Bertha Alice Gustafson v. Andrew M. Saul

CourtDistrict Court, W.D. Texas
DecidedJuly 26, 2021
Docket5:20-cv-00393
StatusUnknown

This text of Bertha Alice Gustafson v. Andrew M. Saul (Bertha Alice Gustafson v. Andrew M. Saul) is published on Counsel Stack Legal Research, covering District Court, W.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bertha Alice Gustafson v. Andrew M. Saul, (W.D. Tex. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TEXAS SAN ANTONIO DIVISION

BERTHA ALICE GUSTAFSON, § § Plaintiff, § SA-20-CV-00393-ESC § vs. § § ANDREW M. SAUL, COMMISSIONER § OF THE SOCIAL SECURITY § ADMINISTRATION, § § Defendant. §

ORDER This order concerns Plaintiff’s request for review of a decision of the Social Security Administration to terminate her disability insurance benefits under Title II of the Social Security Act, based on a finding of medical improvement. 42 U.S.C. §§ 405(g), 1383(c)(3). After considering Plaintiff’s Original Brief [#12], Defendant’s Brief in Support of the Commissioner’s Decision [#14], Plaintiff’s Reply Brief [#15], the transcript (“Tr.”) of the administrative proceedings [#9], the other pleadings on file, the applicable case authority and relevant statutory and regulatory provisions, and the entire record in this matter, the Court concludes that the Commissioner committed reversible legal error in the administrative proceedings and substantial evidence does not support the Commissioner’s decision to terminate Plaintiff’s benefits based on a finding of medical improvement. The Commissioner’s decision will therefore be VACATED and this case REMANDED for further fact-finding consistent with this opinion. I. Jurisdiction This Court has jurisdiction to review a decision of the Social Security Administration pursuant to 42 U.S.C. § 405(g). The undersigned has authority to enter this Order pursuant to 28 U.S.C. § 636(c)(1), as all parties have consented to the jurisdiction of a United States Magistrate Judge [#8, #10]. II. Legal Standard In reviewing the Commissioner’s decision to terminate disability benefits, the Court is limited to a determination of whether the Commissioner, through the ALJ’s decision,1 applied

the proper legal standards and whether the Commissioner’s decision is supported by substantial evidence. Martinez v. Chater, 64 F.3d 172, 173 (5th Cir. 1995); 42 U.S.C. §§ 405(g), 1383(c)(3). “Substantial evidence is more than a scintilla, less than preponderance, and is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Villa v. Sullivan, 895 F.2d 1019, 1021–22 (5th Cir. 1990) (quoting Hames v. Heckler, 707 F.2d 162, 164 (5th Cir. 1983)). The Court may not reweigh the evidence or substitute its judgment for that of the Commissioner. Newton v. Apfel, 209 F.3d 448, 452 (5th Cir. 2000). Conflicts in the evidence and credibility assessments are for the Commissioner, not the court, to resolve. Id. While substantial deference is afforded the Commissioner’s factual findings, the Commissioner’s

legal conclusions, and claims of procedural error, are reviewed de novo. See Greenspan v. Shalala, 38 F.3d 232, 236 (5th Cir. 1994). In determining whether a claimant is under a continuing disability or there has been medical improvement and disability benefits should be terminated, the Commissioner employs the eight-step sequential framework set forth in the governing regulations. See 20 C.F.R. § 404.1594(f). This approach considers the following: (1) whether the claimant is currently engaged in substantial gainful activity, (2) if not, whether the claimant has an impairment or

1 In this case, because the Appeals Council declined to review the ALJ’s decision, the decision of the ALJ constitutes the final decision of the Commissioner, and the ALJ’s factual findings and legal conclusions are imputed to the Commissioner. See Higginbotham v. Barnhart, 405 F.3d 332, 336 (5th Cir. 2005); Harris v. Apfel, 209 F.3d 413, 414 (5th Cir. 2000). combination of impairments that meets or equals the severity of an impairment enumerated in the relevant regulations, (3) if not, whether there has been medical improvement, (4) if there has been medical improvement, whether the medical improvement is related to the claimant’s ability to do work, (5) if there has been no medical improvement, or if the medical improvement is not related to the claimant’s ability to do work, whether one of the enumerated exceptions to medical

improvement is applicable, (6) if there has been medical improvement related to the claimant’s ability to do work, or if one of the first group of exceptions is applicable, whether the combination of remaining impairments is severe, (7) if so, whether the claimant is able to engage in past relevant work, and (8) if not, whether the claimant is able to perform other substantial gainful activity. Griego v. Sullivan, 940 F.2d 942, 944 & n.1 (5th Cir. 1991) (citing 20 C.F.R. § 404.1594(f)). In determining medical improvement in disability termination proceedings, the ultimate burden of proof lies with the Commissioner. Id. at 944. III. Factual Background This case concerns the termination of disability benefits due to a finding of medical

improvement. Plaintiff Bertha Alice Plaintiff filed a claim for disability insurance benefits (“DIB”) in 2008 based on a seizure disorder. In 2009, Plaintiff was found disabled based on a determination that her seizure disorder was a severe impairment and, as of May 7, 2008, met the criteria for Listing 11.03, the listing governing epilepsy at the time. (Tr. 68–71.) Plaintiff received disability benefits in the amount of $863 per month for years, until February 2016, when she was advised that the Social Security Administration (“SSA”) was performing “a continuing disability” review in order to determine whether she was still disabled. (Tr. 320, 324.) On October 12, 2016, the SSA advised Plaintiff that she was no longer disabled due to a finding of medical improvement and would stop receiving benefits as of December 2016. (Tr. 151–52.) Plaintiff requested reconsideration of the decision, but the decision was upheld in a decision by a State Agency Disability Hearing Officer. (Tr. 162–83.) Plaintiff made a timely request for review and a hearing before an administrative law judge (“ALJ”). (Tr. 187.)

Plaintiff and her attorney Greg Reed attended the administrative hearing before ALJ Katherine Brown on October 23, 2018. (Tr. 106–46.) Plaintiff, vocational expert (“VE”) Ms. Johnson, and Plaintiff’s husband, Dr. Malcolm Gustafson, provided testimony at the hearing. (Id.) At the time of her hearing, Plaintiff was 55 years old, an individual “closely approaching advanced age,”2 and had obtained a high school diploma. (Tr. 111, 140.) Plaintiff had past work as a fast food worker and a hostess. (Tr.

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Related

Newton v. Apfel
209 F.3d 448 (Fifth Circuit, 2000)
Harris v. Apfel
209 F.3d 413 (Fifth Circuit, 2000)
Waters v. Barnhart
276 F.3d 716 (Fifth Circuit, 2002)
Higginbotham v. Barnhart
405 F.3d 332 (Fifth Circuit, 2005)
Teague v. Astrue
342 F. App'x 962 (Fifth Circuit, 2009)
Threet v. Barnhart
353 F.3d 1185 (Tenth Circuit, 2003)

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Bluebook (online)
Bertha Alice Gustafson v. Andrew M. Saul, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bertha-alice-gustafson-v-andrew-m-saul-txwd-2021.