PAUL J. BARBADORO, District Judge.
Scott Plourde has appealed an unfavorable decision from an Administrative Law Judge ("ALJ") on his applications for Supplemental Security Income ("SSI"). Plourde's appeal is still pending, but in the meantime, he has filed a motion to remand this matter to the Commissioner of the Social Security Administration ("SSA"), pursuant to sentence six of 42 U.S.C. § 405(g). The Commissioner objects. For the reasons that follow, I deny Plourde's motion to remand.
Plourde filed applications for SSI in 2012 and 2015, and those applications were subsequently consolidated into a single claim. In that claim, Plourde asserted that he was disabled by multiple impairments including broken vertebrae and migraine headaches. Plourde received a hearing before an ALJ on his SSI claim in July of 2016, and he received an unfavorable decision that is dated January 22, 2017. Among other things, the ALJ determined that Plourde did not have any physical impairments that met or equaled the severity of any of the impairments that the SSA regulations deem to be per se disabling. In other words, the ALJ determined that Plourde had failed to satisfy step three of the sequential evaluation process that the SSA uses to evaluate claims for benefits.
In his motion to remand, Plourde avers that he filed a new application for Social Security benefits in April of 2018 and received a hearing on that application in August of 2019. According to an affidavit from Bradford Hillman, the attorney who represented Plourde at his 2019 hearing, the SSA retained a medical expert, Dr. Joseph Gaeta, who testified that:
Cl.'s Mot. for Remand, Hillman Aff. (doc. no. 18-1) ¶ 6.
In that motion, Plourde asks me to remand this matter to the Commissioner for a new hearing at which Dr. Gaeta could provide the testimony quoted above.
According to sentence six of the judicial review provision of the Social Security Act,
42 U.S.C. § 405(g). Where, as here, a claimant moves for a sentence-six remand, he bears the burden of establishing "that the . . . evidence [at issue] is both `new' and `material,' as those terms are used in the statute [and] that there was a legally adequate reason . . . for neglecting to present" that evidence at a previous hearing.
Judge McCafferty has recently explained that "[f]or the purposes of sentence six, evidence is material if it `might have changed the outcome of the prior proceeding.'"
Plourde has not carried his burden of establishing a reasonable possibility that the ALJ in this case would have made a different decision if he had been presented with the testimony Dr. Gaeta gave at his 2019 hearing. Dr. Gaeta testified that, in his view, Plourde had two listing-level impairments starting in November of 2016. That was just two months before the ALJ issued the decision that Plourde asks the court to reverse. Given that timing, given the requirement that to be disabling, an impairment "must have lasted or must be expected to last for a continuous period of at least 12 months," 20 C.F.R. § 416.909, and given the lack of any specific testimony regarding duration by Dr. Gaeta, the court cannot see how Dr. Gaeta's testimony, even if the ALJ had fully credited it, might reasonably have resulted in a decision by the ALJ that in January of 2017, Plourde had a listing-level physical impairment that satisfied the duration requirement.
Moreover, in his decision, the ALJ noted that "[t]he claimant, who is represented by counsel, did not argue that any of his conditions met or equaled the criterial for any listing found in Appendix 1 during the period he alleges that he was disabled." Administrative Transcript (hereinafter "Tr.") 914. But then, after noting that "such a conclusion [was not] apparent on the face of the record,"
Finally, the Commissioner also argues that Plourde has not established good cause for failing to present evidence pertinent to step three of the sequential evaluation process to the ALJ before he rendered his 2017 decision. But the "[t]he `good cause' element of sentence six only comes into play when a claimant presents evidence not in existence or available to him at the time of the ALJ hearing that might have changed the outcome."
For the reasons described above, Plourde's motion for a sentence-six remand, document no. 18, is denied.