Heaggans v. Saul

District Court, W.D. North Carolina·Decided May 20, 2022·No. 5:20-cv-00098·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF NORTH CAROLINA STATESVILLE DIVISION CIVIL ACTION NO. 5:20-CV-098-DCK LISA HEAGGANS, ) ) Plaintiff, ) ) ORDER v. ) ) KILOLO KIJAKAZI,1 ) Acting Commissioner of Social Security ) Administration, ) ) Defendant. ) ) THIS MATTER IS BEFORE THE COURT on Plaintiff’s “Motion For Summary Judgment” (Document No. 18) and Defendant’s “Motion For Summary Judgment” (Document No. 22). The parties have consented to Magistrate Judge jurisdiction pursuant to 28 U.S.C. § 636(c), and these motions are ripe for disposition. After careful consideration of the written arguments, the administrative record, and applicable authority, the undersigned will direct that Plaintiff’s “Motion For Summary Judgment” be denied; that Defendant’s “Motion For Summary Judgment” be denied; and that the Commissioner’s decision be vacated and this matter be remanded for further consideration. I. BACKGROUND Plaintiff Lisa Heaggans (“Plaintiff”), through counsel, seeks judicial review of an unfavorable administrative decision on her application for disability benefits. (Document No. 1). On or about January 16, 2017 and January 24, 2017, respectively, Plaintiff filed applications for a 1 On July 9, 2021, Kilolo Kijakazi became the Acting Commissioner of Social Security. Accordingly, pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Kilolo Kijakazi is hereby substituted for Andrew M. Saul as Defendant in this action. period of disability and disability insurance benefits (“DIB”) under Title II of the Social Security Act, 42 U.S.C. § 405, and for supplemental security income under Title XVI of the Social Security Act, 42 U.S.C. § 1383, alleging an inability to work due to a disabling condition beginning June 16, 2015.2 (Transcript of the Record of Proceedings (“Tr.”) 10). The Commissioner of Social Security (the “Commissioner” or “Defendant”) denied Plaintiff’s application initially on

March 21, 2017, and again after reconsideration on August 11, 2017. (Tr. 174-191, 195-213). In its “Notice of Reconsideration,” the Social Security Administration (“SSA”) included the following explanation of its decision: The medical evidence shows that your condition is not severe enough to be considered disabling. You are able to think, act in your own interest, communicate, handle your own affairs, and adjust to ordinary emotional stresses without significant difficulties. We do not have sufficient vocational information to determine whether you can perform any of your past relevant work. However, based on the evidence in file, we have determined that you can adjust to other work. It has been decided, therefore, that you are not disabled according to the Social Security Act.

(Tr. 195, 204). Plaintiff filed a timely written request for a hearing on September 10, 2017. (Tr. 10, 214- 15). On May 1, 2019, Plaintiff appeared and testified at a hearing before Administrative Law Judge Clinton C. Hicks (the “ALJ”). (Tr. 7-23, 34-76). In addition, Ellen Levine, a vocational expert (“VE”), and Charles F. Hall, IV, Plaintiff’s attorney for the hearing, appeared at the hearing. (Tr. 10).

2 Notably, Plaintiff filed a previous application for disability insurance benefits and supplemental security income on December 10, 2012. (Tr. 10). Plaintiff’s application was denied on June 15, 2015. Id. For this reason, Plaintiff’s instant application alleges a disability onset date of June 16, 2015, as “res judicata applies with regard to the period through June 15, 2015” because an Administrative Law Judge denied her first application, the Appeals Council denied review, and Plaintiff did not appeal the denial of her claim to federal district court. Id. The ALJ issued an unfavorable decision on July 5, 2019, denying Plaintiff’s claim. (Tr. 7- 23). On September 6, 2019, Plaintiff filed a request for review of the ALJ’s decision, which was denied by the Appeals Council on May 18, 2020. (Tr. 1-6, 7-23, 270-72). The ALJ decision became the final decision of the Commissioner when the Appeals Council denied Plaintiff’s review request. (Tr. 1).

Plaintiff’s “Complaint” seeking a reversal of the ALJ’s determination was filed in this Court on July 20, 2020 . (Document No. 1). The parties consented to Magistrate Judge Jurisdiction on February 2, 2021, and this case was reassigned to the undersigned as presiding judge on February 3, 2021. (Document No. 13). Plaintiff’s “Motion For Summary Judgment” (Document No. 18) and “Plaintiff’s Memorandum In Support Of Motion For Summary Judgment” (Document No. 19) were filed May 7, 2021; and the Commissioner’s “Motion For Summary Judgment” (Document No. 22) and “Memorandum Of Law In Support Of Defendant’s Motion For Summary Judgment” (Document No. 23) were filed August 6, 2021. Plaintiff filed “Plaintiff’s Response to Defendant’s

Memorandum In Support Of Motion For Summary Judgment” (Document No. 24) on August 20, 2021. The pending motions are now ripe for review and disposition. II. STANDARD OF REVIEW The Social Security Act, 42 U.S.C. § 405(g) and § 1383(c)(3), limits this Court’s review of a final decision of the Commissioner to: (1) whether substantial evidence supports the Commissioner’s decision; and (2) whether the Commissioner applied the correct legal standards. Richardson v. Perales, 402 U.S. 389, 390 (1971); Hays v. Sullivan, 907 F.2d 1453, 1456 (4th Cir. 1990). The Fourth Circuit has made clear that it is not for a reviewing court to re-weigh the evidence or to substitute its judgment for that of the Commissioner – so long as that decision is supported by substantial evidence. Hays, 907 F.2d at 1456 (4th Cir. 1990); see also Hancock v. Astrue, 667 F.3d 470, 472 (4th Cir. 2012); Smith v. Schweiker, 795 F.2d 343, 345 (4th Cir. 1986). “Substantial evidence has been defined as ‘more than a scintilla and [it] must do more than create

a suspicion of the existence of a fact to be established. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.’” Smith v. Heckler, 782 F.2d 1176, 1179 (4th Cir. 1986) (quoting Perales, 402 U.S. at 401). Ultimately, it is the duty of the Commissioner, not the courts, to make findings of fact and to resolve conflicts in the evidence. Hays, 907 F.2d at 1456; King v. Califano, 599 F.2d 597, 599 (4th Cir. 1979) (“This court does not find facts or try the case de novo when reviewing disability determinations.”); Seacrist v. Weinberger, 538 F.2d 1054, 1056-57 (4th Cir. 1976) (“We note that it is the responsibility of the [Commissioner] and not the courts to reconcile inconsistences in the medical evidence, and that it is the claimant who bears the risk of nonpersuasion.”).

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