DeArce Reyes v. Commissioner of Social Security

CourtDistrict Court, M.D. Florida
DecidedMarch 5, 2024
Docket8:23-cv-00123
StatusUnknown

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

Bluebook
DeArce Reyes v. Commissioner of Social Security, (M.D. Fla. 2024).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION

JESUS A. DeARCE REYES,

Plaintiff,

v. Case No. 8:23-cv-123-AEP

MARTIN O’MALLEY, Acting Commissioner of Social Security,1

Defendant. /

ORDER

Plaintiff seeks judicial review of a cessation of Social Security Disability Benefits (DIB). As the Administrative Law Judge’s (“ALJ”) decision was not based on substantial evidence and did not employ proper legal standards, the Commissioner’s decision is reversed and remanded. I. A. Procedural Background

Plaintiff filed an application for a period of disability on June 16, 2005, alleging disability beginning January 10, 2005. (Tr. 182-84). The Social Security Administration (“SSA”) denied Plaintiff’s claims both initially and upon reconsideration. (Tr. 66). Plaintiff then requested an administrative hearing Id. Per

1 Martin O’Malley is now the Acting Commissioner of Social Security. Pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Acting Commissioner Martin O’Malley should be substituted for Commissioner Kilolo Kijakazi as the defendant in this matter. No further action needs to be taken to continue this matter by reason of the last sentence Plaintiff’s request, the ALJ held a hearing at which Plaintiff appeared and testified Id. Following the hearing, the ALJ issued an unfavorable decision finding Plaintiff not disabled and accordingly denied Plaintiff’s claims for benefits Id. Upon notice

that Plaintiff’s social security number was being fraudulently used, the ALJ reopened the case and issued a decision on April 16, 2009, finding Plaintiff disabled as of January 10, 2005. (Tr. 66-71). On December 1, 2014, following a review of Plaintiff’s continued eligibility for DIB, the Commissioner found Plaintiff remained disabled. (Tr. 72). In 2019, the Commissioner again reviewed Plaintiff’s eligibility

for DIB and found that Plaintiff’s disability ceased on April 25, 2019 (Tr. 73-81). Plaintiff appealed and a hearing before an ALJ was held on June 29, 2021. (Tr. 32). The ALJ subsequently issued on unfavorable decision on June 2, 2022. (Tr. 13-24). On November 14, 2022, the Appeals Counsel declined review. (Tr. 1-5). Plaintiff

then timely filed a complaint with this Court. (Doc. 1). Accordingly, the case is now ripe for judicial review under 42 U.S.C. §§ 405(g), 1383(c)(3). B. Factual Background and the ALJ’s Decision In rendering the first administrative decision finding Plaintiff disabled, the prior ALJ concluded that Plaintiff’s Date Last Insured (DLI) was January 1, 2009,

and that Plaintiff had not engaged in substantial gainful activity since January 10, 2005, the alleged disability onset date. (Tr. 68). After conducting a hearing and reviewing the evidence of record, the prior ALJ determined Plaintiff had one severe impairment – degenerative disc disease of the cervical spine. Id. Notwithstanding the noted impairment, the prior ALJ determined that Plaintiff did not have an impairment or combination of impairments that met or medically equaled one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. Id. The ALJ then concluded that Plaintiff retained a residual functional capacity (“RFC”) to

perform sedentary work, except that Plaintiff had “various, significant nonexertional limitation and cannot sustain/maintain an eight-hour workday, 40- hour workweek on a regular and continuing basis.” Id. Considering Plaintiff’s noted impairments limitations, the ALJ determined that Plaintiff could not perform his past relevant work. (Tr. 69). On April 16, 2009, the ALJ found that given Plaintiff’s

age, education, work experience, and RFC, Plaintiff was incapable of performing any jobs and accordingly concluded that Plaintiff had been under a disability since January 10, 2005. (Tr. 70-71). On December 1, 2014, the SSA reviewed Plaintiff’s disability status and

found Plaintiff to still be disabled. (Tr. 83-85). Subsequently, the SSA revisited Plaintiff’s disability status and concluded that Plaintiff was no longer disabled as of April 25, 2019. (Tr. 73-82). As the most recent favorable decision was the December 1, 2014 determination, that decision was considered the “comparison point decision” or CPD. (Tr. 15). After summarizing the findings from the CPD, the ALJ

determined that Plaintiff had not engaged in substantial gainful activity through the date of the decision. Id. The ALJ then found that the medical evidence established that, since April 26, 2019, Plaintiff had the following medically determinable impairments: cervical spine degenerative disc disease, human immunodeficiency virus (HIV), hypertension, hepatitis C, lumbar spine degenerative disc disease, insomnia, depression, anxiety, and psychosis. Id. Notwithstanding the noted impairments, the ALJ determined that Plaintiff did not have an impairment or combination of impairments that met or medically equaled one of the listed

impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. Id. According to the ALJ, medical improvement occurred on April 26, 2019, at which time the impairment present at the time of the CPD had decreased in medical severity to the point where Plaintiff retained the RFC “to perform light work as defined in 20 CFR 404.1567(b), except the claimant cannot climb ladders, ropes or

scaffolds. He can occasionally stoop, kneel, crouch, and crawl. He can frequently climb ramps and stairs, and balance. The claimant must avoid concentrated exposure to loud noises.” (Tr. 18). The ALJ did not consider the limiting effects of the impairments that Plaintiff developed after the CPD in setting forth the RFC but

rather, based on the impairments present since the CPD, concluded that the RFC Plaintiff retained since April 26, 2019, was less restrictive than the RFC Plaintiff had at the time of the CPD. (Tr. 17). The ALJ noted that such medical improvement was related to the ability to work because it resulted in an increase in Plaintiff’s RFC. Id.

The ALJ then found that since April 26, 2019, Plaintiff continued to have a severe impairment or combination of impairments, and based on the current impairments, Plaintiff retained the foregoing RFC. (Tr. 17-22). The ALJ indicated that Plaintiff had no past relevant work experience, was 42 years of age, had obtained at least a high school education, and transferability of skills was not an issue given the lack of past relevant work experience. (Tr. 22). Based on Plaintiff’s age, education, work experience, and RFC relating to his current impairments, the ALJ determined that Plaintiff maintained the ability to perform a significant

number of jobs in the national economy, including work as a folder, garment bagger, and marker. (Tr. 22-23). Accordingly, the ALJ concluded that Plaintiff’s disability ended on April 26, 2019, and Plaintiff had not become disabled again since that date. (Tr. 23). II.

To be entitled to benefits, a claimant must be disabled, meaning he or she must be 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 twelve months. 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A).

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DeArce Reyes v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dearce-reyes-v-commissioner-of-social-security-flmd-2024.