Villarreal v. Colvin
Villarreal v. Colvin
Opinion of the Court
ORDER ACCEPTING REPORT AND RECOMMENDATION OF THE UNITED STATES MAGISTRATE JUDGE
Before the Court is the Report and Recommendation of the United States Magistrate Judge (docket no. 17). No objections to the Report and Recommendation have been filed.
Because no party has objected to the Magistrate Judge’s Report and Recommendation, the Court need not conduct a de novo review. See 28 U.S.C. § 636(b)(1) (“A judge of the court shall make a de novo determination of those portions of the report or specified proposed findings and recommendations to which objection is made.”). The Court has reviewed the Report and Recommendation and finds its reasoning to be neither clearly erroneous nor contrary to law. United States v. Wilson, 864 F.2d 1219, 1221 (6th Cir.), cert. denied, 492 U.S. 918, 109 S.Ct. 3243, 106 L.Ed.2d 690 (1989).
IT IS THEREFORE ORDERED that the Report and Recommendation of the United States Magistrate Judge (docket no. 17) is ACCEPTED pursuant to 28 U.S.C. § 636(b)(1) such that plaintiffs request for a remand (docket no. 12 at page 16) is GRANTED and the ALJ’s decision is REVERSED and REMANDED to the Commissioner pursuant to the fourth sentence of 42 U.S.C. § 405(g) for reconsideration.
IT IS FURTHER ORDERED that motions pending with the Court, if any, are
It is so ORDERED.
REPORT AND RECOMMENDATION OF THE UNITED STATES MAGISTRATE JUDGE
TO: Hon. Fred Biery United States District Judge
Pursuant to the informal referral in the above-styled and numbered cause of action to the undersigned United States Magistrate Judge and consistent with the authority vested in United States Magistrate Judges under the provisions of 28 U.S.C. § 636(b)(1)(B) and Rule 1(d) and (h) of the Local Rules for the Assignment of Duties to United States Magistrate Judges in the Western District of Texas, the following report is submitted for your review and consideration.
I. JURISDICTION
The Court has jurisdiction under 42 U.S.C. §§ 405(g) and 1383(c)(3).
II. BACKGROUND and SUMMARY OF PROCEDURAL HISTORY
This is an action to review a decision of the Commissioner of the Social Security Administration under § 205(g) of the Social Security Act, 42 U.S.C. § 405(g). Plaintiff Elva Villarreal initiated this action pursuant to 42 U.S.C. § 405(g) seeking review of the determination of Carolyn W. Colvin, the acting Commissioner of the Social Security Administration, that plaintiff is not disabled and not entitled to receive disability insurance benefits (“DIB”).
Plaintiff protectively filed an application for Title II DIB on July 17, 2012, alleging disability since January 27, 2012.
Plaintiff filed an appeal of the Commissioner’s determination and, on September 23, 2016, filed an opening brief raising two main issues, summarized below, asking the Court to reverse the Commissioner’s decision.
III.ISSUES
1. Whether substantial evidence supports the ALJ’s decision that plaintiff was not disabled under the Social Security Act.
2. Whether the decision comports with relevant legal standards.
IV.STANDARD OF REVIEW
In reviewing the Commissioner’s decision, the Court is limited to a determination of whether the decision is supported by substantial evidence and whether the Commissioner applied the proper legal standards in evaluating the evidence.
If the Commissioner’s findings are supported by substantial evidence, they are conclusive and must be affirmed.
V.ALJ’S FINDINGS AND PLAINTIFF’S CONTENTIONS
A, Summary of the ALJ’s Decision
The ALJ stated the issue was whether plaintiff was disabled pursuant to sections 216(i) and 223(d) of the Social Security Act.
The ALJ next explained the five-step sequential evaluation process for determining whether an individual is disabled, and noted that the steps are to be followed in order.
Step 1 findings. The ALJ determined that plaintiff had not engaged in substantial gainful activity since the alleged onset date of January 27, 2012.
Step 2 findings. The ALJ found that plaintiff had the severe impairments of “history of diverticulitis,” diabetes melli-tus, neuropathy, hypertension, depressive disorder and anxiety disorder.
Step 3 findings. The ALJ found that plaintiff did not have an impairment or combination of impairments that met or medically equaled any of the impairments listed in 20 C.F.R. Part 404, Subpart P, Appendix l.
The ALJ also considered listings section 12.04 and 12.06 in connection with claimant’s mental impairments, stating, “[t]he severity of the claimant’s mental impairment does not meet or medically equal the criteria of listings 12.04 and 1206.”
The ALJ also stated he “considered whether the ‘paragraph C’ criteria are satisfied.”
Residual functional capacity finding. Having determined that plaintiff suffered from severe impairments that did not meet or equal a listed impairment, and before considering step 4, the ALJ proceeded to assess plaintiffs RFC. The ALJ stated that he had considered all of claimant’s symptoms and the extent to which her symptoms could “reasonably be accepted as consistent with the objective medical evidence and other evidence,” based on the requirements of 20 C.F.R. § 404.1529 and SSRs 96-4p and 96-7p.
[Claimant has the [RFC] to perform light work as defined in 20 CFR 404.1567(b). Claimant is limited to lifting 20 pounds occasionally and 10 pounds frequently, standing and/or walking 2 hours in an 8 hour workday, and sitting 8 hours in an 8 hour workday. She is limited to occasional (one third of an 8 hour day) balancing, stooping, kneeling, and crouching. She is also limited to occasional interactions with the public.
In assessing plaintiffs RFC, the ALJ considered claimant’s testimony that she “cannot return to work because she cannot drive anymore, she cannot control her anxiety, bend like she did before,” and has “problems walking and maintaining her balance.”
The ALJ found that “claimant’s medically determined impairments could reasonably be expected to cause the alleged symptoms,” but “claimant’s allegations concerning the degree and frequency of limitations are not fully credible and were exaggerated at the hearing because they are not supported by the longitudinal objective medical evidence of record.”
The ALJ considered the ME’s testimony at the hearing, during which the ME opined that “claimant is limited to lifting 20 pounds occasionally and 10 pounds frequently, standing and/or walking 2-3 hours in an 8 hour workday, and sitting 8 hours in an 8 hour workday.”
The ALJ considered Mark Smith, M.D.’s July 3, 2014 questionnaire indicating “claimant’s diagnoses of neuropathy, anxiety, hypertension, and diabetes mellitus
The ALJ also considered Hameed Do-sunmu, M.D.’s October 5, 2012 internal medicine consultative examination.
The ALJ considered that on May 24, 2013,“[claimant presented at Macgregor Medical Center” “and [the] physical exam showed depressed mood and positive numbness complaints over the lower extremity to light touch.”
The ALJ also considered the State Agency Disability Determination Services (“DDS”) mental RFC opinions, but gave them “little weight.”
Step 4 findings. The ALJ determined that claimant was unable to perform her past relevant work as an administrative secretary.
Step 5 findings. At. step five, the ALJ stated that claimant was born on March 11, 1960, and was 51 years old, which is defined as an individual closely approaching advanced age, on the alleged disability onset date.
The ALJ noted that, in determining whether claimant could make a successful adjustment to other work, he was required to consider claimant’s RFC, age, education, and work experience “in conjunction with the Medical-Vocational Guidelines, 20 C.F.R. Part 404, Appendix 2.”
The ALJ also explained that if a claimant has the RFC to perform a full range of light work, a finding of “not disabled” would be directed by Medical-Vocational Rule 202.11.
The ALJ accepted this testimony pursuant to SSR 00-4p.
B. Plaintiff’s Contentions
On September 23, 2016, plaintiff filed a brief seeking review of the Commissioner’s decision and asking the Court to reverse and remand to the Commissioner “for additional administrative proceedings to address the significant legal errors.”
when he failed to defer to the opinion of treating doctor Mark Smith, M.D., failed to accept or explain the diminished grip strength assessed by examining doctor Hameed A. Dosunmu, M.D., and substituted his judgment for examining psychologist Edwin L. Gerwell, Ph.D.96
On October 13, 2015, the Commissioner filed a responsive brief, arguing, in sum, that the ALJ’s decision is supported by substantial evidence and relevant legal standards.
VI. ARGUMENTS AND CONCLUSIONS OF LAW
In this section the Court will discuss in greater detail the applicable legal standards before applying those standards to plaintiffs specific claims as raised in his brief.
A. Entitlement to Benefits
Every individual who is insured for disability insurance benefits, has not attained retirement age, has filed an application for benefits, and is under a disability is entitled to receive disability insurance benefits.
B. Evaluation Process and Burden of Proof
Regulations set forth by the Commissioner prescribe that disability claims are to be evaluated according to a five-step process.
C. Plaintiffs Claims in Appealing the ALJ’s Decision
Plaintiff first argues the ALJ’s RFC finding “does not actually represent a light RFC under Agency policy.”
The Commissioner responds that “when the ALJ chose to find two hours of standing and/or walking as an RFC limitation, the ALJ clearly was not intending to reduce Plaintiffs overall RFC. from light to sedentary.”
Pursuant to the Code of Federal Regulations, “[t]o determine the physical exertion requirements of work in the national economy, [the Social Security Administration] classifies] jobs as sedentary, light, medium, heavy, and very heavy.”
Sedentary work involves lifting no more than 10 pounds at a time and occasionally lifting or carrying articles like docket files, ledgers, and small tools. Although a sedentary job is defined as one which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required occasionally and other sedentary criteria are met.
Light work involves lifting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds. Even though the weight lifted may be very little, a job is in this category when it requires a good deal of walking or standing, or when it involves sitting most of the time with some pushing and pulling of arm or leg controls. To be considered capable of performing a full or wide range of light work, you must have the ability to do substantially all of these activities. If someone can do light work, we determine that he or she can also do sedentary work, unless there are additional limiting factors such as loss of fine dexterity or inability to sit for long periods of time.117
“Frequent” means occurring from one-third to two-thirds of the time. Since frequent lifting or carrying requires being on one’s feet up to two-thirds of a workday, the full range of light work requires standing or walking, off and on, for a total of approximately 6 hours of an 8-hour workday. Sitting may occur intermittently during the remaining time. The lifting requirement for the majority of light jobs can be accomplished with occasional, rather than frequent, stooping. Many unskilled light jobs are performed primarily in one location, with the ability to stand being more critical than the ability to walk. They require use of arms and hands to grasp and to hold and turn objects, and they generally do not require use of the fingers for fine activities to the extent required in much sedentary work.
“Occasionally” means occurring from very little up to one-third of the time. Since being on one’s feet is required “occasionally” at the sedentary level of exertion, periods of standing or walking should generally total no more than about 2 hours of an 8-hour workday, and sitting should generally total approximately 6 hours of an 8-hour workday. Work processes in specific jobs will dictate how often and how long a person will need to be on his or her feet to obtain or return small articles.118
Additionally, “[i]n situations where the rules would direct different conclusions, and the individuals exertional limitations are somewhere ‘in the middle’ in terms of the regulatory criteria for exertional ranges of work, ... [VE] assistance is advisable for these types of cases.”
Here, the ALJ determined “the claimant’s ability to perform all or substantially all of the requirements of [light work] has been impeded by additional limitations.”
Plaintiff asserts that the ALJ “may not rely on evidence presented by [the] VE” because it “is inconsistent with the controlling regulation definition of light work.”
claimant has the residual functional capacity to perform a range of light work, lifting/carrying 20 pounds occasionally, lifting/carrying 10 pounds frequently, standing/walking 2 hours in an 8 hour day with the option to use a cane for ambulation, sitting 6 hours in an 8 hour day, occasionally climbing ramps/stairs, balancing, stooping, kneeling, crouching, and crawling, and never climbing ladders/ropes/scaffolds or pushing'pulhng with the upper extremities.128
Following Campbell v. Astrue, the Court in Ferdin determined the ALJ’s RFC “contain[ed] inherent contradictions and incongruities:” (1) “the ALJ assessed an RFC to perform a range of light work, but limited plaintiff to two hours of standing or walking in an 8-hour day, which equates to one-fourth of an 8-hour workday’ and “[u]nder policy statement SSR 83-10, work at the light exertional level requires standing or walking from one-third to two-thirds of an 8-hour workday, which is a greater period of time that the two hours to which the ALJ limited plaintiff;” and (2) “ ‘the principal finding’ as to plaintiff ‘that corresponded with the exertional capabilities at the ‘light’ level was the finding about the amount of weight he could lift: up to 20 lbs. occasionally and 10 lbs. frequently’” and “[u]nder policy statement SSR 83-10, ‘occasional’ means up to one-third of an 8-hour workday, while ‘frequent’ is defined as one-third to two-thirds of an 8-hour workday, and ‘frequent lifting or carrying requires being on one’s feet up to two-thirds of a workday.’ ”
The ALJ in Ambrose limited the RFC to light work with occasional standing and walking, meaning Ambrose could stand or walk for up to one-third of the 8-hour workday. Here, the ALJ explicitly limited plaintiffs ability to stand or walk to two hours in an 8-hour workday, equal to one-fourth of the 8-hour workday, or less than the one-third required at the ‘light’ exertional level.131
The Ferdin court held “[b]ecause the ALJ’s RFC and step 5 decisions do not comport with agency regulations, the Court cannot determine the ALJ has fulfilled this duty” and remanded the case to the Commissioner.
Here, as in Ferdin, the ALJ assessed an RFC to perform a range of light work, but limited plaintiff to two hours of standing or walking in an 8-hour workday, which equates to one-fourth of an 8-hour workday.
Not all errors warrant reversal or remand. The Court may not reverse or remand for the ALJ’s failure to comply with a regulation without determining whether the error was harmless.
In sum, it is the ALJ’s “duty to develop the facts fully and fairly relating to an applicant’s claim for disability benefits.”
VII. RECOMMENDATION and ORDER
For the reasons discussed, it is recommended that plaintiffs request for a remand
VIII. INSTRUCTIONS FOR SERVICE AND NOTICE OF RIGHT TO OBJECT/APPEAL
The United States District Clerk shall serve a copy of this Report and Recommendation on all parties by either: (1) electronic transmittal to all parties represented by an attorney registered as a Filing User with the Clerk of Court pursuant to the Court’s Procedural Rules for Electronic Filing in Civil and Criminal Cases; or (2) by certified mail, return receipt requested, to any party not represented by an attorney registered as a Filing User.
As provided in 28 U.S.C. § 636(b)(1) and Fed. R. Civ. P. 72(b), any party who desires to object to this Report must file with the District Clerk and serve on all parties and the Magistrate Judge written Objections to the Report and Recommendation within 14 days after being served with a copy, unless this time period is modified by the District Court. A party filing Objections must specifically identify those findings, conclusions or recommendations to which objections are being made and the basis for such objections; the District Court need not consider frivolous, conclusive or general objections.
A party’s failure to file timely written objections to the proposed findings, conclusions and recommendations contained in this Report will bar the party from receiving a de novo determination by the District Court.
. Any party who desires to object to a Magistrate’s findings and recommendations must serve and file his written objections within ten days after being served with a copy of the findings and recommendation. 28 U.S.C. § 635(b)(1). Service upon a party may be made by mailing a copy to the party's last known address or by electronic means. Fed. R. Civ. P. 5(b)(B), (D). Service by mail is complete upon mailing. Service by electronic means is complete upon transmission. Id.
. TR 137.
. Id. at 49.
. Id. at 61.
. Id. at 26-48.
. Id.
. Id. at 10-21.
. Id. at 1-3.
. Docket no. 12.
. Docket no. 15.
. Boyd v. Apfel, 239 F.3d 698, 704 (5th Cir. 2001).
. Id.
. Abshire v. Bowen, 848 F.2d 638, 640 (5th Cir. 1988).
. Martinez v. Chater, 64 F.3d 172, 173 (5th Cir. 1995).
. Carey v. Apfel, 230 F.3d 131, 135 (5th Cir. 2000).
. Id.
. Martinez, 64 F.3d at 174.
. Audler v. Astrue, 501 F.3d 446, 448 (5th Cir. 2007) (quoting Mays v. Bowen, 837 F.2d 1362, 1364 (5th Cir. 1988)).
. TRIO.
. Id.
. Id.
. Id.
. Id.
. Id. at 11-12 (citing 20 C.F.R. §§ 404.1509, 404.1512(g), 404.1520(a)-(g), 404.1521, 404.1525, 404.1526, 404.1545, 404.1560(b) and (c), 404.1572(a) and (b), 404.1574, 404.1575; and Security Rulings ("SSR”) 85-28, 96-3p, 96-4p, 96-8p)).
. Id. at 12-21.
. Id. at 12 (citing 20 C.F.R. § 404.1571 ef seq.).
. Id. (citing 20 C.F.R. §§ 404.1520(c)).
. Id. at 13 (citing 20 C.F.R. §§ 1520(d), 404.1525 and 404. 1526).
. Id,
. Id,
. Id,
. Id,
. Id, at 14.
. Id,
. Id,
. Id. at 15.
. |d.
. LL at 14 (citing Ex. 6F/2-3).
. Id. at 15.
. LL (citing Ex. 6F/4).
. Id.
. Id.
. Id.
. Id. at 16.
. Id.
. Id.
. Id.
. Id.
. Id.
. id.
. Id.
. Id.
. Id.
. Id. at 16-17.
.Id. at 17.
. Id,
. |d.
. Id,
. Id,
. Id,
. Id.
. Id. at 18.
. Id. (citing Ex. 14E).
. (citing Ex. 8F/82).
. Id.
. Id (citing Ex. 4F/8).
. Id.
. Id. at 19.
. Id.
. Id.
. Id. (citing Ex. 8F/35).
. Id. (citing Ex. 8F/32).
. Id. (citing Ex. 8F/30-31).
. Id. (citing Ex. 8F/28).
. Id.
. Id.
. Id.
. Id.
. Id.
. Id. (citing 20 C.F.R. § 404.1565).
. Id. (citing 20 C.F.R. § 404.1563).
. Id. at 20 (citing 20 C.F.R. § 404.1564).
. Id. (citing SSR 82-41, and 20 C.F.R. pt. 404, subpt. P, app. 2).
. Id. (citing 20 C.F.R. §§ 404.1569, 404.1569(a)).
. Id.
. Id. (citing SSR 83-11).
. Id. (citing SSRs 83-12 and 83-14).
. Id. (citing SSR 85-15).
. Id.
. Id.
. hi The ALJ noted there are approximately 6,800 photograph finisher jobs in the Texas regional economy and 450,000 jobs in the U.S. national economy; 50,000 mail clerk (private office setting) jobs in the Texas regional economy and 1,000,000 jobs in the U.S. national economy; and 10,000 stock checker in apparel jobs in the Texas regional economy and 800,000 jobs in the U.S. national economy. Id.
. Id,
. Id. (citing 20 C.F.R. § 404.1520(g)).
. Id. at 20.
. Docket no. 12 at 16.
. Iff at 1.
. Id.
. Docket no. 15 at 14.
. 42 U.S.C. § 423(a)(1) (1995).
. Iff § 1382 (a).
. Id § 1382c(a)(3)(A).
. Id § 1382c(a)(3)(B).
. 20 C.F.R. § 404.1520 (2011).
. Leggett v. Chater, 67 F.3d 558, 564 (5th Cir. 1995).
. Id. at 564.
. Anderson v. Sullivan, 887 F.2d 630, 632 (5th Cir. 1989).
. Id. at 632-33.
.Docket no. 12 at 4.
. Id. (citing SSR 83-10, 1983 WL 31251, at *5-6).
. Id. at 5 (citing 20 C.F.R. Part 404, Sub-part P, Appendix 2, Table 1, Rule 201.10).
. Id.
. Id. at 7.
. Id at 6-7 (citing Campbell v. Astrue, No. 09-5356, 2010 WL 4689521 (E.D. Pa. Nov. 2, 2010) and Ferdin v. Colvin, No. SA-15-CA-29-DAE, 2015 WL 7767980 (W.D. Tex. Jul. 30, 2015)).
. Docket no 15 at 11.
. Id. at 13.
. Id. at 11-12 (citing Ambrose v. Colvin, No. 3:14-CA-1618, 2015 WL 877790 (M.D. Pa. Mar. 2, 2015)).
. 20 C.F.R. § 404.1567.
. 20 C.F.R. § 404.1567(a), (b), § 416.967(a), (b).
. SSR 83-10 (emphasis added).
. SSR 83-12.
. TR 20.
. Id. at 16.
. Id. at 45-47.
. Id. at 46.
. Id. at 46-47.
. Docket no. 12 at 6.
. Docket no. 12 at 7.
. Ferdin, 2015 WL 7767980, at *11.
. Id., at *4.
. ⅛, at *11. The Ferdin court also noted "light work may permit ‘sitting most of the time' but this requires 'some pushing and pulling of arm or leg controls” and "[t]he ALJ's RFC finding limits plaintiff to never pushing and pulling with the upper extremities,” Id.
. Ambrose, 2015 WL 877790, at *15.
. Ferdin, 2015 WL 7767980, at *10.
. Id.
. TR 15.
. SSR 83-10.
. Compare TR 16 with Ferdin, 2015 WL 7767980, at *11.
. SSR 83-10.
. The Commissioner does argue "[a]n ALJ may properly rely upon a VE’s uncontradict-ed testimony” (docket no. 15 at 13), but, as discussed, "due to the errors made by the ALJ involving Plaintiffs RFC, the Court cannot determine whether the ALJ accurately communicated all of Plaintiff’s impairments” to the VE. Bisceglia v. Colvin, 173 F.Supp.3d 326, 336 (E.D. Va. 2016). The Commissioner also argues that plaintiff has “waived any argument regarding potential conflict between the DOT and regulations with the VE testimony at step five” because plaintiff’s attorney "did not question the VE regarding whether standing and walking for a maximum of two hours in an eight-hour work day was compatible with light work” or the “requirements of [the DOT] light work positions that the VE stated Plaintiff could still perform.” Docket no. 15 at 13-14. But, "[t]he fact that [plaintiff’s] counsel was afforded an opportunity to ask follow-up questions [does] not salvage the hypothetical as a proper basis to determine non-disability." Garza v. Astrue, No. SA-08-CA-789-XR, 2010 WL 918343 *4 (W.D.Tex. Mar. 11, 2010) (citing Boyd v. Apfel, 239 F.3d 698, 707 (5th Cir. 2001)).
. See Frank v. Barnhart, 326 F.3d 618, 622 (5th Cir. 2003) (citing Morris v. Bowen, 864 F.2d 333, 336 (5th Cir. 1988) (applying harmless error standard in Social Security case)).
. Id.; Fisher v. Bowen, 869 F.2d 1055, 1057 (7th Cir. 1989).
. See 20 C.F.R., Part 404, Subpart P, Appendix 2, § 201.00.
. Riley v. Colvin, No. 3:13-CV-1223, 2014 WL 4796602, at *8 (M.D. Pa. Sept. 26, 2014) (comparing Campbell, No. 09-5356, 2010 WL 4689521 with Anderson v. Astrue, 825 F.Supp,2d 487, 496 (D. Del. 2011)).
. Ripley v. Chater, 67 F.3d 552, 557 (5th Cir. 1995).
. Because this Court recommends remanding this case to the Commissioner for the reasons stated, this report does not address plaintiffs argument that the ALJ erred because, in sum, the ALJ did not defer to, or appropriately address, the opinions of one treating physician and two examining health care providers. See docket no. 12 at 1.
. Docket no. 12 at 16.
. See Thomas v. Arn, 474 U.S. 140, 150, 106 S.Ct. 466, 472, 88 L.Ed.2d 435 (1985).
. Acuna v. Brown & Root Inc., 200 F.3d 335, 340 (5th Cir. 2000); Douglass v. United Serv. Auto. Ass'n., 79 F.3d 1415, 1428 (5th Cir. 1996).
Reference
- Full Case Name
- Elva VILLARREAL v. Carolyn W. COLVIN, Acting Commissioner of the Social Security Administration
- Cited By
- 7 cases
- Status
- Published