CHUTE v. KIJAKAZI

CourtDistrict Court, W.D. Pennsylvania
DecidedSeptember 19, 2022
Docket2:21-cv-00877
StatusUnknown

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

Bluebook
CHUTE v. KIJAKAZI, (W.D. Pa. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA

JODI ANN CHUTE, ) ) Plaintiff, ) ) v. ) Civil Action No. 21-877 ) KILOLO KIJAKAZI, ) Acting Commissioner of Social Security, ) ) Defendant. )

O R D E R

AND NOW, this 19th day of September, 2022, upon consideration of the parties’ cross-motions for summary judgment, the Court, upon review of the Commissioner of Social Security’s final decision denying Plaintiff’s claim for disability insurance benefits under Subchapter II of the Social Security Act, 42 U.S.C. § 401 et seq., finds that the Commissioner’s findings are supported by substantial evidence and, accordingly, affirms. See 42 U.S.C. § 405(g); Biestek v. Berryhill, 139 S. Ct. 1148, 1153-54 (2019); Jesurum v. Secretary of U.S. Dep’t of Health & Human Servs, 48 F.3d 114, 117 (3d Cir. 1995) (citing Brown v. Bowen, 845 F.2d 1211, 1213 (3d Cir. 1988)). See also Berry v. Sullivan, 738 F. Supp. 942, 944 (W.D. Pa. 1990) (if supported by substantial evidence, the Commissioner’s decision must be affirmed, as a federal court may neither reweigh the evidence, nor reverse, merely because it would have decided the claim differently) (citing Cotter v. Harris, 642 F.2d 700, 705 (3d Cir. 1981)).1

1 Plaintiff’s argument that the Administrative Law Judge (“ALJ”) erred in finding her not to be disabled centers largely around her claim that the Appeals Council should have considered the hundreds of pages of new evidence she submitted after the ALJ issued her decision and remanded the matter back to the ALJ. The Court finds no merit to this argument, or to the other arguments raised by Plaintiff, and, instead, finds that substantial evidence supports the ALJ’s decision.

About a month and a half after the ALJ issued her December 1, 2020 decision, Plaintiff submitted a substantial amount of additional evidence to the Appeals Council, asking the Council to remand the case to the ALJ to reconsider her decision in light of this evidence. (R. 56-304). In general, this new evidence was comprised of treatment notes from UMPC Centers for Rehab Services-McKeesport for physical therapy that occurred between November 2020 and January 2021, and an Occupational Therapy Functional Assessment performed on December 14, 2020. Plaintiff argues that the Council erred in failing to find that this evidence merited remand and that, therefore, reversal is warranted here. The Court disagrees.

The Court first notes that evidence that was not before the ALJ cannot be considered by a district court in its determination of whether or not the ALJ’s decision was supported by substantial evidence. See Matthews v. Apfel, 239 F.3d 589, 594 (3d Cir. 2001); Chandler v. Comm’r of Soc. Sec., 667 F.3d 356, 360 (3d Cir. 2011). Accordingly, the Court cannot rely on any records that were not part of the administrative record upon which the ALJ based her decision in making its determination here. It can, though, consider whether this new evidence demonstrates the need for the case to be remanded under Sentence Six of 42 U.S.C. § 405(g), which provides, in relevant part:

[The court] may at any time order additional evidence to be taken before the Commissioner of Social Security, but only upon a showing that there is new evidence which is material and that there is good cause for failure to incorporate such evidence into the record in a prior proceeding.

To remand a case based on new evidence which was not before the ALJ, the Court must determine that the following criteria have been met: First, the evidence must be new and not merely cumulative of what is in the record. Second, the evidence must be material. This means that it must be relevant and probative, and there must be a reasonable possibility that the new evidence would have changed the outcome of the determination. Third, the plaintiff must demonstrate good cause for not having incorporated the new evidence into the administrative record. See Matthews, 239 F.3d at 594; Szubak v. Secretary of Health & Human Services, 745 F.2d 831, 833 (3d Cir. 1984). Plaintiff cannot meet this burden.

The Court will assume that all of the evidence submitted by Plaintiff to the Appeals Council is “new” in the sense that it is not merely cumulative of what is already in the record. However, none of it is material. The physical therapy notes merely document ongoing treatment and medication and, if anything, suggest continued improvement in Plaintiff’s condition. As for the functional capacity analysis, the Court notes that it was completed after the ALJ’s decision and that “[a]n implicit materiality requirement is that the new evidence relate to the time period for which benefits were denied, and that it not concern evidence of a later-acquired disability or of the subsequent deterioration of [a] previously non-disabling condition,” Szubak, 745 F.2d at 833; see also Rainey v. Astrue, Civ. No. 11-125-E, 2012 WL 3779167, at *8 (W.D. Pa. Aug. 31, 2012). It is questionable whether an assessment based on testing performed on December 14 could be material to the December 1 decision. However, given that the assessment was completed less than two weeks later, arguably it could relate back to the relevant period. In any event, the assessment is, for the most part, consistent with the residual functional capacity (“RFC”) as formulated by the ALJ. Indeed, both the assessment and the RFC determination by the ALJ found that Plaintiff could perform at least a limited range of sedentary work. (R. 20, 109, 115). The Court further notes that the record already contains a number of medical opinions as to Plaintiff’s functionality, all of which contain considerably less restrictive conditions than what is contained in the RFC crafted by the ALJ. As such, there is not a reasonable possibility that the assessment would have changed the outcome of the determination.

Moreover, no good reason has been offered for failing to schedule the appointment for the Occupational Therapy Functional Assessment earlier so as to make it available to the ALJ when she rendered her decision. In fact, it appears that the assessment may even have been performed in response to the ALJ’s unfavorable decision, as there is no mention at the hearing that Plaintiff had scheduled or was waiting on such an assessment. Such “sand-bagging” does not constitute good cause to support a Sentence Six remand. See Glover v. Comm’r of Soc. Sec., No. 1:09-cv-520, 2010 WL 2671291, at *5 (W.D. Mich. June 10, 1010) (“The sentence six ‘good cause’ requirement is not met by the solicitation of a medical opinion to contest the ALJ’s decision.”) (citing Perkins v. Chater, 107 F.3d 1290, 1296 (7th Cir. 1997), and Koulizos v. Secretary of Health and Human Servs., No. 85-1654,1986 WL 17488, at *2 (6th Cir. Aug. 19, 1986)).

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CHUTE v. KIJAKAZI, Counsel Stack Legal Research, https://law.counselstack.com/opinion/chute-v-kijakazi-pawd-2022.