Moore v. Colvin (CONSENT)
Filing
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MEMORANDUM OPINION AND ORDER: It is therefore ORDERED that the decision of the Commissioner denying benefits is REVERSED and this matter REMANDED to the Administrative Law Judge for further proceedings. Specifically, on remand, the ALJ is instruct ed to: (1) attach a Psychiatric Review Technique Form or apply its form of analysis; and (2) determine whether Moores condition meets or equals Listing 12.05(C). A final judgment consistent with this opinion will be entered separately. Signed by Honorable Judge Gray M. Borden on 9/12/2017. (kh, )
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF ALABAMA
EASTERN DIVISION
JOHN FRANK MOORE,
Plaintiff,
v.
NANCY A. BERRYHILL,1 Acting
Commissioner, Social Security
Administration,
Defendant.
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CASE NO.: 3:16-cv-408-GMB
[WO]
MEMORANDUM OPINION AND ORDER
On July 9, 2012, Plaintiff John Frank Moore applied for disability insurance benefits
under Titles II and XVI of the Social Security Act, alleging a disability onset date of June
30, 2006. Moore’s applications were denied at the initial administrative level. Moore then
requested a hearing before an Administrative Law Judge (“ALJ”). On December 18, 2013,
the ALJ held a hearing, which was followed by a supplemental hearing on May 7, 2014.
On July 6, 2015, the ALJ partially approved Moore’s applications, finding that he was
disabled as of May 10, 2013. Moore requested a review of the ALJ’s decision concerning
the disability onset date by the Appeals Council, which denied his request on April 27,
2016. As a result, the ALJ’s decision became the final decision of the Commissioner of
the Social Security Administration (the “Commissioner”) as of April 27, 2016.
1
Nancy A. Berryhill is the Acting Commissioner of the Social Security Administration. Pursuant to Rule
25(d) of the Federal Rules of Civil Procedure, Nancy A. Berryhill is substituted for Carolyn W. Colvin as
the defendant in this action. The Clerk of Court is DIRECTED to reflect this change on the docket.
The case is now before the court for review pursuant to 42 U.S.C. §§ 405(g) and
1383(c)(3). Under 28 U.S.C. § 636(c)(1) and Rule 73 of the Federal Rules of Civil
Procedure, the parties have consented to the full jurisdiction of the undersigned United
States Magistrate Judge. Based on a careful review of the parties’ submissions, the relevant
law, and the record as a whole, the court concludes that the decision of the Commissioner
is due to be REVERSED and this matter REMANDED to the Administrative Law Judge
for further proceedings consistent with this opinion.
I. STANDARD OF REVIEW
The court reviews a Social Security appeal to determine whether the
Commissioner’s decision “is supported by substantial evidence and based upon proper
legal standards.” Lewis v. Callahan, 125 F.3d 1436, 1439 (11th Cir. 1997). The court will
reverse the Commissioner’s decision if it is convinced that the decision was not supported
by substantial evidence or that the proper legal standards were not applied. Carnes v.
Sullivan, 936 F.2d 1215, 1218 (11th Cir. 1991). The court “may not decide the facts anew,
reweigh the evidence, or substitute its judgment for that of the Commissioner,” but rather
“must defer to the Commissioner’s decision if it is supported by substantial evidence.”
Miles v. Chater, 84 F.3d 1397, 1400 (11th Cir. 1997) (citation and internal quotation marks
omitted). “Even if the evidence preponderates against the Secretary’s factual findings, [the
court] must affirm if the decision reached is supported by substantial evidence.” Martin v.
Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990). Moreover, reversal is not warranted even
if the court itself would have reached a result contrary to that of the factfinder. See Edwards
v. Sullivan, 937 F.2d 580, 584 n.3 (11th Cir. 1991).
2
The substantial evidence standard is met “if a reasonable person would accept the
evidence in the record as adequate to support the challenged conclusion.” Holladay v.
Bowen, 848 F.2d 1206, 1208 (11th Cir. 1988) (citing Boyd v. Heckler, 704 F.2d 1207, 1209
(11th Cir. 1983)). The requisite evidentiary showing has been described as “more than a
scintilla, but less than a preponderance.” Bloodsworth v. Heckler, 703 F.2d 1233, 1239
(11th Cir. 1983).
The court must scrutinize the entire record to determine the
reasonableness of the decision reached and cannot “act as [an] automaton[] in reviewing
the [Commissioner’s] decision.” Hale v. Bowen, 831 F.2d 1007, 1010 (11th Cir. 1987).
Thus, the court must consider evidence both favorable and unfavorable to the
Commissioner’s decision. Swindle v. Sullivan, 914 F.2d 222, 225 (11th Cir. 1990).
The court will reverse the Commissioner’s decision on plenary review if the
decision applies incorrect law or fails to provide the court with sufficient reasoning to
determine that the Commissioner properly applied the law. Keeton v. Dep’t of Health &
Human Servs., 21 F.3d 1064, 1066 (11th Cir. 1994). There is no presumption that the
Commissioner’s conclusions of law are valid. Id.
II. STATUTORY AND REGULATORY FRAMEWORK
To qualify for disability benefits, a claimant must show the “inability to engage in
any substantial gainful activity by reason of any medically determinable physical or mental
impairment which can be expected to result in death or which has lasted or can be expected
to last for a continuous period of not less than 12 months.” 42 U.S.C. § 423(d)(1)(A); 42
U.S.C. § 416(i). A physical or mental impairment is “an impairment that results from
anatomical, physiological, or psychological abnormalities which are demonstrated by
3
medically acceptable clinical and laboratory diagnostic techniques.” 42 U.S.C. § 423(d)(3).
Moore bears the burden of proving that he is disabled, and he is responsible for producing
evidence to support his claim. See Ellison v. Barnhart, 355 F.3d 1272, 1276 (11th Cir.
2003).
A determination of disability under the Social Security Act requires a five-step
analysis. 20 C.F.R. § 404.1520(a). The Commissioner must determine in sequence:
(1) Is the claimant presently unable to engage in substantial gainful activity?
(2) Is the claimant’s impairment(s) severe?
(3) Does the claimant’s impairment(s) satisfy or medically equal one of the
specific impairments set forth in 20 C.F.R. Pt. 404, Subpt. P, App. 1?
(4) Is the claimant unable to perform his former occupation?
(5) Is the claimant unable to perform other work given his residual
functional capacity, age, education, and work experience?
See Frame v. Comm’r, Soc. Sec. Admin., 596 F. App’x 908, 910 (11th Cir. 2015). “An
affirmative answer to any of the above questions leads either to the next question, or, on
steps three and five, to a finding of disability. A negative answer to any question, other
than step three, leads to a determination of ‘not disabled.’” McDaniel v. Bowen, 800 F.2d
1026, 1030 (11th Cir. 1986) (quoting 20 C.F.R. § 416.920(a)−(f)). “Once the finding is
made that a claimant cannot return to prior work the burden of proof shifts to the Secretary
to show other work the claimant can do.” Foote v. Chater, 67 F.3d 1553, 1559 (11th Cir.
1995) (citing Gibson v. Heckler, 762 F.2d 1516 (11th Cir. 1985)).
III. FACTUAL BACKGROUND AND ADMINISTRATIVE PROCEEDINGS
Moore was 51 years old at the time of the ALJ’s decision. R. 242. He is single with
no children and lives with his brother in Alexander City, Alabama. R. 242–45. He
completed high school in 1981 and attended special education classes. R. 70–71, 303 &
4
329. He suffers from intellectual difficulties, gastritis, and pulmonary ailments, including
asthma and chronic obstructive pulmonary disease (“COPD”). R. 46. He also has severe
anemia. R. 46. Additionally, Moore has a history of alcoholism and tobacco use. E.g., R.
353–56. In the past, Moore worked as a steel pourer at Robinson Foundry (“Robinson”)
in Alexander City. R. 80–81 & 281–82. He last worked in June of 2006, when his
employment terminated because the business closed. R. 70–71.
Following an administrative hearing, the ALJ found that Moore suffered from the
following severe impairments under 20 C.F.R. § 404.1520(c): “substance addiction, to wit:
alcohol; alcoholic gastritis; possible peptic ulcer disease; possible mild pancreatitis; severe
anemia; asthma; and chronic obstructive pulmonary disorder (‘COPD’) with interstitial
pulmonary fibrosis and chronic changes right lung with continued tobacco abuse.” R. 46.
Despite this finding, the ALJ concluded, at step three of the analysis, that none of Moore’s
impairments––nor a combination of his impairments––met or medically equaled the
severity of one of those listed in the applicable regulations. See R. 46. The ALJ further
found, at steps four and five, that Moore has the residual functional capacity (“RFC”) to
perform “medium work2 . . . except the claimant does not possess the concentration,
persistence or pace necessary to understand, remember or carry out even simple
instructions nor does he possess the physical or mental capacity to perform sustained
mental or physical work activity on a regular and continuous basis.” R. 47. Ultimately, the
2
“Medium work involves lifting no more than 50 pounds at a time with frequent lifting or carrying
of objects weighing up to 25 pounds. If someone can do medium work, we determine that he or
she can also do sedentary and light work.” 20 C.F.R. § 416.967(c).
5
ALJ concluded that Moore has been disabled within the meaning of the Social Security
Act from May 10, 2013, through the date of the ALJ’s decision––but not since June 30,
2006, Moore’s alleged disability onset date. See R. 51–58.
On November 20, 2013, Moore was examined by psychologist Donna Fleitas, Ph.D,
generating the primary piece of medical evidence at issue in his appeal. Overall, Dr. Fleitas
observed that Moore’s “insight and judgment are poor,” and his “intellect is impaired.”
R. 412. She noted that Moore appeared “disheveled” and “impaired,” and that it was
difficult to understand him because he “stuttered, especially when flustered.” R. 412.
While he appeared “in touch with reality,” he has “grandiose ideas regarding his abilities.”
R. 412. Dr. Fleitas recorded Moore’s IQ scores, which demonstrated that he is in the 1st
percentile for verbal comprehension, 2nd percentile for working memory, and 3rd
percentile for full-scale IQ. See R. 412. These scores reflected that his ability to process
complex visual information is a strength, but that his “functioning and ability to care for
[him]self are deficient,” and he has substantially deficient comprehension and memory.
R. 413.
Dr. Fleitas concluded that Moore’s “deficits in adaptive functioning, abstract
thinking and executive functioning are notable.” R. 416. He not only “experiences
significant difficulty in thought process and perception,” but “does not recognize his own
limitations although his deficits in concentration and ability to communicate make the
deficits readily apparent to others.” R. 416. He is “not capable of maintaining pace nor
attention necessary to maintain employment,” and is “not able to interact appropriately
with peers, supervisors, or the public.” R. 416. Moore is therefore “not capable of caring
6
for himself independently.” R. 416. Based on the examination and the results of his testing,
Dr. Fleitas diagnosed Moore with an unspecified neurocognitive disorder, a psychotic
disorder with persistent hallucinations, and intellectual disability. See R. 415.
Despite his apparent limitations, Robinson employed Moore for 22 years. There,
Moore poured and processed metal and cleaned equipment.3 See R. 332, 335 & 411. His
past shift supervisors, Sandy Meadows and Travis Sims, noted that the owners of the
company “had sympathy” for Moore because of his punctuality and his difficulty in finding
transportation to and from work. R. 333. He interacted with coworkers minimally during
work and not at all outside of work. R. 333 & 336–37. He stayed employed because “he
had been there for so long,” despite the need to make “special accommodations for him.”
R. 336. Though Moore reported in his work history report that he supervised, hired, and
fired other employees, see R. 281–82, his supervisors indicated that he did not have
supervisory authority and instead reported coworkers’ misdeeds to supervisors and acted
as “more of a tattle tale.” R. 333 & 336.
IV. DISCUSSION
Moore presents three issues on appeal: (1) that the ALJ erred by failing to either
complete a Psychiatric Review Technique Form (“PRTF”) or incorporate its mode of
analysis into his decision; (2) that the ALJ’s decision contained multiple fatal
inconsistencies and internal conflicts; and (3) that the ALJ erred by failing to evaluate
whether Moore’s intellectual disability met the requirements of Listing 12.05(C). The
3
At the administrative hearing, a vocational expert classified Moore’s past employment as a Steel Pourer
Helper (skilled), Steel Pourer (skilled), and General Foundry Worker (unskilled). See R. 80–81.
7
court will address each argument in turn.
A.
Psychiatric Review Technique
Social Security Agency “regulations require the ALJ to use the ‘special technique’
dictated by the PRTF for evaluating mental impairments.” Moore v. Barnhart, 405 F.3d
1208, 1213 (11th Cir. 2005) (quoting 20 C.F.R. § 404.1520a(a)).
This technique
necessitates examination of the claimant’s functional limitations in his “activities of daily
living; social functioning; concentration, persistence or pace; and episodes of
decompensation.” Id. (quoting 20 C.F.R. § 404.1520a(c)(3–4)). The first three factors are
rated by employing a five-point scale (“None, mild, moderate, marked, and extreme”)
while the fourth factor is rated with a four-point scale (“None, one or two, three, four or
more”). 20 C.F.R. § 404.1520a(c)(4). “[W]here a claimant has presented a colorable claim
of mental impairment, the social security regulations require the ALJ to complete a PRTF
and append it to the decision, or incorporate its mode of analysis into his findings and
conclusions.” Moore, 405 F.3d at 1214. Importantly, the ALJ’s failure to do so requires
remand. Id.; see also Driver v. Astrue, 2009 WL 631221, at *25 (N.D. Ga. Mar. 9, 2009)
(“The specific documentation requirements [of § 404.1520a] are not mere technicalities
that can be ignored as long as the ALJ reaches the same result that it would have if it had
followed those requirements.”) (citation and internal quotation marks omitted).
Though the Eleventh Circuit has yet to define the contours of a “colorable claim of
mental impairment,” the court suggested in an unpublished decision that, where an ALJ
analyzes a claimant’s evidence of mental impairment, it can be inferred from that
discussion that a claim “was at least colorable.” Mills v. Comm’r of Soc. Sec., 659 F. App’x
8
541, 542 (11th Cir. 2016). And courts often conclude that a claim of mental impairment is
colorable where intellectual limitations have been implicitly incorporated into the ALJ’s
decision. See, e.g., Curry v. Astrue, 2008 WL 161925, at *2 (S.D. Ala. Jan. 10, 2008)
(finding that there was “no doubt that plaintiff has a colorable claim of a mental
impairment” where the ALJ incorporated a claimant’s cognitive limitations into the RFC
assessment); cf. Taylor v. Astrue, 2011 WL 6093300, at *3 (S.D. Ala. Dec. 7, 2011) (“A
colorable claim need not be meritorious. In general, a colorable claim is one which is not
wholly unsubstantial and frivolous.”) (citations and internal quotation marks omitted).
The Commissioner argues, in short, that Moore has not presented a colorable claim
of mental impairment because he relies on an examination that took place in November of
2013, six months after his disability onset date as found by the ALJ. This argument is
misguided. First, in the Eleventh Circuit, there is a presumption that an intellectual
disability remains “constant throughout life.” Hodges v. Barnhart, 276 F.3d 1265, 1266
(11th Cir. 2001). Thus, a post-decision assessment of a claimant’s level of intellectual
functioning relates back to the period of claimed disability. See, e.g., Black v. Astrue, 678
F. Supp. 2d 1250, 1257 (N.D. Fla. 2010). Moreover, Moore presented a colorable claim
of mental impairment because the ALJ repeatedly acknowledged Moore’s significant
cognitive limitations and the effect of those limitations on his overall level of functioning.
See, e.g., R. 43 (“In fact, the claimant’s lack of understanding prompted the undersigned
to allow the representative to procure a mental status evaluation as well as a second
hearing.”); R. 47 (finding that Moore cannot remember “even simple instructions” and does
not possess the “physical or mental capacity to perform sustained mental or physical work
9
activity on a regular and continuous basis”); R. 50 (“This claimant is limited to simple,
routine, and repetitive work activity that does not require his response to rapid and/or
frequent multiple demands.”). Accordingly, the court concludes that Moore presented a
colorable claim of mental impairment.
Because the ALJ did not append a PRTF to the opinion, the law requires that he
explicitly incorporate the form’s analysis into his decision. Thus, he must have included
“a specific finding as to the degree of limitation in each of the functional areas described
in paragraph (c)” of § 404.1520a. Here, while the ALJ incorporated part of the analysis,
he did not conduct the analysis properly, nor in its entirety. For example, the ALJ discussed
Moore’s activities of daily living and his concentration, persistence, and pace. See R. 50–
51. However, the ALJ did not analyze episodes of decompensation or devote any extended
discussion to Moore’s social functioning. Further, there is no indication that the ALJ has
examined Moore’s level of functioning on a five-point scale or made specific findings of
the type required by the regulations. See 20 C.F.R. § 404.1520a(c); Mills, 659 F. App’x at
543–44 (concluding that the ALJ did not incorporate the PRTF’s mode of analysis into the
opinion where the ALJ failed to make a finding regarding the claimant’s social
functioning); Moore, 405 F.3d at 1213–14. Therefore, because the ALJ failed to attach a
PRTF to his opinion or incorporate its mode of analysis, remand is required.
B.
Inconsistencies
Moore’s second argument––that the ALJ’s opinion contains several fatal
inconsistencies––can be easily dispatched. Moore argues that the ALJ concluded in one
portion of the opinion that Moore would be capable of performing medium work, but that
10
he concluded that Moore could perform only light work elsewhere. To the extent this
discrepancy was erroneous, it was harmless and does not warrant consideration upon
remand. See, e.g., Armstrong v. Colvin, 2013 WL 1180305, at *3 (N.D. Ala. Mar. 18, 2013)
(“A scrivener’s error is harmless when the ALJ’s decision would be the same despite the
error.”).
Moore also argued that the ALJ highlighted those portions of the record that made
Moore “appear more capable than he is, while ignoring contrary evidence.” Doc. 11 at 11.
However, Moore’s support for this proposition, which includes arguments regarding his
high school education, employment history, and ability to work between the years of 2006
and 2013, constitutes nothing more than a frontal attack on the ALJ’s factual findings. Of
course, this ignores the fact that the court’s role in this appeal is a “limited one,” which
includes a prohibition on reweighing the evidence or substituting its judgment for that of
the ALJ. See Bloodsworth, 703 F.2d at 1239. Moore’s arguments regarding the opinion of
Dr. Fleitas and the ALJ’s evaluation of Moore’s intellectual disability will be addressed in
Subsection C.
C.
Listing 12.05
At the third step, the ALJ concluded that if he stopped substance use, Moore “would
not have an impairment or combination of impairments that meets or medically equals any
of the impairments listed in 20 CFR Part 404, Subpart P, Appendix 1.” R. 49. However,
as Moore noted in his brief, the ALJ did not specifically address Listing 12.05, which
encompasses intellectual disabilities. See R. 49–50.
In Wilson v. Barnhart, the Eleventh Circuit discussed the significance of the Social
11
Security regulations’ listings:
The Listing of Impairments describes, for each of the major body systems,
impairments which are considered severe enough to prevent a person from
doing any gainful activity. See 20 C.F.R. § 404.1525(a). Part A of the Listing
of Impairments contains medical criteria that apply to adults age 18 and over.
See 20 C.F.R. § 404.1525(b); see also 20 C.F.R. § 404, Subpt. P, App. 1.
To “meet” a Listing, a claimant must have a diagnosis included in the
Listings and must provide medical reports documenting that the conditions
meet the specific criteria of the Listings and the duration requirement. See 20
C.F.R. § 404.1525(a)-(d). To “equal” a Listing, the medical findings must
be “at least equal in severity and duration to the listed findings.” See 20
C.F.R. § 404.1526(a). If a claimant has more than one impairment, and none
meets or equals a listed impairment, the Commissioner reviews the
impairments’ symptoms, signs, and laboratory findings to determine whether
the combination is medically equal to any listed impairment. See id.
Wilson v. Barnhart, 284 F.3d 1219, 1224 (11th Cir. 2002). “While Appendix 1 must be
considered in making a disability determination, it is not required that the [ALJ]
mechanically recite the evidence leading to her determination.” Hutchinson v. Brown, 787
F.2d 1461, 1463 (11th Cir. 1986). Of course, it is the claimant’s burden to demonstrate
that one or more of his impairments meets or equals a listing. Barron v. Sullivan, 924 F.2d
227, 229 (11th Cir. 1991).
To qualify under the listing Listing 12.05, Moore would have to first show that he
has “(i) significantly subaverage general intellectual functioning (ii) with deficits in
adaptive functioning (iii) that manifested before age twenty-two.” Rodriguez v. Comm’r of
Soc. Sec., 633 F. App’x 770, 773 (11th Cir. 2015) (citations omitted).
“Adaptive
functioning refers to a person’s ability to perform activities of daily living.” Fischer v.
Barnhart, 129 F. App’x 297, 301 (7th Cir. 2005) (quoting 20 C.F.R. Pt. 404, Subpt. P,
App’x 1, § 12.05(C)). “A valid IQ score of below 70 creates a rebuttable presumption that
12
a claimant manifested deficits in adaptive functioning before age twenty-two.” Id. (citation
omitted). Next, Moore would have to demonstrate that he meets the specific requirements
of one of Listing 12.05’s subparagraphs. Id.; 20 C.F.R. Pt. 404, Subpt. 1, App’x 1, § 12.05.
Here, Moore claims to qualify for subparagraph (C), which requires a “valid verbal,
performance, or full scale IQ of 60 through 70 and a physical or other mental impairment
imposing an additional and significant work-related limitation of function.” 20 C.F.R. Pt.
404, Subpt. 1, App’x 1, § 12.05(C).
Moore argues that he met his burden to demonstrate that his condition meets or
equals Listing 12.05(C), but that the ALJ did not properly analyze his condition in terms
of Listing 12.05’s requirements outside of “conclusory boilerplate language.” Doc. 11 at
13–15.
Moore is correct that, at least on its face, Dr. Fleitas’ report exhibits the
requirements of Listing 12.05(C), in that Dr. Fleitas reported a valid verbal IQ score of 63
and diagnosed Moore with neurocognitive and psychotic disorders in addition to an
intellectual disability. See R. 412–15. The Commissioner counters, however, that Moore
failed to meet his burden because his activities reflect a high level of adaptive functioning.
Doc. 12 at 8–11; see also Hodges, 276 F.3d at 1269 (“[T]he Commissioner may present
evidence of [the claimant’s] daily life to rebut [the] presumption of mental impairment.”).
An ALJ’s finding that a claimant’s impairments do not meet or equal a listing need
not necessarily be stated explicitly, and instead “may be implied from the ALJ’s decision.”
James v. Comm’r, Soc. Sec. Admin., 657 F. App’x 835, 838 (11th Cir. 2016); see also
Hutchison v. Bowen, 787 F.2d 1461, 1463 (11th Cir. 1986). For example, the ALJ’s
conclusion that a claimant’s prior work experience and advanced activities of daily living
13
indicate that he does not have an intellectual disability may be a sufficient basis for the
ALJ’s finding. James, 657 F. App’x at 838; see also Lowery v. Sullivan, 979 F.2d 835, 837
(11th Cir. 1992) (“[A] valid I.Q. score need not be conclusive of [intellectual disability]
where the I.Q. score is inconsistent with other evidence in the record on the claimant’s
daily activities and behavior.”). In the Eleventh Circuit’s unpublished decision in James,
the court concluded that the Commissioner successfully rebutted the presumption that the
claimant had the requisite deficits in adaptive functioning by pointing to the claimant’s
work history and daily activities. See id. Specifically, the claimant carried semi-skilled
employment and served as a shift supervisor at a Pizza Hut restaurant. Id. The claimant
also cared for herself adequately, socialized, and attended church services weekly. Id.
Therefore, substantial evidence supported the conclusion that she failed to meet Listing
12.05(C), even though this conclusion was not explicitly stated in the ALJ’s decision.
Other courts have similarly held that substantial evidence supported an implicit
finding that the claimant failed to meet the requirements of Listing 12.05 where the record
demonstrated an extensive employment history and advanced daily activities. See, e.g.,
Rodriguez v. Comm’r of Soc. Sec., 633 F. App’x 770, 774 (11th Cir. 2015) (finding
substantial evidence supported an implicit Listing 12.05 conclusion where the claimant
attended high school without any special educational assistance, performed household
chores, attended church twice per week, had a driver’s license, and previously worked for
years at multiple different skilled and semi-skilled jobs); Mazer v. Comm’r of Soc. Sec.,
2016 WL 4409341, at *4 (M.D. Fla. Aug. 19, 2016) (finding the same where the claimant
had a driver’s license, could manage his own finances, and worked at a number of jobs
14
during his alleged period of disability and also prior to the disability period as a manager
with supervisory authority); Welch v. Soc. Sec. Admin., Comm’r, 2016 WL 1270619, at *4
(N.D. Ala. Mar. 31, 2016) (affirming where the claimant took care of family members,
performed household chores, drove, socialized with others, managed her finances, and
regularly attended activities outside of the home).
On the other hand, where the record is devoid of evidence of an advanced work
history and sophisticated activities or daily living such that a reviewing court cannot “easily
discern the ALJ’s path or reasoning,” Tubbs v. Berryhill, 2017 WL 1135234, at *6 (N.D.
Ala. Mar. 27, 2017), courts remand with instructions for the ALJ to consider explicitly
whether the claimant meets or equals the requirements of Listing 12.05. For example, in
Hartman v. Colvin, a court in the Southern District of Alabama concluded that remand was
appropriate where, despite the claimant’s 3.18 high school GPA and ability to cook, clean,
manage her own finances, and drive, she was in special education classes, received a
certificate of attendance and not a high school diploma, lived with her mother, and did not
have a skilled or semi-skilled employment history. See Hartman v. Colvin, 2014 WL
3058550, at *6–8 (S.D. Ala. July 7, 2014) (“[T]he record is certainly not clear that the
presumption of deficits in adaptive functioning, to which the Plaintiff is entitled, is rebutted
by the evidence of record . . . .”). Faced with comparable facts, other district courts in the
Eleventh Circuit routinely remand to the ALJ to analyze whether the claimant meets or
medically equals Listing 12.05. See, e.g., Hogue v. Colvin, 2014 WL 1744759, at *5–6
(S.D. Ala. Apr. 30, 2014) (concluding that the claimant’s daily activities referenced by the
ALJ––including the fact that he had friends and a girlfriend, handled his own finances,
15
performed household chores, and cared for his son––“are not necessarily inconsistent” with
the claimant’s low IQ scores); Frank v. Astrue, 2011 WL 6111692, at *14–15 (S.D. Ala.
Dec. 8, 2011) (finding the same where the claimant raised children and held steady
employment in the past, but failed to complete high school and took special education
classes).
The facts of Moore’s case are far more analogous to the latter class of cases than to
the former. In fact, to the extent there are discrepancies between Moore’s level of adaptive
functioning and the claimants in Tubbs, Hartman, Hogue, and Frank, the claimants in those
cases arguably demonstrated a higher level of functioning than Moore. It is undisputed
that Moore was enrolled in special education classes. See R. 329. Moreover, Moore has
never held a driver’s license, does not care for relatives, has lived his entire life with his
mother and now his brother, and worked at only one place of employment. And multiple
former supervisors stated that, despite claims to the contrary on his disability report form,
Moore did not have supervisory authority over other employees or the ability to hire and
fire. While Moore is apparently able to cook and perform other limited household chores,
“everyday activities of short duration” are not disqualifying. Lewis, 125 F.3d at 1441.
Indeed, the court cannot conclude that Moore’s modest daily activities––which include
watching television, playing cards, preparing meals, and attending church once a week––
are so advanced as to contradict the reported IQ scores and rebut the presumptive deficits
in his adaptive functioning. The record also does not reveal substantial evidence of high
social functioning. To the contrary, Moore is single and does not report any social activities
beyond church attendance. E.g., R. 294. His former supervisors confirmed that he did not
16
interact with coworkers or socialize after work. R. 333 & 336.
Moreover, the ALJ mischaracterized the former supervisors’ affidavits, concluding
that they demonstrated that Robinson employed him not “out of benevolence but because
he was an exemplary employee,” and that Moore had seniority and supervisory authority.
R. 52. In reality, as discussed, Meadows and Sims indicated that the only source of
Moore’s “seniority” was the length of time he had served, but that he never supervised
other employees, did not have the authority to hire or fire, and that Robinson made “special
accommodations” for Moore and only continued to employ him “because he had been there
for so long.” R. 332–36. The ALJ also relied on the fact that Moore finished 156 out of
206 graduates in his high school class. R. 52–53. But while the ALJ concluded that
Moore’s “significant work history” and daily activities rebut the presumption of intellectual
disability, Moore’s work history, educational attainment, and activities of daily living––
individually and collectively––are not advanced enough to rebut the presumption of
deficient adaptive functioning. Further, to the extent Moore’s self-reported activities
contradict others’ observations of him, Dr. Fleitas explicitly stated that Moore does not
recognize his own limitations and that his ideas regarding his abilities were “grandiose.”
R. 412. Thus, there is not substantial evidence in the record to support the ALJ’s implicit
finding that Moore’s impairments do not meet or medically equal the requirements of
Listing 12.05(C).
V. CONCLUSION
Based on the foregoing, the undersigned concludes that the Commissioner’s
decision is not supported by substantial evidence and based upon the proper legal
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standards. It is therefore ORDERED that the decision of the Commissioner denying
benefits is REVERSED and this matter REMANDED to the Administrative Law Judge for
further proceedings.
Specifically, on remand, the ALJ is instructed to:
(1) attach a Psychiatric Review Technique Form or apply its form of analysis; and
(2) determine whether Moore’s condition meets or equals Listing 12.05(C).
A final judgment consistent with this opinion will be entered separately.
DONE this 12th day of September, 2017.
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