MARSH v. COLVIN

Filing 14

MEMORANDUM OPINION AND RECOMMENDATION OF UNITED STATES MAGISTRATE JUDGE signed by MAG/JUDGE JOE L. WEBSTER on 7/26/2016; that the Commissioner's decision finding no disability be REVERSED, and the matter be REMANDED to the Commissi oner under sentence four of 42 U.S.C. § 405(g). The Commissioner should be directed to remand the matter to the ALJ for further administrative action as set out above. To this extent, Plaintiff's Motion for Judgment Reversing the Commissioner (Docket Entry 9 ) should be GRANTED and Defendant's Motion for Judgment on the Pleadings (Docket Entry 12 ) should be DENIED. (Sheets, Jamie)

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IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF NORTH CAROLINA RODNEY H. MARSH, ) ) ) ) ) ) ) ) ) ) ) Plaintiff, v CAROLYN Iø. COLVIN, Acting Commissionet of Social Security Administration, Defendant. 1:15CV353 MEMORANDUM OPINION AND RECOMMENDATION OF UNITED STATES MAGISTRATE JUDGE Plaintiff, Rodney H. Marsh, brought this action to obtain judicial review of a fina| decision of the Commissionet of Social Secutity denying his claims for a period of disability, disabiliry insurance benefits ("DIB") and Supplemental Secudty Income ("SSI") under Titles II and XVI of the Social Secudty Act ("the Act"). The Court has before it the cenifîed administrative tecotd and cross-motions for judgment. For the reasons set forth below, the Court recommends that Defendant's motion (Docket Entty 12) be denied and Plaintiffs motion (Docket E.,tty 9) be gtanted, and that this matter be temanded for further administrative action as set forth herein. I. In Febtuary 201,0, Plaintiff filed an application for DIB and SSI alleging a disability onser date of July 13, 2006. 1 PROCEDURAL HISTORY Qr. 330-33;334-37 .)1 Plaintiffs claims were denied initially and Transcrþt citations tefer to the administnttve record which was filed with Defendant's Answer. pocket Entry 7.) upon reconsideration. Çr.215-1,9;222-29.) Plaintiff thereafter requested a headng before an Administrative LawJudge 86-1,1,6.) 207 .) ("ALJ'). (Tt. 231,-32.) A hearing was held on April 25,2012. Çt ALJ Emanuel C. Edwards issued an unfavorable decisiorl onJune 1, 201,2. Qt1,97- The Âppeals Council gtanted Plaintiffs request for teview of the ALJ's decision, and thereafter remanded the matter for a new hearing to address Plaintiffs mental limitations. 212-14.) On Septemlser 1.7,201,3, a second hearing 62-81) was held befote AfJ Joseph Qr. 43-56.) This decision became the Çt. Pachnowski who also issued an unfavotable decision. fìnal administtative decision aftet the Appeals Council declined teview. has exhausted all flt. avallable administtative temedies, and this case (fr. 1-13.) Plaintiff is now ripe fot review pursuant to 42 U.S.C. $ a05(g). II. STANDARD OF REVIEW The Commissioner held that Plaintiff was not under a disability within the meaning of the Acl Under 42 U.S.C. $ 405(9), the scope of judicial review of the Commissioner's fìnal decision is specific and nartow. Srnith u. Schweiker,795F.2d343,345 (4th Cfu. 198ó). This Court's review of that decision is limited to determining whethet thete is substantial evidence in the tecord to support the Commissioner's decision. 42U.5.C. $ a05(g); Hanteru. Sulliuan, 993 F.2d 31, 34 (4th Cir. 1,992); Hals u. Salliuan, 907 F.2d 1453, 1456 (4th Cit. 1990). "Substantial evidence is 'such televant evidence as a reasonable mind might accept as adequate to support (1971)). a conclusioÍ1."' H/./nter,993F.2dat34 (citing Nchardson "[t] u. Perales,4O2 U.S. 389,401. 'consists of more than a mere scintilla of evidence but may be somewhat less than a prepondera;trce."' 1/. (quoting Laws u. Celebre77e, 368 F.2d 640, 642 (4th Cir. 1,966)). The denial of benefits will be reversed only if no reasoriable mind could accept the tecord 2 as adequate to support the determination. Kichardson,402 U.S. at 401,. The issue before the Court, therefore, is not whether Plaintiff is disabled, but whether the Commissioner's fìnding that Plaintiff is not disabled is supported by substantial evidence and was teached based upon acorrectapplicationoftherelevantlaw. Cofrnanu.Bowen,829F.2d514,51.7 (4thCir. 1987). Thus, "faf claimant for disability benefits bears the burden of ptoving a disability," Hall u. Harris,658 F.2d 260,264 (4th Cir. 1981), and in this context, "disability" means the "'inability to engage in any substantial gainful activity by teason of any medically determinable physical ot mental impaitment which can be expected to result in death or which has lasted ot can be expected to last fot U.S.C. S 423(dX1XÐ). A.dministtation has a continuous "To period of not less than 12 monthsl.f"' Id. (quoting 42 rcgulanze promulgated the adjudicative process, the Social Secutity . . . detailed tegulations incorporating longstanding medical-vocational evaluation policies that take into account a claimant's age, education, and work experience in addition to [the claimant's] medical conditton." Id. "These regulations establish a 'sequential evaluatton process' to detetmine whether a claimant is disabled." Id. (internal citations omitted). This sequential evaluation process ("SEP") has up to five steps: 'The claimant (1) must not be engaged in 'substantial gainful activity,' i.e., cunettly working; and (2) must have a 'severe' impairment that (3) meets or exceeds the 'listings' of specified impairments, or is otherwise incapacitattng to the extent that the claimantdoes not possess the residual functional capacity ("RFC") to (4) perform [the claimant's] past work or (5) any other.work." Albright Cornm'r of Soa see also Sec. u. Admin.,174F.3d 473,475 n.2 (4th Cit. 1,999) (citing 20 C.F.R. $ 404.1520); 20 C.F.R. S 416.920. The law concerning these fìve steps is well-established. J See, e.!., Ma¡tro u. Apfel,270F.3d171,,177-180 (4th Cit.2001); Hall,658tr.2dat264-65. III. THE ALJ's DECISION In his Jantaty 24, 201.3 decision, the ALJ found that Plaintiff was not disabled under Sections 216(i),223(d), and'1,614(Ð(3XÐ of the Act. (Tt. 56.) In making this disability determination, the ALJ found that Plaintiff had not engaged in "substanttal gainful activity" since his alleged onset date ofJuly 1.3,2006. Çr. a6.) At step two, the ALJ found that Plaintiff had the following severe impairments: chronic hip, atm, knee, and ankle pain, status post back inlury; bilateral foot and hand numbness; migraine headaches; diabetes mellitus; lumbat degenerative disc disease; hypertension; arthdtis; chronic obstuctive pulmonary disease; anxiety disorder; affective mood disotdet; and substance abuse disotder. (Id.) At step thtee, the ALJ found that Plaintiff had no impairment or combination of impairments listed in, or medically equal to, one of the listed impairments in 20 C.F.R. Pt.404, Subpt. P, App. 1. Gr. 48.) The ALJ then determined that Plaintiff retained the RFC to petfotm light work with the following limitations : [D]r. to back pain and tepoted numbness in his exttemities, fPlaintiffl can only occasionally stoop and crouch and frequently but not continuously handle. He must also avoid concentrated exposute to dust, gases, fumes, and smoke. Due to symptoms of anxiety, fPlaintiffl is limited to petfotming simple toutine repetitive tasks. Gt. 50.) At step four, the ALJ determined that Plaintiff was unable to petfotm relevant any past work. flr. 5a.) At step five, the '{LJ determined that there were jobs which Plaintiff could perform consistent with his RFC, age, education, and work expedence. (Tr. 55 ) 4 IV. DISCUSSION Plaintiff raises two issues on appeal. First, Plaintiff argues that the '{.LJ etred in his consideration of medical opinion evidence. (Docket Entty 10 at 5-8.) Second, Plaintiff argues that the ALJ erred in inadequately accounting fot Plaintifls moderate limitations in concenttation, persistence, or pace in Plaintiffs RFC. (Id. at 8-11.) The latter is discussed below, which the undersigned concludes is gtounds fot temand. A. Concentration, Persistence, orPace/Application of the Gdds Plaintiff ârgues that the ALJ's fìndings that Plaintiff be limited to performing simple, routine, repetitive tasks inadequately accounts fot Plaintiff s concentration, persistence, or pace. (Id.) Plaintiff relies upon Ma¡cio modetate limitations in u. Coluin,where the Foutth Circuit held that "an AI-J does not account fot a claimant's limitations in concentration, persistence, and pace by restricting the hypothetical question to simple, routine tasks ot unskilled work." 780 F.3d 632,638 (4th Cir. 201,5) (internal quotations and citations omitted). The Court further reasoned that "the ability to perform simple tasks differs from the ability to stay on task. Only the latter ümitation would account for a claimant's limitation in concentration, persistence, or pace." Id. The Fourth Circuit also added that þ]erhaps the ÂLJ can explain why claimant's] modetate limitation in concentration, persisteflce, or pace at step three does not ftanslate into a limitation in [a claimant's] tesidual functional capacity. Fot example, the ALJ may find that the concentration, persistence, or pace limitation does not affect [a claimant's] ability to wotk, in which case it would have been appropriate to exclude it ftom the hypothetical tendered to the vocational expert. But because the ÂLJ hete gave no explanation, a temand is in otder. Id. (nternal citation omitted) 5 la In the present pace, case, the ALJ found that "[w]ith regatd to concentration, persistence, or the claimant has moderate diffìculties. The claimant indicated . . . that he has difficulty remembering the words to songs . . . and that he sometimes fotgets to take his medications." Qr a9.) The ALJ further stated that Plaintiffs sistet indicated that Plaintiff "follows written and spoken instuctions fine." (Id.) "Giving [Plaintiffl the benefit of the doubt," the ALJ found that Plaintiff was "moderately limited in this area of functioning." (Id.) The Commissioner argues that Masio is distinguishable here as the ALJ specifically and "amply accounted for PlaintifÎs modetate limitation in concenration, petsistence, or pace in the [RFC] by restricting him to simple, routine, repetitive psychologists." (Docket Entty 1,3 tasks, as found by the state agency at 7 (citing Tr. 50)). The two state agency psychologists, whose opinions were given significant weight by the ALJ, opined that Plaintiff was "capable of concentrating and persisting with simple routine tepetitive tasks." Tt. (See Tt. 1.36, 171.; see also 148.) The undersigned finds it unnecessaq/ to conduct a teview of the ALJ's decision based upon Ma¡cio because as Plaintiff argues, the ALJ provided no explanation of why he did not rely upon the testimony of the vocational expert after finding that Plaintiff had both exertional and nonexettional limitations.2 (Docket Entty 10 at 10.) The holding in Mascio regatding concentration, persisterrce, or pace v/as determined in the context of "hypotheticals" presented to the vocational expert as to a claimant's ability to work. Here, the ALJ telied upon the Grids at Step Five and did not adopt the vocational expert's ûndings. Thus, the real undedining z In its ctoss-motion for judgment, the Commissioner did not address this pottion of PlaintifPs Masrio argument, 6 issue hete is whether the ALJ propedy applied the gdds rather than reþing upon the testimony of the vocational expeÍt. The undersigned recommends remand on this issue as the ALJ's Step Five analysis does not At Step Five, petmit meaningful judicial teview. if a claimant cannot retutn to his past televant wotk, the burden shifts to the Commissioner to show that other jobs exist in significant numbets that Plaintiff could perfotm. HanÍer, 993 F.2d at 35; lWilson u. Califano, 617 F.2d 1050, 1053 (4th Cir. 1980). If a claimant has no nonexettional impaitments that prevent him from performing the full r^nge of work at a given exertional level, the Commissionet may rely solely on the Grids to satis$r his burden of proof. Cofman,829 F.2d at51,8; Gory u. Schweiker,71,2F.2d929,930-31 (4th Cir. 1983). However, "[t]he Grids are dispositive of whether a claimant is disabled only when the claimant suffers from putely exertional impairments." Ai$rop 1,46 u. Barnhart,36 Fed. Appx. 145, (4th Cu.2002). To the extent that nonexetional impairments further limit the range of jobs available to the claimant, the Gtids may not be telied upon to demonsttate the availability of altetnate work activities. Grantu. ïchweiker,699tr.2d1,89,1,92 (4th Cir. 1983). Rather, when a claimant suffets from both exertional and nonexertional limitations, the Gdds are not conclusive but may only serve as a guide. Il/alker u. Bowen,889 F.2d 47, 49 (4th Cir. 1989) (citing IYilson u. Hec/</er, 743 F.2d 218 (4th Cir. 1984)). A nonexertional limitation is "limitation that is present whether the claimant is attempting a to perform the physical requitements of the job ot not . . . [s]uch limitations are present at alI times in a claimant's life, whether dudng exettion or rest." Il/ood1 (quoting Corj471.2 F.2d at 930). u. Barnhart,326 tr. S,rpp. 2d7 44,752 (IX/.D. Ya. 2004) Typically, they ate conditions such as mental disordets (including depression), envitonmental intolerances, substance addictions, 7 ot sensoq/ impediments. Id. (crtng 20 C.F.R. $ 1569a, SSR 96-8p; and Il/alker,889 F.2d ^t 48-49). Futthermore "la] non-exertional limitation is one that places limitations on functioning or restricts an individual from performing a full range of work in a patticular category." Ahtrop, 36 Fed. App". at1.47 (citing C0ry,71.2F.2dat930). However, "not every nonexertional limitation or malady rises to the level of a nonexettional impaitment, so as to preclude teliance on the [G]dds." Walker, 889 F.2d at 49 (citing Grant,699 tr.2d at 189). The proper inqury is whether the nonexettional condition affects an individual's RFC to petfotm work of which he is exertionally capable. Commissionet "must produce a Id. If so, the vocational expert to testi$r that the partcular claimant retains the ability to perfotm specific jobs which exist in the national economy." GranÍ,699 F.2d at 1,92 (citng Ta/or u. Il/eìruberger, 51.2 F.2d 664 (4th nonexertional impairment, an 1.J-J must Cir. 1915)). To directly apply the Grids to ftst fìnd as fact that the impaitment a does not significantly affect the occupational base of work at the televant exettional level.3 To ditectly âpply the Gdds hete, the ALJ was tequired to detetmine that Plaintiffs nonexettional limitations did not significantly reduce his ability to perfotm a full tange of wotk at the light exertional level. Here, the AIJ simply concluded that "additional limitations have little or no effect on the occupational base of unskilled light work." (Tr. 55.) However, No. 88-1614,1.989 \7L 100814, at*3 (4th Ct. May 8, 1989) (unpublished opiruon) (concluding "it is for the Á.LJ to determine as a question of fact whether the [nonexertional limitation] complain[ed] of affects [the claimant's] tesidual capacity to engage in cetain work activities") (citatron and quotations omitted); Smith,71,9 F.2d at725 ('ÌØhether a given nonexettional condition affects a partscular claimant's residual capacity to engage in certain job activities is a question of fact;');Phillips u. Astnte,No. 1:10CV289,201.1 \øL 5039779,*3 (Àd.D.N.C. Oct.24,2011) (unpublished) (concluding that "the ALJ may rely exclusively on the Grids where the ALJ has ptopedy decided, as an issue of fact, that Plaintiffs non-exettional condition does not significantly affect" her ability to work) (citation omitted). 3 See, e.9., Stratton u. U.S. Deþ'r of Health dy Haman Seras., 8 without furthet analysis here, the Court is unable to determine whether substantial evidence exists to support the .,tLJ's findings at Step Fíve. Boler u. Coluin, No. 1:1O-CV-451.,201,3 WL 5423647 , at x4 (À4.D.N.C. Sept. 26,201,3) (unpublished) ("Regardless of whether an ALJ relies on the gdds or VE testimony, his step five analysis must capture . . . the concrete consequences of a clatmant's defìciencies as suppoted by the substantial evidence . . . [and] build an and logical bridge from the evidence to þs] conclusions .") (citation and ^ccnta'te quotations omitted); ¡ee also Clowers u. Astraq No. 3:12-CV-00229-trDì7, 2013 WL 2351,361., at *6 flX/.D.N.C. }i/:ay 23,2013) (unpublished) (the ALJ specifìcally acknowledged in Plaintiff s RFC that his nonexertional limitation affected his work capacity, but the ALJ "falled to offer any explanation of how he had factored Plainuffs Inonexertional] limitation into [the -ALJ's] Step 5 assessment that there were jobs in significant numbers that Plaintiff could perform."). As previously explained, the burden of proof is with the Commissioner at the fifth step to make findings and suppott them with substanttal evidence; thus, the undersigned believes that the appropriate course here is to remand this case back to the ALJ explanation as fot adequate to why Plaintiffls nonexertional limitations do not significantþ affect the occupational base of wotk at the relevant exertional level. Bokr, 201.3 WL 5423647 , at*4; xe also Cobh u. Coluiru, No. 1:15-1972-JMC-5VH,20L6 ìØL 3085906, at x12 (D.S.C. Apt. 1,201.6), report and recommendaîion adopted, 201,6) (unpublished) No. 1:15-CV-01972-JMC,2016 !ØL 3059854 (D.S.C. }if.ay 31., ("f{he ALJ cited insuffìcient evidence to support his conclusion that Plaintiffs nonexettional limitations did not significantly teduce the occupational base."). The Coutt declines consideration of the additional issues taise by Plaintiff at this ttme. Hancocþ. u. 9 Bømhart, 206 F. S,rpp. 2d 7 57 has no pteclusive effect, as ,163-7 64 flW.D. Ya. 2002) (on temand, the ALJ's ptiot decision it is vacated and the new heating is conducted de novo). V. CONCLUSION Aftet a careful consideration of the evidence of record, the Cout finds that the Commissioner's decision is not suppotted by substantial evidence. Accordingly, this Coutt RECOMMENDS that the Commissioner's decision finding no disability be REVERSED, and the m^tter be REMANDED to the Commissioner under sentence four of 42 U.S.C. S a05G). The Commissioner should be directed to temand the matter to the ALJ for futher administrative action as set out above. To this extent, Plaintifls Motion for Reversing the Commissioner Q)ocket Entry 9) should be GRÄNTED and Defendant's Motion forJudgment on the Pleadings (Docket E.rtry 12) should be DENIED. L lI''dntcr Stnt*r lrftrgi*trltüJuW July 26,2016 Durham, North Caroltna 10 Judgment

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