Ross v. Commissioner of Social Security
Filing
23
ORDER adopting and confirming 20 REPORT AND RECOMMENDATION. Defendant's objections (Doc. No. 21 ) are OVERRULED. The Final Decision of the Commissioner denying the Plaintiff's claim for Disability Insurance benefits and Supplementa l Security Income payments is hereby REVERSED and REMANDED for further proceedings pursuant to sentence four of 42 U.S.C. § 405(g). The Clerk shall enter final judgment in favor of the Plaintiff and against the Commissioner and the Clerk is DIRECTED TO CLOSE this case. Signed by Chief Judge Anne C. Conway on 9/17/2013. (SR)
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
ORLANDO DIVISION
ANGELA VICTORIA ROSS,
Plaintiff,
v.
Case No: 6:12-cv-959-Orl-22GJK
COMMISSIONER OF SOCIAL
SECURITY,
Defendant.
ORDER
This cause is before the Court on Plaintiff Angela Victoria Ross’ (“Plaintiff”)
Complaint for review of the Final Decision of the Commissioner of Social Security (the
“Commissioner”) denying Plaintiff’s claim for Disability Insurance benefits and
Supplemental Security Income payments. (Doc. No. 1).
The United States Magistrate Judge has submitted a report recommending that,
pursuant to sentence four of 42 U.S.C. § 405(g), the decision be reversed and remanded
for further proceedings. (Doc. No. 20).
After an independent de novo review of the record in this matter, including the
objections filed by the Commissioner (Doc. No. 21) and Plaintiff’s response thereto
(Doc. No. 22), the Court agrees entirely with the findings of fact and conclusions of law
in Magistrate Judge Kelly’s Report and Recommendation (the “R & R”).
I.
BACKGROUND
The Court adopts as if fully set forth herein the background section from the R &
R (Doc. No. 20 at pp. 1-3). Pertinent facts from the R & R are repeated here for
convenience.
On August 10, 2009, Administrative Law Judge (“ALJ”) Lisa B. Martin issued a
decision finding Plaintiff not disabled. (R. at 116-28). On review to the Appeals Council,
Plaintiff submitted written argument along with new evidence consisting of pharmacy
information slips indicating the side effects that Plaintiff suffers from her medications.
(R. at 363-69). Importantly, the pharmacy information slips were the only new evidence
submitted with the request for review of the ALJ’s decision. Id. In that appeal, Plaintiff
contended that the ALJ erred by failing to make specific findings regarding the side
effects of Plaintiff’s medications. (R. at 363-64).
Upon review, the Appeals Council entered an order remanding the case to the
ALJ for further proceedings. (R. at 129-32). In addition to other directives, the order
required that the ALJ “offer the claimant an opportunity for a hearing, address the
evidence which was submitted with request for review, [and] take any further action
needed to complete the administrative record and issue a new decision.” (R. at 132)
(emphasis added).
Upon remand and after a hearing, the ALJ issued a decision finding Plaintiff not
disabled. (R. at 10-22). In that decision, the ALJ stated that she had “complied with all of
the Appeals Council’s instructions contained in their order.” (R. at 10). However, while
the ALJ’s order contained references to each of the other directives from the Appeals
Council, it failed to include or reference the directive “to address the evidence which was
submitted with the request for review.” (Compare R. at 10 with R. at 132). The ALJ’s
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decision did mention that Plaintiff “testified [at the second hearing] she took pain
medication, which caused her to doze off three times during work hours.” (R. at 18).
However, as the Magistrate Judge correctly found, the ALJ failed to address or even
mention the pharmacy information slips submitted to the Appeals Council as required by
the Council’s August 20, 2010 order. Accordingly, the Magistrate Judge concluded that
the ALJ’s failure to explicitly address the evidence that was submitted with the request
for review, i.e., the failure to comply with the Appeals Council’s mandate, was an error
of law requiring remand. (Doc. No. 20 at p. 6).
II.
COMMISSIONER’S OBJECTIONS
In the Eleventh Circuit, a district judge may accept, reject or modify a magistrate
judge's report and recommendation after conducting a careful and complete review of the
findings and recommendations. 28 U.S.C. § 636(b)(1); Williams v. Wainwright, 681 F.2d
732, 732 (11th Cir. 1982), cert. denied, 459 U.S. 1112, 103 S.Ct. 744 (1983). A district
judge must conduct a de novo review of the portions of a magistrate judge’s report and
recommendation to which a party objects. 28 U.S.C. § 636(b)(1)(C). The district judge
“may accept, reject, or modify, in whole or in part, the findings or recommendations
made by the magistrate.” Id. This requires that the district judge “give fresh consideration
to those issues to which specific objection has been made by a party.” Jeffrey S. v. State
Bd. of Educ., 896 F.2d 507, 512 (11th Cir. 1990) (citing H.R. Rep. No. 94-1609, 94th
Cong., 2nd Sess., reprinted in 1976 U.S. Code Cong. & Admin. News 6162, 6163). A
district judge reviews legal conclusions de novo, even in the absence of an objection. See
Cooper–Houston v. Southern Ry., 37 F.3d 603, 604 (11th Cir. 1994).
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The Commissioner raises two objections to the R & R. First, the Commissioner
asserts that the ALJ complied with the Appeals Council’s remand order by addressing
Plaintiff’s allegations of medication side effects. Secondly, the Commissioner argues that
even if this Court finds the ALJ erred by not complying with the Appeals Council’s
Remand order, the error is harmless and the ALJ’s decision should nevertheless be
affirmed.
A. First Objection
The Commissioner contends that the Appeals Council remand order did not
mandate an explicit discussion of the new evidence contained within the pharmacy
information slips. (Doc. No. 21 at p. 2). Rather, the Commissioner argues the ALJ needed
to merely “address the evidence,” id., which was satisfied by “providing Plaintiff with the
opportunity to testify regarding her alleged medication side effects.” Id. at 4. The crux of
the Commissioner’s argument is that in issuing the decision, the ALJ implicitly rejected
Plaintiff’s complaints of the side effects of the medications. Id. at 3. This Court finds that
argument unconvincing.
The social security regulations state: “The 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. §§ 404.977(b),
416.1477(b); cf. Gibbs v. Barnhart, 130 Fed. Appx. 426, 430 (11th Cir. 2005) (noting that
“in order to fully discharge the Appeals Council's mandate,” the ALJ was required to take
the steps required by the Appeals Council).1 Further, a court “may not alter, amend, or
1 This Court recognizes that in this Circuit unpublished opinions are not considered binding, but may be
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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 of Soc. Sec., 435 Fed. Appx. 864, 865
(11th Cir. 2011) (unpublished) (quoting Piambino v. Bailey, 757 F.2d 1112, 1119 (11th
Cir. 1985)).
The burden is on the claimant to prove the existence of a disability under the
Social Security Act. Carnes v. Sullivan, 936 F.2d 1215, 1218 (11th Cir. 1991) (citing
Brady v. Heckler, 724 F.2d 914, 918 (11th Cir. 1984)). However, because a hearing
before an ALJ is non-adversarial, the ALJ retains the basic duty to “fully and fairly
develop the record” even when a claimant is represented by counsel. See Graham v.
Apfel, 129 F.3d 1420, 1422 (11th Cir. 1997). As the Magistrate Judge discussed in the R
& R, courts in this Circuit have held that an ALJ’s failure to take specific action
mandated by the Appeals Council on remand is reversible error because it obviates an
ALJ’s duty to fully and fairly develop the record. (Doc. No. 20 at pp. 4-5 (citing Tauber
v. Barnhart, 438 F. Supp. 2d 1366, 1375-76 (N.D. Ga. 2006) (remanding case because
the ALJ did not comply with Appeals Council’s remand order); Bolen v. Astrue, 2008
WL 694712 (S.D. Ala. Mar. 12, 2008) (reversing final decision of ALJ because ALJ did
not comply with Appeals Council’s remand order); Rease v. Barnhart, 422 F. Supp. 2d
1334, 1375 (N.D. Ga. 2006); Fincher v. Astrue, 2008 WL 821855 at *2 (M.D. Ga. Mar.
25, 2008))).
This Court agrees with the Magistrate Judge that the above-referenced cases are
highly persuasive as applied to this case. The record is devoid of any indication that the
cited as persuasive authority. See 11th Cir. R. 36-2.
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ALJ addressed the pharmacy information slips, as required by the Appeals Council’s
remand order. While the Commissioner urges this Court to accept the notion that the ALJ
implicitly considered and rejected the pharmacy information slips, it would be an
impossible task for this Court to construe what weight, if any at all, the ALJ might have
accorded that evidence. As a result, this Court finds that the ALJ did not consider the new
evidence, and thus failed to “fully and fairly develop the record.” See Graham 129 F.3d
at 1422. The ALJ’s failure to explicitly “address the evidence which was submitted with
request for review” is an error of law, which requires remand for further proceedings.
B. Second Objection
The Commissioner argues that even if this Court finds the ALJ erred by not
complying with the Appeals Council’s remand order, the error is harmless and the ALJ’s
decision should nevertheless be affirmed. (Doc. No. 21 at pp. 5-6).
In a social security appeal, review is limited to determining whether an ALJ's
decision is supported by substantial evidence, and whether the correct legal standards
were applied. See Lewis v. Callahan, 125 F.3d 1436, 1439 (11th Cir. 1997); 42 U.S.C. §
405(g). “Substantial evidence is defined as more than a scintilla, i.e., evidence that must
do more than create a suspicion of the existence of the fact to be established, and such
relevant evidence as a reasonable person would accept as adequate to support the
conclusion.” Foote v. Chater, 67 F.3d 1553, 1560 (11th Cir. 1995) (per curiam) (internal
citation omitted). “This limited review precludes deciding the facts anew, making
credibility determinations, or re-weighing the evidence.” Moore v. Barnhart, 405 F.3d
1208, 1211 (11th Cir. 2005) (per curiam). This Court “cannot, however, conduct a review
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that is both limited and meaningful if the ALJ does not state with sufficient clarity the
legal rules being applied and the weight accorded the evidence considered.” Ryan v.
Heckler, 762 F.2d 939, 941 (11th Cir. 1985). Thus, the ALJ must develop a full and fair
record, and evaluate all the relevant evidence. See Cowart v. Schweiker, 662 F.2d 731,
735 (11th Cir. 1981).
In this case, there is conflicting evidence regarding Plaintiff’s medication side
effects. The Commissioner acknowledges that the “treatment record is devoid of evidence
supporting Plaintiff’s allegations of medication side effects.” (Doc. No. 21 at pp. 5-6).
However, this is precisely why the ALJ needed to address the pharmacy information
slips, per the Appeals Council’s mandate, and the weight accorded to that new evidence.
The only reference to Plaintiff’s medications in the ALJ’s decision was that Plaintiff
“testified [at the second hearing] she took pain medication, which caused her to doze off
three times during work hours.” (R. at 18). There was not a single mention of the new
evidence contained in the pharmacy information slips in either the hearing or the ALJ’s
order. When evidence is conflicting, the ALJ must articulate how those conflicts are
resolved and such decision must be supported by substantial evidence. See generally
Glover v. Comm’r of Soc. Sec., 2012 WL 84775 at *8 (M.D. Fla. Jan. 11, 2012) (ALJ has
the duty as trier of the facts to weigh and resolve any conflicts in the evidence (citing
Moore, 405 F.3d at 1213)); Tauber v. Barnhart, 438 F. Supp. 2d 1366, 1371–72 (N.D.
Ga. 2006) (stating that ALJ has “exclusive power to resolve conflicts in the evidence,”
but must state reasons, supported by substantial evidence, for the ALJ’s conclusions).
Here, the ALJ failed to address the side effects from the pharmacy information slips, as
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mandated by the Appeals Council. Accordingly, this Court cannot find that the
Commissioner's final decision is supported by substantial evidence. This failure to
comply with the Appeals Council’s order therefore does not constitute harmless error,
thus requiring a remand for further proceedings.
III.
CONCLUSION
Based on the foregoing, it is ORDERED as follows:
1.
The Report and Recommendation filed July 29, 2013 (Doc. No. 20),
is ADOPTED and CONFIRMED and made a part of this Order.
2.
Defendant’s objections (Doc. No. 21) are OVERRULED.
3.
The Final Decision of the Commissioner denying the Plaintiff’s
claim for Disability Insurance benefits and Supplemental Security
Income payments is hereby REVERSED and REMANDED for
further proceedings pursuant to sentence four of 42 U.S.C. § 405(g).
4.
The Clerk shall enter final judgment in favor of the Plaintiff and
against the Commissioner; and
5.
The Clerk is DIRECTED TO CLOSE this case.
DONE and ORDERED in Orlando, Florida on September 17, 2013.
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Copies furnished to:
Counsel of Record
Unrepresented Parties
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