Simon v. Commissioner of Social Security

CourtDistrict Court, District of Columbia
DecidedDecember 17, 2021
DocketCivil Action No. 2017-2033
StatusPublished

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

Bluebook
Simon v. Commissioner of Social Security, (D.D.C. 2021).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA ____________________________________ ) KISHA SIMON, ) ) Plaintiff, ) ) v. ) Civil Action No. 17-2033 (RBW) ) COMMISSIONER OF SOCIAL ) SECURITY, ) ) Defendant. ) )

MEMORANDUM OPINION

The plaintiff, Kisha Simon, brings this civil action pursuant to 42 U.S.C. §§ 405(g)

and 1383(c), against the defendant, the Commissioner of Social Security, seeking judicial review

of the decision by an administrative law judge (“ALJ”) denying her application for disability

insurance benefits and supplemental social security income. See Complaint (“Compl.”) ¶¶ 1–2.

Currently pending before the Court are the plaintiff’s motion for judgment of reversal, see

Motion for Judgment of Reversal (“Pl.’s Mot.”), ECF No. 11, and the defendant’s motion for

judgment of affirmance, see Defendant’s Motion for Judgment of Affirmance and in Opposition

to Plaintiff’s Motion for Judgment of Reversal (“Def.’s Mot.”), ECF No. 12. Upon careful

consideration of the parties’ submissions, 1 the Court concludes for the following reasons that it

must grant the plaintiff’s motion, deny the defendant’s motion, reverse the ALJ’s decision, and

remand the case to the agency for further proceedings.

1 In addition to the filings already identified, the Court considered the following submissions in rendering its decision: (1) the Memorandum of Points and Authorities in Support of Plaintiff’s Motion for Judgment of Reversal (“Pl.’s Mem.”), ECF No. 11-1; (2) the Defendant’s Memorandum in Support of Her Motion for Judgment of Affirmance and in Opposition to Plaintiff’s Motion for Judgment of Reversal (“Def.’s Mem.”), ECF No. 13; (3) the Plaintiff’s Response to Motion for Judgment of Affirmance and Reply to Motion for Judgment of Reversal (“Pl.’s Reply”), ECF No. 14; and (4) the administrative record (“App.”), ECF Nos. 9-1 to 9-12. I. BACKGROUND

A. Statutory and Regulatory Framework

Pursuant to the Social Security Act (the “Act”), an individual is entitled to disability

benefits if 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 [twelve] months[.]

42 U.S.C. § 423(d)(1)(A). To determine whether a claimant is entitled to benefits, an ALJ

“gathers evidence, holds a hearing, [and] takes testimony,” which may include testimony by a

vocational expert. Kim M. v. Kijakazi, Civil Action No. 20-cv-2072 (GMH), 2021 WL 4033060

(D.D.C. Sept. 3, 2021). The ALJ then “performs [a] five-step, sequential inquiry of the

[claimant’s] disability claim[,]” as set forth in 20 C.F.R. § 404.1520. Id.

First, the claimant must show that [he or] she is not presently engaged in “substantial gainful activity.” 20 C.F.R. § 416.920(a)(4)(i). Second, [he or] she must demonstrate that [he or] she has a “severe impairment” that “significantly limits [his or her] physical or mental ability to do basic work activities.” 20 C.F.R. §§ 416.920(a)(4)(ii), 416.920(c). Third, the claimant must show that [his or] her impairments or combination of impairments “meets or equals” one of the listings at 20 C.F.R. Part 404, Subpart P, Appendix 1. See 20 C.F.R. § 416.920(a)(4)(iii). If they do, then the claimant is deemed disabled, and the inquiry ends. Id. If not, the ALJ must proceed to the fourth step, which requires the ALJ to determine the claimant's residual functional capacity and consider whether, in light of that capacity, the claimant can still perform work that [he or] she has done within the past [fifteen] years (if the claimant has indeed done such work). See 20 C.F.R. §§ 416.920(a)(4)(iv), 416.960(b)(1). Fifth, if the claimant's capacity indicates that [he or] she cannot engage in past work, then the burden shifts to the [agency] to prove that the claimant's capacity, age, education, and past work experience indicate that [he or] she is able to perform “other work” that exists in the national economy. 20 C.F.R. § 416.920(a)(4)(v); Butler, 353 F.3d at 997.

Mitchell v. Kijakazi, No. 19-cv-2560 (DLF), 2021 WL 5310541, at *2 (D.D.C. Nov. 15, 2021).

“Through the first four steps of this inquiry, the claimant bears the burden of proof[,]” however,

2 at step five, “the burden shifts to the [agency] to identify specific jobs sufficiently available in

the national economy that the claimant can perform.” Callahan v. Astrue, 786 F. Supp. 2d 87, 89

(D.D.C. 2011).

B. The Plaintiff’s Disability Claims and Procedural History

This case concerns two applications filed by the plaintiff: (1) an application under Title II

and Part A of Title XVIII for a period of disability and disability insurance benefits, filed on

August 16, 2013, see App. at 212–15, and (2) an application under Title XVI and Title XIX for

supplemental security income, filed on September 24, 2013, see id. at 216–24. Both applications

alleged that the plaintiff became disabled as of September 1, 2009. See id. at 212, 216.

The plaintiff’s applications were initially denied by the defendant on January 29, 2014.

See id. at 137–43 (notifying the plaintiff of the denial of her applications). On February 5, 2014,

the plaintiff requested reconsideration of the defendant’s decision, see id. at 148, and on

February 24, 2014, the defendant determined that “the previous determination denying [the

plaintiff’s] claim[s] was proper under the law[,]” id. at 158; see id. at 149–60 (notifying the

plaintiff of the agency’s determination that its previous denials were proper).

On April 8, 2014, the plaintiff submitted a “request for [a] hearing by” an ALJ. Id.

at 161. In support of her applications, the plaintiff submitted to the ALJ the medical

documentation that had been previously considered by the agency, as well as additional

documentation that post-dated the agency’s determinations. 2

2 This information is compiled in the administrative record submitted in this case. See App. at 252–60 (function report dated September 27, 2013, completed by the plaintiff); id. at 261–71 (third-party function report dated September 27, 2013, completed by Sequitta Tolliver, the plaintiff’s friend); id. at 313–22 (treatment records dated July 28, 2006, to August 18, 2006, from Dr. Alfred C. Burris); id. at 323–427 (Charter Family Health Center PC hospital records dated March 30, 2001, to September 25, 2006); id. at 428–41 (disability consultation records dated November 17, 2006, from Dr. Elliot Aleskow); id. at 442–51 (Fort Washington Medical Center emergency department records dated August 31, 2009); id.

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Butler, Joan S. v. Barnhart, Jo Anne B.
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Callahan v. Astrue
786 F. Supp. 2d 87 (District of Columbia, 2011)
Lane-Rauth v. Barnhart
437 F. Supp. 2d 63 (District of Columbia, 2006)
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Simon v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/simon-v-commissioner-of-social-security-dcd-2021.