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REPRESENTING  SOCIAL SECURITY DISABILITY CLAIMANTS:  ETHICAL CONSIDERATIONS Women’s Bar Section Hidalgo County Bar Association Suzanne Villalón Hinojosa 1-800-481-0302 [email_address] www.southtexasdisabilitylawyer..com
TWO PROGRAMS  HOW ARE THEY DIFFERENT? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
TWO PROGRAMS HOW ARE THEY DIFFERENT? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
TWO PROGRAMS HOW ARE THEY SIMILAR? ,[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
DEFINITION OF DISABILITY ,[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
5 STEP SEQUENTIAL EVALUATION PROCESS FOR ADULTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
REGULATORY HISTORY OF SSA ETHICS RULES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FEATURES OF THE RULES ,[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
RULES STRUCTURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
AFFIRMATIVE DUTIES 20 CFR §§ 404.1740(B)(1)&(2) AND 416.1540(B) (1)&(2) ,[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
ADMINISTRATIVE APPEAL PROCESS After an ALJ denial, the claimant can file a 2 nd  application and appeal the 1 st  application to the Appeals Council. SSA will process the 2 nd  application thru the initial and reconsideration levels but will not conduct a 2 nd  hearing until the Appeals Council resolves the 1 st  claim.  See HALLEX I-5-3-17 and  The Ins and Outs of Subsequent Applications.pdf   Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
FEDERAL↔STATE HAND OFFS IN DECISION MAKING PROCESS Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
ISSUES IN EVIDENCE SUBMISSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
ADVERSE EVIDENCE  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],In both 1995 and 1997 the ABA opined that these rules are overly broad with regards to the duty to submit evidence. “The ABA believed that the rules continue to include provisions that could give rise to serious ethical conflicts.” 63 FR 41407 Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
ADVERSE EVIDENCE CHANGES IN THE LAW  ,[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
ADVERSE EVIDENCE OTHER SOURCES OF AUTHORITY  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
AFFIRMATIVE DUTIES 20 CFR §§ 404.1740(B)(3) AND 416.1540(B)(3)  ,[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
PROHIBITED ACTIONS 20 CFR §§ 404.1740(C)(1) ,[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
PROHIBITED ACTIONS 20 CFR §§ 404.1740(C)(2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
PROHIBITED ACTIONS 20 CFR §§ 404.1740(C)(3) ,[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
PROHIBITED ACTIONS 20 CFR §§ 404.1740(C)(4) ,[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
PROHIBITED ACTIONS 20 CFR §§ 404.1740(C)(5) ,[object Object],[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
PROHIBITED ACTIONS 20 CFR §§ 404.1740(C)(6) ,[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
PROHIBITED ACTIONS 20 CFR §§ 404.1740(C)(7) ,[object Object],[object Object],[object Object],[object Object],Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com
REPRESENTATIVE SANCTION CASE INFORMATION FOR FISCAL YEAR 2001 THROUGH 2006 Suzanne Villalón Hinojosa  svhdisbilityhelp@gmail.com 1-800-481-0302  www.southtexasdisabilitylawyer.com # of Formal Complaints SSA filed  # of Cases …  Before SSA Filed formal Complaints # of Cases… After SSA Filed  formal Complaints # of Final decisions to Suspend or Disqualify  FY 2001 25 0 2 7 FY 2002 15 1 1 12 FY 2003 5 4 5 4 FY 2004 5 0 0 4 FY 2005 6 1 1 4 FY 2006 2 0 0 1 Total 58 6 9 32 Source: Response of Commissioner Barnhart to Questions for the Record from the September 27, 2005 hearing on the New Disability Approach from Congressman Sander Levin. November 8, 2005

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Ethical Considerations In Representing Social Security Disability Claimants

  • 1. REPRESENTING SOCIAL SECURITY DISABILITY CLAIMANTS: ETHICAL CONSIDERATIONS Women’s Bar Section Hidalgo County Bar Association Suzanne Villalón Hinojosa 1-800-481-0302 [email_address] www.southtexasdisabilitylawyer..com
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  • 11. ADMINISTRATIVE APPEAL PROCESS After an ALJ denial, the claimant can file a 2 nd application and appeal the 1 st application to the Appeals Council. SSA will process the 2 nd application thru the initial and reconsideration levels but will not conduct a 2 nd hearing until the Appeals Council resolves the 1 st claim. See HALLEX I-5-3-17 and The Ins and Outs of Subsequent Applications.pdf   Suzanne Villalón Hinojosa svhdisbilityhelp@gmail.com 1-800-481-0302 www.southtexasdisabilitylawyer.com
  • 12. FEDERAL↔STATE HAND OFFS IN DECISION MAKING PROCESS Suzanne Villalón Hinojosa svhdisbilityhelp@gmail.com 1-800-481-0302 www.southtexasdisabilitylawyer.com
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  • 25. REPRESENTATIVE SANCTION CASE INFORMATION FOR FISCAL YEAR 2001 THROUGH 2006 Suzanne Villalón Hinojosa svhdisbilityhelp@gmail.com 1-800-481-0302 www.southtexasdisabilitylawyer.com # of Formal Complaints SSA filed # of Cases … Before SSA Filed formal Complaints # of Cases… After SSA Filed formal Complaints # of Final decisions to Suspend or Disqualify FY 2001 25 0 2 7 FY 2002 15 1 1 12 FY 2003 5 4 5 4 FY 2004 5 0 0 4 FY 2005 6 1 1 4 FY 2006 2 0 0 1 Total 58 6 9 32 Source: Response of Commissioner Barnhart to Questions for the Record from the September 27, 2005 hearing on the New Disability Approach from Congressman Sander Levin. November 8, 2005