Finkel v. Commissioner of Social Security

CourtDistrict Court, S.D. California
DecidedFebruary 10, 2020
Docket3:18-cv-01972
StatusUnknown

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

Bluebook
Finkel v. Commissioner of Social Security, (S.D. Cal. 2020).

Opinion

2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 SOUTHERN DISTRICT OF CALIFORNIA 10 11 ADELLE F.,1 Case No.: 18cv1972-AJB (MSB)

12 Plaintiff, REPORT AND RECOMMENDATION 13 v. REGARDING JOINT MOTION FOR JUDICIAL REVIEW OF THE FINAL 14 ANDREW SAUL, Commissioner of Social DECISION OF THE COMMISSIONER OF Security,2 15 SOCIAL SECURITY [ECF NO. 19] Defendant. 16 17 18 This Report and Recommendation is submitted to the Honorable Anthony J. 19 Battaglia, United States District Judge, pursuant to 28 U.S.C. § 636(b)(1) and Civil Local 20 Rule 72.1(c) of the United States District Court for the Southern District of California. On 21 August 24, 2018, Plaintiff Adelle F. (“Plaintiff”) filed a Complaint pursuant to 42 U.S.C. 22 § 405(g) seeking judicial review of a decision by the Commissioner of Social Security 23 / / / 24 25 1 Under Civil Local Rule 7.1(e)(6)(b), “[o]pinions by the court in [Social Security cases under 42 U.S.C. 26 § 405(g)] will refer to any non-government parties by using only their first name and last initial.”

27 2 The Court hereby substitutes Andrew Saul, Commissioner of Social Security, for Nancy A. Berryhill, 2 1.) 3 Now pending before the Court is the parties’ Joint Motion for Judicial Review of 4 the Final Decision of the Commissioner of Social Security. (ECF No. 19.) For the reasons 5 set forth below, the Court RECOMMENDS that judgment be entered reversing the 6 decision of the Commissioner and remanding this matter for further administrative 7 proceedings pursuant to sentence four of 42 U.S.C. § 405(g). 8 I. PROCEDURAL BACKGROUND 9 On December 19, 2012, Plaintiff filed an application for child’s insurance benefits 10 with the United States Social Security Administration (“the Administration”). (Certified 11 Admin. R. 128, ECF No. 12 (“AR”).) Plaintiff alleged disability based on autism beginning 12 at birth, on June 20, 1950. (AR 131.) The Commissioner denied the application initially, 13 (AR 31-34), and upon reconsideration, (AR 38-42). Plaintiff requested an administrative 14 hearing before an administrative law judge (“ALJ”). (AR 44.) The hearing was held on 15 July 29, 2015. (AR 232, 234.) Plaintiff’s counsel appeared at the hearing, without 16 Plaintiff. (AR 234.) A vocational expert appeared, but the ALJ did not call her to testify. 17 (AR 39-40.) 18 / / / 19 / / / 20

21 22 3 Title II of the Social Security Act provides benefits to an adult child of an individual who is entitled to old-age or disability insurance benefits, or of an individual who dies fully or currently insured. See 42 23 U.S.C. § 402(d)(1). “[A] claimant who has applied for child's benefits under [T]itle II must show that [h]e or she met the statutory definition of disability before he or she attained age 22, and [h]e or she 24 currently meets the statutory definition of disability.” Soc. Sec. Ruling (“SSR”) 18-01p, 2018 WL 25 4945639, *5 (Oct. 2, 2018); 20 C.F.R. § 404.350. The parties have described the benefit in different terms. In their Joint Motion, Plaintiff uses the term “child disability benefits,” (ECF No. 19 at 3), while 26 the Commissioner uses “child insurance benefits (CIB),” (id. at 8). The Ninth Circuit has used the terms “child's insurance benefits,” see Delzer v. Berryhill, 886 F.3d 1282, 1284 (9th Cir. 2018), and “adult child 27 disability benefits,” see Moon v. Colvin, 542 F. App'x 646, 646 (9th Cir. 2013). For consistency’s sake, 2 Plaintiff had not been disabled, as defined in the Social Security Act, 42 U.S.C. § 3 423(d)(1)(A), prior to age 22. (AR 23-26 (citing 20 C.F.R. §§ 404.102, 404.350).) 4 On December 10, 2015, Plaintiff requested that the Appeals Council review the 5 ALJ’s decision. (AR 192-93.) 6 On February 16, 2017, the Appeals Council denied Plaintiff’s request for review, 7 (AR 6-9), resulting in the ALJ decision becoming the final decision of the Commissioner, 8 (42 U.S.C. § 405(h)), but subject to judicial review, (42 U.S.C. § 405(g)). By letter dated 9 July 25, 2018, the Appeals Council granted Plaintiff’s request to continue the deadline to 10 file a civil lawsuit and gave Plaintiff 30 days from the date Plaintiff received the letter to 11 file a civil action. (AR 3-4.) Plaintiff filed her Complaint on August 24, 2018. (ECF No. 1.) 12 II. EVIDENCE BEFORE THE ALJ 13 This case is striking for the dearth of evidence in the record at the time this case 14 was decided by the ALJ. The 240-page Administrative Record consists primarily of 15 correspondence and notifications between Plaintiff’s representatives and the Social 16 Security Administration, disability reports made by third parties, administrative review 17 documents, and the hearing transcript. (See AR.) 18 During the hearing, it appears that the sole direct medical evidence in the record 19 was the November 5, 2013 Adult Psychiatric Evaluation of Plaintiff prepared by court- 20 appointed consultative examiner, Camellia P. Clark, M.D., Board Certified Psychiatrist. 21 (AR 202-04.) Dr. Clark noted that Plaintiff was accompanied by women from the Public 22 Guardian’s office during the examination, including Deputy Public Guardian, Tiffany Tsai. 23 (AR 202.) Plaintiff herself was able to give almost no history due to her cognitive 24 deficits, and little more was known to the Public Guardian’s office. (AR 202.) Even with 25 limited information, Dr. Clark noted that Plaintiff presented “with a decades-long history 26 of autism and schizophrenia.” (AR 202.) Dr. Clark noted Plaintiff had bizarre posture, 27 gait and mannerisms in that she curled up as if expecting to be hit, ground her teeth, 2 abnormal, she spoke with a scanning rhythm, and repeatedly asked completely 3 inappropriate questions. (AR 203.) Plaintiff was unable to complete serial threes, did 4 not understand the concept of distraction, could not spell her name backward, and was 5 constantly distracted. (AR 203.) Plaintiff was also agitated, unable to describe her 6 mood, and her thought processes were perseverative and impoverished. (AR 203.) Dr. 7 Clark diagnosed Plaintiff with autism and schizophrenia, and indicated “rule out” mental 8 retardation, with a GAF score of 37. (AR 204.) Based on her evaluation, Dr. Clark noted 9 numerous ways that Plaintiff’s condition would impair her functioning. (AR 204.) 10 Other evidence before the ALJ included documents evidencing that Plaintiff was 11 under conservatorship, (AR 118-19), had been appointed a Guardian Ad Litem shortly 12 before her application for benefits was filed, (AR 127), and that she was a beneficiary of 13 her father’s trust, (AR 103-117). 14 There were no records from any of Plaintiff’s treating physicians from any time 15 period.

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Anthony Wilson v. Billy Groaning and Chris Dunn
25 F.3d 581 (Seventh Circuit, 1994)
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Finkel v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/finkel-v-commissioner-of-social-security-casd-2020.