PAUL L. MALONEY, District Judge.
This is a social security action brought under Section 205(g) of the Social Security Act, 42 U.S.C. § 405(g), to review the final decision of the Commissioner of Social Security that Plaintiff's great grandchild, H.M., is not entitled to Supplemental Security Income under Title XVI of the Social Security Act.
The Court's jurisdiction is confined to a review of the Commissioner's decision and of the record made in the administrative hearing process. See Willbanks v. Sec'y of Health & Human Servs., 847 F.2d 301, 303 (6th Cir. 1998). The scope of judicial review in a social security case is limited to determining whether the Commissioner applied the proper legal standards in making her decision and whether there exists in the record substantial evidence supporting that decision. See Brainard v. Sec'y of Health & Human Servs., 889 F.2d 679, 681 (6th Cir. 1989). The Court may not conduct a de novo review of the case, resolve evidentiary conflicts, or decide questions of credibility. See Garner v. Heckler, 745 F.2d 383, 387 (6th Cir. 1984). The Commissioner is charged with finding the facts relevant to an application for benefits, and her findings are conclusive if they are supported by substantial evidence. See 42 U.S.C. § 405(g).
Substantial evidence is more than a scintilla, but less than a preponderance. See Cohen v. Sec'y of Health & Human Servs., 964 F.2d 524, 528 (6th Cir. 1992) (citations omitted). It is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. See Richardson v. Perales, 402 U.S. 389, 401 (1971); Bogle v. Sullivan, 998 F.2d 342, 347 (6th Cir. 1993). In determining the substantiality of the evidence, the Court must consider the evidence on the record as a whole and take into account whatever in the record fairly detracts from its weight. See Richardson v. Sec'y of Health & Human Servs., 735 F.2d 962, 963 (6th Cir. 1984). The substantial evidence standard presupposes the existence of a zone within which the decision maker can properly rule either way, without judicial interference. See Mullen v. Bowen, 800 F.2d 535, 545 (6th Cir. 1986) (citation omitted). This standard affords the administrative decision maker considerable latitude, and indicates that a decision supported by substantial evidence will not be reversed simply because the evidence could have supported a contrary decision. See Bogle, 998 F.2d at 347; Mullen, 800 F.2d at 545.
Plaintiff's great-grandchild, H.M., was born on February 8, 2001, and was thirteen-yearsold on the date of the ALJ's decision. (PageID.55, 102.) On April 4, 2012, Plaintiff submitted an application for disability benefits, asserting that H.M. had been disabled since February 8, 2011, due to bipolar disorder, mood disorder, and mild obesity. (PageID.102, 178-183.) This application was denied on July 3, 2012, after which time Plaintiff requested a hearing before an Administrative Law Judge (ALJ). (PageID.113-116, 119-121.) On February 12, 2014, ALJ Romona Scales conducted an administrative hearing at which both Plaintiff and H.M., represented by counsel, testified. (PageID.61-100.) In a written decision dated April 25, 2014, the ALJ determined that H.M. was not entitled to disability benefits. (PageID.41-56.) On September 13, 2015, the Appeals Council declined to review the ALJ's determination, rendering it the Commissioner's final decision in the matter. (PageID.35-38.) Plaintiff subsequently initiated this appeal under 42 U.S.C. § 405(g).
Federal law provides that an "individual under the age of 18" will be considered disabled if she "has a medically determinable physical or mental impairment, which results in marked and severe functional limitations." 42 U.S.C. § 1382c(a)(3)(C)(I). To determine whether a child satisfies this standard, the Commissioner must evaluate the claim under a three-step sequential process. 20 C.F.R. § 416.924.
In the first step, if the ALJ determines that the child is engaged in substantial gainful activity she cannot be found to be disabled. 20 C.F.R. § 416.924(b); Elam v. Comm'r of Soc. Sec., 348 F.3d 124, 125 (6th Cir. 2003). If the child is not engaged in substantial gainful activity the analysis proceeds to step two, at which point the ALJ must determine whether the child has a severe impairment or combination of impairments. 20 C.F.R. § 416.924(c); Elam, 348 F.3d at 125. If the ALJ determines that the child suffers from a severe impairment, or combination of impairments, the analysis proceeds to step three, at which point the ALJ must determine whether the impairment(s) "meet, medically equal, or functionally equal" one of the impairments identified in the Listing of Impairments. 20 C.F.R. § 416.924(d); Elam, 348 F.3d at 125.
The ALJ made the following findings:
(PageID.47-48.)
Next, the ALJ was required to determine whether H.M. suffered from an impairment that was the functional equivalent of a listed impairment. In doing so, the ALJ was required to evaluate how H.M. functioned in each of six domains of functioning described as "broad areas of functioning intended to capture all of what a child can or cannot do." 20 C.F.R. § 416.926a(a)-(b). To be considered disabled, the child's impairments must result in "marked" limitations in two domains of functioning or an "extreme" limitation in one domain. 20 C.F.R. § 416.926a(a). The six domains of functioning are:
20 C.F.R. § 416.926a(b)(1).
The ALJ found that H.M. experienced no limitations in acquiring and using information, moving about and manipulating objects, and caring for herself. She had less than marked limitation in attending and completing tasks, interacting and relating with others, and health and well being. (PageID.48-56.) Accordingly, the ALJ determined that H.M. was not disabled as defined by the Social Security Act. (PageID.56.)
The only issue is whether substantial evidence supports the ALJ's assessment of H.M.'s functioning in five of the six domains.
As noted above, the ALJ was required to evaluate H.M. under six functional domains. Regulations from the Social Security Administration provide descriptions of each domain. These "general descriptions of each domain . . . help [the Commissioner] decide whether you have limitations in any given domain and whether these limitations are `marked' or `extreme.'" 20 C.F.R. § 416.926a(f)(2).
Several of these descriptions include separate discussions for children of different ages. These descriptions "include examples of some activities typical of children in each age group and some functional limitations that [the Commissioner] may consider. These examples also help [the Commissioner] decide whether you have limitations in a domain because of your impairment(s)." 20 C.F.R. § 416.926a(f)(3). The regulations provide the following age groups: (1) newborns and young infants (birth to attainment of age 1); (2) older infants and toddlers (age 1 to attainment of age 3); (3) Preschool children (age 3 to attainment of age 6); (4) schoolage children (age 6 to attainment of age 12); and (5) adolescents (age 12 to attainment of age 18). See, e.g., 20 C.F.R. 416.926a(g)(2). The reasons for differentiation are sound. See Williams v. Apfel, 179 F.3d 1066, 1071 (7th Cir. 1999) ("[I]t is clear that for the SSI program to run, children of different ages need to be assessed in different, and age-appropriate ways.").
As a general rule, when determining if a claimant is currently disabled, "the claimant's age as of the time of the [ALJ's] decision governs in applying the regulations." Varley v. Sec. of Health & Human Servs., 820 F.2d 777, 780 (6th Cir. 1987) (analyzing whether a person was "of advanced age" as provided in the regulations).
While the ALJ correctly noted that H.M. was a school-age child on the date of the application, the ALJ incorrectly noted that H.M. was currently a school-age child on the date of the decision. (PageID.47.) In fact, H.M. was thirteen-years-old both at the hearing and on the date of the ALJ's decision, putting her squarely in the adolescent age group category. See 20 C.F.R. §§ 416.926a(g)(2)(v), (h)(2)(v), (i)(2)(v), (j)(2)(v), (k)(2)(v). Several records also relate to the time when H.M. had already reached at least twelve years of age.
The consequence of this error renders the ALJ's decision unsupported by substantial evidence, and the Court must remand this action for further consideration.
Throughout her decision, the ALJ cites the regulations for school-age children, but then cites records from when H.M. was an adolescent to find her not to be disabled. For example, in the acquiring and using information domain, the ALJ cites school records from January 2013 and current records from 2014, when H.M. was twelve- and thirteen-years-old and during the period when the regulations defined H.M. as an adolescent.
20 C.F.R. 416.926a(g)(2)
At this time, H.M. was attending a truancy academy and later a home school program, where she stated she could proceed at her "own pace and discretion." (PageID.67, 386.) It does not appear that the ALJ compared these activities to those typical of an adolescent. Moreover, the ALJ noted that H.M. was not in special education (PageID.51), but Social Security rulings define "remedial or compensatory teaching methods for academic subjects, or placement in a self-contained classroom" as special education services. SSR 09-3p, 2009 WL 396025, at *3 (S.S.A. Feb. 17, 2009).
Similarly, elsewhere in her decision the ALJ relies on records and hearing testimony regarding the period when H.M. was an adolescent, but cites to those activities typical of a younger, school-age child. True, the ALJ also cited descriptions from the SSR that provide examples which do not apply to a particular age group, but the Court finds this does not cure the ALJ's error here. It remains patent the ALJ mistakenly believed H.M. was a school-age child through the date of the decision, and it is equally clear that in arriving at her decision the ALJ relied, at least in part, on comparing H.M.'s adolescent activities to those typical of a younger, school-age individual. This mistake leaves the Court unable to trace the path of the ALJ's reasoning. See Diaz v. Chater, 55 F.3d 300, 307 (7th Cir. 1995).
Plaintiff asks for an award of benefits. (PageID.821.) While the Court finds that the ALJ's decision fails to comply with the relevant legal standards, Plaintiff can be awarded benefits only if "all essential factual issues have been resolved" and "the record adequately establishes his entitlement to benefits." Faucher v. Sec'y of Health & Human Servs., 17 F.3d 171, 176 (6th Cir. 1994); see also Brooks v. Comm'r of Soc. Sec., 531 F. App'x 636, 644 (6th Cir. 2013). This latter requirement is satisfied "where the proof of disability is overwhelming or where proof of disability is strong and evidence to the contrary is lacking." Faucher, 17 F.3d at 176; see also Brooks, 531 F. App'x at 644.
This case is being remanded because the ALJ erroneously believed H.M. was at all relevant times a school-age child, not because there is compelling evidence that H.M. is disabled. On remand, the ALJ must evaluate H.M.'s abilities and the factual record in the each age category, including the "adolescent" category, as appropriate.
For the reasons articulated herein, the undersigned concludes that the ALJ's decision is not supported by substantial evidence. Accordingly, the Commissioner's decision is REVERSED and this matter is REMANDED for further proceedings under sentence four of 42 U.S.C. § 405(g).