ABUDU K. KALLON, District Judge.
Plaintiff Eric E. Wehrenberg ("Plaintiff") brings this action pursuant to Section 205(g) of the Social Security Act ("the Act"), 42 U.S.C. § 1383(c), seeking review of the final adverse decision of the Commissioner of the Social Security Administration ("SSA"). This court finds that the Administrative Law Judge's ("ALJ") decision — which has become the decision of the Commissioner-is supported by substantial evidence. Therefore, for the reasons elaborated herein, the Court will
The SSA granted Wehrenberg Child's Supplemental Security Income ("SSI") in June 2004, (R. 526), for disability that began in October 2003, (R. 528). In February 2005, when he turned eighteen, the SSA reevaluated Wehrenberg's claim of disability under the adult standard. 42 U.S.C. § 1382c(a)(3)(H)(iii); 20 C.F.R. § 416.987. As a result, on September 7, 2005, the SSA notified Wehrenberg that it no longer classified him as disabled. (R. 532-534). Thereafter, Wehrenberg requested and received a hearing on April 8, 2008. (R. 780-808). At the time of the hearing, Wehrenberg was 21 years old, had a special education high school diploma, and no past relevant work. (R. 790, 793). Wehrenberg had not engaged in substantial gainful activity since February 20, 2005, the date of his eighteenth birthday. (R. 334).
On June 27, 2008, the ALJ found that Wehrenberg is not disabled as an adult, (R. 332-340), which became the final decision of the Commissioner when the Appeals Council refused to grant review on June 26, 2010, (R. 324-326). Wehrenberg then filed this action pursuant to section 1631 of the Act, 42 U.S.C. § 1383(c)(3). Doc. 1.
The only issue before this court is whether the record contains substantial evidence to support the ALJ's decision. See 42 U.S.C. § 405(g); Walden v. Schweiker, 672 F.2d 835, 838 (11th Cir. 1982). Title 42 U.S.C. §§ 405(g) and 1383(c) mandate that the Commissioner's "factual findings are conclusive if supported by `substantial evidence.'" Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990). The district court may not reconsider the facts, reevaluate the evidence, or substitute its judgment for that of the Commissioner; instead, it must review the final decision as a whole and determine if the decision is "reasonable and supported by substantial evidence." See id. (citing Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983)).
Substantial evidence falls somewhere between a scintilla and a preponderance of evidence; "[i]t is such relevant evidence as a reasonable person would accept as adequate to support a conclusion." Martin, 849 F.2d at 1529 (quoting Bloodsworth, 703 F.2d at 1239) (other citations omitted). If supported by substantial evidence, the court must affirm the Commissioner's factual findings even if the preponderance of the evidence is against the Commissioner's findings. See Martin, 894 F.2d at 1529. While the court acknowledges that judicial review of the ALJ's findings is limited in scope, it notes that the review "does not yield automatic affirmance." Lamb, 847 F.2d at 701.
To qualify for disability benefits, a claimant must show "the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairments which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than twelve months." 42 U.S.C. § 423(d)(1)(A); 42 U.S.C. § 416(I). A physical or mental impairment is "an impairment that results from anatomical, physiological, or psychological abnormalities which are demonstrated by medically acceptable clinical and laboratory diagnostic techniques." 42 U.S.C. § 423(d)(3).
Determination of disability under the Act requires a five step analysis. 20 C.F.R. § 404.1520(a)-(f). Specifically, the Commissioner must determine in sequence:
McDaniel v. Bowen, 800 F.2d 1026, 1030 (11th Cir. 1986). "An affirmative answer to any of the above questions leads either to the next question, or, on steps three and five, to a finding of disability. A negative answer to any question, other than step three, leads to a determination of `not disabled.'" Id. at 1030 (citing 20 C.F.R. § 416.920(a)-(f)). "Once a finding is made that a claimant cannot return to prior work the burden shifts to the Secretary to show other work the claimant can do." Foote v. Chater, 67 F.3d 1553, 1559 (11th Cir. 1995) (citation omitted).
The court turns now to the ALJ's decision to ascertain whether Wehrenberg is correct that the ALJ committed reversible error. In that regard, the court notes that, performing the five step analysis, initially, the ALJ determined that Wehrenberg had not engaged in substantial gainful activity since February 20, 2005, the date of Wehrenberg's eighteenth birthday. (R. 334). Next, the ALJ acknowledged that Wehrenberg's severe impairment of mild mental retardation/borderline intellectual functioning met Step Two. Id. The ALJ then proceeded to the next step and found that Wehrenberg did not satisfy Step Three since he "does not have an impairment or combination of impairments that meets or medically equals one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1 (20 C.F.R. [§§] 404.1520(d), 404.1525, 404.1526, 416.925 and 416.926." (R. 335). Although the ALJ answered Step Three in the negative, consistent with the law, see McDaniel, 800 F.2d at 1030, the ALJ proceeded to Step Four, where he determined that Wehrenberg
(R. 337). The ALJ then moved on to Step Five where he considered Wehrenberg's age, education, work experience, and RFC, and determined that there are "jobs that exist in significant numbers in the national economy that [Wehrenberg] can perform." (R. 339). As a result, the ALJ answered Step Five in the negative, and determined that Wehrenberg is not disabled. (R. 340); see also McDaniel, 800 F.2d at 1030.
Wehrenberg contends that the ALJ committed reversible error because (1) the ALJ failed to demonstrate that Wehrenberg showed medical improvement; (2) retroactive recoupment is not permitted unless Wehrenberg engaged in fraud; and (3) the ALJ ceased Wehrenberg's benefits before Wehrenberg found substantial gainful activity. Doc. 11 at 5-8. The court addresses each contention below.
Wehrenberg's first contention is that "the agency failed to demonstrate that [Wehrenberg] had shown marked improvements and was no longer under a disability in conformity with Listing 12.05." Doc. 11 at 5. This contention misses the mark because a showing of medical improvement is not required for age eighteen redeterminations: "[w]here an individual was eligible for SSI benefits as a child, the Commissioner must, for the month preceding the month in which [he] attains age eighteen, re-determine h[is] disability. A showing of medical improvement is not required in these redetermination cases. Instead, the definition of disability used for adults who file new applications for SSI benefits based on disability applies." Wells v. Comm'r of Soc. Sec., No. 6:09-cv-1669-Orl-28DAB, 2011 WL 722764 *3 (M.D. Fla. January 21, 2011) (emphasis added); see also 42 U.S.C. § 1382c(a)(3)(H)(iii).
Wehrenberg's contends next that the SSA continued to pay Wehrenberg benefits after his eighteen birthday and "[o]n June 27, 2008, . . . the ALJ ruled to recapture those payments in the amount of $19,259.12 even though the claimant had never engaged in any work activity." Doc. 11 at 1. Wehrenberg further alleges that "[r]etroactive recoupment of benefits is not permitted unless [he] has engaged in some type of fraud and the record does not reflect that [Wehrenberg] did so." Id. at 6. This argument is not properly before this court because the ALJ's June 27, 2008, decision, which is the basis for the appeal to this court, is silent on retroactive recoupment of benefits. See generally (R. 334-340). In fact, the opinion fails to even address Wehrenberg's assertion that he received $19,259.12 in benefits after his eighteenth birthday. Id. As such, the court cannot address recoupment because the court's only duty is to review the ALJ's final decision as a whole and determine if the decision is "reasonable and supported by substantial evidence." Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990).
Finally, Wehrenberg contends that the ALJ erred because "[a]fter cessation of benefits [Wehrenberg] found sheltered work for a `trial work period' on a part-time basis; he should not have been `cut off' until such time as his employment became substantially full-time . . . . As such, he should have continued to receive social security disability benefits until his earnings constituted `substantial gainful activity.'" Doc. 11 at 8. Once again, Wehrenberg's argument is incorrect. First, the ALJ did not rely on Wehrenber's employment history and, in fact, specifically found that "[Wehrenberg] has no past relevant work." (R. 338); see also (R. 334-340). Second, in determining Wehrenberg's disability, the ALJ considered the jobs Wehrenberg can perform in the national economy at the age of eighteen. The ALJ has no obligation to determine what jobs Wehrenberg can perform after the cessation of benefits. See McDaniel, 800 F.2d at 1030. In that regard, whether Wehrenberg was performing "part-time" or "substantial gainful activity" at the time the benefits ceased was irrelevant to the ALJ's analysis. Id. In short, the ALJ committed no error because he never considered the jobs Wehrenberg performed in making his disability determination.
Based on the foregoing, the court concludes that the ALJ's determination that Wehrenberg is not disabled is supported by substantial evidence, and that the ALJ applied proper legal standards in reaching this determination. Therefore, the Commissioner's final decision is
Paragraph (4) provides, in relevant part that:
(A) in the case of an individual who is age 18 or older—
42 U.S.C.A. § 1382c(a)(4)(A)(i)(I) (emphasis added).