Stokes v. Colvin
Filing
30
MEMORANDUM ORDER Denying 26 MOTION for Attorney Fees, filed by Rosely Altagracia Stokes. Signed by Judge Richard G. Andrews on 11/3/2015. (nms)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
ROSELY ALTAGRACIA STOKES,
Plaintiff,
v.
Civil Action No. 13-1479-RGA
CAROLYN W. COLVIN, Acting
Commissioner of Social Security,
Defendant.
MEMORANDUM·ORDER
At Wilmington
t~ day of November, 2015, having reviewed Plaintiff's motion for
attorneys' fees under the EqtJal Access to Justice Act, 28 U.S.C. § 2412(d)(l)(A), and the papers
· filed in connection therewith,
IT IS ORDERED that Plaintiffs motion for attorneys' fees (D.1. 26) is DENIED for the
following reasons:
BACKGROUND
Plaintiff, RoselyAltagracia Stokes, filed her applications for DIB on November 9, 2009,
and SSI on November 27, 2009. 1 (D.I. 10 & 11 (hereafter "Tr.")). The Administrative Law
Judge (the "ALJ") denied Plaintiff's application on October 9, 2011. (Tr. at 18-29, 398-439).
The Appeals Council subsequently declined to review the ALJ's decision. (Tr. at 1-4). Thus, the
ALJ' s denial of benefits became the final decision of the Acting Commissioner of Social
Security, Carolyn W. Colvin (the "Commissioner"). Id. Plaintiff then filed suit requesting this
Court to review the Commissioner's decision. (D.1. 1). The parties' cross-motions for summary
1
Eligibility for SSI is a derivative of qualification for DIB. For ease ofreference, the Court will refer only to DIB.
judgment (D.I. 13, 16) were referred to the United States Magistrate Judge, who issued a Report
and Recommendation (D.I. 19) recommending that the Court affirm the ALJ's denial of benefits.
Upon de nova review, this Court held that the ALJ improperly discredited a treating physician's
opinion, granted summary judgment in favor of Plaintiff, and remanded the case for further
proceedings. (D.I. 24).
LEGAL STANDARD
Presently pending before this Court is Plaintiff's motion for attorneys' fees pursuant to
the Equal Access to Justice Act ("EAJA"). 28 U.S.C. § 2412(d)(l)(A). The EAJA allows a
prevailing party to obtain attorneys' fees in a lawsuit against the United States. Id. Yet, the
EAJA is not a "loser pays statute," and a prevailing party will not be awarded attorneys' fees if
the government's position was "substantially justified" in the underlying litigation. Morgan v.
Perry, 142 F.3d 670, 685 (3d Cir. 1998). The "court cannot assume that the government's
position was not substantially justified simply because the government lost on the merits.~' Id.
The Supreme Court has defined substantially justified as "justified to a degree that could
satisfy a reasonable person." Pierce v. Underwood, 487 U.S. 552, 565 (1988). The Third Circuit
has clarified that substantial justification requires "a reasonable basis in both law and fact."
Hanover Potato Products, Inc. v. Shala/a, 989 F.2d 123, 128 (3d Cir. 1993) (citing Pierce, 487
U.S. at 565). In other words, the requirement that the government's position be substantially
justified is "a middle ground between an automatic award of fees to a prevailing party and an
award made only when the government's position was frivolous." Tressler v. Heckler, 748 F.2d
146, 149 (3d Cir. 1984) (citing Dougherty v. Lehman, 711F.2d555, 563 (3d Cir. 1983)). In
determining the reasonableness of the government's position, a court must look to both the
2
government's "prelitigation agency position and its litigation position." Williams v. Astrue, 600
F.3d 299, 302 (3d Cir. 2009).
Accordingly, in an action for attorneys' fees under the EAJA, the government has the
burden of proving that its position in the underlying litigation was substantially justified.
Morgan, 142 F.3d at 684. To demonstrate substantial justification, the government must offer:
"(1) a reasonable basis in truth for the facts alleged; (2) a reasonable basis in law for the theory it
propounded; and (3) a reasonable connection between the facts alleged and the legal theory
advanced." Id.
DISCUSSION
Familiarity with this Court's previous opinion is presumed. (D.I. 23). Plaintiff now
moves that she is entitled to an award of attorneys' fees because the ALJ failed to follow the
treating physician rule and improperly discredited the treating physician's opinion. 2 (D.I. 27).
While this Court disagreed with the ALJ's stance, "a position can be justified even though it is
not correct, and ... can be substantially (i.e., for the most part) justified if a reasonable person
could think it correct, that is, if it ha[d] a reasonable basis in law and fact." Pierce, 487 U.S. at
566 n.2.
Although this Court found the ALJ's determination to deny the treating physician's
opinion controlling weight to be improper, the ALJ's decision was reasonably based in both law
and fact. The ALJ applied the correct law, but multiple reasons provided by the ALJ were
insufficient to support his conclusion. In other words, the law requires a "basis of contradictory
medical evidence" to discredit a treating physician's opinion, and the ALJ opined that
contradictory evidence existed in the record. Morales v. Apfel, 225 F .3d 310, 318 (3d Cir. 2000)
2
The parties do not dispute that Plaintiff is the prevailing party.
3
(citing Plummer v. Apfel, 186 F.3d 422, 428 (3d Cir. 1999)) (noting that an ALJ may reject "a
treating physician's opinion outright only on the basis of contradictory medical evidence" and not
due to his or her own credibility judgments, speculation, or lay opinion).
As required by Third Circuit precedent, the ALJ provided facts and reasons that he
thought were sufficient to discredit the treating physician's opinion. 3 Specifically, the ALJ
found the treating physician's notes and medical record as a whole to be inconsistent with the
treating physician's "marked limitation" conclusion. (D.I. 17 at 12). While this Court held that
multiple reasons behind the ALJ's finding of conflicting medical evidence were improper, the
ALJ recognized the relevant law and explained the facts he thought were reasonably sufficient to
discredit the treating physician's opinion.
The Magistrate Judge concluded that the "ALJ's findings [were] based on the medical
record as a whole[,]" and that "based on the treatment relationship, a lack of support from
relevant medical evidence, [and] inconsistencies with the medical record as a whole[,]" the
ALJ's discrediting of the treating physician's opinion "was appropriate and supported by
substantial evidence." (D.I. 19). While agreement from other courts is not determinative as to
whether the government's position was substantially justified, a prior opinion is a strong
"objective indicia" for this Court to consider. Pierce, 487 U.S. at 568 (emphasizing that other
court decisions are relevant to a substantial justification determination).
If an ALJ finds the treating physician's opinion is not entitled to "controlling weight," the
ALJ must then evaluate the weight to give to the opinion according to specific factors. See 20
C.F.R. § 404.1527(c)(l)-(6); Gonzales v. Astrue, 537 F. Supp. 2d 644, 660 (D. Del 2008) ("Even
3
The ALJ did not discredit all of the treating physician's opinions. In fact, the ALJ took a significant number of the
treating physician's findings that the ALJ reasonably believed did not conflict with the medical record as a whole
into account to determine Plaintiff's residual functional capacity assessment. (D.I. 17 at 14-15).
4
where there is contradictory medical evidence, ... and an ALJ decides not to give a treating
physician's opinion controlling weight, the ALJ must still carefully evaluate how much weight to
give the treating physician's opinion."). Here, the ALJ analyzed the record and provided facts
and reasoning behind his decision to give the treating physician's opinion on1y "some weight."
(Tr. at 27). Despite the fact that this Court found the inferences the ALJ drew to be improper in
discrediting the treating physician's opinion, the ALJ otherwise appropriately evaluated the
weight given to the treating physician's opinion through consideration of the factual record as
applied to the requisite legal factors. (D.I. 23 at 14).
This Court's previous opinion further emphasizes that the ALJ reasonably connected the
facts advanced to the applicable legal requirements. Specifically, this Court noted that, given the
ALJ's explicit and implicit consideration of the factors discussed above, "if the ALJ's
determination that Dr. Dupree's opinion was not entitled to controlling weight is, contrary to
[this Court's] opinion, correct, then the ALJ's conclusion as to the weight to be given it would be
supported by substantial evidence."4 Id. The ALJ is not foreclosed from reaching the same
opinion on remand that the treating physician's opinion is not entitled to controlling weight, and
ifhe does, the Court has already indicated that his conclusion relating to "some weight" would
be supported by the requisite evidence.
Plaintiff contends that she is entitled to an award of attorneys' fees "given the multiple
errors identified by this Court," focusing on the claim that the ALJ improperly discredited the
treating physician's opinion. 5 (D.I. 27 at 4). Yet, the Third Circuit has declared that "a party's
4
The standard for substantial evidence is enough that "if the trial were to a jury, a refusal to direct a verdict when
the conclusion sought to be drawn from it is one of fact for the jury." Monsour Med. Ctr. v. Heckler, 806 F.2d 1185,
1190 (3d Cir. 1986) (quoting Universal Camera Corp. v. NLRB, 340 U.S. 474, 477 (1951)). "[S]o long as an
agency's faetfinding is supported by substantial evidence, reviewing courts lack power to reverse[.]" Monsour Med.
Ctr., 806 F.2d at 1191.
5
Indeed, this Court only reached one of three issues raised by Plaintiff in the underlying litigation, namely, that the
ALJ failed to follow the treating physician rule. (D.1. 23 at 15). This Court declined to address Plaintiffs other two
5
success [orloss] on a single claim will rarely be dispositive of whether the government's overall
position was substantially justified." Williams, 600 F.3d at 302 (quoting Stewart v. Astrue, 561
F.3d 679, 683 (7th Cir. 2009)). Thus, the Commissioner asserts that the ALJ's overall position
was reasonable and supported by substantial evidence despite the ALJ only granting the treating
physician's opinion "some weight." (D.I. 28 at 4) ("Although the ALJ may not have given
appropriate deference to [the treating physician's] opinion under the treating physician rule, even
ifhe had given controlling weight to [the treating physician's opinion], ... substantial evidence
would still support a finding of non-disability.").
The Third Circuit has held that the government's position can be substantially justified if
the ALJ's "error is inconsequential[,]" and "the ALJ had the ability to reach the same conclusion
on remand based on other evidence in therecord." Williams, 600 F.3d at 302. On remand, it is
possible that the ALJ may still make a finding of non-disability. The ALJ may conclude again
that the treating physician's opinion is not entitled to controlling weight for either different
reasons based on other findings in the record or one of the same reasons offered previously after
the record has been further developed upon remand. 6 Alternatively, the ALJ may decide the
treating physician's opinion is entitled to controlling weight, but construe the vocational expert
testimony in a way that also fails to find Plaintiff disabled. 7 A reasonable person could view the
objections: that the ALJ failed to properly evaluate Plaintiffs credibility and the ALJ relied on flawed vocational
expert testimony. Id. Instead, finding that the case warranted reconsideration given the ALJ's improper discrediting
of the treating physician's opinion, this Court stated that ''the ALJ will need to assess anew Stokes' credibility and
the VE testimony based on a record as it exists at the time." Id.
6
This Court noted in its previous opinion that one of the reasons the ALJ discredited the treating physician's
"marked limitation" conclusion, a gap in Plaintiff's treatment, was speculative and unsupported because the ALJ did
not determine whether Plaintiff had an acceptable reason or consider alternative explanations. (D.I. 23 at 13).
However, on remand, it is possible that the record with respect to this point would be developed and clarified in a
manner that justifies discrediting the treating physician's opinion.
7
The treating physician noted that Plaintiff was capable of low stress work and would only be likely to miss work
about once a month due to her impairments. (Tr. 823-24). The treating physician also noted on the form that
Plaintiff was "markedly limited" in the areas of maintaining concentration for extended periods, working in
coordination with others without being distracted, and getting along with peers without distracting them. (Tr. 82021 ). The ALJ presented Plaintiff to the vocational expert as limited to jobs involving low-stress, low-concentration,
6
ALJ' s decision to deny benefits as supported by the record as a whole and reasonably based in
both law and fact.
Significantly, the Magistrate Judge recommended that this Court find there was
substantial justification to support the ALJ' s non-disability decision. Under the totality of the
circumstances, including the Magistrate Judge's opinion and the evidence discussed above, the
ALJ' s position and the Commissioner's defense of it are substantially justified.
CONCLUSION
For the aforementioned reasons, Plaintiffs motion for attorneys' fees under the Equal
Access to Justice Act (D.I. 26) is DENIED.
low-memory, only one to two step tasks, little to no interaction with the public or other workers, and "[essential]
isolat[ion] with occasional supervision." (Tr. 430-31). The vocational expert testified that Plaintiff was capable of
numerous jobs in the national economy. (Tr. 432-33). Additionally, the vocational expert testified that Plaintiff
would have to miss work three or more times per month, have decreased productivity by 5-20% or more due to
distractions, or be unable to interact with a single person to be considered precluded from work. (Tr. 436-37).
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