Kyler v. Saul

CourtDistrict Court, District of Columbia
DecidedApril 20, 2022
DocketCivil Action No. 2019-3334
StatusPublished

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

Bluebook
Kyler v. Saul, (D.D.C. 2022).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

WANDA KYLER,

Plaintiff,

v. Civil Action No. 1:19-cv-03334 (CJN)

KILOLO KIJAKAZI, Acting Commissioner of the Social Security Administration,

Defendant.

MEMORANDUM OPINION

Wanda Kyler seeks reversal of the Social Security Administration’s denial of her claims

for disability insurance benefits under Title II of the Social Security Act. See 42 U.S.C. §§ 401

433. Kyler contends that the Administrative Law Judge applied the wrong law and that the

decision is not supported by substantial evidence. See generally Pl.’s Mot. for Judgment of

Reversal (“Pl.’s Mot.”), ECF No. 13. The Administration argues that the Court should affirm the

decision. See generally Def.’s Mot. for Judgment of Affirmance (“Def.’s Mot.”), ECF No. 14.

Upon consideration of the motions and the administrative record, the Court will deny Kyler’s

motion for judgment of reversal and grant the Administration’s motion for judgment of affirmance.

I. Statutory Framework & Legal Standards

The Social Security Act of 1935 established a framework to provide “disability insurance

benefits” to eligible claimants. 42 U.S.C. § 423(a)(1)(A). The Act defines “disability” in pertinent

part as an “inability 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. §

1 423(d)(1)(A). To establish eligibility for disability-based benefits, the claimant must show that

she has met the statutory definition of disability prior to her “date last insured.” See 42 U.S.C. §

423; 20 C.F.R. § 404.101; Kathy R. v. Comm’r of Soc. Sec., No. 6:19-CV-385, 2020 WL 1862967,

at *4 n.4 (N.D.N.Y. Apr. 14, 2020) (noting that the “date last insured” “is a technical term used . .

. to mark the last day on which a claimant is eligible for” disability benefits). The time between

the alleged disability onset-date and the date last insured represents the operative timeframe, also

known as the “relevant period,” for purposes of deciding an individual’s claim for disability

benefits. See Shimanek v. Kijakazi, No. CIV-20-417-J, 2022 WL 896817, at *3 (W.D. Okla. Mar.

10, 2022); Cauthen v. Saul, 827 F. App’x 444, 446 (5th Cir. 2020) (noting that “disability evidence

completely unrelated to the relevant period is irrelevant to adjudication of the claim”).

A multi-layered administrative process undergirds an individual’s claim for disability

benefits. See Carr v. Saul, 141 S. Ct. 1352 (2021). A claimant must first seek an initial

determination. 20 C.F.R. § 404.900(1). If unsatisfied with the outcome, the claimant may seek

reconsideration. Id. § 404.900(2). Where the claimant finds fault with the reconsideration

determination, the claimant may “request a hearing before an administrative law judge.” Id. §

404.900(3).

The Commissioner of Social Security has promulgated regulations outlining a five-step

process that applies at each stage, including before the ALJ. See 20 C.F.R. § 404.1520; Dowell v.

Colvin, 232 F. Supp. 3d 1, 5 (D.D.C. 2017). At step one, a claimant is not disabled if the claimant

is engaged in “substantial gainful activity.” 20 C.F.R. § 404.1520(a)(4)(i). Substantial gainful

activity includes work for pay or profit requiring significant mental or physical ability. Id. §

404.1572(a)-(b).

2 At step two, and only if the claimant is not engaged in substantial gainful activity, the ALJ

determines whether the claimant has a “severe medically determinable physical or medical

impairment that meets the duration requirement . . . or a combination of impairments that is severe

and meets the duration requirement.” Id. § 404.1520(a)(4)(ii). To meet the duration requirement,

a severe impairment or combination thereof “must have lasted or must be expected to last for a

continuous period of at least 12 months.” Id. §§ 404.1509, 416.909.

At step three, and only if the claimant suffers from a severe impairment, the ALJ assesses

whether the impairment “meets or equals one of the listings [of impairments].” Id. §

404.1520(a)(4)(iii). The listings of impairments describe impairments considered “severe enough

to prevent an individual from doing any gainful activity, regardless of his or her age, education, or

work experience.” Id. § 404.1525(a). If a claimant’s impairments meet all the criteria of a

particular listing, id. § 416.925(c)(3), or are equivalent to a listing, id. § 416.926, the claimant

counts as disabled, id. § 416.920(d); see also Cunningham v. Colvin, 46 F. Supp. 3d 26, 29 (D.D.C.

2014) (noting that where the ALJ finds that the claimant suffers from an impairment that meets

one of those listed, then, the claimant qualifies as disabled, ending the inquiry at step three). The

medical criteria defining the listed impairments has been set “at a higher level of severity than the

statutory standard” for disability. Sullivan v. Zebley, 493 U.S. 521, 532 (1990).

At step four, and only if the claimant does not satisfy one of the listed impairments, the

ALJ will evaluate the claimant’s “residual functional capacity.” Id. § 404.1520(a)(4)(iv); see also

Id. § 404.1545(a)(1) (defining “residual functional capacity” as “the most you can still do despite

your limitations”). After evaluating the claimant’s residual functional capacity, the ALJ will assess

whether the claimant has shown that she cannot perform her “past relevant work.” Id. §

404.1520(a)(4)(iv).

3 At step five, and only if the claimant cannot perform her past relevant work, the ALJ

evaluates the claimant’s residual functional capacity, “age, education, and work experience to see

if [the claimant] can make an adjustment to other work.” Id. § 404.1520(a)(4)(v). If a claimant

can make a feasible adjustment, then she is not disabled; a finding that there are no feasible

adjustments results in a finding that the claimant is disabled. Id.; see also Butler v. Barnhart, 353

F.3d 992, 997 (D.C. Cir. 2004) (noting that the claimant bears the burden on the first four steps,

whereas the Administration bears the burden on the fifth step).

In performing this five-step process, the ALJ “must adhere to certain regulatory

requirements.” Saunders v. Kijakazi, 6 F.4th 1, 4 (D.C. Cir. 2021). The ALJ must consider the

“objective medical evidence from an acceptable medical source,” medical opinions, and the

claimant’s subjective statements. 20 C.F.R. § 416.929(a). More weight must be accorded to

physicians who have treated and examined the claimant. Id. § 404.1527(c)(1), (c)(2).

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