they experienced "(u)nreasonable delays in receiving hearings after termination of benefits," is precisely the question that this Court noted in Heckler v. Day, 467 U.S. at 112, has for the past decade "inspired almost annual congressional debate," and to which the Court declined to mandate its own solution "because of repeated congressional rejection of the imposition of mandatory deadlines on agency adjudication of disputed disability claims" (id. at 119). Finally, respondents' allegations of "intentional disregard of dispositive favorable evidence," "purposeful selection of biased physicians and staff to review claims," "failure to review impartially adverse decisions," and "arbitrary reversal of favorable decisions" are all directed at the fairness and accuracy of the review process itself, the very process which, we note, restored respondents' benefits in full. This "orderly administrative mechanism" (Califano v. Sanders, 430 U.S. at 102) is "unusually protective" of claimants' rights (Heckler v. Day, 467 U.S. at 106). Furthermore, Congress "closely monitor(s)" (H.R. Rep. 98-618, supra, at 22) the process through regular reports that the Secretary is required to furnish on various aspects of the continuing disability review program. 42 U.S.C. (Supp. III) 421 note. In Bush, the Court "decline(d) 'to create a new substantive legal liability without legislative aid and as at the common law,' * * * because (the Court was) convinced that Congress (was) in a better position to decide whether or not the public interest would be served by creating it" (462 U.S. at 390 (citation omitted)). The exact same caution must apply here. Creation of a Bivens remedy "would be an unwarranted judicial intrusion into this pervasively regulated area" (Heckler v. Day, 467 U.S. at 119), wholly disrupting the balance struck by Congress between a concern for claimants and administrative and budgetary constraints. As in Bush, Congress has provided "an elaborate remedial system that has been constructed step by step, with careful attention to conflicting policy considerations" (Bush, 462 U.S. at 388), and that could only be impaired by recognition of supplementary, piece-meal remedies. See id. at 379-380, 388-389; United States v. Standard Oil Co., 332 U.S. 301, 314 (1947). "If the balance is to be struck anew, the decision must come from Congress and not from this Court." Heckler v. Ringer, 466 U.S. 602, 627 (1984). Indeed, Congress made perfectly clear when it passed the Disability Benefits Reform Act of 1984 that it did not want judicial solutions to the problems raised by the Social Security Act and that it was acting both to replace and to forestall such solutions. See H.R. Conf. Rep. 98-1039, supra, at 27; S. Rep. 98-466, supra, at 7; 130 Cong. Rec. S11454 (remarks of Sen. Dole). 2. The administrative and judicial review process under Section 405(g) provides a fully adequate remedy for an erroneous denial of benefits. See Mathews v. Eldridge, supra. /25/ The review process is carefully designed "to insure that no beneficiary loses eligibility for benefits as a result of careless or arbitrary decision-making by the Federal government" (H.R. Rep. 98-618, supra, at 2). Mistakes at one level of review are corrected at the next level. Id. at 6 (the "multi-layered appeals system (is) an attempt to ensure as much objectivity as possible in an inherently subjective decision"). Section 405(g) embraces all claims that might "arise under" Title II, and litigants can thus raise due process and other constitutional challenges to administrative action within Section 405(g). Weinberger v. Salfi; Mathews v. Eldridge; Heckler v. Ringer. Moreover, 405(g) has been broadly interpreted to permit class actions for injunctive and declaratory relief. Califano v. Yamasaki, 442 U.S. 682 (1979); see also Heckler v. Day, 467 U.S. 104 (1984) (suit for state-wide injunctive relief cognizable under Section 405(g)). Furthermore, the Court has construed the "final decision" requirement in Section 405(g) to permit an early resort to the courts on certain claims that are collateral to the claim for benefits where risk of irreparable harm exists. Weinberger v. Salfi; Mathews v. Eldridge. Finally, the Court has held that the 60-day suit-filing period in Section 405(g) is subject to equitable tolling. Bowen v. City of New York, No. 84-1923 (June 2, 1986). Section 405(g) admittedly does not allow damages for emotional distress stemming from an unconstitutional termination of benefits. /26/ But Section 405(g) has significant advantages over a Bivens action, advantages similar to those of the civil service laws at issue in Bush v. Lucas. See 462 U.S. at 391 (Marshall, J., concurring). First, although the claimant has the burden of proving disability, the administrative appeals process is nonadversarial. Mathews v. Eldridge, 424 U.S. at 339; Richardson v. Perales, 402 U.S. 389, 403 (1971). Moreover, where the claimant is already a recipient of benefits and is subject to continuing disability review under Section 421(i), there must in most cases be substantial evidence that the recipient's condition has improved medically to justify a termination of benefits. See n.8, supra. Second, as with civil service remedies, the Social Security disability claimant is not required to overcome the immunity of agency officials. /27/ And, third, the administrative action, without doubt, will prove consistently speedier and less costly than a lawsuit. /28/ Just as in Bush v. Lucas, the comprehensive remedial scheme established by Congress leaves neither need nor room for a Bivens action. In Bush, the plaintiff lost his job through allegedly unconstitutional action by an agency official. Here, respondents lost their benefits through allegedly unconstitutional action by agency officials. If reinstatement with back pay is both a "clearly constitutionally adequate" remedy (462 U.S. at 378 n.14) and sufficiently "meaningful" to forestall a Bivens remedy (462 U.S. at 368) in the former context, then reinstatement with back benefits is "clearly constitutionally adequate" and equally "meaningful" in the latter context as well. D. The Sheer Size Of The Social Security System Is A Special Factor That Counsels Against Judicial Creation of a Damages Remedy An additional special factor that counsels strongly against the recognition of a Bivens remedy is the enormity of the Social Security Act programs. The SSA hearing system is "'probably the largest adjudicative agency in the western world.'" Heckler v. Campbell, 461 U.S. 458, 461 n.2 (1983) (citation omitted). See also Califano v. Boles, 443 U.S. 282, 283 (1979) ("As an exercise in governmental administration, the social security system is of unprecedented dimension."); Richardson v. Perales, 402 U.S. 389, 399 (1971) ("The system's administrative structurel and procedures, with essential determinations numbering into the millions, are of a size and extent difficult to comprehend."). In the disability arena alone, SSA processes over two million claims each year. See Heckler v. Day, 467 U.S. at 106. In 1986, there were an estimated 77.5 million beneficiaries of the various social security programs. SSA 1986 Ann. Rep. to the Congress 2. The size of these programs means that the potential and likely impact of the court of appeals' decision both on the federal courts and on the Social Security Administration would be intolerable. This is particularly so because a Bivens action, under the court of appeals' decision, would not depend on whether the Secretary's final decision is adverse to the claimant; it could be based solely on an initial adverse ruling. Thus, a Bivens claim would be possible even where -- as here -- the claimant otherwise has no basis for seeking judicial review of the Secretary's final decision under Section 405(g) because that decision is wholly favorable to the claimant. Respondents' "due process" claim could be made by any claimant unhappy with an adverse benefit decision at any level of the administrative process. The creation of a Bivens remedy to supplement the Section 405(g) remedy would substantially drain scarce agency resources. The costs of such suits would include "the expenses of litigation, the diversion of official energy from pressing public issues, and the deterrence of able citizens from acceptance of public office." Harlow v. Fitzgerald, 457 U.S. 800, 814 (1982). A Bivens remedy would also hamper, through its in terrorem effect on agency officials (see Bush v. Lucas, 462 U.S. at 389), Congress's legitimate efforts to ensure that only those "verifiably unable to work" receive benefits (H.R. Rep. 98-618, supra, at 6). Congress instituted the CDR program in 1980 "to deal with problems which had driven the cost of the program beyond the bounds that Congress had intended or found acceptable." S. Rep. 98-466, supra, at 6. Congress was seeking to keep this cost within manageable limits, and it continued to affirm the need to do so when it passed the Disability Benefits Reform Act of 1984. The Senate Finance Committee noted that the 1984 Act was necessary because "(t)he transition from a too loosely administered program with few post-entitlement reviews to a more tightly administered program with regular periodic reviews revealed weaknesses and ambiguities which need(ed) to be dealt with." But, the Committee stressed, "(i)t is the purpose of the Committee bill to deal with these problems while continuing the Congressional insistence that this program be tightly and carefully administered." S. Rep. 98-466, supra, at 6. If agency personnel charged with carrying out this congressional mandate risk ruinous personal liability, any incdentive to enforce the eligibility criteria and keep the system solvent will be sapped. Bush v. Lucas, 462 U.S. at 389. /29/ "(T)he Government's interest, and hence that of the public, in conserving scarce fiscal and administrative resources is a factor that must be weighed" (Mathews v. Eldridge, 424 U.S. at 348) in deciding whether a Bivens remedy is appropriate in any particular context. Congress's continuous attempts to balance the need for fair procedures with the need to keep the system solvent would be wholly disrupted, at enormous cost, by judicial creation of a Bivens action against agency officials. The Social Security system, as Congress itself has warned, simply will not bear such costs. "Lest there be any doubt," the Senate Finance Committee has stated, "the Committee does not intend an open-ended commitment of taxpayer funds should either those who administer the program at the State and Federal level or the courts disregard the intent of the Committee in such a way as to cause the costs of the program to grow out of control." S. Rep. 98-466, supra, at 7. CONCLUSION The decision of the court of appeals should be reversed. Respectfully submitted. CHARLES FRIED Solicitor General RICHARD K. WILLARD Assistant Attorney General DONALD B. AYER Deputy Solicitor General MICHAEL K. KELLOGG Assistant to the Solicitor General WILLIAM KANTER HOWARD S. SCHER Attorneys DECEMBER 1987 /*/ In the original complaint there were, besides respondents, seven other plaintiffs. These seven, who did not pursue the appeal to the Ninth Circuit, were Atanacio Alamanza, Arthur Flynn, Donald Bond, Demitrio Hiquera, Joseph Tellez, Bonnie Bircher, and Connie Diaz. /1/ The Secretary has not provided for a separate state-agency reconsideration stage in disability cessation cases under Title XVI. An SSI recipient therefore may proceed directly to an ALJ hearing if he requests one within 60 days of the initial determination. 20 C.F.R. 416.1407, 416.1415. /2/ Although the CDR program only applied directly to Title II claimants, many persons were receiving benefits under both the Title III insurance program and the Title XVI SSI program and, thus, were subject to reviews that examined their eligibility under both programs. /3/ The Senate Report provided some explanation for this high reversal rate: "This wide variation between the decisions made by State agencies and ALJs, a long recognized problem, stems from a number of factors. For example, the beneficiary can introduce new medical evidence at the ALJ hearing; the ALJ hearing is the first face-to-face contact between the reviewed beneficiary and a decision-maker; and the standards of disability used by State agencies and ALJs differ in some important respects." S. Rep. at 97-648, supra, at 6. See also id. at 21 (Additional Views of Sen. Long): "While this is a very high reversal rate, it is not strikingly different from the administrative law judge reversal rate in prior years, nor from the administrative law judge reversal rate of initial claims. * * * Most reversals are due to the application of easier eligibility standards (by the ALJs)." /4/ As a general rule, however, an individual's disability was not found to have "ceased" until the month in which the agency made the "no disability" determination. Thus, terminated recipients generally enjoyed two months of continued benefits, whether or not they pursued their administrative remedies. See S. Rep. 97-648, supra, at 6 ("As an administrative practice, individuals are now generally found to be 'not disabled' no earlier than (the) month in which the agency makes the termination decision."). /5/ The temporary authorization (as briefly extended by the Act of Oct. 11, 1983, Pub. L. No. 98-118, Section 2, 97 Stat. 803) applied to any case in which the initial determination that the disability had ceased was made on or after (or was pending on administrative review on) the effective date of the Act (January 12, 1983), but before December 7, 1983. The Secretary was authorized to continue to pay benefits in such cases through June 1984 or until the ALJ rendered his decision, whichever occurred first. /6/ See, e.g., Rush v. Secretary of HHS, 738 F.2d 909, 915-916 (8th Cir. 1984); De Leon v. Secretary of HHS, 734 F.2d 930, 936-937 (2d Cir. 1984); Haynes v. Secretary of HHS, 734 F.2d 284, 288 (6th Cir. 1984); Dotson v. Schweiker, 719 F.2d 80, 82 (4th Cir. 1983); Patti v. Schweiker, 669 F.2d 582, 586-587 (9th Cir. 1982). But see Gist v. Secretary of HHS, 736 F.2d 352, 355-357 (6th Cir. 1984); Kuzmin v. Schweiker, 714 F.2d 1233, 1237 (3d Cir. 1983). /7/ On June 7, 1983, the Secretary had suspended disability reviews for certain types of cases involving mental impairments. And on April 13, 1984, the Secretary had announced a nationwide, temporary moratorium on CDRs. H.R. Conf. Rep. 98-1039, supra, at 30-31. /8/ Under the new standards, a recipient of disability benefits whose case is reviewed may be determined not to be entitled to benefits on the basis of a finding that his impairment is not disabling only if that finding is supported by: (1) substantial evidence that there has been medical improvement in the individual's impairment and that he is now able to engage in substantial gainful activity; (2) new medical evidence and a new assessment of the individual's residual functional capacity demonstrating that, although his condition has not improved medically, he has undergone vocational therapy or is the beneficiary of advances in medical or vocational therapy or technology and is now able to engage in substantial gainful activity; (3) substantial evidence based on new or improved diagnostic techniques demonstrating that the individual's impairment is not as disabling as it previously was considered to be and that he is now able to engage in substantial gainful activity; or (4) substantial evidence that the prior determination of disability was in error. Congress expressly provided, however, that there is no presumption of continuing disability and that the determination whether the person is currently disabled is to be made on a neutral basis after considering all evidence available in the file. 42 U.S.C. (Supp. III) 423(f), 1382c. /9/ Congress also required the Secretary to promulgate within 180 days final regulations establishing standards for determining the frequency of CDR reviews, Pub. L. No. 98-460 Section 15, 98 Stat. 1808, 42 U.S.C. (Supp. III) 421 note, to publish revised mental impairment criteria and to delay resumption of periodic review of most mentally impaired individuals until the new standards were in place, Section 5, 98 Stat. 1801, 42 U.S.C. (Supp. III) 421 note, and to publish uniform standards for disability determinations that would be binding at all levels of adjudication, Section 10, 98 Stat. 1805, codified at 42 U.S.C. (Supp. III) 421(k)(1). /10/ Respondents withdrew their earlier motion for class certification following passage of the 1984 Disability Reform Act (see Pet. App. 4a, 15a). In addition, as stated at page II note *, supra, of the ten original plaintiffs only the three respondents pursued their claim through the court of appeals. /11/ Both Schweiker and Svahn have long since resigned. Respondents moved to substitute their successors, Margaret Heckler and Martha McSteen, pursuant to Fed. R. Civ. P. 25(d). The district court found, however, that Heckler and McSteen were not personally served and, thus, dismissed the claims against them in their individual capacities (Pet. App. 2a-3a n.1, 16a). By the time the case reached the court of appeals, only claims against officials in their individual capacities remained (id. at 4a), and consequently Heckler and McSteen, who have also since resigned, are no longer in the case. /12/ The Arizona DDS is a state agency authorized by statute to make initial disability determinations. 42 U.S.C. (& Supp. III) 421(a). See p. 6, supra. /13/ In September, 1983, despite his earlier failure to pursue his administrative remedies, Chilicky also sought reinstatement of his terminated benefits for the period from December 1981 up to July, 1982, when benefits began under his new application. Chilicky relied upon the decision of the district court in Lopez v. Heckler, 572 F. Supp. 26 (C.D. Cal. 1983), aff'd in part and rev'd in part, 725 F.2d 1489 (9th Cir.), vacated and remanded, 469 U.S. 1082 (1984), for a waiver/tolling of the limitations period contained in the Act. This Court vacated Lopez and ordered the case remanded to the Secretary for reconsideration in light of the Disability Benefits Reform Act of 11984, which required that any pending class actions by terminated disability recipients "relating to medical improvement" be remanded to the Secretary for reconsideration of the claims of class members. This requirement applied even to unnamed class members who had not exhausted their administrative remedies or satisfied the 60-day filing requirement in 42 U.S.C. 405(g). Pub. L. No. 98-460, Section 2(d)(3), 98 Stat. 1798. The district court in Lopez had certified a class of, inter alia, all persons who reside in the states comprising the Ninth Circuit and who had their disability benefits terminated after August 30, 1981. See 725 F.2d at 1494. That class was subsequently modified by the court of appeals to eliminate claimants like Chilicky "whose benefits were terminated before August 30, 1982, unless they then either were in the process of appealing the termination or still had time remaining for so doing" (725 F.2d at 1500 (footnote omitted)). However, following this Court's remand, the district court entered an order on December 17, 1984, reinstating the contours of the class as originally certified. Thus, Chilicky's application for reinstatement of his terminated benefits may not constitute a timely application for such relief. The San Francisco Program Center, which covers the jurisdiction where Mr. Chilicky now lives, is currently processing and considering that application for retroactive payment of benefits for the period from December 1981 to June 1982. /14/ See Bivens v. Six Unknown Fed. Narcotics Agents, 403 U.S. 388 (1971). /15/ As described by the court of appeals (Pet. App. 13a-14a), the remaining allegations are: 1. Knowing use of unpublished criteria and rules and standards contrary to the Social Security Act. 2. Intentional disregard of dispositive favorable evidence. 3. Purposeful selection of biased physicians and staff to review claims. 4. Imposition of quotas. 5. Failure to review impartially adverse decisions. 6. Arbitrary reversal of favorable decisions. 7. Denial of benefits based on the type of disabling impairment. 8. Unreasonable delays in receiving hearings after termination of benefits. /16/ The Court in Bush (462 U.S. at 378-390) brought "the Government's comprehensive scheme" under the rubric of a "special factor() counselling hesitation." It is clear, however, that congressional occupation of the field is not the only "special factor" that would "counsel() hesitation" in the creation of a damages remedy. See, e.g., Chappell v. Wallace, 462 U.S. at 298, 304 (citing "(t)he special nature of military life" as such a factor). Indeed, the Court in Bivens, 403 U.S. at 396, stressed that the factors in question may come into play even "in the absence of affirmative action by Congress." After Bush, therefore, it may be best analytically to separate congressional occupation of a field from other special factors that would preclude an implied damages action even where Congress has not established an alternative remedy. /17/ Section 405(h) provides: The findings and decision of the Secretary after a hearing shall be binding upon all individuals who were parties to such hearing. No findings of fact or decision of the Secretary shall be reviewed by any person, tribunal, or governmental agency except as herein provided. No action against the United States, the Secretary, or any officer or employee thereof shall be brought under Sections 1331 or 1346 of title 28 to recover on any claim arising under this subchapter. /18/ Section 405(h) applies by its own terms to all Title II claimants. Title XVI appears to incorporate the same preclusion of general federal-question jurisdiction by providing that the Secretary's final determinations "shall be subject to judicial review as provided in section 405(g) of this title to the same extent as the Secretary's final determinations under section 405 of this title." 42 U.S.C. 1383(c)(3). The preclusive effect of Section 1383(c)(3) is not at issue here, however, since all three respondents were receiving benefits only under Title II. /19/ In Bowen v. Michigan Academy of Family Physicians, No. 85-225 (June 9, 1986), slip op. 12 n.8, the Court held that the second sentence of Section 405(h) did not bar an action challenging a regulation governing payouts under Part B of the Medicare program. It reasoned that the action, challenging a substantive regulation setting benefit levels, did not concern a "decision" by "the Secretary after a hearing," so that Section 405(h) was inapplicable. We do not read Michigan Academy as purporting to define the application of the second sentence of Section 405(h) to actions, like the present one, arising out of specific denials of benefits. In Michigan Academy, the Court cited its prior decision in Weinberger v. Salfi, 422 U.S. 749, 757 (1975), for the proposition that the purpose of the first two sentences of Section 405(h) was to ensure administrative exhaustion. In Salfi, the Court had confronted a challenge to the duration of relationship requirement of the Social Security Act, and ultimately concluded that the action could be maintained under Section 405(g). In relying on the third sentence of Section 405(h) to conclude that the action could not be brought under Section 1331, the Court reasoned that that sentence "would be superfluous" if it were "nothing more than a requirement of administrative exhaustion." "This is because the first two sentences of Section 405(h) * * * assume that administrative exhaustion will be required. Specifically, they prevent review of decisions of the Secretary save as provided in the Act, which provision is made in Section 405(g)." 422 U.S. at 757 (citation omitted). While the Court in Salfi made clear that the second sentence of Section 405(h) requires administrative exhaustion, it had no occasion to address the further implications of that sentence as a possible bar to actions not provided by the Social Security Act. Indeed, the Court found that the action before it was properly maintainable under Section 405(g), and thus was explicitly authorized by the second sentence of Section 405(h). Salfi therefore lends little support to a narrow construction of the second sentence of Section 405(h). /20/ Respondents clearly cannot avoid Section 405(h) by claiming that they are not challenging a "decision" of the Secretary, but only the procedures employed by the Secretary in reaching that decision. That argument was considered and rejected by the Court in Mathews v. Eldridge, 424 U.S. at 327, and Heckler v. Ringer, 466 U.S. 602, 614 (1984). /21/ By its terms, Section 405(h) only bars such actions when brought "against the United States, the Secretary, or any officer or employee thereof." One might argue, therefore, that it does not apply to suits against state officials, such as petitioner Sims. The court of appeals correctly recognized, however, that in administering the federally-funded disability program pursuant to detailed federal regulations, "Sims was acting under color of federal law" for purposes of Section 405(h). Pet. App. 6a n.3. "'To hold otherwise,'" the court noted (ibid. (quoting Ellis v. Blum, 643 F.2d 68, 76 (2d Cir. 1981)), "'arguably would invite applicants for Title II benefits to circumvent sections 405(g) and (h) by bringing suit under section 1331 against state officials instead of the Secretary * * *.'" See also United States v. Erika, Inc., 456 U.S. 201, 205-206 n.4 (1982). /22/ In his dissenting opinion in Weinberger v. Salfi, Justice Brennan noted (422 U.S. at 795) that "a claim 'arising under' Title II is one which alleges that the Title grants someone certain rights." That is surely the case here. Respondents' constitutional claims depend on the allegation that Title II grants them a property interest in their benefits which cannot be deprived without due process of law. /23/ Congress could not have been any more explicit in making Section 405(g) the exclusive mode of redress for a wrongful termination of benefits. Section 405(h) does everything but preclude Bivens actions by name, which is something we could hardly expect since it predates Bivens by almost 32 years. Social Security Amendments of 1939, ch. 666, Tit. II, Section 205(h), 53 Stat. 1371. Nor was Congress obliged in 1971, in order to make its intention clear, to amend its preclusion of Section 1331 jurisdiction by adding "(and we mean Bivens claims too)" since it had already eliminated the jurisdictional prop for such claims. /24/ As noted above, the Secretary had already afforded similar protection to Title XVI SSI recipients in light of this Court's decision in Goldberg v. Kelly, 397 U.S. 254 (1970). See 20 C.F.R. 416.1336(b). /25/ See also Parratt v. Taylor, 451 U.S. 527, 537-544 (1981). In Parratt, this Court declined to find that plaintiff had established a violation of the Due Process Clause of the Fourteenth Amendment where the claimed deprivation occurred as the result of an unauthorized failure of agents of the State to follow an established state procedure. The Court specifically noted (id. at 544) that the state remedies may not have provided plaintiff with all of the relief which he might have claimed in an action brought under 42 U.S.C. 1983. Nevertheless, the Court ruled that "(t)he remedies provided could have fully compensated the (plaintiff) for the property loss he suffered, and we hold that they are sufficient to satisfy the requirements of due process" (451 U.S. at 544). See also id. at 555 n.1 (citations omitted) (Marshall, J., concurring in part and dissenting in part) ("To be sure, the state remedies would not have afforded (plaintiff) all the relief that would have been available in a Section 1983 action. I nonetheless agree with the majority that "they are sufficient to satisfy the requirements of due process.'"); Hudson v. Palmer, 468 U.S. 517, 530-536 (1984). /26/ It is not clear, however, that such damages would be available even in a Bivens action. See Bush v. Lucas, 462 U.S. at 372 n.9. /27/ Officials involved in any decisionmaking process enjoy at least qualified immunity. Adjudicative officials are protected by absolute immunity. Harlow v. Fitzgerald, 457 U.S. 800, 807 (1982); Butz v. Economou, 438 U.S. 478, 508-517 (1978). Many of respondents claims attacking the fairness and integrity of the disability review process appear likely to encounter the latter defense. /28/ Although there are no deadlines for the various levels of the administrative process (Heckler v. Day, 467 U.S. 104 (1984)), the following average times apply to these steps in the administrative process: between appeal of initial adverse decision and reconsideration decision -- approximately 80 days; between appeal of reconsideration and ALJ decision -- approximately 172 days; between appeal of ALJ decision and Appeals Council decision -- approximately 95 days. SSA 1987 Ann. Rep. to Congress 14; SSA Office of Hearings and Appeals Key Workload Indicators 1, 9 (Aug. 1987). /29/ The relief sought in such suits would be wholly open-ended. Respondents in this case valued their damages at "no less than $10,000" against each petitioner (for a minimum of $30,000 per respondent). It is clear that the figure is simply an arbitrary one; respondents could have sought $100,000 with equal plausibility. If even one such claim succeeded the agency official could be financially destroyed. Alternatively, SSA itself might, by indemnifying the defendant, pick up the tab, thereby further imperilling the solvency of an already shaky system.