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noting that some courts have found this compliance issue to be outside the scope of reviewing authority in Section 405(g) of the Act
Summary of this case from Cooper v. O'MalleyOpinion
Civil Action 21-1730 (JMV)
01-06-2022
Not For Publication
OPINION
John Michael Vazquez, U.S.D.J.
Before the Court is Plaintiff Yoram Mor's appeal of Administrative Law Judge Kenneth Ayers' (the “ALJ”) decision denying Plaintiff's application for disability insurance benefits (“DIB”) benefits under Title II the Social Security Act (the “Act”), 42 U.S.C. §§ 1381 et. seq. The Court has subject-matter jurisdiction pursuant to 42 U.S.C. § 405(g). The Court reviewed the administrative record, D.E. 5 (“R.”); Plaintiff's Brief, D.E. 10 (“Br.”); Defendant's Opposition, D.E. 14 (“Opp.”); Plaintiff's Supplemental Brief, D.E. 19 (“Supp. Br.”); and Defendant's Supplemental Opposition, D.E. 20 (“Supp. Opp.”). The Court also heard oral argument. For the reasons set forth below, the Court AFFIRMS the Commissioner's decision.
I. FACTUAL AND PROCEDURAL BACKGROUND
Because the Court writes primarily for the benefit of the parties, only the essential facts are recounted here. On August 5, 2014, Plaintiff filed for DIB, alleging an onset date of June 6, 2013. R. at 97, 110. Plaintiff's date of last insured was December 31, 2016, id., leaving the relevant timeframe from June 6, 2013 to December 31, 2016. Following state agency denial, Plaintiff had a hearing before the ALJ on May 24, 2017, during which a vocational expert testified. Id. at 66-96. Plaintiff was also represented by counsel. Id. On August 25, 2017, the ALJ found that Plaintiff was not disabled.
On February 20, 2019, the Appeals Council vacated the ALJ's decision. Id. at 145-46. Among other things, the Appeals Council found that the ALJ had not addressed an apparent contradiction in his opinion. Id. at 145. The ALJ had accorded “great weight” to a report from Yair Litvin, M.D., but the doctor had also opined that Plaintiff could sit less than six hours a day. Id. On remand, the Appeals Council ordered the ALJ to do the following:
Obtain additional evidence concerning the claimant's impairments in order to complete the administrative record in accordance with the regulatory standards regarding consultative examination and existing medical evidence (20 CFR 404.1512). The additional evidence may include, if warranted and available, consultative examinations and medical source opinions about what the claimant can still do despite the impairments.Id. at 146. The Appeals Council further ordered the ALJ to evaluate Plaintiff's mental impairments “in accordance with the special technique described in 20 CFR [§] 404.1520a” and to give additional consideration to Plaintiff's maximum residual function capacity in accordance with certain regulations and rulings. Id.
On remand, the ALJ held another hearing on August 19, 2019; a vocational expert testified, and Plaintiff was represented by counsel. Id. at 32-64. On October 14, 2019, the ALJ again found that Plaintiff was not disabled. Id. at 14-24. In seeking review from the Appeals Council, Plaintiff asserted (among other things) that the ALJ had not followed the remand order. Id. at 287. The Appeals Council denied review on December 18, 2020. Id. at 1-6.
Plaintiff filed the instant appeal on February 2, 2021. D.E. 1
II. LEGAL STANDARD
A. Standard of Review
The Court applies plenary review of the ALJ's application of the law and reviews factual findings for “substantial evidence.” See 42 U.S.C. § 405(g); Chandler v. Comm'r of Soc. Sec, 667 F.3d 356, 359 (3d Cir. 2011). Substantial evidence “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). Although substantial evidence requires “more than a mere scintilla, it need not rise to the level of a preponderance.” McCrea v. Comm'r of Soc. Sec, 370 F.3d 357, 360 (3d Cir. 2004). While failure to meet the substantial evidence standard normally warrants remand, such error is harmless where it “would have had no effect on the ALJ's decision.” Perkins v. Barnhart, 79 Fed.Appx. 512, 515 (3d Cir. 2003).
The Court is bound by the ALJ's findings of fact that are supported by substantial evidence “even if [it] would have decided the factual inquiry differently.” Hartranft v. Apfel, 181 F.3d 358, 360 (3d Cir. 1999). “Where evidence in the record is susceptible to more than one rational interpretation, [the Court] must accept the Commissioner's conclusions.” Izzo v. Comm'r of Soc Sec, 186 Fed.Appx. 280, 283 (3d Cir. 2006). Thus, the Court is limited in its review because it cannot “weigh the evidence or substitute its conclusions for those of the fact-finder.” Williams v. Sullivan, 970 F.2d 1178, 1182 (3d Cir. 1992).
Regarding the ALJ's assessment of the record, the Third Circuit has stated that “[although the ALJ may weigh the credibility of the evidence, he must give some indication of the evidence which he rejects and his reason(s) for discounting such evidence.” Burnett v. Comm'r Soc Sec, 220 F.3d 112, 121 (3d Cir. 2000). The Third Circuit has noted, however, that “Burnett does not require the ALJ to use particular language or adhere to a particular format in conducting his analysis. Rather, the function of Burnett is to ensure that there is sufficient development of the record and explanation of findings to permit meaningful review.” Jones v. Barnhart, 364 F.3d 501, 505 (3d Cir. 2004).
B. Determining Social Security Benefits
To qualify for DIB, a claimant must establish that he is “disabled.” 42 U.S.C. § 1381. “Under the Social Security Act, a disability is established where the claimant demonstrates that there is some medically determinable basis for an impairment that prevents [her] from engaging in any substantial gainful activity for a statutory twelve-month period.” Fargnoli v. Halter, 247 F.3d 34, 38-39 (3d Cir.2001) (internal citations and quotations omitted). A claimant is disabled only if his physical or mental impairments are “of such severity that he is not only unable to do his previous work but cannot, considering his age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy[.]” 42 U.S.C. § 423(d)(2)(A). A physical or mental impairment is an “impairment that results from anatomical, physiological, or psychological abnormalities which are demonstrable by medically acceptable clinical and laboratory diagnostic techniques.” 42. U.S.C. § 423(d)(3).
The Secretary of Health and Human Services has established a five-step sequential evaluation process to determine whether a plaintiff is disabled. See 20 C.F.R. § 416.920. If the determination at a particular step is dispositive of whether a claimant is or is not disabled, the inquiry ends. 20 C.F.R. § 416.920(a)(4). The burden rests on the plaintiff to prove steps one through four. See Bowen v. Yuckert, 482 U.S. 137, 146 n.5 (1987). At step five, the burden shifts to the government. Id.
At step one, a claimant must demonstrate that he has not engaged in any substantial gainful activity since the onset date of his disability. 20 C.F.R. §§ 404.1520(a)(4)(i) & 416.920(a)(4)(i).
Substantial gainful activity is defined as significant physical or mental activities that are usually done for pay or profit. 20 C.F.R. §§ 404.1572(a) & 416.972(a), (b). If an individual engages in substantial gainful activity, he is not disabled under the regulation regardless of the severity of his impairment or other factors such as age, education, and work experience. 20 C.F.R. §§ 404.1520(b) & 416.920(b). If the claimant demonstrates that he has not engaged in substantial gainful activity, the analysis proceeds to step two.
At step two, a claimant must demonstrate that his medically determinable impairment or the combination of his impairments is “severe.” 20 C.F.R. §§ 404.1520(a)(4)(ii) & 416.920(a)(4)(ii). A “severe” impairment significantly limits a claimant's physical or mental ability to perform basic work activities. 20 C.F.R. §§ 404.1520(c) & 416.920(c). An impairment or combination of impairments do not satisfy this threshold if medical and other evidence only establishes slight abnormalities which have no more than a minimal effect on an individual's ability to work. See Newell v. Comm'r of Soc. Sec., 347 F.3d 541, 546 (3d Cir. 2003).
At step three, the ALJ must assess the medical evidence and determine whether the claimant's severe impairment(s) (alone or in combination) meet or equal an impairment listed in the Social Security Regulations' “Listings of Impairments” in 20 C.F.R. § 404, Subpart P, Appendix 1 (“Listing”). See 20 C.F.R. §§ 404.1520(a)(4)(iii) & 416.920(a)(4)(iii).
If a plaintiff is not found to be disabled at step three, the analysis continues to step four. Before reaching step four, the ALJ must first determine a claimant's residual functional capacity (“RFC”). A claimant's RFC is the most that a plaintiff can do despite his limitations; all relevant evidence is considered. 20 C.F.R. § 416.945(a). At step four, the ALJ determines whether the claimant's RFC permits him to perform his past relevant work. 20 C.F.R. §§ 404.1520(a)(4)(iv) & 416.920(a)(4)(iv). If the claimant lacks the RFC to perform any work he had done in the past, the analysis proceeds.
In the final step, the burden shifts to the Commissioner to produce evidence demonstrating that there is a significant amount of other work in the national economy that the claimant can perform based on his age, education, work experience, and RFC. 20 C.F.R. §§ 404.1520(a)(4)(v) & 416.920(a)(4)(v).
III. DISCUSSION
Plaintiff argues five issues on appeal: (1) the removal statute that governs the Commissioner violates the Constitution; (2) the ALJ failed to comply with the Appeal Council's remand order; (3) the ALJ erred at step three; (4) the ALJ failed to properly consider Plaintiffs chronic pain syndrome; and (5) the ALJ failed to articulate proper support for the RFC. Br. at 15-32. The Court addresses each in turn.
A. Constitutionality of the Commissioner's Removal
Plaintiff first argues that the removal statute as to the Commissioner is unconstitutional. Br. at 15. As a result, Plaintiff concludes, the Commissioner lacked the power to delegate authority to the ALJ, so the ALJ's decision must be vacated. Id. at 16. Defendant does not contest the unconstitutionality of the relevant statute but argues that Plaintiff has not shown the required nexus to his case, along with making other arguments. Opp. at 9-20.
To be clear, Plaintiff does not attack the constitutionality of the Commissioner's appointment but instead assails the legality of the Commissioner's statutory removal protections. The Commissioner of Social Security is appointed pursuant to 42 U.S.C. § 902. That statute provides in relevant part as follows: “The Commissioner shall be appointed for a term of 6 years . . . . An individual serving in the office of Commissioner may be removed from office only pursuant to a finding by the President of neglect of duty or malfeasance in office.” 42 U.S.C. § 902(a)(3). The highlighted language, which only permits the President to remove a commissioner for cause, is at the heart of Plaintiff's argument.
The Supreme Court recently addresses a similar statutory provision in Collins v. Yellen, --U.S. --, 141 S.Ct. 1761 (2021). Collins concerned the Federal Housing Finance Agency (“FHFA”), which was led by single Director. Id. at 1770. While the Director was appointed by the President, the President could only remove the Director for cause. Id. at 1770, 1771 (citing 12 U.S.C. §§ 4512(a), (b)(2)). In comparison, the Court found, an Acting Director could be removed without a good cause showing. Id. at 1782-83.
The Collins Court concluded that the “for cause” requirement was unconstitutional because it violated the separation of powers. Id. 1783. Indeed, the Court in Collins observed that its conclusion was essentially compelled by its prior decision in Seila Law in which the Court ruled that Congress could not limit the President's power to remove the Director of the Consumer Financial Protection Bureau to occurrences of “‘inefficiency, neglect, or malfeasance.'” Id. (quoting Selia Law LLC v. CFPB, 591 U.S. --, 140 S.Ct. 2183, 2197 (2020)). The Collins Court reasoned that “the Constitution prohibits even ‘modest restrictions' on the President's power to remove the head of an agency with a single top officer.” Id. at 1787 (quoting Selia Law LLC, 140 S.Ct. at 2205).
The Court in Collins next turned the appropriate relief that could be accorded for the constitutional violation. Id. Because an Acting Director could be removed at will, the Court noted, any action taken by an Acting Director would not violate the constitution. Id. As to the Director, the Court made an important distinction between appointment and removal:
All the officers who headed the FHFA during the time in question were properly appointed. Although the statute unconstitutionally
limited the President's authority to remove the confirmed Directors, there was no constitutional defect in the statutorily prescribed method of appointment to that office. As a result, there is no reason to regard any of the actions taken by the FHFA in relation to the [relevant contractual] amendment as void.Id. (emphasis in original). The Collins Court concluded that the unconstitutional provision could nevertheless potentially inflict compensable harm. The Court provided two examples:
Suppose, for example, that the President had attempted to remove a Director but was prevented from doing so by a lower court decision holding that he did not have “cause” for removal. Or suppose that the President had made a public statement expressing displeasure with actions taken by a Director and had asserted that he would remove the Director if the statute did not stand in the way. In those situations, the statutory provision would clearly cause harm.Id. at 1788. The Supreme Court remanded the matter to rule on this issue in the first instance. Id.
In a concurring opinion, Justices Thomas “seriously doubted” that the plaintiffs “could show that any relevant action by an FHFA Director violated the Constitution.” Id. at 1795 (Thomas, J., concurring). Justice Thomas explained that it was not enough for the plaintiffs to show that a statute was unlawful, they must also demonstrate that unlawful action was taken. Id. at 1790. Justice Kagan similarly concurred, agreeing that “plaintiffs alleging a removal violation are entitled to injunctive relief-a rewinding of agency action-only when the President's inability to fire an agency head affected the complained-of decision[.]” Id. at 1801 (Kagan, J., concurring).
In short, the plurality opinion along with the concurrences of Justices Thomas and Kagan reflect that there must be an adequate nexus between the unconstitutional provision and the action at issue. As noted, there is no issue as to the legality of a Commissioner's appointment so, like Collins, the Court focuses on the removal provision in 42 U.S.C. § 902(a)(3). Defendant does not argue that the statute is constitutional. Pursuant to Collins and Selia Law, Section 902(a)(3) unconstitutionally impinges on the President's authority to remove the Commissioner. Thus, the only issue for the Court to decide is whether Plaintiff has adequately demonstrated the necessary nexus between Section 902(a)(3) and the ALJ's decision.
Defendant argues an Acting Commissioner ratified the appointment of the ALJ in this matter, and the Acting Commissioner could have been terminated at will by the President. Opp. at 9. Plaintiff does not contest this point. Thus, there is no issue as to the constitutionality of the ALJ's appointment. The ALJ's operative decision was issued on October 14, 2019. Plaintiff fails to point to any connection between the Commissioner's removal under Section 902(a)(3) and the ALJ's decision (or any other action in this case). As a result, the requisite nexus is not met, and the Court denies Plaintiffs appeal on this ground.
B. Failure to Comply with the Remand Order
Plaintiff next argues that the ALJ failed to comply with the Appeals Council's remand order. Br. at 18. Specifically, Plaintiff asserts that the ALJ failed to address the contradiction in the weight afforded to Dr. Litvin's opinion, failed to refer to evidence contradicting Plaintiffs third-party statement, and failed to sufficiently assess different mental impairments. Id. The Commissioner responds that the ALJ did follow the remand order. Opp. at 29-31.
The Court asked for supplemental briefing as to its authority to consider the issue on appeal. The Court focused on the fact that the Appeals Council was in the best position to determine whether its remand order had been complied with, and here, the Appeals Council did not remand the matter again following the ALJ's second decision. Plaintiff concedes that district courts in this circuit have found that a district court does not have such authority. Supp. Br. at 1 n.1 (citations omitted). Plaintiff nevertheless contends that the Court has authority to review a legal error, and an ALJ's failure to follows 20 C.F.R. § 404.977(b) constitutes such error. Id. at 2. The Commissioner reiterates that the ALJ did follow the remand order and, to the extent the ALJ did not, any error was harmless. Supp. Opp. at 1-3.
Under 20 C.F.R. § 404.977(b), an “administrative law judge shall take any action that is ordered by the Appeals Council and may take any additional action that is not inconsistent with the Appeals Council's remand order.” Plaintiff is correct that certain courts in this Circuit have found that a district judge lacks authority to determine whether an ALJ has complied with a remand order. As articulated by the court in Kissell v. Berryhill, No. 17-cv-02203, 2018 WL 4207746, at *5-6 (M.D. Pa. Sep. 4, 2018):
Section 405(g) of the Social Security Act limits judicial review to a particular type of agency action, a “final decision of the Secretary made after a hearing.” Califano v. Sanders, 430 U.S. 99, 108 (1977) (cited in the Government's brief at 6). Numerous courts in our circuit have relied upon this principle to hold that district courts lack the authority to consider whether an ALJ complied with a remand order of the Appeals Council. See, e.g., Ford v. Colvin, 2015 WL 4608136 (D. Del. July 31, 2015); Pearson v. Colvin, 2015 WL 9581749 (D.N.J. December 30, 2015); Scott v. Astrue, 2007 WL 1725252 (E.D. Pa. June 12, 2007). “The appropriate focus for review is upon the ALJ's final decision, not the prior Appeals Council remand order.” Pearson, supra at *4.
Plaintiff cites no legal authority to contradict the preceding authorities in her brief. Accordingly, we must reject Plaintiff's assignment of error regarding the ALJ's alleged failure to comply with the Appeals Council's remand order of December 21, 2015.
The Court finds the reasoning of the Kissell court to be persuasive. However, Plaintiff also correctly notes that other district courts have found that an ALJ commits “legal error” if the ALJ fails to take an action ordered by the Appeals Council or takes action inconsistent with a remand order. See, e.g., David Allen S. v. Saul, No. 19-cv-00376, 2021 WL 907103, at *5 (E.D. Wash. Mar. 9, 2021) (citations omitted). The Court's concern with the potential reach of such a conclusion is that if a court otherwise finds an ALJ's decision to be supported by substantial evidence, a remand based on such legal error would constitute an exercise in futility. Nevertheless, to the extent the legal error standard applies, the Court finds that any arguable error by the ALJ in this matter was harmless. Here, the ALJ addressed a key concern articulated by the Appeals Council, that is, the ALJ had not addressed an apparent contradiction in his opinion. R. at 145. The ALJ had accorded “great weight” to a report from Yair Litvin, M.D., but the doctor had also opined that Plaintiff could sit less than six hours a day. Id. On remand, the ALJ gave Dr. Litvin's opinion partial weight because the sitting limitations were contradicted by other medical evidence and Plaintiffs daily functioning. Id. at 21-22.
C. Plaintiffs Remaining Arguments
As noted, Plaintiff makes three additional arguments: the ALJ erred at step three; the ALJ failed to properly consider Plaintiffs chronic pain syndrome; and the ALJ failed to articulate proper support for the RFC.
As to step three, Plaintiff asserts that the ALJ did not conduct an adequate analysis of Listing 1.04 and failed to consider medical equivalency. Br. at 24. The ALJ found that Listing 1.04 was not met because there was “no evidence of nerve root compression with the required characterizations, spinal arachnoiditis or lumbar spinal stenosis with pseudoclaudication that results in inability to ambulate effectively.” R. at 18. Plaintiff states in conclusory fashion, without citation to the record, that he meets this listing. Br. at 26. The Court's independent review of the record does not reveal evidence that reflects that listing was met. As to medical equivalency, Plaintiff claims that “the multiple extensive surgeries required and the failure of all treatment to alleviate the radiating pain (as required to make the diagnosis of post-laminectomy syndrome) would lead to the necessity to evaluate whether the medical equivalence as described in Social Security Ruling (SSR) 17-2p[.]” Id. However, Plaintiff fails to provide any legal support for this argument. Again, the Court is not independently aware of a medical equivalency finding based on a plaintiff's number of surgeries and continuing complaints of pain. To the extent Plaintiff is asserting that a more robust medical equivalency analysis should have been performed, the Court finds that any such error was harmless because Plaintiff has not established that such an analysis could have led to a different outcome. Plaintiff's appeal is denied on these grounds.
For example, in September 2014, Plaintiffs gait and coordination were normal. R. at 539.
Plaintiff next argues that the ALJ did not adequately consider his chronic pain syndrome. Id. at 27. 20 C.F.R. § 404.1529 sets forth the information that an ALJ must consider in evaluating a plaintiff's complaints of pain. As to the deference provided to an ALJ's credibility determinations, the Third Circuit has remarked that they are “‘virtually unreviewable on appeal.'” Hoyman v. Colvin, 606 Fed. App'x 678, 681 (3d Cir. 2015) (quoting Beiber v. Dep't of the Army, 287 F.3d 1358, 1364 (Fed. Cir. 2002)). Here, Plaintiff undoubtedly had a number of surgeries on his cervical spine. The point of contention, however, concerns Plaintiff's statements as to his ongoing pain. The ALJ made the following finding on this point:
After careful consideration of the evidence, the undersigned finds that the claimant's medically determinable impairment could reasonably be expected to cause the alleged symptoms; however, the claimant's statement concerning the intensity, persistence, and limiting effects of these symptoms are not entirely consistent with the medical evidence and other evidence in the record for the reasons explained in this decision.R. at 20. The record reflects substantial evidence to support the ALJ's determination. After Plaintiff's first surgery, his neck and arm paid had “significantly improved, ” he had good range of motion of his neck, and he was overall “doing fairly well.” Id. at 558. Three weeks after his second surgery, Plaintiff reported that he felt “very well, ” that his left arm pain had resolved, and that he had minimal neck pain. Id. at 553. An earlier EMG of his left arm also showed that it was normal. R. at 534, 557. Plaintiff had normal strength (5/5) in 2014, 2015, 2016; he had a good range of motion in his neck 2015; and he had full range of motion in his extremities in 2016. Id. at 539, 548729, 625, 626, 654, 662, 668, 673, 679, 718. In March 2015, Plaintiff's orthopedist indicated that “on exam has really a totally negative exam. He is a fit individual. Motor, vascular, and sensory are all normal. Negative straight leg raising. Reflexes are normal. Sensation is normal. Pulses are normal and everything is normal.” R. at 628. Plaintiff's appeal is denied on this ground.
Finally, Plaintiff asserts that the ALJ did not adequately articulate his reasoning for the RFC. Br. at 29. Plaintiff for the most part takes issue with the ALJ's characterization of two exhibits. Id. at 30 (citing Exhibits 3F & 9F). Plaintiff's argument has some merit, in that the exhibits referred to do not fully comport with the ALJ's characterization. For example, Exhibit 3F does indicate that the “cranio-vertebral junction is unremarkable[, ]” that there is “no central spinal stenosis[, ]” and that the “[h]emangioma demonstrated in the C7 vertebral body, stable since the prior study.” R. at 459. At the same time, the exhibit indicates that the central “disc ridge complex at ¶ 4-5 more prominent than on the study of 6/3/02.” Id. The ALJ's decision, however, was not limited to a review of these two exhibits. Instead, the ALJ considered additional medical evidence and then reviewed the opinion evidence in detail. Id. at 20-22. The ALJ adequately articulated his reasons for the RFC, which was supported by substantial evidence.
IV. CONCLUSION
For the foregoing reasons, the Court AFFIRMS the decision of the Commissioner of Social Security. An appropriate Order accompanies this Opinion.