Claiborne v. Colvin
Filing
19
ORDER Denying 14 Ms. Claiborne's Motion for Summary Judgment; Denying 16 Defendant's Motion for Summary Judgment; Reversing the Commissioner's decision in part; Remanding the case for further proceedings. Signed by Magistrate Judge Stephanie A Gallagher on 5/1/2015. (nd2s, Deputy Clerk)
UNITED STATES DISTRICT COURT
DISTRICT OF MARYLAND
CHAMBERS OF
STEPHANIE A. GALLAGHER
UNITED STATES MAGISTRATE JUDGE
101 WEST LOMBARD STREET
BALTIMORE, MARYLAND 21201
(410) 962-7780
Fax (410) 962-1812
May 1, 2015
LETTER TO COUNSEL
RE:
Jessica M. Claiborne v. Commissioner, Social Security Administration;
Civil No. SAG-14-1918
Dear Counsel:
On June 13, 2014, Plaintiff Jessica M. Claiborne petitioned this Court to review the
Social Security Administration’s final decision to deny her claim for Supplemental Security
Income. [ECF No. 1]. I have considered the parties’ cross-motions for summary judgment and
the Commissioner’s supplemental brief in support of her motion.1 [ECF Nos. 14, 16, 18]. I find
that no hearing is necessary. See Loc. R. 105.6 (D. Md. 2014). This Court must uphold the
decision of the agency if it is supported by substantial evidence and if the agency employed
proper legal standards. See 42 U.S.C. §§ 405(g), 1383(c)(3); Craig v. Chater, 76 F.3d 585, 589
(4th Cir. 1996). Under that standard, I will deny both parties’ motions and remand the case to
the Commissioner for further consideration. This letter explains my rationale.
Ms. Claiborne filed a claim for Supplemental Security Income (“SSI”) on October 21,
2010, alleging a disability onset date of January 1, 2007. (Tr. 161-66). Her claim was denied
initially and on reconsideration. (Tr. 85-89, 92-94). A hearing was held on December 5, 2012,
before an Administrative Law Judge (“ALJ”). (Tr. 40-58). Following the hearing, the ALJ
determined that Ms. Claiborne was not disabled within the meaning of the Social Security Act
during the relevant time frame. (Tr. 23-34). The Appeals Council denied Ms. Claiborne’s
request for review, (Tr. 10-14), so the ALJ’s decision constitutes the final, reviewable decision of
the agency.
The ALJ found that Ms. Claiborne suffered from the severe impairments of posttraumatic
stress disorder and major depressive disorder. (Tr. 28). Despite these impairments, the ALJ
determined that Ms. Claiborne retained the residual functional capacity (“RFC”) to “perform a
full range of unskilled work at all exertional levels; however, she cannot work with the general
1
Pursuant to this Court’s March 24, 2015, Order, the Commissioner was permitted to file supplemental briefing
addressing apparent issues that arose as a result of the Fourth Circuit’s March 18, 2015, opinion in Mascio v. Colvin,
780 F.3d 632 (4th Cir. 2015). [ECF No. 17]. After reviewing the Commissioner’s supplemental brief, it is clear that
remand is appropriate under Mascio. Because I am recommending that the Court grant the relief most favorable to
Ms. Claiborne, I need not wait for Ms. Claiborne’s supplemental response before issuing this opinion. See Radford
v. Colvin, 734 F.3d 288 (4th Cir. 2013) (holding that a district court generally does not have the authority to direct
an award of benefits on remand). Moreover, it is in Ms. Claiborne’s best interest to remand the case to the
Commissioner at the earliest possible date.
Jessica Marie Claiborne v. Commissioner, Social Security Administration
Civil No. SAG-14-1918
May 1, 2015
Page 2
public or have more than occasional interaction with supervisors and co-workers.” (Tr. 30).
After considering the testimony of a vocational expert (“VE”), the ALJ determined that Ms.
Claiborne could perform jobs existing in significant numbers in the national economy and that,
therefore, she was not disabled. (Tr. 33-34).
On appeal, Ms. Claiborne raised four arguments: (1) that the ALJ failed to assess her
psychiatric impairments properly; (2) that the ALJ presented an inadequate hypothetical to the
VE; (3) that the ALJ erred in making an adverse credibility assessment; and (4) that the ALJ did
not properly assess Ms. Claiborne’s activities of daily living. Additionally, as addressed below, I
have considered Ms. Claiborne’s case under the dictates of Mascio v. Colvin, 780 F.3d 632 (4th
Cir. 2015), a Social Security appeal from the Eastern District of North Carolina. Because the
ALJ’s evaluation of Ms. Claiborne’s “moderate limitation” in concentration, persistence, or pace
was inadequate under Mascio, remand is warranted. In so holding, I express no opinion as to
whether the ALJ’s ultimate determination that Ms. Claiborne was not entitled to benefits was
correct or incorrect.
As background, on March 18, 2015, while Ms. Claiborne’s case remained pending, the
United States Court of Appeals for the Fourth Circuit published its opinion in Mascio. In
Mascio, the Fourth Circuit determined that remand was appropriate for three distinct reasons,
one of which appeared relevant to the analysis of this case. Accordingly, on March 24, 2014, the
Court afforded the Commissioner an additional 30 days to file a brief addressing the apparent
Mascio issue. [ECF No. 17]. The Commissioner filed a supplemental brief on April 20, 2015.
[ECF No. 18].
Pertinent to this case, the Fourth Circuit remanded Mascio because the hypothetical the
ALJ posed to the VE – and the corresponding RFC assessment– did not include any mental
limitations other than unskilled work,2 despite the fact that, at step three of the sequential
evaluation, the ALJ determined that the claimant had moderate difficulties in maintaining
concentration, persistence, or pace. Mascio, 780 F.3d at 637-38. The Fourth Circuit specifically
held that it “agree[s] with other circuits that an ALJ does not account for a claimant’s limitations
in concentration, persistence, and pace by restricting the hypothetical question to simple, routine
tasks or unskilled work.” Id. at 638 (quoting Winschel v. Comm’r of Soc. Sec., 631 F.3d 1176,
1180 (11th Cir. 2011)) (quotation marks omitted). In so holding, the Fourth Circuit emphasized
the distinction between the ability to perform simple tasks and the ability to stay on task, stating
that “[o]nly the latter limitation would account for a claimant’s limitation in concentration,
persistence, or pace.” Id. Although the Fourth Circuit noted that the ALJ’s error might have
been cured by an explanation as to why the claimant’s moderate difficulties in concentration,
persistence, or pace did not translate into a limitation in the claimant’s RFC, it held that absent
such an explanation, remand was necessary. Id.
2
The hypothetical the ALJ posed to the VE in Mascio did not actually limit the claimant to unskilled work, and thus
did not match the ALJ’s RFC assessment. However, the VE indicated that all of the jobs cited in response to the
hypothetical involved “unskilled work” such that, in effect, the hypothetical matched the ALJ’s RFC assessment.
Jessica Marie Claiborne v. Commissioner, Social Security Administration
Civil No. SAG-14-1918
May 1, 2015
Page 3
In this case, at step three of the sequential evaluation, the ALJ determined that, “with
regard to concentration, persistence or pace,” Ms. Claiborne has “moderate difficulties.” (Tr.
29). The entirety of the analysis states, “Ms. Claiborne stated that she has difficulty
concentrating and remembering. However, she is able to live alone, perform housework, cook,
do laundry, and shop for groceries.” Id. According to 20 CFR § 404.1520a(c)(2), the rating of
“moderate difficulties” is supposed to represent the result of application of the following
technique:
We will rate the degree of your functional limitation based on the extent to which
your impairment(s) interferes with your ability to function independently,
appropriately, effectively, and on a sustained basis. Thus, we will consider such
factors as the quality and level of your overall functional performance, any
episodic limitations, the amount of supervision or assistance you require, and the
settings in which you are able to function.
Once the technique has been applied, the ALJ is supposed to include the results in the opinion as
follows:
At the administrative law judge hearing and Appeals Council levels, the written
decision must incorporate the pertinent findings and conclusions based on the
technique. The decision must show the significant history, including examination
and laboratory findings, and the functional limitations that were considered in
reaching a conclusion about the severity of the mental impairment(s). The
decision must include a specific finding as to the degree of limitation in each of
the functional areas described in paragraph (c) of this section.
20 CFR § 404.1520a(e)(4). The cursory analysis provided by the ALJ in Ms. Claiborne’s case
suggests that the finding of “moderate difficulties” was based exclusively on Ms. Claiborne’s
statements that she experiences issues with concentrating and remembering, since the sole
remaining sentence in the analysis would suggest mild or no limitations.
However, in the section of the opinion containing the RFC assessment, the ALJ appears
to discount Ms. Claiborne’s claimed issues with concentration, in concluding that she did not
have “demonstrated difficulties with concentration or ability to function in a work like setting.”
(Tr. 32). The RFC assessment determined by the ALJ does not contain any limitations directed
towards an issue with concentration, persistence, or pace. The only limitations appear to address
Ms. Claiborne’s moderate difficulties with social functioning. (Tr. 30) (determining that Ms.
Claiborne “cannot work with the general public or have more than occasional interaction with
supervisors and co-workers”). Without an understanding of why the ALJ reached contradictory
conclusions about whether Ms. Claiborne does or does not have moderate difficulties with
concentration, persistence, or pace, I must recommend that the Court remand the case to the
Commissioner for further analysis consistent with the Fourth Circuit’s mandate in Mascio.
Jessica Marie Claiborne v. Commissioner, Social Security Administration
Civil No. SAG-14-1918
May 1, 2015
Page 4
In her supplemental brief, the Commissioner contends that, in this case, “the ALJ’s
decision is supported by substantial evidence and consistent with the standard enunciated in
Mascio.” Def.’s Supplemental Br. 6. In support of her argument, the Commissioner cites
medical records and evidence suggesting that Ms. Claiborne had no significant impairment in her
ability to concentrate or to persist in a task. Def.’s Supplemental Br. 3-6. The Commissioner
contends that the analysis in this case is thus analogous to that upheld by this Court in Dean v.
Comm’r, Social Sec. Admin., No. SAG-14-1127, 2015 WL 1431548, at *1-2 (D. Md. Mar. 26,
2015). However, the Dean case is factually distinguishable. In Dean, the ALJ provided a clear
explanation of the reason for assessing a moderate limitation in the first place, and then a clear
explanation of why, despite that moderate limitation, the claimant would not have issues
persisting in a given task. See Dean, No. SAG 14-1127 [ECF No. 13-1 at 20] (“Despite these
limitations, the claimant remained persistent throughout the testing process and he was able to
sustain attention (Exhibit 13F), however, given this profile, the claimant would likely have
difficulty processing complex or detailed work instructions and procedures, and I have therefore
assessed a moderate limitation in concentration.”); id. at 25-26 (“Though he periodically needed
breaks to stand and stretch, he had no visible difficulty sustaining his attention for tasks during
the two several hour sessions.”); id. at 27 (“I find that when considering the claimant’s mild to
moderate issues involving learning and memory, he does not have the ability to sustain the focus
and concentration necessary to sustain complex, detailed tasks, which could have extensive
training, ongoing learning, or require significant memory processing. Rather, he should be
restricted to the more limited demands of simple, routine, and repetitive work tasks. During
testing, he did adequately demonstrate the ability to sustain the attention and concentration
necessary to compete two rigorous days of testing, and he persisted equally as well, only giving
up on one task. (Exhibit 13F). Therefore, I find that the claimant retains significant strengths in
the area of concentration and persistence, and is no more limited than identified in the residual
functional capacity.”) In sum, the claimant in Dean suffered issues of concentration that
precluded complex tasks, but no issues with persistence or pace. With the detailed explanation
provided, a court reviewing the ALJ’s opinion in Dean is readily able to understand both the
reason for the assessment of the moderate limitation and the reason why the RFC assessment did
not include any limitations on the ability to sustain a particular task.
The same cannot be said for the ALJ’s explanation in the instant case. The
Commissioner argues that the ALJ provided an adequate explanation of why Ms. Claiborne had
no limitations in her ability to sustain tasks. However, what is lacking in the instant case is any
explanation of why the ALJ assessed a moderate limitation in concentration, persistence, or pace.
If, as the Commissioner suggests, the ALJ made the finding based solely upon Ms. Claiborne’s
subjective allegations of issues with concentration, which the ALJ in fact did not credit, then the
ALJ misapplied the special technique described above. The conclusions at step two are
supposed to represent reasoned consideration of all of the pertinent evidence, and are not simply
an opportunity to give the claimant the benefit of the doubt at one step while taking it away at the
next step. Without understanding why the ALJ believed Ms. Claiborne to have a moderate
limitation in concentration, persistence, or pace, as opposed to a mild limitation or no limitation,
I cannot ascertain whether the moderate limitation found by the ALJ would warrant any RFC
restrictions in Ms. Claiborne’s ability to perform or sustain even unskilled work. Thus, on
Jessica Marie Claiborne v. Commissioner, Social Security Administration
Civil No. SAG-14-1918
May 1, 2015
Page 5
remand, the ALJ should consider the appropriate level of limitation in the area of concentration,
persistence, or pace and, if a moderate limitation is again found, should explain the reasons for
that finding in order to permit an adequate evaluation of the moderate limitation under the
dictates of Mascio.
With respect to the other arguments Ms. Claiborne raised, I generally find that the ALJ
provided adequate evidentiary support for her conclusions, including the adoption of certain
portions of the opinions from Ms. Claiborne’s treating physician, Dr. Burgess, and the
assignment of “no weight” to the remainder of Dr. Burgess’s opinions. The ALJ engaged in a
detailed review of Ms. Claiborne’s medical records and her reported activities of daily living,
considered the effects of compliance and noncompliance on her mental health, and enumerated
specific reasons for her evaluation of Dr. Burgess’s opinions. With the exception of the Mascio
issue described above, I find no error warranting remand. However, on remand, the ALJ should
provide whatever further explanation she feels might assist future appellate review, if
appropriate.
For the reasons set forth herein, Ms. Claiborne’s Motion for Summary Judgment [ECF
No. 14] is DENIED and Defendant’s Motion for Summary Judgment [ECF No. 16] is DENIED.
Pursuant to sentence four of 42 U.S.C. § 405(g), the Commissioner’s judgment is REVERSED
IN PART due to inadequate analysis. The case is REMANDED for further proceedings in
accordance with this opinion. The Clerk is directed to CLOSE this case.
Despite the informal nature of this letter, it should be flagged as an opinion and docketed
as an order.
Sincerely yours,
/s/
Stephanie A. Gallagher
United States Magistrate Judge
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