Marquez v. Commissioner, Social Security Administration

CourtDistrict Court, D. Colorado
DecidedOctober 2, 2019
Docket1:18-cv-03078
StatusUnknown

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

Bluebook
Marquez v. Commissioner, Social Security Administration, (D. Colo. 2019).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Judge Daniel D. Domenico

Civil Action No. 18-cv-03078-DDD

RAMON ANGEL MARQUEZ,

Plaintiff,

v.

ANDREW M. SAUL, Acting Commissioner of Social Security,1

Defendant. __________________________________________________________________

ORDER VACATING DECISION OF ADMINISTRATIVE LAW JUDGE AND REMANDING FOR FURTHER PROCEEDINGS __________________________________________________________________

Plaintiff Ramon Marquez suffered traumatic brain injury in a mo- torcycle accident. He applied for, but was denied, social security benefits by the Commissioner, and an administrative law judge ruled that, while Mr. Marquez would be unable to perform past relevant work, he was capable of light work and therefore “not disabled” within the meaning of Title II of the Social Security Act (“Act”), 42 U.S.C. § 401, et seq. This matter is before the Court on review of the Commissioner’s decision denying Mr. Marquez’s application for disability insurance benefits and supplemental security income, together with the entire administrative record and the briefing of the parties. (Docs. 11, 15, 16.) For the reasons

1 On June 4, 2019, Congress confirmed Andrew M. Saul as the Commissioner of the Social Security Administration (“SSA”). Pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Andrew M. Saul is substituted for Nancy A. Berryhill, former Acting Commissioner of Social Security, as the Defendant in this suit. No further action needs to be taken to continue this suit by reason of the last sentence of sec- tion 205(g) of the Social Security Act, 42 U.S.C. § 405(g). stated below, the Commissioner’s decision is VACATED, and the case is REMANDED for further fact finding. LEGAL STANDARDS

A. Entitlement to Disability Insurance Benefits To obtain disability insurance benefits under the Act, a claimant must meet the insured status requirements, be younger than 65 years of age, file an application for a period of disability, and have a “disabil- ity” within the meaning of the Act. 42 U.S.C. §§ 416(i), 423(a); Flint v. Sullivan, 951 F.2d 264, 267 (10th Cir. 1991). The disability must also have begun before expiration of the disability-insured status. 20 C.F.R. § 404.101; Social Security Ruling (“SSR”) 83-10, 1983 WL 31251, at *8 (1983). Relevant here, a person has a disability only if his physical or mental impairment or impairments are of such severity that he is not only unable to do his pre- vious work but cannot, considering his age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy, regard- less of whether such work exists in the immediate area in which he lives, or whether a specific job vacancy exists for him, or whether he would be hired if he applied for work. 42 U.S.C. § 423(d)(2)(A). To qualify for benefits, the disabling impair- ment must last—or be expected to last—at least twelve months. Barn- hart v. Walton, 535 U.S. 212, 214–15 (2002). Evaluating the existence of a disability is a five-step, sequential process that ends at any point at which the claimant is found not disabled. See 20 C.F.R. § 404.1520; Bowen v. Yuckert, 482 U.S. 137, 140–42 (1987); Casias v. Sec’y of Health & Human Servs., 933 F.2d 799, 801 (10th Cir. 1991) (citation omitted). First, the claimant must demonstrate that he or she is not cur- rently involved in any substantial, gainful activity. 20 C.F.R. § 404.1520(b). Second, the claimant must show a medically severe im- pairment or combination of impairments that significantly limits his or her physical or mental ability to do basic work activities. Id. at § 404.1520(c). Third, if the impairment matches or is equivalent to an established listing under the governing regulations, the claimant is judged conclusively disabled. Id. at § 404.1520(d). If the claimant’s im- pairment does not match or is not equivalent to an established listing, the analysis proceeds to the fourth step. Id. at § 404.1520(e). Fourth, the claimant must show that the “impairment prevents [him or her] from performing work [he or she] has performed in the past.” Williams v. Bowen, 844 F.2d 748, 751 (10th Cir. 1988) (citations omitted); accord 20 C.F.R. § 404.1520(f). Fifth, the Commissioner must demonstrate: (1) that based on the claimant’s residual functional capacity, age, educa- tion, and work experience, the claimant can perform other work; and (2) the work that the claimant can perform is available in significant num- bers in the national economy. Frey v. Bowen, 816 F.2d 508, 512 (10th Cir. 1987) (citation omitted); see also 20 C.F.R. § 404.1520(g). According to the “treating physician rule,” the Social Security Ad- ministration (“SSA”) Commissioner will generally give more weight to medical opinions from treating sources than those from non-treating sources. 20 C.F.R. § 404.1527(d)(2). “In deciding how much weight to give a treating source opinion, an ALJ must first determine whether the opinion qualifies for ‘controlling weight.’” Watkins v. Barnhart, 350 F.3d 1297, 1300 (10th Cir. 2003). To make this determination, the ALJ: must first consider whether the opinion is well-supported by medically acceptable clinical and laboratory diagnostic techniques. If the answer to this question is ‘no,’ then the inquiry at this stage is complete. If the ALJ finds that the opinion is well-supported, he must then confirm that the opinion is consistent with other substantial evidence in the record. [I]f the opinion is deficient in either of these re- spects, then it is not entitled to controlling weight. Id. (quotations omitted); see also 20 C.F.R. § 404.1527(d)(2) (noting that although the SSA will consider evidence from treating medical sources, the final responsibility in deciding these issues remains with the Com- missioner).

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