ROYER v. ASTRUE

Filing 17

MEMORANDUM JUDGMENT ORDER denying 11 Plaintiff's Motion for Summary Judgment and granting 15 Defendant's Motion for Summary Judgment. The decision of the Commissioner of Social Security is affirmed. See Memorandum Judgment Order for further details. Signed by Judge Gustave Diamond on 3/27/12. (gpr)

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IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA MATTHEW J. ROYER, by HARRY J. ROYER, Plaintiff, v. Civil Action No. 11-14J MICHAEL J. ASTRUE, COMMISSIONER OF SOCIAL SECURITY, Defendant MEMORANDUM JUDGMENT ORDER AND NOW, this of the parties' ~~ of March, 2012, upon due consideration cross-motions for summary judgment pursuant to plaintiff's request for review of the decision of the Commissipner of Social application ("Commissioner" ) Security for child's supplemental denying security plaintiff's income ("CSSI") under Title XVI of the Social Security Act ("Act"), IT IS ORDERED that the Commissioner's motion for summary judgment (Document No. 15) be, and the same hereby is, granted and plaintiff's motion for summary judgment (Document No. 11) be, and the same hereby is, denied. As the factfinder, an Administrative Law Judge ("ALJ") has an obligation to weigh all of the facts and evidence of record and may reject or discount reasons for doing so. Cir. 1999). any evidence if Plummer v. Apfel, the ALJ explains the 186 F.3d 422, 429 (3d. Where the ALJ's findings are supported by substantial ~A072 (Rev. 8/82) evidence, a reviewing court is bound by those findings, even if it would have decided the factual inquiry differently. Massanari, 247 F.3d 34, 38 {3d Cir. 2001}. Fargnoli v. These well-established principles preclude a reversal or remand of the ALJ's deciSion here because the record contains substantial evidence to support the ALJ's findings and conclusions. On January 10, 2008, Harry J. Royer filed an application. for CSSI on behalf of his minor son, Matthew J. Royerl, alleging a disability onset date of March 28, 1994 {his date of birth}, due to bilateral club feet and a learning disorder. application was denied initially. Plaintiff's At plaintiff's request an ALJ held a hearing on February 4, 2010, at which Matthew, represented by counsel, and his father appeared and testified. 25, On February 2010, the ALJ issued a decision finding that Matthew is not disabled. On November 18, 2010, the Appeals Council denied review making the ALJ's decision the final decision of the Commissioner. Under the basic definition of disability for children set forth in the Act, an individual under the age of eighteen shall be considered determinable marked and disabled if physical severe that or mental functional individual impairment, limitations, "has a medically which results and which can in 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.H U.S.C. §1382c(a} (3) (C) (i) 1 'I.1!.Aon (Rev. 8/82) i see 42 20 C.F.R. §416.906. Matthew was fifteen-years old at the time of the hearing before the ALJ. - 2 ­ In determining whether a child is disabled under the Act, the ALJ must determine in sequence: substantial gainful activity; severe impairment; (3) meets, if medically equals, (1) whether the child is doing (2) if not, whether the child has a so, whether the child's impairment or functionally equals the listin$ of impairments set forth in 20 C.F.R. Part 404, Subpart P, Appendix 1. 20 C.F.R. §416.924(a). Here, the ALJ found at step 2 that Matthew suffers from the severe impairments of a learning disorder, an oppositional defiant disorder, and a history of bilateral club feet status surgical repair with associated degenerative j oint However, after records, reviewing Matthew's medical post disease. 2 school records, and teacher/counselor questionnaires, and considering the testimony of both Matthew and his father, the ALJ found that those impairments, alone or in combination, do not meet or medically equal the severity of any of the impairments listed in Appendix 1 of 20 C. F. R., Part 404, Subpart P, nor do they limitations that functionally equal the listings. result in As a result, the ALJ found at step 3 that Matthew is not disabled within the meaning of the Act. Plaintiff raises two challenges to the ALJ's finding of not disabled at step 3: (1) the ALJ erred in finding that Matthew's impairments do not meet or medically equal any listing; and, (2) the not ALJ erred in finding that Matthew's impairments do 2 At step I, there is not dispute that Matthew has never engaged in substantial gainful activity. (R. 12). ~A072 (Rev. 8182) - 3 ­ functionally equal any listing. court is satisfied that the After reviewing the record, this ALJ's findings are supported by substantial evidence. At step 3 of the sequential evaluation process for children, the ALJ must determine whether a claimant's severe impairments meet, medically equal, or functionally equal a listed impairment. 20 C.F.R. §416.924(d). The regulations set forth specific rules for evaluating whether the claimant has an impairment that meets a listing C.F.R. (20 C.F.R. §416.926) or §416.925), medically equals a listing functionally equals a listing (20 (20 C.F.R. §416. 926 (a) ) . First, plaintiff's challenge to the ALJ's step 3 finding that Matthew's impairments do not meet or medically equal any listed impairment is without merit. In making this finding, the ALJ adhered to the standards set forth in §§416.925 and 416.926. identified the relevant listings for disorders of He the musculoskeletal system (101.00) and for mental disorders (112.00 et seq.), (R. 12), and set forth his rationale as to why Matthew's impairments do not meet or medically equal any of those listings, particularly, Listings 101.00, et seq., relating to his severe impairment of bilateral club feet status post surgical repair with associated degenerative joint disease, and Listings 112.02, 112.05 and 112.08 relating to his defiant disorder. learning disorder and oppositional (R. 12-13). Plaintiff now contends that his impairments meet or medically equal Listings 101.02 and/or 112.02. 'A072 (Rev. 8/82) - 4 ­ However, plaintiff presented no medical evidence establishing that either Matthew's club foot with associated degenerative joint disease nor his learning or emotional disorders meet or medically equal all of the criteria for either of those listings. As to Listing 101.02, the ALJ expressly found that there is no evidence of an inability to ambulate effectively which would be required to meet the A criteria of that listing. The ALJ pointed out that a physical exam performed by Dr. Sathya in January of 2010 showed Matthew to be well with normal sensory and motor neurological findings, normal lower extremity joints and a normal gait. (R. 13). He further noted that although Matthew has been prescribed orthotics and braces, there is no evidence that he ever has been prescribed a hand-held assistive device for ambulation. As to Listing 112.02, the ALJ explicitly found that there is no evidence of marked impairment age-appropriate in cognitive/communicative, social or personal functioning or marked difficulties in maintaining concentration, persistence or pace. (R. 12). In order to show that a medical condition meets or equals the severity of a listed impairment, a claimant must present medical findings which meet or equal in severity all of the criteria for a listed (1989). impairment. Sullivan v. Zebley, 493 U.S. 521, 531 Here, plaintiff failed to produce such evidence, and the evidence which was before the ALJ does not support such a finding. As the ALJ noted, no medical source of record opined that Matthew's impairments meet or medically equal any listing and, to 'llt,A072 (Rev. 8/82) - 5 ­ the contrary, Matthew's the state agency medical consultants who reviewed file concluded that his medically equal any listing. impairments do not meet or Accordingly, the court finds no error in the ALJ's step 3 finding that Matthew's impairments do not meet or medically equal any listed impairment. 3 Plaintiff next contends that the ALJ erroneously found that Matthew's impairments do not functionally equal the listings. Under the regulations, an impairment functionally equals the listings if it results in \\marked" limitations 4 in two domains of functioning or an "extreme" limitationS in one domain. §416.926a(a). 20 C.F.R. The six domains of functioning to be considered in this evaluation are: (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 well-being. §416. 926a (b) (1) (i) - (vi) . 3 Plaintiff's suggestion that the ALJ failed to consider the limiting effects of all of Matthew's impairments in combination is belied by the record. The ALJ expressly noted that Matthew does not have "an impairment or a combination of impairments that meets or medically equals one of the listed impairments," (R. 12), and a review of the ALJ's decision confirms that his analysis considered all of Matthew's impairments in combination. 4 The regulations describe a \\marked" limitation as "more than moderate" but \\less than extreme." §416 . 926a (e) (2) (i). A \\marked" limitation in a domain will be found "when your impairment (s) interferes seriously with your ability to independently initiate, sustain, or complete activities." S An \\extreme" limitation is a limitation that is \\more than marked" but does not necessarily mean a total lack or loss of ability to function. §416.926a(e) (3) (i). <\\It.AOn (Rev,8/82} - 6 ­ In this case, the ALJ determined that Matthew has "less than marked" limitations information; in attending the and domains of completing acquiring tasks; and using interacting relating with others; and health and physical well-being. and The ALJ also found that Matthew has "no" limitations in the domains of moving about and manipulating objects and caring for yourself. (R. 14-23). limitations Accordingly, in any two because the ALJ did not find marked domains of functioning, or extreme limitations in anyone, he concluded that Matthew's impairments are not functionally equivalent in severity to any listed impairment. Plaintiff contends that the record supports a finding that, Matthew has at interacting and least marked relating limitations to others; in four domains: attending and completing tasks; caring for yourself; and, health and physical well-being. Upon review, the court is satisfied that there is substantial evidence in the record supporting the ALJ's finding that Matthew does not have marked limitations in any of the domains. In determining that Matthew's impairments do not functionally equal the listings, the ALJ thoroughly and exhaustively considered all of the relevant evidence of record relating to all of the domains of functioning and he properly evaluated all of that evidence in light of the criteria set forth in §416.926a of the regulations. (R. 14-23). The substantial evidence in support of the ALJ's finding is set forth in detail in his decision and need not be reiterated here. ~A072 (Rev. 8/82) - 7 ­ Conversely, plaintiff has pointed to no relevant medical or other evidence which would support a finding of marked limitations in any of the six domains. In fact, there is no such evidence. As a finding of functional equivalence requires marked limitations in at least two domains, or extreme limitations in one domain, the ALJ's finding that Matthew's impairments do not functionally equal the listings must be affirmed. After evidence carefully and methodically of record, the ALJ considering all determined disabled within the meaning of the Act. that William of the is not The ALJ's findings and conclusions are supported by substantial evidence and are not otherwise erroneous. Accordingly, the decision of Commissioner must be affirmed. /~~ Gustave Diamond United States District Judge cc: J. Kirk Kling, Esq. 630 Pleasant Valley Boulevard, Suite B Altoona, PA 16602 Stephanie L. Haines Assistant U.S. Attorney 319 Washington Street Room 224, Penn Traffic Building Johnstown, PA 15901 ~A072 (Rev. 8/82) - 8 ­ the

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