JEREMIAH J. McCARTHY, Magistrate Judge.
This is an action brought pursuant to 42 U.S.C. §§405(g) and 1383(c)(3) to review the final determination of defendant Nancy A. Berryhill, the Acting Commissioner of Social Security, that plaintiff was not entitled to Disability Insurance Benefits ("DIB"). Before me are the parties' cross-motions for judgment on the pleadings [17, 21].
On February 6, 2013, plaintiff filed an application for DIB, alleging a disability onset date of March 15, 1999 due to central auditory processing delay ("CAPD") and attentiondeficit hyperactivity disorder (ADHD) (R. 11-15).
Plaintiff was 18 years old when he filed for DIB, and 20 years old at the time of the administrative hearing (R. 189). The record reflects that he was diagnosed with CAPD and Attention Deficit Disorder ("ADD") as a child (R. 157-160). He graduated from high school, although he was in a special education program (R. 33-36, 45-46). He was classified as learning disabled (R. 344) and an individualized education program ("IEP") was developed for him (R. 159). According to his IEP, "[d]ue to Central Auditory Processing Disorder, [plaintiff] needs instruction that includes various modalities. Visual, tactile, and kinesthetic delivery of material is essential for [plaintiff's] academic success. Due to Attention Deficit Disorder, [plaintiff] needs a structured learning environment that includes small group instruction, is student-centered teacher-directed with minimal distractions and preferential seating to help him stay focused. Due to low endurance and loss of focus, [plaintiff] needs to take breaks when taking tests that last longer than one hour" (R. 160).
On February 7, 2012, testing reflected that plaintiff had a full-scale IQ of 74, a performance score of 72, and a verbal score of 80 (R. 341). In a consultative examination on June 13, 2013, testing reflected that plaintiff had a verbal comprehension IQ of 66 and a fullscale IQ of 67 (R. 356).
Plaintiff and his mother testified at the administrative hearing (R. 26). Plaintiff testified that he attempted to work in a factory, but could not work fast enough, and had other difficulties keeping employment (R. 37-38).
The Social Security Administration ("SSA") provides for the payment of disabled child's insurance benefits if the claimant is eighteen years old or older and has a disability that began before attaining age twenty-two. 20 C.F.R. § 404.350(a)(5). The analysis remains the same.
"A district court may set aside the Commissioner's determination that a claimant is not disabled only if the factual findings are not supported by `substantial evidence' or if the decision is based on legal error".
An adjudicator determining a claim for Social Security benefits employs a fivestep sequential process.
Plaintiff argues that ALJ Seeley erred by failing to evaluate whether he met the listings for an intellectual disability under §12.05(C) of the Appendix 1 listings.
As noted above, plaintiff's most recent full-scale IQ was 66 (R. 356). Indeed, plaintiff's other scores which are slightly higher than 70, for example his 2012 full-scale score of 74 and performance score of 72, may also satisfy the §12.05(C) standard. See
While ALJ Seeley evaluated whether plaintiff met the listings with respect to §12.02 (Organic Mental Disorders) and §12.06 (Anxiety Related Disorders), she did not evaluate whether plaintiff met the listings for an intellectual disability under §12.05(C) (R. 14). The Acting Commissioner does not dispute this failure, but asserts various post hoc arguments to suggest that the tests which reflect that plaintiff's IQ was under 70 were not "valid", and that even if plaintiff's IQ scores were valid, his ADHD and other impairments were not sufficient to meet the listings. Acting Commissioner's Brief [21-1], pp. 15-19).
I need not analyze the merit of the Acting Commissioner's post hoc arguments. It is well-settled that neither I, nor the Acting Commissioner, should engage in post hoc efforts to determine what the ALJ would have done had the ALJ considered the issue. See
Since the record includes evidence that plaintiff's full-scale IQ was below 70, and that he has other impairments (i.e. CAPD, ADHD) which may present a deficit in adaptive functioning, ALJ Seeley erred by not evaluating whether plaintiff meets the listings under §12.05(C). Plaintiff argues that in light of this error, his claim should be remanded solely for the calculation of benefits. Plaintiff's Brief [17-1], p.13. However, where (as here) the Acting Commissioner argues that there is reason to question the validity of the plaintiff's IQ scores and the parties dispute whether plaintiff has a deficit in adaptive functioning, those factual issues must be addressed by the ALJ in the first instance.
Plaintiff also argues that ALJ failed to properly account for the limitations resulting from his CAPD when assessing plaintiff's residual functional capacity. Plaintiff's Brief [17-1], p. 13. While ALJ Seeley's residual functional capacity assessment included non-exertional limitations, finding that plaintiff can "understand, remember, and carry out only simple tasks" "maintain attention and concentration" for a period of two hours, "perform work that does not require substantial reading, writing, or math tasks" (R. 15), she did not address plaintiff's limitations in communicating with other people and learning new tasks caused by his CAPD. Upon remand, if it is determined that plaintiff does not meet the §12.05(C) listing, plaintiff's residual functional capacity should be reassessed to take into consideration the full scope of his non-exertional limitations.
For these reasons, Plaintiff's motion for judgment on the pleadings [17] is granted to the extent that this case is remanded for further proceedings consistent with the discussion herein but otherwise denied, and the Acting Commissioner's motion for judgment on the pleadings [21] is denied.