Martinez v. Commissioner of Social Security

CourtDistrict Court, E.D. New York
DecidedOctober 12, 2022
Docket1:20-cv-06095
StatusUnknown

This text of Martinez v. Commissioner of Social Security (Martinez 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
Martinez v. Commissioner of Social Security, (E.D.N.Y. 2022).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK --------------------------------------X DAMIEN MARTINEZ,

Plaintiff, MEMORANDUM AND ORDER 20-CV-6095 (KAM) -against-

COMMISSIONER OF SOCIAL SECURITY,

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

Plaintiff Damien Martinez appeals the final decision of the Commissioner of the Social Security Administration (the “Commissioner”), which found that Plaintiff was not disabled within the meaning of the Social Security Act (the “Act”) and thus not entitled to disability insurance benefits or supplemental security income under the Act. Plaintiff and the Commissioner have cross moved for judgment on the pleadings. For the reasons set forth below, Plaintiff’s motion is GRANTED, the Commissioner’s cross-motion is DENIED, and this action is REMANDED for further proceedings consistent with this memorandum and order. BACKGROUND The parties have filed a joint statement of stipulated facts detailing Plaintiff’s medical history and the administrative hearing testimony, which the court has reviewed and incorporates by reference. (See ECF No. 25 (“Stip.”).) On August 25, 2017, Plaintiff filed applications for disability insurance benefits and supplemental security income, alleging disability due to type 1 diabetes, post-traumatic stress disorder, anxiety, depression, high blood pressure, high cholesterol, and kidney damage. (ECF

Nos. 29 to 29-1 (together, the “Administrative Record” or “A.R.”) at 219-29, 248.) Plaintiff’s applications were denied on January 3, 2018. (Id. at 120-28.) On February 21, 2018, Plaintiff requested a hearing before an administrative law judge. (Id. at 129-33.) ALJ Robert Schriver held a hearing on Plaintiff’s claims on May 24, 2019, at which Plaintiff and a vocational expert testified. (Id. at 69-96.) In a decision dated July 24, 2019, the ALJ concluded that Plaintiff was not disabled under the Act. (Id. at 39-51.) Plaintiff requested review of the ALJ’s decision, which the Appeals Council granted on June 11, 2020. (Id. at 201-13.) On November 2, 2020, the Appeals Council issued a decision adopting the ALJ’s

findings and concluding that Plaintiff was not disabled under the Act. (Id. at 7-12.) The Appeals Council found that the ALJ committed a legal error by failing to enter into the record and consider records from Sparks Medical Center Van Buren regarding Plaintiff’s inpatient treatment for diabetic ketoacidosis in January 2017. (Id. at 7-8.) After reviewing the records from Sparks Medical Center Van Buren, however, the Appeals Council concluded that the records did not provide a basis for changing the ALJ’s decision. (Id.) Accordingly, the Appeals Council affirmed the ALJ’s finding that Plaintiff was not disabled under the Act. (Id. at 8.) On December 3, 2020, Plaintiff filed the instant action seeking judicial review of the Commissioner’s

decision. LEGAL STANDARD Unsuccessful claimants for disability insurance benefits or supplemental security income may bring an action in federal court seeking judicial review of the Commissioner’s denial of benefits. 42 U.S.C. §§ 1383(c)(3), 405(g). 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 of Soc. Sec., 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 v. Astrue, 537 F.3d 117, 127 (2d Cir. 2008) (internal quotations and citation omitted). “Substantial evidence is more than a mere scintilla,” and must be relevant evidence that a “reasonable mind might accept as adequate to support a conclusion.” Halloran v. Barnhart, 362 F.3d 28, 31 (2d Cir. 2004) (citing Richardson v. Perales, 402 U.S. 389, 401 (1971) (internal quotation marks omitted)). See Brault v. Soc. Sec. Admin., Comm’r, 683 F.3d 443, 448 (2d Cir. 2012) (“The substantial evidence standard means once an ALJ finds facts, [the court] can reject those facts ‘only if a reasonable factfinder would have to conclude otherwise.’” (citations omitted)). If there

is substantial evidence in the record to support the Commissioner’s factual findings, those findings must be upheld. 42 U.S.C. § 405(g). 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) (internal quotations omitted)). To receive disability insurance benefits or supplemental security income, a claimant must be “disabled” within the meaning of the Act. See 42 U.S.C. §§ 423(d), 1382c(a)(3)(A).1 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.; see also Shaw v. Chater, 221 F.3d 126, 131–32 (2d Cir. 2000). The

1 The statutory definitions of disability are identical under both Title II Disability Insurance and Title XVI Supplemental Security Income Programs. Compare 42 U.S.C. § 423(d) with 42 U.S.C. § 1382c(a)(3). Moreover, “[c]ases under 42 U.S.C. § 423 are cited interchangeably with cases under 42 U.S.C. § 1382c(a)(3).” Lopez v. Comm’r of Soc. Sec., No. 18-cv-7564(JGK), 2020 WL 364172, at *1 n.1 (S.D.N.Y. Jan. 22, 2020). 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. § 1382c(a)(3)(B).

The regulations promulgated by the Commissioner set forth a five-step sequential evaluation process for determining whether a claimant meets the Act’s definition of “disabled.” See 20 C.F.R. § 416.920.

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Related

Burgess v. Astrue
537 F.3d 117 (Second Circuit, 2008)
Meadors v. Astrue
370 F. App'x 179 (Second Circuit, 2010)
Richardson v. Perales
402 U.S. 389 (Supreme Court, 1971)
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)
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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Martinez v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martinez-v-commissioner-of-social-security-nyed-2022.