The opinion of the court was delivered by: STERN
Plaintiff Ida Mustachio brings this action on behalf of herself and her great-grandson, Glen Kozubal, to challenge the denial of social security benefits by the Secretary of Health, Education and Welfare. Section 202(d)(8) of the Social Security Act, Title 42 United States Code, § 402(d)(8), provides that a "grandchild" adopted by and dependent upon an individual who is eligible for retirement benefits may receive child's insurance benefits. The Secretary, defining "grandchild" as "the child of one's child," held that Glen was not a "grandchild" within the meaning of the statute and therefore not entitled to benefits. We reverse.
Plaintiff Mustachio became eligible to receive retirement insurance benefits in 1966. In 1970, she took custody of her infant great-grandson, Glen Kozubal, when it became clear that his natural parents would not be willing or able to provide him with a good home.
She became Glen's sole legal guardian in October 1973, and formally adopted him in July 1977.
On August 9, 1977, plaintiff applied for child's insurance benefits on behalf of her great-grandson. Her application was denied initially and upon reconsideration. Plaintiff requested further consideration on February 22, 1978. She contended that Glen qualified for benefits under Title 42 United States Code, § 402(d)(8).
That section provides that a child adopted after an individual becomes entitled to retirement benefits is not entitled to child's insurance benefits unless he is the grandchild of that individual. On May 22, 1978, the Administrative Law Judge issued his opinion. Relying on an interpretation issued by the Secretary in 1974,
he concluded that Glen was not a "grandchild" and therefore was not entitled to benefits:
There is substantial evidence that Mrs. Mustachio has treated Glen as her son and that he considers her his mother. . . . Statements of friends and family members, as well as observation of Administration employees, attest to the love and responsibility exhibited by Mrs. Mustachio. . . . In a report of contact dated December 30, 1975, a claims representative observed that Glen referred to Mrs. Mustachio as "Mom" and commented upon the affectionate relationship between Glen and Mrs. Mustachio. All of the evidence gathered by the Administration establishes that Mrs. Mustachio has attended to Glen's religious, medical and educational needs, has provided him with a loving home and as a consequence, Glen considers her his mother. . . .
It is with reluctance that I conclude that neither the provision relating to entitlement of benefits for grandchildren, nor the provision relating to entitlement for adopted children applies to Glen Kozubal.
This decision became the final decision of the Secretary when it was approved by the Appeals Council on July 3, 1978. Title 42 United States Code, § 405(g); 20 C.F.R. § 404.951.
The Social Security Act provides for monthly cash payments to eligible retired persons, see Title 42 United States Code, § 402(a), and for payments to certain other persons on the basis of the earnings record of an eligible retired worker. The latter payments are called "secondary benefits" and include child's insurance benefits payable to dependent children of individuals entitled to receive retirement benefits. Title 42 United States Code, § 402(d).
In general, the Social Security Act does not provide for child's insurance benefits to children adopted after the wage earner became entitled to benefits. Title 42 United States Code, § 402(d)(8).
This exclusion was intended to prevent "abuse of the secondary benefit scheme by denying benefits to children who might be adopted solely to qualify them for such benefits." Clayborne v. Califano, 603 F.2d 372, 377 (2nd Cir. 1979).
In 1973 Congress amended the Social Security Act to create a limited exception to the general rule: If a child adopted after an insured individual's entitlement to benefits is the "grandchild" of the insured individual or his or her spouse, the dependency requirements for secondary benefits will be satisfied if the child was living with and receiving one-half of his support from the insured individual during the year immediately preceding the child's application for benefits. Title 42 United States Code, § 402(d)(8)(D) (ii)(III). The 1973 amendment was introduced from the floor of the Senate by Senator Robert C. Byrd. He proposed making after-adopted children eligible for secondary benefits if they were dependent upon an insured individual for one year prior to the application. His proposed amendment would:
119 Cong.Rec. 21658 (1973) (remarks of Sen. Byrd). Senator Byrd's proposal was included in the Senate bill but not included in the bill passed by the House of Representatives.
In conference with the House, a substitute amendment, later enacted as section 240 of P.L. 93-66, was agreed upon. The House conferees explained the substitution:
The third modification in the Senate amendment, relating to the eligibility of adopted children, would also have had a significant cost. The modification . . . is in the nature of a substitute amendment which the conferees believe will make it possible for benefits to be paid to children who are adopted after a beneficiary is entitled to benefits in the most compelling cases without permitting children to be adopted for the sole purpose of increasing social security payments as the Senate amendment would have done. The proposed change would make it possible for social security beneficiaries to adopt grandchildren without the requirement that the child must have lived with them and been supported by them for a year before they became entitled to benefits but would require that the children have lived with and been supported by them for a year before the child becomes entitled to a social security benefit.
119 Cong.Rec. 22395 (1973) (remarks of Rep. Mills). The Senators on the conference committee gave the following ...