ROBERT L. MILLER, Jr., District Judge.
Angela Frye seeks judicial review of the final decision of the Commissioner of Social Security denying her applications for Disability Insurance Benefits and Supplemental Security Income under the Social Security Act, 42 U.S.C. §§ 423 and 1381 et seq. The court has jurisdiction over this action pursuant to 42 U.S.C. §§ 405(g) and 1383(c)(3). The court reverses the Commissioner's decision and remands the case for further proceedings.
Angela Frye filed her original applications in 2012, alleging disability as of Nov 1, 2009. When those applications were denied, she reapplied alleging disability as of January 2012 due to multiple mental and physical impairments. Ms. Frye was 51 when she refiled, had a high school education, and was insured for Disability Insurance Benefits through June 30, 2014. Her renewed applications were denied initially, on reconsideration, and after an administrative hearing in March 2016, during which Ms. Frye amended the alleged onset date to November 15, 2015, expressly waived her claim to Disability Insurance Benefits (because the alleged onset of disability occurred after her date last insured), and pursued only her Supplemental Security Income claim.
At the hearing, the ALJ heard testimony from Ms. Frye and a vocational expert, Sharon Ringenberg. Based on the evidence presented, he found that:
The ALJ concluded that Ms. Frye wasn't disabled within the meaning of the Social Security Act, and wasn't entitled to Disability Insurance Benefits or Supplemental Security Income. When the Appeals Council denied Ms. Frye's request for review, the ALJ's decision became the final decision of the Commissioner of Social Security.
Ms. Frye contends that the ALJ erred as a matter of law in denying her application for Disability Insurance Benefits, and that his findings regarding her residual functional capacity and ability to perform other work at steps 4 and 5 of the sequential evaluation aren't supported by substantial evidence. More specifically, she alleges that:
The issue before the court isn't whether Ms. Frye is disabled, but whether substantial evidence supports the ALJ's decision that she is not.
The ALJ isn't required "to address every piece of evidence or testimony presented, but he must provide a `logical bridge' between the evidence and the conclusions so that [the court] can assess the validity of the agency's ultimate findings and afford the claimant meaningful judicial review."
Ms. Frye didn't expound on her argument regarding the denial of Disability Insurance Benefits in her briefs or during oral arguments before this court. To receive Disability Insurance Benefits, she had to establish disability on or before June 30, 2014 (her date last insured). At the administrative hearing in March 2016, Ms. Frye effectively abandoned any claim of disability before November 1, 2015 (her amended onset date), expressly waived the right to proceed on her Disability Insurance Benefits claim, and proceeded only on her claim for Supplemental Security Income. Under the circumstances, the court would be hard pressed to find that the ALJ erred as a matter of law in denying her claim for Disability Insurance Benefits.
Social Security Ruling 16-3p, which issued new guidelines on how a disability claimant's statements about the intensity, persistence, and limiting effects of symptoms are to be evaluated, became effective on March 28, 2016, but isn't retroactive, so the old standard, SSR 96-7p., governs the ALJ's credibility determination in this case.
In making a disability determination, the ALJ must consider:
The ALJ found that Ms. Frye's impairments could reasonably be expected to cause the symptoms she alleged, but that "[her] statements concerning the intensity, persistence, and limiting effects of th[o]se symptoms [were] not entirely consistent [with]":
The ALJ gave little or no weight to treating source assessments that supported Ms. Frye's claim, most notably a Mental RFC Questionnaire completed by Ms. Frye's treating physician at Oaklawn, Dr. LaRissa Chism-Buggs, on March 4, 2016 (AR 686-690). But Ms. Frye didn't raise that issue on appeal, arguing instead that the ALJ's conclusion that the "radiographic evidence" — the MRI showing nerve root compression — didn't support her subjective complaints. The evidence of nerve root compression is significant, see Listing 1.04 (disorders of the spine), and might, or might not, have provided the medical corroboration the ALJ needed to believe more, or all, of Ms. Frye's testimony. While the ALJ discussed some of the MRI report, he made no mention of the finding of nerve root compression — a material omission that can't be clarified or corrected on appeal. The law requires the discussion and decision to come from the ALJ, not counsel, see
The only objection to the ALJ's assessment of Dr. Whitley's opinion was that it predated the MRI, and needed to be updated. The court agrees, and anticipates that the parties will develop the record further on remand. See
The burden at step 5 of the disability evaluation is on the Commissioner to show that the claimant can perform other work that "exists in significant numbers in the national economy." 20 C.F.R. 404.1560(c)(2); see also
The ALJ found at step 2 that Ms. Frye had moderate limitations in social functioning and concentration, persistence, and/or pace, and that her ability to interact independently, appropriately, effectively, and on a sustained basis with other people was limited, as was her ability to sustain focus, attention, and concentration long enough to permit the timely and appropriate completion of tasks commonly found in work settings, but he included none of those limitations in his hypothetical to the vocational expert. He simply asked if there were jobs the claimant could perform if she was: "limited to perform simple, routine tasks," "[could] have frequent contact with supervisors, coworkers, and the public", and was "limited to simple work related decisions." That is insufficient. See
The evidence presented to the ALJ doesn't conclusively establish that Ms.
Frye is disabled or entitled to benefits, but she has presented objective medical evidence — the MRI showing nerve root compression — that could have validated her subjective complaints regarding the severity and limiting effects of her back impairment. The ALJ didn't discuss that evidence, erroneously concluded that the MRI didn't support Ms. Frye's subjective complaints, and relied on a residual functional capacity assessment that predated the MRI. The ALJ also erred when he failed to include all of Ms. Frye's mental limitations in his hypothetical to the vocational expert, and relied on her testimony to find that Ms. Frye was capable of performing other jobs.
Accordingly, the Commissioner's decision is REVERSED and the case is REMANDED for further proceedings.
SO ORDERED.