Matos v. Commissioner of Social Security
Filing
25
MEMORANDUM DECISION AND ORDER adopting 24 Report and Recommendations re: 14 Motion for Judgment on the Pleadings; 22 Motion for Judgment on the Pleadings: Magistrate Judge Netburn's Report is ADOPTED. Plaintiff's motion for judgme nt on the pleadings, (ECF No. 14), is GRANTED. The Commissioner's cross-motion for judgment on the pleadings, (ECF No. 22), is DENIED. The Commissioner's denial of benefits is VACATED and this case is REMANDED to the SSA for further proceedings consistent with this Order and the Report. (Signed by Judge George B. Daniels on 8/9/2018) (jwh)
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UNITED ST ATES DISTRICT COURT
SOUTHERN DISTRICT OF NEW YORK
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ENEROLISA MATOS,
USDCSDNY
DOCUMENT
ELECTRONJCAUY FllED
DOC
ff:
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DATE FILED( :-
Plaintiff,
MEMORANDUM DECISION
AND ORDER
-againstCOMMISIONER OF SOCIAL SECURITY,
17 Civ. 2371 (GBD) (SN)
Defendant.
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GEORGE B. DANIELS, United States District Judge:
Plaintiff Enerolisa Matos brings this action under the Social Security Act, 42 U.S.C.
§§ 405(g), 1383(c)(3), seeking review of a determination by the Commissioner of Social Security
that she does not qualify for supplemental security income ("SSI") or disability insurance benefits
("DIB"). (See Complaint, ECF No, 1.) Plaintiff moves this Court, pursuant to Rule 12(c) of the
Federal Rules of Civil Procedure, for judgment on the pleadings vacating the Commissioner's
determination and remanding this case to the Social Security Administration ("SSA") for further
proceedings. (See Pl.'s Mot. for J. on the Pleadings, ECF No. 14,) The Commissioner crossmoves this Court for an order affirming the decision denying Plaintiff benefits, and dismissing this
case. (See Def.'s Mot. for J. on the Pleadings, ECF No. 22.)
This matter was referred to Magistrate Judge Sarah Netburn. (ECF No. 7.) Before this
Court is Magistrate Judge Netburn's Report and Recommendation dated July 16, 2018 ("Report,"
ECF No. 24), recommending that the Commissioner's denial of benefits be vacated and this case
remanded to the SSA for further proceedings to determine the effect of Plaintiffs expected
absences from work on her ability to secure and maintain employment. 1 (Id. at 20.) In her Report,
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The relevant procedural and factual background is set forth in detail in the Report and is incorporated by
reference herein.
Magistrate Judge Netburn advised the parties that failure to file timely objections to the Report
would constitute a waiver of those objections on appeal. (Id.); see also 28 U.S.C. § 636(6)(1);
Fed. R. Civ. P. 72(6). No objections have been filed.
Having reviewed the Report for clear error and finding none, this Court ADOPTS the
Report in full. Accordingly, the Commissioner's denial of benefits is VA CATED, and this case
is hereby REMANDED to the SSA for further proceedings consistent with this Order and the
Report.
I.
LEGAL ST AND ARDS
A. Report and Recommendations
A court may accept, reject, or modify, in whole or in part, the findings set forth in a report
and recommendation. 28 U.S.C. § 636(b)(l)(C). Where no party files objections to a report and
recommendation, as here, the court may adopt it if "there is no clear error on the face of the record."
Adee Motor Cars, LLC v. Amato, 388 F. Supp. 2d 250, 253 (S.D.N.Y. 2005) (quoting Nelson v.
Smith, 618 F. Supp. 1186, 1189 (S.D.N.Y. 1985)). Clear error is present only when "upon review
of the entire record, [the court is] left with the definite and firm conviction that a mistake has been
committed." United States v. Snow, 462 F.3d 55, 72 (2d Cir. 2006) (citation omitted).
B. The Social Security Act
This Court has the "power to enter, upon the pleadings and transcript of the record, a
judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security,
with or without remanding the cause for a rehearing." 42 U.S.C. § 405(g). This Court may set
aside a decision by the Commissioner only if it is not supported by substantial evidence or if it is
based upon legal error. 42 U.S.C. § 405(g); Selian v. Astrue, 708 F.3d 409,417 (2d Cir. 2013);
Talavera v. Astrue, 697 F.3d 145, 151 (2d Cir. 2012); Burgess v. Astrue, 537 F. 3d 117, 127 (2d
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Cir. 2008). "Substantial evidence means more than a mere scintilla." Burgess v. Astrue, 537 F.3d
117, 127 (2d Cir. 2008) (citation and quotation marks omitted). Under the substantial evidence
standard, facts found by an administrative law judge ("ALJ") can be rejected "only if a reasonable
factfinder would have to conclude otherwise." Brault v. Soc. Sec. Admin., Comm 'r, 683 F.3d 443,
448 (2d Cir. 2012) (citation omitted).
Under the Social Security Act, an individual is considered "disabled" for purposes of
obtaining benefits when she is unable "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 12
months." 42 U.S.C. § 423(d)(l)(A). In addition, the individual's "physical or mental impairments
[must be] of such severity that [s]he ... cannot, considering [her] age, education, and work
experience, engage in any . . . kind of substantial gainful work which exists in the national
economy." Id. § 423(d)(2)(A).
The Commissioner's regulations outline a five-step sequential framework to guide the
presiding ALJ in evaluating claims for benefits under the Social Security Act. See 20 C.F.R.
§ 416.920. The Second Circuit has described the first four steps of the analysis as follows:
First, the Commissioner considers whether the claimant is currently engaged in
substantial gainful activity. Where the claimant is not, the Commissioner next
considers whether the claimant has a "severe impairment" that significantly limits
her physical or mental ability to do basic work activities. If the claimant suffers
such an impairment, the third inquiry is whether, based solely on medical evidence,
the claimant has an impairment that is listed in 20 C.F.R. pt. 404, subpt. P, app. 1.
Assuming the claimant does not have a listed impairment, the fourth inquiry is
whether, despite the claimant's severe impairment, she has the residual functional
capacity ["RFC"] to perform her past work. 2
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An RFC "is an assessment of the individual's ability to do sustained work-related physical and mental
activities in a work setting on a regular and continuing basis[]" despite her impairments. SSR 96-8p, 1996
WL 374184, at* I (July 2, 1996). In determining an individual's RFC, the ALJ is required to"' identify the
individual's functional limitations or restrictions and assess ... her work-related abilities on a function-by-
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Jasinski v. Barnhart, 341 F.3d 182, 183-84 (2d Cir. 2003) (citation omitted). The claimant bears
the burden of proof at each of these steps of the analysis. Melville v. Apfel, 198 F.3d 45, 51 (2d
Cir. 1999). Once the claimant has met her burden on each of the first four steps, "the burden shifts
to the Commissioner to show there is other gainful work in the national economy which the
claimant could perform." Melville v. Apfel, 198 F.3d 45, 51 (2d Cir. 1999) (internal quotation
marks and citation omitted).
II. THE COMMISSIONER'S DENIAL OF BENEFITS IS NOT SUPPORTED BY
SUBSTANTIAL EVIDENCE
The ALJ in this case found that Plaintiff suffered from several severe impairments,
including diabetes, the late effects of a cerebral vascular accident, Moyamoya disease, and
headaches. (Report at 9.) Nevertheless, the ALJ concluded Plaintiff was not disabled within the
meaning of the Social Security Act because she found Plaintiff had the RFC to perform her past
job as a customer service representative, as well as other similar jobs in the national economy. (Id.
at 10.) In this regard, the Commissioner's denial of benefits is not supported by substantial
evidence.
During the administrative hearing, Plaintiff's attorney examined the Commissioner's
vocational expert as to whether a hypothetical claimant would be precluded from maintaining
employment if she needed to lay down for two hours during the workday. (Id. at 9.) The expert
indicated that such a limitation would indeed preclude employment. (Id.) Plaintiff's attorney also
asked the vocational expert what effect, if any, missing work more than once a month would have
on a hypothetical claimant's ability to maintain employment. (Id.) The expert responded that such
a limitation would similarly preclude a claimant from maintaining employment. (Id.)
function basis."' Cichocki v. Astrue, 729 F.3d 172, 176 (2d Cir. 2013) (quoting SSR 96-8p, 1996 WL
374184, at *l).
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In his November 2014 stroke impairment questionnaire, Plaintiff's treating neurologist
opined that as a result of her impairments and treatment regimen, Plaintiff would require
unscheduled breaks of approximately ten minutes twice per day and that Plaintiff would likely be
absent from work approximately twice per month. (Id. at 6.) This conclusion is amply supported
by other evidence in Plaintiff's medical record. For example, after Plaintiff suffered a stroke in
August 2014, she was referred to home health services because her medical condition was expected
to significantly impair her future capacities. (Id. at 18.) Following the stroke, Plaintiff continued
experiencing headaches, dizziness, vertigo, and difficulty sleeping. (Id.) In addition, after an
August 2015 angiogram showed that Plaintiff's left internal carotid artery was completely
occluded, Plaintiff underwent brain surgery to restore blood flow to her brain. (Id.) Following the
operation, Plaintiff's neurosurgeon noted that patients like Plaintiff often experience recurrent
strokes or mini-strokes and have muscular weakness and paralysis affecting one side of the body.
(Id. at 18-19.) Shortly thereafter, Plaintiff was approved to receive six home health care visits for
physical therapy and skilled nursing. (Id. at 19.) As the Report correctly found, this evidence
confirms Plaintiff was likely to miss work more than once a month. (Id.)
The ALJ's decision denying Plaintiff benefits failed to address these facts in any
meaningful way. For instance, the ALJ did not explain why she discounted in her RFC analysis
Plaintiff's treating neurologist's opinion that Plaintiff would likely miss work twice a month. Nor
did the ALJ's written decision discuss whether Plaintiff's severe impairments would cause her to
be absent from work on a recurring basis, or the vocational expert's testimony that such a limitation
would preclude a hypothetical claimant from maintaining employment. Because the ALJ did not
adequately address the potential effects of Plaintiff's regular absence from work, the ALJ's
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decision that Plaintiff had the RFC to perform her past jobs and other jobs in the national economy
was not supported by substantial evidence.
Accordingly, the Commissioner's denial of benefits is VACATED and this case is
REMANDED to the SSA for further proceedings. At a minimum, the ALJ should consider on
remand whether and to what extent Plaintiffs potential work absences are likely to affect her
ability to secure and maintain employment.
III. CONCLUSION
Magistrate Judge Netburn's Report is ADOPTED. Plaintiffs motion for judgment on the
pleadings, (ECF No. 14), is GRANTED. The Commissioner's cross-motion for judgment on the
pleadings, (ECF No. 22), is DENIED.
The Commissioner's denial of benefits is VACATED and this case is REMANDED to the
SSA for further proceedings consistent with this Order and the Report.
Dated: New York, New York
August 9, 2018
SO ORDERED.
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