SALTERS-FELDMAN v. COMMISSIONER OF SOCIAL SECURITY

Filing 16

MEMORANDUM OPINION & ORDER that the decision of the Administrative Law Judge is VACATED and the case is REMANDED for further proceedings; Clerk of Court shall close this case. Signed by Judge Renee Marie Bumb on 4/26/2019. (tf, )

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IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW JERSEY CAMDEN VICINAGE LAWANNA SALTERS-FELDMAN, Civil No. Plaintiff, 18—3672 fRMB) MEMORANDUM OPINION & ORDER v. COMMISSIONER, SOCIAL SECURITY ADMINISTRATION, Defendant. BtTh4B, United States District Judge: This matter comes before the Court upon an appeal by Plaintiff Lawanna Salters—Feldman from a denial of social security disability benefits on September 28, 2017 which was upheld by the Appeals Council on January 23, [Record of Proceedings, “R.P.”, p. 2018. 1—5] For the reasons set forth below, the Court vacates the decision of the Administrative Law Judge (“AU”) and remands for proceedings consistent with this Memorandum Opinion and Order’s reasoning. I. STANDARD OF REVIEW When reviewing a final decision of an AU disability benefits, with regard to a court must uphold the AU’s factual decisions if they are supported by “substantial evidence.” Knepp 1 v. 204 F.3d 78, Apfel, 83 (3d Cir. 2000); § 405(g), 42 U.S.C. “Substantial evidence” means “‘more than a mere 1383(c) (3). It means such relevant evidence as a reasonable mind scintilla. might accept as adequate to support a conclusion.’” Richardson v. Perales, 305 U.S. NLRB, 427 402 U.S. (3d Cir. 389, 197, 229 (quoting Cons. (1971) 401 (1938)); Plummer v. Edison Co. Apfel, 186 F.3d 422, 1999) the court In addition to the “substantial evidence” inquiry, must also determine whether the AU standards. 1983); See Friedberg v. Sykes v. Apfel, applied the correct legal Schweiker, 228 F.3d 259, 721 F.2d 445, 262 Court’s review of legal issues is plenary. (citing Schaudeck v. Cir. v. Comm’r of Soc. Sec., (3d Cir. Sykes, (3d Cir. 447 2000) The . 228 F.3d at 262 181 F.3d 429, 431 (3d 1999) The Social Security Act defines “disability” as the inability “to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment 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 twelve months.” 42 U.S.C. § 1382c(a) (3) (A) . The Act further states, individual shall be determined to be under a [Am disability only if his physical or mental impairment or impairments are of such severity that he is not only unable to do his previous work but cannot, considering his age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy, regardless of 2 whether such work exists in the immediate area in which he lives, or whether a specific job vacancy exists for him, or whether he would be hired if he applied for work. 42 U.s.c. § 1382c(a) (3) (B) The commissioner has promulgated a five—step, analysis for evaluating a claimant’s disability, c.F.R. § 404.1520(a) (4) (i—v) . In Plummer, sequential as outlined in 20 186 F.3d at 428, the Third circuit described the commissioner’s inquiry at each step of this analysis: In step one, the commissioner must determine whether the claimant is currently engaging in substantial gainful If a claimant is found to activity. 20 c.F.R. § 1520(a). be engaged in substantial activity, the disability claim will be denied. Bowen v. Yuckert, 482 U.s. 137, 140 (1987) In step two, the commissioner must determine whether the 20 claimant is suffering from a severe impairment. c.E’.R. § 404.1520(c) If the claimant fails to show that [his] impairments are “severe,” she is ineligible for disability benefits. . In step three, the commissioner compares the medical impairment to a list of evidence the claimant’s of impairments presumed severe enough to preclude any gainful If a claimant does not work. 20 c.F.R. § 404.1520(d). suffer from a listed impairment or its equivalent, the analysis proceeds to steps four and five. step four requires the AU to consider whether the claimant retains the residual functional capacity to perform her past relevant work. 20 c.f.R. § 404.1520(d). The claimant bears the burden of demonstrating an inability to return to her past relevant work. Adorno v. Shalala, 40 F.3d 43, If the claimant is unable to resume 46 (3d cir. 1994) her former occupation, the evaluation moves to the final step. . At this [fifth] stage, the commissioner, who the burden of production shifts to must demonstrate the claimant is 3 capable of performing other available work in order to deny a claim of disability. 20 C.F.R. § 404.1520(f) The AU must show there are other jobs existing in significant numbers in the national economy which the claimant can perform, consistent with her medical impairments, age, education, past work experience, and residual functional capacity. The AU must analyze the cumulative effect of all the claimant’s impairments in determining whether she is capable of performing work and is not disabled. See 20 C.F.R. § 404.1523. The AU will often seek the assistance of a vocational expert at this fifth step. See v. Harris, 745 F.2d 210, 218 (3d Cir. 1984) . II. FACTUAL BACKGROUND The Court recites only the facts that are necessary to its determination on appeal, which is narrow. Plaintiff was born in 1966, alleged onset date. [H.P., P. and was 46 years old at the 28, 42, Security Disability Benefits on July 30, of disability of December 12, 2012. She applied for Social 54] 2015, [R.P., p. alleging an onset 24] A disability hearing was held via videoconference on February 2, 2017. [H.P., p. 51] the Vocational Expert. heard testimony from Plaintiff and The AU [H.P., p. 51—85] Plaintiff’s chief physical complaints result from degenerative disc disease, the AU found to be a severe impairment. Among other documents, p. 28]’ the AUJ considered reports from Doctors Nussbaum and Simpkins 1 [H.P., which [Exhibits B1A and B3A], both of whom Plaintiff has had two back surgeries: a lumbar spine fusion at U4—U5—Sl in 2011, and a discectomy in 2015. [H.P., P. 324] Plaintiff also asserts severe mental impairments, including found were dysthymic disorder and panic disorder, which the AU severe impairments. [H.P., p. 28] 4 reviewed the entire record in connection with Plaintiff’s application. Both doctors’ residual functional capacity conclusions included a postural limitation of standing and walking oniy up to four hours per standard eight-hour working day. p. 97—99, III. [R.P., 113—15] AU’S DETERMINATION The AU concluded that “the claimant has not been under a disability as defined in the Social Security Act from December 12, 2012, through the date last insured.” The AU [R.P., p. 26] did not include any limitation concerning standing or walking in his residual functional capacity determination p. 34—35], [R.P., even though the AU’s written decision notes that Dr. Nussbaum and Dr. Simpkins included such a limitation in their assessments of Plaintiff. decision reads, The relevant portion of the AU’s in its entirety: In terms of physical functional capacity, at the initial determination level of administrative review, Dr. Peter reviewed the entire record for New Nussbaum, M.D., Jersey’s disability determination agency as of March 2, 2016, and concluded in pertinent part, that the claimant was capable of work at the light limited to but exertional level defined in 20 CFR §404.1567(b), with attendant postural restrictions and standing and walking limited to four hours per standard eight—hour workday. level [Ex. B1A.] At the reconsideration of administrative review, Nancy Simpkins, M.D. reviewed the entire record for New Jersey’s disability determination agency as of March 29, 2016, and affirmed Dr. Nussbaum’s assessments. [Ex. B3A.] Independent assessment of the overall record leads the undersigned to conclude that since Dr. Nussbaum and Dr. Simpkins were familiar with the case record developed to those points in time and 5 because, as highly qualified physicians who are also experts in Social Security disability evaluation, they have considerable understanding of the Social Security disability programs and their evidentiary requirements, their opinions deserve some weight. 20 CFR §S404.15l3a(b) (1), 404.1527(c) (6). The undersigned therefore has adopted their assessments as a baseline in determining the claimant’s residual functional capacity. However, while the undersigned has found the evidence sufficient to warrant even further postural, activity, and environmental restrictions, the evidence is insufficient to warrant the limitation to four hours of standing or walking per standard workday. The claimant’s admitted and demonstrated capabilities as previously described, along with the objective findings previously noted, warrant no further limitation beyond that delineated above. [H.P., IV. p. 40] ANALYSIS Among other arguments, Plaintiff asserts that the AU’s decision concerning residual functional capacity is not supported by substantial evidence because the AU opinions of both Brief, the AU p. 26; [Dr. Nussbuam and Dr. Reply Brief, p. 6) allegedly “ignore[ed] Simpkins] .“ the (Opening The Commissioner responds that mainly incorporated the doctors’ limitations into the AU’s functional capacity assessment “with the exception of” the stand/walk limitation, which, the Commissioner asserts, rejected as unsupported by the record. (Opposition Brief, The AUJ obviously did not ignore Dr. Simpkins’ evidence. opinions altogether; However, why the AU the AU p. 14) Nussbaum’s and Dr. the written decision discusses that chose to omit the stand/walk limitation from his own residual functional capacity assessment, 6 when Dr. Nussbaum’s and Dr. such a limitation, Indeed, Simpkins’ assessments both included is not adequately explained in the decision. the written decision could be viewed as being somewhat internally inconsistent insofar as the decision states that it “adopts” the doctors’ “assessments as a baseline in determining the claimant’s residual functional capacity” but then materially departs from that “baseline” by omitting a significant postural limitation. “The Third Circuit has held that access to the Commissioner’s reasoning is [] essential to a meaningful court review.” Sanford v. Comm’r of Soc. *2 (D.N.J. 776 f. Mar. (3d Cir. Supp. the AU Sec., 28, 1978)); 3d 440, 456 No. CIV. 13—0366 NLH, 2014) (citing Gober v. see also Stockett v. (D.N.J. 2014 WL 1294710, Matthews, at 574 F.2d 772, Comm’r of Soc. 2016) (“The Third Circuit Sec., 216 ‘requires to set forth the reasons for his decision.’”) (quoting Burnett v. Comm’r of Soc. 2000)) (Bumb, D.J.). Sec. Admin., 220 F.3d 112, 123 (3d Cir. The Court cannot determine on the present record whether the AU’s decision was supported by substantial evidence because the Court presently cannot determine what other evidence in the record led the AU postural limitation found by Dr. may well be the case that, same decision. to reject the stand/walk Nussbaum and Dr. upon remand, At this juncture, Simpkins. the AUJ will arrive at the however, the AU must provide additional explanation citing to specific record evidence in 7 It support of the decision. of the AU As such, the Court vacates the decision and remands for proceedings consistent with the above analysis. ACCORDINGLY, it is on this 2kft day of April, 2019, ORDERED that the decision of the Administrative Law Judge is VACATED and the case is REMANDED for further proceedings consistent with this Memorandum Opinion; and it is further ORDERED that the Clerk of Court shall close this case. s/ Renée Marie Bumb RENEE MARIE BUMB, U.S.D.J. $

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