OFFICE OF SPECIAL MASTERS
No. 94-1029V
(Filed: January 10, 1997)
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ANN M. JESSEN, | * | |
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Petitioner, | * | TO BE PUBLISHED |
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v. | * | |
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SECRETARY OF HEALTH AND | * | |
HUMAN SERVICES, | * | |
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Respondent. | * | |
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* * * * * * * * * * * * * * * * * * * * * * * * * * * |
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Eugene A. Gaer, New York, New York, for petitioners.
Althea E. Walker, Department of Justice, Washington, D.C., for respondent.
DECISION (ATTORNEYS' FEES)
HASTINGS, Special Master.
In this case under the National Vaccine Injury Compensation Program(1)
(hereinafter "the Program"), petitioner seeks, pursuant to § 300aa-15(b) and
(e), an award for attorneys' fees and costs incurred in attempting to obtain Program
compensation in this case. Respondent has opposed the granting of any award, and also
challenged the amount claimed should I find an award to be appropriate. I will discuss
respondent's various challenges in Sections I through III of this Decision, below.
I
"REASONABLE BASIS" ISSUE
Pursuant to § 300aa-15(b) and (e)(1), the special master may make an award of
attorneys' fees and costs even when, as in this case, the petitioner is not found to
qualify for a substantive Program award, if the petition was filed in "good
faith" and upon a "reasonable basis."
In this case, respondent has argued that I should reject petitioner's request for such
an award, on the ground that there did not exist a "reasonable basis" for
petitioner's claim for a Program award in this case. After full consideration, however, I
conclude not only that the petition was filed in good faith, but also that there existed a
reasonable basis for petitioner's claim. As to the latter conclusion, because the
respondent has disputed whether a reasonable basis existed, I will elaborate on my
conclusion below.(2)
A. Background
Under the Program, compensation awards are made to individuals who have suffered
injuries thought to be caused by certain vaccines. Generally, if an individual was
administered one of the vaccines listed on the "Vaccine Injury Table" found at
§ 300aa-14(a), such person will be entitled to Program compensation if he can show either
that he suffered one of the specific injuries corresponding to that vaccination listed in
the Vaccine Injury Table, or that he suffered an injury that was
"caused-in-fact" by that vaccination. § 300aa-13(a)(1); § 300aa-11(c)(1)(C);
§ 300aa-14(a). More specifically, the statute provides in § 300aa-13(a)(1) that to gain
an award, the injured person must demonstrate fulfillment of the requirements listed at §
300aa-11(c)(1). And one of the requirements contained at § 300aa-11(c)(1) is found at
subsection (D), which provides the tests as to how severe an injury must be in
order to qualify for Program compensation. Subsection (D) provides that unless the vaccine
recipient died as a result of the vaccine-related injury, it must be shown both
that the ill effects of the injury lasted longer than six months, and that the
recipient incurred unreimbursable expenses in excess of $1000 resulting from the injury.
§ 300aa-11(c)(1)(D)(i).
This "$1000 requirement" of § 300aa-11(c)(1)(D)(i), at first glance, might
not appear to be a terribly difficult one to satisfy in the case of a significant injury.
But in some Program cases it has caused considerable problems, chiefly due to the fact
that the expenses must be "unreimbursable." Persons whose medical expenses were
wholly covered by Medicaid, "workers' compensation" programs, or health
insurance have sometimes been denied Program awards despite the fact that their injuries
otherwise seemed to qualify for Program compensation. See, e.g., Black v. Secretary of
Dept. of HHS, 93 F. 3d 781 (Fed. Cir. 1996); Rodriguez v. Secretary of Dept. of
HHS, 34 Fed. Cl. 57 (1995); Mack v. Secretary of Dept. of HHS, No. 90-1427V,
1995 WL 507581 (Fed. Cl. Spec. Mstr. Aug. 11, 1995); Robinson v. Secretary of Dept. of
HHS, No. 93-530V, 1994 WL 879449 (Fed. Cl. Spec. Mstr. Feb. 23, 1994); Davis v.
Secretary of Dept. of HHS, No. 95-107V, 1995 WL 413933 (Fed. Cl. Spec. Mstr. June 29,
1995); Hammond v. Secretary of Dept. of HHS, No. 91-1238V, 1994 WL 59444 (Fed.
Cl. Spec. Mstr. Feb. 15, 1994); Warner v. Secretary of Dept. of HHS, No. 90-201V,
1992 WL 405286 (Fed. Cl. Spec. Mstr. Dec. 29, 1992).
This is such a case. The petitioner in this case received a rubella vaccination in
1992, and within a few days thereafter began to suffer arthritis in multiple joints, a
condition that has been chronic since then. This history seems to fit within a pattern of
chronic arthritis after rubella vaccinations that has been shown to likely have been
caused by such vaccinations. See Ahern et al. v. Secretary of Dept. of HHS, No.
90-1435, 1993 WL 179430 (Fed. Cl. Spec. Mstr. Jan. 11, 1993). Respondent did not dispute
that petitioner's history fits the pattern described in Ahern et al. (see
Respondent's Report filed on February 16, 1995), and my own initial review of the record
in this case also seemed to indicate that petitioner's arthritic condition is likely
vaccine-caused. However, in my initial review it also appeared questionable whether
petitioner could satisfy the "$1000 requirement" of § 300aa-11(c)(1)(D)(i), so
I determined that in this case it made sense to resolve that issue first.
Petitioner advanced two arguments in an attempt to satisfy the $1000 requirement. As
her primary argument, she averred that her arthritic condition caused her to miss 38 days
of work from her job, which cost her $12,219 in lost earnings. I rejected her arguments
with respect to the $1000 requirement in a Decision filed on September 13, 1995. See Jessen
v. Secretary of Dept. of HHS, No. 94-1029V, 1995 WL 571514 (Fed. Cl. Spec. Mstr.
Sept. 13, 1995). As to petitioner's primary theory, I ruled as a matter of law that to
lose the opportunity to earn money, while certainly constituting an economic loss to the
petitioner, is not to "incur an expense" within the meaning of §
300aa-11(c)(1)(D)(i). Having concluded that petitioner had not shown fulfillment of the
$1000 requirement, I thus ruled that she was not entitled to a Program award. Petitioner
did not seek review of my decision, and thus judgment against petitioner was entered on
October 18, 1995. That judgment was followed by this request for a fees award with respect
to that unsuccessful petition.
B. Discussion
Respondent does not dispute that petitioner had at least a reasonable basis for her
contention that her arthritic condition was vaccine-caused. She obviously did have a
reasonable basis for that claim. Respondent contends, rather, only that petitioner did not
have a reasonable basis for her specific contention that her case met the $1000
requirement. But even assuming arguendo that a petitioner must show a
reasonable basis for her contentions as to each and every element of the requirements
contained at § 300aa-11(c), I conclude that petitioner has done so in this case.
Specifically, I conclude that petitioner's primary theory as to the $1000 requirement was
at least a reasonable one, although ultimately I could not accept it as legally correct.
In this regard, the key point is that there seems to be no dispute that petitioner did
miss many days of work due to her arthritic condition, and that as a result she did lose
the opportunity to earn far more than $1000. It is a question of law, of course, whether
that circumstance means that petitioner "incurred an expense" within the
statutory meaning, and I ruled against petitioner on that legal question. But was
petitioner's argument on that point at least a "reasonable" one? I conclude that
it was. The distinction between losing an opportunity to earn money, on one hand, and
actually incurring a liability to pay out funds, on the other, is a fairly fine one. And
while this fine line is ultimately justified by the statutory language, it is not
necessarily obvious at first glance at the statute. A reasonable person's first instinct
might be that in either event, the vaccinated individual has suffered an economic loss
because of the injury, and thus qualifies under the $1000 requirement. I find that the
petitioner's legal argument in this regard was within the range of reason.
Respondent points, however, to the fact that at the time that petitioner filed her
petition in this case (on November 23, 1994), two special masters of this court had
already issued decisions casting doubt upon petitioner's primary theory here. That is, in Warner
v. Secretary of Dept. of HHS, No. 92-201V, 1992 WL 405286 (Fed. Cl. Spec. Mstr. Dec.
29, 1992), a special master specifically held that lost earnings cannot fulfill the $1000
requirement. Later, in Robinson v. Secretary of Dept. of HHS, No. 93-530V, 1994
WL 879449 (Fed. Cl. Spec. Mstr. Feb. 23, 1994), a special master rejected a claim that a
petitioner had fulfilled the $1000 requirement by using up her "sick leave"
benefits at her place of employment. Respondent argues that because of the existence of
these decisions, it was unreasonable for petitioner to rely upon her "lost
wages" argument, with respect to the $1000 issue, in filing her petition here.(3)
I cannot agree. First, respondent's characterization of these two decisions as
"published" decisions requires explanation. There is, in fact, no official
reporter of special master decisions under the Program. Selected special master decisions
are, however, forwarded to two computer services, where such decisions are made available
to subscribers "on-line." It is only in these on-line services in which the Warner
and Robinson decisions were "published." The fact that this
"publication" system even exists, of course, may not even be known to most
practitioners who have filed, or are planning to file, a single Program petition. Nor is
this system always readily accessible to "sole practitioner" attorneys who do
not regularly subscribe to such expensive on-line legal research services. (Indeed, in
this case petitioner's counsel seems to indicate that at the time this petition was filed,
counsel was in fact unaware of the Warner and Robinson decisions--see
petitioner's supplemental memorandum filed on November 13, 1996, p. 21.) Accordingly, it
is hardly clear that Program counsel, many of whom file only a single Program case, can be
"reasonably" expected to be aware of all electronically "published"
special master Program decisions.
Moreover, as petitioner's counsel has also pointed out, simply because one or more
Program special masters have ruled on a legal issue hardly means that to advance an
argument contrary to that legal holding is inherently unreasonable. Legal precedent under
the Program is only legally binding when established by the United States Court of Appeals
for the Federal Circuit (and even then, of course, could be overturned by that same court
sitting in banc or by the United States Supreme Court). Thus, even a petitioner's
counsel aware of a contrary special master's legal holding could reasonably advance a
contrary theory, in hopes of persuading another special master or a reviewing
Court of Federal Claims judge or a Federal Circuit panel on appeal to hold to the
contrary.
Further, as petitioner's counsel also has pointed out, respondent's position as to
"reasonable basis" ignores one very important aspect of the Program statute.
That is, persons who, like petitioner, believe that they have been harmed by a vaccination
administered after October 1, 1988, are required to file a Program petition, and
obtain a resolution of their Program claim, before filing a tort suit against either the
vaccine administrator or manufacturer. See § 300aa--11(a)(2). It seems to me that, faced
with that requirement, a person in petitioner's situation, with an apparently meritorious
claim of a vaccine-related injury, has no choice but to file a Program claim and
advance the best argument that she can concerning the $1000 requirement, even if her
argument on that $1000 issue is of questionable merit. Only when her argument concerning
the $1000 issue has been advanced and rejected in the Program proceeding is she legally
free to pursue a tort claim. Thus, respondent's argument here, that a Program petitioner's
argument concerning the $1000 issue must qualify under a very strict and high standard as
to "reasonable basis," would yield a result inherently unfair to Program
petitioners and their counsel. Such persons would be required by law to go
through a Program proceeding, and then denied the cost of the legal fees incurred in that
proceeding by an extremely strict interpretation of the "reasonable basis"
requirement.(4)
This brings me, then, to the final consideration worthy of discussion here. That is,
respondent's argument here implies that the special masters of this court should set a
very strict, very high standard as to the "reasonable basis" requirement for
obtaining a fees award in Program proceedings. But for the special masters to do so would,
in my view, be an inappropriate interpretation of the statutory scheme, and would be quite
counterproductive with respect to the Congressional goals behind enactment of the Program.
As has been oft-observed, the dual goals behind the Program were to provide assistance
to vaccine-injured persons and to reduce the burden of civil tort actions upon vaccine
manufacturers, vaccine administrators, and the courts of general jurisdiction. [CITE TO
COME] And clearly, the provision for attorneys' fees awards to Program petitioners,
extending such awards to unsuccessful petitioners so long as their claims were brought in
good faith and upon a reasonable basis, was one important part of advancing those goals.
The provision for fees' awards even to unsuccesful claimants was obviously designed to
make it easier for would-be petitioners to obtain the assistance of attorneys in filing
their Program claims. [See, e.g. CITE] This provision, obviously was important in
attracting into the Program would-be petitioners whose vaccinations were administered prior
to October 1, 1988 (the "effective date" of the Program), who were left the option
of maintaining vaccine-related tort actions in other courts and bypassing the Program
entirely. Certainly, Congress could not have intended that the "reasonable
basis" standard be interpreted in a very strict, tight-fisted manner, for such an
interpretation in the initial Program cases would likely have influenced potential
petitioners with pre-effective date injuries to avoid the Program and look only to tort
actions for redress.(5)
But the provision for fees awards is also important as to vaccine-injured persons
vaccinated after October 1, 1988, who are required by the statute to
file Program claims and obtain Program decisions before filing tort suits. First, if the
special masters were to set too high a standard as to the reasonable basis issue, and to
often fees deny awards on that basis, it surely would discourage some attorneys from even
taking cases involving vaccine injuries in the first place, for it would face such counsel
with the prospect of working through a Program proceeding and then possibly receiving no
compensation whatever for that work.(6) Second, even in
situations in which a petitioner could find an attorney willing to accept a
Program case, such counsel could be influenced not to actively and agressively pursue
the Program case, for fear of losing the case and then being denied compensation for the
Program work under the strict standard of "reasonable basis" scrutiny. Counsel
might be influenced to do as little work as possible in the Program proceeding, simply
waiting for a denial so that a tort suit would be filed. Such a result would, of course,
be contrary to the Program goal of keeping cases out of the tort system.
In short, in my view the special masters have over the past several years generally set
an appropriate standard on the "reasonable basis" question. In situations where
truly there existed no logical basis for the claim, applications for attorneys' fees and
costs have appropriately been denied. But in cases where the claim was within a fairly
broad range of "reasonableness," awards have been made. Even in these
circumstances, some pro se petitioners have expressed great frustration at their
inability to find counsel willing to assist them in Program cases. But this serious
problem would only get worse if, as respondent seems to suggest, the special
masters were now to set a higher and stricter standard as to "reasonable basis."
Accordingly, I do not find it appropriate to follow that suggestion.
Thus, for all the reasons set forth above, I find that the petitioner's Program claim
in this case was filed not only in good faith, but also with a reasonable basis for the
claim.
II
"JURISDICTIONAL" CHALLENGE
Next, respondent's chief argument in this case is that an award for attorneys' fees and
costs in this case is barred for another reason. Respondent notes that in this case,
petitioner's claim was not rejected on the ground that her arthritic condition
was not vaccine-caused. Rather, she was unable to satisfy the requirement of §
300aa-11(c)(1)(D)(i) that she incurred in excess of $1000 in unreimbursed expenses due to
that condition. Respondent argues that this failure to satisfy this "$1000
requirement" left petitioner "unable to demonstrate that this court has
jurisdiction over this matter." (Respondent's response filed on March 12, 1996, p.
2.) "Without jurisdiction over the petition," respondent argues, "the court
has no jurisdiction to award attorney's fees and costs." (Id.) After
considerable efforts upon my part, respondent was finally prompted to explain this
argument, in at least some detail, in her "Supplemental Response" (hereinafter
"Supp. Resp.") filed on October 4, 1996. Petitioner filed a response on
November 13, 1996.(7)
After careful consideration of respondent's argument, however, I must reject it. I
conclude that I do have jurisdiction to grant an award for fees and costs in this
case, for the reasons set forth below.
A. Introduction
As noted above, pursuant to § 300aa-15(e)(1), in a case, like this one, in which the
petitioner fails to establish entitlement to a Program award, a special master may
nevertheless award an amount for attorneys' fees and costs incurred by the petitioner. But
such an award is not automatic. As discussed above, such a "fees award" is
appropriate only if the petition was filed in good faith and had at least a reasonable
basis in fact. In addition, in Martin v. Secretary of Dept. of HHS, 62 F. 3d 1403
(Fed. Cir. 1995), the United States Court of Appeals for the Federal Circuit ruled that
when this court lacks jurisdiction over the petitioner's underlying claim, no fees award
may be made. Specifically, in Martin, the court of appeals ruled that if a
petition is dismissed pursuant to any of subsections (5), (6), or (7) of § 300aa-11(a),
such dismissal should be considered to be for lack of jurisdiction, and
no fees award is appropriate.
The Martin court, however, beyond ruling that dismissals under those three
specific subsections of § 300aa-11(a) are "jurisdictional," did not offer any explicit
guidance as to the appropriateness of fees awards in situations where petitioners have
failed to obtain a Program award for other reasons. (Although the Martin
court did leave a suggestion that, as will be discussed in detail below, in my
view offers strong reason to believe that respondent's argument in this case is wrong.)
Accordingly, in such situations, a special master of this Court must look beyond Martin
in order to decide whether a petitioner's failure to gain a Program awarded resulted from
a "jurisdictional" rather than a non-jurisdictional defect. This is such a case.
In this case, as explained above, the petitioner alleged that her chronic arthritic
condition was caused by a rubella vaccination, but it turned out to be unnecessary to
resolve that "causation" question, because petitioner proved to be unable to
show that she satisfied another requirement for obtaining a Program award. That is,
pursuant to § 300aa-11(c)(1)(D)(i), it must be demonstrated that the person with the
putatively vaccine-related injury "incurred unreimbursable expenses due in whole or
in part to * * * [the vaccine-related injury] in an amount greater than $1000 * * *."
In this case, petitioner was unable to make that showing. Thus, on this application for an
attorneys' fees award, the issue before me now is whether a petitioner's failure to
satisfy the "$1000 requirement" of § 300aa-11(c)(1)(D)(i) constitutes a
"jurisdictional" defect in petitioner's case, barring her from a fees award.
This precise legal issue has been addressed in an actual case holding on only one
previous occasion, as far as I am able to tell. In that case, a special master of this
Court specifically ruled, in the context of an application for an attorneys' fees award,
that this "$1000 requirement" is not jurisdictional in nature, so that
a fees award could still be made. Long v. Secretary of Dept. of HHS, No. 91-326V,
1995 WL 774600 (Fed. Cl. Spec. Mstr. Dec. 21, 1995).
The issue has also been addressed, however, in dictum in three other published
opinions. In Smith v. Secretary of HHS, No. 91-57V, 1992 WL 210999 (Cl. Ct. Spec.
Mstr. Aug. 13, 1992), again in the context of an attorneys' fees application, a special
master ruled, as in Long, that the "$1000 requirement" is not a
jurisdictional requirement. However, in Smith, the special master nevertheless
declined to make a fees award, on the ground that the underlying claim for Program
compensation had no reasonable basis in fact; thus the special master's opinion on the
jurisdictional issue may be viewed as constituting dictum. In the two other cases
in which the question of whether the $1000 requirement is jurisdictional was mentioned,
these references also clearly constituted dicta, because, in each case, the issue
to be decided was simply whether the $1000 requirement had been satisfied in that
particular case. Whether the requirement was a "jurisdictional" one or not was
not relevant in either case to the resolution of the issue immediately at bar. Thus, in Olascoaga
v. Secretary of Dept. of HHS, No. 93-616V, 1994 WL 100687 (Fed. Cl. Spec. Mstr. March
14, 1994), a special master indicated the view that the $1000 requirement, along with all
of the "petition content requirements" of § 300aa-11(c), are not
jurisdictional. In Black v. Secretary of Dept. of HHS, 33 Fed. Cl. 546, 550 (Fed.
Cl. 1995), aff'd, 93 F. 3d. 781 (Fed. Cir. 1996), however, Judge Yock of this court
indicated disagreement with that observation in Olascoaga, opining that instead
all the requirements of § 300aa-11(c) "are indeed jurisdictional."
After my own study of the issue, while the correct answer is not free from doubt, I
side with the viewpoint expressed in the former three opinions, that the $1000 requirement
is not a jurisdictional requirement, for reasons to be set forth below.
B. The Statute's Own Jurisdictional Language
It seems appropriate to begin analysis of this issue by reference to that section of
the governing statute that specifically deals with the issue of this Court's jurisdiction
over Program proceedings. Section 300aa-12(a) provides that--
[t]he United States Court of Federal Claims and the United States Court of Federal
Claims special masters shall, in accordance with this section, have jurisdiction over
proceedings to determine if a petitioner under section 300aa-11 of this title is entitled
to compensation under the Program and the amount of such compensation.
This section, then, at first glance yields only the bare information that the Court of
Federal Claims and its special masters may resolve Program cases. As to the task here,
however, of determining which Program requirements are "jurisdictional"
and which are not, this section by itself would seem to be of no help.
In theory, however, one might try to closely scrutinize the language of § 300aa-12(a)
in order to more precisely define this jurisdictional grant. One might start with the fact
that in the portion of § 300aa-12(a) quoted above, the Court of Federal Claims is granted
jurisdiction to determine whether a "petitioner under section 300aa-11" is
entitled to compensation. Thus, one might then look to § 300aa-11 for a definition of the
term "petitioner." Nowhere in § 300aa-11 does there appear a
"definition" of the word petitioner as such,(8)
but in § 300aa-11(b)(1)(A), under the heading "Petitioners," it is stated
that--
any person who has sustained a vaccine-related injury * * * may, if the person meets
the requirements of subsection (c)(1) of this section, file a petition for compensation
under the Program.
Thus, perhaps a "petitioner," as mentioned in § 300aa-12(a), is one who
"may * * * file a petition" under § 300aa-11(b)(1)(A). In turn, under §
300aa-11(b)(1)(A), one who "may file a petition" is one who "has sustained
a vaccine-related injury * * * [and] meets the requirements of [§ 300aa-11(c)(1)]."
A glance at § 300aa-11(c)(1), however, makes it clear that this sort of attempt to
pursue the statutory language literally to an answer to the problem here will be
fruitless. That is, § 300aa-11(c)(1) contains basically all of the substantive
requirements for obtaining a Program award, including demonstrating factually the
existence of a vaccine-related injury, etc. Therefore, any attempt to follow the literal
language from § 300aa-12(a) through § 300aa-11 would yield an absurd conclusion that
this court has "jurisdiction" only over those petitioners who have completely
meritorious claims.
Because it is entirely impossible, then, to follow the literal statutory language to a
reasonable outcome on this point, I must look instead to general principles of subject
matter jurisdiction for the resolution of the question at hand.
C. General principles of subject matter jurisdiction
As one court recently observed, "[j]urisdiction is a term that is one of the most
slippery in the legal lexicon." Spruill v. Merit Systems Protection Bd., 978
F. 2d 679, 686 (Fed. Cir. 1992). In this instance, the issue at hand concerns subject
matter jurisdiction, meaning essentially the power of the Court to hear and decide a
Program case. See, e.g., Hagans v. Lavine, 415 U.S. 528, 538 (1994)
("[j]urisdiction is essentially the authority conferred by Congress to decide a given
type of case one way or the other"); Stokes v. Federal Aviation Admin., 761
F. 2d 682, 685 (Fed. Cir. 1985) ("[j]urisdiction means the right or power of a
tribunal to act").
A review of the case law dealing with subject matter jurisdiction shows that the
statutory interpretation problems that have been encountered in Program cases, in attempts
to distinguish jurisdictional from non-jurisdictional Program requirements, are not unique
to Program cases. To the contrary, the Supreme Court has observed that it "frequently
happens where jurisdiction depends on subject matter [that] the question whether
jurisdiction exists has been confused with the question whether the complaint states a
cause of action." Montana-Dakota Utilities Co. v. Northwestern Public Service Co.,
341 U.S. 246, 249 (U.S. 1951). Similarly, the Federal Circuit recently observed that
"[s]ometimes the question of subject matter jurisdiction gets confused with the
question of entitlement to relief, that is, whether a cause of action has been stated in
the complaint, or later proved." Spruill, supra, 978 F. 2d at 686. The Spruill
court added that this confusion arises particularly in suits against the federal
government. In such cases, said the Spruill court, it is sometimes erroneously
contended or held that "[f]ailure to prove a claim means that the claimant did not
come within the scope of the authorized waiver of sovereign immunity, and thus the forum
must have lacked jurisdiction to hear the cause." Id. at 688.
To avoid such confusion, it is instructive to review the teachings of a number of
Supreme Court cases that have discussed this general topic. In general, these decisions
admonish the lower courts in many contexts not to dismiss a case for want of
jurisdiction, when in fact the deficiency is merely a failure to prove the claim.
The thrust of these decisions is that when a plaintiff makes a claim under a federal
statute, the court determines its jurisdiction based upon the allegations pleaded
in the complaint. The court looks to see whether the complaint's allegations raise a
non-frivolous claim arguably arising under the terms of the federal statute in
question. For example, the court looks to see whether the factual allegations of the
complaint, if proven to be true, would describe a claim fitting within the
statute in question. If the complaint's allegations do appear to raise a non-frivolous
claim arguably falling within the class of claims described in the statute, then
the court does have jurisdiction over the case, and thus has authority to
determine whether in fact the plaintiff can prove the allegations made in the
complaint. If the plaintiff eventually fails to prove the facts alleged, or it is
determined as a matter of law that the alleged facts do not state a cause of action under
the statute, then the case is dismissed for failure to prove the case, rather
than for lack of jurisdiction.
1. The Supreme Court opinions
A number of early Supreme Court opinions stated rather succinctly the general
principles for determining jurisdiction discussed above. For example, in Lamar v.
United States., 240 U.S. 60 (1916), the Supreme Court explicitly rejected
the theory that--
when the controversy concerns a subject limited by Federal law, such as bankruptcy * *
*, copyright * * *, patents * * *, or admiralty * * *, the jurisdiction so far coalesces
with the merits that a case not within the law is not within the jurisdiction of the
court.
Id. at 64 (citations omitted). Similarly, in Hart v. B.F. Keith Vaudeville
Exchange, 262 U.S. 271, 273-74 (1923), the same court stated that--
when a suit is brought in a federal court and the very matter of the controversy is
federal it cannot be dismissed for want of jurisdiction "however wanting in
merit" may be the averments intended to establish a federal right.
The Court in Hart added that if the complaint in a suit "makes a claim
that if well founded is within the jurisdiction of the Court, it is within the
jurisdiction whether well founded or not." 262 U.S. at 273 (emphasis added).
To the same effect, in The Fair v. Kohler Die & Specialty Co., 228 U.S. 22, 25 (1913), the Supreme Court stated that "when the plaintiff bases his cause of action upon an act of Congress, jurisdiction cannot be defeated by a plea denying the merits of the claim." The Court went on to explain that if the claim on its face is wholly frivolous, it might be dismissed for lack of jurisdiction,
"[b]ut if the plaintiff really makes a substantial claim under an act of Congress,
there is jurisdiction whether the claim ultimately be held good or bad." Id.
Later Supreme Court opinions explained these principles more fully. In Bell v. Hood,
327 U.S. 678 (1946), the Supreme Court explained that:
Before deciding that there is no jurisdiction, the district court must look to the way
the complaint is drawn to see if it is drawn so as to claim a right to recover under the
constitution and laws of the United States. * * * [w]here the complaint, as here, is so
drawn as to seek recovery directly under the Constitution or laws of the United States,
the federal court, but for two possible exceptions later noted, must entertain the suit. *
* * The reason for this is that the court must assume jurisdiction to decide whether the
allegations state a cause of action on which the court can grant relief as well as to
determine issues of fact arising in the controversy.
Jurisdiction, therefore, is not defeated, as respondents seem to contend, by the
possibility that the averments might fail to state a cause of action on which petitioners
could actually recover. For it is well settled that the failure to state a proper
cause of action calls for a judgment on the merits and not for a dismissal for want of
jurisdiction. Whether the complaint states a cause of action on which relief could be
granted is a question of law and just as issues of fact it must be decided after and not
before the court has assumed jurisdiction over the controversy. If the court does later
exercise its jurisdiction to determine that the allegations in the complaint do not state
a ground for relief, then dismissal of the case would be on the merits, not for want of
jurisdiction. [Citations omitted.] The previously carved out exceptions are that a suit
may sometimes be dismissed for want of jurisdiction where the alleged claim under the
Constitution or federal statutes clearly appears to be immaterial and made solely for the
purpose of obtaining jurisdiction or where such a claim is wholly insubstantial and
frivolous.
327 U.S. at 681-683 (emphasis added).
A similar discussion was set forth a few years later in Montana-Dakota Utilities
Co., supra, where the Supreme Court stated as follows:
Petitioner asserted a cause of action under the Power Act [a federal statute]. To
determine whether the claim is well founded, the District Court must take jurisdiction,
whether its ultimate resolution is to be in the affirmative or the negative. If the
complaint raises a federal question, the mere claim confers power to decide that it has no
merit, as well as to decide that it has. In the words of Mr. Justice Holmes, "* * *
if the plaintiff really makes a substantial claim under an act of Congress there is
jurisdiction whether the claim ultimately be held good or bad." The Fair v.
Kohler Die & Specialty Co. [cited above]. * * * We think there was power in the
District Court to decide whether the claims so grounded constitute a cause of action
maintainable in federal court and, if so, whether it is sustained on the facts. We think a
direction [by the Court of Appeals] to dismiss for want of jurisdiction was error and that
it should not stand as a precedent.
341 U.S. at 249. Similarly, the Supreme Court in Hagans v. Lavine, supra,
observed that "[o]nce a federal court has ascertained that a plaintiff's
jurisdiction-conferring claims are not insubstantial on their face, * * * no
further consideration of the merits of the claim[s] is relevant to a determination of the
court's jurisdiction of the subject matter." 415 U.S. at 542, n.10. See also, to the
same effect, Romero v. International Terminal Operating Co., 358 U.S. 354, 359
(1959); Baker v. Carr, 369 U.S. 186, 199 (1962).
2. Similar Federal Circuit and Court of Claims precedent
The analysis of this line of Supreme Court opinions has been reflected in certain
opinions of the United States Court of Appeals for the Federal Circuit and its
predecessor, the United States Court of Claims. For example, in Spruill, supra,
the Federal Circuit addressed the question of the jurisdiction of the Merit Systems
Protection Board. The Court held:
When a nonfrivolous claim for relief has been asserted before the Board, and the
outcome is determined by whether the facts support that claim, a decision by the Board
that they do not is a failure to prove the claim, not a lack of jurisdiction in
the Board.
978 F. 2d at 689 (emphasis added). The Court added the following explanation:
To the extent a successful claim against the government requires compliance with all
statutory elements of the claim, failure of proof of an element of the cause of action
means the petitioner is not entitled to the relief he seeks. To conclude in such a case
that the petitioner loses because the forum is "without jurisdiction" is to
obscure the nature of the defect. It would be more accurate to conclude that the
petitioner has failed to prove the necessary elements of a cause for which relief could be
granted. The forum had jurisdiction to hear the matter in the first instance--that is,
subject-matter jurisdiction existed--as long as the petitioner asserted nonfrivolous
claims.
Id. at 687-688.
Similarly, in Ralston Steel Corp. v. United States, 340 F. 2d 663 (Ct. Cl.
1969), cert. denied 381 U.S. 950 (1965), the Court of Claims rejected the federal
government's argument that that court had no jurisdiction over the action in question. The
court stated:
[The government's] contention wrongly equates the issue of jurisdiction with the
merits. * * * If the plaintiff asserts that his claim "arises under" or its
"founded" on federal legislation * * *, "to determine whether that claim is
well founded," the court "must take jurisdiction, whether its ultimate
resolution is to be in the affirmative or negative." * * * It is "well settled
that the failure to state a proper cause of action * * * calls for a judgment on the
merits and not a judgment for want of jurisdiction. Whether the complaint states a cause
of action on which relief could be granted is a question of law and just as issues of fact
it must be decided after and not before the court has assumed jurisdiction over the
controversy. If the court does later exercise its jurisdiction to determine that the
allegations in the complaint do not state a ground for relief, then dismissal of the case
would be on the merits, not for want of jurisdiction." * * *
These same principals have applied, and still apply, to this court [i.e., the
Court of Claims] within the ambit of its limited jurisdiction. In general, a claimant who
says he is entitled to money from the United States because a statute * * * grants him
that right, in terms or by implication, can properly come to the Court of Claims, at least
if his claim is not frivolous, but arguable. Where an Act of Congress * * * arguably
confers such rights upon the claimant, the court will assume jurisdiction and decide the
claim on the merits, even though the defendant may ultimately prevail.
Id. at 667-668, citations omitted.
A similar analysis was adopted in the case of Do-Well Machine Shop, Inc. v. United
States, 870 F. 2d 637, 639-40 (Fed. Cir. 1989). There, the issue was whether a
successful defense raised by the government, against a claim for money due under a
contract, went to the jurisdiction of the forum, or was a question of failure to state a
claim for which relief could be granted. The Federal Circuit held that it was not
a matter of jurisdiction, saying:
The distinction between lack of jurisdiction and failure to state a claim upon which
relief can be granted, is an important one: "[T]he court must assume jurisdiction to
decide whether the allegations state a cause of action on which the court can grant relief
as well as to determine issues of fact arising in the controversy. Jurisdiction,
therefore, is not defeated as respondents seem to contend, by the possibility that the
averments might fail to state a cause of action on which petitioners could actually
recover * * *." Bell v. Hood, 327 U.S. 678, 682, 66 S.Ct. 773, 776, 90 L.
Ed. 939 (1946).
3. Application here
Applying to this case the principles set forth in the above-cited Supreme Court cases,
plus the Spruill, Ralston, and Do-Well opinions, the result
seems clear. The petitioner in this case filed a claim against the government under the
federal statute that set up the Program. The claim certainly was of the type covered by
that statute--i.e., it asserted an injury caused by one of the vaccinations covered
by the statute. The claim also certainly was not "frivolous," as discussed above
in Section I of this Decision. Under the teachings of the cases cited above, therefore, as
a special master of this court I clearly had jurisdiction to entertain the claim
and consider whether petitioners could establish all the elements of the claim. The claim
ultimately proved to be unsuccessful, on account of the petitioner's failure to prove a
single element of the claim, i.e., that she incurred more than $1000 in
unreimbursable expenses due to her allegedly vaccine-related arthritic condition. Under
the teachings of the cases cited above, however, this plainly should not be
viewed as a dismissal for want of jurisdiction, but rather as a dismissal for failure
to prove the claim--that is, failure to prove one of the substantive requirements for
a Program award. Therefore, an award of attorneys' fees should not be barred.
In reaching this conclusion, I note that I do recognize that not all of the decisions
of the Federal Circuit have taken the same approach as that set forth in the Spruill,
Ralston, and Do-Well opinions discussed above. A chief example is Cruz
v. Department of Navy, 934 F. 2d 1240 (Fed. Cir. 1991) (in banc), another
case involving, like Spruill, the question of the jurisdiction of the Merit
Systems Protection Board. In the Cruz opinion, there is language to the effect
that a failure by the claimant in that case to prove an important substantive element of
his claim, i.e., that his termination from his government job was involuntary,
means that the Board never had jurisdiction to hear the case in the first instance:
"Here the Board never had jurisdiction * * *. * * * Cruz' resignation was found to be
voluntary, * * * [so therefore the Board] did not acquire jurisdiction [over his
claim]." Id. at 1247. (See also the cases to the same effect as Cruz,
cited at Spruill, supra, 978 F. 2d at 688-699, footnotes 11 and 12.) It
has been suggested that because Cruz was an in banc decision of the
Federal Circuit, it constitutes authority in this court (i.e, the Court of Federal
Claims, a court bound by Federal Circuit precedent) superior to Spruill and to
those Federal Circuit and Court of Claims decisions similar to Spruill. See Maniere
v. United States, 31 Fed. Cl. 410, 415 (1994). It might, thus, be argued that the
reasoning of Cruz should be applied to this case, and that the $1000 requirement
should therefore be held to be a jurisdictional requirement. I would reject such a
suggestion, however, for two reasons.
First, to the extent that Cruz is considered to be inconsistent with Spruill,
Ralston, and Do-Well, it is true that the in banc status of Cruz
would indeed seem to mean that Cruz was the superior authority, if those
four decisions constituted the whole universe of precedent. However, this ignores the
entire line of Supreme Court authority discussed above. It would appear to me
that I am bound to follow the higher authority of those Supreme Court opinions, which in
my view are consistent with the reasoning of Spruill, Ralston, and Do-Well,
rather than that of Cruz.
Second, even were Cruz considered to be the sole applicable
precedent, I still would not find that application of its reasoning to this case would
mandate the result sought by respondent here. I note that the requirement held to be
"jurisdictional" in Cruz was quite different than the requirement here
in question. That is, in actions brought before the Merit Systems Protection Board (MSPB),
as in Cruz, it is in effect the very fact that a federal employee was subjected
to one of several types of agency actions (including an involuntary termination) specifically-enumerated
in the applicable statute that gives rise to a claim before the MSPB. (See, e.g.,
Cruz, 934 F. 2d at 1243.) That is, the only business of the MSPB is to hear cases
involving those specifically enumerated agency actions. (If an employee has a
grievance with respect to any other type of action by his employing agency, not
involving one of the actions specified in the statute, he may have some type of cause of
action or remedy, but it is plainly not with the MSPB.) Therefore, it is not too
surprising that demonstrating the very fact that an involuntary termination (or one of the
other specified actions) has occurred has been termed a "jurisdictional"
requirement for invoking the authority of the MSPB.(9) In
contrast, with respect to the Program, while the $1000 requirement is a requirement that
must be satisfied by some claimants, certainly the fact of suffering $1000 in
expenses is not the essential, primary characteristic distinguishing a Program
claim from other types of claims, analogous to the way in which suffering an involuntary
termination or other specifically- enumerated agency action is the distinguishing
characteristic of MSPB actions. (Indeed, some Program clients--i.e., those who died
from a vaccine administration--need not satisfy the $1000 requirement at all.)
Therefore, even the precedent of Cruz would not justify holding the Program's
$1000 requirement to be a jurisdictional one.
One other point also merits a brief discussion in this portion of the opinion. That is,
I note that in my view it matters not whether in a particular case, a petitioner's attempt
to satisfy the $1000 requirement fails upon a factual ruling or a legal ruling by the
special master.(10) In either case the failure is a
failure on the merits, not a failure of jurisdiction, under the precedent of the cases
discussed at pp. ____. Note that in a number of those cited cases, the plaintiff's claim
ultimately appeared not to be meritorious as a matter of law, rather than because
of a finding of fact, yet the Supreme Court, Federal Circuit, or Court of Claims in each
case explained that the failure to establish the claim was not a failure of
jurisdiction, but rather a "failure to state a cause of action." See, e.g.,
Lamar v. United States, supra; The Fair V. Kohler Die, supra; Fauntleroy
v. Lum, 210 U.S. 230 (1908); Montana-Dakota Utilities Co., supra; Do-Well
Machine Shop, supra; Ralston Steel Corp., supra. And see especially Bell
v. Hood, where the Supreme Court explained as follows:
Whether the complaint states a cause of action on which relief could be granted is a
question of law and just as issues of fact it must be decided after and not before the
court has assumed jurisdiction over the controversy. If the court does later exercise its
jurisdiction to determine that the allegations in the complaint do not state a ground for
relief, then dismissal of the case would be on the merits, not for want of jurisdiction.
327 U.S. at ___. This statement demonstrates clearly that a failure to satisfy a
statutory requirement as to a matter of law, as well as to a matter of fact, generally
calls for dismissal of the claim "on the merits," not for lack of
jurisdiction.
Thus, whether a Program petitioner fails to satisfy the $1000 requirement for either
factual or legal reasons, his failure should not be viewed as an indication that the court
lacked jurisdiction over the petition.
D. Other Considerations
In addition to the general teachings concerning subject matter jurisdiction discussed
in the preceding section of this Decision, there exist several other reasons for reaching
my conclusion here, which I will discuss in turn below.
1. The Martin opinion
As noted above, in Martin, the Federal Circuit ruled that when a Program
petition is dismissed pursuant to subsections (5), (6), or (7) of § 300aa-11(a), such
dismissal should be viewed as for lack of jurisdiction, and no attorneys' fees award is
appropriate in such case. As also noted, that Martin opinion did not purport to expressly
specify what, if any, other provisions of the Program statute might be
"jurisdictional" in nature. But a close reading of the Martin opinion
does yield some instruction by implication, which is relevant here.
The Martin court's key discussion of its rationale, in concluding that
subsections (5), (6), and (7) of § 300aa-11(a) are jurisdictional, was as follows:
[T]he statute expressly states that a person who meets its terms "may not
file" a petition for vaccine compensation. 42 U.S.C. § 300aa-11(a)(6). This language
distinguishes this subsection's requirements (as well as those
of the parallel provisions of section 300aa-11(a)(5) and section 300aa-11(a)(7)) from
other elements of a claim for compensation under the Vaccine Act. Indeed,
section 300aa-13, entitled "Determination of eligibility and compensation,"
requires that "[c]ompensation shall be awarded under the Program to a petitioner if
the special master or court finds on the record as a whole--(A) that the petitioner has
demonstrated by a preponderance of the evidence the matters required in the petition by
section 300aa-11(c)(1) of this title." Id. § 300aa-13(a)(1) (1988 &
Supp. V 1993). While Congress made the requirements of subjection (c)(1) part
of a petitioner's prima facie case, it made subsection 11(a)(6) a bar to filing a petition
in the first place. Reading these provisions in the context of section
300aa-12, we are left with the inescapable impression that Congress intended section
300aa-11(a)(6) to limit the court's jurisdiction.
62 F. 3d at 1406, emphasis added. The Martin court, thus, found crucial the
fact that subsections (5), (6), and (7) of § 300aa-11(a) were constructed with the
"may not file" language. And, of course, the statutory provision here in
question, containing the $1000 requirement, is not constructed with such
"may not file" language. But even more importantly, in the sentences emphasized
above, the Martin court specifically contrasted the three subsections of
§ 300aa-11(a) there at issue with the affirmative requirements of § 300aa-11(c)(1).
These sentences, in my view, indicate strongly that the Martin panel viewed all
of the requirements of § 300aa-11(c)(1), which the court described as "part of
petitioner's prima facie case," as substantive, non-jurisdictional
requirements. And, of course, the $1000 requirement here at issue is one of those
"prima facie" requirements of § 300aa-11(c)(1).
Accordingly, even if I were to analyze the issue in this case based solely upon the
precedent of Martin, I would clearly reach the same result.
2. Placement of the "$1000 requirement" within §
300aa-11(c)(1)(D)(i)
Another strong reason to rule in petitioner's favor on this issue comes from a close
examination of the precise placement of the $1000 requirement within the
provisions of § 300aa-11(c)(1). That is, the $1000 requirement is only one part of §
300aa-11(c)(1)(D), the entire text of which I will set forth below. Under §
300aa-11(c)(1), it must be shown that the person who suffered the allegedly
vaccine-related injury--
(D)(i) suffered the residual effects or complications of such illness, disability,
injury, or condition for more than 6 months after the administration of the vaccine and
incurred unreimbursable expenses due in whole or in part to such illness, disability,
injury, or condition in an amount greater than $1,000, or (ii) died from the
administration of the vaccine * * *.
It is clear, then, that subsection (D) of § 300aa-11(c)(1) provides the test for
determining whether the vaccine-related injury is severe enough to qualify the
vaccine recipient for a Program award. Subsection (ii) provides, not surprisingly, that if
the vaccine recipient died as a result of the vaccine-related injury, the severity test is
satisfied. Subsection (i), on the other hand, provides the test for vaccine recipients who
have not died from their vaccine-related injury. The subsection specifies that the
recipient's injury must satisfy both of two requirements--(1) that the ill
effects of the injury must have lasted more than six months, and (2) that the injury must
have cost the vaccine recipient or his legal representatives more than $1000 in
unreimbursable expenses.
The $1000 requirement, then, is simply one of two complementary requirements for
proving the severity of the vaccine-related injury. Both of these requirements are
contained in the same sentence of the same statutory subsection. Yet respondent here
argues that one of the two requirements (the $1000 requirement) is a jurisdictional
requirement, while the other (the six months requirement) is not. (See, e.g.,
"Response" filed on Sept. 3, 1996, p. 2.) Respondent simply does not make a
persuasive case as to why this would be so. To the contrary, in my view, the fact that the
$1000 requirement is simply one of the two tests for the severity of a vaccine-related
injury is further strong indication that this is not a jurisdictional
requirement.
3. Incongruous results of respondent's theory
Another problem with respondent's theory that the $1000 requirement should be
considered jurisdictional is that, as aptly pointed out in the decision in Long, supra,
it would lead to results that seem inconsistent with the spirit of the statutory provision
authorizing attorneys' fees awards in Program cases even for petitioners who fail to gain
substantive compensation for their injury. As explained above in part I of this Decision,
it seems appropriate that the statutory provisions relating to Program attorneys' fees
awards should be interpreted in ways that will foster the Congressional goal of giving
persons who have suffered injuries that may be vaccine-related a good chance to obtain
competent counsel to help them pursue Program actions. But respondent's theory would, of
course, deny attorneys' fees awards to individuals who otherwise have strong proof of a
compensable injury, but who fail to successfully prove the $1000 requirement, even when
such petitioners had at least reasonable arguments concerning that $1000 issue. There have
been a number of petitioners each year in Program cases who fall within such a set of
circumstances, who would thus be denied fees awards under respondent's position. And this
result in such cases would, undoubtedly, deter some counsel from assisting would-be
petitioners with Program claims, and influence other counsel to only "go through the
motions" of pursuing "post-effective date" Program claims, with the intent
of leaving the Program to pursue tort actions once the time limit expired. Thus, the fact
that respondent's interpretation would produce a result that would tend to add to
Program petitioners' difficulties in obtaining counsel perhaps is further indication that
respondent's interpretation is mistaken.
Moreover, as the Long case illustrates, if respondent's theory here is pushed
to its logical conclusion, it could also potentially cause results which are clearly
and absolutely contrary to the general intent of the Program fees award provision.
That is, while in general only a handful of petitioners each year are formally rejected
from Program awards explicitly for failure to satisfy the $1000 requirement, a
much larger number are rejected because they failed to prove that their injuries were
causally or temporally related to their vaccinations, as required under the statute.
Such a case was Long. In Long, after rejecting the petitioner's claim
that his injury had been shown to be vaccine-related, the special master added a footnote
saying that "[b]ecause I find that [the vaccine recipient] did not suffer a
vaccine-related injury, logically I cannot find that he incurred more than $1000 in
vaccine-related expenses." Long, supra, 1995 WL 774600 at 1. The respondent,
citing that footnote, thereupon argued, as she does here, that because of the failure to
prove $1000 in vaccine-related expenses, the special master was without jurisdiction to
make any attorneys' fees award at all.
As the special master pointed out in Long (id. at 3-4), if the respondent's
interpretation of the statute as argued in Long were correct, then virtually no
petitioner who failed to obtain substantive Program compensation would ever get
an attorneys' fees award. That is because if the petitioner fails to show a
vaccine-related injury, then he cannot show fulfilment of the $1000 requirement, because
he cannot show that $1000 in expenses resulted from a vaccine-related injury.
To be sure, respondent's current position on this point is not completely clear.
Perhaps respondent has backed off from the extreme position that she apparently took in
the Long case. Perhaps respondent now means to suggest that, to bring his
petition within the court's jurisdiction, a petitioner need demonstrate only the
expenditure of $1000 in relation to the injury that is claimed to be
vaccine-related. But even if that is the case, then new problems and anomalies would arise
from the adoption of respondent's position. For example, in a great many Program cases a
petition is dismissed for failure to prove a vaccine-related injury, without the $1000
requirement ever having been even addressed by the special master. For nearly
eight years, in such cases the awarding of fees has been routine, without discussion of
whether the $1000 requirement had been fulfilled. Does respondent now suggest that in
order to award attorneys' fees, the special master will now have to resolve the $1000
issue in each such case? This is an important point, because in many Program cases there
can be very difficult factual and/or legal issues surrounding the $1000 requirement.
Adoption of respondent's theory, therefore, would force the parties in many cases to
address and resolve, in the context of the fees application, very difficult and
time-consuming issues concerning the $1000 requirement, which issues otherwise would be
only moot points not requiring resolution. In my view, the fact that respondent's
statutory interpretation would result in such a wasteful process is simply further
indication that respondent's interpretation is a flawed one.
E. Respondent's arguments
In the foregoing subsections of this Decision, I have set forth my basic reasoning in
rejecting respondent's argument that the $1000 requirement is jurisdictional. In this
final subsection, I will address several arguments raised by respondent with which I have
not yet specifically or fully dealt.
1. The Court of Federal Claims opinion in Black
As previously noted, as support for her position in this case, respondent relies almost
exclusively upon the statement of the Court of Federal Claims judge in Black, supra,
33 Fed. Cl. at 550. But, as previously noted, this particular portion of that Black
opinion constituted dictum only. Moreover, it is also worthy of note that even
respondent herself in essence cannot agree with the reasoning set forth in that Black
opinion. That is, in that opinion the judge indicated the view that all of the
requirements of § 300aa-11(c) "are indeed jurisdictional." Id.
Respondent, however, in her briefs in this case, indicates the view that most of
the requirements of § 300aa-11(c)(1) are not jurisdictional. (See
"Response" filed on Sept. 3, 1996, p. 2.) It is unclear, therefore, why
respondent finds that Black opinion to be persuasive authority as to the issue
here, when respondent actually disagrees with the reasoning process by which the
judge in Black arrived at the result stated therein.
To be sure, with reference to the Court of Federal Claims' opinion in Black,
of course I treat all such opinions of the judges of this Court, even though they may not
constitute binding precedent, with great deference and respect, looking to such
opinions for guidance. In situations such as this one, however, where I find the contrary
authority to be more persuasive, I simply must respectfully disagree, and adopt a contrary
interpretation on this difficult legal issue.
2. The Federal Circuit opinion in Black
The decision of the Court of Federal Claims in Black was affirmed by the
Federal Circuit. Black v. Secretary of Dept. of HHS, 93 F. 3d 781 (Fed. Cir.
1996). But this affirmance did not, of course, encompass the dictum statement by
the Court of Federal Claims judge concerning whether the $1000 requirement is a
jurisdictional one. Rather, the issue before each court (i.e., first the Court of
Federal Claims and then the Federal Circuit) in Black was simply whether the
petitioner in that case had demonstrated compliance with the $1000 requirement. Each court
concluded that the petitioner had been unsuccessful in that regard. That was all that was
necessary to resolve the case. And while the Court of Federal Claims offered the
additional dictum as to whether the $1000 requirement is a jurisdictional one,
the Federal Circuit, which did not need to address the issue, simply did not do so.
Respondent, however, in this case points to certain language in the Federal Circuit's Black
opinion, and argues that such language at least implies that the $1000
requirement is a jurisdictional one. (See Supp. Resp. at pp. 11-12.) I cannot agree.
Respondent first relies upon the Federal Circuit's statement that rejected the argument
of the Program petitioner in that case that the $1000 requirement "is simply a matter
of proof at trial." (See 93 F. 3d at 787.) Respondent fails, however, to quote the
rest of that very sentence of the Black opinion, in which the Federal Circuit
indicated that the argument that it was rejecting in that sentence was the petitioner's
argument that the petitioner could show that the $1000 in expenses were incurred at
any time up until the date of trial. The court, of course, rejected that argument,
holding instead that the $1000 must be incurred by the expiration of the statutory period
for filing the Program petition. The Federal Circuit, however, was not rejecting
or addressing any argument as to jurisdiction.
Also, respondent points to the fact that the Federal Circuit in Black once
referred to the $1000 requirement as a "threshold criterion for seeking entry into
the compensation program." (Id.) But this argument simply reads far too much
into the Federal Circuit's off-hand use of the word "threshold" as an adjective
in the quoted phrase. Use of the term "threshold" hardly equates to the term
"jurisdictional." Instead, the use of the adjective "threshold" would
seem simply to refer to the fact that in many cases, such as this very case here, it may
make sense to resolve the $1000 issue at the outset of the case, before
deciding the potentially more difficult or time-consuming "causation" issue.
Finally, respondent relies upon the remark of the Federal Circuit in Black
that "a defect in the plaintiff's case, even a jurisdictional defect, can be cured by
a supplemental pleading." 93 F. 3d at 790. But this reference clearly does not
indicate the Federal Circuit's view that the $1000 issue in Black was necessarily
a "jurisdictional" one. Rather, by the addition of the phrase "even a
jurisdictional defect," the Court of Appeals simply emphasized the very broad nature
of the supplemental pleading as a remedy.
In short, the Federal Circuit in Black was called upon simply to rule upon
whether each of the petitioners in question had in fact complied with the $1000
requirement. The court had no reason to decide whether that requirement is a
jurisdictional one. And the court did not purport to do so.
3. Analogy to 28 U.S.C. § 1332(a)
Next, respondent presents an argument (Supp. Resp. at 13-15) based upon an analogy to
the minimum jurisdictional amount provision of 28 U.S.C. § 1332. That statutory section
provides the so-called "diversity jurisdiction" of the federal district courts--i.e.,
the jurisdiction over actions that do not involve federal law but do
involve a suit by a citizen of one state against that of another. Section 1332(a) provides
that the federal district courts will have jurisdiction over such suits only "where
the matter in controversy exceeds the sum or value of $50,000."
At first glance, there appears to be the possibility of some merit in this argument of
the respondent. That is, by their express terms, both the federal diversity jurisdiction
statute and the $1000 requirement of the Program require a showing of a certain level of
economic harm. This similarity, though, is not dispositive. Respondent has advanced no
theory under which it is reasonable to conclude that economic thresholds, by their very
nature, must always fulfill the function of a jurisdictional hurdle. Rather, one must
consult the context in which the requirement is found to determine its function.
As noted above, respondent specifically acknowledges that most of the elements of §
300aa-11(c)(1), in the midst of which the $1000 requirement is situated, are
non-jurisdictional in nature. Therefore, it seems clear that there is nothing about an
element's placement in § 11(c)(1) that makes it jurisdictional. Thus, the only other
possibility for finding the $1000 requirement to be jurisdictional is some clue in the
language establishing the element.
Title 28 U.S.C. § 1332(a) provides, inter alia, that "[t]he district
courts shall have original jurisdiction of all civil actions where the matter in
controversy exceeds the sum or value of $50,000, exclusive of interest and costs * *
*" (emphasis added). On the other hand, the relevant language of the Program statute
provides as follows:
A petition for compensation under the Program for a vaccine-related injury or death
shall contain--
(1) supporting documentation, demonstrating that the person who suffered such injury *
* *
(D)(i) suffered the residual effects or complications of such illness, disability,
injury, or condition for more than 6 months after the administration of the vaccine and
incurred unreimbursable expenses due in whole or in part to such illness, disability,
injury, or condition in an amount greater than $1000, or (ii) died from the administration
of the vaccine * * *.
Section 11(c). Thus, while the federal diversity provision unequivocally designates
the $50,000 requirement as jurisdictional by its very terms, the Program statute,
by contrast, merely makes the $1000 requirement another element of proof, remaining
utterly silent as to whether or not it is jurisdictional. In fact, as fully explained
above, the context in this Program situation militates against finding the $1000
requirement to be jurisdictional, for it rests in the same sentence requiring the
petitioner to demonstrate that the vaccine-related injury had effects lasting longer than
six months, a requirement that respondent admits to be non-jurisdictional.
Therefore, if there is nothing inherent in an economic barrier that would inexorably
classify it as jurisdictional, and there is no language in the Program statute
denominating the $1000 requirement as jurisdictional, and there is nothing about the
statute that would contextually require this element to function jurisdictionally, and the
requirement is even paired in the same sentence with another requirement that is
admittedly non-jurisdictional, then the only similarity between the $1000
requirement and 28 U.S.C. § 1332(a) is that they both constitute economic hurdles that
plaintiffs must overcome. Respondent's analogy fails for a dearth of points of
commonality, and a surplus of dissimilarities.
4. "Two groups" argument
In addition, respondent presents an argument (Supp. Resp. at 15-17) in which respondent
asks the court to divide all the required elements for a successful Program petition into
two groups--(1) those that are ascertainable without a determination whether the
injury was vaccine-related, and (2) those that can be ascertained only after a
determination that the injury was vaccine-related. Respondent asserts that the former are
properly classified as jurisdictional. Applied to the instant question, respondent argues
that the existence of $1000 in unreimbursable expenses can be established without
reference to the ultimate connection between vaccine and injury, and is therefore a
jurisdictional issue.
This argument, however, also must be rejected. First, respondent never explains why it
is necessary or logical to go through the effort of setting up these two groups and
attempting to determine into which group each Program requirement fits. Let us assume, for
the sake of argument, that as to some Program requirements, it is possible to determine
whether they have been fulfilled without determining whether a vaccine-related injury has
been suffered. Why should those requirements therefore be considered jurisdictional?
Respondent does not tell us. To the contrary, from the teachings of the cases set forth at
pp. ___, above, it would seem that the presumption as to any federal statutory
requirement should be that such requirement is merely an element of proof necessary to
prove a claim, rather than a jurisdictional requirement, unless something
particular in the statute itself indicates Congress' intent that the requirement be
jurisdictional. In this case, as discussed above, nothing in the statutory language
indicates that the $1000 requirement was intended to be a jurisdictional one, or to be
treated any differently than the other statutory requirements set forth in §
300aa--11(c)(1).(11)
Accordingly, respondent simply fails to make a persuasive case for its premise that any
Program requirement that can be ascertained without a ruling concerning the
vaccine-relatedness of the injury should thereby be considered jurisdictional.
Second, even if respondent were somehow able to make a case for setting up these two
categories of Program requirements, and determining the one category to be jurisdictional,
it is still not at all clear that the $1000 requirement would necessarily fall within the
category of requirements that are ascertainable without a determination whether the
petitioner's injury was vaccine-caused. In this regard, it is true, of course, that in
some cases the $1000 issue can be resolved against a petitioner by that
petitioner's failure to document $1000 in unreimbursable expenses attributable during the
relevant time period to the person in question. However, proof of the requisite amount of
such expenses is not necessarily a sufficient condition for fulfilling the
requirement embodied in § 11(c)(1)(D)(i). The actual language mandates a showing of
"unreimbursable expenses due in whole or in part to such illness, disability,
injury, or condition in an amount greater than $1000" (emphasis added). And in
that clause, the word "such" would seem to refer to an illness, disability,
injury, or condition, that has been shown to have been "vaccine-related"
pursuant to § 300aa-11(c)(1)(C). And if that is indeed the meaning of the word
"such," then it would not be enough that there exist $1000 in unreimbursable
expenses incurred on behalf of the injured person; such expenses would also need to have
been caused by a vaccine-related injury. Therefore, while it is possible to
dispositively determine that a petitioner has failed this element by a failure to
demonstrate $1000 in unreimbursable expenses attributable to an injury, regardless of
whether the injury was caused by a vaccine, one arguably cannot affirm its
fulfillment until the injury has been shown to be the result of a vaccine. Only
then can it be said that the expenses were due, in whole or in part, to a vaccine-related
injury. Thus, when we closely examine the full measure of the $1000 requirement, we find
that respondent's own "two groups" argument would arguably exclude that
requirement from the group of requirements that could be considered jurisdictional, for
even when a petitioner clearly has over $1000 in unreimbursable expenses, a determination
on the merits that the injury is vaccine-related would be essential before it can be said
whether the $1000 requirement element has been fulfilled. Only in those cases in
which a petitioner has less than $1000 in unreimbursable expenses of any kind could this
element be resolved prior to ruling on the merits of the case.
Moreover, looking at this argument of respondent from another perspective, yet another
basic flaw can be seen. That is, if this argument is to be considered correct as to the
$1000 requirement, then it would also seem to classify the above-described "six
months requirement" as jurisdictional as well. That is, as with the $1000
requirement, resolution of this six months element can be had in the negative
without reference to whether the injury was vaccine-related. Yet respondent insists that
the $1000 requirement is jurisdictional, while the "six months requirement" is
not.
In short, this "two groups" argument of respondent is not persuasive, and
must be rejected.
5. Case citations
Finally, I note that at pp. 6-8 of her supplemental response, respondent cites a list
of cases in which, she asserts, a number of different requirements contained in the
statutory provisions defining the Program have been held to be "jurisdictional"
in nature. Respondent seems to imply that it would therefore be unremarkable to find that
the $1000 requirement is also jurisdictional in nature. But respondent's laundry list of
citations does not offer significant support for her contention in this case.
First, some of the cited cases(12) relate to the