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Departmental Appeals Board

GUIDELINES --
REVIEW OF INITIAL DECISIONS ON
FEE APPLICATIONS UNDER THE EQUAL ACCESS TO JUSTICE ACT

Introduction

The Equal Access to Justice Act (at section 504 of title 5, United States Code) provides for an award of reasonable attorney fees and expenses to eligible prevailing parties (other than the United States) in agency adjudications under section 554 of Title 5. The prevailing party is entitled to an award unless the adjudicative officer of the agency finds that the position of the agency as a party to the proceedings was substantially justified or that special circumstances make an award unjust. At the Department of Health and Human Services, decisions of the adjudicative officer on applications for fee awards are subject to review by the head of the constituent agency or office or his or her designee. By delegation from the Inspector General, the Departmental Appeals Board reviews decisions of administrative law judges (ALJs) on applications for fee awards relating to Office of Inspector General proceedings. These guidelines have been designed to assist the parties in understanding and following the procedures relating to Board review.

If you have any questions about these guidelines, you may call Senior Staff Attorney Leslie Sussan at (202) 690-7518.

Starting the Review Process

  • Either the applicant or the Inspector General may seek review of the initial decision of the ALJ. You must file and serve your request for review within 30 days after issuance of the initial decision.
    "Filing" for purposes of appeal of fee application decisions means the date on which the appeal is mailed or delivered to the Board.

  • To file, submit your request for review to the Department of Health and Human Services, Departmental Appeals Board, MS6127, Appellate Division, 330 Independence Ave., S.W., Cohen Building, Room G-644, Washington, DC 20201.

  • Your appeal must include a written brief specifying findings of fact and conclusions of law with which you disagree (exceptions), and your basis for contending that each such finding or conclusion is unsupported or incorrect. This requirement to state your entire argument is important, because you may not have an opportunity to file additional briefs. Do not merely incorporate by reference a brief previously submitted to the ALJ. The basis for challenging each element of the ALJ decision should be set forth in a separate numbered paragraph or section, and the accompanying arguments concisely stated. Where appropriate, each argument should be supported by precise citations to the record before the ALJ or by precise citations to statutes, regulations or other authorities relied upon. Do not submit materials already in the record.

  • Whenever you submit anything to the Board, provide an original and two copies to the Board and a copy to your opponent. Include in your submission to the Board a statement that you have sent a copy to your opponent.

Development of the Record on Appeal

  • The appeal and the record are immediately referred to a panel of three Board Members, one of whom presides. The panel is assisted by a staff attorney who also functions as the parties' contact for questions about case status and procedures. The panel oversees any further record development and issues a determination on the appeal.

  • The opponent of the party filing the exceptions may submit a response. The response should follow the guidelines on completeness and citations prescribed for the exceptions in 1(c) above. The response must be filed within 30 days after the opponent receives a copy of the exceptions.

  • Generally, the exceptions and the response are the only additions to the record on appeal.

  • The panel, in its sole discretion, may require further submissions or provide for a telephone conference with the parties, either on its own motion or upon request of a party.

The review process at the Board

  • The panel may affirm, modify or reverse the initial decision of the ALJ. The panel also may remand the fee application to the ALJ for further proceedings. If the exceptions are not filed timely or fail to meet jurisdictional requirements, the panel will decline to review the initial decision. Generally, the panel will complete its review and issue a final decision within 30 days after it receives the last submission from the parties.

  • The standard of review on a disputed factual issue is whether the ALJ's initial decision is supported by substantial evidence in the record. The standard of review on a disputed issue of law is whether the ALJ's decision is erroneous. The bases for modifying, reversing or remanding an ALJ's decision include the following: a finding of material fact necessary to the outcome of the decision is not supported by substantial evidence; a legal conclusion necessary to the outcome of the decision is erroneous; the decision is contrary to law or applicable regulations; a prejudicial error of procedure (including an abuse of discretion under the law or applicable regulations) was committed.

  • The panel will review only those parts of the record before the ALJ which have been cited by the parties or which the panel considers necessary to decide the appeal. The panel will not consider issues not raised in the request for review, nor issues which could have been presented to the ALJ but were not.

  • The decision of the panel is final, except in the case of a remand by the panel to an ALJ. Judicial review is available as provided in 5 U.S.C. � 504(c)(2).

Last revised: March 10, 2004

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