Ison v. SSA

CourtDistrict Court, E.D. Kentucky
DecidedJuly 7, 2023
Docket5:23-cv-00054
StatusUnknown

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

Bluebook
Ison v. SSA, (E.D. Ky. 2023).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF KENTUCKY CENTRAL DIVISION (at Lexington)

RITHA JO ISON, ) ) Plaintiff, ) Civil Action No. 5: 23-054-DCR ) V. ) ) KILOLO KIJAKAZI, ) MEMORANDUM OPINION Acting Commissioner of Social Security, ) AND ORDER ) Defendant. )

*** *** *** *** Plaintiff Ritha Ison appeals the Acting Commissioner of Social Security’s denial of her claim for disability insurance benefits and supplemental security income. [Record No. 1] Ison contends inter alia that her redetermination process was improper and that Administrative Law Judge (“ALJ”) Sandra R. DiMaggio Wallis failed to adequately support her finding that Ison had the capacity to perform light work from January 1, 2006 through October 1, 2009. Upon review of the record and the parties’ arguments, the Court finds that redetermination was proper and the ALJ’s decision is based upon substantial evidence and correctly-applied rules of law. As a result, the Acting Commissioner’s decision will be affirmed. I. Background Ison was 48 years old and living with her daughter and grandchild during the first year of her alleged disability. [Record No. 8, p. 167-68] She has a twelfth-grade education and until 2005, had worked in various positions including as a machine operator, nurse technician, house cleaner, and cashier.1 [Id. at 319, 904-05] Her disability allegedly began on January 1, 2006, and consists of various ailments, including a spinal disorder, carpal tunnel syndrome, and obesity. [Id. at 902-09]

Ison filed applications for supplemental security income and disability insurance benefits on July 28, 2008. [Id. at 166-175] The United States Social Security Administration (“SSA”) denied her claims initially and on reconsideration. [Id. at 466] Ison requested a hearing in 2009, which was held before ALJ David Daugherty, who determined that Ison was disabled beginning on January 1, 2006. Ison was represented at that time by then-attorney Eric Conn, and her disability determination was based on a report by Frederick Huffnagle, M.D. [Id. at 216]

Conn perpetrated a large-scale social security fraud scheme, assisted by ALJ Daugherty and four medical professionals—including Dr. Huffnagle—during the period of Ison’s representation. [Id. at 912-35] Specifically, Conn “secured benefits for his clients by submitting fraudulent reports to the [SSA],” and ALJ Daugherty accepted “bribes . . . to assign Conn’s cases to himself and issue favorable rulings.” Hicks v. Commissioner of Social Security, 909 F.3d 786, 791-92 (6th Cir. 2018).

Social security employees began reporting to their superiors in 2006 regarding irregularities in ALJ Daugherty’s cases. [Record No. 8, p. 912] One employee anonymously called the SSA’s Office of Inspector General (“OIG”) to report the “misappropriation of cases” in 2009 and submitted a fraud complaint and letter to the OIG in 2011. [Id. at 915-16] The OIG and the United States Senate Committee on Homeland Security and Governmental Affairs

1 Ison also earned $2.45 from “Nestle V Department of Labor” in 2009. [Id. at 905] (“The Committee”) began an investigation in 2011. Hicks, 909 F.3d at 793. “The Committee issued a report in October 2013 finding that ‘Judge Daugherty worked with Mr. Conn in inappropriate ways to approve a high volume of cases submitted by the Conn Law Firm.’” Id.

(quoting Senate Committee on Homeland Security and Governmental Affairs, How Some Legal, Medical, and Judicial Professionals Abused Social Security Disability Programs for the Country’s Most Vulnerable: A Case Study of the Conn Law Firm 5 (Oct. 7, 2013), available at https://www.hsgac.senate.gov/imo/media/doc/REPORT%20Conn%20case%20history%20re port-final%20%20(10-7-13).pdf.). The SSA Appeals Council wrote to Ison on May 18, 2015, indicating that there was reason to believe that fraud was involved in her application process. [Record No. 8, p. 107]

The letter informed Ison that a redetermination proceeding was necessary pursuant to sections 205(u) and 1631(e)(7) of the Social Security Act. Thereafter, ALJ Joseph R. Doyle issued an unfavorable decision on April 20, 2016. [Record No. 8, pp. 516-30] The Appeals Council denied her request for review, and Ison filed suit in federal court. [Id. at 1-3, 544-50] A group of plaintiffs—previous clients of Conn in a nearly identical situation as Ison— challenged the legality of the SSA’s redetermination process before the United States Court of

Appeals for the Sixth Circuit. [Id. at 556] This Court stayed Ison’s case pending the Sixth Circuit’s decision, which ruled in favor of the plaintiffs in Hicks v. Commissioner of Social Security, 909 F.3d 786 (6th Cir. 2018). [Record No. 8, pp. 554-56] The matter was subsequently remanded to the SSA for further proceedings consistent with Hicks. [Id. at 560] Following remand, the Appeals Council notified Ison on August 26, 2020, that it was further remanding her case for another redetermination hearing. [Id. at 563] The coronavirus pandemic and Ison’s objections to virtual or telephonic hearings delayed proceedings. [Id. at 576, 723, 743] Ison’s redetermination hearing was eventually held in person on September 16, 2022. [Id. at 489-515] ALJ Wallis issued a new redetermination decision on November 2, 2022, excluding Dr.

Huffnagle’s report from consideration because there was reason to believe that fraud was involved. [Id. at 466-81] After considering the entire record, ALJ Wallis determined that the following conditions were severe: “lumbar spine degenerative disc disease, carpal tunnel, and obesity.” [Id. at 472] The ALJ concluded that Ison could not perform her past work but had the capacity to conduct certain light work as defined in 20 C.F.R. §§ 404.1567(b), 416.967(b). [Id. at 475, 479] Based on the vocational expert’s testimony, there were jobs existing in significant numbers in the national economy that Ison could perform, including retail

merchandise marker, mail clerk, and dispatcher/routing clerk. [Id. at 480-81] Accordingly, the ALJ concluded that Ison was not disabled under the Social Security Act. II. Standard of Review “The District Court’s function . . . is limited, except as to errors of law, to determining whether there is substantial evidence in the record[.]” Walters v. Gardner, 397 F.2d 89, 90 (6th Cir. 1968); see also Island Creek Ky. Mining v. Ramage, 737 F.3d 1050, 1056 (6th Cir.

2013) (stating that review is limited to determining whether “[t]he ALJ . . . applied the governing law correctly to reach a conclusion supported by substantial evidence”). Substantial evidence is “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Consolidated Edison Co. v. NLRB, 305 U. S. 197, 229 (1938); see also Bass v. McMahon, 499 F.3d 506, 509 (6th Cir. 2007). “[T]he threshold for such evidentiary sufficiency is not high,” but it is “more than a mere scintilla.” Biestek v. Berryhill, 139 S. Ct. 1148, 1154 (2019) (internal quotation marks omitted). Additionally, “even if supported by substantial evidence, ‘a decision of the Commissioner will not be upheld where the SSA fails to follow its own regulations and where that error prejudices a claimant on the merits or deprives the claimant of a substantial right.’” Rabbers v. Comm’r SSA, 582 F.3d 647, 651 (6th

Cir. 2009) (quoting Bowen v. Comm’r of Soc. Sec., 478 F.3d 742, 746 (6th Cir.

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Ison v. SSA, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ison-v-ssa-kyed-2023.