William D. Allen v. Joanne B. Barnhart, Commissioner of Social Security

417 F.3d 396, 2005 U.S. App. LEXIS 16471, 2005 WL 1864095
CourtCourt of Appeals for the Third Circuit
DecidedAugust 8, 2005
Docket04-2163
StatusPublished
Cited by63 cases

This text of 417 F.3d 396 (William D. Allen v. Joanne B. Barnhart, Commissioner of Social Security) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
William D. Allen v. Joanne B. Barnhart, Commissioner of Social Security, 417 F.3d 396, 2005 U.S. App. LEXIS 16471, 2005 WL 1864095 (3d Cir. 2005).

Opinion

OPINION OF THE COURT

RENDELL, Circuit Judge.

William Allen complains of the determination of the Social Security Administration (“Agency”) that Allen is capable of substantial gainful employment. Allen was awarded social security benefits in 1994 based on his manic-depressive disorder, and schizoid condition. These benefits were discontinued in 1998 based on the Agency’s determination that Allen’s condition had improved. Allen appealed this decision and the Appeals Council remanded the decision, specifically requiring, among other things, that “if warranted by the expanded record” the Administrative Law Judge (“ALJ”) “obtain evidence from a vocational expert to clarify the effect of the assessed limitations on the claimant’s occupational base...” Allen urges that the ruling of the ALJ on remand denying his continued benefits was not supported by substantial evidence because the ALJ relied on the medical-vocational grids notwithstanding the fact that the impairment from which he suffers was not exertional. Allen urges that the Commissioner was required to come forward with testimony from a vocational expert regarding the occupational base in light of the nature of Allen’s limitations.

The District Court affirmed the determination of the Agency that Allen’s condition had improved, reasoning that “.. .because *398 the findings and opinions of Plaintiffs treating, examining and non-examining sources confirm that Plaintiffs condition improved to where he could perform substantial gainful activity, Plaintiff failed to show that his medical impairment resulted in functional limitations that precluded all successful gainful activity.” The District Court also held that reliance on the grids, as well as on Social Security Rulings, was sufficient in order for the Commissioner to satisfy its burden of proof and the ALJ had discretion whether or not to call a vocational expert. While we agree generally with the District Court’s ruling that the Commissioner can satisfy his burden in this manner, we disagree with the way in which the ALJ applied the Social Security Ruling at issue here, and we will reverse the District Court’s Order and remand for it to refer the matter to the Agency for further findings. 1

We review the Agency’s factual findings only to determine whether the administrative record contains substantial evidence supporting the findings. See 42 U.S.C. § 405(g); Sykes v. Apfel, 228 F.3d 259, 262 (3d Cir.2000). We exercise plenary review over all legal issues. See Id.

BACKGROUND

Allen’s grant of benefits came up for periodic continuing disability review in October 1997, pursuant to Sections 216(i) and 223 of the Social Security Act, 42 U.S.C. §§ 416(i) and 423, at which time the issues were whether his medical condition had improved, and whether he had the ability to obtain gainful employment. See 20 C.F.R. § 416.994 (2005).

When benefits were originally awarded to him in 1994, Allen had completed a Functional Assessment Questionnaire, in which he indicated that he lived with his mother, needed help taking care of his personal needs, and did not prepare his own meals. He indicated that on some days he did not get out of bed. His mother did the shopping, and he barely left the house. He stated, “I think Pm God, so I waste money.” Further, with respect to his interests and recreational activities, he noted that all he did was to “sleep and fantasize,” and that he didn’t visit others because “I don’t trust humans.” Asked to elaborate on his medical condition, he wrote: “Sometimes I think the world is coming to an end, that I’m God, that I’m the devil and that I’m the richest man in the world. I also think the TV is talking to me.”

At that time, Dr. Edward Tabbanor opined that Allen had a 15-year history of emotional difficulties, and that although he was on medication and “is pleased with his present adjustment ... he is functioning marginally and is involved in no organized activities. He should be encouraged to seek the services of vocational rehabilitation.” Dr. Tabbanor concluded that Allen was “not a good candidate” for gainful employment.

The Agency terminated Allen’s benefits in January 1998, based on its own determination that, as of November 1997, he had the ability to engage in substantial gainful employment. Reconsideration of the denial was denied, but Allen then requested a hearing before an ALJ, which was held in May 1999, at which he appeared and testified.

The ALJ considered the applicable standard, namely, that he needed to determine whether there had been a decrease in the *399 medical severity based on changes in symptoms, signs, and/or laboratory findings manifested by the impairment, noting that the medical improvement must be related to ability to work. If there was a medical improvement and an increase in the individual’s functional capacity to do basic work activities, the ALJ noted, he would determine that medical improvement related to the ability to do work has occurred. 20 C.F.R. § 1594(b)(3).

The ALJ cited extensive improvement in Allen’s condition, giving appropriate details as to specific areas of improvement, and describing the 1997 findings of two physicians, Edward Tabbanor and Luis Zeiguer. The ALJ concluded, in summary fashion, that based on the evidence, “the claimant has the residual functional capacity to perform substantial gainful activity, including his past relevant work as a salesperson.” The ALJ then concluded that the benefits had been correctly terminated.

On appeal, the Appeals Council took the ALJ to task for failing to include (1) an evaluation of the severity of Allen’s mental impairment or effects pursuant to 20 C.F.R. § 404.1520(a); (2) an evaluation of the credibility of Allen’s subjective complaints as required by Social Security Ruling 96-7(p) and 20 C.F.R. § 404.1529; and (3) an indication of Allen’s exertional or nonexertional limitations. The Appeals Council stated that it was unable to determine “how the decision has been reached that the claimant retains the residual functional capacity to perform his past relevant work.”

The Appeals Council then remanded Allen’s ease to the ALJ, instructing the ALJ to further evaluate the claimant’s subjective complaints, evaluate his mental impairment in accordance with the technique described in 20 C.F.R. § 404

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Bluebook (online)
417 F.3d 396, 2005 U.S. App. LEXIS 16471, 2005 WL 1864095, Counsel Stack Legal Research, https://law.counselstack.com/opinion/william-d-allen-v-joanne-b-barnhart-commissioner-of-social-security-ca3-2005.