Wilson v. Colvin et al
Filing
21
MEMORANDUM OPINION AND ORDER that the decision of the Commissioner of Social Security is REVERSED and REMANDED unde section four of 42:405(g). Signed by Magistrate Judge Katherine P. Nelson on 5/13/2015. (srr)
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ALABAMA
NORTHERN DIVISION
SHARON WILSON, o.b.o. T.M.W.,
Plaintiff,
v.
CAROLYN W. COLVIN, Acting
Commissioner of Social Security,
Defendant.
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CIVIL ACTION NO. 14-00400-N
MEMORANDUM OPINION AND ORDER
Social Security Claimant/Plaintiff Sharon Wilson, on behalf of her minor child
T.M.W.,1 has brought this action under 42 U.S.C. § 1383(c)(3) seeking judicial review of
a final decision of the Defendant Commissioner of Social Security (“the Commissioner”)
denying her application for supplemental security income (“SSI”) under Title XVI of the
Social Security Act, 42 U.S.C. § 1381, et seq. By the consent of the parties (Doc. 18), the
Court has designated the undersigned Magistrate Judge to conduct all proceedings and
order the entry of judgment in this civil action, in accordance with 28 U.S.C. § 636(c)
and Federal Rule of Civil Procedure 73. (Doc. 19).
Upon consideration of the parties’ briefs (Docs. 15, 16), the administrative record
(Doc. 14) (hereinafter cited as “(R. [page number(s)])”), and the arguments of counsel
made at the hearing held April 1, 2015, the Court finds that the Commissioner’s
decision is due to be REVERSED and REMANDED.
I.
Procedural Background
This is the second time Wilson has challenged the Commissoner’s final decision
The Court will hereinafter refer to the Plaintiff as “Wilson,” except where specific
reference to the minor child is appropriate.
1
denying her benefits. Wilson filed an SSI application on March 16, 2007.2 (R. 25).
Social Security Administration (“SSA”) Administrative Law Judge (“ALJ”) Tracy S.
Guice first issued an unfavorable decision on Wilson’s application on June 29, 2009,
finding that T.M.W. was “not disabled” under the Social Security Act. (See R. 22-36).
The Appeals Council for the SSA’s Office of Disability Adjudication and Review, after
considering additional evidence, issued a decision on March 9, 2012, denying Wilson’s
request for review of ALJ Guice’s decision. (R. 1-7).
On May 8, 2012, Wilson sought judicial review of the Commissioner’s March 9,
2012 final decision under § 1383(c)(3) with this Court. See Wilson v. Astrue, SD ALA
Case No. 2:12-cv-307-C (hereinafter, “Wilson I”). After briefing was completed and oral
argument was held, on March 1, 2013, Magistrate Judge William Cassady, to whom the
parties had consented under § 636(c) and Rule 73, reversed the Commissioner’s decision
and remanded for further proceedings under sentence four of 42 U.S.C. § 405(g).3 (See
“SSI is a general public assistance measure providing an additional resource to the aged,
blind, and disabled to assure that their income does not fall below the poverty line.
Eligibility for SSI is based upon proof of indigence and disability.” Sanders v. Astrue, Civil
Action No. 11-0491-N, 2012 WL 4497733, at *3 (S.D. Ala. Sept. 28, 2012) (citing 42 U.S.C.
1382(a), 1382c(a)(3)(A)-(C)). “For SSI claims, a claimant becomes eligible in the first month
where she is both disabled and has an SSI application on file.” Moore v. Barnhart, 405 F.3d
1208, 1211 (11th Cir. 2005) (per curiam) (citing 20 C.F.R. § 416.202–03 (2005)).
2
See 42 U.S.C. § 1383(c)(3) (“The final determination of the Commissioner of Social
Security after a hearing [for SSI benefits] shall be subject to judicial review as provided in
section 405(g) of this title to the same extent as the Commissioner's final determinations
under section 405 of this title.”); 42 U.S.C. § 405(g) (“Any individual, after any final decision
of the Commissioner of Social Security made after a hearing to which he was a party,
irrespective of the amount in controversy, may obtain a review of such decision by a civil
action commenced within sixty days after the mailing to him of notice of such decision or
within such further time as the Commissioner of Social Security may allow…The court
shall have power to enter, upon the pleadings and transcript of the record, a judgment
affirming, modifying, or reversing the decision of the Commissioner of Social Security, with
or without remanding the cause for a rehearing.”).
3
2
R. 351-367); Wilson I, No. CA 2:12-00307-C, 2013 WL 788075, at *1 (S.D. Ala. Mar. 1,
2013). More specifically, Judge Cassady found that ALJ Guice had failed to properly
consider an April 13, 2007 questionnaire completed by one of T.M.W.’s teachers, Mary
Howard, by only discussing those parts of the questionnaire that supported ALJ Guice’s
ultimate determination of “not disabled” while failing to discuss other portions of the
questionnaire that indicated more severe impairments. See (R. 363-367); Wilson I, 2013
WL 788075, at *7-9.
Judge Cassady thus reversed and remanded “for further
proceedings not inconsistent with [his] decision.” (R. 351, 366-367). Wilson I, 2013 WL
788075, at *9. The Commissioner did not appeal Judge Cassady’s judgment.
Following remand, on May 13, 2013, the Appeals Council vacated the
Commissioner’s previous final decision and remanded the case to an ALJ “for further
proceedings consistent with the order of the court.” (R. 347-350). The Appeals Council
also consolidated the proceedings for Wilson’s March 16, 2007 SSI application with
those for a subsequent application for disability benefits Wilson filed March 10, 2010,
and ordered the ALJ to “issue a new decision on the consolidated claims.” (R. 347-350).
On April 7, 2014, a video hearing on Wilson’s applications was held before ALJ
Ricky V. South. (R. 306-307). On June 6, 2014, ALJ South issued an unfavorable
decision on Wilson’s application.4 (R. 304-326). Because the Appeals Council did not
assume jurisdiction over Wilson’s case, ALJ South’s decision constitutes the
Commissioner’s final decision after remand. See 20 C.F.R. § 416.1484; (R. 305). Wilson
filed the present request for judicial review of that decision under § 1383(c)(3) on
Though ALJ South’s decision is dated “June 6, 2012,” the parties agree that this was a
clerical error and that the decision was issued in 2014.
4
3
August 28, 2014.5
II.
Standard of Review
“In Social Security appeals, [the Court] must determine whether the
Commissioner’s decision is ‘ “supported by substantial evidence and based on proper
legal standards. Substantial evidence is more than a scintilla and is such relevant
evidence as a reasonable person would accept as adequate to support a conclusion.” ’ ”
Winschel v. Comm'r of Soc. Sec., 631 F.3d 1176, 1178 (11th Cir. 2011) (quoting
Crawford v. Comm'r of Soc. Sec., 363 F.3d 1155, 1158 (11th Cir. 2004) (per curiam)
(internal citation omitted) (quoting Lewis v. Callahan, 125 F.3d 1436, 1439 (11th Cir.
1997))). However, the Court “ ‘may not decide the facts anew, reweigh the evidence, or
substitute our judgment for that of the [Commissioner].’ ” Winschel, 631 F.3d at 1178
(quoting Phillips v. Barnhart, 357 F.3d 1232, 1240 n.8 (11th Cir. 2004) (alteration in
original) (quoting Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983))). “
‘Even if the evidence preponderates against the [Commissioner]'s factual findings, we
must affirm if the decision reached is supported by substantial evidence.’ ” Ingram v.
Comm'r of Soc. Sec. Admin., 496 F.3d 1253, 1260 (11th Cir. 2007) (quoting Martin v.
Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990)).
“Yet, within this narrowly circumscribed role, [courts] do not act as
automatons. [The court] must scrutinize the record as a whole to determine if the
decision reached is reasonable and supported by substantial evidence[.]” Bloodsworth,
703 F.2d at 1239 (citations and quotation omitted).
“In determining whether
The record reflects that Wilson and her minor child reside in this judicial district. Thus,
venue is proper in this Court. See 42 U.S.C. § 405(g) (“Such action shall be brought in the
district court of the United States for the judicial district in which the plaintiff resides, or
has his principal place of business…”).
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4
substantial evidence exists, [a court] must…tak[e] into account evidence favorable as
well as unfavorable to the [Commissioner’s] decision.” Chester v. Bowen, 792 F.2d 129,
131 (11th Cir. 1986). Moreover, “[t]here is no presumption…that the Commissioner
followed the appropriate legal standards in deciding a claim for benefits or that the
legal conclusions reached were valid.
Instead, [the court] conduct[s] ‘an exacting
examination’ of these factors.” Miles v. Chater, 84 F.3d 1397, 1400 (11th Cir. 1996) (per
curiam) (citing Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990)) (internal
citation omitted).
In sum, courts “review the Commissioner’s factual findings with
deference and the Commissioner’s legal conclusions with close scrutiny.” Doughty v.
Apfel, 245 F.3d 1274, 1278 (11th Cir. 2001). See also Moore v. Barnhart, 405 F.3d 1208,
1211 (11th Cir. 2005) (per curiam) (“In Social Security appeals, we review de novo the
legal principles upon which the Commissioner's decision is based. Chester v. Bowen, 792
F.2d 129, 131 (11th Cir. 1986). However, we review the resulting decision only to
determine whether it is supported by substantial evidence. Crawford v. Comm'r of Soc.
Sec., 363 F.3d 1155, 1158–59 (11th Cir. 2004).”). “ ‘The [Commissioner]'s failure to
apply the correct law or to provide the reviewing court with sufficient reasoning for
determining that the proper legal analysis has been conducted mandates reversal.’ ”
Ingram, 496 F.3d at 1260 (quoting Cornelius v. Sullivan, 936 F.2d 1143, 1145-46 (11th
Cir. 1991)).
“Eligibility for…SSI requires that the claimant be disabled. 42 U.S.C.
§…1382(a)(1)-(2).” Thornton v. Comm'r, Soc. Sec. Admin., 597 F. App'x 604, 609 (11th
Cir. Feb. 11, 2015) (per curiam) (unpublished).6
6
“An individual under the age of 18
In this Circuit, “[u]npublished opinions are not considered binding precedent, but they
5
shall be considered disabled…if that individual has a medically determinable physical
or mental impairment, which results in marked and severe functional limitations, and
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.A. § 1382c(C)(i).
“Notwithstanding [§ 1382c(C)](i), no individual under the age of 18 who engages in
substantial gainful activity…may be considered to be disabled.” Id. § 1382c(C)(ii).
The Social Security Administration uses a sequential, three-step analysis
to determine whether a child is disabled. The claimant must establish (1)
whether the child is working; (2) whether the child has a severe
impairment or combination of impairments; and (3) whether the child's
impairment or combination of impairments meets, medically equals, or
functionally equals the severity of an impairment in the Listing of
Impairments. 20 C.F.R. § 416.924(a); id. Pt. 404, Subpt. P, App. 1…
…To determine whether an impairment or combination of impairments
“functionally equals” a listed impairment, the administrative law judge
assesses the claimant on six domains, including (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 himself; and (6) health and physical well-being. Id. §§
416.926a(a), (b)(1), (d). The claimant must establish that he suffers from
an “extreme” limitation in one of the domains, or “marked” limitations in
two of the domains. Id. § 416.926a(a). A “marked” limitation is one that
“interferes seriously with [the claimant's] ability to independently initiate,
sustain, or complete activities.” Id. § 416.926a(e)(2)(i). “ ‘Marked’
limitation also means a limitation that is ‘more than moderate’ but ‘less
than extreme.’ It is the equivalent of the functioning we would expect to
find on standardized testing with scores that are at least two, but less
than three, standard deviations below the mean.” Id.
Parks ex rel. D.P. v. Comm'r, Soc. Sec. Admin., No. 14-12154, 2015 WL 1774488, at *3-4
(11th Cir. Apr. 20, 2015) (published).7 “The burden lies with the claimant to prove that
may be cited as persuasive authority.” 11th Cir. R. 36-2 (effective Dec. 1, 2014). See also
Bonilla v. Baker Concrete Const., Inc., 487 F.3d 1340, 1345 n.7 (11th Cir. 2007)
(“Unpublished opinions are not controlling authority and are persuasive only insofar as
their legal analysis warrants.”).
7 The Court will hereinafter use “Step One,” “Step Two,” and “Step Three” when referencing
individual steps of this three-step sequential evaluation.
6
he meets or equals a Listing.” Gray ex rel. Whymss v. Comm'r of Soc. Sec., 454 F. App'x
748, 750 (11th Cir. Dec. 8, 2011) (per curiam) (unpublished) (citing Barron v. Sullivan,
924 F.2d 227, 229 (11th Cir. 1991)).
III.
Claims on Appeal
Claim 1 –
ALJ South “failed to address/committed the exact error of
law previously identified by this Honorable Court in
Wilson ex rel. T.M.W. v. Colvin, No. CA 2:12-00307-C,
2013 WL 788075, at *7-9 (S.D. Ala. Mar. 1, 2013) by
ignoring the teacher questionnaire completed by Mary
Howard.”
Claim 2 -
ALJ South’s “functionality findings fail to provide
meaningful rationale addressing the legal significance of
the fact that objective testing revealed that TMW had a
grade equivalence of 2.6 in reading and 3.0 in math.”
(Doc. 15 at 8).
IV.
A.
Analysis
Claim 1 (Failure to Comply with Previous Remand Order)
In Wilson I, regarding Ms. Howard’s questionnaire, Judge Cassady stated:
Although the ALJ's decision references the questionnaire completed by
Ms. Howard, T.M.W.'s teacher at Southside Primary School, 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.”
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.”
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
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very serious in all ten categories. Under the functional area of attending
and completing tasks, Ms. Howard rated T.M.W. as very serious in 12 of
13 categories. Under the functional area of interacting and relating to
others, Ms. Howard rated T.M.W. as very serious in nine of 13
categories.FN6
FN6 - 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.”
The less detailed teacher questionnaire completed by Joann Bailey
on January 14, 2009 may indeed support the ALJ's conclusions, but
the evidence provided by Ms. Howard, obviously, does not.
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.
2013 WL 788075, at *7-8 (record citations omitted).
Wilson argues that ALJ South failed to comply with Judge Cassady’s directive in
Wilson I to address adequately address the opinions in Ms. Howard’s questionnaire.
The Court agrees.
As Wilson points out, ALJ South only references Ms. Howard’s
questionnaire twice, and only by exhibit number (Administrative Record Exhibit 3E [R.
132-140]), in the following manner (the first time, in his general determination that
T.M.W. did not satisfy Step Three, and again in specifically addressing the “health and
physical well-being” domain):
At the hearing on April 7, 2014, the claimant’s representative indicated
that Exhibit 3E shows the claimant has limitations in acquiring and using
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information and attending and completing tasks. The representative
stated that the claimant’s IEP shows he is reading on the second and
third grades level versus performing on the ninth grade level in
Mathematics. The representative stated the claimant struggles with
emotional problems and has problem completing tasks. Nonetheless,
despite his mental limitations and mental health diagnoses, the claimant
has progressed in school with Special Education assistance. At the
hearing on April 7, 2014, the claimant testified that he makes A’s, B’s,
some C’s, and a few D’s. Despite his academic struggles, the claimant
testified that he aspires that he wants to be a welder.
(R. 319, 325).
At oral argument, Wilson accurately characterized this reference as, at most,
indicating that ALJ South considered of the arguments of Wilson’s representative
concerning Ms. Howard’s questionnaire. There is no indication in ALJ South’s opinion
that he actually considered any of the questionnaire itself, let alone addressed those
portions identified by Judge Cassady as “cut[ting] against the…conclusion that T.M.W.
does not functionally equal a listing.” 8 As Wilson also correctly notes, ALJ South
further muddied the waters by assigning “great weight to the reports of the claimant’s
teachers” (R. 313), a category into which Ms. Howard’s questionnaire undoubtedly falls.
Under the Social Security regulations,
[w]hen a Federal court remands a case to the Commissioner for further
consideration, the Appeals Council, acting on behalf of the Commissioner,
may make a decision, or it may remand the case to an administrative law
judge with instructions to take action and issue a decision or return the
case to the Appeals Council with a recommended decision. If the case is
remanded by the Appeals Council, the procedures explained in § 416.1477
ALJ South made it a point to state that he had “carefully read and considered all evidence
regardless of whether it is specifically cited in the decision.” (R. 32). However, “[i]t is
insufficient for an ALJ to state that he considered all of the evidence when he does not
indicate what weight was accorded to the evidence considered.” Himes v. Comm'r of Soc.
Sec., 585 F. App'x 758, 765 (11th Cir. Sept. 26, 2014) (per curiam) (unpublished) (citing
Ryan v. Heckler, 762 F.2d 939, 942 (11th Cir. 1985); Cowart v. Schweiker, 662 F.2d 731, 735
(11th Cir. 1981)). ALJ South’s “catch-all” statement is particularly insufficient given that
he was specifically ordered to address Ms. Howard’s questionnaire on remand.
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will be followed. Any issues relating to [a] claim may be considered by the
administrative law judge whether or not they were raised in the
administrative proceedings leading to the final decision in your case.
20 C.F.R. § 416.1483.
On remand, “[t]he administrative law judge shall take any action that is ordered
by the Appeals Council and may take any additional action that is not inconsistent with
the Appeals Council's remand order.” 20 C.F.R. § 416.1477(b). “A court ‘may not alter,
amend, or examine the mandate, or give any further relief or review, but must enter an
order in strict compliance with the mandate.’ ” Apone v. Comm'r, Soc. Sec. Admin., 435
F. App'x 864, 865 (11th Cir. July 25, 2011) (per curiam) (unpublished) (quoting
Piambino v. Bailey, 757 F.2d 1112, 1119 (11th Cir. 1985)). 9 10
Apone expressly noted: “In general, our review of the Commissioner's decision is limited to
whether substantial evidence supports the decision and whether the correct legal standards
were applied. Wilson v. Barnhart, 284 F.3d 1219, 1221 (11th Cir.2002). But here, Apone
challenges only whether the ALJ complied with the remand order.” 435 F. App'x at 865 n.4.
9
Accord Lederer v. Comm'r of Soc. Sec., No. 213-CV-761-FTM-CM, 2015 WL 403210, at *5
(M.D. Fla. Jan. 28, 2015):
10
The scope of the ALJ's review on remand from the district court differs
depending on the language of the Remand Order and subsequent Appeals
Council decision. See Spiceland v. Colvin, No. 1:13–cv–114–MP–GRJ, 2014
WL 897003 (N.D. Fla. Mar.6, 2014) (emphasizing the importance of the
particular language of the remand order when determining the scope of the
ALJ's review). Here, Judge Chappell's order directed that the case be
remanded solely for one issue: to clarify the inconsistency between the
hypothetical posed by ALJ Lieb to the VE and her RFC determination. The
Appeals Council then remanded the case to an ALJ “for further proceedings
consistent with the order of the court.” Tr. 539.
Federal regulations limit an ALJ's authority on remand only to that
expressly permitted by the Appeals Council and actions consistent therewith:
Pursuant to §§ 20 C.F.R. 404.977(b) and 416.1477(b), an ALJ “shall
take any action that is ordered by the Appeals Council....” Id. The
Eleventh Circuit has characterized such remand orders as mandates,
stating that the lower court, in this case the ALJ, “ ‘may not alter,
amend, or examine the mandate, or give any further relief or review,
10
Here, the Appeals Council expressly remanded Wilson’s case to the ALJ “for
further proceedings consistent with” Judge Cassady’s opinion in Wilson I and
instructed the ALJ to “issue a new decision.” (R. 349). As Judge Cassady stated, “[t]he
ALJ could have chosen to discredit Ms. Howard's questionnaire” or “could have chosen
to reject it...But the ALJ cannot ignore Ms. Howard's questionnaire.” 2013 WL 788075,
at *8. However, ignore Ms. Howard’s questionnaire is precisely what ALJ South did,
instead simply making two passing references to the arguments of Wilson’s counsel
concerning Ms. Howard’s questionnaire.
Because ALJ South failed to follow the
Appeals Council’s instructions on remand, he failed to apply the proper legal standards
in reaching his decision, which mandates reversal. 11
Ingram, 496 F.3d at 1260.
Accordingly, Wilson’s claim of error at Claim 1 is SUSTAINED.
Generally, remand to the Commissioner “is warranted where the ALJ has failed
to apply the correct legal standards.” Davis v. Shalala, 985 F.2d 528, 534 (11th Cir.
1993).
This Court may enter an order “awarding disability benefits where the
[Commissioner] has already considered the essential evidence and it is clear that the
cumulative effect of the evidence establishes disability without any doubt.” Id. See also
Carnes v. Sullivan, 936 F.2d 1215, 1219 (11th Cir. 1991) (“The credibility of witnesses
is for the Secretary to determine, not the courts…The decision of the Secretary here,
but must enter an order in strict compliance with the mandate.’ ”
Bowes v. Comm'r of Soc. Sec., No. 6:13–cv–766–Orl–GJK, 2014 WL 3853673,
*1 (M.D. Fla. Aug.5, 2014) (quoting Apone v. Comm'r of Soc. Sec., 2011 WL
3055266, *1 (11th Cir. July 25, 2011)).
In reaching this conclusion, the undersigned need not, and does not, express any view
regarding the correctness vel non of Judge Cassady’s opinion in Wilson I. The undersigned
concludes only that, however much ALJ South may have disagreed with it, he was not free
to disregard it.
11
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however, rests not so much on the credibility of the ‘history of pain; presented by
Carnes, as on the adoption of a legal standard improper under Listing 10.10(A). []The
record in this case is fully developed and there is no need to remand for additional
evidence. Based on the facts adduced below and after application of the proper legal
standard, we hold that claimant met the requirements of Listing 10.10(A) as early as
1982.”).
Here, however, it is not clear that the cumulative effect of the evidence
establishes disability without any doubt.
Thus, the Court will reverse and remand this action to the Commissioner.12 See
42 U.S.C. § 405 (The court shall have power to enter, upon the pleadings and transcript
of the record, a judgment…reversing the decision of the Commissioner of Social
Security, with or without remanding the cause for a rehearing.”).
On remand, the
Commissioner shall comply with Judge Cassady’s remand order in Wilson I.
B.
Claim 2 (Sufficiency of Functionality Findings)
In Claim 2, Wilson, citing a section of T.M.W.’s 8th Grade Individualized
Education Program (IEP) (Exhibit 15E), “asserts that the ALJ’s functionality findings
fail to provide meaningful rationale addressing the legal significance of the fact that
objective testing revealed that TMW had a grade equivalence of 2.6 in reading and 3.0
Cf. Hildebrand v. Comm'r of Soc. Sec., No. 6:11-CV-1012-ORL-31, 2012 WL 1854238, at
*7 (M.D. Fla. May 4, 2012) (“The errors noted here compel a return of the case to the
Commissioner to evaluate the evidence and make findings in the first instance. For the
reasons set forth above, the Court finds that certain of the conclusions of the ALJ were not
made in accordance with proper legal standards and are not supported by substantial
evidence. The Court does not find that only one conclusion can be drawn from the evidence;
but that the conclusion that was drawn did not meet the standard of review. Under such a
circumstance, it would not be appropriate for this Court to substitute its opinion of the
weight to be given the evidence for that of the Commissioner. While the Court has the
power to do just that in an appropriate case, the Court finds this is not such a case.”), report
and recommendation adopted, No. 6:11-CV-1012-ORL-31, 2012 WL 1854249 (M.D. Fla. May
21, 2012).
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in math when he was in the eighth grade…” (Doc. 15 at 12 (citing R. 471)). In support,
Wilson cites to a district court opinion’s quotation of 20 C.F.R. § 416.926a(e)(2)(iii),
which provides: “If you are a child of any age (birth to the attainment of age 18), we will
find that you have a ‘marked’ limitation when you have a valid score that is two
standard deviations or more below the mean, but less than three standard deviations,
on a comprehensive standardized test designed to measure ability or functioning in that
domain, and your day-to-day functioning in domain-related activities is consistent with
that score.” Wilson claims that “[t]he objective reading and math scores provide direct
evidence that TMW was functioning two standard deviations below the mean.” (Doc. 15
at 12).
The SSA regulations provide that the Commissioner “will consider [a claimant’s]
test scores together with the other information…about [the claimant’s] functioning.” 20
C.F.R. § 416.926a(e)(4)(ii). However, the Commissioner “will not rely on any test score
alone. No single piece of information taken in isolation can establish whether [a
claimant] ha[s] a ‘marked’ or an ‘extreme’ limitation in a domain.”
Id. §
416.926a(e)(4)(i). See also 20 C.F.R. § 416.924a(a)(1)(ii). Moreover, “[a]lthough the ALJ
must consider the Listings, there is no requirement that the ALJ mechanically recite
the evidence leading to his ultimate determination.” Gray, 454 F. App'x at 750 (citing
Hutchison v. Bowen, 787 F.2d 1461, 1463 (11th Cir. 1986)).
Given that the Court has already determined that Claim 1 warrants remand, see
supra, the Court need not, and does not, decide the merits of Claim 2. Cf. Salter v.
Astrue, Civil Action No. 11–00681–C, 2012 WL 3817791, at *2 (S.D. Ala. Sept. 4, 2012)
(“Because the Court determines that the decision of the Commissioner should be
13
reversed and remanded for further proceedings based on the plaintiff’s second claim,
regarding the RFC determination, there is no need for the Court to consider the
plaintiff’s other claims.” (citing Robinson v. Massanari, 176 F. Supp. 2d 1278, 1280 &
n.2 (S.D. Ala. 2001); Pendley v. Heckler, 767 F.2d 1561, 1563 (11th Cir. 1985) (“Because
the ‘misuse of the expert’s testimony alone warrants reversal,’ we do not consider the
appellant’s other claims.”))). However, on remand, the Commissioner should consider
the need to address the grade equivalence scores Wilson has cited in accordance with 20
C.F.R. § 416.926a(e)(4) and 20 C.F.R. § 416.920b (“If the evidence in your case record is
insufficient or inconsistent, we may need to take additional actions, as we explain in
paragraphs (b) and (c) of this section.”).13
V.
Conclusion
In accordance with the foregoing analysis, it is ORDERED that ALJ South’s
June 6, 2014 decision denying Wilson’s application for SSI benefits, which constitutes
the final decision of the Defendant Commissioner of Social Security on the matter, is
REVERSED and REMANDED under sentence four 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 Wilson 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.
Cf. Reeves v. Heckler, 734 F.2d 519, 522 n.1 (11th Cir. 1984) (per curiam) (“While we do
not base our decision on this issue, the ALJ failed to order a consultative examination by an
orthopedist even though the SSA's consulting doctor recommended such an evaluation. The
regulations provide that the ALJ may order a consultative examination when warranted. It
is reversible error for an ALJ not to order a consultative examination when such an
evaluation is necessary for him to make an informed decision. On remand the ALJ should
consider the need for an orthopedic evaluation.” (citations omitted)).
13
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Pursuant to Federal Rule of Civil Procedure 54(d)(2)(B), the Court hereby grants
Wilson’s attorney an extension of time in which to file a petition for authorization of
attorney's fees under 42 U.S.C. § 406(b) until thirty days after receipt of a notice of
award of benefits from the Social Security Administration. See Bergen v. Comm'r of
Soc. Sec., 454 F.3d 1273, 1277 (11th Cir. 2006) (per curiam) (“Fed. R. Civ. P. 54(d)(2)
applies to a § 406(b) attorney's fee claim.”); Blitch v. Astrue, 261 F. App'x 241, 242 n.1
(11th Cir. 2008) (per curiam) (unpublished) (“In Bergen v. Comm'r of Soc. Sec., 454 F.3d
1273 (11th Cir. 2006), we suggested the best practice for avoiding confusion about the
integration of Fed. R. Civ. P. 54(d)(2)(B) into the procedural framework of a fee award
under 42 U.S.C. § 406 is for a plaintiff to request and the district court to include in the
remand judgment a statement that attorneys fees may be applied for within a specified
time after the determination of the plaintiff's past due benefits by the Commission. 454
F.3d at 1278 n.2.”).
Final judgment shall issue separately in accordance with this Order and Federal
Rule of Civil Procedure 58.
DONE and ORDERED this the 13th day of May 2015.
/s/ Katherine P. Nelson
KATHERINE P. NELSON
UNITED STATES MAGISTRATE JUDGE
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