Rocha v. Commissioner, Social Security Administration

CourtDistrict Court, D. Colorado
DecidedMarch 3, 2025
Docket1:24-cv-00071
StatusUnknown

This text of Rocha v. Commissioner, Social Security Administration (Rocha 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
Rocha v. Commissioner, Social Security Administration, (D. Colo. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Judge Nina Y. Wang

Civil Action No. 24-cv-00071-NYW

T.G.R., on behalf of E.S.G.R.,1

Plaintiff,

v.

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

MEMORANDUM OPINION AND ORDER

This civil action arises under Title XVI of the Social Security Act (the “Act”) for review of the final decision of the Commissioner of the Social Security Administration (the “Commissioner” or “Defendant”). Plaintiff T.G.R., on behalf of her minor child E.S.G.R., appeals the Commissioner’s final decision denying her application for Supplemental Social Security Income (“SSI”). For the reasons set forth in this Order, the Commissioner’s decision is respectfully AFFIRMED. LEGAL STANDARDS Supplemental security income “assure[s] a minimum level of income for people . . . who are blind or disabled and who do not have sufficient income and resources to maintain a standard of living at the established Federal minimum income level.” 20

1 The Local Rules provide that “[a]n order resolving a social security appeal on the merits shall identify the plaintiff by initials only.” D.C.COLO.LAPR 5.2(b). In addition, Federal Rule of Civil Procedure 5.2 states that court filings containing “the name of an individual known to be a minor” shall include only the minor’s initials. Fed. R. Civ. P. 5.2(a)(3). Accordingly, the Court refers to T.G.R. and E.S.G.R. using their initials. C.F.R. § 416.110. To qualify for SSI benefits, an individual must be disabled as defined in the Act. A person under the age of 18 is considered “disabled” if the individual “has a medically determinable physical or mental impairment, which results in marked and severe functional limitations, and 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.” 42 U.S.C. § 1382c(a)(3)(C)(i). There is an established “three-step process for assessing whether a child is disabled under this definition.” Panas ex rel. M.E.M. v. Commissioner, 775 F. App’x 430, 434 (10th Cir. 2019). The three steps require the following determinations: 1. Whether the child has engaged in substantial gainful activity;

2. Whether the child has an impairment or combination of impairments that is severe; and

3. Whether the child’s impairment meets or functionally equals an impairment listed in Appendix 1, Subpart P of 20 C.F.R. Part 404.

Briggs ex rel. Briggs v. Massanari, 248 F.3d 1235, 1237 (10th Cir. 2001) (citing 20 C.F.R. § 416.924(a)). If an administrative law judge (“ALJ”) determines at step one that the minor is engaged in substantial gainful activity, or decides at step two that the minor’s impairments are not severe, then the ALJ “will determine that [the claimant is] not disabled and not review [the] claim further.” 20 C.F.R. § 416.924(a). If the ALJ finds at step three that the minor’s impairments do not meet or medically equal a listed impairment, the ALJ must still assess “whether the impairment is functionally equivalent to a listing.” Leyba ex rel. C.J.L. v. Astrue, 803 F. Supp. 2d 1259, 1262 (D. Colo. 2011) (citing 20 C.F.R. § 416.926a). This requires the ALJ to “analyze the impairment’s severity in six age-appropriate domains: (1) acquiring and using information; (2) attending and completing tasks; (3) interacting and relating with others; (4) moving about and manipulating objects; (5) caring for oneself; and (6) health and physical well-being.” Knight ex rel. P.K. v. Colvin, 756 F.3d 1171, 1175 (10th Cir. 2014) (citing 20 C.F.R. 416.926a(b)(1)). An impairment is functionally equivalent to a listed

impairment if it results in a “marked” limitation in two of the six domains or an “extreme” limitation in one domain. 20 C.F.R. 416.926a(d). A “marked” limitation exists when the child’s impairments “interfere[] seriously with [the child’s] ability to independently initiate, sustain, or complete activities.” Id. § 416.926a(e)(2)(i). BACKGROUND E.S.G.R. was born in April 2009. [Doc. 9 at 187, 205].2 In May 2018, he was diagnosed with disruptive mood dysregulation disorder (“DMDD”). [Id. at 339]. This diagnosis was reaffirmed in January 2020, at which time E.S.G.R. was also diagnosed with attention deficit/hyperactivity disorder (“ADHD”). [Id. at 578–79]. He was diagnosed with major depressive disorder in August 2021. [Id. at 275, 637]. From 2020 to 2023,

E.S.G.R. was on and off medication for his ADHD, and also self-medicated with marijuana, but he stopped taking his ADHD medication sometime before August 2023. [Id. at 39–40, 46, 545, 555, 620, 893]. At various times between 2020 and 2023, E.S.G.R. reported thoughts of suicidal ideation. [Id. at 622, 626, 701–02, 885]. E.S.G.R. experienced behavioral issues at home and at school. See, e.g., [id. at 216–17, 227, 251–52, 290]. In October 2021, E.S.G.R. received an in-school

2 When citing to the Administrative Record, the Court cites to the docket number assigned by the CM/ECF system and the page number associated with the Administrative Record, which is found in the bottom right-hand corner of each page. For all other documents, the Court cites to the docket and page number generated by the CM/ECF system, rather than the page numbers assigned by the Parties. suspension due to a verbal argument in class, and he received an out-of-school suspension the next month following a physical altercation. [Id. at 295]. School records reflect that E.S.G.R. was absent for 88 days during the 2020–2021 school year and for 52 days in the 2021–2022 school year. [Id. at 291].

E.S.G.R. began seeing a counselor named Marisa Taylor (“Ms. Taylor”) in February 2020 for psychotherapy. [Id. at 576–78]. In 2021 and 2022, Ms. Taylor observed that E.S.G.R.’s diagnoses can negatively interfere with his well-being, social life, academic performance, and social skills. [Id. at 600, 637]. In March 2022, Ms. Taylor sent a letter to E.S.G.R.’s school opining that he required a Section 504 plan.3 [Id. at 638–40]. And in late 2023, Ms. Taylor sent another letter requesting that E.S.G.R. be given an individualized education program (“IEP”). [Id. at 1–2]. Neither an IEP nor a Section 504 plan were ever implemented for E.S.G.R. at school. [Id. at 220, 222, 894]. In October 2020, T.G.R. applied for SSI benefits on behalf of E.S.G.R. [Id. at 187–92]. The Social Security Administration (“SSA”) denied the application on April 15,

2021 after concluding that E.S.G.R. is not disabled. [Id. at 59, 70–72]. The SSA affirmed the denial on reconsideration. [Id. at 85–91]. T.G.R. then requested a hearing on the matter, [id. at 108, 112], and a hearing was convened before ALJ Jennifer Smiley (“the ALJ”) on August 14, 2023, [id. at 30–53].4

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Related

Briggs Ex Rel. Briggs v. Massanari
248 F.3d 1235 (Tenth Circuit, 2001)
Endriss v. Astrue
506 F. App'x 772 (Tenth Circuit, 2012)
Flaherty v. Astrue
515 F.3d 1067 (Tenth Circuit, 2008)
Knight Ex Rel. P.K. v. Colvin
756 F.3d 1171 (Tenth Circuit, 2014)
Vallejo v. Berryhill
849 F.3d 951 (Tenth Circuit, 2017)
United States v. Ray
899 F.3d 852 (Tenth Circuit, 2018)
Leyba ex rel. C.J.L. v. Astrue
803 F. Supp. 2d 1259 (D. Colorado, 2011)

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Rocha v. Commissioner, Social Security Administration, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rocha-v-commissioner-social-security-administration-cod-2025.