Finley v. Commissioner of Social Security

CourtDistrict Court, N.D. New York
DecidedOctober 21, 2020
Docket5:19-cv-00173
StatusUnknown

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

Bluebook
Finley v. Commissioner of Social Security, (N.D.N.Y. 2020).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF NEW YORK KELLY F.

Plaintiff, v. 5:19-CV-0173 (LEK) ANDREW SAUL, Commissioner of the Social Security Administration,1 Defendant. MEMORANDUM-DECISION AND ORDER I. INTRODUCTION This Social Security appeal is before the Court following a decision of the Commissioner of the Social Security Administration (“SSA”) denying Plaintiff benefits. Both parties have filed briefs. Dkt. Nos. 14 (“Plaintiff’s Brief”), 18 (“Defendant’s Brief”). On appeal, Plaintiff presents three arguments: (1) the Administrative Law Judge (“ALJ”) failed to evaluate Plaintiff’s IQ scores under Listing 12.05; (2) the ALJ incorrectly concluded that Plaintiff does not suffer from sufficient deficits in adaptive functioning; and (3) the ALJ’s decision was not supported by substantial evidence. See generally Pl.’s Br. For the reasons that follow, the Court reverses the Commissioner’s decision and remands solely for calculation and payment of benefits. II. BACKGROUND

A. Procedural History This case’s procedural history is complex. Plaintiff applied for supplemental security

1 Saul is automatically substituted for Acting Commissioner Nancy A. Berryhill as the defendant in this case. See Fed. R. Civ. P. 25(d). income (“SSI”) benefits on February 18, 2010. See Dkt No. 8 (“Record”) at 78-98.” The application was denied on June 11, 2010, see R. at 37, and Plaintiff requested a hearing, id. at 41. On May 25, 2011, ALJ Marie Greener conducted a hearing on Plaintiff's application. See id, at 385. In an August 23, 2011 decision, ALJ Greener determined that Plaintiff had not been disabled since the date on which she applied for SSI benefits. See id. at 34. On May 16, 2013, the SSA notified Plaintiff that this Court had remanded the case for further administrative action. See id. at 451. On September 26, 2013, ALJ Greener conducted a supplemental hearing. See id. at 602; Def.’s Br. at 3. On December 12, 2013, ALJ Greener again found that Plaintiff had not been disabled since the date on which she applied for SSI benefits. See R. at 432; Def.’s Br. at 3. After Plaintiff appealed, the case was again remanded for further administrative action on May 12, 2016 by the Hon. David E. Peebles, United States Magistrate Judge. See R. at 646; see also Finley v. Commissioner of Social Security, No. 15-CV-1155, Dkt. No. 15 (N.D.N.Y. May 12, 2016). In its February 3, 2017 order of remand (the “2017 Remand Instructions”), the SSA’s Appeals Council instructed the ALJ to “[e]valuate the severity of the claimant’s mental impairments at steps 2 and 3 of the sequential evaluation process, and determine whether they meet or equal a listing, specifically evaluating the claimant’s IQ scores under listing 12.05.” R. at 657. On January 29, 2018, ALJ Elizabeth W. Koennecke held another hearing’. See R. at

* In its citations to the Record, the Court refers to the page numbers produced by CM/ECF, not the page numbers stamped onto the documents themselves. An issue at the hearing apparently resulted in some testimony not being captured on the record. See R. at 1173. Plaintiff was apparently not sworn in on the record as required by the SSA’s Hearings, Appeals, and Litigation Law Manual (“SSA Hallex Manual”). See R. at 1180; SSA Hallex Manual at § I-2-6 (“The ALJ will administer all oaths or affirmations on the record.)

1171. ALJ Koennecke decided on March 12, 2018 that Plaintiff had not been disabled from the date on which she applied for SSI benefits through the decision date. See R. at 633-645 (the “March 2018 Decision”). On January 24, 2019, the SSA’s Office of Appellate Operations denied review of the March 2018 Decision. See R. at 625. B. Factual History Plaintiff, a 53-year-old woman, based her February 18, 2010 application for SSI benefits on the following disabilities: joint pain; leg weakness; depression; learning disabilities; headaches; borderline diabetes; metal in her head; acid reflux; and allergies.’ See R. at 123. On February 27, 2006, Dr. Stephen Fitzgerald apparently’ performed a consultative evaluation of Plaintiff. See Pl.’s Br. at 14. Dr. Fitzgerald found that Plaintiff had a full-scale IQ score of 58, a non-verbal IQ score of 51, and a verbal IQ score of 69. See id.; see also R. at 656 (Feb. 3, 2017 remand order from the SSA Appeals Council referring to these scores). On May 17, 2017, Dr. Dennis M. Noia conducted a consultative intelligence evaluation of Plaintiff. See R. at 702-13 (the “Noia Report”). Dr. Noia found that Plaintiff had a full-scale 1Q of 63, a verbal comprehension score of 66, a perceptual reasoning score of 65, a working memory score of 69, and a processing speed score of 76. See id. at 710.

(emphasis added). Nevertheless, the Court finds Plaintiffhas waived any objection. See Donaghy v.Comm’r of Soc. Sec., No. 11-CV-15581, 2012 U.S. Dist. LEXIS 184040, at *7 (E.D. Mich. Dec. 14, 2012). * Plaintiffs arguments on appeal focus solely on ALJ Koennecke’s conclusions regarding whether she has an intellectual disorder. See generally Pl.’s Br. > Plaintiff refers to the examination by Dr. Fitzgerald but does not provide a citation to a report.

Ii. LEGAL STANDARD When a district court reviews an ALJ’s decision, it must determine whether the ALJ applied the correct legal standards and whether his or her decision is supported by substantial evidence in the record. See 42 U.S.C. § 405(g). Substantial evidence amounts to “more than a mere scintilla,” and it must reasonably support the decision maker’s conclusion. Halloran v. Barnhart, 362 F.3d 28, 31 (2d Cir. 2004) (quoting Richardson v. Perales, 402 U.S. 389, 401 (1971)). A court will defer to the ALJ’s decision if it is supported by substantial evidence, “even if [the court] might justifiably have reached a different result upon a de novo review.” Sixberry v. Colvin, No. 12-CV-1231, 2013 U.S. Dist. LEXIS 134688, at *3 (N.D.N.Y. Sept. 20, 2013) (quoting Valente v. Sec’y of Health & Human Servs., 733 F.2d 1037, 1041 (2d Cir. 1984)). However, a court should not uphold the ALJ’s decision—even when there is substantial evidence to support it—if it is based on legal error. See Bubnis v. Apfel, 150 F.3d 177, 181 (2d Cir. 1998). IV. DISCUSSION Before addressing Plaintiff's arguments, the Court will provide the administrative context for this dispute. The SSA uses a multi-step sequential evaluation process in determining whether a claimant is “disabled.” See 20 C.F.R. § 404.1520(a)(4). At step one, the agency considers the claimant’s employment to assess whether she is engaged in “substantial gainful activity”. See id. at § 404.1520(a)(4)(). At step two, the agency considers the medical severity of a claimant’s impairment. See id. at § 404.1520(a)(4)(i1). The third step in the SSA’s sequential evaluation process is most germane to Plaintiff's appeal. At that stage, the agency asks whether the claimant has “an impairment(s) that meets or

equals one of our listings in appendix 1 of this subpart and meets the duration requirement[.]” See id. at § 404.1520(a)(4)(i11). If so, the SSA will find the claimant disabled. See id.

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Finley v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/finley-v-commissioner-of-social-security-nynd-2020.