Wilson v. Astrue
Filing
22
MEMORANDUM OPINION AND ORDER entered that the decision of the Commissioner of Social Security denying T.M.W. benefits be reversed and remanded pursuant to sentence four of 42 U.S.C. § 405(g), for further proceedings not inconsistent with this decision. Signed by Magistrate Judge William E. Cassady on 2/28/2013. (eec)
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ALABAMA
NORTHERN DIVISION
SHARON WILSON o/b/o T.M.W.,
a minor,
Plaintiff,
:
:
v.
:
CAROLYN W. COLVIN,
Acting Commissioner of Social Security,1
:
Defendant.
CA 2:12-00307-C
:
MEMORANDUM OPINION AND ORDER
The plaintiff brings this action on behalf of her son, T.M.W., a minor, pursuant to
42 U.S.C. § 1383(c)(3), seeking judicial review of a final decision of the Commissioner of
Social Security denying an application for Supplemental Security Income (“SSI”).
The
parties have consented to the exercise of jurisdiction by the Magistrate Judge, pursuant
to 28 U.S.C. § 636(c), for all proceedings in this Court.
(See Doc. 21 (“In accordance
with provisions of 28 U.S.C. 636(c) and Fed.R.Civ.P. 73, the parties in this case consent
to have a United States Magistrate Judge conduct any and all proceedings in this case,
including . . . order the entry of a final judgment, and conduct all post-judgment
proceedings.”).) Upon consideration of the administrative record (“R.”) (Doc. 12), the
plaintiff’s brief (Doc. 13), the Commissioner’s brief (Doc. 19), and the arguments
presented at the February 15, 2013 Hearing, it is determined that the Commissioner’s
decision denying benefits should be reversed and remanded for further proceedings
not inconsistent with this decision.2
1
Carolyn W. Colvin became the Acting Commissioner of Social Security on
February 14, 2013. Pursuant to Rule 25(d), Federal Rules of Civil Procedure, Colvin is
substituted for Michael J. Astrue as the proper defendant in this case.
2
Any appeal taken from this memorandum opinion and order and judgment shall
be made to the Eleventh Circuit Court of Appeals. (See Doc. 21 (“An appeal from a judgment
Procedural Background
On March 16, 2007, the plaintiff filed an application for SSI on behalf of her son,
alleging disability beginning January 1, 2004 (R. 116).
denied on July 10, 2007.
(See R. 66-68).
Her application was initially
A hearing was then conducted before an
Administrative Law Judge on April 14, 2009 (see R. 37-62).
On June 29, 2009, the ALJ
issued a decision finding no disability (R. 25-36), and the plaintiff sought review from
the Appeals Council (see R. 19). The Appeals Council ultimately issued a decision
declining to review the ALJ’s determination on March 9, 2012 (see R. 1-13)—making the
ALJ’s determination the Commissioner’s final decision for purposes of judicial review,
see 20 C.F.R. § 404.981—and a complaint was filed in this Court on May 8, 2012 (see Doc.
1).
Standard of Review and Claims on Appeal
In all Social Security appeals, including those involving benefits for an individual
under the age of 18, such as this one, the task for this Court is to determine whether the
ALJ’s decision to deny benefits is supported by substantial evidence.
Substantial
evidence is defined as more than a scintilla, and means such relevant evidence as a
reasonable mind might accept as adequate to support a conclusion.
Perales, 402 U.S. 389, 401 (1971).
Richardson v.
“In determining whether substantial evidence exists,
[a court] must view the record as a whole, taking into account evidence favorable as
well as unfavorable to the [Commissioner’s] decision.”
Chester v. Bowen, 792 F.2d 129,
131 (11th Cir. 1986). Courts are precluded, however, from “deciding the facts anew or
entered by a Magistrate Judge shall be taken directly to the United States Court of Appeals for
this judicial circuit in the same manner as an appeal from any other judgment of this district
court.”).)
2
re-weighing the evidence.”
Davison v. Astrue, 370 Fed. App’x 995, 996 (11th Cir. Apr. 1,
2010) (per curiam) (citing Dyer v. Bernhart, 395 F.3d 1206, 1210 (11th Cir. 2005)).
And,
“[e]ven if the evidence preponderates against the Commissioner’s findings, [a court]
must affirm if the decision reached is supported by substantial evidence.”
Id. (citing
Crawford v. Commissioner of Soc. Sec., 363 F.3d 1155, 1158-59 (11th Cir. 2004)).
On appeal to this Court, the plaintiff contends the Commissioner’s decision to
deny benefits should be reversed for two reasons:
1.
“[T]he ALJ committed legal error by ignoring the teacher questionnaire
completed by Mary Howard.” (Doc. 13 at 3); and
2.
“[T]he ALJ committed legal error at step three of the evaluation process.”
(Id.)
The Court will address both, but in reverse order.
Discussion
A.
The ALJ’s analysis at step three.
An individual under the age of 18, like T.M.W. (born in 1999 (see R. 28)), “is
considered disabled if
he has a “medically determinable physical or mental impairment, which
results in marked and severe functional limitations.” 42 U.S.C. §
1382c(a)(3)(C)(i); 20 C.F.R. § 416.906. The Social Security regulations
establish a three-step process for determining whether a child is disabled.
20 C.F.R. § 416.924(a). Under the first step, the ALJ considers whether
the child has engaged in any substantial gainful activity. Id. At step
two, the ALJ considers whether the child has an impairment or
combination of impairments that is severe. Id. At step three, the ALJ
must decide whether the child’s impairment meets, medically equals, or
functionally equals a listed impairment. Id.
In determining whether an impairment functionally equals a listed
impairment, the ALJ must consider the child's ability to function in six
different “domains”: (1) acquiring and using information; (2) attending
and completing tasks; (3) interacting and relating with others; (4) moving
about and manipulating objects; (5) “caring for yourself;” and (6) health
3
and physical well-being. 20 C.F.R. § 416.926a(b)(1). If the child has
“marked” limitations in two of these domains, or an “extreme” limitation
in any one domain, then his impairment functionally equals the listed
impairments, and he will be found to be disabled. Id. § 416.926a(d). A
“marked” limitation is one that seriously interferes with the child’s ability
to initiate, sustain, or complete activities. Id. § 416.926a(e)(2)(i). An
extreme limitation is one that “very seriously” interferes with the child's
ability to initiate, sustain, or complete activities. Id. § 416.926a(e)(3)(i).
Coleman ex rel. J.K.C. v. Commissioner of Soc. Sec., 454 Fed. App’x 751, 752 (11th Cir. Dec.
9, 2011) (per curiam) (affirming an order of this Court affirming the ALJ’s denial of SSI
benefits for a minor child).3
The ALJ here determined that T.M.W. (1) “has not engaged in substantial gainful
activity at any time relevant to this decision” (R. 28); (2) has three severe impairments:
“attention deficit disorder with hyperactivity (ADHD)[,] borderline intellectual
functioning[,] and speech disorder (id.); but (3) lacks an impairment or combination of
impairments that meets, medically equals, or functionally equals a listed impairment (R.
28-36).
1.
The asserted error at Step Three.
On appeal, the plaintiff “asserts that the ALJ committed legal error at step three
of the evaluation process” (Doc. 13 at 6), insisting that, “[d]espite [ ] evidence of record
showing that the combination of TMW’s impairments meets and/or medically equals
3
“The Listing of Impairments, located at Appendix 1 to Subpart P of the
regulations, describes impairments the SSA considers to be severe enough to prevent an
individual from doing any gainful activity, regardless of his or her age, education, or work
experience. In other words, a claimant who meets the requirements of a listed impairment will
be deemed conclusively disabled.” Johnson ex rel. Johnson v. Commissioner of Soc. Sec., No. 1:09–
cv–967, 2011 WL 4954049, at *6 (W.D. Mich. Sept. 22, 2011) (noting that “[t]he structure of the
mental disorders listing for children under the age of 18 parallels the structure of the mental
disorders listings for adults, but is modified to reflect the presentation of mental disorders in
children), report & recommendation adopted, 2011 WL 4954253 (W.D. Mich. Oct. 17, 2011) (citations
omitted and emphasis added).
4
Listings 112.05 C and D and/or 112.11, the ALJ’s meets and/or medically equals
‘analysis’ equates to two sentences that provide absolutely NO meaningful rationale[.]”
(Id. (citing R. 28).)
And the Court agrees, initially, that the ALJ’s fourth finding is
certainly succinct:
4. The claimant does not have an impairment or combination of
impairments that meets or medically equals one of the listing
impairments in 20 CFR Part 404, Subpart P, Appendix 1 (20 CFR 416.924,
416.925 and 416.926).
No treating or examining source or medical expert has concluded that
claimant’s impairments meet or medically equal listing severity. In
addition, the undersigned Administrative Law Judge has examined the
record and finds that the evidence does not support listing severity.
(R. 28; see also Doc. 13 at 7 (“In providing such conclusory analysis,” the plaintiff insists,
“it is not surprising the ALJ’s decision fails to reference Listings 112.05 or 112.11.”)
(citation omitted).)
Relying on Ellington v. Astrue, Civil Action No. 2:07cv789-CSC, 2008 WL 1805435
(M.D. Ala. Apr. 18, 2008), the plaintiff further contends that the ALJ, in her
above-provided fourth finding and in her fifth finding—that T.M.W. lacked “an
impairment or combination of impairments that functionally equals the listings” (R. 28;
see also id. at 28-36)—“failed to evaluate each tier [meets, medically equals, or
functionally equals a listed impairment] individually.
Instead, the plaintiff argues,
“the ALJ attempted to rationalize her non-disability finding by only providing minimal
rationale in her functionality findings[,]” which the plaintiff describe as “woefully
inadequate.”
(Doc. 13 at 8 (emphasis in original).)
2.
Review of an ALJ’s Step Three inquiry under this Circuit’s law.
As the undersigned noted recently:
5
Whether a claimant’s severe impairment(s) meets or medically equals a
listing is an inquiry separate from whether his severe impairment(s)
functionally equals a listing. See, e.g., F.S. v. Astrue, No. 1:10–CV–444
(MAD), 2012 WL 514944, at *4 (N.D.N.Y. Feb. 15, 2012) (“Equivalence to a
Listing can be either medical or functional.”) (citing, inter alia, 20 C.F.R. §
416.924(d)) (emphasis added).
The determinations should not be
conflated, and . . . separate findings should be made as to each. Contra
Brown ex rel. M.J.A.B. v. Astrue, Civil Action No. 1:11cv859–TFM, 2012 WL
4896087, at *12 (M.D. Ala. Oct. 15, 2012) (“When determining that M.J.A.B.
‘does not have marked limitations in two of the following:
age-appropriate cognitive/communicative function; age-appropriate
social functioning; age appropriate personal functioning; and
concentration, persistence, or pace’, the ALJ improperly conflated his
assessment of whether M.J.A.B. meets or medically equals Listing 112.05
with a determination of whether he functionally equals the Listing.”)
(emphasis in original, record cite omitted).
Isaac ex rel. JDM v. Astrue, No. CA 1:12–00097–C, 2012 WL 5373435, at *2 n.5 (S.D. Ala.
Oct. 30, 2012) (initial citation modified; emphasis in original); see also Muhammad ex rel.
T.I.M. v. Commissioner of Soc. Sec., 395 Fed. App’x 593, 599 (11th Cir. Sept. 3, 2010) (per
curiam) (“A child’s impairment is recognized as causing ‘marked and severe functional
limitations if those limitations meet, medically equal, or functionally equal’ an
impairment described in the Listing of Impairments.
Shinn [ex rel. Shinn v.
Commissioner of Soc. Sec.], 391 F.3d [1276] 1279 [(11th Cir. 2004)] (quotation and
alterations omitted); 20 C.F.R. § 416.924(d).
If a child’s impairment does not meet or
medically equal a listed impairment, an ALJ may still find that the child is disabled if
his impairment functionally equals a listed impairment.
Shinn, 391 F.3d at 1279.”)
(emphasis added).
However, “[i]n the Eleventh Circuit, there is no requirement that the ALJ
‘mechanically recite the evidence’ when determining whether a claimant’s impairments
meet any of the listings.”
Turner ex rel. BDT v. Commissioner of Soc. Sec., No. 6:10–cv–
1497–Orl–GJK, 2012 WL 1004841, at *16 (M.D. Fla. Mar. 26, 2012) (quoting Hutchison v.
6
Bowen, 787 F.2d 1461, 1463 (11th Cir. 1986)); see also Gray ex rel. Whymss v. Commissioner
of Soc. Sec., 454 Fed. App’x 748, 750 (11th Cir. Dec. 8, 2011) (per curiam) (“Although [an]
ALJ must consider the Listings, there is no requirement that the ALJ mechanically recite
the evidence leading to his ultimate determination.”) (citing Hutchison, 787 F.2d at
1463).
Moreover, “[a] finding that a claimant’s impairments are not contained in the
Listings may be implied from [an] ALJ’s decision.”
Id.
In Gray, in which “the ALJ did
not explicitly cite Listing 112.05D, [but, like the ALJ here,] found that [the child] did not
meet one of the Listings” and “properly cited the three-step process[,]” the Eleventh
Circuit affirmed the ALJ’s decision, citing to “evidence in the record, the ALJ could
have” used to find that the child did not meet the listing—including (1) that the child’s
“IQ score of 66 was inconsistent with other evidence of his activities and behavior, and
therefore was not conclusive[,]” see Lowery v. Sullivan, 979 F.2d 835, 837 (11th Cir. 1992)
(“a valid IQ score need not be conclusive of mental retardation where the score is
inconsistent with other evidence on the claimant's daily activities and behavior”), and
(2) the child “did not have deficits in adaptive functioning.”
454 Fed. App’x at 750
(emphasis added); compare id., with Pepper ex rel. Gardner v. Barnhart, 342 F.3d 853, 855
(8th Cir. 2003) (where, like here, an ALJ found that a child had the severe impairments
of borderline intellectual functioning and attention deficit hyperactivity disorder, but
had neither an impairment medically equal to a listed impairment nor impairments that
resulted in marked limitations in any of the six functional domains, the court of appeals
noted, “[a]lthough it is preferable” to do so, an ALJ’s failure “to address [an]
impairment in relation to the specific criteria of mental retardation, under listing
7
112.05(D)[,] . . . is not reversible error if the record supports the overall conclusion, as it
[did] in [that] case”) (citations omitted); see also Jackson ex rel. K.J. v. Astrue, 734 F. Supp.
2d 1343, 1365 n.17 (N.D. Ga. 2010) (noting that “the Eleventh Circuit has indicated that
the ALJ’s lack of discussion of a specific Listing at Step Three is not fatal to the ALJ’s
decision”) (citing Turberville ex rel. Rowell v. Astrue, 316 Fed. App’x 891, 893 (11th Cir.
Feb. 18, 2009) (per curiam) (“We conclude that—though the ALJ did not explicitly
discuss why Rowell did not actually meet Listing 112.05—substantial record evidence
supports that Rowell’s condition did not actually or functionally meet Listing 112.05
and, therefore, supports the ALJ’s ultimate conclusion that Rowell was not disabled.”)).
3.
Ellington v. Astrue is distinguishable, such that the ALJ’s “meets”
or “medically equals” determination here is supported by
substantial evidence.
In Ellington, the ALJ found, without explanation, that the claimant did not “meet
or medically equal a listed impairment.”
2008 WL 1805435, at *8.
And, as to
functional equivalence, “the ALJ's opinion [only discussed] the six domains of
functional
limitations
which
must
be
considered
in
determining
functional
equivalence[,]” leading the Court to conclude “that the ALJ [improperly] conflated the
analysis which must be made in step three[.]”
Id. (citing Shinn, 391 F.3d at 1278); see
also id. (“Step three’s three-tiered approach requires the ALJ to evaluate each tier
individually to determine whether C.S. meets, medically equals, or functionally equals
the Listings.”).
Confronted with this holding, at least two district courts in this Circuit have
distinguished Ellington.
In Mixon v. Astrue, Civil Action No. 2:10–CV–98–TFM, 2011
WL 867213 (M.D. Ala. Mar. 14, 2011), the plaintiff faulted “the ALJ’s discussion of
8
whether TR[, the minor child,] ‘meets’ or ‘medically equals’ a disability listing[,]” id. at
*5, but the Court found no error:
Citing Ellington . . . , Mixon assert[ed] the ALJ did not make “any reference
to any particular Listing” and failed “to give any explanation for this
finding.” Ellington held the ALJ should have presented a three-tiered
approach wherein the three means of satisfying disability criteria—meets,
medically equals, or functionally equals—are distinct inquiries. Id. The
Court [ ] reviewed Ellington, and [found] it distinguishable . . . . In
Ellington, a very troubled and violent child presented symptoms
applicable to multiple listings, including ADHD (112.11), psychotic
disorder (112.03), and personality disorder (112.08). The ALJ’s failure to
specify in discussion which listing(s) did not apply, and why, prevented
the Court from determining whether the adverse findings were supported
by substantial evidence. The Court went on to cite reports of constant
violence displayed by the child, and reversed the ALJ’s finding that there
was “no limitation in interacting and relating with others.” Ellington, id.
at *8–9.
[In Mixon, there was] no suggestion that [the claimant] should be
evaluated under any other listing but the one for ADHD (112.11).
Though the ALJ did not specifically reference this listing, there [was] no
confusion from the face of the record that her impairment [was] due to
ADHD, and alternative listings [were] not at issue. The ADHD listing
requires a showing of (1) marked inattention; (2) marked impulsiveness;
and (3) marked hyperactivity, coupled with at least two marked
impairments in age-appropriate functions of cognitive/communication,
social functioning, personal functioning, or concentration, persistence, and
pace. 20 C.F.R. Part 404, Subpart P, Appendix 1, § 112.11. After
summarizing the evidence, the ALJ found TR [did] not meet or medically
equal a listed impairment. This finding [was] supported by the opinion
from Dr. Estock, whose medical review concluded TR [did] not meet,
medically equal, or functionally equal a listing.
The Commissioner further support[ed] the ALJ’s finding by highlighting
Mixon’s failure to submit evidence that TR met or equaled the listing for
ADHD. The five-step sequential analysis set forth in regulations requires
that a claimant prove that he is disabled. 20 C.F.R. §§ 404.1512(a),
416.912(a); Jones v. Apfel, 190 F.3d 1224, 1228 (11th Cir. 1999); see also Ellison
v. Barnhart, 355 F.3d 1272, 1276 (11th Cir. 2003) (the claimant has the
burden of proving disability and producing evidence in support). The
medical opinion from Dr. Estock supported the ALJ’s conclusion that TR
[did] not meet or equal the disability listing for ADHD, and there was no
legal requirement that, under the circumstances, [the ALJ] seek another
medical opinion.
9
Id. at *5-6 (some internal citations omitted); see also Turner ex rel. BDT, 2012 WL 1004841,
at *16 (citing Mixon to also distinguish its facts from those in Ellington).
Here, the plaintiff asserts that record evidence should have compelled the ALJ to
explicitly consider two Listings—112.05 (mental retardation) and 112.11 (ADHD).
But—even though the claimant’s severe impairments trigger consideration under two
listings—because the record plainly shows that the claimant neither “meets” nor
“medically equals” either listing, there is no confusion from the face of the record as to
the source of the claimant’s impairments, see Mixon, 2011 WL 867213, at *6; contra
Ellington, 2008 WL 1805435, at *8-9, and, based on the applicable Eleventh Circuit
standard,4 the Court can find that the “meets” and “medically equals” determination
(the ALJ’s fourth finding) is supported by substantial evidence.
See, e.g., Barron v.
Sullivan, 924 F.2d 227, 230 n.3 (11th Cir. 1991) (stating that while it would be helpful to
discuss specific listing at issue, there is no error where ALJ’s finding that claimant does
not meet or medically equal any listing is supported by substantial evidence).
4.
The claimant has not proven that T.M.W. meets or medically
equals either Listing 112.05 or 112.11.
“The burden lies with the claimant to prove that he meets or equals a Listing.”
Gray ex rel. Whymss, 454 Fed. App’x at 750 (citing Barron, 924 F.2d at 229) (emphasis
added).
4
As explained above, while the ALJ “must consider the Listings, there is no
requirement that the ALJ mechanically recite the evidence leading to his ultimate
determination.” Gray ex rel. Whymss, 454 Fed. App’x at 750 (citation omitted). The ALJ’s
“meets” or “medically equals” analysis—although conclusory—is consistent with the law in
this Circuit and, moreover, is supported by the record evidence and allows this Court to find
that this analysis is supported by substantial evidence. Compare id., with R. 28.
10
•
The plaintiff has not proven that T.M.W. meets or medically equals
Listing 112.05.
While the plaintiff advocates for consideration under 112.05, based on T.M.W.’s
diagnosed severe impairments and the Full Scale IQ score of 56 (R. 258), a qualifying
“score and an accompanying severe impairment alone are not sufficient to satisfy [that]
Listing . . . .” Richard ex rel. Z.N.F. v. Astrue, 480 Fed. App’x 773, 777 (5th Cir. June 15,
2012) (per curiam); see also Elliot v. Astrue, No. 3:09–cv–985–J–JRK, 2011 WL 1230542, at
*12 (M.D. Fla. Mar. 30, 2011) (“Plaintiff mistakenly assumes that there are only two
requirements to meet Listing 112.05: (1) the IQ score requirement; and (2) the
requirement of a physical or mental impairment.”).
A claimant satisfies Listing 112.05(D)[, for example,]5 if (1) his impairment
is “[c]haracterized by significantly subaverage general intellectual
functioning with deficits in adaptive functioning;” and (2) he has a “valid
verbal, performance, or full scale IQ of 60 through 70 and a physical or
other mental impairment imposing an additional and significant
limitation of function.”
Id.
The first prong[,contained in the
introductory paragraph,] is sometimes called the “capsule” requirement
or the general diagnostic description that applies to all of [ ] Listing 112.05,
while the second prong is one of several ways to satisfy the Listing’s
severity requirement.
Richard ex rel. Z.N.F, 480 Fed. App’x at 777 (citing Randall v. Astrue, 570 F.3d 651, 658
(5th Cir. 2009) (“[E]very mental disorder listing includes two independent components:
a diagnostic description of the disorder and specific criteria measuring the disorder’s
severity.”)); see also Gray ex rel. Whymss, 454 Fed. App’x at 750 (“[T]o be entitled to
benefits, Gray must prove that her son meets both the requirements in the diagnostic
5
Based on the Full Scale IQ score of 56, the plaintiff also advocates for
consideration under 112.05(C), which—in addition to the plaintiff proving the claimant meets
the diagnostic description of the disorder (or the “capsule” requirement)—requires a valid
verbal, performance, or full scale IQ of 59 or less.
11
description of the introductory paragraph and the listed severity criteria in 112.05D.”);
Singleton ex rel. M.T.S. v. Astrue, Civil Action No. 2:11cv512–CSC, 2012 WL 666098, at *4
(M.D. Ala. Feb. 29, 2012) (“[I]t is not sufficient to merely demonstrate an IQ score in the
appropriate range and an additional physical or mental impairment. M.T.S. is also
required to demonstrate that she has deficits in adaptive functioning sufficient to satisfy
the diagnostic description in the introductory paragraph of § 112.05.”).
The plaintiff, simply, has not proven—or made any attempt to prove—that
T.M.W. meets the Listing’s “capsule” requirement, such that T.M.W. “meets” or
“medically equals” Listing 112.05(C) or (D).
•
The plaintiff has not proven that T.M.W. meets or medically equals
Listing 112.11.
For a child T.M.W.’s age, the ADHD listing requires medically documented
findings of (1) marked inattention; (2) marked impulsiveness; and (3) marked
hyperactivity, coupled with at least two marked impairments in age-appropriate
functions of cognitive/communication, social functioning, personal functioning, or
concentration, persistence, and pace.
112.11.
20 C.F.R. Part 404, Subpart P, Appendix 1, §
No such findings exist in the record.
(Contra R. 264 (Dr. Simpson finding that
T.M.W. has a marked limitation in a single domain).)
B.
The ALJ’s consideration of Ms. Howard’s questionnaire; failure to
consider all evidence regarding functional equivalence.
Separately on appeal, the plaintiff contends that the ALJ “completely ignored” a
teacher questionnaire completed by Mary Howard on April 13, 2007 (R. 133-140).
(Doc. 13 at 5 (emphasis in original).)
Although the ALJ’s decision references the
questionnaire completed by Ms. Howard, T.M.W.’s teacher at Southside Primary
12
School, (see, e.g., R. 30 & 35), the ALJ appears to only discuss evidence from Ms. Howard
that supports the ALJ’s ultimate conclusion that T.M.W. fails to functionally equal a
listing.
For example, regarding “the functional area of moving about and manipulating
objects,” the ALJ states, “Ms. Howard, the claimant’s teacher, rated only 6 out of 7
categories as a slight problem[,]” only rating the seventh category under that functional
area, “Planning, remembering, executing controlled motor movements” as “a very
serious problem.”
(R. 31 (discussing R. 137).)
Similarly, for the functional area of
health and physical well-being, the ALJ points out that “[t]he teacher questionnaire
completed by Ms. Howard [ ] did not address this area.”
(R. 35.)
However, Ms. Howard’s questionnaire contains abundant evidence—evidence
the ALJ fails to address—that cuts against the ALJ’s conclusion that T.M.W. does not
functionally equal a listing.
Under the functional area of acquiring and using
information, Ms. Howard rated T.M.W. as very serious in all ten categories.
(See R.
134; compare id., with R. 31 (the ALJ’s discussion of this functional area, in which she
makes no reference to Ms. Howard’s questionnaire).)
Under the functional area of
attending and completing tasks, Ms. Howard rated T.M.W. as very serious in 12 of 13
categories. (See R. 135; compare id., with R. 32 (the ALJ’s discussion of this functional
area, in which, again, she makes no reference to Ms. Howard’s questionnaire).)
Under
the functional area of interacting and relating to others, Ms. Howard rated T.M.W. as
very serious in nine of 13 categories.
(See R. 136; compare id., with R. 32-33 (the ALJ’s
13
discussion of this functional area, in which, yet again, she makes no reference to Ms.
Howard’s questionnaire).)6
The ALJ could have chosen to discredit Ms. Howard’s questionnaire.
She could
have chosen to reject it and accept Ms. Bailey’s questionnaire since that questionnaire is
more recent.
But the ALJ cannot ignore Ms. Howard’s questionnaire.
And she
certainly cannot “pick and choose” evidence from that questionnaire that supports her
conclusion and ignore evidence that does not.
The Commissioner must evaluate the
evidence in its entirety, and the failure to do so leaves this Court not choice but to find
that the ALJ’s decision is not supported by substantial evidence.
In Swilling ex rel. L.G.M.W. v. Astrue, Civil Action No. 1:09cv981–CSC (WO), 2011
WL 2982522 (M.D. Ala. July 22, 2011), for example, a child’s fourth grade teacher
submitted a completed questionnaire regarding the six domains and indicated serious
or obvious problems.
Id. at *2.
On appeal, the plaintiff argued that the teacher’s
assessment directly conflicted the ALJ’s finding of “less than marked” limitation in a
particular domain, which, plaintiff asserted, was reversible error.
Judge Coody disagreed.
Id.
Magistrate
He noted that,
[e]ven thought the ALJ did not specifically state he considered the
teacher’s questionnaire, his general comment about opinion evidence is
sufficient to show that he did consider all the evidence. Moreover, even
6
Interestingly, as to all three of these functional areas—acquiring and using
information, attending and completing tasks, and interacting and relating to others—the ALJ
cites the same evidence to support her conclusion that T.M.W. has less than a marked
limitation, stating, verbatim, under each functional area: “This limitation is supported by Dr.
Anderson’s testimony, the teacher questionnaire in the record, treatment records regarding the
claimant’s improvement with medication, and the mother’s testimony acknowledging
improvement with medication.” (Compare R. 31, with R. 32, with R. 33 (emphasis added).) The
less detailed teacher questionnaire completed by Joann Bailey on January 14, 2009 (R. 204-206)
may indeed support the ALJ’s conclusions, but the evidence provided by Ms. Howard,
obviously, does not.
14
if it was error, it is harmless. The opinion of the ALJ shows that he
carefully considered the evidence in this case and was extremely familiar
with it. A remand is not required.
Id. at *3.
Based on the ALJ’s selective use of Ms. Howard’s questionnaire in this case,
this Court cannot reach the same conclusion here.
Cf. Green v. Commissioner of Soc. Sec.,
No. 6:09–cv–1936–Orl–28DAB, 2010 WL 4941425, at *4 (M.D. Fla. Oct. 27, 2010) (“Nor is
the Court persuaded that the failure to expressly consider [ ]
mere harmless error, as the Commissioner suggests.
teacher evaluations . . .
While the Commissioner
correctly notes that ‘there is no rigid requirement that the ALJ specifically refer to every
piece of evidence in his decision,’ this is only true if the decision is sufficient to enable
the court to conclude that the ALJ fully considered the claimant’s condition.
Here, the
omitted evidence is not cumulative and is patently inconsistent with the ALJ’s findings.
Although the Commissioner contends that the failure to further evaluate the school
records and the assessment was not necessary ‘because any limitations therein would
be inconsistent with [the] record[ ] as a whole,’ this contention is unpersuasive.
It is
the ALJ’s duty to evaluate the evidence and either credit it or discredit it.
The
Commissioner’s contention assumes that the evidence, if evaluated, would necessarily
be discredited—a conclusion that is not within the purview of a reviewing Court.
It is
not the task of this Court to weigh the evidence and establish whether it is consistent or
inconsistent with the record in the first instance; that is the duty of the ALJ.”) (emphasis
added).
Conclusion
Accordingly, it is ORDERED that the decision of the Commissioner of Social
Security denying T.M.W. benefits be reversed and remanded pursuant to sentence four
15
of 42 U.S.C. § 405(g), see Melkonyan v. Sullivan, 501 U.S. 89 (1991), for further
proceedings not inconsistent with this decision.
The remand pursuant to sentence four
of § 405(g) makes the plaintiff a prevailing party for purposes of the Equal Access to
Justice Act, 28 U.S.C. § 2412, see Shalala v. Schaefer, 509 U.S. 292 (1993), and terminates
this Court’s jurisdiction over this matter.
DONE and ORDERED this the 28th day of February, 2013.
s/WILLIAM E. CASSADY
UNITED STATES MAGISTRATE JUDGE
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