ENCARNACION EX REL. GEORGE v. Astrue

491 F. Supp. 2d 453, 2007 U.S. Dist. LEXIS 45174, 2007 WL 1792946
CourtDistrict Court, S.D. New York
DecidedJune 22, 2007
Docket03 Civ. 6620(LTS)(THK)
StatusPublished
Cited by3 cases

This text of 491 F. Supp. 2d 453 (ENCARNACION EX REL. GEORGE v. Astrue) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ENCARNACION EX REL. GEORGE v. Astrue, 491 F. Supp. 2d 453, 2007 U.S. Dist. LEXIS 45174, 2007 WL 1792946 (S.D.N.Y. 2007).

Opinion

OPINION AND ORDER

SWAIN, District Judge.

Defendant Michael J. Astrue, Commissioner of the Social Security Administration (“Commissioner,” and “SSA,” respectively), 1 moves the Court for summary judgment in his favor in this action challenging the Commissioner’s interpretation of regulations promulgated under the Social Security Act and relating to the determination of disabilities in children for the purpose of awarding benefits under the Social Security Income for the Aged, Blind, and Disabled Program, 42 U.S.C. §§ 1381-13831' (“SSI”). Defendant also moves for dismissal of Plaintiff Arlene George’s claim on the basis of a lack of subject matter jurisdiction, for the dismissal of Plaintiff Michelle Tavaras’ claim as untimely and as moot, for the dismissal of Plaintiff Hortensia Lacayo’s claim on the basis of a lack of jurisdiction and mootness, and of Plaintiff Ben-Hemir Collado’s claim on the basis of lack of jurisdiction. Plaintiffs Arlene George, Michelle Tavaras, Hortensia Lacayo, Mathew Lacayo, and Ben-Hemir 2 (collectively, “Plaintiffs”) *456 have filed a cross-motion for summary-judgment, as well as a motion for leave to file an amended class action complaint. Plaintiffs have also filed a motion for class certification. In this opinion, the Court will address each of the motions.

The Court has jurisdiction of Plaintiffs’ claims pursuant to 42 U.S.C. § 405(g). Familiarity with the Court’s March 22, 2002, opinion in Encamacion v. Barnhart, 191 F.Supp.2d 463 (S.D.N.Y.2002) (hereinafter, “Encamación I”), and the Second Circuit’s May 28, 2003, opinion in Encarnacion v. Barnhart, 331 F.3d 78 (2d Cir. 2003) (hereinafter, “Encamación II”), is assumed.

BACKGROUND

This is not the first time that the broad issues raised in this case have come before this Court. On September 1, 2000, Plaintiff George and others filed a complaint raising substantially similar claims concerning the Commissioner’s interpretation of the provisions of the Act and SSA regulations governing childhood disability determinations, and thereafter moved for class certification, while Defendant cross-moved for judgment on the pleadings. The Court granted Defendant’s motion for judgment on the pleadings, finding that the Commissioner’s interpretation was reasonable despite the fact that the Commissioner’s policy of not combining limitations across functional domains in making disability determinations was not expressly stated in the regulations. Encamación I, 191 F.Supp.2d at 474. The Court found Chevron deference to the Commissioner’s interpretation warranted. 3 Id. at 472. The Court denied the plaintiffs’ motion for class certification.

On appeal, the Second Circuit affirmed Encamación I, finding the Commissioner’s functional domain-based framework for considering the impact of impairments in connection with disability determinations consistent with the requirements of the Act and regulations. Encarnacion II, 331 F.3d at 80. Specifically, the Circuit Court found that the SSA’s domain-focused methodology and interpretation is not violative of the statute or regulations on its face because it leaves room for consideration of impairments in multiple domains and for the final assessment of the level of limitation in a particular domain to be influenced by the impact of an impairment, even if that impairment only resulted in a less than marked limitation in another domain. Reviewing the Commissioner’s policy with considerable deference, the Circuit Court held that the Commissioner’s interpretation of his own regulations “is not contrary to law if there are other reasonable methods of giving effect to the ‘combined impact’ mandate other than by adding limitations across domains.” Id. at 86 (emphasis supplied).

However, the Encamación II Court made clear “that each of a child SSI claimant’s impairments must be taken into account in SSA’s bottom-line assessment of the child’s disability.” Id. at 92. The *457 Court of Appeals explicitly left open the opportunity for further litigation on the factual issue of whether the Commissioner’s implementation of the regulations fails as a practical matter to “look comprehensively” at a childhood disability benefit claimant and account for the “interactive and cumulative effects” of the claimant’s impairments and related functional limitations, as contemplated by the relevant regulations. See 20 C.F.R. §§ 416.924a(A)(4), 416.926a; Encarnacion II, 331 F.3d at 86 (observing that the complaint in that action might have survived the pleading stage dismissal motion had the plaintiffs alleged that: (1) the Commissioner’s policies, or any other alternative “combined impact” method, “are ineffective either on their face or as applied;” or (2) that “examiners are [not] in fact free to account for the ‘interactive and cumulative’ effects of all the claimant’s impairments”).

In the instant Complaint, Plaintiffs allege principally that the Commissioner in fact prevents disability adjudicators from “look[ing] comprehensively at the claimant, and accounting] for the interactive and cumulative effects of limitations in other domains.” (Comply 67.)

Plaintiffs’ factual proffers in support of their summary judgment motion consist of an expert witness declaration by school psychologist, and numerous SSA regulations and procedural materials that were also addressed in the prior litigation. Plaintiffs request relief in the form of a declaratory judgment confirming their right “under the Act and regulations, to have all of their impairments and their resulting functional limitations considered throughout the disability determination process and not just those impairments that impose limitations that are ‘marked’ or ‘extreme.’ ” (CompU 5.) Plaintiffs also seek an injunction preventing the Commissioner from continuing to deny and/or terminate the applications of children seeking SSI benefits without full and proper consideration of the combined effects of impairments across domains. (Id. ¶ 6.)

Plaintiffs also move, pursuant to Federal Rule of Civil Procedure 23, for certification of a class of plaintiffs defined as:

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Cite This Page — Counsel Stack

Bluebook (online)
491 F. Supp. 2d 453, 2007 U.S. Dist. LEXIS 45174, 2007 WL 1792946, Counsel Stack Legal Research, https://law.counselstack.com/opinion/encarnacion-ex-rel-george-v-astrue-nysd-2007.