Kalota v. Commissioner of Social Security

CourtDistrict Court, W.D. New York
DecidedFebruary 23, 2024
Docket1:21-cv-00138
StatusUnknown

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

Bluebook
Kalota v. Commissioner of Social Security, (W.D.N.Y. 2024).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK

VINCENT K., § § Plaintiff, § § v. § Case # 1:21-cv-138-DB § COMMISSIONER OF SOCIAL SECURITY, § MEMORANDUM DECISION § AND ORDER Defendant. §

INTRODUCTION

Plaintiff Vincent K. (“Plaintiff”) brings this action pursuant to the Social Security Act (the “Act”), seeking review of the final decision of the Commissioner of Social Security (the “Commissioner”), that denied his application for Disability Insurance Benefits (“DIB”) under Title II of the Act. See ECF No. 1. The Court has jurisdiction over this action under 42 U.S.C. §§ 405(g), 1383(c), and the parties consented to proceed before the undersigned in accordance with a standing order (see ECF No. 30). For the reasons set forth below, Plaintiff’s motion (ECF No. 19) is GRANTED, the Commissioner’s motion (ECF No. 20) is DENIED, and this matter is REMANDED to the Commissioner for further administrative proceedings as set forth below. BACKGROUND This case has a long history, including three administrative hearings and two lawsuits. Plaintiff protectively filed an application for DIB on November 24, 2015, alleging disability beginning October 1, 2014 (the disability onset date), due to a variety of musculoskeletal ailments. Transcript (“Tr.”) 59, 130-38, 163. His claim was initially denied on January 12, 2016 (Tr. 71-80), after which he requested a hearing (Tr. 81-82). On June 21, 2016, Administrative Law Judge Bryce Baird (“the ALJ”) conducted a hearing in Buffalo, New York, at which Plaintiff appeared and testified and was represented by Elizabeth Haungs, an attorney. Tr. 18, 31-58. Sandra Smith-Cordingly, an impartial vocational expert (“VE”), also appeared and testified at the hearing. Tr. 18, 51-56. The ALJ issued an unfavorable decision on September 14, 2016, finding that Plaintiff was not disabled. Tr. 15-30. The Appeals Council denied Plaintiff’s request for review on January 19, 2017 (Tr. 1-4), after which Plaintiff filed a lawsuit in the United States District Court for the Western District of

New York on March 20, 2017, Case No. 1:17-cv-00241-HKS. On October 10, 2018, the Court granted Plaintiff’s motion for judgment on the pleadings and remanded the case for further administrative proceedings based on the ALJ’s failure to address the VA’s (Veterans Administration) award of individual unemployability benefits.1 Tr. 802-08. The Court explained that while the VA’s award of individual unemployability benefits was not binding on the Social Security Administration, it was entitled to some weight. Tr. 807. On December 14, 2018, the Appeals Council vacated the ALJ’s September 14, 2016 decision and remanded the claim for further proceedings, including offering Plaintiff a new hearing. Tr. 812. On July 16, 2019, the ALJ conducted a second hearing in Buffalo, New York, at which Plaintiff appeared and testified and was represented by Jeanne Murray, an attorney. Tr. 697,

718-53. After that hearing, additional efforts were made to further develop the record, and another hearing with a medical expert was scheduled for March 24, 2020, which was ultimately postponed and rescheduled to a later date. Tr. 697.

1 The record reflects that Plaintiff served as an aircraft mechanic in the United States Air Force from September 1993 to November 2000, and then in the Air National Guard from December 2000 to October 2014. Tr. 39, 164. Thereafter, on June 24, 2020, the ALJ conducted a telephonic hearing,2 at which Plaintiff appeared and testified and was represented by Nicholas DiVirgilio, an attorney. Tr. 698, 1895- 1945. Orthopedic surgeon Richard Jaslow, M.D. (“Dr. Jaslow”), an impartial medical expert, and Christine DiTrinco, an impartial vocational expert, also appeared and testified at the hearing. Tr. 698. 1895. After the June 24, 2020 hearing, more updated medical records, including from the VA, were obtained and entered into the record (Tr. 1663-64, 1774-1882, 1888-90), and the ALJ sent the updated file to Dr. Jaslow for his updated opinions (Tr. 1888-89, 1891-94). Tr. 698. On

November 25, 2020, the ALJ issued an unfavorable decision, finding that Plaintiff was not disabled. Tr. 694-717. Plaintiff appeals that decision directly to this Court. LEGAL STANDARD I. District Court Review “In reviewing a final decision of the SSA, this Court is limited to determining whether the SSA’s conclusions were supported by substantial evidence in the record and were based on a correct legal standard.” Talavera v. Astrue, 697 F.3d 145, 151 (2d Cir. 2012) (citing 42 U.S.C. § 405(g)) (other citation omitted). The Act holds that the Commissioner’s decision is “conclusive” if it is supported by substantial evidence. 42 U.S.C. § 405(g). “Substantial evidence means more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as

adequate to support a conclusion.” Moran v. Astrue, 569 F.3d 108, 112 (2d Cir. 2009) (citations omitted). It is not the Court’s function to “determine de novo whether [the claimant] is disabled.” Schaal v. Apfel, 134 F. 3d 496, 501 (2d Cir. 1990).

2 Due to the extraordinary circumstance presented by the Coronavirus Disease 2019 (“COVID-19”) pandemic, all participants attended the hearing by telephone. Tr. 525. II. The Sequential Evaluation Process An ALJ must follow a five-step sequential evaluation to determine whether a claimant is disabled within the meaning of the Act. See Parker v. City of New York, 476 U.S. 467, 470-71 (1986). At step one, the ALJ must determine whether the claimant is engaged in substantial gainful work activity. See 20 C.F.R. § 404.1520(b). If so, the claimant is not disabled. If not, the ALJ proceeds to step two and determines whether the claimant has an impairment, or combination of impairments, that is “severe” within the meaning of the Act, meaning that it imposes significant

restrictions on the claimant’s ability to perform basic work activities. Id. § 404.1520(c). If the claimant does not have a severe impairment or combination of impairments meeting the durational requirements, the analysis concludes with a finding of “not disabled.” If the claimant does, the ALJ continues to step three. At step three, the ALJ examines whether a claimant’s impairment meets or medically equals the criteria of a listed impairment in Appendix 1 of Subpart P of Regulation No. 4 (the “Listings”). Id. § 404.1520(d). If the impairment meets or medically equals the criteria of a Listing and meets the durational requirement, the claimant is disabled. Id. § 404.1509. If not, the ALJ determines the claimant’s residual functional capacity, which is the ability to perform physical or mental work activities on a sustained basis notwithstanding limitations for the collective

impairments. See id. § 404.1520(e)-(f). The ALJ then proceeds to step four and determines whether the claimant’s RFC permits him or her to perform the requirements of his or her past relevant work. 20 C.F.R. § 404.1520(f). If the claimant can perform such requirements, then he or she is not disabled. Id.

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Related

Bowen v. City of New York
476 U.S. 467 (Supreme Court, 1986)
Talavera v. Comm’r of Social Security
697 F.3d 145 (Second Circuit, 2012)
Moran v. Astrue
569 F.3d 108 (Second Circuit, 2009)
Iannopollo v. Barnhart
280 F. Supp. 2d 41 (W.D. New York, 2003)

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