Smith v. Commissioner of Social Security

District Court, W.D. North Carolina·Decided June 25, 2024·No. 1:23-cv-00303·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF NORTH CAROLINA ASHEVILLE DIVISION CIVIL ACTION NO. 1:23-CV-00303-KDB

TERESA B. SMITH,

Plaintiff,

v. ORDER

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

THIS MATTER is before the Court on Plaintiff Teresa B. Smith’s Complaint (Doc. No. 1), Plaintiff’s Opening Brief (Doc. No. 5), Defendant Commissioner’s Brief (Doc. No. 6), and Plaintiff’s Reply Brief (Doc. No. 7). Smith seeks judicial review of an unfavorable administrative decision denying her application for disability benefits under the Social Security Act. The Court has carefully considered this motion, the parties’ briefs, the administrative record, and the applicable legal authority. While the Court affirms the ALJ decision on several disputed issues, the Court finds that it must REMAND this matter for further proceedings to obtain additional information from the consultative examiner brought in to evaluate the Plaintiff. I. LEGAL STANDARD The legal standard for this Court's review of social security benefit determinations is well established. See Shinaberry v. Saul, 952 F.3d 113, 120 (4th Cir. 2020). The Social Security Administration (SSA) provides benefits to individuals who cannot obtain work because of a physical or mental disability. To determine whether an applicant is entitled to benefits, the agency may hold an informal hearing examining (among other things) the kind and number of jobs available for someone with the applicant's disability and other characteristics. The agency's factual findings on that score are ‘conclusive’ in judicial review of the benefits decision so long as they are supported by ‘substantial evidence.’

Biestek v. Berryhill, 139 S. Ct. 1148, 1151-52, 203 L.Ed.2d 504 (2019) (quoting 42 U.S.C. § 405(g)). “Under the substantial-evidence standard, a court looks to an existing administrative record and asks whether it contains sufficient evidence to support the agency's factual determinations.” Id. at 1154 (internal quotation marks and alteration omitted). “[T]he threshold for such evidentiary sufficiency is not high. Substantial evidence ... is more than a mere scintilla.1 It means—and means only—such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Id. (internal quotation marks and citations omitted). Accordingly, this Court does not review a final decision of the Commissioner de novo, Smith v. Schweiker, 795 F.2d 343, 345 (4th Cir. 1986), and must affirm the Social Security Administration's disability determination “when [the] ALJ has applied correct legal standards and the ALJ's factual findings are supported by substantial evidence.” Shinaberry, 952 F.3d at 120 (internal citations omitted); see also Hays v. Sullivan, 907 F.2d 1453, 1456 (4th Cir. 1990); Johnson v. Barnhart, 434 F.3d 650, 653 (4th Cir. 2005) (“Where conflicting evidence allows reasonable minds to differ as to whether a claimant is disabled, the responsibility for that decision falls on the [ALJ].”).

1 As the Fourth Circuit has noted, “[s]tandards are easy to recite, but harder to apply. Part of that difficulty ... lies with confusing terminology like ‘a scintilla of evidence.’ After all, what in the world is a ‘scintilla?’ ... [D]ating back to the nineteenth century, courts have struggled with the ‘distinction between what is a scintilla’ and what is not. Boing v. Raleigh & G.R. Co., 87 N.C. 360 (N.C. 1882) (remarking that the distinction ‘is so narrow that it is often very difficult for a court to decide upon which side of the line’ evidence falls). Recognizing this difficulty, current South Carolina Supreme Court Justice John C. Few once remarked, in jest, that ‘scintilla is Latin for “whatever a judge wants it to mean.”’ ... To overcome the vagaries inherent in the term ‘scintilla,’ courts should not only recite our well-settled standards ... but also actively engage with the [relevant underlying evidence] in analyzing the arguments of the parties.” Sedar v. Reston Town Ctr. Prop., LLC, 988 F.3d 756 (4th Cir. 2021). Thus, this Court may not weigh the evidence again, nor substitute its judgment for that of the Commissioner, assuming the Commissioner's final decision is supported by substantial evidence. See Hays, 907 F.2d at 1456. “In reviewing for substantial evidence” in support of an ALJ's factual findings, “[the reviewing court] do[es] not undertake to reweigh conflicting evidence, make credibility determinations, or substitute [its] judgment for that of the

ALJ.” Hancock v. Astrue, 667 F.3d 470, 472 (4th Cir. 2012) (internal quotation marks and alteration omitted). Rather, “[w]here conflicting evidence allows reasonable minds to differ as to whether a claimant is disabled,” the court defers to the ALJ's decision. Id. (internal quotation marks omitted); Shinaberry, 952 F.3d at 123. This is true even if the reviewing court disagrees with the outcome—so long as there is “substantial evidence” in the record to support the final decision below. Lester v. Schweiker, 683 F.2d 838, 841 (4th Cir. 1982). However, notwithstanding this limited standard of review of the Commissioner's factual determinations, in all cases the Court must always ensure that proper legal standards are being followed. II. FACTS AND PROCEDURAL HISTORY

On July 14, 2016, Smith filed an application for a period of disability and disability insurance benefits, alleging that she had been disabled since April 8, 2016. (AR 24). Her application was denied on its first review and then again upon reconsideration. Id. After conducting two hearings, the Administrative Law Judge (“ALJ”) denied Plaintiff’s application in a decision dated March 28, 2019. (AR 24-33). The Appeals Council denied Smith’s request for review and thus the ALJ’s decision stands as the final decision of the Commissioner. (AR 9). Plaintiff timely sought judicial review of that decision under 42 U.S.C. § 405(g). (Doc. No. 1). 1. The Commissioner’s Decision The ALJ followed the required five-step sequential evaluation process established by the Social Security Administration (“SSA”) to determine whether Smith was disabled under the law during the relevant period.2 At step one, the ALJ determined that Plaintiff had not engaged in substantial activity since April 8, 2016. (AR 26).

At step two, the ALJ determined that Smith had medically determinable impairments that significantly limited her ability to perform basic work activities, specifically “Guillain-Barre syndrome and cervical degenerative disc disease.” (AR 26). The ALJ determined that Smith’s other impairments, including anxiety and depression, were non-severe based on the four broad areas of mental functioning set out in the disability regulations for evaluating mental disorders and in the Listing of Impairments (20 C.F.R., Part 404, Subpart P, Appendix 1). (AR 27-28).

Free access — add to your briefcase to read the full text and ask questions with AI

Smith v. Commissioner of Social Security, (W.D.N.C. 2024).

Smith v. Commissioner of Social Security (Smith v. Commissioner of Social Security) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Bobby Dyer v. Jo Anne B. Barnhart
395 F.3d 1206 (Eleventh Circuit, 2005)
Sullivan v. Finkelstein
496 U.S. 617 (Supreme Court, 1990)
Shalala v. Schaefer
509 U.S. 292 (Supreme Court, 1993)
Brian Reid v. Commissioner of Social Security
769 F.3d 861 (Fourth Circuit, 2014)
Jeffrey Pearson v. Carolyn Colvin
810 F.3d 204 (Fourth Circuit, 2015)
Boing v. Raleigh & Gaston Railroad
87 N.C. 360 (Supreme Court of North Carolina, 1882)
Nikki Thomas v. Nancy Berryhill
916 F.3d 307 (Fourth Circuit, 2019)
Biestek v. Berryhill
587 U.S. 97 (Supreme Court, 2019)
Margaret Shinaberry v. Andrew Saul
952 F.3d 113 (Fourth Circuit, 2020)
Camille Sedar v. Reston Town Center Property
988 F.3d 756 (Fourth Circuit, 2021)
Hancock v. Astrue
667 F.3d 470 (Fourth Circuit, 2012)
Renard Oakes v. Kilolo Kijakazi
70 F.4th 207 (Fourth Circuit, 2023)