Miller v. Commissioner of Social Security

CourtDistrict Court, W.D. Kentucky
DecidedSeptember 13, 2022
Docket3:21-cv-00201
StatusUnknown

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

Bluebook
Miller v. Commissioner of Social Security, (W.D. Ky. 2022).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF KENTUCKY LOUISVILLE DIVISION CIVIL ACTION NO. 3:21-CV-00201-CHL

MARTIN EDWARD M.1, Plaintiff,

v.

COMMISSIONER OF SOCIAL SECURITY, Defendant.

MEMORANDUM OPINION AND ORDER

Before the Court is the complaint of Plaintiff Martin Edward M. (the “Claimant”) seeking judicial review of the final decision of the Commissioner of Social Security (the “Commissioner”). (DN 1.) On January 27, 2022, Claimant filed his fact and law summary, (DN 18), and on April 29, 2022, the Commissioner filed her fact and law summary in response. (DN 21.) The Parties have consented to the jurisdiction of a Magistrate Judge to enter judgment in this case with direct review by the Sixth Circuit Court of Appeals in the event an appeal is filed. (DN 10.) Therefore, this matter is ripe for review. I. BACKGROUND On March 14, 2018, Claimant filed an application for Disability Insurance Benefits (“DIB”), and on April 17, 2018, his application was denied.2 (R. at 7, 19.) Claimant did not request reconsideration or otherwise appeal that denial, rendering the denial the final decision of the Commissioner. (Id.) On November 7, 2019, Claimant again filed an application for DIB, alleging that he was disabled as of October 1, 2011 due to neck and arm problems and PTSD. (Id.

1 Pursuant to General Order 22-05, the Plaintiff in this case is identified and referenced solely by first name and last initial. 2 Documents related to the April 17, 2018 determination are not included in the administrative record filed in this action. However, Claimant expressly concedes the facts surrounding the previous determination as stated in the ALJ’s decision in this case. (See DN 18, at PageID # 349.) at 21, 50.) His application was denied initially on January 31, 2020, and on February 13, 2020, Claimant retained counsel to assist him with his claim. (Id. at 26, 61, 62.) On March 3, 2020, Claimant requested reconsideration of the initial denial, and on June 2, 2020, his application was denied on reconsideration. (R. at 7, 26, 50.) On June 7, 2020, Claimant requested a hearing on his application. (R. at 23.) On June 29, 2020, the Commissioner notified Claimant that his “request

for hearing maybe subject to potential dismissal under the principle of res judicata (20 CFR 404.957(c)(1)).” (R. at 19.) The Commissioner explained, A review of the file shows that the claimant previous filed for Disability Insurance Benefits on March 14, 2018 and that application was denied on April 17, 2018 and the denial was not appealed. The claimant has a date last insured for disability insurance purpose of December 31, 2016. Based on the above procedural history it initially appears that the current application for Disability Insurance Benefits filed on November 7, 2019 involves the same parties, the same facts, the same issues and the same timeframe and would be subject to the principle of res judicata. (Id.) Consequently, Claimant was given an “opportunity to respond in writing arguing why the principle of res judicata does not or should not apply in this matter.” (Id.) In response, Claimant submitted 191 pages of VA medical records dated between 2012 and 2015. (Id. at 7–8, 69–259.) Claimant argues that these records constituted new evidence that would bar the application of res judicata.3 (Id. at 8.) In a decision dated July 21, 2020, Administrative Law Judge Dwight D. Wilkerson (the “ALJ”), determined that “no new and material evidence was submitted and that there has been no change in statute, regulation, ruling or legal precedent concerning the facts and issues ruled upon in connection with the previously adjudicated period.” (Id. at 9–10.) The ALJ further noted that “the claimant’s insured status expired prior to the previous determination,” and therefore found that “[C]laimant’s rights on the

3 The submission in which this argument was made in not in the record, but the Parties do not dispute the ALJ’s summary of the argument. same facts and on the same issues are involved and the doctrine of res judicata applies.” (Id. at 10.) Based on these findings, the ALJ dismissed Claimant’s hearing request. (Id.) On August 14, 2020, Claimant requested review by the Appeals Council, and on January 27, 2021, the Appeals Council denied his request. (Id. at 1–2, 16–17.) On March 31, 2021, Claimant timely filed this action. (DN 1.)

II. DISCUSSION Claimant contends that the ALJ erred in relying on res judicata to deny Claimant’s application without a hearing and that the ALJ did not have the constitutionally delegated authority to render a decision on Claimant’s application. (DN 18-1, at PageID # 350.) The Court addresses these contentions below. A. Res Judicata Claimant challenges the ALJ’s decision not to reopen the prior final determination, which he asserts “was not appealed due to mental incapacity.” (DN 18-1, at PageID # 352.) As the Sixth Circuit recently explained,

A decision by the SSA not to reopen a prior decision is unreviewable by the courts absent a colorable constitutional claim. See Califano v. Sanders, 430 U.S. 99, 107-08, 97 S.Ct. 980, 51 L.Ed.2d 192 (1977); Bogle v. Sullivan, 998 F.2d 342, 346 (6th Cir. 1993). We have previously found that a colorable constitutional claim is established, and judicial review proper, when the claimant’s mental capacity prevented him from understanding and pursuing further administrative remedies. Parker v. Califano, 644 F.2d 1199, 1203 (6th Cir. 1981); see also Anderson v. Comm’r of Social Security, 195 F. App’x 366, 369 (6th Cir. 2006) (citation omitted). We have also reiterated SSR 91-5p’s policy that the burden of proof rests on the claimant to demonstrate such incapacity. Anderson, 195 F. App’x at 369-70. Newhouse v. Comm’r of Soc. Sec., 771 F. App’x 602, 605 (6th Cir. 2019). Claimant argues that the ALJ failed to properly consider evidence that he lacked the requisite “mental capacity to effectively pursue his claim.” (DN 18-1, at PageID # 354.) For example, Claimant asserts that the ALJ “did not address the fact that the records printed by the Veterans Administration on April 9, 2020, confirm Plaintiff’s award of 100% service connected disability.” (Id.) But Claimant does not explain how his service-related disability award is relevant to his mental capacity to pursue his DIB claim after it was denied in April 2018 nor why it is likely to have changed the outcome of the prior disability determination. C.f. Shoen v. Comm’r of Soc.

Sec., No. 1:21-CV-763, 2022 WL 3152233, at *4 (W.D. Mich. Aug. 8, 2022); Raymond R. v. Comm’r of Soc. Sec., No. 1:21-cv-539, 2022 WL 1590817, at *3–4 (S.D. Ohio May 19, 2022) (noting that “the ALJ was not required to provide any analysis concerning plaintiff’s disability rating from the VA”); Gentry v. Saul, No. 3:19-cv-778, 2020 WL 5100848, at *8–9 (M.D. Tenn. Aug. 10, 2020), report and recommendation adopted, 2020 WL 5096952 (Aug. 28, 2020) (“[The ALJ was not required to provide any analysis about how he considered the VA disability determination, which he found to be neither inherently valuable nor persuasive. Thus, Plaintiff’s argument on this count fails.”). If anything, Claimant’s successful pursuit of service-related benefits undermines the contention that he lacked the capacity to understand the process to further

pursue his prior DIB claim. See Kelly v. Apfel, 166 F.3d 1214 (6th Cir. 1998).

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Miller v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-v-commissioner-of-social-security-kywd-2022.