BRIAN K. EPPS, Magistrate Judge.
Gary Lewis Hudson appeals the decision of the Commissioner of Social Security denying his application for Supplemental Security Income ("SSI") under the Social Security Act. Upon consideration of the briefs submitted by both parties, the record evidence, and the relevant statutory and case law, the Court
Plaintiff received Supplemental Social Security income benefits as a child based on the Social Security Administration's decision on February 1, 2011, which determined disability as of August 13, 1996 for borderline intellectual functioning. Tr. ("R."), pp. 25, 82-84. Because Plaintiff turned eighteen on August 25, 2011, the Social Security Administration redetermined whether Plaintiff was disabled under the rules for determining disability in adults pursuant to 20 C.F.R. § 416.987. R. 82-84. Plaintiff completed a Disability Report on February 1, 2012 as an adult. R. 197-202. Plaintiff has an eleventh-grade education, has not obtained his GED, but has attended some classes in an attempt to obtain his GED. R. 55, 198. Plaintiff has never worked. R. 198, 203-08. On April 18, 2012, the Social Security Administration denied Plaintiff's redetermination of supplemental benefits as an adult.
On April 24, 2012, Plaintiff requested reconsideration of the April 18th redetermination, and on May 22, 2014, a Disability Hearing Officer issued a Report of Disability Hearing, finding Plaintiff was not disabled. R. 92-112. Plaintiff requested a hearing before an ALJ, R. 116-19, and the ALJ held a hearing on June 21, 2016. R. 48-79. At the hearing, the ALJ heard testimony from Plaintiff, represented by attorney William R. McCracken, Eva M. Williams, Plaintiff's mother, and Carl Weldon, a Vocational Expert ("VE").
On October 21, 2016, Plaintiff requested review of the ALJ's decision from the Appeals Council ("AC"), and on October 11, 2017, the AC granted Plaintiff's request for review. R. 177-88. In the AC's October 11th correspondence with Plaintiff, the AC notified Plaintiff it was (1) including the additional severe impairment of Asperger's Disorder to the ALJ's determination; (2) evaluating Plaintiff's medical impairments under the newly revised regulatory criteria of Listing 12.00, revised on January 17, 2017; (3) allowing Plaintiff an opportunity to provide a statement or additional information; and (4) planning to still find Plaintiff is not disabled. R. 182-88. Plaintiff provided a statement, R. 342-44, which the AC considered, but on February 1, 2018, the AC issued an unfavorable decision. R. 4-9.
Applying the sequential process required by 20 C.F.R. § 416.920 and adopting the ALJ's "findings or conclusions regarding whether [Plaintiff] is disabled," the AC found:
R. 4-9.
On April 5, 2018, Plaintiff filed this civil action requesting reversal or remand of the adverse decision of the ALJ, as modified by the AC. (Doc. no. 1.) Plaintiff argues the Commissioner's decision is not supported by substantial evidence because (1) the ALJ erred by finding Plaintiff did not meet the Medical Listing 12.05C in effect at the time of the ALJ's decision; (2) the ALJ gave great weight to the initial medical evaluations even though these evaluations did not consider subsequently admitted medical evidence of Plaintiff; and (3) the AC did not apply the same version of the Medical Listings as the ALJ.
Judicial review of social security cases is narrow and limited to the following questions: (1) whether the Commissioner's findings are supported by substantial evidence, and (2) whether the Commissioner applied the correct legal standards.
The Commissioner's factual findings should be affirmed if there is substantial evidence to support them.
The deference accorded the Commissioner's findings of fact does not extend to his conclusions of law, which enjoy no presumption of validity.
Plaintiff argues the Commissioner's decision is not supported by substantial evidence because (1) the ALJ erred by finding Plaintiff did not meet Listing 12.05C that was in effect at the time of the ALJ's decision; (2) the ALJ gave great weight to the initial medical evaluations even though these evaluations did not consider subsequently admitted medical evidence of Plaintiff; and (3) the AC erred by not applying the same version of the Listings as the ALJ. Pl.'s Br. As explained below, none of Plaintiff's arguments form a valid basis for reversal or remand.
On September 26, 2016, the Social Security Administration revised the medical criteria for evaluating mental disorders, which revised the pertinent Listings in this case. Revised Medical Criteria for Evaluating Mental Disorders, 81 Fed. Reg. 66, 138 (Sept. 26, 2016). The new Listing 12.05 "simplified the four sets of criteria into two alternate criteria in subsections 12.05(A) and (B)," thereby eliminating 12.05C and 12.05D.
The new Listings were to be applied to all new and pending Social Security cases as of January 17, 2017. Revised Medical Criteria for Evaluating Mental Disorders, 81 Fed. Reg. 66, 138 (Sept. 26, 2016). The Social Security Administration provided detailed instructions regarding the effective date as follows:
Revised Medical Criteria for Evaluating Mental Disorders, 81 Fed. Reg. 66, 138 & n.1 (Sept. 26, 2016) (emphasis in original). The Eleventh Circuit follows the regulation's own terms of applicability and applies the rules in effect at the time of the final decision.
Plaintiffs argues that, even if the new Listings applied on appeal, the Appeals Council erred by (1) making its own factual findings and applying new Listings not considered by the ALJ; (2) failing to conduct a hearing; (3) summarily applying the Listings without making specific findings as to why each did not apply; and (4) finding Plaintiff did not satisfy the requirements of new Listings 12.03, 12.04, and 12.05. The Court finds no error.
At step three of the evaluation process, the Commissioner must determine whether a claimant meets or equals a disability described in the Listing of Impairments, which describes impairments severe enough to prevent a person from performing any gainful activity.
In order to show his impairment meets a Listing, Plaintiff needs to satisfy all of the specified medical criteria; "[a]n impairment that manifests only some of those criteria, no matter how severely, does not qualify."
With respect to his first argument, Plaintiff appears to imply the AC has limited authority and cannot make new factual findings or apply legal rules not considered by the ALJ. Pl.'s Br., pp. 10-11. On the contrary, the Appeals Council has broad discretion to "affirm, modify or reverse the administrative law judge hearing decision or it may adopt, modify or reject a recommended decision. If the Appeals Council issues its own decision, it will base its decision on the preponderance of the evidence." 20 C.F.R. § 416.1479.
Second, Plaintiff argues he was entitled to a hearing before the AC because he requested one and the Listings changed substantively. Pl.'s Br., p. 11. In its review, the AC "consider[s] the evidence in the [ALJ] hearing record and any additional evidence it believes is material to an issue being considered." 20 C.F.R. § 416.1470. The AC will grant a request to present oral argument "if it decides that your case raises an important question of law or policy or that oral argument would help to reach a proper decision." 20 C.F.R. § 416.1476. Here, there is no record of Plaintiff requesting an in-person hearing. The AC notified Plaintiff of its decision to review his case on October 11, 2017 and gave him thirty days to request oral argument and send additional statements advocating his position. R. 186-87. The record shows there was only one submission to the AC within thirty days of the notification, and in that letter to the AC, Plaintiff did not request a hearing. R. 342-44. Further, Plaintiff points to no new evidence the AC failed to consider. Plaintiff also does not cite to, and the Court could not find, any authority requiring the AC to grant a new hearing because the Listings changed. The AC specifically stated it considered the statement submitted by Plaintiff and found it did not provide a basis for changing its decision.
Third, the Court finds (a) the AC considered the new Listings and explained its rationale for finding Plaintiff did not satisfy the "Paragraph B" criteria; and (b) there is no error in the AC's summary ruling Plaintiff did not satisfy the "Paragraph C" criteria. Citing substantial evidence in support, the AC explained in detail why it concluded Plaintiff did not satisfy the "Paragraph B" criteria for all three of the Listings cited by Plaintiff as providing relief, i.e. Listings 12.03, 12.04, and 12.05.
In evaluating Paragraph B, the AC looked to the entire record, R. 8., and specifically discussed each sub-criterion, finding Plaintiff had (1) moderate difficulty in his ability to understand, remember, or apply information; (2) moderate difficulty in the ability to interact with others; (3) moderate difficulty in the ability to concentrate; and (4) moderate difficulty in the ability to adapt or manage oneself.
With respect to Paragraph C, the AC found as follows: "We considered the `paragraph C' criteria. The evidence fails to establish the `paragraph C' criteria." R. 6. Plaintiff argues generally, without reference to this Paragraph C finding, he is "entitled to a specific finding as to why [the new Listings] did not apply." (Doc. no. 11 at 11.) However, the Eleventh Circuit has long held "it is not required that the Secretary mechanically recite the evidence leading to [the] determination. There may be an implied finding that a claimant does not meet a listing."
Plaintiff also argues, without explanation, "the new regulation that arguably addresses Plaintiff's disability would be new section 12.05 on `Intellectual Disability.'" Pl.'s Br., p. 11. This Listing can be satisfied by meeting all of the requirements of its Paragraph A or B. The AC found, as explained above, Plaintiff's condition did not satisfy the four prongs of Paragraph B concerning mental functioning, as set forth in Paragraph B(2) of Listing 12.05, which forecloses any finding Plaintiff satisfies Paragraph B. R. 5-6.
While the AC never specifically refers to Paragraph A of Listing 12.05, it found Plaintiff did not have significant deficits in adaptive functioning when discussing Listing 12.11. R. 6. Paragraph A of Listing 12.05 requires significant deficits in adaptive functioning, "currently manifested by your dependence upon others for personal needs (for example, toileting, eating, dressing, or bathing)." 20 C.F.R. Part 404, Subpart P, Appendix 1, § 12.05. Citing substantial evidence, the AC found, in the context of Listing 12.11, Plaintiff's daily activities exhibited sufficient indicia of his independence, such as attending art school, cleaning his room by himself, and attending regular academic classes at school. R. 6. The substantial evidence cited in support of the adaptive functioning determination as to Listing 12.11 applies equally to the adaptive functioning analysis under Listing 12.05. Indeed, it appears the AC merely made a typographical error by citing Listing 12.11 rather than Listing 12.05. Plaintiff makes no effort to cite facts in the record suggesting the AC's adaptive functioning finding is incorrect. Thus, the AC's finding Plaintiff did not meet any of the Listings is supported by substantial evidence.
Plaintiff argues the ALJ erred by giving great weight to findings made in 2012 by evaluators Dr. Janit and Disability Determination Services without seeking reconsideration by these same evaluators based on subsequent medical records from 2012 to the date of the ALJ August 11, 2016 decision. R. 9-10. Plaintiff argues the subsequent medical records "document a longitudinal course of care and treatment reflecting that the claimant has continued to have varying mental health issues during the entire relevant period of time." Plaintiff explains information concerning longitudinal care of treatment "can be quite significant" in determining the date of disability onset.
First, Plaintiff does not argue the ALJ and AC erred by adopting the findings of Dr. Janit and DDS. Because Dr. Janit examined Plaintiff, his findings are entitled to deference.
Third, Plaintiff does not cite, and the Court could not find, any authority requiring the ALJ or AC seek reconsideration from evaluating and consulting experts merely because additional medical records are available. Fourth, as set forth in 20 C.F.R. § 416.1527(d), the determination of disability regarding a Social Security claim is reserved to the Commissioner. Here, the ALJ specifically considered the subsequent medical records and listed each medical visit. R. 32-35. Likewise, the AC specifically stated it reviewed the entire record. R. 8.
Lastly, Plaintiff cites in support
For the reasons set forth above, the Court
SO REPORTED and RECOMMENDED.