Filed: Sep. 10, 2008
Latest Update: Feb. 21, 2020
Summary: [DO NOT PUBLISH] IN THE UNITED STATES COURT OF APPEALS FILED FOR THE ELEVENTH CIRCUIT U.S. COURT OF APPEALS _ ELEVENTH CIRCUIT SEPT 10, 2008 No. 08-11843 THOMAS K. KAHN Non-Argument Calendar CLERK _ D. C. Docket No. 07-00001-CV-5-RS-MD NERA RANDOLPH, Plaintiff-Appellant, versus MICHAEL J. ASTRUE, Defendant-Appellee. _ Appeal from the United States District Court for the Northern District of Florida _ (September 10, 2008) Before DUBINA, MARCUS and WILSON, Circuit Judges. PER CURIAM: Appellant Ner
Summary: [DO NOT PUBLISH] IN THE UNITED STATES COURT OF APPEALS FILED FOR THE ELEVENTH CIRCUIT U.S. COURT OF APPEALS _ ELEVENTH CIRCUIT SEPT 10, 2008 No. 08-11843 THOMAS K. KAHN Non-Argument Calendar CLERK _ D. C. Docket No. 07-00001-CV-5-RS-MD NERA RANDOLPH, Plaintiff-Appellant, versus MICHAEL J. ASTRUE, Defendant-Appellee. _ Appeal from the United States District Court for the Northern District of Florida _ (September 10, 2008) Before DUBINA, MARCUS and WILSON, Circuit Judges. PER CURIAM: Appellant Nera..
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[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FILED
FOR THE ELEVENTH CIRCUIT U.S. COURT OF APPEALS
________________________ ELEVENTH CIRCUIT
SEPT 10, 2008
No. 08-11843 THOMAS K. KAHN
Non-Argument Calendar CLERK
________________________
D. C. Docket No. 07-00001-CV-5-RS-MD
NERA RANDOLPH,
Plaintiff-Appellant,
versus
MICHAEL J. ASTRUE,
Defendant-Appellee.
________________________
Appeal from the United States District Court
for the Northern District of Florida
_________________________
(September 10, 2008)
Before DUBINA, MARCUS and WILSON, Circuit Judges.
PER CURIAM:
Appellant Nera Randolph appeals from the district court’s order affirming
the administrative law judge’s (ALJ) denial of his application for disability
insurance benefits and supplemental security income benefits, 42 U.S.C. §§ 405(g)
and 1383(c)(3). Randolph filed a previous application for a period of disability
and/or disability insurance benefits in 2001. The prior ALJ denied his application,
finding that he could perform sedentary work, and as such was not disabled.
Randolph filed the present application in 2004. On appeal, Randolph argues that
the ALJ erred by (1) failing to adopt the prior final determinations on his severity
of impairments and residual functional capacity based on the principle of res
judicata; (2) failing to fully consider the evidence relating to his spinal condition;
and (3) improperly evaluating his subjective complaints of pain and finding him
not entirely credible.
We review the ALJ’s decision “to determine if it is supported by substantial
evidence and based on proper legal standards.” Crawford v. Comm’r,
363 F.3d
1155, 1158 (11th Cir. 2004) (quotation omitted). “Substantial evidence is more
than a scintilla and is such relevant evidence as a reasonable person would accept
as adequate to support a conclusion . . . . Even if the evidence preponderates
against the Commissioner’s findings, we must affirm if the decision reached is
supported by substantial evidence.”
Id. at 1158-59 (quotation omitted). In
conducting this review, we may not reweigh the evidence or substitute our
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judgment for that of the ALJ. Martin v. Sullivan,
894 F.2d 1520, 1529 (11th Cir.
1990). “With respect to the Commissioner’s legal conclusions, however, our
review is de novo.” Lewis v. Barnhart,
285 F.3d 1329, 1330 (11th Cir. 2002).
I.
The Social Security Act directs that “[t]he findings and decisions of the
Commissioner . . . after a hearing shall be binding upon all individuals who were
parties to such hearing.” 42 U.S.C. § 405(h). However, the Act also gives the
Commissioner the authority to
make rules and regulations and to establish procedures . . . which are
necessary or appropriate to carry out such provisions, and shall adopt
reasonable and proper rules and regulations to regulate and provide
for the nature and extent of the proofs and evidence and the method of
taking and furnishing the same in order to establish the right to
benefits hereunder.
42 U.S.C. § 405(a). In accordance with the Act, the Commissioner’s regulations
direct that res judicata applies where the Commissioner has made a previous final
decision based on the “same facts and the same issue or issues.” 20 C.F.R.
§§ 404.957(c)(1), 416.1457(c)(1).
While we have not ruled on the application of res judicata to subsequent
unadjudicated periods or what constitutes the same “issue or issues,” the
Commissioner has issued Acquiescence Rulings in response to such determinations
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from other circuits. Generally, the Fourth, Sixth, and Ninth Circuits agree that in
order for a claimant “to overcome the presumption of continuing nondisability
arising from the first administrative law judge’s findings of nondisability, [he or
she] must prove ‘changed circumstances’ indicating a greater disability.” Chavez
v. Bowen,
844 F.2d 691, 693 (9th Cir. 1988); see also Lively v. Secretary,
820 F.2d
1391, 1392 (4th Cir. 1987); Drummond v. Comm’r.,
126 F.3d 837, 842 (6th Cir.
1997). However, the Commissioner disagrees with the presumption of
nondisability and issued Acquiescence Rulings after each of the above opinions
explaining that the Social Security Administration’s (SSA’s) policy is as follows:
if a determination or decision on a disability claim has become final,
the Agency may apply administrative res judicata with respect to a
subsequent disability claim . . . if the same parties, facts and issues are
involved in both the prior and subsequent claims. However, if the
subsequent claim involves deciding whether the claimant is disabled
during a period that was not adjudicated in the final determination or
decision on the prior claim, SSA considers the issue of disability with
respect to the unadjudicated period to be a new issue that prevents the
application of administrative res judicata. Thus, when adjudicating a
subsequent disability claim involving an unadjudicated period, SSA
considers the facts and issues de novo in determining disability with
respect to the unadjudicated period. SSA does not adopt findings from
the final determination or decision on the prior disability claim in
determining whether the claimant is disabled with respect to the
unadjudicated period.
Acquiescence Ruling (AR) 97-4(9); see also AR 94-2(4); AR 98-4(6).
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Even if we do not follow SSA policy, we conclude that the ALJ did not err.
Because the facts support a determination that Randolph had improved and should
no longer be limited only to sedentary work, substantial evidence supports the
ALJ’s determination that Randolph’s circumstances changed enough to warrant a
departure from the prior ALJ’s decision.
II.
The ALJ must “carefully weigh evidence, giving individualized
consideration to each claim that comes before him.” Miles v. Chater,
84 F.3d
1397, 1401 (11th Cir. 1996). The ALJ has a duty to make clear the weight
accorded to each item of evidence and the reasons for his decision in order to
enable a reviewing court to determine whether the decision was based on
substantial evidence. Cowart v. Schweiker,
662 F.2d 731, 735 (11th Cir. 1981).
However, “there is no rigid requirement that the ALJ specifically refer to every
piece of evidence in his decision. Dyer v. Barnhart,
395 F.3d 1206, 1211 (11th
Cir. 2005) (quoting Foote v. Chater,
67 F.3d 1553, 1567 (11th Cir. 1995)).
Id.
The ALJ’s decision need not be a broad rejection which does not enable this Court
to conclude that the ALJ considered the claimant’s medical conditions as a whole.”
Id. Moreover, an ALJ can rely on a non-examining physician’s report in denying
disability insurance benefits where the non-examining physician’s report does not
5
contradict information in the examining physician’s reports. Edwards v. Sullivan,
937 F.2d 580, 584-85 (11th Cir. 1991).
The claimant bears the burden of proving that he has a severe impairment or
combination of impairments. Jones v. Apfel,
190 F.3d 1224, 1228 (11th Cir.
1999). “An impairment or combination of impairments is not severe if it does not
significantly limit [the claimant’s] physical or mental ability to do basic work
activities,” 20 C.F.R. § 404.1521(a), while a severe impairment causes more than
“a minimal limitation on a claimant’s ability to function,” Davis v. Shalala,
985
F.2d 528, 532 (11th Cir. 1993). A claimant’s residual functional capacity (RFC) is
“based upon all the relevant evidence, of a claimant’s remaining ability to do work
despite his impairments.” Lewis v. Callahan,
125 F.3d 1436, 1440 (11th Cir.
1997). “Light work involves lifting no more than 20 pounds at a time with
frequent lifting or carrying of objects weighing up to 10 pounds” as well as “a
good deal of walking or standing, or . . . sitting most of the time with some pushing
and pulling of arm or leg controls.” 20 C.F.R. § 404.1567(b).
The record demonstrates that the ALJ carefully considered Randolph’s
medical condition as a whole, and substantial evidence supports the ALJ’s findings
that Randolph’s back impairment was not severe and that Randolph was capable of
performing light work. The record also indicates that the ALJ did not solely rely
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on the opinion of the state agency physicians but considered the record in its
entirety. Thus, we conclude that the ALJ did not err in assigning more weight to
the expert opinions of the non-examining state agency physicians.
III.
In order to establish disability based on testimony of pain, a claimant must
show the following: “(1) evidence of an underlying medical condition; and (2)
either (a) objective medical evidence confirming the severity of the alleged pain; or
(b) that the objectively determined medical condition can reasonably be expected
to give rise to the claimed pain.” Wilson v. Barnhart,
284 F.3d 1219, 1225 (11th
Cir. 2002). Additionally, “credibility determinations are the province of the ALJ.”
Moore v. Barnhart,
405 F.3d 1208, 1212 (11th Cir. 2005). An ALJ must articulate
“explicit and adequate reasons” in order to discredit subjective testimony, and
failure to do so “requires, as a matter of law, that the testimony be accepted as
true.”
Wilson, 284 F.3d at 1225. However, we not require the ALJ to “specifically
refer to every piece of evidence in his decision,” so long as the decision is
sufficient to allow us to conclude that the ALJ considered the claimant’s medical
condition as a whole. Dyer v.
Barnhart, 395 F.3d at 1211.
We conclude from the record that the ALJ properly considered Randolph’s
subjective complaints of pain and medical conditions and articulated reasons for
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discrediting Randolph’s subjective testimony. Substantial evidence on the record
supports the ALJ’s findings that Randolph’s statements concerning the intensity,
duration, and limiting effects of the symptoms were not entirely credible, and thus,
Randolph did not satisfy the three-part test for establishing disability based on
testimony of pain.
For the above-stated reasons, we affirm the denial of disability and
supplemental security income benefits.
AFFIRMED.
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