SUE E. MYERSCOUGH, District Judge.
On March 13, 2015, United States Magistrate Judge Tom Schanzle-Haskins issued a Report and Recommendation (d/e 16) recommending that the decision of the Commissioner be reversed and the cause remanded for further proceedings pursuant to sentence four of 42 U.S.C § 405(g). On April 23, 2015, Defendant Carolyn W. Colvin, Acting Commissioner of Social Security, filed her Objection to the Magistrate Judge's Report and Recommendation (d/e 18). The Objection is OVERRULED. The Administrative Law Judge (ALJ) erred by failing to obtain the assistance of a medical advisor to infer the onset date. Therefore, the Court ADOPTS the Magistrate Judge's Report and Recommendation (d/e 16) in full. The decision of the Commissioner is REVERSED and REMANDED for further proceedings pursuant to sentence four of 42 U.S.C. § 405(g).
Pursuant to Federal Rule of Civil Procedure 72(b)(3), this Court determines "
If no objection is made, or if only a partial objection is made, the Court reviews the unobjected to portions of the Magistrate Judge's Report and Recommendation for clear error.
The Court adopts the factual findings made by the Magistrate Judge. The primary issue in this case is the onset date of Plaintiff's disability.
On October 5, 2010, Plaintiff David Draper filed applications for Social Security Disability Insurance Benefits (Disability Benefits) and Supplemental Security Income under Title II and XVI of the Social Security Act on October 5, 2010. 42 U.S.C. §§ 416(i), 423, 1381a, and 1382c. Plaintiff alleged an onset date of December 31, 2007. To obtain Disability Benefits, Plaintiff had to establish disability on or before March 31, 2010, the date he was last insured.
The ALJ found that Plaintiff was disabled by bipolar disorder as of the date of his application, October 5, 2010, and confirmed the prior determination that Plaintiff was disabled for purposes of his Social Security Income (SSI) application as of that date. R. at 22 (d/e 7-3). However, the ALJ found that Plaintiff failed to show that he suffered from a serious impairment on or before the last date he was insured and eligible to receive Disability Benefits— March 31, 2010.
In reaching this conclusion, the ALJ found that Plaintiff had presented no medical evidence of an impairment prior to the emergency room visit on September 17, 2010 and his hospitalization from September 18 to September 23, 2010 for the treatment of symptoms associated with the diagnosis of bipolar affective disorder.
Plaintiff appealed the decision of the ALJ. When the Appeals Council denied Plaintiff's request for review, the decision became the final decision of the Commissioner. Plaintiff then filed this action for judicial review.
On March 13, 2015, Judge Schanzle-Haskins issued a Report and Recommendation recommending that Plaintiff's Motion for Summary Judgment be allowed and Defendant's Motion for Summary Affirmance be denied.
Specifically, Magistrate Judge Schanzle-Haskins found the ALJ erred by not developing a complete record. Citing Social Security Ruling 83-20, Judge Schanzle-Haskins noted that an ALJ should obtain the services of a medical advisor to assist in the process of inferring the onset date when: (1) the date that a claimant became disabled is at issue; (2) the date must be inferred from the evidence; and (3) the medical history evidence is incomplete. Report and Recommendation at 18. Finding those circumstances present, Judge Schanzle-Haskins concluded that the ALJ should have enlisted the assistance of a medical advisor to assist in inferring the onset date.
The parties were advised that any objection to the Report and Recommendation must be filed within 14 days. On April 23, 2015, after having received an extension of time to file, the Acting Commissioner filed an Objection to the Report and Recommendation (d/e 18).
Defendant objects to Magistrate Judge Schanzle-Haskins's Report and Recommendation on the basis that the ALJ was not obligated to obtain the assistance of a medical advisor to assist in inferring the onset date.
An ALJ must apply the analytical framework of Social Security Ruling 83-20 where, as here, the ALJ finds a claimant disabled but must decide whether the disability arose at an earlier date.
Social Security Ruling 83-20 recognizes that with some slowly progressive impairments, a claimant may not be able to obtain medical evidence establishing the precise date the impairment became disabling. SSR 83-20;
Defendant argues the ALJ was not required to consult a medical advisor because the ALJ considered all of the medical evidence, as well as the testimony of Plaintiff and his wife, and found no evidence of disabling mental impairments until after the date of last insured. Defendant also argues that this was not a case of an incomplete medical history. Medical evidence of a disabling impairment prior to September 2010 did not exist, Defendant alleges, and the existing evidence supports a finding that Plaintiff's symptoms were not severe enough, prior to his date of last insured, to warrant medical treatment. Finally, Defendant notes there was evidence in the record showing Plaintiff was able to work during some of the period when he reported issues with anger management and that some of his periods of unemployment were because he had relocated or no jobs were available.
The Court disagrees with Defendant. Because the onset date had to be inferred in this case, the ALJ was required under Social Security Ruling 83-20 to use the services of a medical advisor and not rely on her own lay analysis of the evidence to determine the onset date.
Defendant correctly notes that there is no medical evidence of a disabling impairment prior to September 17, 2010, when Plaintiff was taken to the emergency room, admitted into the hospital, and ultimately diagnosed with bipolar disorder. However, the lack of medical evidence establishing the exact date the impairment became disabling is not fatal to Plaintiff's claim.
Because it can be reasonably inferred that the onset date occurred some time prior to the first recorded medical examination and diagnosis in September 2010, the ALJ should have consulted with a medical advisor to determine the onset date.
For the reasons stated, the Acting Commissioner's Objection to the Magistrate Judge's Report and Recommendation (d/e 18) is OVERRULED. This Court ADOPTS the Magistrate Judge's Report and Recommendation (d/e 16) in full. Plaintiff's Motion for Summary Judgment (d/e 11) is GRANTED and Defendant's Motion for Summary Affirmance (d/e 14) is DENIED. The decision of the Commissioner is REVERSED and REMANDED for further proceedings pursuant to sentence four of 42 U.S.C. § 405(g). CASE CLOSED.