Dombrowski v. Chater

960 F. Supp. 558, 1997 U.S. Dist. LEXIS 9244, 1997 WL 175386
District Court, N.D. New York·Decided February 24, 1997·No. No. 95-CV-518 (FJS/RWS)·Published·Cited by 1 cases

Opinion

DECISION AND ORDER

SCULLIN, District Judge.

The above-captioned matter having been presented to me by the Report-Recommendation of Magistrate Ralph W. Smith, Jr. filed January 23, 1997, and having reviewed the Report-Recommendation and the entire file in this matter, and no objections to said Report-Recommendation having been filed, it is hereby

ORDERED, that the Report-Recommendation by Magistrate Judge Ralph W. Smith, Jr. filed January 23, 1997 is ACCEPTED; and it is further

ORDERED, that defendant’s final decision is AFFIRMED; plaintiff’s request for attorney’s fees is DENIED; and the complaint is DISMISSED in its entirety.

IT IS SO ORDERED.

REPORT-RECOMMENDATION

RALPH W. SMITH, Jr., United States Magistrate Judge.

This matter was referred to the undersigned for a report and recommendation by the Honorable Frederick J. Scullin, Jr., United States District Judge, pursuant to 28 U.S.C. § 636(b) and Local Rule 72.3(d). Briefs were filed by the parties in accordance with General Order 43, and no oral argument was heard.

[561] /. PRELIMINARY, COLLATERAL MATTERS

Submission of new evidence

Plaintiff asserts that if the court does not remand this matter solely for calculation of benefits, in the alternative it should order that the case be remanded for the consideration of new and material evidence, namely, records from Middletown Alcoholism Treatment Center relating to his admission from October 31, 1994, to November 2, 1994, following an incident during which he discharged a weapon at home while he was intoxicated.1 (Pl.’s ex. 1). Plaintiff contends that this evidence reflects his medical condition during that period, discloses that he has no insight into the seriousness or extent of his drinking problem, and reflects that the problem is quite serious and not easily amenable to treatment. (Pl.’s br. at 28-29).

Sentence six of 42 U.S.C. § 405(g) states that a court may order the Commissioner to consider additional evidence “only upon a showing that there is new evidence which is material and that there is good cause for the failure to incorporate such evidence into the record in a prior proceeding....” 42 U.S.C. S 405(g). The Second Circuit has summarized the requirements of section 405(g) as follows:

[ A]n appellant must show that the proffered evidence is (1) “ ‘new1 and not merely cumulative of what is already in the record,” Szubak v. Secretary of Health & Human Servs., 745 F.2d 831, 833 (3d Cir.1984), and that it is (2) material, that is, both relevant to the claimant’s condition during the time period for which benefits were denied and probative, see Cutler v. Weinberger, 516 F.2d 1282, 1285 (2d Cir.1975). The concept of materiality requires, in addition, a reasonable possibility that the new evidence would have influenced the [Commissioner] to decide claimant’s application differently. See Szubak, 745 F.2d at 833; Chaney v. Schweiker, 659 F.2d 676, 679 (5th Cir.1981). Finally, claimant must show (3) good cause for her failure to present the evidence earlier. See Tolany v. Heckler, 756 F.2d 268, 272 (2d Cir.1985) (good cause shown where new diagnosis was based on recent neurological evaluation and assessment of response to medication required observation period).

Lisa v. Secretary of Dep’t of Health and Human Servs., 940 F.2d 40, 43 (2d Cir.1991) (quoting Tirado v. Bowen, 842 F.2d 595, 597 (2d Cir.1988)) (emphasis added).

The decision of the administrative law judge (hereinafter “ALJ”) was rendered on June 17, 1994 (Rec.30), more than four months before plaintiffs admission to the Middletown Alcoholism Treatment Center. In addition, the report makes no findings relevant to the period on or before the ALJ’s decision. See 20 C.F.R. §§ 404.620, 416.330; Abreu-Mercedes v. Chater, 928 F.Supp. 386, 391 (S.D.N.Y.1996) (“The period under examination spans from the alleged onset date through the date of the ALJ’s decision.”). Accordingly, plaintiffs exhibit 1 is not “material” within the meaning of section 405(g) as it does not relate to plaintiffs “condition during the time period for which benefits were denied_” Lisa, 940 F.2d at 43; Abreu-Mercedes, 928 F.Supp. at 391.

Furthermore, even if these records were “material,” the court finds that plaintiff has not shown the requisite good cause for his failure to present the evidence earlier. In his brief, plaintiff states that

[ t]he reason why [these records] could not be obtained during the pendency of the appeal was because the Plaintiff had to execute a special release form in order to obtain the information from the rehabilita[562] tion facility and there was difficulty in obtaining that release. The time to submit any additional material had been extended by the Appeals Council in order to obtain the medical information from the hospital where the Plaintiff was treated after the subject incident, and the Appeals Council was not likely to grant any further extension of time to do so. In addition, the facility delayed in providing us the information upon our submission of the proper authorization.

(Pl.’s br. at 29) (emphasis added). While plaintiff obtained one extension from the Appeals Council for submission of additional evidence,2 plaintiff just assumes that any request for a further extension would not be granted by the Appeals Council. Such an assumption is not good cause for a remand. Furthermore, it appears plaintiff did not use due diligence in obtaining the release form, executing it, and obtaining the records from the facility.

Reopening of Plaintiff’s earlier application

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Dombrowski v. Chater, 960 F. Supp. 558, 1997 U.S. Dist. LEXIS 9244, 1997 WL 175386 (N.D.N.Y. 1997).

960 F. Supp. 558 (Dombrowski v. Chater) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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