Thomas Graley v. Comm'r of Social Security

646 F. App'x 414
CourtCourt of Appeals for the Sixth Circuit
DecidedApril 21, 2016
Docket15-3907
StatusUnpublished

This text of 646 F. App'x 414 (Thomas Graley v. Comm'r of Social Security) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thomas Graley v. Comm'r of Social Security, 646 F. App'x 414 (6th Cir. 2016).

Opinion

COOK, Circuit Judge.

An Administrative Law Judge (ALJ) found Thomas Albert Graley not disabled and therefore denied his application for disability-insurance benefits and supplemental security income. Unmoved by Graley’s arguments that new and material evidence required remand and that the ALJ’s decision lacked substantial evidence to support it, the district court upheld the ALJ’s denial of benefits. We affirm.

I.

In March 2012, Graley applied for disability-insurance benefits and supplemental security income, alleging disability beginning in October 2011. Following the denial of his application initially and on reconsideration, Graley requested a hearing before an ALJ.

The ALJ applied the Social Security Administration’s familiar five-step test to determine whether Graley was disabled. See 20 C.F.R. §§ 404.1520, 416.920. At step two, the ALJ found that Graley suffered from the following severe impairments: “degenerative disc disease of the cervical spine; obstructive sleep apnea; headaches/migraines; diverticulitis; hypertension; left shoulder degenerative joint disease; anxiety disorder ...; major depressive disorder; and cannabis abuse.” Proceeding to step four, the ALJ concluded that Graley’s residual functional capacity allowed him to perform light work, see 20 C.F.R. §§ 404.1567(b), 416.967(b), with several limitations. In reaching this conclusion, the ALJ found “the claimant’s statements concerning the intensity, persistence and limiting effects of [his] symptoms are not entirely credible].” At step five, the ALJ relied on the testimony of a vocational expert to find that Graley could perform jobs that exist in significant numbers in the national economy so as to render him “not disabled.”

Graley appealed and submitted additional evidence: a new 100%-disability rating issued by the Department of Veterans Affairs (VA) almost six months after the ALJ delivered her decision in this case. The Appeals Council denied Graley’s request for review, making the ALJ’s decision the Commissioner’s final decision. Sims v. Apfel, 530 U.S. 103, 107, 120 S.Ct. 2080, 147 L.Ed.2d 80 (2000).

Graley sued. Adopting a magistrate judge’s report and recommendation, the district court upheld the ALJ?s decision, and later denied Graley’s motion to alter or amend the judgment. Graley appeals.

II.

We review the ALJ’s factual findings for substantial evidence and her legal conclusions de novo. McClanahan v. Comm’r of Soc. Sec., 474 F.3d 830, 833 (6th Cir.2006); see also 42 U.S.C. § 405(g). “Substantial evidence is more than a scintilla of evidence but less than a preponderance and is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” McClanahan, 474 F.3d at 833 (quoting Besaw v. Sec’y of Health & Human Servs., 966 F.2d 1028, 1030 (6th Cir.1992)). We will not reverse merely because substantial evidence supports a different conclusion. Id. (quoting Buxton v. Halter, 246 F.3d 762, 772 (6th Cir.2001)).

On appeal Graley argues: (1) new and material evidence requires this court to remand the case to the ALJ, (2) the ALJ’s credibility finding regarding the intensity and persistence of Graley’s symptoms is not supported by substantial evidence, and (3) the ALJ asked the vocational expert an incomplete hypothetical question.

*416 A.The VA’s New Disability Determination Warrants No Remand

Sentence Six of 42 U.S.C. § 405(g) allows a court to remand a case to the Commissioner to consider new and material evidence when good cause exists for the failure to incorporate the new evidence into the record in a prior proceeding. Graley asserts that the VA’s decision finding him 100% disabled meets this standard. Because Graley fails to demonstrate a “reasonable probability that the [Commissioner] would have reached a different disposition of [his] disability claim if presented” with the VA’s decision, he has not demonstrated materiality. Sizemore v. Sec’y of Health & Human Servs., 865 F.2d 709, 711 (6th Cir.1988) (per curiam).

To begin, “[t]he fact of a subsequent favorable assessment is not itself new and material evidence under § 405(g); only the medical evidence that supported the favorable assessment can establish a claimant’s right to a remand.” Deloge v. Comm’r of Soc. Sec., 540 Fed.Appx. 517, 519 (6th Cir.2013) (per curiam) (citing Allen v. Comm’r of Soc. Sec., 561 F.3d 646, 653 (6th Cir.2009)). Here, the VA notice that Graley submitted to the Appeals Council conveyed the VA’s decision to increase his disability rating to 100%, but cited no medical evidence to back that decision. Graley therefore fails to demonstrate that the VA notice is material evidence.

Graley attempts to evade this conclusion by arguing that “extensive records from the VA medical centers” support the VA’s 100%-disability decision. He cites only the administrative record before the ALJ in this case as support. “But remand under sentence six is not meant to address the ‘correctness of the administrative determination’ made on the evidence already before the initial ALJ.” Allen, 561 F.3d at 653 (quoting Melkonyan v. Sullivan, 501 U.S. 89, 98, 111 S.Ct. 2157, 115 L.Ed.2d 78 (1991)).

Next, Graley contends that because neither the Appeals Council nor the ALJ ever considered his new VA disability rating, his case warrants remand. Yet the Appeals Council did consider the VA disability rating Graley submitted and found that this information provided no basis for changing the ALJ’s decision. (R. 11, Admin. R. (listing the VA decision as Exhibit 9F).)

Graley also posits that our unpublished decision in LaRiccia v. Commissioner of Social Security, 549 Fed.Appx. 377 (6th Cir.2013), compels remand. He contends that LaRiccia requires the ALJ to “review ... and eonsider[ ] ... VA disability rating[s].” True enough. But in LaRiccia we faulted an ALJ for failing properly to consider a VA decision available during initial consideration. 549 Fed.Appx. at 378, 388. Here, the VA’s 100%-disability decision postdates the ALJ’s decision by almost six months.

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Related

Deloge v. Commissioner of Social Security Administration
540 F. App'x 517 (Sixth Circuit, 2013)
Sims v. Apfel
530 U.S. 103 (Supreme Court, 2000)
Allen v. Commissioner of Social Security
561 F.3d 646 (Sixth Circuit, 2009)
Melkonyan v. Sullivan
501 U.S. 89 (Supreme Court, 1991)
Griffeth v. Commissioner of Social Security
217 F. App'x 425 (Sixth Circuit, 2007)
LaRiccia v. Commissioner of Social Security
549 F. App'x 377 (Sixth Circuit, 2013)
Sizemore v. Secretary of Health & Human Services
865 F.2d 709 (Sixth Circuit, 1988)

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Bluebook (online)
646 F. App'x 414, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thomas-graley-v-commr-of-social-security-ca6-2016.