RICHARD P. CONABOY, District Judge.
Pending before the Court is Plaintiff's appeal from the Commissioner's denial of Disability Insurance Benefits ("DIB") under Title II of the Social Security Act. (Doc. 1.) Plaintiff filed an application for benefits on July 22, 2013, alleging a disability onset date of July 30, 2012, which he later amended to April 19, 2014. (R. 21.) After Plaintiff appealed the initial denial of the claims, a hearing was held on January 12, 2015, and Administrative Law Judge ("ALJ") Richard Zack issued his Decision on March 17, 2015, concluding that Plaintiff had not been under a disability during the relevant time period. (R. 29.) Plaintiff requested review of the ALJ's decision which the Appeals Council denied on October 13, 2016. (R. 1-7.) In doing so, the ALJ's decision became the decision of the Acting Commissioner. (R. 1.)
Plaintiff filed this action on November 10, 2016. (Doc. 1.) He asserts in his supporting brief that the Acting Commissioner's determination should be remanded for the following reasons: 1) the ALJ erred in finding Plaintiff capable of performing his past relevant work; and 2) the ALJ erred in relying on the an outdated State Agency medical opinion. (Doc. 9 at 2.) In his reply brief, Plaintiff also asserts that the case should be remanded for consideration of the evidence associated with the Agency's subsequent award of benefits on April 2, 2017, pursuant to a new DIB application. (Doc. 11 at 4.) After careful review of the record and the parties' filings, the Court concludes this appeal is properly granted.
Plaintiff was born on April 10, 1964, and was fifty years old on the amended disability onset date of April 10, 2014. (R. 21.) He has a GED and past relevant work as a delivery driver, pizza deliverer, and manager. (R. 28, 49.)
Plaintiff does not present background medical evidence and notes that he presents evidence he considers relevant to the issues raised on appeal in the Argument section of his brief. (Doc. 9 at 1.) Defendant takes a similar approach to the presentation of evidence. (Doc. 10 at 4.) The Court will follow suit and, as needed, cite evidence relied upon by the parties in the context of their arguments.
Louis B. Bonita, M.D., found that Plaintiff had the severe impairments of Disorders of Back-Discogenic and Degenerative, Spine Disorders, Disorders of Muscle, Ligament and Fascia, and Obesity. (R. 92.) He completed a Residual Functional Capacity assessment on August 27, 2013. (R. 93-95.) He opined that Plaintiff had the following exertional limitations: he could lift twenty pounds occasionally and ten pounds frequently; he could stand and/or walk for about six hours in an eight-hour workday and sit for the same period of time; and he was not limited in his ability to push and/or pull except as shown for lift and/or carry. (R. 93.) Dr. Bonita assessed the following postural limitations: Plaintiff could climb ramps/stairs occasionally; he could never climb ladders/ropes/scaffolds; and he could stoop, kneel, crouch, and crawl occasionally. (R. 93-94.)
Deborah Smith, M.D., completed a Physical Residual Functional Capacity Assessment on November 21, 2014. (R. 307-10.) Based on diagnoses of Spinal Stenosis, Meralgia Paresthetica, and Hyperlipidemia, Dr. Smith found the following: Plaintiff could sit and stand/walk for about two hours in an eight-hour workday; he needed to be able to shift positions at will; he would need to take unscheduled breaks during a work day; he could occasionally lift and carry less than ten pounds, rarely ten pounds, and never more than that; he could rarely crouch, stoop (bend), and twist; he could occasionally climb stairs; he could never kneel; he did not have any significant limitations with reaching, handling, or fingering; he would be off task twenty percent of the workday; he would likely miss more than four days of work per month as a result of his impairments; his symptoms were reasonably consistent with the diagnoses; he could never tolerate temperature extremes and hazards; he could rarely tolerate dust, humidity, and fumes/odors/chemicals; and she expected his impairments and their effects to last for a continuous period of at least twelve months. (R. 307-09.) Dr. Smith explained that Plaintiff had symptoms for years, he was on multiple medications for pain with some relief but he still had chronic pain, and his prognosis was poor. (R. 310.)
At the January 12, 2015, hearing held by ALJ Zack, Plaintiff and his attorney appeared, as did Vocational Expert "VE" Carmine Abraham. (R. 33.) Plaintiff testified that he had trouble working because of pain and what he was able to do: he had pain and numbness down the right side of his arms and hands and at times he had trouble gripping things; he had pain shooting down his back and down the right side of his leg; the bottom of his left foot was totally numb; and the right side of his leg was numb. (R. 39-40.) Plaintiff said that surgery had not been recommended for his back and his arthroscopic knee surgery did not help. (R. 40.) At the time of the hearing Plaintiff was taking Neurontin for nerve pain, oxycodone and percocet for pain, and cholesterol medication. (Id.)
Plaintiff testified that, although he used to lift fifty pounds, he generally could not lift and carry more than five pounds and he had trouble lifting a five pound container of oil and trouble with stairs when he was making pizza deliveries. (R 42.) Plaintiff said he could walk fifteen or twenty feet without stopping, he did not walk normally because of his back and leg pain, he could only be on his feet for five to ten minutes before he had to sit down, and he changed positions frequently to try to get comfortable. (R. 42-43.)
When asked by ALJ Zack what he did in his managerial job, Plaintiff responded that he did
(R. 45.) Plaintiff added that, although he was a manager, he did deliveries, made pizzas, answered phones, and unloaded trucks. (R. 45-46.) He also said he was on his feet the whole time except when he was driving which would mean sitting down for five to ten minutes approximately every two hours but on days where he did not need to help with deliveries he was on his feet continuously. (R. 46.)
ALJ Zack asked the VE to consider an individual with Plaintiff's profile in terms of age, education, work experience, and medical history who
(R. 49-50.) In response to the ALJ's question whether such an individual could perform any of Plaintiff's past work, the VE responded that he would be able to do the manager position. (R. 50.)
ALJ Zack then crafted a second hypothetical question asking the VE to consider an individual who had the difficulties Plaintiff described about his back problems with pain and numbness radiating into his right leg, his knee problems, a renewal of hand problems, the same limitations of lifting and carrying that Plaintiff outlined, and the same difficulty in maintaining posture and position for long periods of time and the need to constantly change positions. (R. 50-51.) The VE responded that no jobs would be available for such an individual. (R. 51.) The VE also testified that his testimony was consistent with the Dictionary of Occupational Titles ("DOT") and companion publications. (Id.) Regarding the VE's testimony in response to the first hypothetical that the individual could perform the manager job, Plaintiff's attorney then asked whether that would be as actually or generally performed. (R. 52.) The VE responded that it would be as both. (Id.)
In his March 17, 2015, Decision, ALJ Zack made the following Findings of Fact and Conclusions of Law:
(R. 21-29.) Other relevant portions of the ALJ's Decision will be referenced in the Discussion section of this Memorandum.
The Commissioner is required to use a five-step analysis to determine whether a claimant is disabled.
If the impairments do not meet or equal a listed impairment, the ALJ makes a finding about the claimant's residual functional capacity based on all the relevant medical evidence and other evidence in the case record. 20 C.F.R. § 404.1520(e); 416.920(e). The residual functional capacity assessment is then used at the fourth and fifth steps of the evaluation process. Id.
The disability determination involves shifting burdens of proof. The initial burden rests with the claimant to demonstrate that he or she is unable to engage in his or her past relevant work. If the claimant satisfies this burden, then the Commissioner must show that jobs exist in the national economy that a person with the claimant's abilities, age, education, and work experience can perform. Mason v. Shalala, 993 F.2d 1058, 1064 (3d Cir. 1993).
As set out above, the instant decision was decided at step four of the sequential evaluation process when the ALJ found that Plaintiff could perform his past relevant work as a manager. (R. 28.)
This Court's review of the Commissioner's final decision is limited to determining whether there is substantial evidence to support the Commissioner's decision. 42 U.S.C. § 405(g); Hartranft v. Apfel, 181 F.3d 358, 360 (3d Cir. 1999). Substantial evidence means "more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401 (1971); see also Cotter v. Harris, 642 F.2d 700, 704 (3d Cir. 1981). The Third Circuit Court of Appeals further explained this standard in Kent v. Schweiker, 710 F.2d 110 (3d Cir. 1983).
Kent, 710 F.2d at 114.
This guidance makes clear it is necessary for the ALJ to analyze all probative evidence and set out the reasons for his decision. Burnett v. Comm'r of Soc. Sec., 220 F.3d 112, 119-20 (3d Cir. 2000) (citations omitted). If he has not done so and has not sufficiently explained the weight given to all probative exhibits, "to say that [the] decision is supported by substantial evidence approaches an abdication of the court's duty to scrutinize the record as a whole to determine whether the conclusions reached are rational." Dobrowolsky v. Califano, 606 F.2d 403, 406 (3d Cir. 1979). In Cotter, the Circuit Court clarified that the ALJ must not only state the evidence considered which supports the result but also indicate what evidence was rejected: "Since it is apparent that the ALJ cannot reject evidence for no reason or the wrong reason, an explanation from the ALJ of the reason why probative evidence has been rejected is required so that a reviewing court can determine whether the reasons for rejection were improper." Cotter, 642 F.2d at 706-07. However, the ALJ need not undertake an exhaustive discussion of all the evidence. See, e.g., Knepp v. Apfel, 204 F.3d 78, 83 (3d Cir. 2000).
A reviewing court may not set aside the Commissioner's final decision if it is supported by substantial evidence, even if the court would have reached different factual conclusions. Hartranft, 181 F.3d at 360 (citing Monsour Medical Center v. Heckler, 806 F.2d 1185, 1190-91 (3d Cir. 1986); 42 U.S.C. § 405(g) ("[t]he findings of the Commissioner of Social Security as to any fact, if supported by substantial evidence, shall be conclusive . . ."). "However, even if the Secretary's factual findings are supported by substantial evidence, [a court] may review whether the Secretary, in making his findings, applied the correct legal standards to the facts presented." Friedberg v. Schweiker, 721 F.2d 445, 447 (3d Cir. 1983) (internal quotation omitted). Where a claimed error would not affect the outcome of a case, remand is not required. Rutherford v. Barnhart, 399 F.3d 546, 553 (3d Cir. 2005). Finally, an ALJ's decision can only be reviewed by a court based on the evidence that was before the ALJ at the time he or she made his or her decision. Matthews v. Apfel, 239 F.3d 589, 593 (3d Cir. 2001).
Plaintiff asserts that the Acting Commissioner's determination should be remanded for the following reasons: 1) the ALJ erred in finding Plaintiff capable of performing his past relevant work; 2) the ALJ erred in relying on the an outdated State Agency medical opinion; and 3) remand is required for consideration of the evidence associated with the Agency's subsequent award of benefits on April 2, 2017. (Doc. 9 at 2; Doc. 11 at 4.) Because Plaintiff's second claimed error relates to the ALJ's RFC assessment which precedes the step four determination, the Court will first review the ALJ's consideration of medical opinion evidence.
Plaintiff asserts the ALJ erred by relying on the opinion of Dr. Bonita in formulating Plaintiff's RFC. (Doc. 9 at 6.) Defendant responds that substantial evidence supports the evaluation of the medical opinions. (Doc. 10 at 12.) The Court concludes Plaintiff has shown that remand is required for further consideration of this issue.
Social Security Ruling 96-6p clarifies Agency policy regarding the consideration of findings of fact by State agency medical consultants such as Dr. Bonita. The ruling provides that the findings of fact made by such a professional must be treated as expert opinion evidence of a non-examining source. SSR 96-6p, 1996 WL 371180, at *1. The ruling states that
Id. at *3.
Here, the State agency opinion was rendered on August 27, 2013 (R. 95), and record medical evidence entries are dated at least through November 2014 (see, e.g., R. 452-55). Thus, Dr. Bonita's review was not based on a review of all relevant evidence. While the "complete case record" situation cited in SSR 96-6p is merely exemplary, this ruling and broad relevant authority indicate that the propriety of an ALJ's reliance on a non-examining source opinion is assessed in the context of whether the record contains opinion evidence entitled to greater deference.
Where an ALJ is not faced with rejecting a treating or examining source opinion, the Third Circuit Court of Appeals has held that an ALJ may rely on a non-examining, non-treating opinion that is uncontradicted by any other medical opinion in the record even where the opinion is not based on a review of all the evidence. See, e.g., Chandler v. Comm'r of Soc. Sec., 667 F.3d 356, 361 (3d Cir. 2011).
However, because the regulations and caselaw provide that controlling weight is generally due a well-supported treating physician's opinion and greater deference is due an examining source than a non-examining source, see, e.g., 20 C.F.R. § 404.1527(c), in a case where the record contains some evidence entitled to greater deference than a non-examining source, reliance on a non-examining source requires careful analysis and review.
In this case, the record contains the November 21, 2014, opinion of treating physician Deborah Smith, M.D. (R. 307-10.) She is a primary care provider who treated Plaintiff at least from June 2011 through November 2014. (See R. 251, 452.) Thus, as recognized by ALJ Zack (R. 28), Dr. Smith's opinion would ordinarily be entitled to greater deference than that of the non-examining State agency physician.
Under applicable regulations and the law of the Third Circuit, a treating medical source's opinions are generally entitled to controlling weight, or at least substantial weight. See, e.g., Fargnoli v. Halter, 247 F.3d 34, 43 (3d Cir. 2001) (citing 20 C.F.R. § 404.1527(c)(2); Cotter v. Harris, 642 F.2d 700, 704 (3d Cir. 1981)). Sometimes called the "treating physician rule," the principle is codified at 20 C.F.R. 404.1527(c)(2), and is widely accepted in the Third Circuit. Mason v. Shalala, 994 F.2d 1058 (3d Cir. 1993); see also Dorf v. Brown, 794 F.2d 896 (3d Cir. 1986). The regulation addresses the weight to be given a treating source's opinion: "If we find that a treating source's opinion on the issue(s) of the nature and severity of your impairment(s) is well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in your case, we will give it controlling weight." 20 C.F.R. § 404.1527(c)(2).
Pursuant to 20 C.F.R. § 404.1527(c)(2), an ALJ must assign controlling weight to a well-supported treating medical source opinion unless the ALJ identifies substantial inconsistent evidence. SSR 96-2p explains terms used in 20 C.F.R. § 404.1527 regarding when treating source opinions are entitled to controlling weight. 1996 WL 374188, at *1. For an opinion to be "well-supported by medically acceptable clinical and laboratory diagnostic techniques," 28 U.S.C. § 404.1527(c)(2), "it is not necessary that the opinion be fully supported by such evidence"—it is a fact-sensitive case-by-case determination. SSR 96-2p, at *2. It is a determination the adjudicator must make "and requires an understanding of the clinical signs and laboratory findings in the case record and what they signify." Id. Similarly, whether a medical opinion "is not inconsistent with the other substantial evidence in your case record," 28 U.S.C. § 404.1527(c)(2), is a judgment made by the adjudicator in each case. SSR 96-2p, at*3. The ruling explains that
SSR 96-2P, 1996 WL 374188, at *2. The ruling further provides that additional development may be needed to determine the appropriate weight assigned a treating source opinion, "for example, to obtain more evidence or to clarify reported clinical signs or laboratory findings." Id. at *4. In contrast to those cases where the record is adequately developed, SSR 96-2p specifically states that the ALJ or Appeals Council "may need to consult a medical expert to gain more insight into what the clinical signs and laboratory findings signify in order to decide whether a medical opinion is well-supported or whether it is not consistent with the other substantial evidence in the case record." Id.
The ruling reinforces the need for careful review an ALJ's decision to discount a treating source opinion, with particular attention paid to the nature of the evidence cited as contradictory. Consistent with SSR 96-2p's explanation of regulatory terms, Third Circuit caselaw indicates that "lay reinterpretation of medical evidence does not constitute `inconsistent . . . substantial evidence.'" Carver v. Colvin, Civ. A. No. 1:15-CV-00634, 2016 WL 6601665, at *16 (M.D. Pa. Sept. 14, 2016)
An ALJ's reliance on a non-examining physician's opinion which was not based on a review of all relevant evidence over that of a treating physician has been an issue raised in many appeals of the denial of benefits in this Court. Kopinetz v. Colvin, Civ. A. No. 3:16-CV-01074, 2017 WL 714072 (M.D. Pa. 2017); Compton v. Colvin, 218 F.Supp.3d 316 (M.D. Pa. 2016); Carver, 2016 WL 6601665; Wright v. Colvin, Civ. A. No. 1:14-CV-02350, 2016 WL 446876 (M.D. Pa. Jan. 14, 2016)
A review of relevant Third Circuit caselaw shows the solid underpinnings of these decisions.
Carver, 2016 WL 6601665, at *12. In addition to an extensive review of relevant caselaw in this Circuit and other Courts of Appeal, Carver also analyzes relevant regulatory provisions, including 20 C.F.R. § 404.1527(c)(2), and SSRs 96-6p, 96-5p, and 96-2p. 2016 WL 6601665, at *12-17. The following summary succinctly sets out a useful rule and a persuasive rationale for its consistent application. Read together, 20 C.F.R. § 404.1527(c)(2), SSR 96-6p, SSR 96-5p, SSR 96-2p, Diaz, Morales, Brownawell, Brown, and the prohibition on lay interpretation of medical evidence indicate that, generally, the ALJ will lack substantial evidence to assign less than controlling weight to a treating source opinion with only a lay reinterpretation of medical evidence or an opinion from a non-treating, non-examining source who did not review a complete record. See 20 C.F.R. § 404.1527(c)(2); SSR 96-6p; SSR 96-5p; SSR 96-2p; Brown, 649 F.3d at 196; Diaz, 577 F.3d at 505; Brownawell, 554 F.3d at 352; Morales, 225 F.3d at 317; Gober, 574, F.2d at 777); Frankenfeld, 861 F.2d at 408; Doak, 790 F.2d at 29-30; Ferguson, 765 F.2d at 36-37; Kent, 710 F.2d at 115; Van Horn, 717 F.2d at 874; Kelly, 625 F.2d at 494; Rossi, 602 F.2d at 58-59; Fowler, 596 F.2d at 603. Harmonizing the Regulations, case law, SSRs, and other sources of authority into a consistent statement of the law regarding the treating physician rule reflects "the need for efficient administration of an obligatory nationwide benefits program" given "more than 2.5 million claims for disability benefits [filed] each year" because the treating physician rule works to foster uniformity and regularity in Social Security benefits determinations made in the first instance by a corps of administrative law judges." Black & Decker Disability Plan v. Nord, 538 U.S. 822, 833, 123 S.Ct. 1965, 1971, 155 L.Ed. 2d 1034 (2003) (internal citations omitted). The "massive unexplained differences in the rate at which ALJs grant or deny benefits" heightens the need for the Courts to articulate clear rules. Harold J. Krent & Scott Morris, Inconsistency and Angst in District Court Resolution of Social Security Disability Appeals at 5 (Chi. -Kent Coll. of Law, Research Paper No. 2014-30, 2014), available at http://papers.ssrn.com/sol3/papers.cfm?abstra ct_id=2530158.
Carver, 2016 WL 6601665, at *18.
Here, ALJ Zack did not assign any particular weight to Dr. Smith's opinion that Plaintiff was limited to less than sedentary work. (See R. 27-28.) He rendered the following assessment of the opinion:
(R. 27-28.)
Pursuant to the relevant authority reviewed above, ALJ Zack did not provide adequate reasons for not assigning Dr. Smith's opinion controlling weight: he did not articulate a finding that the opinion was not "well-supported by medically accepted clinical and laboratory diagnostic techniques" and he did not articulate a finding that the opinion was "inconsistent with the other substantial evidence in your case record." 20 C.F.R. § 404.1527(c)(2). ALJ Zack noted that Dr. Smith's opinion was not consistent with Dr. Bonita's opinion that Plaintiff had the RFC for light exertion. (R. 28.) However, because Dr. Bonita's opinion was not based on a review of the entire case record, pursuant to the rule articulated above, his opinion alone cannot be considered substantial evidence for the purpose of determining whether there is sufficient contradictory evidence to assign less than controlling weight to Dr. Smith's opinion. Because ALJ Zack points to no other contradictory evidence, the Court cannot conclude that he had a sufficient basis to reject the treating source opinion which, in turn, leads to the conclusion that his RFC is not supported by substantial evidence.
Although the Court has determined that remand is required on the basis that the ALJ's opinion assessment and evidence relied upon are insufficient to reject the treating source opinion, the Court will address Plaintiff's step four claimed error in that the requisite analysis relates in part to Plaintiff's RFC and points to matters potentially requiring additional consideration upon remand.
With this claimed error, Plaintiff asserts the ALJ's step four finding that he could perform his past relevant work as actually and generally performed is erroneous for several reasons. (Doc. 10 at 6.) Defendant responds that Plaintiff did not demonstrate that he could not perform his past relevant work as actually or generally performed. (Doc. 10 at 4.) The Court concludes Plaintiff has shown that he could not perform the job as actually performed but he has not shown that he could not perform the job as generally performed.
Plaintiff first contends that the work as actually performed was not consistent with light work because he performed it at the medium exertional level as indicated by his testimony that he lifted up to fifty pounds in his managerial position and was constantly standing and/or walking during the work day. (Doc. 9 at 4.) Defendant responds that Plaintiff's work history report contained information that the heaviest weight he lifted in the job was twenty pounds and, thus, differed from his testimony, and his attempt to differentiate the standing/walking requirements of medium and light work is erroneous because both require standing or walking, off and on, for a total of approximately six hours of an eight-hour day. (Doc. 10 at 6 (citing SSR 83-10, 1983 WL 31251, at *6).) Defendant also asserts that Plaintiff's counsel never challenged/questioned the VE's description of Plaintiff's past work as a light job. (Id. at 7.)
Defendant's argument regarding standing/walking does not acknowledge Plaintiff's consistent assertion that he was standing/walking all day in his managerial position. (R. 47, 156.) As Plaintiff notes, this takes the walking/standing demands of Plaintiff's job as performed out of the light category. (Doc. 11 at 2 (citing SSR 83-10, 1983 WL 31251, at *5).)
Nor does Defendant address the fact that the ALJ did not discount or qualify Plaintiff's testimony about walking/standing and weight lifted with his first hypothetical to which the VE responded that Plaintiff could perform the position as actually and generally performed. As well as the standing/walking demands noted above, Plaintiff described the work as actually performed to include lifting up to fifty pounds (R. 45)—weight well beyond the maximum for light work. See 20 C.F.R. § 404.1567.
On this record, the ALJ's determination that Plaintiff could perform the manager job as actually performed is not supported by substantial evidence. However, this conclusion does not give rise to harmful error unless Plaintiff also shows that the ALJ erred in his determination that Plaintiff could do the job as generally performed. See 20 C.F.R. § 404.1560(b)(2) (determining whether claimant can do past relevant work considers whether claimant can do work as actually performed or as generally performed); see also SSR 82-61, 1982 WL 31387, at *2.
Plaintiff also asserts that the ALJ erred as a matter of law in finding that he could do the manager job as generally performed. (Doc. 9 at 5.) This argument is based on the proposition that the manager position was a "composite job" and, pursuant to Program Operations Manual System (POMS) DI 25005.020(B), 2011 WL 4753471, an ALJ cannot make an adverse step four finding that the claimant remains capable of performing a composite job as generally performed. (Doc. 9 at 5.) Plaintiff contends that his job was a composite job because it involved "significant elements that are not included in the DOT's description of the Manager job. DOT #185.137-010. . . . [I]n addition to his managerial duties, [he] also delivered pizzas, unloaded delivery trucks, and answered the telephone." (Tr. 45-46).
Defendant responds that "the inability to do past relevant work as exactly performed does not mean that the job is a composite job." (Doc. 10 at 9.) Defendant concludes that, pursuant to SSR 82-61, and the circumstances of this case, Plaintiff did not satisfy his step four burden of showing that his manager's position involved "significant elements" of any other job, and, therefore, he did not show that the ALJ erred in finding that Plaintiff could do his past relevant work as a manager as generally performed. (Doc. 10 at 9-11.)
First, the Court notes that this Circuit has consistently concluded that POMS do not have the force of law. Bordes v. Comm'r of Soc. Sec., 235 F. App'x 853, 859 (3d Cir. 2007) (not precedential) (listing cases); Edelman v. Comm'r of Soc. Sec., 83 F.3d 68, 71 n.2 (3d Cir. 1996). Because POMS provisions are not judicially enforceable, a claimed violation of a POMS' provision does not require remand as a matter of law. See, e.g., Franklin v. Berryhill, 3:16-CV-2284 (M.D. Pa. filed May 15, 2017) (listing cases). Thus, Plaintiff's assertion that the ALJ erred as a matter of law by failing to comply with a POMS directive (Doc. 9 at 5) would not be cause for remand.
Second, Plaintiff did not show that the ALJ erred by finding that he was able to do the manager position as generally performed. SSR 82-61 sets out "[t]hree possible tests for determining whether or not a claimant retains the capacity to perform his or her past relevant work." 1982 WL 31387, at *1. The third test addresses [w]hether the claimant retains the capacity to perform the functional demands and job duties of the job as ordinarily required by employers throughout the national economy." Id. at 2. The provision notes parenthetically that the DOT descriptions "can be relied upon—for jobs that are listed in the DOT—to define the job as it is usually performed in the national economy." Id. SSR 82-61 further explains that
Id. at *2.
Here, Plaintiff points to functions in excess of the DOT managerial description—delivering pizzas, unloading delivery trucks, and answering the telephone (Doc. 9 at 5)—and his testimony indicates that he could not perform the delivery and unloading functional demands/job duties (see, e.g., R.45-46). Plaintiff does not argue he cannot perform the job as ordinarily performed, i.e., the position as described in the DOT. Plaintiff has not shown that he had a "composite job" which operated as a matter of law against an adverse finding at step four and he has not argued that his RFC would not allow him to perform a manager job as generally performed. Therefore, the current record does not show the ALJ erred in finding that Plaintiff could perform the manager job as generally performed and the error in the determination that Plaintiff could do the job as actually performed would be deemed harmless.
Finally, Plaintiff contends that remand is warranted under the sixth sentence of 42 U.S.C. § 405(g) for consideration of the Agency's subsequent award of benefits. (Doc. 11 at 4.) Defendant responds that a subsequent award of benefits alone does not warrant remand. (Doc. 15 at 1-2.) The Court concludes that the weight of authority supports a conclusion that a subsequent decision is not new evidence for purposes of a sentence six remand.
To obtain a sentence six remand, the plaintiff has the burden of proving that evidence not submitted to the ALJ is new and material, and he had good cause for not presenting the evidence to the ALJ. 42 U.S.C. § 405(g) (sentence six); Matthews v. Apfel, 239 F.3d 589, 593 (3d Cir. 2001). A panel of the Third Circuit Court of Appeals considered this issue in Cunningham v. Comm'r of Soc. Sec., 507 F. App'x 111 (3d Cir. 2012) (not precedential):
Cunningham, 507 F. App'x at 120.
The Court recognizes that the Third Circuit "steadfastly attempt[s] to discourages District Courts from relying on nonprecedential opinions." Jamison v. Klem, 544 F.3d 266, 279 n.11 (3d Cir. 2008). However, Plaintiff cites no contrary authority and does not point to any new and material evidence upon which the subsequent decision was based. (See Doc. 11.) Although the Ninth Circuit Court of Appeals decided that a later favorable decision could be new and material evidence in Luna v. Astrue, 623 F.3d 1032 (9th Cir. 2010), Plaintiff does discuss the case or address the circuit split as evidenced by Luna and the Sixth Circuit's Allen decision cited in Cunningham. The Eleventh Circuit Court of Appeals set out a well-reasoned basis for agreeing with the Sixth Circuit's Allen decision in Hunter v. Soc. Sec. Admin. Comm'r, 808 F.3d 818 (11th Cir. 2015), stating that "[a] decision is not evidence any more than evidence is a decision." Id. at 822. As a general matter, given the deferential review standard, there would be no inherent inconsistency
Id. (citing Allen, 561 F.3d at 653).
Based on this reasoning, the mere existence of a later favorable decision would not be cause for remand. However, the soundness of the Hunter analysis does not conflict with a directive that extra scrutiny of the record upon remand is warranted in a case where remand is required because the reviewing court determines that the earlier decision is not based on substantial evidence. This is particularly important in the case decided here given the remedial nature of the statute and the potential that, absent a finding of an earlier onset date on remand, Plaintiff would not be able to receive benefits for a period of disability based on the operation of the relevant statute and administrative delay in considering the appeal of the ALJ's earlier decision.
For the reasons discussed above, the Court concludes that Plaintiff's appeal is properly granted. This matter is remanded to the Acting Commissioner for further consideration consistent with this opinion. An appropriate Order is filed simultaneously with this Memorandum.
42 U.S.C. § 423(d)(2)(A).
(Doc. 11 at 5.) Defendant does not address this averment (see Doc. 15), and there is no indication that Plaintiff's request for review was not timely filed on May 21, 2015, or that the time from the request for review to the Appeals Council's October 13, 2016, decision was in any way attributable to delay caused by Plaintiff.