Simms v. Heckler

613 F. Supp. 86, 1985 U.S. Dist. LEXIS 19094, 10 Soc. Serv. Rev. 779
CourtDistrict Court, W.D. Missouri
DecidedJune 7, 1985
DocketNo. 84-1211-CV-W-9
StatusPublished

This text of 613 F. Supp. 86 (Simms v. Heckler) is published on Counsel Stack Legal Research, covering District Court, W.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Simms v. Heckler, 613 F. Supp. 86, 1985 U.S. Dist. LEXIS 19094, 10 Soc. Serv. Rev. 779 (W.D. Mo. 1985).

Opinion

ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT

BARTLETT, District Judge.

Plaintiff seeks review of the final decision of the Secretary of Health and Human Services (Secretary) denying his application for disability insurance benefits under Title II of the Social Security Act (the Act), 42 U.S.C. §§ 401, et seq. and Supplemental Security Income (SSI) benefits under Title XVI of the Act, 42 U.S.C. §§ 1381-1383c. Section 205(g) of the Social Security Act, 42 U.S.C. § 405(g), provides for judicial review of a “final decision” of the Secretary under both Titles II and XVI.

[88]*88On May 2, 1983, plaintiff, Doug Simms, filed a claim for disability insurance benefits and for SSI benefits. The Secretary made an initial determination and denied benefits on June 16, 1983. The Secretary denied plaintiffs request for reconsideration on July 13, 1983. On April 19, 1984, a hearing was held before an Administrative Law Judge (AU). On June 11, 1984, the AU found that plaintiff was not under a disability as defined in the Act. On November 16, 1984, the Appeals Council denied review of the AU’s decision; thus, the decision of the AU stands as the final decision of the Secretary.

This action is before the Court on cross-motions for summary judgment. Upon consideration of the briefs in support and in opposition, and for the reasons stated below, plaintiffs motion for summary judgment will be granted.

The standard for judicial review by this Court is whether the decision of the Secretary was supported by substantial evidence. Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842 (1971); Hancock v. Secretary of Dep’t. of H.E.W., 603 F.2d 739, 740 (8th Cir.1979). The determination of whether the Secretary’s decision is supported by substantial evidence requires review of the entire record, considering the evidence in support of and in opposition to the Secretary’s decision.

Substantial evidence means “more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Universal Camera Corp. v. NLRB, 340 U.S. 474, 488, 71 S.Ct. 456, 464, 95 L.Ed. 456 (1951); McMillian v. Schweiker, 697 F.2d 215, 220 (8th Cir.1983).

An individual claiming disability benefits has the burden of proving he is unable to return to past relevant work by reason of a medically determinable physical or mental impairment 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). Once this is established the burden shifts to the Secretary to prove that there is some other type of substantial gainful activity in the national economy that the plaintiff can perform. O’Leary v. Schweiker, 710 F.2d 1334, 1337 (8th Cir.1983).

The Social Security Administration has promulgated detailed regulations setting out a sequential evaluation process to determine whether a claimant is disabled or not. The regulations referred to generally as Medical-Vocational Guidelines are codified in 20 C.F.R. §§ 404.1501, et seq. (1983), and in 20 C.F.R. §§ 416.901, et seq. (1983). The Eighth Circuit Court of Appeals summarized this evaluation process in McCoy v. Schweiker, 683 F.2d 1138, 1141-42 (8th Cir.1982) (en banc).

In an attempt to create an orderly and uniform framework for analysis and decision of disability claims, the Guidelines set out a fixed sequence of decision-making that Administrative Law Judges (AUs) are required to follow. First, a determination is made whether a disability claimant is currently engaged in substantial gainful activity; if so, he must be found not disabled. If the claimant is not engaged in substantial gainful activity, the next question is whether he is suffering from a severe impairment, defined as one that significantly limits the ability to perform basic work-related functions. If a severe impairment is not found, the claimant must be found not disabled. If there is a severe impairment, and it is one listed in Appendix 1 to Subpart P, the claimant is found disabled on the medical evidence alone. If the impairment is not listed in Appendix 1, the next inquiry is whether the claimant can perform relevant past work. If he can, a finding of no disability is required. Finally, if the claimant cannot perform relevant past work, the question then becomes whether he can nevertheless do other jobs that exist in the national economy, despite his having a severe impairment that prevents return to his previous work. At this stage, the AU must determine the claimant’s residual functional capacity (RFC), that is, what he can [89]*89still do physically even with his impairment, and also the claimant’s age, education, and relevant work experience— the latter three findings being referred to as vocational factors, as opposed to RFC, which is a medical factor. The criteria of age, education, and work experience are relevant because the statute specifies them in defining disability, 42 U.S.C. § 423(d)(2)(A). If the AU’s findings as to RFC, age, education and work experience fit any of the combinations of those criteria contained in the Tables in Appendix 2 to Part 404, then the AU must reach the conclusion (either “disabled” or “not disabled”) directed by the relevant Rule or line of the applicable Table____

The AU found that plaintiff suffered from the impairment of a borderline personality disorder but that it was not a severe impairment and, therefore, plaintiff was not disabled.

By making this finding in the initial stage of the McCoy analysis, the AU did not determine whether plaintiff could perform his past relevant work, did not evaluate plaintiff’s residual functional capacity, and did not determine the effect of his nonexertional impairments on his ability to perform jobs that exist in the national economy.

A severe impairment is an impairment that significantly limits the ability to perform basic work-related functions. McCoy, 683 F.2d at 1142. The AU’s determination that plaintiff does not suffer from a severe impairment is not supported by substantial evidence.

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Bluebook (online)
613 F. Supp. 86, 1985 U.S. Dist. LEXIS 19094, 10 Soc. Serv. Rev. 779, Counsel Stack Legal Research, https://law.counselstack.com/opinion/simms-v-heckler-mowd-1985.