Kelly v. Commissioner of Social Security

CourtDistrict Court, E.D. New York
DecidedNovember 25, 2020
Docket1:19-cv-01363
StatusUnknown

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

Bluebook
Kelly v. Commissioner of Social Security, (E.D.N.Y. 2020).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK --------------------------------------X ANDREW PETER KELLY,

Plaintiff, MEMORANDUM AND ORDER 19-CV-1363 (KAM) -against-

COMMISSIONER OF SOCIAL SECURITY,

Defendant. --------------------------------------X KIYO A. MATSUMOTO, United States District Judge:

Plaintiff Andrew Peter Kelly appeals the final decision of the Commissioner of Social Security (“defendant” or the “Commissioner”), which found plaintiff not disabled in the absence of substance abuse, and therefore, not entitled to disability insurance benefits (“DIB”) or supplemental security income (“SSI”) under the Social Security Act. Before the court are the parties’ motions for judgment on the pleadings. For the reasons set forth below, plaintiff’s motion for judgment on the pleadings is respectfully DENIED and the Commissioner’s cross- motion for judgment on the pleadings is GRANTED. BACKGROUND The parties submitted a Joint Stipulation of Facts detailing plaintiff’s medical history and the administrative hearing testimony, which the court hereby incorporates by reference. (See ECF No. 15-1, Joint Stipulation of Facts (“Stip.”).) Plaintiff filed an application for DIB on August 21, 2015 and an application for SSI on September 9, 2015, alleging a disability beginning March 3, 2013. (ECF No. 16, Administrative

Transcript (“Tr.”) 246-56.) Plaintiff’s claims were denied on November 6, 2015. (Id. at 116-131.) On December 9, 2015, plaintiff requested a hearing before an administrative law judge (“ALJ”). (Id. at 132.) Plaintiff’s hearing took place via video before ALJ Dina Loewy on November 21, 2017. (Id. at 35- 59.) Plaintiff appeared and testified from Staten Island, New York, and was represented by his attorney, Harold Skovronsky. (Id.) The ALJ presided over the hearing from Jersey City, New Jersey. (Id.) On January 31, 2018, the ALJ found that plaintiff was not disabled under the Social Security Act. (Id. at 7-29.) On March 13, 2018, plaintiff requested review of the ALJ’s decision (id. at 4), which the Appeals Council denied on January 10,

2019, thus making the ALJ’s decision the final decision of the Commissioner. (Id. at 1-6.) This appeal followed. (See generally ECF No. 1, Complaint (“Compl.”).) DISCUSSION I. Standard of Review Unsuccessful claimants for disability benefits may bring an action in federal court seeking judicial review of the Commissioner’s denial of their benefits. 42 U.S.C. §§ 405(g), 1383(c)(3). The reviewing court does not have the authority to conduct a de novo review, and may not substitute its own judgment for that of the ALJ, even when it might have justifiably reached a different result. Cage v. Comm’r, 692

F.3d 118, 122 (2d Cir. 2012). Rather, “[a] district court may set aside the Commissioner’s determination that a claimant is not disabled only if the factual findings are not supported by ‘substantial evidence’ or if the decision is based on legal error.’” Burgess, 537 F.3d at 127 (quoting Shaw, 221 F.3d at 131 (citation omitted)). “The substantial evidence standard means once an ALJ finds facts, we can reject those facts ‘only if a reasonable factfinder would have to conclude otherwise.’” Brault v. Soc. Sec. Admin., Comm’r, 683 F.3d 443, 448 (2d Cir. 2012) (citations omitted, emphasis in original). Inquiry into legal error

requires the court to ask whether “‘the claimant has had a full hearing under the [Commissioner’s] regulations and in accordance with the beneficent purposes of the [Social Security] Act.’” Moran v. Astrue, 569 F.3d 108, 112 (2d Cir. 2009) (quoting Cruz v. Sullivan, 912 F.2d 8, 11 (2d Cir. 1990)). II. Determination of Disability A claimant must be “disabled” within the meaning of the Act to receive disability benefits. See 42 U.S.C. §§ 423(a), (d). A claimant qualifies as disabled when he is unable to “engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be

expected to last for a continuous period of not less than 12 months.” Id. § 423(d)(1)(A); Shaw v. Chater, 221 F.3d 126, 131– 32 (2d Cir. 2000). The impairment must be of “such severity” that the claimant is unable to do his previous work or engage in any other kind of substantial gainful work. 42 U.S.C. § 423(d)(2)(A). The regulations promulgated by the Commissioner prescribe a five-step sequential evaluation process for determining whether a claimant meets the Act’s definition of disabled. See 20 C.F.R. § 404.1520. If the ALJ determines that the claimant is or is not disabled at any step, the analysis stops. “The claimant has the general burden of proving . . .

his or her case at steps one through four of the sequential five-step framework established in the SSA regulations.” Burgess, 537 F.3d at 128 (internal quotation marks and citations omitted). “The burden falls upon the Commissioner at the fifth step of the disability evaluation process to prove that the claimant, if unable to perform [his] past relevant work [and considering his residual functional capacity, age, education, and work experience], is able to engage in gainful employment within the national economy.” Sobolewski v. Apfel, 985 F. Supp. 300, 310 (E.D.N.Y. 1997). “The Commissioner must consider the following in

determining a claimant’s entitlement to benefits: ‘(1) the objective medical facts [and clinical findings]; (2) diagnoses or medical opinions based on such facts; (3) subjective evidence of pain or disability . . . ; and (4) the claimant’s educational background, age, and work experience.’” Balodis v. Leavitt, 704 F. Supp. 2d 255, 262 (E.D.N.Y. 2001) (quoting Brown v. Apfel, 174 F.3d 59, 62 (2d Cir. 1999) (alterations in original)). If the Commissioner finds a combination of impairments, the Commissioner must also consider whether “the combined effect of all of [a claimant’s] impairment[s]” establish the claimant’s eligibility for Social Security benefits. 20 C.F.R. § 404.1523(c); see also id. § 416.945(a)(2).

Where a claimant demonstrates alcohol and/or substance abuse problems, the ALJ must assess whether the substance abuse disorder is a “contributing factor” material to the determination of disability. See 42 U.S.C. §§ 423(d)(2)(c), 1382(a)(3)(J); SSR 13-2p, 2013 WL 621536. The SSA provides that “[a]n individual shall not be considered . . . disabled . . . if alcoholism or drug addiction would be a contributing factor material to the Commissioner's determination that the individual is disabled.” Cage, 692 F.3d at 123 (citing 42 U.S.C. § 1392(c)(a)(3)(J)).

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Brault v. Social Security Administration
683 F.3d 443 (Second Circuit, 2012)
Josephine L. Cage v. Commissioner of Social Security
692 F.3d 118 (Second Circuit, 2012)
Matta v. Astrue
508 F. App'x 53 (Second Circuit, 2013)
Moran v. Astrue
569 F.3d 108 (Second Circuit, 2009)
Sobolewski v. Apfel
985 F. Supp. 300 (E.D. New York, 1997)
Balodis v. Leavitt
704 F. Supp. 2d 255 (E.D. New York, 2010)
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Johnson v. Colvin
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669 F. App'x 580 (Second Circuit, 2016)
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Rivera v. Berryhill
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Kelly v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kelly-v-commissioner-of-social-security-nyed-2020.