Lumbra v. Commissioner of Social Security

CourtDistrict Court, D. Vermont
DecidedJanuary 20, 2022
Docket2:20-cv-00152
StatusUnknown

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

Bluebook
Lumbra v. Commissioner of Social Security, (D. Vt. 2022).

Opinion

DISTRICT GF VERMONT UNITED STATES DISTRICT COURT oo FOR THE 2027 JAN 20 PM 3 12 DISTRICT OF VERMONT a ERK ENE L., BY = pe — Plaintiff, ) ) V. ) Case No. 2:20-cv-00152-cr ) COMMISSIONER OF SOCIAL SECURITY, ) ) Defendant. ) OPINION AND ORDER GRANTING PLAINTIFF’S MOTION TO REVERSE THE DECISION OF THE COMMISSIONER, DENYING THE COMMISSIONER’S MOTION TO AFFIRM, AND REMANDING FOR FURTHER PROCEEDINGS (Docs. 12 & 13) Plaintiff Gene Allen Lumbra, Jr. (“Plaintiff”) is a claimant for Social Security Disability Insurance Benefits (“DIB”) and Supplemental Security Income (“SSI”) payments under the Social Security Act (“SSA”) and brings this action pursuant to 42 U.S.C. § 405(g) to reverse the decision of the Social Security Commissioner (the “Commissioner”) that he is not disabled.' (Doc. 12.) The Commissioner moves to affirm. (Doc. 13.) Plaintiff replied on September 13, 2021, at which time the court took the pending motions under advisement. After his applications for DIB and SSI were denied initially and on reconsideration by the Social Security Administration, Administrative Law Judge (“ALJ”) Matthew Levin found Plaintiff was ineligible for benefits based on his conclusion that Plaintiff can

' Disability is defined as the 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 [twelve] months[.]” 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). A claimant’s “physical or mental impairment or impairments” must be “of such severity” that the claimant is not only unable to do any previous work but cannot, considering the claimant’s age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy. 42 U.S.C. §§ 423(d)(2)(A), 1382c(a)(3)(B).

perform jobs that exist in significant numbers in the national economy and was therefore not disabled between the alleged onset date of March 1, 2018 through December 27, 2019, the date of his decision. Plaintiff identifies four errors in the disability determination: (1) the ALJ failed to fulfill his threshold duty to develop the record; (2) the Appeals Council failed to explain why there was not a reasonable probability that the new evidence submitted to it would change the outcome of the decision; (3) the ALJ’s residual functional capacity assessment was not based on substantial evidence; and (4) the ALJ erred in finding Plaintiffs statements concerning the intensity, persistence, and limiting effects of his symptoms were not fully supported. Plaintiff seeks a decision placing him “in pay status[,]” or, in the alternative, reversal and remand for another hearing before a different ALJ. (Doc. 12 at 12.) Plaintiff is represented by Judith Brownlow, Esq. Special Assistant United States Attorney Molly E. Carter represents the Commissioner. L Procedural History. Plaintiff filed his initial applications for DIB and SSI on April 16, 2018, alleging a disability onset date of March 1, 2018. He alleges the following disabling conditions: chronic obstructive pulmonary disease (“COPD”), asthma, anxiety disorder, obesity, hypertension, chronic liver disease, obstructive sleep apnea, attention deficit hyperactivity disorder (“ADHD”), depression, and post-traumatic stress disorder (“PTSD”). His claim was denied on September 11, 2018 and was denied upon reconsideration on May 13, 2019. Plaintiff filed a request for a hearing, which was held before ALJ Levin via videoconference on December 5, 2019. Plaintiff appeared and was represented by counsel. Vocational Expert (“VE”) Jack Thomas also appeared and testified at the hearing. On December 27, 2019, ALJ Levin issued an unfavorable decision. Plaintiff timely filed an administrative appeal. The Appeals Council denied review on August 7, 2020. As a result, the ALJ’s disability determination stands as the Commissioner’s final decision.

II. ALJ Levin’s December 27, 2019 Decision. In order to receive DIB or SSI under the SSA, a claimant must be disabled on or before the claimant’s date last insured. A five-step, sequential-evaluation framework determines whether a claimant is disabled: (1) whether the claimant is currently engaged in substantial gainful activity; (2) whether the claimant has a severe impairment or combination of impairments; (3) whether the impairment meets or equals the severity of the specified impairments in the Listing of Impairments; (4) based on a “residual functional capacity” assessment, whether the claimant can perform any of his or her past relevant work despite the impairment; and (5) whether there are significant numbers of jobs in the national economy that the claimant can perform given the claimant’s residual functional capacity, age, education, and work experience. McIntyre v. Colvin, 758 F.3d 146, 150 (2d Cir. 2014) (citing 20 C.F.R. §§ 404.1520(a)(4)(i)-(v), 416.920(a)(4)(i)-(v)). “The claimant has the general burden of proving that he or she has a disability within the meaning of the Act, and bears the burden of proving his or her case at [S]teps [O]ne through [F]our of the sequential five-step framework established in the SSA regulations[.]” Burgess v. Astrue, 537 F.3d 117, 128 (2d Cir. 2008) (internal quotation marks and citation omitted). At Step Five, “the burden shift[s] to the Commissioner to show there is other work that [the claimant] can perform.” McJntyre, 758 F.3d at 150 (alterations in original) (internal quotation marks omitted). At Step One, ALJ Levin found Plaintiff had not engaged in substantial gainful activity since March 1, 2018, the alleged onset date. At Step Two, he concluded Plaintiff had the following severe impairments: COPD, asthma, anxiety disorder, and obesity. Although the ALJ noted that Plaintiff was assessed with hypertension, chronic liver disease, obstructive sleep apnea, and ADHD, the ALJ found there was insufficient evidence in the medical record to determine that these impairments caused more than minimal limitations to Plaintiff's ability to perform basic work activities. At Step Three, ALJ Levin found Plaintiff did not have an impairment or combination of impairments that met or medically equaled the severity of one of the

Listings. Plaintiff testified that he used an oxygen tank during the day and a CPAP machine at night. He complained of persistent breathing problems. The ALJ considered Listing 3.02 to evaluate Plaintiff's COPD but found that the record did not reveal Plaintiff had “the required FEV1 level, FVC level, DLCO measurements, arterial PaO2, PaCO2, [or] SpO2 levels required to meet sections A, B, C or D of this [L]isting.” (AR 13.) The ALJ also noted Plaintiff did not have exacerbations or complications requiring three hospitalizations in a twelve-month period at least thirty days apart, as required to satisfy section D of the Listing, although he was hospitalized on November 13, 2017 and from July 1, 2018 to July 3, 2018 for exacerbations of bronchitis. The ALJ noted that an April 30, 2019 pulmonary function test revealed severe obstruction that was significantly improved with bronchodilators. On January 22, 2019, Dr. Lange, Plaintiff's treating physician, noted Plaintiff's shortness of breath was inadequately controlled on his current medications.

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Lumbra v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lumbra-v-commissioner-of-social-security-vtd-2022.