Jesse v. Barnhart

323 F. Supp. 2d 1100, 2004 U.S. Dist. LEXIS 12286, 2004 WL 1486312
CourtDistrict Court, D. Kansas
DecidedJune 30, 2004
Docket03-4147-JAR
StatusPublished
Cited by3 cases

This text of 323 F. Supp. 2d 1100 (Jesse v. Barnhart) is published on Counsel Stack Legal Research, covering District Court, D. Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jesse v. Barnhart, 323 F. Supp. 2d 1100, 2004 U.S. Dist. LEXIS 12286, 2004 WL 1486312 (D. Kan. 2004).

Opinion

MEMORANDUM & ORDER

ROBINSON, District Judge.

Plaintiff Henrietta Jesse brings this action pursuant to 42 U.S.C. § 405(g) seeking judicial review of Defendant Commissioner of Social Security’s denial of her application for a period of disability and disability insurance benefits under Title II of the Social Security Act. The Court reverses and remands because defendant failed to fully develop the record with records and/or testimony of treating physician Dr. Bazzano. Although defendant did not err in its credibility determination, further development of the record through the evidence from Dr. Bazzano will require a reevaluation of credibility. Finally, irrespective of the failure to fully develop the record, defendant failed to properly determine plaintiffs residual functional capacity-

I. Procedural Background

On January 5, 2001, plaintiff filed her application for a period of disability and disability insurance benefits. Plaintiff is insured for disability benefits through September 30, 2000, so she must establish disability on or prior to that date in order to be entitled to Title II benefits. On plaintiffs application she claimed disability since February 24, 1993, due to limitation of extension with shooting back pain and degenerative arthritis of the lumbar spine. The application was denied both initially and upon reconsideration. At plaintiffs request, an administrative law judge (ALJ) held a hearing on November 19, 2002, at which both plaintiff and her counsel were present. On February 5, 2003, the ALJ rendered a decision denying all benefits, on the basis that plaintiff was not under a “disability” as defined by the Social Security Act. After the ALJ’s unfavorable decision, plaintiff requested review by the Appeals Council; her request for review was denied on June 4, 2003. Thus, the ALJ’s decision is the final decision of defendant.

II. Standard of Review

Judicial review under 42 U.S.C. § 405(g) is limited to whether defendant’s decision is supported by substantial evidence in the record as a whole and whether defendant applied the correct legal standards. 1 The Tenth Circuit has defined *1103 “substantial evidence” as “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” 2 In the course of its review, the court may not reweigh the evidence or substitute its judgment for that of defendant. 3

III. Relevant Framework for Analyzing Claim of Disability and the ALJ’s Findings

“Disability” is defined in the Social Security Act as the “inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment . 4 The Social Security Act further provides that an individual “shall be determined to be under a disability only if his physical or mental impairment or impairments are of such severity that he is not only unable to do his previous work but cannot, considering his age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy ....” 5

The Social Security Administration has established a five-step sequential evaluation process for determining whether a claimant is disabled, 6 and the ALJ in this case followed the five-step process. If a determination can be made at any of the steps that a claimant is or is not disabled, evaluation under a subsequent step is not necessary. 7 Step one determines whether the claimant is presently engaged in substantial gainful activity. 8 If she is, disability benefits are denied. 9 If she is not, the decision maker must proceed to the second step. 10 Here, the ALJ determined that although plaintiff was engaged in part time work after her alleged onset date, she was not engaged in substantial gainful activity and, thus, the ALJ properly proceeded to the second step.

The second step of the evaluation process involves a determination of whether “the claimant has a medically severe impairment or combination of impairments.” 11 This determination is governed by certain “severity regulations,” is based on medical factors alone, and consequently, does not include consideration of such vocational factors as age, education, and work experience. 12 Pursuant to the severity regulations, the claimant must make a threshold showing that her medically determinable impairment or combination of impairments significantly limits her ability to do basic work activities. 13 If the claimant is unable to show that her impairments would have more than a minimal effect on her ability to do basic work activities, she is not eligible for disability benefits. 14 If, on the other hand, the claimant presents medical evidence and makes the de minim-is showing of medical severity, the decision *1104 maker proceeds to step three. 15 The ALJ in this case concluded that plaintiff satisfied the severity requirement because of degenerative lumbar disc disease with narrowing of L5-S1 space. He found her hypertension was not severe as it was well controlled by medication. He found her anxiety was mild and did not meet the requirement of being expected to last for over 12 months. Thus, the ALJ proceeded to step three.

In step three, the ALJ “determines whether the impairment is equivalent to one of a number of listed impairments that the Secretary acknowledges are so severe as to preclude substantial gainful activity.” 16 If the impairment is listed and thus conclusively presumed to be disabling, the claimant is entitled to benefits. 17 If not, the evaluation proceeds to the fourth step, where the claimant must show that the “impairment prevents [the claimant] from performing work [she] has performed in the past.” 18 If the claimant is able to perform her previous work, she is not disabled. 19 With respect to the third step of the process in this case, the ALJ determined that plaintiffs impairments were not listed or medically equivalent to those listed in the relevant regulations.

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Cite This Page — Counsel Stack

Bluebook (online)
323 F. Supp. 2d 1100, 2004 U.S. Dist. LEXIS 12286, 2004 WL 1486312, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jesse-v-barnhart-ksd-2004.