FUENTES v. SAUL

CourtDistrict Court, E.D. Pennsylvania
DecidedNovember 12, 2020
Docket2:19-cv-06151
StatusUnknown

This text of FUENTES v. SAUL (FUENTES v. SAUL) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
FUENTES v. SAUL, (E.D. Pa. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

ANA FUENTES o/b/o R.M., : Plaintiff, : CIVIL ACTION : v. : : ANDREW SAUL, : Commissioner of Social Security, : No. 19-6151 Defendant. :

MEMORANDUM OPINION

TIMOTHY R. RICE November 12, 2020 U.S. MAGISTRATE JUDGE

Plaintiff Ana Fuentes, on behalf of her daughter, R.M., filed an application for child’s Supplemental Security Income (SSI) under Title XVI of the Social Security Act, 42 U.S.C. §§ 1381-83f, seeking benefits due to disabling depression, anxiety, and panic attacks that R.M. has experienced since she was sexually abused by her stepfather. R. at 432. Fuentes now challenges the final decision of the Commissioner of the Social Security Administration denying her claim. Pl. Br. (doc. 12) at 1-23; Pl. Reply (doc. 16) at 1-10. As explained below, the Administrative Law Judge (ALJ) failed to support her analysis of functional equivalence with substantial evidence and I remand the case for further consideration.1 PROCEDURAL HISTORY Fuentes filed for SSI on behalf of R.M. on October 5, 2017. R. at 404-13. On November 15, 2018, the ALJ found that R.M. does not have an impairment that functionally equals the

1 Fuentes consented to the jurisdiction of a United States Magistrate Judge on December 30, 2019 (doc. 4), pursuant to 28 U.S.C. § 636(c), Fed. R. Civ. P. 72, Local Rule 72.1, and Standing Order, In re Direct Assignment of Social Security Appeal Cases to Magistrate Judges (Pilot Program) (E.D. Pa. Sept. 4, 2018). See also Roell v. Withrow, 538 U.S. 580, 584 (2003) (consent to Magistrate Judge jurisdiction can be inferred from failure to object after notice and opportunity). severity of the listings2 and denied the claim. Id. at 242-63. Fuentes seeks review of the ALJ’s decision pursuant to 42 U.S.C. §§ 405(g) and 1383(c). Id. at 1-7. FACTUAL HISTORY R.M. was 15 at the time of the October 2018 hearing, see R. at 268, 404, and was diagnosed with major depressive disorder, anxiety disorder, and post-traumatic stress disorder (PTSD). She had been sexually abused by her stepfather. See id. at 275-76, 1055, 1077. Although it was reported when R.M. was almost 11 years old, the abuse had been ongoing since R.M. was nine. Id. In 2016, R.M. began weekly therapy at Women Organized Against Rape (WOAR). Id. at 297, 1076, 1203-20, 1310-1406. She also participated in individual, group, and

family therapy at The Wedge Medical Center (Wedge) beginning in 2016. See id. at 1077, 1221- 1303. Despite the trauma of sexual abuse, R.M. continued to see her stepfather when he dropped off her youngest brother.3 Id. at 275-76. Such repeated contact with her stepfather re- traumatized R.M. See id. at 1291. R.M. testified that her biggest barrier is anxiety and that she feels anxious “almost every day” which causes her to rush, overthink things, and “blank out.” Id. at 273. In June 2017,

2 For children, the Listing of Impairments describes impairments that cause marked and severe functional limitations. 20 C.F.R. § 416.925. See also 20 C.F.R. Pt. 404, Subpt. P, App. 1, Part B (the listings for children). If a claimant’s impairment or combination of impairments meets or is medically equal to the severity of a listed impairment, the claimant is deemed disabled. 20 C.F.R. § 416.924(d)(1).

3 Fuentes and R.M.’s stepfather have a son together. R. at 1085. Although a restraining order stopped his contact with R.M., R.M.’s stepfather still had contact with his son. Id. at 1227. In October 2017, R.M. reported to her doctor that seeing her stepfather made her anxious and she shut herself in her room when he came to their home. Id. at 1085. The doctor noted that R.M. was “sleeping a lot and her grades are suffering in school. She has fun with her friends and is happy when she is around them but that changes when she goes home.” Id. R.M. admitted to this doctor that “sometimes she lies to her therapist because she doesn’t want to seem sad.” Id. 2 R.M. received emergency medical care for chronic, intermittent chest pains. See id. at 986-92, 1068. She was diagnosed with generalized anxiety disorder.4 Id. at 1068. R.M. has a history of self-harm and began having suicidal thoughts when she was seven. Id. at 1232. In July 2017, when she was in the Philippines visiting family, R.M. overdosed on her mother’s pills and was admitted to the hospital for two days. See id. at 275, 976-98, 1069- 70. Therapy records show that in July 2018, R.M. had passive suicidal ideation after her mother was hospitalized and that DPW became involved when Fuentes and R.M. had a fight. Id. at 1329. At the hearing, R.M. stated that she no longer hurt herself, but admitted that she cut

4 In her brief, Fuentes also referred to evidence regarding inpatient treatment R.M. received for anxiety in February 2019. See Pl. Br. at 15; see also R. at 8-236. The Commissioner correctly notes that this evidence was submitted after the ALJ’s decision and does not relate to the period at issue. See Def. Br. at 5. Evidence that was not before the ALJ cannot be used to argue that the ALJ’s decision was not supported by substantial evidence. Matthews v. Apfel, 239 F.3d 589, 594-95 (3d Cir. 2001).

Such evidence may be relevant only to determine whether it provides a basis for remand under the sixth sentence of § 405(g). Szubak v. Sec’y of Health and Human Servs., 745 F.2d 831, 833 (3d Cir. 1984). To justify a remand under sentence six of § 405(g), the evidence must be “new” and “material.” Id. The “new” evidence must not be “merely cumulative of what is already in the record” and must be “material” in that it must be relevant and probative. Id. “The materiality standard requires that there be a reasonable possibility that the new evidence would have changed the outcome of the Secretary’s determination.” Id. “An implicit materiality requirement is that the new evidence relate to the time period for which benefits were denied, and that it not concern evidence of a later acquired disability or of the subsequent deterioration of the previously non disabling condition.” Id. Furthermore, “remand based on new evidence is only appropriate where the claimant shows good cause why that evidence was not procured or presented before the ALJ’s decision.” Chandler v. Comm’r of Soc. Sec., 667 F.3d 356, 360 (3d Cir. 2011) (citing Matthews, 239 F.3d at 592-93).

I have not considered the evidence submitted by Fuentes after the date of the ALJ’s decision because it was not before the ALJ, and does not relate to the time period for which benefits were denied.

3 herself in the past because she felt alone and had difficulty getting along with her mother.5 Id. at 273-74. R.M.

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