Flowers v. Commissioner of Social Security

District Court, M.D. Florida·Decided March 10, 2023·No. 8:22-cv-00195·Unknown

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION

LAKISHIA FLOWERS o/b/o J.K.G., a minor,

Plaintiff,

v. Case No. 8:22-cv-195-AEP

KILOLO KIJAKAZI, Acting Commissioner of Social Security,1

Defendant. /

ORDER Plaintiff seeks judicial review of the denial of her minor child’s (Claimant) claim for Supplemental Security Income (“SSI”). As the Administrative Law Judge’s (“ALJ”) decision was not based on substantial evidence and failed to employ proper legal standards, the Commissioner’s decision is reversed and remanded. I. A. Procedural Background Plaintiff filed an application for SSI on behalf of Claimant (Tr. 177–82). The Social Security Administration (“SSA”) denied Claimant’s claim both initially and

1 Dr. Kilolo Kijakazi is now the Acting Commissioner of Social Security. Pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Acting Commissioner Kilolo Kijakazi should be substituted for Commissioner Andrew M. Saul as the defendant in this matter. No further action needs to be taken to continue this matter by reason of the last sentence upon reconsideration (Tr. 81–86, 90–97). Plaintiff then requested an administrative hearing (Tr. 105–07). Per Plaintiff’s request, the ALJ held a hearing at which Plaintiff and Claimant appeared and testified (Tr. 24–48). Following the hearing,

the ALJ issued an unfavorable decision finding Claimant not disabled and accordingly denied Plaintiff’s claim for benefits (Tr. 7–19). Subsequently, Plaintiff requested review from the Appeals Council, which the Appeals Council denied (Tr. 1–6). Plaintiff then timely filed a complaint with this Court (Doc. 1). The case is now ripe for review under 42 U.S.C. § 1383(c)(3).

B. Factual Background and the ALJ’s Decision Claimant, who was born in November 2007, claimed disability beginning June 1, 2018 (Tr. 177, 223). Claimant alleged disability due to ADHD and learning

problems (Tr. 207, 223). In rendering the administrative decision, the ALJ concluded that Claimant was a school-age child on May 3, 2019, the date the application was filed, and had not engaged in substantial activity since the application date (Tr. 11). After conducting a hearing and reviewing the evidence of record, the ALJ determined Claimant had the following severe impairments:

attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (Tr. 11). Notwithstanding the noted impairments, the ALJ determined Claimant did not have an impairment or combination of impairments that met or medically equaled one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1 (Tr. 13). The ALJ also determined that Claimant did not have an impairment or combination of impairments that functionally equaled the severity of the listings (Tr. 13). In doing so, the ALJ found Claimant had: • less than a marked limitation in acquiring and using information;

• less than a marked limitation in attending and completing tasks; • less than a marked limitation in interacting and relating with others; • no limitation in moving about and manipulating objects; • less than a marked limitation in the ability to care for himself/herself; and • no limitation in health and physical well-being

(Tr. 14). In making that finding, the ALJ indicated that he considered all of the relevant evidence in the record, including objective medical evidence and other relevant evidence from medical sources; information from other sources, such as school teachers, family members, or friends; Claimant’s statements (including statements from Claimant’s parent(s) or other caregivers); and any other relevant

evidence in the record, including how Claimant functioned over time and in all settings (i.e., at home, at school, and in the community) (Tr. 14). II. To be entitled to benefits, an individual under the age of 18 must

demonstrate that he or she has a medically determinable physical or mental impairment, which results in marked and severe functional limitations, and which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months. 42 U.S.C. § 1382c(a)(3)(C)(i). Similar to the approach taken with adults, the Commissioner assesses child disability claims under a sequential analysis. 20 C.F.R. § 416.924(a). The first step requires the Commissioner to determine whether the child is performing substantial gainful activity. 20 C.F.R. § 416.924(b). If so, a finding of not disabled is warranted.

20 C.F.R. § 416.924(a) & (b). If not, the second step asks whether the child has a severe impairment. 20 C.F.R. § 416.924(a) & (c). If the child does not have a severe impairment, the child is considered not disabled. 20 C.F.R. § 416.924(a) & (c). If a severe impairment exists, the third and final step in the analysis involves a determination of whether the child has an impairment that meets, medically equals,

or functionally equals a set of criteria in the Listing of Impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. 20 C.F.R. § 416.924(a) & (d). For a child’s impairment(s) to functionally equal the Listings, the child’s impairment(s) must result in “marked” limitations in two domains of functioning or an “extreme” limitation in one domain of functioning. 20 C.F.R. § 416.926a(a).

A child has a “marked” limitation in a domain when the impairment(s) interferes seriously with his or her ability to independently initiate, sustain, or complete activities. 20 C.F.R. § 416.926a(e)(2)(i). A “marked” limitation is “more than moderate” but “less than extreme.” 20 C.F.R. § 416.926a(e)(2)(i). A child has an “extreme” limitation when the child’s impairment interferes very seriously with the

child’s ability to independently initiate, sustain, or complete activities, and the limitation is “more than marked.” 20 C.F.R. § 416.926a(e)(3)(i). An extreme limitation is assigned only to the worst limitations but does not necessarily mean a total lack or loss of ability to function. 20 C.F.R. § 416.926a(e)(3)(i). In assessing functional equivalence, the Commissioner considers the child’s functioning in terms of six domains: (1) acquiring and using information; (2) attending and completing tasks; (3) interacting and relating with others; (4) moving

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Flowers v. Commissioner of Social Security, (M.D. Fla. 2023).

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