STEPHEN C. RIEDLINGER, Magistrate Judge.
Plaintiff Dana H. Watts, brought this action under 42 U.S.C. § 405(g) for judicial review of the final decision of Carolyn W. Colvin, Acting Commissioner of Social Security ("Commissioner" denying her claim for disability insurance benefits.
Plaintiff exhausted her administrative remedies before filing this action for judicial review. For the reasons which follow the Commissioner's decision should be reversed.
Under § 405(g), judicial review of a final decision of the Commissioner denying disability and SSI benefits is limited to two inquiries: (1) whether substantial evidence exists in the record as a whole to support the Commissioner's findings, and (2) whether the Commissioner's final decision applies the proper legal standards. Myers v. Apfel, 238 F.3d 617, 619 (5th Cir. 2001); Perez v. Barnhart, 415 F.3d 457, 461 (5th Cir. 2005). If substantial evidence supports the Commissioner's findings, they are conclusive and must be affirmed. Richardson v. Perales, 402 U.S. 389, 91 S.Ct. 1420, 1422 (1971); Martinez v. Chater, 64 F.3d 172, 173 (5th Cir. 1995). Substantial evidence is that which is relevant and sufficient for a reasonable mind to accept as adequate to support a conclusion. It is more than a mere scintilla and less than a preponderance. Greenspan v. Shalala, 38 F.3d 232, 236 (5th Cir. 1994); Carey v. Apfel, 230 F.3d 131, 135 (5th Cir. 2000). A finding of no substantial evidence is appropriate only if no credible evidentiary choices or medical findings support the decision. Boyd v. Apfel, 239 F.3d 698, 704 (5th Cir. 2001). In applying the substantial evidence standard the court must review the entire record as whole, but may not reweigh the evidence, try the issues de novo, or substitute its judgment for that of the Commissioner, even if the evidence weighs against the Commissioner's decision. Newton v. Apfel, 209 F.3d 448, 452 (5th Cir. 2000). Conflicts in the evidence are for the Commissioner and not the court to resolve. Masterson v. Barnhart, 309 F.3d 267, 272 (5th Cir. 2002).
If the Commissioner fails to apply the correct legal standards, or provide a reviewing court with a sufficient basis to determine that the correct legal principles were followed, it is grounds for reversal. Bradley v. Bowen, 809 F.2d 1054, 1057 (5th Cir. 1981); Western v. Harris, 633 F.2d 1204, 1206 (5th Cir. 1981); Wiggins v. Schweiker, 679 F.2d 1387, 1389 (11th Cir. 1982).
A claimant has the burden of proving that he or she suffers from a disability, which is defined as a medically determinable physical or mental impairment lasting at least 12 months that prevents the claimant from engaging in substantial gainful activity. 20 C.F.R. § 404.1505. The regulations require the ALJ to apply a five step sequential evaluation to each claim for benefits. 20 C.F.R. § 404.1520. In the five step sequence used to evaluate claims the Commissioner must determine whether: (1) the claimant is currently engaged in substantial gainful activity; (2) the claimant has a severe impairment(s); (3) the impairment(s) meets or equals the severity of a listed impairment in Appendix 1 of the regulations;
The burden of proving disability rests on the claimant through the first four steps. At the fourth step the Commissioner analyzes whether the claimant can do any of his past relevant work. If the claimant shows at step four that he or she is no longer capable of performing past relevant work, the burden shifts to the Commissioner to show that the claimant is able to engage in some type of alternative work that exists in the national economy. Myers, supra. If the Commissioner meets this burden the claimant must then show that he or she cannot in fact perform that work. Boyd, 239 F.3d at 705.
Plaintiff was 44 years old at the time of the hearing decision of the administrative law judge ("ALJ"). Plaintiff graduated from high school and her past relevant work was as a salesperson at a furniture store and a clerical/payroll accounting manager. AR pp. 120, 166-68, 184. In her application for disability benefits filed on December 9, 2010, the plaintiff alleged that she became disabled as of October 1, 2009 because of a heart condition, chronic fatigue, and anxiety.
After her application was denied at the initial stage, the plaintiff requested an ALJ hearing, which was held on August 24, 2011. The ALJ issued an unfavorable decision on October 2, 2011. AR pp. 14-51.
The ALJ then evaluated the plaintiff's residual functional capacity to determine whether, despite her severe impairments, the plaintiff was able to do her past relevant work or do other work in the national economy. The ALJ made a finding that the plaintiff had a residual functional capacity ("RFC") to perform a light work as defined in the regulations,
In her appeal memorandum the plaintiff argued that numerous errors by the ALJ require reversal and remand under sentence four of § 405(g). One of the errors alleged by the plaintiff is that the ALJ's RFC finding is not supported by substantial evidence.
Based on the standard of review and the analysis set forth below, review of the administrative record as a whole demonstrates that this claim of error has merit. The ALJ's RFC finding is not supported by substantial evidence and this error requires reversal and remand for reevaluation of the plaintiff's claim for disability benefits.
The RFC determination is pivotal to the disability analysis when the ALJ makes a finding at step four or five that a claimant is not disabled. The RFC assessment must be based on all of the relevant evidence in the record, such as medical signs and laboratory findings, reports of daily activities, lay evidence, medical source statements, and the effects of symptoms, including pain that is reasonably attributed to a medically determinable impairment.
The ALJ's decision shows that she considered the functional assessment of nurse practitioner Skip K. Stewart but gave little weight to his assessment — that the plaintiff had an RFC for less than sedentary work was — because Stewart is a non-healhcare professional. AR pp. 21, 263-65. The ALJ considered the state agency RFC assessment and stated that she gave it no weight for the same reason. AR p. 21, 55-59. The ALJ stated that she considered and gave "significant weight" to cardiologist Dr. Andrew Rees's "treatment plan" and his statement/opinion that the plaintiff needed only reassurance. AR pp. 21, 272-74, 284-85. Thus, it appears the ALJ relied solely on the medical evidence and this statement by Dr. Rees to reach her RFC finding.
The RFC finding is critical to the ALJ's determination that the plaintiff could perform her past work as a sales person and payroll manager.
It is the recommendation of the magistrate judge that, under sentence four of 42 U.S.C. § 405(g), the final decision of Carolyn W. Colvin, Acting Commissioner of Social Security, denying the application for disability benefits filed by plaintiff Dana H. Watts be reversed, and that this matter be remanded to the Commissioner for reevaluation of the plaintiff's claim for benefits.
"Light work involves lifting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds. Even though the weight lifted may be very little, a job is in this category when it requires a good deal of walking or standing, or when it involves sitting most of the time with some pushing and pulling of arm or leg controls." 20 C.F.R. § 404.1567(b).