Hall v. Commissioner of Social Security

CourtDistrict Court, S.D. Mississippi
DecidedNovember 5, 2024
Docket3:23-cv-03047
StatusUnknown

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

Bluebook
Hall v. Commissioner of Social Security, (S.D. Miss. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF MISSISSIPPI NORTHERN DIVISION

MATTHEW DANIEL HALL PLAINTIFF

v. CIVIL ACTION NO. 3:23-cv-3047-KHJ-MTP

COMMISSIONER OF SOCIAL SECURITY DEFENDANT

REPORT AND RECOMMENDATION

Plaintiff Matthew Daniel Hall brings this action pursuant to 42 U.S.C. § 405(g) seeking judicial review of the Commissioner of Social Security Administration’s final decision ceasing his entitlement to supplemental security income benefits. Having considered the parties’ submissions, the record, and the applicable law, the undersigned recommends that the Commissioner’s final decision be affirmed in part and reversed in part and this action be remanded for further consideration. PROCEDURAL HISTORY

On May 21, 2018, the Social Security Administration (“SSA”) determined that Plaintiff was disabled due to restrictions caused by the following severe impairments: “status post-right ACL reconstruction, Hill-Sachs defect of right shoulder, seizure disorder, alcohol abuse disorder, mood disorder, cannabis abuse in remission, traumatic brain injury, and bipolar disorder.” (Administrative Record [10-2] at 31). Subsequently, the SSA reviewed Plaintiff’s disability1 and

1 Pursuant to 20 C.F.R. § 404.1594(a), a claimant’s continued entitlement to disability benefits is to be reviewed periodically. The SSA may terminate disability benefits if substantial evidence demonstrates that: (A) there has been any medical improvement in the individual’s impairment or combination of impairments (other than medical improvement which is not related to the individual’s ability to work), and

(B) the individual is now able to engage in substantial gainful activity . . . . determined that as of July 6, 2021, Plaintiff was no longer disabled due to medical improvement. ([10-3] at 26). After a disability hearing officer affirmed the finding, an Administrative Law Judge (“ALJ”) conducted a hearing, and on July 12, 2023, the ALJ issued a decision affirming the cessation of benefits. ([10-1] at 16-34). The ALJ specifically determined that as of July 6, 2021,

Plaintiff was not disabled because “a substance use disorder [wa]s a contributing factor material to the determination of continuing disability.” ([10-1] at 16). Plaintiff appealed the ALJ’s decision to the Appeals Council. On September 19, 2023, the Appeals Council denied Plaintiff’s request for review, rendering the ALJ’s decision the final decision of the Commissioner. ([10-1] at 2-4). Plaintiff now seeks judicial review in this Court under 42 U.S.C. § 405(g). ADMINISTRATIVE LAW JUDGE’S DECISION

To determine whether Plaintiff remained disabled, the ALJ applied the seven-step sequential evaluation process set forth in 20 C.F.R. § 416.994(b)(5). This evaluation requires the ALJ to make the following determinations: (1) whether the claimant has an impairment or combination of impairments which meets or equals the severity of an impairment listed in 20 C.F.R. Part 404, Subpart P, Appendix 1; (2) if not, whether there has been medical improvement; (3) if so, whether the medical improvement is related to the claimant’s ability to do work (if not, the analysis proceeds to step four; if so, the analysis proceeds to step five); (4) whether an exception to medical improvement applies (if one of the first group of exceptions applies, the analysis proceeds to the next step; if one of the second group of exceptions applies, disability ends; and if none apply, the claimant’s disability continues); (5) whether the claimant’s impairment or combination of impairments is severe; (6) if so, whether the claimant can perform past relevant work; (7) if not, whether the claimant can perform other work.

See 42 U.S.C. § 423(f)(1). See 20 C.F.R. § 416.994(b)(5).2

The ALJ also considered the Social Security Act’s prohibition on awarding benefits to a disabled individual whose drug addiction or alcoholism is “a contributing factor material to the Commissioner’s determination that the individual is disabled.” See 42 U.S.C. § 423(d)(2)(C). Alcoholism or drug addiction is a material factor if the individual would be found not disabled if he stopped using drugs or alcohol. See 20 C.F.R. § 416.935(b). This determination requires a consideration of which impairments would remain if the individual stopped using drugs or alcohol and whether the remaining impairments would be disabling. Id. Here, the ALJ accounted for Plaintiff’s substance abuse in addressing the steps of the sequential evaluation process. At step one, the ALJ determined that Plaintiff had the medically determinable impairments of “alcohol abuse disorder; cannabis use disorder; stimulant use disorder; bipolar disorder; large anterior Bankart tear3 of the left shoulder, with some deficient anterior glenoid bone; Hill-Sachs lesion4 of the left shoulder; mild narrowing of medial compartments of the bilateral knees, with evidence of previous right ACL repair; and epilepsy” but that these

impairments did not meet or equal a listing, even considering Plaintiff’s substance abuse. ([10-1] at 18). At step two, the ALJ determined that there had been medical improvement as of July 6, 2021. ([10-1] at 20). At step three, the ALJ determined that Plaintiff’s medical improvement was

2 Unlike initial disability determination proceedings, “the ultimate burden of proof lies with the Secretary in termination proceedings.” Griego v. Sullivan, 940 F.2d 942, 944 (5th Cir. 1991). In other words, once benefits have been awarded, the claimant is afforded a “presumption of continuing disability that requires the Secretary to provide evidence” that the claimant’s condition has improved. Taylor v. Heckler, 742 F.2d 253, 255 (5th Cir. 1984).

3 A “Bankart tear,” also known as a glenoid labrum tear, is a torn labrum allowing the humeral head to slip out of its socket more easily. See https://www.ncbi.nlm.nih.gov/books/NBK587359/ (last visited November 1, 2024).

4 A “Hill-Sachs lesion” is a depression in the humeral head caused by a shoulder dislocation. See https://pubmed.ncbi.nlm.nih.gov/22474094/ (last visited November 1, 2024). related to his ability to work, which dictated that the evaluation proceed to step five. ([10-1] at 21). The ALJ determined at step five that Plaintiff continued to have severe impairments. ([10-1] at 21). Before addressing whether Plaintiff could perform past relevant work—the sixth step of the evaluation process—the ALJ examined the record and determined that Plaintiff, while

abusing substances, had the residual functional capacity (“RFC”)5 to lift, carry, push, and pull 20 pounds occasionally and 10 pounds frequently, stand and/or walk for six hours in an eight-hour workday, and sit for six hours in an eight- hour workday.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Boyd v. Apfel
239 F.3d 698 (Fifth Circuit, 2001)
Frank v. Barnhart
326 F.3d 618 (Fifth Circuit, 2003)
Audler v. Astrue
501 F.3d 446 (Fifth Circuit, 2007)
Lawrence Hallaron, III v. Social Security Administ
578 F. App'x 350 (Fifth Circuit, 2014)
Lawrence v. Heckler
739 F.2d 567 (Eleventh Circuit, 1984)

Cite This Page — Counsel Stack

Bluebook (online)
Hall v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hall-v-commissioner-of-social-security-mssd-2024.