Rodriguez v. Commissioner of Social Security

District Court, E.D. New York·Decided August 7, 2023·No. 1:21-cv-05936·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK

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Madelyn Rodriguez, MEMORANDUM AND ORDER Plaintiff, 21-cv-5936(KAM) -against-

Commissioner of Social Security,

Defendant.

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KIYO A. MATSUMOTO, United States District Judge: Plaintiff Madelyn Rodriguez (“Plaintiff”) appeals the final decision of the Commissioner of the Social Security Administration (“Defendant”), which found that the Plaintiff was not disabled and thus not entitled to disability benefits under Title II of the Social Security Act (the “Act”) or Supplemental Security Income (“SSI”) under Title XVI of the Act. Presently before the Court are Plaintiff’s motion for judgment on the pleadings and the Commissioner’s cross-motion for judgment on the pleadings. For the reasons set forth below, Plaintiff’s motion is GRANTED, the Defendant’s motion is DENIED, and the case is REMANDED for further proceedings based on this Memorandum and Order. Background The parties have filed a joint statement of stipulated facts detailing Plaintiff’s medical history and administrative hearing testimony, which the Court has reviewed and incorporates by reference. The Court briefly recounts the facts relevant to the instant motions. (See generally ECF No. 15, Joint Stipulation of Facts.) On January 29, 2019, Plaintiff filed an application for disability benefits and SSI, alleging disability since August 1,

2017. (ECF No. 16, Administrative Transcript (“Tr.”), at 16.) Plaintiff claimed that she was disabled due to a back condition, sciatica, a left knee and left foot condition, and plantar fasciitis. (Id. at 62.) Her application was denied on March 18, 2019. (Id. at 69-70.) On July 24, 2019, Plaintiff filed a written request for a hearing before an administrative law judge. (Id. at 170.) Administrative Law Judge M. Reeves (the “ALJ”) held a hearing on February 24, 2020, during which Plaintiff appeared and testified. (Id. at 30.) By a decision dated May 29, 2020, the ALJ determined that Plaintiff was not disabled. (Id. at 13.) Plaintiff appealed

the ALJ’s decision to the Appeals Council. (Id. at 201.) On July 9, 2021, the Appeals Council denied review of the ALJ’s decision, rendering it the final decision of the Commissioner. (Id. at 4.) This appeal followed. (ECF No. 1, Complaint; ECF Nos. 13, Motion for Judgment on the Pleadings; 13-1, Memorandum in Support, (“Pl. Mem.”); ECF Nos. 17, Cross Motion for Judgment on the Pleadings; 17-1, Memorandum in Support, (“Def. Mem.”).) Legal Standard I. Standard of Review Unsuccessful claimants for disability benefits under the Act may bring an action in federal district court seeking judicial review of the Commissioner’s denial of benefits “within sixty days after the mailing . . . of notice of such decision or within such

further time as the Commissioner of Social Security may allow.” 42 U.S.C. § 405(g). “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 quotation marks and citation omitted); see also 42 U.S.C. § 405(g). “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, 420 U.S. 389, 401 (1971)

(internal quotation marks 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 purpose of the [Social Security] Act.” Moran v. Astrue, 569 F.3d 108, 112 (2d Cir. 2009) (citation omitted). 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. See Cage v. Comm’r of Soc. Sec., 692 F.3d 118, 122 (2d Cir. 2012). Lastly, federal regulations explicitly authorize a court,

upon reviewing decisions of the Commissioner, to order further proceedings when appropriate. “The court shall have power to enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing.” 42 U.S.C. § 405(g). Remand is warranted where “there are gaps in the administrative record or the ALJ has applied an improper legal standard.” Rosa v. Callahan, 168 F.3d 72, 82-83 (2d Cir. 1999) (quoting Pratts v. Chater, 94 F.3d 34, 39 (2d Cir. 1996) (internal quotation marks omitted)). Remand is particularly appropriate where further findings or explanation

will clarify the rationale for the ALJ’s decision. Pratts, 94 F.3d at 39. Moreover, if the record before the court provides “persuasive proof of disability and a remand for further evidentiary proceedings would serve no purpose,” the court may reverse and remand solely for the calculation and payment of benefits. See, e.g., Parker v. Harris, 626 F.2d 225, 235 (2d Cir. 1980); Kane v. Astrue, 942 F. Supp. 2d 301, 314 (E.D.N.Y. 2013). II. Determination of Disability To receive disability benefits, a claimant must be “disabled” within the meaning of the Act. See 42 U.S.C. §§ 423(a), (d). A claimant qualifies as disabled under the Act when he or she 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. at § 423(d)(1)(A). The 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 which exists in the national economy. Id. at § 423(d)(2)(A). “The Commissioner must consider the following in determining a claimant’s entitlement to benefits: ‘(1) the objective medical facts [and clinical findings]; (2) diagnoses or medical opinions based on such facts; (3) subjective evidence of pain or disability . . . ; and (4) the claimant’s educational background, age, and work

experience.’” Balodis v. Leavitt, 704 F. Supp. 2d 255, 262 (E.D.N.Y. 2001) (quoting Brown v.

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