Balata v. Social Security Administration

CourtDistrict Court, D. New Mexico
DecidedJune 26, 2020
Docket1:19-cv-00070
StatusUnknown

This text of Balata v. Social Security Administration (Balata v. Social Security Administration) is published on Counsel Stack Legal Research, covering District Court, D. New Mexico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Balata v. Social Security Administration, (D.N.M. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW MEXICO

MARK A. BALATA,

Plaintiff,

vs. Civ. No. 19-0070 SCY

ANDREW SAUL,1

Defendant.

MEMORANDUM OPINION AND ORDER2 THIS MATTER is before the Court on the Social Security Administrative Record (Doc. 15) filed June 6, 2019, in support of Plaintiff Mark A. Balata’s Complaint (Doc. 1) seeking review of the decision of Defendant Andrew Saul, Commissioner of the Social Security Administration, denying Mr. Balata’s claim for disability insurance benefits under Title II of the Social Security Act (the “Act”), 42 U.S.C. §§ 401–434. On August 5, 2019, Mr. Balata filed his Motion to Reverse and Remand Administrative Agency Decision (Doc. 18) (“Motion”), and his Motion and Memorandum in Support of Reversing and Remanding Administrative Agency Decision (Doc. 19). The Commissioner filed a Brief in Response on October 31, 2019 (Doc. 22), and Mr. Balata filed a Reply on November 19, 2019 (Doc. 23). The Court has jurisdiction to review the Commissioner’s final decision under 42 U.S.C. §§ 405(g) and 1383(c). Having meticulously reviewed the entire record and the applicable law and being fully advised in the premises, the Court finds the Motion is well taken in part and is GRANTED.

1 Andrew Saul was sworn in as Commissioner of the Social Security Administration on June 17, 2019, and is automatically substituted as a party pursuant to Federal Rule of Civil Procedure 25(d). 2 Pursuant to 28 U.S.C. § 636(c), the parties consented to the undersigned to conduct any or all proceedings and to enter an order of judgment. Docs. 5, 11, 12. I. Background and Procedural Record Claimant Mark A. Balata suffers from the following severe impairment: myocardial infarction. Administrative Record (“AR”) at 15. He alleges that he became disabled as of October 31, 2006. Id. He graduated from high school and has had some vocational training and community college classes, and he has past work experience as an auto body repair person and a

small business owner. AR 19-20, 35-36, 207-08. On April 13, 2016, Mr. Balata filed an application for Social Security Disability Insurance Benefits under Title II of the Act. AR 186-87. His application was denied on April 25, 2016 (AR 83), and upon reconsideration on August 15, 2016 (AR 90). Administrative Law Judge (“ALJ”) Lillian Richter conducted a hearing on September 26, 2017. AR 27-82. Mr. Balata appeared in person at the hearing with attorney representative Victor Roybal. Id. The ALJ took testimony from Mr. Balata and an impartial vocational expert (“VE”), Sandra Trost. Id. On April 3, 2018, ALJ Richter issued an unfavorable decision. AR 10-26. On November 27, 2018, the Appeals Council issued its decision denying Mr. Balata’s request for review and upholding the ALJ’s final decision. AR 1-6. On January 24, 2019, Mr. Balata timely filed a

Complaint seeking judicial review of the Commissioner’s final decision. Doc. 1. Because the parties are familiar with Mr. Balata’s medical history, the Court reserves discussion of the medical records relevant to this appeal for its analysis. II. Applicable Law A. Disability Determination Process An individual is considered disabled if he 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)(1)(A) (pertaining to disability insurance benefits); see also id. § 1382c(a)(3)(A) (pertaining to supplemental security income disability benefits for adult individuals). The Social Security Commissioner has adopted the familiar five- step sequential evaluation process (“SEP”) to determine whether a person satisfies the statutory criteria as follows: (1) At step one, the ALJ must determine whether the claimant is engaged in “substantial gainful activity.”3 If the claimant is engaged in substantial gainful activity, he is not disabled regardless of his medical condition.

(2) At step two, the ALJ must determine the severity of the claimed physical or mental impairment(s). If the claimant does not have an impairment or combination of impairments that is severe and meets the duration requirement, he is not disabled.

(3) At step three, the ALJ must determine whether a claimant’s impairment(s) meets or equals in severity one of the listings described in Appendix 1 of the regulations and meets the duration requirement. If so, a claimant is presumed disabled.

(4) If, however, the claimant’s impairments do not meet or equal in severity one of the listings described in Appendix 1 of the regulations, the ALJ must determine at step four whether the claimant can perform his “past relevant work.” Answering this question involves three phases. Winfrey v. Chater, 92 F.3d 1017, 1023 (10th Cir. 1996). First, the ALJ considers all of the relevant medical and other evidence and determines what is “the most [the claimant] can still do despite [his physical and mental] limitations.” 20 C.F.R. §§ 404.1545(a)(1), 416.945(a)(1). This is called the claimant’s residual functional capacity (“RFC”). Id. §§ 404.1545(a)(3), 416.945(a)(3). Second, the ALJ determines the physical and mental demands of the claimant’s past work. Third, the ALJ determines whether, given the claimant’s RFC, the claimant is capable of meeting those demands. A claimant who is capable of returning to past relevant work is not disabled.

(5) If the claimant does not have the RFC to perform his past relevant work, the Commissioner, at step five, must show that the claimant is able to perform other work in the national economy, considering the claimant’s

3 “Substantial work activity is work activity that involves doing significant physical or mental activities. . . . [W]ork may be substantial even if it is done on a part-time basis or if you do less, get paid less, or have less responsibility than when you worked before.” 20 C.F.R. §§ 404.1572(a), 416.972(a). “Gainful work activity is work activity that you do for pay or profit.” 20 C.F.R. §§ 404.1572(b), 416.972(b). RFC, age, education, and work experience. If the Commissioner is unable to make that showing, the claimant is deemed disabled. If, however, the Commissioner is able to make the required showing, the claimant is deemed not disabled.

See 20 C.F.R. § 404.1520(a)(4) (disability insurance benefits); 20 C.F.R. § 416.920(a)(4) (supplemental security income disability benefits); Fischer-Ross v. Barnhart, 431 F.3d 729, 731 (10th Cir. 2005); Grogan v. Barnhart, 399 F.3d 1257, 1261 (10th Cir. 2005).

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