Bravo v. Commissioner of Social Security

CourtDistrict Court, W.D. New York
DecidedMarch 22, 2021
Docket1:19-cv-00858
StatusUnknown

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

Bluebook
Bravo v. Commissioner of Social Security, (W.D.N.Y. 2021).

Opinion

W ESTERN DISTRICT OF NEW YORK

CARITSA B.,

Plaintiff, v. 19-CV-858 COMMISSIONER OF SOCIAL SECURITY,

Defendant.

DECISION AND ORDER

Pursuant to 28 U.S.C. § 636(c), the parties have consented to have the undersigned conduct any and all further proceedings in this case, including entry of final judgment. Dkt. No. 21. Caritsa B. (“Plaintiff”), who is represented by counsel, brings this action pursuant to the Social Security Act (“the Act”) seeking review of the final decision of the Commissioner of Social Security (“the Commissioner”) denying her application for benefits. This Court has jurisdiction over the matter pursuant to 42 U.S.C. § 405(g). Presently before the Court are the parties’ competing motions for judgment on the pleadings pursuant to Rule 12(c) of the Federal Rules of Civil Procedure. Dkt. Nos. 11, 19. For the following reasons, Plaintiff’s motion (Dkt. No. 11) is denied, and the Commissioner’s motion (Dkt. No. 19) is granted.

BACKGROUND On October 26, 2015, Plaintiff applied for a period of disability and Disability Insurance Benefits (“DIB”), alleging disability beginning on August 31, 2012, due to liver Supplemental Security Income (“SSI”), alleging the same disability onset date. Tr. at 230- 35. Plaintiff’s application was denied at the initial level and she requested review. Tr. at 135-50, 151-52. Administrative Law Judge Lynette Gohr (“the ALJ”) conducted a hearing relating to Plaintiff’s alleged disability on May 21, 2018. Tr. at 41-79. Plaintiff, who was represented by an attorney, testified at the hearing, as did an impartial vocational expert (“VE”). Tr. at 41-79. At that time, Plaintiff amended her alleged onset date to July 7, 2014, the date of a previous unfavorable decision from the Commissioner which Plaintiff did not appeal. Tr. at 47. The ALJ declined to reopen Plaintiff’s prior applications. Tr. at 17, 47. On July 2, 2018, the ALJ issued a decision in which she found that Plaintiff was not eligible

for benefits. Tr. at 17-34. The Appeals Council denied Plaintiff’s request for review, making the ALJ’s determination the final decision of the Commissioner. Tr. at 1-8. Plaintiff thereafter commenced this action seeking review of the Commissioner’s decision. Dkt. No. 1.

LEGAL STANDARD Determining Whether a Claimant is Entitled to DIB and SSI The Commissioner shall not authorize DIB unless a claimant proves that she is disabled under the Act. To prevail on a claim for DIB, a claimant must provide medical and other evidence to establish that she became disabled before her Title II insured status

expired. See generally 42 U.S.C. § 423. Evidence of an impairment which reached

1 Citations to “Tr. __” refer to the pages of the administrative transcript, which appears at Docket No. 6. 2 exacerbated after such expiration, “cannot be the basis for entitlement to a period of disability and disability insurance benefits, even though the impairment itself may have existed before the claimant’s insured status expired.” Davis v. Colvin, No. 6:14-CV-06373 (MAT), 2016 WL 368009, at *2 (W.D.N.Y. Feb. 1, 2016) (citing Arnone v. Bowen, 882 F.2d 34, 37-38 (2d Cir. 1989)) (“A ‘period of disability’ can only commence, however, while an applicant is ‘fully insured.’. . . [R]egardless of the seriousness of his present disability, unless [the claimant] became disabled before [the date last insured], he cannot be entitled to benefits.”) (internal citations omitted)). Moreover, a claimant must show through objective medical evidence that she became disabled prior to the expiration of insured

status; she cannot sustain her burden of proof solely by means of conclusory, self-serving testimony that she was disabled at the crucial time. Gonzalez v. Schweiker, 540 F. Supp. 1256, 1258 (E.D.N.Y. 1982); Rodriguez v. Califano, 431 F. Supp. 421, 423 (S.D.N.Y. 1977).

There is no parallel insured status requirement for SSI. To receive SSI under the Act, a claimant must establish through medical evidence that she was unable “to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to last for a continuous period of not less than 12 months.” 42 U.S.C. §§ 1382c(a)(3)(A), (a)(3)(H)(i). For both DIB and SSI claims,

the evidence must show that the claimant is unable to work due to a physical or mental impairment resulting from “anatomical, physiological, or psychological abnormalities which are demonstrable by medically acceptable clinical and laboratory diagnostic techniques.” 42 U.S.C. § 423(d)(5)(A). Such impairments must be expected to result in death or have 3 Id.; 20 C.F.R. §§ 404.1509, 416.909. The claimant’s impairments must also be so severe that she is unable to do her past work or any other substantial gainful work existing in significant numbers in the national economy based on her age, education, and work experience. 42 U.S.C. § 423(d)(2)(A).

The Commissioner determines disability using a five-step sequential evaluation process. 20 C.F.R. §§ 404.1520(a)(4), 416.920(a)(4); 404.1527(d)(1), 416.927(d)(1). The burden of showing that the claimant can perform other work existing in significant numbers in the national economy is on the Commissioner; however, the burden

of proving disability is always on the claimant. 20 C.F.R. §§ 404.1520, 416.920; Bowen v. Yuckert, 482 U.S. 137, 147 (1987); Lesterhuis v. Colvin, 805 F.3d 83, 87 (2d Cir. 2015) (“The claimant bears the ultimate burden of proving [disability] throughout the period for which benefits are sought.”) (citation omitted).

District Court Review 42 U.S.C. § 405(g) authorizes a district court “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) (2007). Section 405(g) limits the scope of the Court’s review to two

inquiries: whether the Commissioner’s conclusions were based upon an erroneous legal standard, and whether the Commissioner’s findings were supported by substantial evidence in the record as a whole. See Green-Younger v. Barnhart, 335 F.3d 99, 105-106 (2d Cir. 2003). Substantial evidence is “more than a mere scintilla.” Moran v. Astrue, 569 4 might accept as adequate to support a conclusion.” Id. (emphasis added and citation omitted).

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