Salamone v. Commissioner Social Security Administration

CourtDistrict Court, D. Oregon
DecidedSeptember 21, 2021
Docket6:20-cv-00219
StatusUnknown

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

Bluebook
Salamone v. Commissioner Social Security Administration, (D. Or. 2021).

Opinion

UNITED STATES DISTRICT COURT

DISTRICT OF OREGON

EUGENE DIVISION

JANE S., Ca se No. 6:20-cv-00219-AC

Plaintiff, OPINION AND ORDER v.

COMMISSIONER SOCIAL SECURITY ADMINISTRATION,

Defendant. _____________________________________

ACOSTA, Magistrate Judge:

Plaintiff Jane S.1 (“Plaintiff”) seeks judicial review of the defendant Commissioner of Social Security’s (“Commissioner”) decision, based on the principle of res judicata, denying her request for a hearing on her 2013 application for Title II disability benefits. The Commissioner argues that under Federal Rule of Civil Procedure 12(h)(3), this court is without subject matter jurisdiction to review the merits of the Commissioner’s decision because that decision is not a

1 In the interest of privacy, this Opinion and Order uses only the first name and the initial of the last name of the non-governmental party in this case.

Page 1 – OPINION AND ORDER “final decision” under 42 U.S.C. § 405(g). The court finds that the Commissioner’s decision to dismiss the case based on res judicata grounds is not a “final decision” over which this court may exercise subject matter jurisdiction. Accordingly, Plaintiff’s appeal is dismissed.2 Procedural Background On November 27, 2007, Plaintiff initially filed a Title II application for a period of

disability and disability benefits alleging disability since October 1, 1997, due to hearing loss, nose, back problems, and a learning disability. Tr. Soc. Sec. Admin. R. (“Tr.”) at 578, 580, 623 ECF No. 9. Plaintiff’s date last insured (“DLI”) for Title II benefits was December 31, 2002. Tr. 579. Plaintiff’s application was denied on February 11, 2008, finding her not disabled through her DLI. Tr. 574–78, 598, 1571. Plaintiff “was not represented and never appealed that determination,” making it administratively the final outcome of her 2007 application. Tr. 623. On June 12, 2013, Plaintiff protectively filed another Title II application alleging disability since July 1, 1999, due to hearing problems; back problems; Irlen Syndrome; arthritis in hands and feet; migraine headaches; and hand, wrist, feet, and knee problems. Tr. 587, 579, 796–802.

Plaintiff’s DLI remained December 31, 2002. Tr. 579. Her new application was denied initially and upon reconsideration. Tr. 626–30, 635–48. Plaintiff then requested an administrative hearing to determine her disability (Tr. 647–48), which was held on December 1, 2015, where an attorney represented her (Tr. 684–719). On December 24, 2015, the ALJ dismissed Plaintiff’s request for a hearing, finding that the doctrine of res judicata applied and that her 2008 determination remained final and binding as to her eligibility for Title II disability benefits. Tr. 602–03. Plaintiff requested review of the hearing decision, which the Appeals Council (“AC”) denied on June 10,

2 The parties have consented to jurisdiction by magistrate judge, pursuant to 28 U.S.C. § 636(c)(1).

Page 2 – OPINION AND ORDER 2016. Tr. 604–06; see also Tr. 1194–96. Plaintiff subsequently filed a complaint in this court and, per a stipulated agreement, on February 1, 2017, this court remanded Plaintiff’s case to the ALJ to hold a supplemental hearing that addressed dismissal for res judicata under SSR 91-5p. Tr. 614, 625.

Upon remand, the AC found that “the ALJ’s determination that the doctrine of res judicata applied is not supported by substantial evidence.” Tr. 624. The ALJ had conducted the hearing without giving Plaintiff any notice of potential dismissal and had not proffered evidence of her 2008 determination. Tr. 623–24. Evidence of mental impairment also potentially justified extending the deadline for reviewing Plaintiff’s 2008 determination. Tr. 624–25. The AC noted that “the record does not identify what ‘evidence’ was ‘considered in reaching the previous determination,’” and that the record contains new and material evidence that was not before the state agency in 2008. Tr. 624. The AC also found that “substantial evidence does not support the ALJ’s determination that the deadline for requesting review of the 2008 initial determination

should not be extended.” Tr. 624. The AC noted that Plaintiff has documented mental impairments and was not represented at the time of the 2008 denial, which “suggest a reasonable doubt as to the claimant’s ability to carry out the procedures necessary to request review.” Tr. 624–25. The AC remanded the case to the ALJ for a supplemental hearing. Tr. 625. On October 25, 2018, while represented, Plaintiff had another hearing with the ALJ. Tr. 1580–1614. On November 20, 2018, with extensive discussion of the evidence of Plaintiff’s mental capacity, the ALJ again dismissed Plaintiff’s request for a hearing on her disability claim, citing res judicata and the administrative finality of her 2008 determination. Tr. 7–11. Plaintiff

Page 3 – OPINION AND ORDER sought review of the dismissal and the AC denied the request. Tr. 1–2. Plaintiff then filed her appeal with this court. The ALJ’s Decision The ALJ was instructed, on remand, to hold a supplemental hearing to address the

extension of the deadline to request review per SSR 91-5p, res judicata, and dismissal. Tr. 625. Additionally, the ALJ was instructed to make findings, as necessary, following the sequential evaluation process outlined in 20 CFR 404.1520. Tr. 625. With respect to whether res judicata applies to Plaintiff’s claim, the ALJ noted that Plaintiff admits her current claim involves “the same party (the claimant), the same law (eligibility for Disability Insurance Benefits), and the same facts (affecting the period July 1, 1999 to December 31, 2002).” Tr. 8. Subsequently, the ALJ addressed Plaintiff’s argument that an exception to res judicata applied because the Plaintiff “did not have the mental capacity to understand her appeal rights when she received her determination of nondisability on February [11], 2008.” Tr. 8. In response to Plaintiff’s argument that she lacked the cognitive ability to understand the

nondisability notice, the ALJ noted the Plaintiff “admitted she completed high school and has a degree in graphic design, and did drafting of electrical and mechanical diagrams professionally.” Tr. 8. Additionally, the ALJ cited Plaintiff’s 2007 testing, in which she “showed a full-scale intelligence quotient of 112, which is above average.” Tr. 8. The ALJ also relied on Plaintiff’s active engagement in “significant vocational activities” near the same time she received the on February 11, 2008 notice that her disability benefits had been denied: In August 2011, she reported she owns three houses, which she rents to others, and she was trying to decide whether to get a job or return to school or do both (Ex 7F/10). This was the same theme of her reports in June 2011, when she reported “transitioning from a stay at home mom to the workforce” (Ex 7F/19). In June 2011, she pursued a volunteer opportunity at a rental company (Ex 7F/18). In May

Page 4 – OPINION AND ORDER 2011, she tried to find work through a State employment office (Ex 7F/20). In the course of her job search, she reported she planned to return to school at Lane Community College if she was still unemployed in September 2011 (Ex 7F/21). On July 1, 2010, the claimant reported she had been busy with three rental houses (which she apparently managed at that time), two home-stay (foreign) students, her 17-year-old daughter, and her boyfriend (Ex 7F/53).

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Salamone v. Commissioner Social Security Administration, Counsel Stack Legal Research, https://law.counselstack.com/opinion/salamone-v-commissioner-social-security-administration-ord-2021.