Simmons v. Commissioner of Social Security

District Court, M.D. Florida·Decided September 7, 2022·No. 6:21-cv-00743·Unknown

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA ORLANDO DIVISION

ROBERT LEE SIMMONS,

Plaintiff,

v. Case No. 6:21-cv-743-MAP

COMMISSIONER OF SOCIAL SECURITY

Defendant. /

ORDER

Plaintiff seeks judicial review of the denial of his claim for a period of disability, disability insurance benefits (DIB), and Supplemental Security Income (SSI). Plaintiff argues that the Administrative Law Judge (ALJ) committed reversible error by failing to apply the correct legal standards concerning his need for an assistive device. Additionally, Plaintiff asserts he is entitled to a new hearing because the ALJ assigned to adjudicate his case was unconstitutionally appointed. As the ALJ’s decision was not based on substantial evidence, the Commissioner’s decision is reversed and remanded. I. Background

Plaintiff, who was born in 1968, claimed disability beginning January 1, 2009 (Tr.156). Plaintiff obtained a tenth-grade education, and has no past relevant work experience (Tr. 62-63). Plaintiff has held a variety of short-term jobs, including chef job at Waffle House, a job at Americrown Service, and Kelley Plumbing, that did not rise to the level of past relevant work (Tr. 93-95). Plaintiff alleged disability due to lower back problems, bilateral hand problems, history of fracture of right leg, hallucination due to drug use, hypertension, breathing problems, and left foot

problems (Tr. 578). He testified that his doctor advised him that he needs a hip replacement, but he is unable to afford it (Tr. 78). He also testified that he was in the process of re-applying for Medicaid (Tr. 78). Plaintiff admits to abusing drugs and alcohol in the past, but explained that he last used in 2017-18 (Tr. 70). At the time of his latest hearing, Plaintiff lived in a house with his sixty-eight-year-old mother (Tr.

74). Plaintiff claims he is capable of caring for his own personal needs but has difficulty bending and walking (Tr. 75). Given his alleged disability, Plaintiff filed an application for a period of disability, DIB, and SSI (Tr. 498-506, 507-512). The Social Security Administration (SSA) denied Plaintiff’s claims both initially and upon reconsideration (Tr. 156-171,

176-194). Plaintiff then requested an administrative hearing (Tr. 274). Per Plaintiff’s request, the ALJ held a hearing on April 5, 2013, at which Plaintiff appeared and testified (Tr. 127-155). Following the hearing, the ALJ issued an unfavorable decision on July 11, 2013, finding Plaintiff not disabled and accordingly denied Plaintiff’s claims for benefits (Tr. 203-216). Thereafter, the Appeals Council vacated the ALJ’s

decision on December 17, 2014, and remanded the matter for further administrative action (Tr. 218-220). Following another administrative hearing before a same ALJ on September 2, 2015 (Tr. 121-126), that ALJ issued another unfavorable decision on March 7, 2016, finding Plaintiff not disabled and denying his claims for benefits (Tr. 224-241). Again, the Appeals Council granted review and on September 7, 2018, remanded the matter for further administrative action (Tr. 244-246). After two more hearings on February 26, 2020, and September 2, 2020 (Tr. 37-58, 59-92) (the second

one “due to the extraordinary circumstances presented by the Coronavirus Disease 2019”), a new ALJ, M. Hart, issued an unfavorable decision on September 18, 2020, finding Plaintiff not disabled and denying his claims for benefits (Tr. 13-28). In rendering the administrative decision, ALJ M. Hart concluded that Plaintiff met the insured status requirements through March 31, 2012, and had not engaged in

substantial gainful activity since January 1, 2009, the alleged onset date (Tr. 16). After conducting a hearing and reviewing the evidence of record, ALJ M. Hart determined Plaintiff had the following severe impairment: spine disorders (Tr. 16). Notwithstanding the noted impairment, the ALJ determined Plaintiff did not have an impairment or combination of impairments that met or medically equaled one of the

listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1 (Tr. 18). The ALJ then concluded that Plaintiff retained a residual functional capacity (RFC) to perform medium work with additional limitations (Tr. 18). Specifically, the ALJ indicated: The claimant can lift and carry up to 50 pounds on an occasional basis and 25 pounds on a frequent basis. The claimant can sit for two hours at a time without interruption and for eight hours total during an eight-hour workday with normal breaks. He can stand for 20 minutes at a time without interruption and for four hours total during an eight-hour workday with normal breaks. He can walk for twenty minutes at a time without interruption and for four hours during an eight-hour workday with normal breaks. The claimant can frequently perform handling (defined as gross manipulation), fingering (defined as fine manipulation), feeling, and pushing or pulling with the bilateral upper extremities. The claimant can frequently operate foot controls, balance, kneel, and climb stairs, ramps, ladders, or scaffolds, but only occasionally stoop, crouch, and crawl. The claimant can tolerate frequent exposure to unprotected heights and vibrations, but occasional exposure to moving mechanical parts, extreme cold, extreme heat and pulmonary irritants such as dusts, odors and fumes. The claimant can tolerate no exposure to the operation of a motor vehicle. The claimant is limited to occupations with no more than a moderate noise intensity level, as that term is defined by the Dictionary of Occupational Titles.

(Tr. 18). In formulating Plaintiff’s RFC, the ALJ considered Plaintiff’s subjective complaints and determined that, although the evidence established the presence of underlying impairments that reasonably could be expected to produce the symptoms alleged, Plaintiff’s statements as to the intensity, persistence, and limiting effects of his symptoms were not entirely consistent with the medical evidence and other evidence (Tr. 21). Plaintiff had no past relevant work (Tr. 27). Given Plaintiff’s background and RFC, the VE testified that Plaintiff could perform other jobs existing in significant numbers in the national economy, such as a gate attendant, DOT 344.667-010; laundry sorter, DOT 361.687-014; and produce weigher, DOT 299.587-022 (Tr. 28). Accordingly, based on Plaintiff’s age, education, work experience, RFC, and the testimony of the VE, the ALJ found Plaintiff not disabled (Tr. 28). Given the ALJ’s finding, Plaintiff requested review from the Appeals Council, which the Appeals Council denied (Tr. 1). Plaintiff then timely filed a complaint with this Court (Doc. 1). The case is now ripe for review under 42 U.S.C. §§ 405(g), 1383(c)(3). II. Standard of Review To be entitled to benefits, a claimant must be disabled, meaning he or she must be 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 twelve months. 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). A “physical or mental impairment” is an impairment that results from anatomical, physiological, or psychological abnormalities, which are demonstrable by medically acceptable clinical

and laboratory diagnostic techniques. 42 U.S.C. §§ 423(d)(3), 1382c(a)(3)(D).

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