TERRY F. MOORER, Magistrate Judge.
Jacqueline Lockhart ("Plaintiff" or "Lockhart") applied for disability insurance benefits ("DIB") under Title II of the Social Security Act ("the Act"), 42 U.S.C. §§ 401 et seq., on August 11, 2011 alleging that she became disabled on July 1, 2011 (Tr. 102). The application was denied at the lower levels of determination. Upon a timely request, Lockhart provided testimony at an administrative hearing held on January 28, 2013. The hearing was held before the Honorable Maria Kusznir, U.S. Administrative Law Judge ("ALJ"). Lockhart received a fully favorable decision from the ALJ on May 6, 2013 (Tr. 11).
In her decision, the ALJ determined that Lockhart had not engaged in substantial gainful activity at any time relevant to her decision. (Tr. 17). The ALJ found that Lockhart suffered from the following medically severe impairment: obesity, pituitary tumor removal, migraine headaches, hypertension, depression and cognitive disorder. Despite her medically severe impairments, the ALJ concluded that Lockhart did "not have an impairment or combination of impairments that meets or medically equals one of the listed impairments in 20 CFC Part 404, Subpart P, Appendix 1 (20 CFR 404.1520(d), 404.1525 and 404.1526)" (Tr. 19).
Next, the ALJ determined that Lockhart had the following residual functional capacity:
(Tr. 20).
Based upon the above RFC, the ALJ found that Lockhart was unable to perform any of her past relevant work. (Tr. 22). The ALJ also found that Lockhart did not have any acquired job skills that would transfer to other occupations within the RFC defined above. Based on the testimony of the vocational expert, the ALJ held that considering Lockhart's "age, education, work experience, and residual functional capacity, there [were] no jobs that exist in significant numbers in the national economy that [she could] perform" (Tr. 22). The ALJ also found "that, considering the claimant's age, education, work experience and residual functional capacity, a finding of "disabled" is appropriate." (Tr. 23). As such, the ALJ determined that Lockhart had been under a disability as defined by the Social Security Act since July 1, 2001, the alleged onset date of disability (Tr. 23).
On July 1, 2013, however, Lockhart received a Notice of Appeals Council Action indicating that it was reviewing the ALJ's fully favorable decision and proposed to find that she was not disabled (Tr. 95-99). Thereafter, Lockhart received Notice of Appeal Council Decision Unfavorable dated August 28, 2013. In its decision, the Appeals Council found in pertinent part, as follows:
(Tr. 4-5). As a result, the Appeals Council's decision became the final decision of the Commissioner of Social Security ("Commissioner"). Id. Lockhart appeals from the Commissioner's final decision and has exhausted all administrative remedies. Judicial review proceeds pursuant to 42 U.S.C. §405(g), and 28 U.S.C. § 636(c). After careful scrutiny of the record and briefs, for reasons herein explained, the Court REVERSES and REMANDS the Commissioner's decision.
Lockhart seeks judicial review of the Commissioner's decision denying her application for disability insurance benefits. United States District Courts may conduct limited review of such decisions to determine whether they comply with applicable law and are supported by substantial evidence. 42 U.S.C. § 405. The Court may affirm, reverse and remand with instructions, or reverse and render a judgment. Id.
The Court's review of the Commissioner's decision is a limited one. The Court's sole function is to determine whether the ALJ's opinion is supported by substantial evidence and whether the proper legal standards were applied. See Jones v. Apfel, 190 F.3d 1224, 1228 (11th Cir. 1999); Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983).
"The Social Security Act mandates that `findings of the Secretary as to any fact, if supported by substantial evidence, shall be conclusive.'" Foote v. Chater, 67 F.3d 1553, 1560 (11th Cir. 1995) (quoting 42 U.S.C. § 405(g)). Thus, this Court must find the Commissioner's decision conclusive if it is supported by substantial evidence. Graham v. Apfel, 129 F.3d 1420, 1422 (11th Cir. 1997). Substantial evidence is more than a scintilla C i.e., the evidence must do more than merely create a suspicion of the existence of a fact, and must include such relevant evidence as a reasonable person would accept as adequate to support the conclusion. Lewis v. Callahan, 125 F.3d 1436, 1440 (11th Cir. 1997) (citing Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842 (1971)); Foote, 67 F.3d at 1560 (citing Walden v. Schweiker, 672 F.2d 835, 838 (11th Cir. 1982)).
If the Commissioner's decision is supported by substantial evidence, the district court will affirm, even if the court would have reached a contrary result as finder of fact, and even if the evidence preponderates against the Commissioner's findings. Ellison v. Barnhart, 355 F.3d 1272, 1275 (11th Cir. 2003); Edwards v. Sullivan, 937 F.2d 580, 584 n.3 (11th Cir. 1991) (quoting MacGregor v. Bowen, 786 F.2d 1050, 1053 (11th Cir. 1986)). The Court must view the evidence as a whole, taking into account evidence favorable as well as unfavorable to the decision. Foote, 67 F.3d at 1560 (citing Chester v. Bowen, 792 F.2d 129, 131 (11th Cir. 1986). The Court "may not decide facts anew, reweigh the evidence, or substitute [its] judgment for that of the [Commissioner]," but rather it "must defer to the Commissioner's decision if it is supported by substantial evidence." Miles v. Chater, 84 F.3d 1397, 1400 (11th Cir. 1997) (quoting Bloodsworth, 703 F.2d at 1239).
The Court will also reverse a Commissioner's decision on plenary review if the decision applies incorrect law, or if the decision fails to provide the district court with sufficient reasoning to determine that the Commissioner properly applied the law. Keeton v. Dep't of Health and Human Servs., 21 F.3d 1064, 1066 (11th Cir. 1994) (citing Cornelius v. Sullivan, 936 F.2d 1143, 1145 (11th Cir. 1991)). There is no presumption that the Commissioner's conclusions of law are valid. Id.; Brown v. Sullivan, 921 F.2d 1233, 1236 (11th Cir. 1991) (quoting MacGregor, 786 F.2d at 1053).
The Social Security Act's general disability insurance benefits program ("DIB") provides income to individuals who are forced into involuntary, premature retirement, provided they are both insured and disabled, regardless of indigence.
42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). A "physical or mental impairment" is one resulting from anatomical, physiological, or psychological abnormalities which are demonstrable by medically acceptable clinical and laboratory diagnostic techniques. 42 U.S.C. §§ 423(d)(3), 1382c(a)(3)(D).
The Commissioner of Social Security employs a five-step, sequential evaluation process to determine whether a claimant is entitled to benefits. See 20 C.F.R. §§ 404.1520, 416.920 (2010).
McDaniel v. Bowen, 800 F.2d 1026, 1030 (11th Cir. 1986).
The burden of proof rests on a claimant through Step 4. See Phillips v. Barnhart, 357 F.3d 1232, 1237-39 (11th Cir. 2004). Claimants establish a prima facie case of qualifying disability once they meet the burden of proof from Step 1 through Step 4. At Step 5, the burden shifts to the Commissioner, who must then show there are a significant number of jobs in the national economy the claimant can perform. Id. To perform the fourth and fifth steps, the ALJ must determine the claimant's Residual Functional Capacity (RFC). Id. at 1238-39. RFC is what the claimant is still able to do despite his impairments and is based on all relevant medical and other evidence. Id. It also can contain both exertional and nonexertional limitations. Id. at 1242-43. At the fifth step, the ALJ considers the claimant's RFC, age, education, and work experience to determine if there are jobs available in the national economy the claimant can perform. Id. at 1239. To do this, the ALJ can either use the Medical Vocational Guidelines
The grids allow the ALJ to consider factors such as age, confinement to sedentary or light work, inability to speak English, educational deficiencies, and lack of job experience. Each factor can independently limit the number of jobs realistically available to an individual. Id. at 1240. Combinations of these factors yield a statutorily-required finding of "Disabled" or "Not Disabled." Id.
Lockhart raises a single issue for review:
(1) Whether the Commissioner's decision should be reversed and benefits awarded due to the unrebutted pain standard finding entered by the ALJ which credited Lockhart's pain and other subjective symptoms. See Doc 12 at p.5.
Plaintiff argues that that the Commissioner's decision should be reversed and benefits awarded due to the unrebutted pain standard finding entered by the ALJ which credited Lockhart's pain and other subjective symptoms testimony. The Eleventh Circuit has established a three-part pain standard which applies when a claimant asserts disability through testimony of pain or other subjective symptoms. That standard requires 1) evidence of an underlying medical condition, and either 2) objective medical evidence confirming the severity of the alleged pain arising from that condition or 3) that the objectively determined medical condition is of such a severity that it can reasonably be expected to cause the alleged pain. Foote v. Chater, 67 F.3d 1553, 1560 (11th Cir. 1995). The Court has carefully reviewed the opinion of the Appeals Council and observes that the pain standard is not discussed in the opinion (Tr. 4-7). Nor is there any discussion by the Appeals Council of the Plaintiff's credibility. Id. at 1562 (citing Smallwood v. Schwieker, 681 F.2d 1349, 1352 (11th Cir.1982) ("[a] lack of explicit credibility finding becomes a ground for remand when credibility is critical to the outcome of the case.") . On this basis alone the court concludes that this case is due to be remanded for further consideration of Plaintiff's testimony of pain and application of the pain standard.
Indeed, it is the function of the Commissioner, and not the courts, to resolve conflicts in the evidence and to assess the credibility of the witnesses. Savor v. Shalala, 868 F.Supp. 1363, 1366 (M.D. Fla. 1994). This Court has recognized that
[i]n Social Security cases, claimants allege disability. At the administrative level, their benefits, and their livelihoods, in essence, may have been denied. When sitting with their families and their lawyers to determine the bases for denial of benefits
Cook v. Barnhart, 347 F.Supp.2d 1125, 1132 (M.D. Ala. 2004). In this instance the Appeals Council has wholly failed to perform its function.
In her decision, the ALJ found that Lockhart's "medically determinable impairments
(Tr. 21). (Emphasis added).
The court also concludes that the ALJ specifically determined that Lockhart's medically severe impairments could be reasonably expected to produce the alleged symptoms and that Lockhart's statements regarding the intensity, persistence, and limiting effects were generally credible. In support of such finding, the ALJ provided detailed rationale articulating how her credibility finding was supported by both the evidentiary record and Social Security Ruling 96-7p (Tr. 18-22). Indeed, the Court concludes after a close reading of the ALJ's opinion and an independent review of the record, that the ALJ properly exercised her regulatory discretion and credited Lockhart's testimony of pain and other subjective symptoms and included the effects caused thereby into her RFC finding (Tr. 20). See Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir. 1991) (the ALJ has discretion to determine whether or not the claimant's complaints of pain or other subjective symptoms are credible.)
The Commissioner argues that the residual functional capacity finding made by the Appeals Council is supported by substantial evidence. Specifically, the Commissioner argues that its RFC is supported by testimony of Dr. Williams, the state agency psychiatrist and Dr. Stutts, the examining psychologist. Because neither of these doctors found that plaintiff was disabled, the Commissioner argues its RFC is supported by substantial evidence. This argument, however, totally ignores the Plaintiff's testimony of her depression and cognitive disorder and other severe impairments which the ALJ credited. (Tr. 18-19). The Commissioner argues, in essence, that since Dr. Williams considered all of Plaintiff's subjective complaints, when he opined that Plaintiff could perform work within certain mental functional limitations, that this somehow absolved the Commissioner from applying the pain standard and making credibility findings. The Commissioner further implicitly argues that the medical opinions of record also relieved the Commissioner from explaining why the ALJ erred in finding Plaintiff's testimony credible and why the ALJ's findings of additional functional limitations were erroneous. This argument is not supported by law. See Foote v. Chater, 67 F.3d at 1560.
Accordingly, the court concludes that remand to the Appeals Council is proper for the Commissioner to fully consider the Plaintiff's testimony, make findings of credibility, and apply the pain standard in accordance with Foote v. Chater, id., and to more fully explain its reasons for discounting the ALJ's findings as to Plaintiff's RFC.
Accordingly, the court concludes that this case is due to be reversed and remanded to the Commissioner for further proceedings consistent with this opinion. It is ORDERED that in accordance with Bergen v. Comm'r, of Soc. Sec., 454 F.3d 1273, 1278 fn. 2 (11th Cir. 2006), the plaintiff shall have
A separate order shall accompany this opinion.