KIMBERLY E. WEST, Magistrate Judge.
Plaintiff Brandon Lewis (the "Claimant") requests judicial review of the decision of the Commissioner of the Social Security Administration (the "Commissioner") denying Claimant's application for disability benefits under the Social Security Act. Claimant appeals the decision of the Administrative Law Judge ("ALJ") and asserts that the Commissioner erred because the ALJ incorrectly determined that Claimant was not disabled. For the reasons discussed below, it is the recommendation of the undersigned that the Commissioner's decision be REVERSED and REMANDED for further proceedings.
Disability under the Social Security Act is defined as the "inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment. . ." 42 U.S.C. § 423(d)(1)(A). A claimant is disabled under the Social Security Act "only if his physical or mental impairment or impairments are of such severity that he is not only unable to do his previous work but cannot, considering his age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy. . ." 42 U.S.C. §423(d)(2)(A). Social Security regulations implement a five-step sequential process to evaluate a disability claim. See, 20 C.F.R. §§ 404.1520, 416.920.
Judicial review of the Commissioner's determination is limited in scope by 42 U.S.C. § 405(g). This Court's review is limited to two inquiries: first, whether the decision was supported by substantial evidence; and, second, whether the correct legal standards were applied.
Claimant was born on November 13, 1970 and was 42 years old at the time of the ALJ's decision. Claimant completed his high school education. Claimant has worked in the past as a laborer. Claimant alleges an inability to work beginning January 1, 2001 due to limitations resulting from hepatitis C, cirrhosis of the liver, alcoholism, depression, seizures, and low IQ.
On December 31, 2009, Claimant protectively filed for disability insurance benefits under Title II (42 U.S.C. § 401, et seq.) and on December 17, 2009 for supplemental security income pursuant to Title XVI (42 U.S.C. § 1381, et seq.) of the Social Security Act. Claimant's applications were denied initially and upon reconsideration. On November 10, 2011, Claimant appeared at an administrative hearing before Administrative Law Judge ("ALJ") Trace Baldwin. On January 13, 2012, the ALJ issued an unfavorable decision. The Appeals Council denied review of the ALJ's decision on May 10, 2013. As a result, the decision of the ALJ represents the Commissioner's final decision for purposes of further appeal. 20 C.F.R. §§ 404.981, 416.1481.
The ALJ determined that mental impairments met Listings but that if Claimant stopped his substance abuse, his remaining limitations would not cause more than a minimal impact on Claimant's ability to perform basic work activities and, therefore, Claimant would not have a severe impairment or combination of impairments. As a result, the ALJ determined Claimant was not disabled during the relevant time period.
Claimant asserts the ALJ committed error in (1) the drug and alcohol abuse analysis; and (2) failing to fully and fairly develop the record.
In his decision, the ALJ determined Claimant suffered from the severe impairments of cognitive problems secondary to polysubstance abuse, full scale IQ below 70 in the context of ongoing polysubstance abuse, personality disorder, NOS with antisocial and dependent features, polysubstance abuse, hepatitis C, and alcohol withdrawal seizures. (Tr. 44). He found Claimant met Listings 12.02, 12.08, and 12.09 but that if Claimant stopped the substance use, his remaining limitations would not cause more than a minimal impact on Claimant's ability to perform basic work activities. Therefore, the ALJ concluded Claimant would not have a severe impairment or combination of impairments and not be disabled. (Tr. 44-45).
Curiously, the ALJ made a quite different analysis of the evidence at the hearing. The exchange proceeded as follows:
(Tr. 60-67).
The ALJ based his finding that Claimant's impairment would not be severe if he quit abusing alcohol upon the Medical Expert Interrogatory posed to Dr. Barbara Felkins, who reviewed the documentary record. In the most bare-bones finding imaginable, Dr. Felkins states that "Substance abuse is material. Absent substance abuse he would not meet or equal a listing." (Tr. 627). Dr. Felkins makes no reference to the medical record or even a scant basis for such an conclusion so important to the finding of disability in this case.
The ALJ also references the April 1, 2010 report of Dr. Robert Spray, a consultative examiner. The ALJ concluded that Claimant's low cognitive functioning scores were in the mild mentally retarded range of intelligence but that the decrease may be attributable to substance abuse. (Tr. 48-49). However, nothing in Dr. Spray's report indicates that Claimant's cognitive functioning will return should he cease any substance abuse.
The Social Security Act provides that an individual would not be considered disabled if alcoholism or drug addiction were a "contributing factor material to the Commissioner's determination that the individual is disabled."
Defendant's protestations to the contrary notwithstanding, the ALJ expressly stated that he could not separate Claimant's substance abuse from his intellectual functioning. (Tr. 60). As such is the case, the ALJ's findings and the evidence are irreconcilably in conflict. On remand, the ALJ shall re-evaluate the effect of Claimant's substance abuse upon his impairments and consider whether the severity of the impairment would improve upon abstinence such that Claimant would be able to engage in basic work activities.
The ALJ should develop the record further by re-contacting Claimant's treating physicians. As is evident from Dr. Felkins' responses to the ALJ's written interrogatory, this form of inquiry can be wholly unenlightening given the lack of development for the basis of the medical professional's findings. The ALJ shall consider making a more detailed inquiry of these professionals than the generalized form. Further, given the misleading character of the ALJ's findings at the hearing in comparison with his written findings, he should consider conducting a further full evidentiary hearing in this case focusing upon the substance abuse issue.
The decision of the Commissioner is not supported by substantial evidence and the correct legal standards were not applied. Therefore, the Magistrate Judge recommends for the above and foregoing reasons, the ruling of the Commissioner of Social Security Administration should be