Yorio v. Commissioner of Social Security

CourtDistrict Court, W.D. New York
DecidedApril 14, 2022
Docket1:20-cv-00712
StatusUnknown

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

Bluebook
Yorio v. Commissioner of Social Security, (W.D.N.Y. 2022).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK

TANYA Y.,1

Plaintiff,

v. 1:20-CV-712-LJV DECISION & ORDER COMMISSIONER OF SOCIAL SECURITY,

Defendant.

On June 12, 2020, the plaintiff, Tanya Y. (“Tanya”), brought this action under the Social Security Act (“the Act”). She seeks review of the determination by the Commissioner of Social Security (“Commissioner”) that she was not disabled.2 Docket Item 1. On February 2, 2021, Tanya moved for judgment on the pleadings, Docket Item 11; on June 14, 2021, the Commissioner responded and cross-moved for judgment on

1 To protect the privacy interests of Social Security litigants while maintaining public access to judicial records, this Court will identify any non-government party in cases filed under 42 U.S.C. § 405(g) only by first name and last initial. Standing Order, Identification of Non-government Parties in Social Security Opinions (W.D.N.Y. Nov. 18, 2020). 2 Tanya applied for both Social Security Income (“SSI”) and Disability Insurance Benefits (“DIB”). One category of persons eligible for DIB includes any adult with a disability who, based on her quarters of qualifying work, meets the Act’s insured-status requirements. See 42 U.S.C. § 423(c); see also Arnone v. Bowen, 882 F.2d 34, 37-38 (2d Cir. 1989). SSI, on the other hand, is paid to a person with a disability who also demonstrates financial need. 42 U.S.C. § 1382(a). A qualified individual may receive both DIB and SSI, and the Social Security Administration uses the same five-step evaluation process to determine eligibility for both programs. See 20 C.F.R §§ 404.1520(a)(4) (concerning DIB); 416.920(a)(4) (concerning SSI). the pleadings, Docket Item 13; and on July 22, 2021, Tanya replied, Docket Item 14. For the reasons stated below, this Court grants Tanya’s motion in part and denies the Commissioner’s cross-motion.3

STANDARD OF REVIEW “The scope of review of a disability determination . . . involves two levels of inquiry.” Johnson v. Bowen, 817 F.2d 983, 985 (2d Cir. 1987). The court “must first

decide whether [the Commissioner] applied the correct legal principles in making the determination.” Id. This includes ensuring “that the claimant has had a full hearing under the . . . regulations and in accordance with the beneficent purposes of the Social Security Act.” Moran v. Astrue, 569 F.3d 108, 112 (2d Cir. 2009) (alterations omitted) (quoting Cruz v. Sullivan, 912 F.2d 8, 11 (2d Cir. 1990)). Then, the court “decide[s] whether the determination is supported by ‘substantial evidence.’” Johnson, 817 F.2d at 985 (quoting 42 U.S.C. § 405(g)). “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.” Richardson v. Perales, 402 U.S. 389, 401 (1971)

(quoting Consol. Edison Co. v. NLRB, 305 U.S. 197, 229 (1938)). “Where there is a reasonable basis for doubt whether the ALJ applied correct legal principles, application of the substantial evidence standard to uphold a finding of no disability creates an unacceptable risk that a claimant will be deprived of the right to have her disability

3 This Court assumes familiarity with the underlying facts, the procedural history, and the decision of the Administrative Law Judge (“ALJ”) and will refer only to the facts necessary to explain its decision. determination made according to the correct legal principles.” Johnson, 817 F.2d at 986.

DISCUSSION Tanya argues that the ALJ erred in two ways. Docket Item 11-1. First, she argues that the ALJ did not adequately evaluate treating source opinion evidence in formulating her mental residual functional capacity (“RFC”).4 Docket Item 11-1 at 15,

18. Second, she alleges that the ALJ did not adequately evaluate non-acceptable medical source evidence in formulating her physical RFC. Id. at 20. This Court agrees that the ALJ erred and, because that error was to Tanya’s prejudice, remands the matter to the Commissioner. “Under the Commissioner’s own rules, if the ALJ’s ‘RFC assessment conflicts with an opinion from a medical source, the [ALJ] must explain why the opinion was not adopted.’” Dioguardi v. Comm’r of Soc. Sec., 445 F. Supp. 2d 288, 297 (W.D.N.Y. 2006) (quoting SSR 96-8p, 1996 WL 374184, at *7). An “ALJ is not obligated to ‘reconcile explicitly every conflicting shred of medical testimony,’” id. (quoting Gecevic v.

Sec’y of Health & Human Servs., 882 F. Supp. 278, 286 (E.D.N.Y. 1995)), and “[t]here is no absolute bar to crediting only portions of medical source opinions,” Younes v. Colvin, 2015 WL 1524417, at *8 (N.D.N.Y. Apr. 2, 2015). But when an ALJ “chooses to adopt only portions of a medical opinion[, the ALJ] must explain . . . [his] decision to

4 A claimant’s RFC “is the most [she] can still do despite [her] limitations,” 20 C.F.R. § 416.945, “in an ordinary work setting on a regular and continuing basis,” see Melville v. Apfel, 198 F.3d 45, 52 (2d Cir. 1999) (quoting SSR 96-8P, 1996 WL 374184, at *2 (July 2, 1996)). “A ‘regular and continuing basis’ means 8 hours a day, for 5 days a week, or an equivalent work schedule.” Id. reject the remaining portions.” Raymer v. Colvin, 2015 WL 5032669, at *5 (W.D.N.Y. Aug. 25, 2015) (citing Younes, 2015 WL 1524417, at *8). Moreover, an ALJ must provide “a distinct analysis that would permit adequate review on appeal,” Aung Winn v. Colvin, 541 F. App’x. 67, 70 (2d Cir. 2013), and each of the ALJ’s conclusions must be supported by relevant medical evidence, see Talavera

v. Astrue, 697 F.3d 145, 151 (2d Cir. 2012). “[T]he ALJ cannot arbitrarily substitute his own judgment for competent medical opinion.” McBrayer v. Sec’y. of Health and Human Servs., 712 F.2d 795, 799 (2d Cir. 1983); see also Fuller v. Astrue, 2010 WL 3516935, at *5 (W.D.N.Y. Sep. 7, 2010) (“[A]n ALJ is not free to substitute his own lay opinion for opinions from treating sources.”). When an ALJ does “not connect the record evidence and RFC findings” or otherwise “explain how the record evidence supported his RFC findings,” the decision leaves the court “with many unanswered questions and does not afford an adequate basis for meaningful judicial review.” Gorny v. Comm’r of Soc. Sec., 2018 WL 5489573, at *4 (W.D.N.Y. Oct. 29, 2018).

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Related

Burgess v. Astrue
537 F.3d 117 (Second Circuit, 2008)
Richardson v. Perales
402 U.S. 389 (Supreme Court, 1971)
Watkins v. Barnhart
350 F.3d 1297 (Tenth Circuit, 2003)
Johnson v. Bowen
817 F.2d 983 (Second Circuit, 1987)
James Young v. Jo Anne B. Barnhart
362 F.3d 995 (Seventh Circuit, 2004)
Talavera v. Comm’r of Social Security
697 F.3d 145 (Second Circuit, 2012)
Moran v. Astrue
569 F.3d 108 (Second Circuit, 2009)
Craft v. Astrue
539 F.3d 668 (Seventh Circuit, 2008)
Gecevic v. Secretary of Health and Human Services
882 F. Supp. 278 (E.D. New York, 1995)
Dioguardi v. Commissioner of Social Security
445 F. Supp. 2d 288 (W.D. New York, 2006)
Karen Garrison v. Carolyn W. Colvin
759 F.3d 995 (Ninth Circuit, 2014)
Estrella v. Berryhill
925 F.3d 90 (Second Circuit, 2019)

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Yorio v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/yorio-v-commissioner-of-social-security-nywd-2022.