Donna Ard v. Martin O'Malley

Court of Appeals for the Fourth Circuit·Decided August 1, 2024·No. 21-2422·Published

Opinion

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 21-2422

DONNA ARD, Plaintiff − Appellant,

v.

MARTIN J. O’MALLEY, Commissioner of Social Security Defendant – Appellee.

Appeal from the United States District Court for the District of South Carolina, at Anderson. Jacquelyn Denise Austin, Magistrate Judge. (8:20−cv−02033−JDA)

Argued: March 28, 2024 Decided: August 1, 2024

Before DIAZ, Chief Judge, QUATTLEBAUM, Circuit Judge, and TRAXLER, Senior Circuit Judge.

Affirmed by published opinion. Chief Judge Diaz wrote the opinion in which Judge Quattlebaum and Senior Judge Traxler joined.

ARGUED: Audrey Payne, David Ahnen, UNIVERSITY OF VIRGINIA SCHOOL OF LAW, Charlottesville, Virginia, for Appellant. David E. Somers, III, SOCIAL SECURITY ADMINISTRATION, Baltimore, Maryland, for Appellee. ON BRIEF: James Scott Ballenger, Catherine E. Stetson, Appellate Litigation Clinic, UNIVERSITY OF VIRGINIA SCHOOL OF LAW, Charlottesville, Virginia, for Appellant. Brian C. O’Donnell, Associate General Counsel, Philadelphia, Pennsylvania, David N. Mervis, Special Assistant United States Attorney, Office of Program Litigation, Office of the

General Counsel, SOCIAL SECURITY ADMINISTRATION, Baltimore, Maryland; Adair F. Boroughs, United States Attorney, OFFICE OF THE UNITED STATES ATTORNEY, Columbia, South Carolina, for Appellee.

DIAZ, Chief Judge:

When the Social Security Administration adjudicates an application for disability benefits, it places the applicant into one of three age categories and considers age to be an “increasingly limiting factor” in the applicant’s ability to work. 20 C.F.R. § 404.1563(a)– (e). But the categories aren’t always strictly followed. When an applicant is “within a few days to a few months” of eligibility for a higher age category, the agency may consider whether to treat the applicant as though she’s in the higher category. Id. § 404.1563(b).

Donna Ard appeals the magistrate judge’s order affirming the agency’s denial of her application for disability benefits. She contends that remand is necessary because the administrative law judge didn’t consider whether to treat her as a fifty-year-old given that she was only six months and seventeen days away from her fiftieth birthday. But because Ard was more than “a few months” away from turning fifty, we affirm.

I.

A.

Ard was born in 1966, and as of the latest date she could be entitled to benefits, 1 she was forty-nine years old—six months and seventeen days shy of her fiftieth birthday. She

1

To qualify for benefits, an applicant must prove that she became disabled prior to the expiration of her insured status. See 42 U.S.C. § 423(a); 20 C.F.R. §§ 404.101(a), 404.131. An administrative law judge found—and the parties agree—that Ard was last insured on December 31, 2015.

graduated from high school and worked for several years as a medical records clerk before opening a pet grooming and boarding business.

Ard suffers from various health issues, including anemia, chronic pain, depression, post-traumatic stress disorder, and obsessive-compulsive disorder. As a result, she has handed over the operation of her pet grooming business to her husband, though she continues to answer the phones. But despite her limitations, she can still care for her personal hygiene, assist in household chores, go on short shopping trips, and lift up to ten pounds.

In December 2016, Ard applied for disability benefits, alleging that she was disabled as of August 2015. The Social Security Administration denied her application and her request for reconsideration.

Ard then asked for (and received) a hearing before an administrative law judge. The judge denied Ard’s application, as we explain in greater detail below. But first we set out a short primer on how the agency handles disability benefits claims.

B.

The Social Security Act provides benefits to qualifying individuals who have a disability, as defined by the Social Security Act. See 42 U.S.C. § 423. Relevant here, an applicant must be unable to “engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment.” Id. § 423(d)(1)(A).

The Act gives the Commissioner of Social Security the power to issue regulations setting criteria for determining whether an applicant meets this definition. Id.

§ 423(d)(4)(A). The agency’s regulations set forth a five-step process to determine whether an applicant is disabled. 20 C.F.R § 404.1520(a).

First, the agency considers the applicant’s work activity—if the applicant is doing “substantial gainful activity,” she isn’t disabled. Id. § 404.1520(a)(4)(i). Second, it considers whether the applicant’s impairment is severe—if it’s not, she isn’t disabled. Id. § 404.1520(a)(4)(ii). Third, it considers whether the impairment “meets or equals” the requirements of an impairment listed in the regulations, 20 C.F.R. pt. 404, subpt. P, app. 1,—if it does, she is disabled. Id. § 404.1520(a)(4)(iii). Fourth, it considers the applicant’s “residual functional capacity” 2 to determine whether the applicant can still perform the work she’s done before—if she can, she isn’t disabled. Id. § 404.1520(a)(4)(iv). Fifth, it again considers the applicant’s “residual functional capacity,” this time in combination with her “age, education, and work experience” to see if she can adjust to a different type of work available in the national economy—if she can, she isn’t disabled. Id. §§ 404.1520(a)(4)(v), 404.1560(c)(1).

The applicant has the burden at the first four steps, but it shifts to the Commissioner at Step Five to produce evidence that “other jobs exist in the national economy” that the applicant can perform. Hancock v. Astrue, 667 F.3d 470, 472–73 (4th Cir. 2012).

At Step Five, administrative law judges use the Medical-Vocational Guidelines—

often called the “Grids”—to guide them. 20 C.F.R. pt. 404, subpt. P, app. 2. The Grids

2

“Residual functional capacity” refers to the “most” an applicant can do despite her limitations. 20 C.F.R. § 404.1545(a)(1).

are a series of tables that help assess whether there are jobs an applicant can perform despite their strength-based limitations. See id. § 200.00(a).

The Grids assume that certain combinations of factors render someone disabled, while other combinations do not. See, e.g., id. § 201.00, tbl.1. Once the judge identifies the applicant’s residual functioning capacity, age category, education level, and work experience, the Grids direct the judge to the appropriate disability finding. See, e.g., id.

But the Grids aren’t gospel. If the Grids don’t capture all the applicant’s circumstances—such as non-strength-based limitations—the administrative law judge uses the Grids only as a “frame of reference,” id. § 200.00(d), and “full consideration must be given to all of the relevant facts in the case,” id. § 200.00(e)(2). And, in some cases, the judge may rely on the Grids, but adjust the input factors.

For instance, the Grids categorize applicants into three age categories. A “[y]ounger person” is classified as anyone under age fifty. 20 C.F.R. § 404.1563(c). A “[p]erson closely approaching advanced age” includes those age fifty through fifty-four. Id. § 404.1563(d). And a “[p]erson of advanced age” includes those age fifty-five and over. Id. § 404.1563(e). The higher the age category, the more weight the Grids give to the applicant’s age as affecting her ability to adjust to other work. See id. § 404.1563(a) (“[W]e consider advancing age to be an increasingly limiting factor . . . .”).

But an administrative law judge can deviate from these categories in a “borderline situation.” Id. § 404.1563(b). When an applicant is “within a few days to a few months” of reaching the next age category, and when using that higher category would result in a determination that the applicant is disabled, the judge “will consider whether to use the

older age category after evaluating the overall impact of all the factors of [the applicant’s] case.” Id.

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