Dejesus v. O'Malley

CourtDistrict Court, M.D. Pennsylvania
DecidedSeptember 30, 2024
Docket1:23-cv-00977
StatusUnknown

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

Bluebook
Dejesus v. O'Malley, (M.D. Pa. 2024).

Opinion

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

ALICIA RAE DEJESUS, : CIVIL NO.: 1:23-cv-00977 : Plaintiff, : (Magistrate Judge Schwab) : v. : : MARTIN O’MALLEY,1 : Commissioner of the Social Security : Administration, : : Defendant. :

MEMORANDUM OPINION I. Introduction. This social security action is brought under 42 U.S.C. § 405(g). Plaintiff Alicia Rae Dejesus (“Dejesus”) seeks judicial review of the final decision of the Commissioner of Social Security (“Commissioner”) denying her claim for supplemental security income under Title XVI of the Social Security Act. We have jurisdiction under 42 U.S.C. §§ 405(g) and 1383(c)(3). For the reasons set

1 Martin O’Malley is now the Commissioner of Social Security, and he is automatically substituted as the defendant in this action. See Fed. R. Civ. P. 25(d) (providing that when a public officer sued in his or her official capacity ceases to hold office while the action is pending, “[t]he officer’s successor is automatically substituted as a party”); 42 U.S.C. § 405(g) (“Any action instituted in accordance with this subsection shall survive notwithstanding any change in the person occupying the office of Commissioner of Social Security or any vacancy in such office.”). forth below, we will affirm the Commissioner’s decision and enter judgment in favor of the Commissioner.

II. Background and Procedural History.2 We refer to the transcript provided by the Commissioner. See docs. 9 to 9-9, 10 to 10-2.3 On March 13, 2020, Dejesus filed an application for supplemental security income alleging that she became disabled on March 1, 2018. Admin. Tr. at

10, 41. She listed her conditions as: (1) borderline personality disorder; (2) generalized anxiety disorder; (3) major depressive disorder; (4) post traumatic stress disorder (“PTSD”); (5) mood disorder; and (6) asthma. Id. at 111, 119. After the Commissioner denied her claim at the initial and reconsideration levels of

administrative review (id. at 111 and 119), Dejesus requested an administrative hearing (id. at 126). On February 21, 2021, Dejesus, who was represented by counsel, testified at a telephonic hearing before Administrative Law Judge (“ALJ”)

Gwendolyn M. Hoover. Id. at 41. On April 27, 2021, the ALJ denied Dejesus’s claim for benefits. Id. at 41–50. Dejesus appealed the ALJ’s decision to the

2 Because the facts of this case are well known to the parties, we do not repeat them here in detail. Instead, we recite only those facts that bear on Dejesus’s claims. 3 When citing to the administrative transcript, we cite to the page numbers on the bottom corner of each page. Appeals Council, which subsequently vacated the ALJ’s April 2021 decision, and remanded the case to the ALJ with instructions to, among other things, “obtain

evidence from a medical expert related to the nature and severity of and functional limitations resulting from the claimant’s impairments.” Id. at 33–34. On remand, the ALJ held a telephonic hearing. Id. at 57. Dejesus and a

vocational expert testified at the hearing. Id. at 58. There was no mention of additional evidence from a medical expert. Id. at 55–86. By a decision dated July 25, 2022 (“July 2022 Decision”), the ALJ again determined that Dejesus was not disabled since March 13, 2020, the date her

application was filed. Id. at 8, 24. Dejesus appealed the July 2022 Decision to the Appeals Council, which denied her request for review. Id. at 1–6. This makes the ALJ’s July 2022 Decision the final decision of the Commissioner subject to

judicial review by this Court. On June 13, 2023, Dejesus, represented by counsel, began this action by filing a complaint seeking review of the Commissioner’s decision denying her claim. See doc. 1. She requests that the court reverse and set aside the

Commissioner’s decision and grant such further relief as is justified, including the award of attorney’s fees. Id. at 7–8 (Wherefore Clause). The parties consented to proceed before a magistrate judge pursuant to 28

U.S.C. § 636(c), and the case was referred to the undersigned. Doc. 7. The Commissioner then filed an answer and certified transcripts of the administrative proceedings. Docs. 8–10. The parties filed briefs (see docs. 14, 18), and this

matter is ripe for decision.

III. Legal Standards.

A. Substantial Evidence Review—the Role of This Court. When reviewing the Commissioner’s final decision denying a claimant’s application for benefits, “the court has plenary review of all legal issues decided by the Commissioner.” Ficca v. Astrue, 901 F. Supp. 2d 533, 536 (M.D. Pa. 2012).

But the court’s review of the Commissioner’s factual findings is limited to whether substantial evidence supports those findings. See 42 U.S.C. § 405(g); Biestek v. Berryhill, 139 S. Ct. 1148, 1152 (2019). “[T]he threshold for such evidentiary

sufficiency is not high.” Biestek, 139 S. Ct. at 1154. Substantial evidence “means—and means only—‘such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.’” Id. (quoting Consol. Edison Co. of New York v. N.L.R.B., 305 U.S. 197, 229 (1938)).

Substantial evidence “is less than a preponderance of the evidence but more than a mere scintilla.” Jesurum v. Sec’y of U.S. Dep’t of Health & Human Servs., 48 F.3d 114, 117 (3d Cir. 1995). A single piece of evidence is not substantial

evidence if the ALJ ignores countervailing evidence or fails to resolve a conflict created by the evidence. Mason v. Shalala, 994 F.2d 1058, 1064 (3d Cir. 1993). But in an adequately developed factual record, substantial evidence may be

“something less than the weight of the evidence, and the possibility of drawing two inconsistent conclusions from the evidence does not prevent [the ALJ’s] finding from being supported by substantial evidence.” Consolo v. Fed. Maritime Comm’n,

383 U.S. 607, 620 (1966). “In determining if the Commissioner’s decision is supported by substantial evidence the court must scrutinize the record as a whole.” Leslie v. Barnhart, 304 F.Supp.2d 623, 627 (M.D. Pa. 2003). The question before this court, therefore, is not whether Dejesus is disabled,

but whether substantial evidence supports the Commissioner’s finding that she is not disabled and whether the Commissioner correctly applied the relevant law.

B. Initial Burdens of Proof, Persuasion, and Articulation for the ALJ.

To receive benefits under Title XVI of the Social Security Act, a claimant generally must demonstrate an inability “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

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Dejesus v. O'Malley, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dejesus-v-omalley-pamd-2024.