CHARLES S. HAIGHT, Jr., Senior District Judge.
Plaintiff Katrina R. McKinney applied to the Social Security Administration (the "SSA") for supplemental security income on December 8, 2011.
Defendant elected not to file an objection to Judge Merriam's ruling, which means that this Court reviews her decision only for "clear error." See 28 U.S.C. § 636(b)(2); Bandhan v. Lab. Corp. of Am., 234 F.Supp.2d 313, 316 (S.D.N.Y. 2002) (a "district court evaluating a Magistrate's report may adopt those portions of the report to which no `specific, written objection' is made, as long as those sections are not clearly erroneous" (quoting Fed. R. Civ. P. 72(b)).
Judge Merriam concluded that for a number of reasons, "the ALJ erred in his application of the treating physician rule to Dr. Zachmann's opinion." Doc. 20, at 26. Dr. Zachmann was McKinney's treating psychiatrist. Not only was Judge Merriam's conclusion "not clearly erroneous," it was manifestly correct. The case must accordingly be remanded to the Commissioner, as Judge Merriam recommended.
This Court's review of the case indicates that it is necessary to supplement the order for remand in certain respects. Judge Merriam held that, "[i]n light of [the] finding [that the "treating physician rule" was not followed], the Court need not reach the merits of plaintiff's remaining arguments." Doc. 20, at 26. Judge Merriam came to that conclusion in light of the standard of review for an SSA appeal in federal district court, which she correctly summarized as follows:
Doc. 20, at 3-4 (emphases provided by Judge Merriam).
Judge Merriam is correct that a federal district court should not address arguments as to whether "substantial evidence" supports an ALJ's decision where that court finds the ALJ's decision, in the first instance, to be legally defective. See, e.g., Tejada v. Apfel, 167 F.3d 770, 773 (2d Cir. 1999) ("the Court must first review the ALJ's decision for correct legal principles before applying the substantial evidence standard to uphold a finding of no disability."); Meadors v. Astrue, 370 F. App'x 179, 184 (2d Cir. 2010) ("Because the ALJ neglected to engage in the proper legal standard we cannot subject his determination to meaningful review"). Judge Merriam was therefore also correct in determining that, once she found a violation of the treating physician rule, she was not in a position to resolve McKinney's allegations that the ALJ's findings were not supported by substantial evidence. See Golden v. Sec. of Health & Human Servs., 740 F.Supp. 955, 960 (W.D.N.Y. 1990) ("Where the treating physician rule has been applied incorrectly, a decision by the Secretary denying benefits cannot be upheld on the grounds that the denial is supported by substantial evidence" (citing Johnson v. Bowen, 817 F.2d 983, 986 (2d Cir. 1987)))
However, Judge Merriam's recommended ruling omits analysis as to McKinney's other allegations of legal error, alleged legal deficiencies which are separate and apart from McKinney's argument as to the treating physician rule. Specifically, McKinney argues that: (i) the ALJ violated 20 C.F.R. § 416.912(d) by failing to request an opinion from another treating physician in addition to Dr. Zachmann, [Doc. 13-1, at 12-14]; and (ii) the ALJ violated 20 C.F.R. § 416.929(c)(3)(iv) by failing to evaluate her use of medicine, [Doc. 13-1, at 14-16]. As these are both alleged violations of law, the Court views it as appropriate to address them now, prior to the ALJ's reevaluation on remand.
McKinney argues that the ALJ failed to follow the dictates of 20 C.F.R. § 416.912(d), which states as follows:
The Second Circuit has held that this places on the ALJ "an affirmative duty to develop the record," and prohibits an ALJ from "reject[ing] a treating physician's diagnosis without first attempting to fill any clear gaps in the administrative record." Burgess v. Astrue, 537 F.3d 117, 129 (2d Cir. 2008) (internal quotation omitted).
McKinney argues that the ALJ failed to adhere to this regulatory requirement by failing to affirmatively seek out a medical opinion from another one of McKinney's treating physicians, Dr. Robert Sheiman. Doc. 13-1, at 12-14. McKinney argues that it was insufficient for the ALJ to simply rely on Dr. Sheiman's treatment notes.
Defendant argues that an ALJ is under no obligation to seek additional medical information "`[w]here there are no obvious gaps . . . and where the ALJ already possesses a complete medical history,'" and that here, McKinney has identified no such "obvious gap" and the ALJ had a full medical history. Doc. 17, at 6-7 (quoting Rosa v. Callahan, 168 F.3d 72, 79 n.5 (2d Cir. 1999)).
The current dispute is in large part affected by, and related to, the ALJ's failure to follow properly the treating physician rule, as Judge Merriam correctly found. This is because if the ALJ improperly excluded (or placed insignificant weight on) McKinney's other treating physicians, there is presently an "obvious gap" in the record. Moreover, it is unclear from the record what weight the ALJ placed on the opinion of Dr. Sheiman. Therefore, the Court makes no determination as to whether the ALJ failed to comply with his obligation to affirmatively develop the record as to Dr. Sheiman. It will be for the ALJ on remand to reevaluate the record in light of Judge Merriam's ruling, as supplemented herein, and only then to decide if further record supplementation as to Dr. Sheiman is at that point necessary.
McKinney also claims that the ALJ failed to follow the directive of 20 C.F.R. § 416.929(c)(3)(iv), which states in relevant part:
Social Security Ruling ("SSR") 96-7p, in effect currently and at the time of the ALJ's decision (and Judge Merriam's Recommended Ruling)
McKinney claims that the ALJ violated Section 416.929(c)(3) by failing "to fully evaluate the use of or side effects from [McKinney's] medications." Doc. 13-1, at 15. Specifically, she claims that the "ALJ did not take Plaintiff's fatigue into consideration." Doc. 13-1, at 15.
McKinney is mistaken and this argument can be quickly dispatched. The ALJ expressly noted McKinney's claim that she "gets tired from medications," but ultimately found McKinney's statements as to the severity of this side effect not to be entirely credible. In fact, the ALJ specifically noted that "the record supports that the claimant's symptoms improved with medications." AR. 21. Therefore, the ALJ complied with the directive of 20 C.F.R. 416.929(c) by accounting for the effect of McKinney's medications on McKinney's functionality.
For the foregoing reasons, the Court ADOPTS AS SUPPLEMENTED HEREIN Judge Merriam's [20] Recommended Ruling, and thereby GRANTS IN PART Plaintiff's [13] Motion for Judgment on the Pleadings and DENIES Defendant's [16] Motion to Affirm the Decision of the Commissioner. In light of the above, the Court directs that this case be remanded to the Commissioner for further proceedings consistent with Judge Merriam's Recommended Ruling as supplemented by the instant Ruling. The Clerk is directed to close the case.