Jones v. Commissioner of Social Security

District Court, W.D. New York·Decided November 2, 2021·No. 1:20-cv-00882·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK ______________________________________

ANDRE J., DECISION Plaintiff, and v. ORDER

KILOLO KIJAKAZI,1 Acting Commissioner of 20-CV-882F Social Security, (consent)

Defendant. ______________________________________

APPEARANCES: LAW OFFICES OF KENNETH R. HILLER, PLLC Attorneys for Plaintiff KENNETH R. HILLER, and AMY C. CHAMBERS, of Counsel 6000 North Bailey Avenue, Suite 1A Amherst, New York 14226

TRINI E. ROSS UNITED STATES ATTORNEY Attorney for Defendant Federal Centre 138 Delaware Avenue Buffalo, New York 14202 and VERNON NORWOOD Special Assistant United States Attorney, of Counsel Social Security Administration Office of General Counsel 26 Federal Plaza – Room 3904 New York, New York 10278

JURISDICTION

On October 7, 2021, the parties to this action consented pursuant to 28 U.S.C.

1 Kilolo Kijakazi became the Acting Commissioner of the Social Security Administration on July 9, 2021, and, pursuant to Fed.R.Civ.P. 25(d), is substituted as Defendant in this case. No further action is required to continue this suit by reason of sentence one of 42 U.S.C. § 405(g). § 636(c), Local Rule of Civil Procedure – W.D.N.Y. 73(b), and this court’s June 29, 2018 Social Security Appeals Standing Order, to proceed before the undersigned. (Dkt. 14). The matter is presently before the court on motions for judgment on the pleadings filed by Plaintiff on April 9, 2021 (Dkt. 12), and by Defendant on September 1, 2021 (Dkt.

13).

BACKGROUND

Plaintiff Andre J. (“Plaintiff”), brings this action under the Social Security Act (“the Act”), 42 U.S.C. §§ 405(g) and 1383(c)(3), seeking judicial review of the Commissioner of Social Security’s final decision denying Plaintiff’s application filed with the Social Security Administration (“SSA”), on June 7, 2016, for Social Security Supplemental Income (“SSI”) under Title XVI of the Act (“disability benefits”). Plaintiff alleges he became disabled on July 26, 2015, based on a learning disability, behavioral disability, depression, and an inability to focus when reading or talking to others. AR2 at 363, 387, 391. Plaintiff’s application initially was denied on December 6, 2016, AR at 244-55, and at Plaintiff’s timely request, on April 1, 2019, a hearing was held in Buffalo, New York, before administrative law judge Bryce Baird (“the ALJ). AR at 34-74. Appearing and testifying at the hearing were Plaintiff, represented by Kelly Laga, Esq., and vocational expert (“VE”) Michele D. Robb. On April 22, 2019, the ALJ issued a decision denying Plaintiff’s claim, AR at 12- 29 (“the ALJ’s decision”), which Plaintiff timely appealed to the Appeals Council. AR at 363-64. On May 14, 2020, the Appeals Council issued a decision denying Plaintiff’s

2 References to “AR” are to the page of the Administrative Record electronically filed by Defendant on February 8, 2021 (Dkt. 10). request for review, rendering the ALJ’s decision the Commissioner’s final decision. AR at 1-6. On July 13, 2020, Plaintiff commenced the instant action seeking judicial review of the ALJ’s decision. On April 9, 2021, Plaintiff moved for judgment on the pleadings (Dkt. 12)

(“Plaintiffs’ Motion”), attaching the Memorandum of Law in Support of Plaintiff’s Motion for Judgment on the Pleadings (Dkt. 12-1) (“Plaintiff’s Memorandum”). On September 1, 2021, Defendant moved for judgment on the pleadings (Dkt. 13) (“Defendant’s Motion”), attaching the Commissioner’s Brief in Support of His Motion for Judgment on the Pleadings and in Response to Plaintiff’s Brief Pursuant to Local Standing Order on Social Security Cases (Dkt. 13-1) (“Defendant’s Memorandum”). Filed on October 13, 2021, was Plaintiff’s Response to the Commissioner’s Brief in Support and in Further Support for Plaintiff’s Motion for Judgment on the Pleadings (Dkt. 15) (“Plaintiff’s Reply”). Oral argument was deemed unnecessary. Based on the foregoing, Plaintiff’s Motion is DENIED; Defendant’s Motion is

GRANTED.

FACTS3 Plaintiff Andre J. (“Plaintiff”), born November 7, 1982, was 32 years old as of July 26, 2015, his alleged disability onset date (“DOD”), and 36 years old as of April 22, 2019, the date of the ALJ’s decision. AR at 15, 25, 387, 391. Plaintiff never married, and has two children. AR at 60-61. Plaintiff was living with his grandmother, brother, and 13-year old son, but after his grandmother passed away, Plaintiff moved into an

3 In the interest of judicial economy, recitation of the Facts is limited to only those necessary for determining the pending motions for judgment on the pleadings. apartment with his six-year old daughter and the daughter’s mother, and Plaintiff’s son moved to another city where the child resides with his mother. AR at 44-45, 47, 61. In school Plaintiff received special education services since 1993, and graduated high school where he attended special education classes, obtaining an Individualized

Education Program diploma (typically awarded to students who received special education services). AR at 43, 46, 392, 434-65. Plaintiff has not received any further education or vocational training, AR at 46-47, 392, 408, but obtained a driver’s license, and drives a couple of times a week to the grocery store and the laundromat. AR at 47- 48, 400. Plaintiff has limited work experience, most notably working in a barbershop for almost one year. AR at 49. Other than the barbershop job, Plaintiff has worked only briefly on a temporary basis which Plaintiff attributes to an inability to focus. AR at 49. It is undisputed that Plaintiff suffers from borderline intellectual functioning. Between June 17, 2011 and July 27, 2015, Plaintiff was incarcerated at CCA-Northeast Correctional Center (“NCC”) where he received treatment, as relevant here, for

depression. AR at 75-243, 523-668. On December 5, 2016, Plaintiff commenced receiving received mental health treatment at Lakeshore Behavioral Health (“Lakeshore”), for major depressive disorder, recurrent episode, mild, and psychosocial problems related to his incarceration and low income, but stopped attending treatment in September 2017, after which Lakeshore lost contact with Plaintiff, and Plaintiff was discharged from treatment on December 20, 2017. AR at 466-508. In connection with his disability benefits application, on November 19, 2016, Plaintiff underwent a consultative psychiatric evaluation by psychologist Gregory Fabiano, Ph.D. (“Dr. Fabiano”), AR at 509-12, who also performed an intelligence evaluation. AR at 513-16. On December 6, 2016, State Agency review psychologist O. Fassler, Ph.D. (“Dr. Fassler”) completed a Psychiatric Review Technique (“PRT”) based on a review of Plaintiff’s medical records. AR at 244-54.

DISCUSSION

1. Standard and Scope of Judicial Review A claimant is “disabled” within the meaning of the Act and entitled to disability benefits when she is unable “to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which . . . has lasted or can be expected to last for a continuous period of not less than 12 months.” 42 U.S.C. §§ 416(i)(1); 1382c(a)(3)(A). A district court may set aside the Commissioner’s determination that a claimant is not disabled if the factual findings are not supported by substantial evidence, or if the decision is based on legal error. 42 U.S.C.

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