ROBERTS v. COLVIN
Filing
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ORDER re 1 Complaint filed by JUANITA ROBERTS. The decision of the Commissioner is affirmed. Ordered by US MAGISTRATE JUDGE STEPHEN HYLES on 1/31/17. (AGH)
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF GEORGIA
ATHENS DIVISION
JUANITA ROBERTS o/b/o J.W.,
Plaintiff,
v.
CAROLYN W. COLVIN,
Commissioner of Social Security,
Defendant.
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CASE NO. 3:16-CV-12 MSH
Social Security Appeal
ORDER
The Social Security Commissioner, by adoption of the Administrative Law
Judge’s (ALJ’s) determination, denied Claimant’s1 application for Supplemental Security
Income, finding that he was not disabled within the meaning of the Social Security Act
and Regulations.
Plaintiff, filing suit on Claimant’s behalf, contends that the
Commissioner’s decision was in error and seeks review under the relevant provisions of
42 U.S.C. § 405(g) and 42 U.S.C. § 1383(c). All administrative remedies have been
exhausted. Both parties filed their written consents for all proceedings to be conducted
by the United States Magistrate Judge, including the entry of a final judgment directly
appealable to the Eleventh Circuit Court of Appeals pursuant to 28 U.S.C. § 636(c)(3).
1
The Court refers to Juanita Roberts as Plaintiff and to the minor child, J.W., as Claimant.
LEGAL STANDARDS
The court’s review of the Commissioner’s decision is limited to a determination of
whether it is supported by substantial evidence and whether the correct legal standards
were applied. Walker v. Bowen, 826 F.2d 996, 1000 (11th Cir. 1987) (per curiam).
“Substantial evidence is something more than a mere scintilla, but less than a
preponderance. If the Commissioner's decision is supported by substantial evidence, this
court must affirm, even if the proof preponderates against it.” Dyer v. Barnhart, 395 F.3d
1206, 1210 (11th Cir. 2005) (internal quotation marks omitted). The court’s role in
reviewing claims brought under the Social Security Act is a narrow one. The court may
not decide facts, re-weigh evidence, or substitute its judgment for that of the
Commissioner.2 Moore v. Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005). It must,
however, decide if the Commissioner applied the proper standards in reaching a decision.
Harrell v. Harris, 610 F.2d 355, 359 (5th Cir. 1980) (per curiam). The court must
scrutinize the entire record to determine the reasonableness of the Commissioner’s
factual findings.
Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983).
However, even if the evidence preponderates against the Commissioner’s decision, it
must be affirmed if substantial evidence supports it. Id.
In a case where a child claimant is seeking entitlement to Title XVI benefits, the
following definition of disability applies:
2
Credibility determinations are left to the Commissioner and not to the courts. Carnes v.
Sullivan, 936 F.2d 1215, 1219 (11th Cir. 1991). It is also up to the Commissioner and not to the
courts to resolve conflicts in the evidence. Wheeler v. Heckler, 784 F.2d 1073, 1075 (11th Cir.
1986) (per curiam); see also Graham v. Bowen, 790 F.2d 1572, 1575 (11th Cir. 1986).
2
An individual under the age of 18 shall be considered disabled for the
purposes of this subchapter 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. § 1382c(a)(3)(C)(i).
Therefore, eligibility depends upon the presence of
“marked and severe functional limitations.” A sequential evaluation process is used to
determine if the child meets the statutory definition of disability. 20 C.F.R. § 416.924 et
seq. Step one requires the ALJ to determine whether the child is engaging in substantial
gainful activity. If so, then the claim is denied. Step two requires that the ALJ determine
whether or not the child has a severe impairment or combination of impairments, defined
as more than a slight abnormality and causing more than minimal functional limitations.
If not, then the claim is denied.
Step three requires the ALJ to decide whether the impairment is medically or
functionally equivalent to impairments described in the listings of the regulations. To
assess functional equivalence to a listed impairment, the ALJ must evaluate the level of
the claimant child's ability to function in six 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 and physical wellbeing. 20 C.F.R. § 416.926a(b)(1)(i)-(vi). If the child has “marked” limitations in two
domains, or an “extreme” limitation in one domain, the child's impairment is the
functional equivalent of the impairments listed in the Federal Regulations. 20 C.F.R. §
416.926a(a). A limitation is “marked” when the child's impairment or impairments
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seriously interfere with his ability to independently initiate, sustain or complete activities.
20 C.F.R. § 416.926a(e)(2)(i).
When measured by standardized testing, a marked
limitation is generally indicated by scores “at least two, but less than three, standard
deviations below the mean.”
Id.
An “extreme” limitation causes very serious
interference with the child's ability to independently initiate, sustain or complete
activities and is usually associated with standardized test “scores that are at least three
standard deviations below the mean.” Id. § 416.926a(e)(3)(I).
ISSUES
I.
Whether substantial evidence supports the ALJ’s findings regarding J.W.’s
limitations in the three domains of functioning.
II.
Whether the ALJ erred in evaluating certain medical and non-medical
opinions.
Administrative Proceedings
Plaintiff Juanita Roberts filed an application for supplemental security income
benefits (SSI) for her minor daughter on May 8, 2012. She alleged that Claimant became
disabled on April 16, 2010. Her application was denied initially on September 27, 2012
and denied on reconsideration on January 25, 2013. Plaintiff requested an evidentiary
hearing before an administrative law judge (ALJ) on March 13, 2013 and the hearing was
held on May 22, 2014. An attorney represented Plaintiff at the hearing. Tr. 18. The ALJ
rendered an unfavorable decision denying the application on June 25, 2014. Tr. 15-32.
Next, Plaintiff made an informal request for review of the ALJ’s decision on July 10,
2014 but was denied by the Appeals Council on December 4, 2014. Tr. 12-13. 1-4.
Having exhausted the administrative remedies available to her under the Social Security
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Act, Plaintiff brings this action seeking judicial review of the final decision by the
Commissioner to deny SSI benefits to her minor daughter. The case is ripe for review.
Statement of Facts and Evidence
When the ALJ decided that Claimant was not disabled under the Social Security
Act, she was eight years old.
Plaintiff asserted in the application for benefits that
Claimant has attention deficit hyperactivity disorder (ADHD) and auditory processing
impairment. Tr. 140, 178. The ALJ found her to have ADHD as well as a language and
speech disorder and also to have a learning disorder and organic brain syndrome. Tr. 21.
However, the ALJ further determined that her impairments either alone or considered in
combination did not meet or medically equal the listed impairments in 20 C.F.R. part
404, Subpart P, Appendix 1. Because the ALJ found her to have no extreme limitations
in any domain of functioning and no marked limitations in any two domains, he found
Claimant to be not disabled. Tr. 21-31.
DISCUSSION
In her brief before the Court, Plaintiff first argues that the ALJ erred by not
providing sufficient detail to support his findings that Claimant has either no limitations
or less than marked limitations in the six domains of functioning. Second, she asserts that
the ALJ did not specify or explain the weight given to opinion evidence from Claimant’s
teachers and examining psychologists.
The Commissioner responds that substantial
evidence supports the ALJ’s finding that Claimant has less than marked limitations in
three domains of functioning and no limitations in the other three and that the ALJ
properly evaluated both medical as well as non-medical opinions. Any error in the ALJ’s
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evaluation of the opinion evidence is, according to the Commissioner, harmless. The
Court addresses Plaintiff’s contentions in the order in which she raised them.
I.
Are the ALJ’s findings regarding J.W.’s limitations in the three domains of
functioning supported by substantial evidence?
Plaintiff first argues that the ALJ did not provide sufficient detail to permit
meaningful administrative or judicial review of his findings regarding functional
equivalence. Pl.’s Br. 1. A review of the written opinion shows, however, that the ALJ
correctly laid out the applicable legal principles to be applied in childhood disability
cases. The ALJ discussed all record evidence giving consideration to the diagnosis of the
treating physician, Dr. Diane Dunston, in making his findings about the presence of
severe impairments.
Tr. 24.
He thoroughly recounted and discussed consultative
examinations by Michael Shapiro, PhD. and John Grace, Psy.D., and included in his steptwo findings their diagnoses of ADHD and learning disorder as severe impairments. Tr.
21, 24.
School records were reviewed by the ALJ including the results of a
psychoeducational evaluation of Claimant by Joseph Tiller, Ph.D. done on April 22,
2014.
From these sources, the ALJ concluded that Claimant is capable of age-
appropriate academic achievement.
Tr. 26.
Although these records establish that
Claimant has some difficulties with speech and language skills as well as mathematics,
the record as a whole supports the ALJ’s conclusions. Coleman, ex rel. J.K.C. v. Comm’r
of Soc. Sec., 454 F. App’x 751 (11th Cir. 2011). The ALJ’s findings are well developed
and his determination that less than marked limitations are present is supported by
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substantial evidence. Bryant v. Soc. Sec. Admin. 478 F. App’x 644 (11th Cir. 2012).
Plaintiff’s first contended error has no merit.
II.
Did the ALJ err in evaluating certain medical and non-medical opinions?
In her second assertion of error, Plaintiff claims that the ALJ did not specify or
adequately explain the weight given to the opinions of Claimant’s teachers and
psychologists. Pl.’s Br. 15. Plaintiff does not, however, assign error to the manner in
which the ALJ addressed the opinion evidence of the treating physician, Dr. Dunston.
She contends that the ALJ failed to state with particularity the weight he assigned to the
opinions of a teacher, Ms. Steedman, the educational professionals who promulgated
Claimant’s Individualized Educational Program and psychologists Dr. Joseph Tiller and
Dr. Michael Shapiro. Pl.’s Br. 16-18.
The ALJ assigned what he described as “appropriate weight” to the opinions of
each source in the record. While “appropriate” is a conclusory term and not as specific as
the more commonly used characterizations of evidentiary weight, Plaintiff does not show
that Claimant has greater limitations than those found by the ALJ after considering all
record evidence.
Because substantial evidence supports the ALJ’s conclusions that
Claimant has no impairments which alone or in combination result in limitations of
sufficient severity to meet the listings, the ALJ’s failure to use more explicit or
descriptive terms to identify the weight he assigned to the contested opinions is not error
warranting remand. Turbeville v. Astrue, 316 F. App’x 891 (11th Cir. 2009). Plaintiff’s
second enumerated error is without merit.
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CONCLUSION
For the reasons stated above, the determination of the Social Security
Commissioner is affirmed.
SO ORDERED, this 31st day of January, 2017.
/s/ Stephen Hyles
UNITED STATES MAGISTRATE JUDGE
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