GUSTAVE DIAMOND, District Judge.
AND NOW, this 21
When the Acting Commissioner determines that a claimant is not "disabled" within the meaning of the Act, the findings leading to such a conclusion must be based upon substantial evidence. "Substantial evidence has been defined as `more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate.'"
Despite the deference to administrative decisions required by this standard, reviewing courts "`retain a responsibility to scrutinize the entire record and to reverse or remand if the [Acting Commissioner's] decision is not supported by substantial evidence.'"
Plaintiff filed his SSI application on April 29, 2011, alleging disability due to depression, bipolar disorder, anxiety and anger issues. Plaintiff's application was denied. At plaintiff's request, an ALJ held a video hearing on April 17, 2013, at which plaintiff, who was represented by counsel, appeared and testified. On April 30, 2013, the ALJ issued a decision finding that plaintiff is not disabled. The Appeals Council denied plaintiff's request for review on October 20, 2014, making the ALJ's decision the final decision of the Acting Commissioner. The instant action followed.
Plaintiff, who has a ninth-grade education, was 41 years old when he filed his application, which is classified as a younger individual under the regulations. 20 C.F.R. § 416.963(c). Plaintiff does not have any past relevant work experience, and he has not engaged in substantial gainful activity at any time since he filed his application.
After reviewing plaintiff's medical records and hearing testimony from plaintiff at the hearing, the ALJ concluded that plaintiff is not disabled within the meaning of the Act. Although the medical evidence established that plaintiff suffers from the severe impairments of mood disorder and personality disorder, those impairments, alone or in combination, do not meet or equal the criteria of any of the listed impairments set forth in Appendix 1 of 20 C.F.R., Subpart P, Regulation No. 4 ("Appendix 1").
The ALJ found that plaintiff retains the residual functional capacity to perform work at all exertional levels, but he has a number of non-exertional limitations. Plaintiff is restricted to simple, repetitive tasks and can occasionally work with others. In addition, plaintiff is limited to understanding, remembering and carrying out simple instructions and using judgment to make simple work-related decisions. Further, plaintiff is capable of responding appropriately to supervision, co-workers and usual work situations and can deal with changes in a routine work setting on a sustained basis (collectively, the "RFC Finding").
Finally, in lieu of vocational expert testimony, the ALJ relied on Section 204.00 of the Medical-Vocational Guidelines (the "grids") and Social Security Ruling ("SSR") 85-15 to find plaintiff not disabled within the meaning of the Act.
The Act defines "disability" as the inability to engage in substantial gainful activity by reason of a physical or mental impairment that can be expected to last for a continuous period of at least twelve months. 42 U.S.C. § 1382c(a)(3)(A). The impairment or impairments must be so severe that the claimant "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. § 1382c(a)(3)(B).
The Social Security Regulations specify a five-step sequential evaluation process for determining whether a claimant is disabled. The ALJ must assess: (1) whether the claimant currently is engaged in substantial gainful activity; (2) if not, whether he has a severe impairment; (3) if so, whether his impairment meets or equals the criteria listed in Appendix 1; (4) if not, whether the claimant's impairment prevents him from performing his past relevant work; and (5) if so, whether the claimant can perform any other work that exists in the national economy, in light of his age, education, work experience and residual functional capacity.
In this case, plaintiff argues that the ALJ's decision is not supported by substantial evidence for the following reasons: (1) the ALJ failed to properly weigh the medical opinions issued by Dr. Welge, who was his treating psychiatrist, Dr. Zelazowski, who was a consultative examiner, and Dr. Fink, who was a state agency reviewing psychologist; and (2) the ALJ should not have relied solely on the grids, but rather should have elicited vocational expert testimony to evaluate his nonexertional impairments. The court finds no merit to plaintiff's contention concerning the ALJ's evaluation of the opinions of Dr. Welge,
As stated, instead of eliciting testimony by a vocational expert at step 5, the ALJ relied on Section 204.00 of the grids and SSR 85-15 to find plaintiff not disabled. The record is devoid of any indication that plaintiff was provided with advance notice of the ALJ's intent to rely on those sources instead of calling a vocational expert. This is contrary to the Third Circuit's admonition to provide advance notice in such situations as a matter of fairness.
In a case where a claimant suffers from only nonexertional limitations, it is not improper for an ALJ to forego vocational expert testimony at step 5 and instead use the grids as a framework for decision making while relying upon an SSR to determine a claimant's occupational job base.
Here, the ALJ relied on SSR 85-15 in finding plaintiff not disabled at step 5. The purpose of SSR 85-15 is to explain how the regulations provide a framework for decisions concerning individuals who have only nonexertional limitations.
In this case, we find that the ALJ's reliance on SSR 85-15 was improper because he did not explain how any specific aspect of the Ruling addresses plaintiff's particular mental impairments. The ALJ stated that plaintiff's nonexertional limitations "have little or no effect on the occupational base of unskilled work at all exertional levels" and found him "not disabled" under the framework of Section 204.00 of the grids. (R. 26). In making this finding, the ALJ referred to SSR 85-15 and included the following "discussion" of that Ruling:
(R. 26). The ALJ then stated that "[b]ased on the relevant vocational factors and the functional limitations as noted above, . . . [plaintiff] can perform in a significant number of jobs existing in the national and regional economy under the framework of SSR 85-15."
The ALJ's "discussion" of SSR 85-15 quoted above is copied verbatim from that Ruling.
On remand, the ALJ must explain how plaintiff's specific mental limitations impact his ability to perform the basic mental demands of unskilled work in a job that constitutes substantial gainful employment. As stated by the Third Circuit, "[t]his can be accomplished by noting how SSR 85-15 is relevant and controlling—if indeed that is the case—or by obtaining the individualized assessment that SSR 85-15 seems to prefer by way of a vocational expert."
For the foregoing reasons, plaintiff's motion for summary judgment will be granted, the Acting Commissioner's motion for summary judgment will be denied, and this case will be remanded to the Acting Commissioner for further proceedings consistent with this Opinion.