JEFFREY L. CURETON, Magistrate Judge.
This case was referred to the United States Magistrate Judge pursuant to the provisions of Title 28, United States Code, Section 636(b). The Findings, Conclusions and Recommendation of the United States Magistrate are as follows:
Plaintiff Speransa Batti ("Batti") filed this action pursuant to section 405(g) and 1383(c) of Title 42 of the United States Code for judicial review of the Commissioner of Social Security's final decision denying her claim for disability insurance benefits ("DIB") under Title XVI of the Social Security Act ("SSA"). On July 8, 2013, Batti protectively filed an application for DIB, alleging her disability began on July 1, 2013.
Disability insurance is governed by Title XVI, 42 U.S.C. § 1381 et seq., and numerous regulatory provisions. See 20 C.F.R. Pt. 416 (SSI). The SSA defines a "disability" as a "medically determinable physical or mental impairment" lasting at least twelve months that prevents the claimant from engaging in "any substantial gainful activity." 42 U.S.C. §§ 423(d), 1382c(a)(3)(A); see McQueen v. Apfel, 168 F.3d 152, 154 (5th Cir. 1999). To determine whether a claimant is disabled, and thus entitled to disability benefits, a five-step analysis is employed. 20 C.F.R. § 404.1520
First, the claimant must not be presently working at any substantial gainful activity. 20 C.F.R. § 404.1520(b). "Substantial gainful activity" is defined as work activity involving the use of significant physical or mental abilities for pay or profit. See 20 C.F.R. § 404.1527. Second, the claimant must have an impairment or combination of impairments that is severe. 20 C.F.R. § 404.1520(c); see also Stone v. Heckler, 752 F.2d 1099, 1101 (5th Cir. 1985), cited in Loza v. Apfel, 219 F.3d 378, 392 (5th Cir. 2000). Third, disability will be found if the impairment or combination of impairments meets or equals an impairment listed in the Listing. 20 C. .R. Pt. 404 Subpt. P, App. 1. 20 C.F.R. § 404.1520(d). Fourth, if disability cannot be found based on the claimant's medical status alone, the impairment or impairments must prevent the claimant from returning to her past relevant work. Id. § 404.1520(f). And fifth, the impairment must prevent the claimant from doing any work, considering the claimant's residual functional capacity, age, education, and past work experiences. Id. § 404.1520(g); Crowley v. Apfel, 197 F.3d 194, 197-98 (5th Circ. 1999). At steps one through four, the burden of proof rests upon the claimant to show she is disabled. Crowley, 197 F.3d at 198. If the claimant satisfies this responsibility, the burden shifts to the Commissioner to show that there is other gainful employment the claimant is capable of performing in spite of her existing impairments. Id. If the Commissioner meets his burden, it is up to the claimant to then show that she cannot perform the alternate work. See Carey v. Apfel, 230 F.3d 131, 135 (5th Cir. 2000).
A denial of disability benefits is reviewed only to determine whether the Commissioner applied the correct legal standards, and whether the decision is supported by substantial evidence in the record as a whole. Leggett v. Chater, 67 F.3d 558, 564 (5th Cir. 1995); Hollis v. Bowen, 837 F.2d 1378, 1382 (5th Cir. 1988). An ALJ's decision is not subject to reversal, even if there is substantial evidence in the record that would have supported the opposite conclusion, so long as substantial evidence supports the conclusion that was reached by the ALJ. Dollis v. Astrue, No. 4:08-CV-00503-A, 2009 WL 1542466, at *5 (N.D. Tex. Jun. 2, 2009). Substantial evidence is such relevant evidence as a reasonable mind might accept to support a conclusion. Boyd v. Apfel, 239 F.3d 698, 704 (5th Cir. 2001). It is more than a mere scintilla, but less than a preponderance. Id. A finding of no substantial evidence is appropriate only if no credible evidentiary choices or medical findings support the decision. Id. This Court may neither reweigh the evidence in the record, nor substitute its judgment for the Commissioner's, but will carefully scrutinize the record to determine if substantial evidence is present. Harris v. Apfel, 209 F.3d 413, 417 (5th Cir. 2000); Hollis, 837 F.2d at 1383.
In her brief, Batti presents the following issues:
(Plaintiffs Brief ("Pl.'s Br.") at 2.)
In his September 11, 2015 decision, the ALJ concluded that Batti was not disabled within the meaning of the SSA. (Tr. 25.) In making his determination, the ALJ proceeded to follow the five-step sequential evaluation process set forth above. (Tr. 15-16.) At Step One, the ALJ found that Batti did not engage in substantial gainful activity after July 1, 2013, her amended onset of disability date. (Tr. 16.) Although Batti's earnings records reflect earnings for the third quarter of— and Batti testified she worked for about a week in 2015, the ALJ determined that Batti's "earnings for both periods were nowhere near the level of substantial gainful activity." (Tr. 17.) At Step Two, the ALJ found that Batti had the following "severe" impairments: (1) depressive disorder and (2) borderline intellectual functioning.
(Tr. 18-19 (internal citations omitted).) At Step Four, the ALJ found that Batti had the residual functional capacity ("RFC") to perform the full range of work at all exertional levels but had the following nonexertional limitations: (1) she is limited to occupations with a reasoning development level of 1 or 2, as defined in the Dictionary of Occupational Titles, and (2) she cannot perform an occupation requiring reading or math skills over the second grade level. (Tr. 19-23.). At Step Five, the ALJ held that Batti was capable of performing her past relevant work as a housekeeping cleaner and greenhouse worker. {Tr. 23.). Accordingly, the ALJ found that Batti was not disabled, as defined in the SSA, from July 1, 2013 through the date of his decision. (Tr. 25.)
In her brief, Batti argues that the ALJ erred by failing to discuss why Plaintiffs intellectual disability did not meet section 12.05C of the Listing. Batti argues that, since she has (1) a valid IQ score of 70 or lower; (2) one other "severe impairment" (as defined in the regulations); and (3) evidence of adaptive deficits prior to age twenty-two, she met section 12.05C of the Listing. Thus, Batti claims that the ALJ erred by failing to make such a finding and remand is required. (Pl.'s Br. at 9-10.)
To obtain a disability determination at Step Three, a claimant must show that his impairments meet or equal one of the impairments in the Listing. 20 C.F.R. § 404.1520(a)(4)(iii). As a threshold matter, the ALJ is responsible for ultimately deciding the legal question whether a listing is met or equaled. Social Security Ruling ("SSR") 96-6p, 1996 WL 374180, at *3 (S.S.A. July 2, 1996). Whether a claimant's impairment meets the requirements of a listed impairment is usually more a question of medical fact than opinion because most of the requirements are objective and simply a matter of documentation, but it is still an issue ultimately reserved to the Commissioner. SSR 96-5p, 1996 WL 374183, at *3 (S.S.A. July 2, 1996). When determining whether an impairment medically equals a listing, the Commissioner considers all relevant evidence
The claimant has the burden of proving that his impairment or combination of impairments meets or equals a listing. Sullivan v. Zebley, 493 U.S. 521, 531 (1990); Selders v. Sullivan, 914 F.2d 614, 619 (5th Cir. 1990). "For a claimant to show that his impairment matches [or meets] a listing, it must meet all of the specified medical criteria." Zebley, 493 U.S. at 530 (emphasis in original). An impairment, no matter how severe, does not qualify if that impairment exhibits only some of the specified criteria. Id. The court will find that substantial evidence supports the ALJ's finding at Step Three if the plaintiff fails to demonstrate the specified medical criteria. Selders, 914 F.2d at 619-20.
"Although it is not always necessary that an ALJ provide an exhaustive discussion of the evidence, bare conclusions, without any explanation for the results reached, may make meaningful judicial review of the Commissioner's final decision impossible." Inge ex rel. D.J.I. v. Astrue, No. 7:09-CV-95-O, 2010 WL 2473835, at *9 (N.D. Tex. May 13, 2010) (citing Audler v. Astrue, 501 F.3d 446, 448 (5th Cir. 2007)). "However, before the absence of reasons for adverse findings requires rejection of the unfavorable decision, a court must determine whether the error was harmless." Id.; see Mays v. Bowen, 837 F.2d 1362, 1364 (5th Cir. 1988) ("Procedural perfection in administrative proceedings is not required" as long as "the substantial rights of a party have [not] been affected."). To be entitled to relief, the claimant must establish that the ALJ erred and that the ALJ's error casts into doubt the existence of substantial evidence to support the ALJ's decision. Morris v. Bowen, 864 F.2d 333, 335 (5th Cir. 1988).
Section 12.05 of the Listing
20 C.F.R. Part 404, Subpt. P, App. 1, § 12.05 (emphasis added).
In this case, Batti's main argument is that the ALJ erred by failing to discuss whether she met section 12.05C of the Listing in the ALJ's decision at Step Three. (Pl's Br. at 8.) However, to meet the threshold requirements of Listing 12.05C, there must be evidence that Batti met the diagnostic description of intellectual disability applicable to all subsections of Listing 12.05. See Ledet v. Colvin, No. 15-4651, at *7 (E.D. La. May 3, 2016) ("Before proceeding any further in the disability eligibility analysis, Appellant must satisfy the diagnostic definition of intellectual disability . . ."); Randall v. Astrue, 570 F.3d 651, 658 (5th Cir. 2009) (stating that "every mental disorder listing includes two independent components: a diagnostic description of the disorder and specific criteria measuring the disorder's severity"). To meet the diagnostic criteria in section 12.05, a claimant must: (1) have significantly subaverage general intellectual functioning; (2) have deficits in adaptive functioning; and (3) have manifested deficits in adaptive behavior before age 22. Randall, 570 F.3d at 659-61. A claimant who fails to meet the stated criteria by even a slight margin fails to qualify for presumptive disability under the listings. See Zebley, 493 U.S. at 530.
Adaptive functions include "cleaning, shopping, cooking, taking public transportation, paying bills, maintaining a residence, caring appropriately for [one's] grooming and hygiene, using telephones and directories, and using a post office." 20 C.F.R. Pt. 404, Subpt. P, App. 1 § 12.00(C)(1); Blackstock v. Astrue, 527 F.Supp.2d 604, 619 n.14 (S.D. Tex. Dec. 6, 2007). "To evaluate deficits in adaptive functions, courts look at a claimant's ability to live on his own, as well as dress himself and prepare simple meals" and the claimant's work history. Potts v. Astrue, No. H-12-CV-229, 2013 WL 5785659, at *8 (S.D. Tex. Feb. 19, 2013;). The purpose of the Listing is to streamline the decision process by identifying those claimants whose mental impairments are so severe that it is likely they would be found disabled regardless of their vocational background. Bowen v. Yuckert, 482 U.S. 137, 153 (U.S. 1987).
In this case, Batti claims that she satisfies the first two prongs of Listing 12.05C for an intellectual disability as she scored a full scale IQ score of 64 in testing performed by Deborah Gleaves, Ph.D. ("Dr. Gleaves"), in a consultative examination on October 2, 2013 (Tr. 258-59) and had another severe impairment of depression in addition to her intellectual disability. (Pl.'s Br. at 10-11.) However, to meet any subsection of section 12.05 of the Listing, including 12.05C, Batti must also have, inter alia, exhibited deficits in adaptive functioning that manifested prior to the age of twenty-two. See Morris v. Astrue, No. 10-3339, 2011 WL 7341504, at *9 (E.D. La. Dec. 14, 2011); Blackstock, 527 F. Supp. 2d at 619.
In support of her claims that she exhibited deficits in adaptive functioning prior to the age of twenty-two, Batti points to, inter alia, the following evidence: (1) Batti has a low IQ score and the "Fifth Circuit has acknowledged that a low IQ creates a rebuttable presumption of intellectual disability dating back to one's youth, even if tested subsequent to age 22" (Pl.'s Br. at 12); (2) Batti has only a limited education in that she repeated the first grade, began special education classes in middle school and dropped out of school in the tenth grade
(Pl.'s Br. at 14.)
The Court notes that "the mere existence of IQ scores which satisfy the first part of paragraph C, along with limited or special education" are not sufficient, in and of themselves, to demonstrate deficiencies in adaptive functioning prior to the age of twenty-two. Parker v. Astrue, No. 11-294-SCR, 2012 WL 5384821, at *4 (M.D. La. Nov. 1, 2012); see Causey v. Colvin, No. 5:14-CV-76-MTP, 2015 WL 9413140, at *9 (Dec. 22, 2015); Puente v. Colvin, No. H-12-3587, 2014 WL 1118148, at *7 (S.D. Tex. Mar. 19, 2014); Potts, 2013 WL 5785659, at *8 (claimant's "poor performance in school, his past history as a special education student, and his illiteracy" are insufficient to meet his burden of establishing a "deficit in adaptive functioning" as required by Listing 12.05(C))." Moreover, the evidence shows that Batti was capable of cooking, handling her own personal care, doing work around the house, and occasionally watching television. (Tr. 175-177, 189-92, 255.) She also reported the ability to drive a car, go shopping, pay bills, and handle a savings account. (Tr. 175-77, 189-92, 255.)
Batti also argues that the ALJ erred in failing to discuss whether her impairments were medically equivalent to Listing 12.05C. (Pl.'s Br. at 17-18.) However, to show medical equivalence, Batti must have "presented `medical findings equal in severity to all the criteria' for listing 12.05C, which, again, includes the introductory paragraph in section 12.05 plus subparagraph C." Bliss v. Colvin, No. 6:14-CV-016-C, 2015 WL 3507892, at *4 (N.D. Tex. June 2, 2015) (quoting Zebley, 493 U.S. at 531). In this case, Batti's only argument relating to medical equivalence is that the ALJ erred because she failed to "provide any reasoning regarding Listing 12.05." (Pl.'s Br. at 17.) Again, any such error is harmless as Batti has failed to meet her burden of showing exactly how her impairment equaled section 12.05 of the Listing.
In her brief, Batti also claims that substantial evidence does not support the ALJ's evaluation of the medical opinion evidence in the record. (Pl.'s Br. at 18.) Specifically, Batti claims that the ALJ did not properly evaluate the October 2013 opinions by Dr. Gleaves, the consultative examiner and only physician that examined Batti. (Pl.'s Br. at 18-23; see Tr. 254-261.) Batti states that the ALJ erred by assigning "very little" weight to Dr. Gleaves' opinions regarding Batti's ability to work as the ALJ failed to point out any inconsistent medical evidence. (Pl.'s Br. at 19-23.) Batti also claims that the ALJ erred in not considering the factors set forth in 20 C.F.R. 404.1527(c) prior to giving "little weight" to Dr. Gleaves' opinions and by relying on the opinions of the State Agency Medical Consultants ("SAMCs") who never examined Batti. (Id.)
As to the opinion evidence in the record, the ALJ, inter alia, stated:
Dr. Deborah Gleaves offered the following opinions:
(Tr. 22-23 (internal citations omitted).).
Here, it appears Batti only made one visit to Dr. Gleaves for a consultative examination, which occurred in October 2013. (See Tr. 253-61.) Thus, Dr. Gleaves is justly classified as a non-treating source in the context of Batti's appeal.
While an ALJ is to consider all medical opinions in determining the disability status of a claimant (see 20 C.F.R. § 404.1527(b)), the ALJ is not required to give controlling weight to medical opinions of non-treating sources. See Andrews v. Astrue, 917 F.Supp.2d 624, 637 (N.D. Tex. 2013) (stating that an ALJ is not required to give the opinion of, inter alia, a consultative examiner controlling weight). In other words, the ALJ must only consider Dr. Gleaves' opinions as evidence to be weighed. Id. Accordingly, her medical opinions do not have controlling weight over Batti's case, and the ALJ had the authority to reject Dr. Gleaves' medical opinions insofar as there is contradictory evidence in the record.
In this case, the ALJ properly considered the October 2013 opinions of Dr. Gleaves as the ALJ thoroughly discussed such opinions throughout his decision. (Tr. 20, 22.) The ALJ ultimately decided to give Dr. Gleaves' opinions "very little weight" because: (1) "[they were] based primarily on the claimant's statements rather than the longitudinal medical history of the claimant" and (2) the State Agency Medical Consultant's opinions were more consistent with the medical evidence and Batti's testimony. (Tr. 22-23.) Moreover, the ALJ was not required to apply the factors listed in 20 C.F.R. 404.1527(c) prior to giving Dr. Gleaves' opinions very little weight because such requirement only applies to opinions of treating physicians and not consultative examiners such as Dr. Gleaves. See Sanchez v. Berryhill, No. M-16-030, 2017 WL 2117526, at *5 (S.D. Tex. Mar, 31, 2017) ("The ALJ was not required to perform a detailed analysis of the "Newton factors" before declining to adopt or give significant weight to Dr. De Ferreire's findings and opinions because she is not a treating physician, but rather, Dr. De Ferreire acted as a consultative examiner."); Ruffins v. Collins, No. 14-754-RLB, 2016 WL 617445, at *3 (M.D. La. Feb. 16, 2016) ("[T]he factors set forth in 20 C.F.R. 404.1527(c) are not applicable because Dr. Van Hook is not a treating physician."). Because the ALJ properly considered Dr. Gleaves' opinions, as well as the other medical opinions in the record, remand is not required.
It is recommended that the Commissioner's decision be affirmed.
Under 28 U.S.C. § 636(b)(1), each party to this action has the right to serve and file specific written objections in the United States District Court to the United States Magistrate Judge's proposed findings, conclusions, and recommendation within fourteen (14) days after the party has been served with a copy of this document. The United States District Judge need only make a de novo determination of those portions of the United States Magistrate Judge's proposed findings, conclusions, and recommendation to which specific objection is timely made. See 28 U.S.C. § 636(b)(1). Failure to file by the date stated above a specific written objection to a proposed factual finding or legal conclusion will bar a party, except upon grounds of plain error or manifest injustice, from attacking on appeal any such proposed factual findings and legal conclusions accepted by the United States District Judge. See Douglass v. United Servs. Auto Ass'n, 79 F.3d 1415, 1428-29 (5th Cir. 1996) (en bane).
Under 28 U.S.C. § 636, it is hereby
It is further
After the ALJ rates the degree of functional limitation resulting from any mental impairment, the ALJ determines the severity of such impairment. 20 C.F.R. § 404.1520a(d). If the degree of functional loss falls below a specified level in each of the four areas, the ALJ must generally find the impairment is not severe at Step Two of the sequential evaluation process, which generally concludes the analysis and terminates the proceedings. 20 C.F.R. § 404.1520a(d)(1. If the ALJ finds that the mental impairment is severe at Step Two, then the ALJ must determine at Step Three if it meets or equals a listed mental disorder of the Listing. 20 C.F.R. § 404.1520a(d). To determine if it meets or is equivalent in severity to a listed mental disorder, the ALJ must compare the medical findings about the claimant's impairment and the rating of the degree of functional limitation to the criteria of the appropriate listed mental disorder. 20 C.F.R. § 404.1520a(d)(2). If the impairment is severe but does not meet or equal a listed mental impairment, then the ALJ must conduct an RFC assessment. 20 C.F.R. § 404.1520a(d)(3); see Boyd, 239 F.3d at 705.
The structure of the listing for intellectual disability (12.05) is different from that of the other mental disorders listings. See 20 C.F.R. Pt. 404, Subpt. P, App. 1 § 12.00A.