ERIC N. VITALIANO, District Judge.
Plaintiff Bartolo Romero brought this action seeking, pursuant to 42 U.S.C. §§ 405(g) and 1383(c)(3), review of the final decision of the Commissioner of Social Security (the "Commissioner") finding that he was not "disabled" and, therefore, ineligible to receive Disability Insurance Benefits ("DIB") under Title II, the Supplemental Security Income provisions ("SSI"), and Title XVI of the Social Security Act (the "Act"). Pursuant to Federal Rule of Civil Procedure 12(c), the Commissioner and Romero have cross-moved for judgment on the pleadings.
The Romero litigation trail is familiar. This is the second time the Court has been asked to review the findings of Administrative Law Judge Michael Gerwitz (the "ALJ") in relation to Romero's benefits application. In a prior action,
For purposes of orientation, Romero's Social Security saga began when he first applied for SSI and DIB with the Social Security Administration ("SSA") on January 28, 2004, claiming that he was unable to work due to the effects of diabetes, hypertension, depression and Hepatitis C, combined with the side effects of its treatment. His specific complaints included weakness, headaches and depression. That there is a saga means, obviously, that SSA denied the claim, which was followed by an unsuccessful administrative hearing, despite Romero having had the assistance of counsel. On review, this Court found that the ALJ "failed to adequately assert his reasons for rejecting [the treating physician's] conclusions regarding Romero's mental state."
Scrutiny of the first administrative hearing, as described in Romero I, is important for two reasons. First, the course of those earlier proceedings is eerily reprised in the unfolding of the second administrative hearing. Second, while the Court's review of the first hearing and notice of determination were pending, Romero filed separate and additional applications for SSI and DIB. This time, though, SSA found that Romero was "disabled" as of March 16, 2006 — that is, the day following the date of the ALJ's decision denying Romero benefits after the first-round hearing. As a consequence of SSA's award of benefits on plaintiffs second round of disability applications, the period in controversy on the original application (the subject of the remand) was effectively narrowed to extend from July 24, 2003 only through March 15, 2006.
May 1, 2007 brought the order reversing the ALJ's decision denying Romero's original application for benefits and remanding the case to the ALJ for further proceedings, pursuant to 42 U.S.C. § 405(g). As explained in that order, the Court instructed the ALJ to give further consideration to the opinions of Dr. Monge, plaintiffs treating psychiatrist, and to explain more fully his reasoning in assessing the weight of Dr. Mange's opinions and how he factored these opinions in making the determination he was required to make by 20 C.F.R. § 4041.1527(d)(2).
The second administrative hearing on Romero's original application for disability benefits was convened on January 17, 2008. Romero, a Spanish-language speaker, appeared with counsel and testified through a translator. (R. 480-540.)
In his live testimony, Romero described his illnesses as knee pain, arthritis, diabetes, and Hepatitis C. He explained that these ailments and afflictions prevented him from acquiring a new job. (R. 493-94.) Romero also testified that, sometimes, the work environment was difficult because people "are two-faced." (
Lopez offered corroborative testimony that she had been a friend of Romero's for ten years, during which time she would see Romero socially three to four times a week. (R. 496-98.) She stated that she noticed a change in Romero beginning in 2003-2004, when he started to complain about his back and his knees. (R. 500.) Because of these physical defects, Lopez would, she said, accompany Romero to the doctor and help interpret (she confirmed that Romero did not speak English), assist him in traveling from place to place, and go shopping with him. (R. 496-98.) Romero, Lopez testified, could not even go to the store on his own because he could not lift the groceries. (R. 498-99.) Similarly, Lopez observed that during those times when she could convince Romero to go for a walk, he often went only one or two blocks before having to rest for as much as 20 minutes. (R. 513-14.) According to this witness, with these limitations, Romero complained that he was depressed. (ML.) Though a lay view, she attributed his inability to work to his depression and physical deficits. (R. 511.)
Additionally, in her testimony, vocational expert Pat Green stated that, in light of Romero's illnesses, physical ailments and language and education limitations, he could not perform the jobs that he had previously held. (R. 528-29.) The ALJ asked Green to identify possible jobs that someone with Romero's limitations could perform, and Green listed "assembler of small products," "garment sorter" and "hand packager." (R. 529-30.) However, upon questioning from plaintiffs attorney, Green clarified that someone who could not walk for more than a few blocks without having to rest for 20 minutes, or who experienced tiredness as a side effect of medication, could not perform such work. (R. 531.) Romero's attorney also questioned Green regarding a series of mental and physical conditions claimed by Romero, to which Green testified that, in each case, the condition would prove a significant impediment to maintaining the type of job plaintiff previously had held. (R. 531-36.)
Despite its seeming potency, Romero might have suspected that this additional testimony was unlikely to help him, as the ALJ advised him at the start of the proceedings that he felt there was already "a complete record in the case" and that he intended to "reject [Dr. Mange's] opinion again" because it was "worthless." (R. 485-86.) Moreover, when Romero's counsel encouraged the ALJ to consider the reasons for the SSA's determination that Romero was "disabled" as of March 16, 2006, the ALJ refused, calling the SSA's decision "not that relevant." (R. 484.)
Controlling law and precedents are essentially the same as they were when Romero was last before the Court.
Upon the original record, as supplemented at this hearing on remand, the ALJ once again professed to apply the five-step analysis as required by 20 C.F.R. §§ 404.1520 and 416.920, this time specifically looking at the period from the alleged disability onset date of July 24, 2003 through March 15, 2006 (SSA already having found Romero disabled as of March 16, 2006). At step one, the ALJ found that plaintiff did not engage in any substantial gainful activity for the relevant period. (R. 547.) At step two, the ALJ found that Romero suffered from the severe impairments of diabetes, hypertension, Hepatitis C, obesity, tachycardia, knee pain, degenerative disc disease, headaches, anxiety, depression, and substance abuse in remission. (
Troublingly, in making this determination, the ALJ once again ruled that the opinion of treating psychiatrist Dr. Monge should be accorded only limited weight. (R. 554.) The ALJ reasoned that Dr. Monge's professional assessment of plaintiff was inconsistent with his — the ALJ's — own findings, and was inconsistent with other parts of the record supporting these findings, including an assessment by consultative psychiatric examiner Dr. Herbert Meadow. (R. 554.) Based on the resulting disregard of Dr. Monge's opinion, the ALJ found that Romero would have been able to satisfy the mental demands of unskilled work during the period at issue, despite his depression and the side effects from his medication. (R. 555.)
The ALJ also found the opinion of Dr. Urbano, plaintiffs treating physician, consistent with the record, including the opinion of consultative examiner Dr. Soo Park, and, accordingly, afforded it controlling weight. (R. 553.) Additionally, in a repeat of the first hearing, the ALJ again concluded that Romero was not credible, citing his alleged evasiveness in his testimony at the first hearing about his history of drug and alcohol abuse and a positive result from a urine toxicology screening during the period in question. (R. 549.) The ALJ also noted that Romero lost his job in 2001 for loss of patronage, lost his job in 2002 because the foreman did not like him, and lost his job in 2003 owing to the job's relocation to Long Island. (R. 553.) These events, according to the ALJ, suggested that Romero had the ability, but not the desire, to engage in gainful employment. (
On April 16, 2008, the ALJ issued his decision. Nothing had changed. He found, once again, that Romero was not disabled. (R. 480-450.) Romero submitted exceptions to the Appeals Council, which were rejected a year and a half later on November 24, 2010. (R. 412-16.) As happened previously, a lawsuit seeking district court review followed.
In granting relief following denial of Romero's original application for disability benefits, the Court, with special emphasis on the ALJ's mishandling of proof regarding plaintiff's mental impairments, restated the requirements of the regulations relating to findings essential to granting determinations following an administrative hearing, noting that "the ALJ needs to give some further explanation for dismissing a [treating] doctor's diagnoses, opinion, and treatment[.]"
Most concerning, the decision on remand does not appear to demonstrate consideration of many of the factors required by circuit precedent, such as frequency, length and nature of the treating relationship, evidence in support of the treating physician's opinion, whether Dr. Monge is a specialist, and other facts comprising part of the totality of evidence which might contradict or support Dr. Monge's position.
Moreover, in response to the Court's direction in Romero I to more fully explain his rejection of Dr. Mange's professional judgment, the ALJ simply provides his own summary conclusion that Dr. Mange's reports were inconsistent with the record, without setting forth, as the Court's remand directed, an adequate basis to assess the validity of the decision's fundamental conclusion. (R. 554.) It is true that the ALJ gave a list of Dr. Mange's allegedly unsupported findings. For the most part, though, the decision is a mere repeat of disagreements the ALJ had already baldly asserted after the first administrative hearing, and now still without any further elucidation or analysis. (
Given its slapdash approach, the reasoning set forth in the ALJ's decision simply fails to justify its determination to give the treating psychiatrist's opinion slight weight. On this basis alone, remand is appropriate.
Additionally, in light of the wealth of new evidence of plaintiffs physical impairments developed at the second hearing, the ALJ clearly failed to consider "all pertinent evidence," as the statute obliges.
The law is plain that a district court has the authority to order that a different ALJ preside on remand.
In the present case, it is more than troubling that the ALJ would make comments at the outset of the hearing that suggested he was not open to new evidence and testimony, especially in light of the Court's specific direction to further evaluate on remand the opinions of Dr. Monge. (R. 485-87.) In a transparent ploy to neutralize these poisonous comments, the Commissioner attempts to color them as "appropriately put[ting] [Romero] on notice that he did not believe that the record supported Dr. Mange's conclusion, thereby affording [Romero] an opportunity to demonstrate otherwise."
In line with the foregoing, the Commissioner's motion for judgment on the pleadings is denied and Romero's cross-motion is granted to the extent that the final order of the Commissioner is reversed, the decision of the ALJ is vacated, and the matter is remanded to the Commissioner for further administrative proceedings consistent with this order, including the assignment of a different ALJ to preside over any hearings on remand.
The Clerk of Court is directed to enter judgment accordingly and to close this case.
So Ordered.