John J. McConnell, Jr., United States District Judge.
Days before her Social Security disability hearing, claimant Brenda Lois Howe's counsel sent the Administrative Law Judge Martha Bower a medical record that he did not submit with all of the other records due to a clerical error. The ALJ, without explanation or comment, refused to accept the medical record because it was not submitted five days prior to the hearing in violation of the "Five Day Rule." See 20 C.F.R. § 405.331(a). Based on this incomplete record, the ALJ granted Ms. Howe benefits for a partial period of disability from July 2010 until October 2011, but not thereafter.
Before the Court is Ms. Howe's objection to the Magistrate Judge's Report and Recommendation (R & R) denying her motion to reverse the ALJ's decision. (ECF No. 23). The Magistrate Judge found that the ALJ properly rejected the late record and properly evaluated the medical evidence in rejecting most of Ms. Howe's disability claim. Because a review of the record establishes that the ALJ abused her discretion in refusing to consider the relevant medical evidence, this Court remands this matter for a further evaluation of her disability beyond October 2011 based on the complete record.
Ms. Howe had worked as a shipping and receiving clerk, order picker, and storage facility rental clerk. She became disabled from a back and right shoulder work-related injury in 2009. She applied for disability on August 19, 2011. The application was denied on February 17, 2012 and upon reconsideration on February 27, 2012.
Ms. Howe requested an ALJ hearing, which was scheduled for March 25, 2013. Four calendar days before the hearing, Ms. Howe's attorney sent a letter attaching a highly relevant medical record that was not originally submitted along with all of the other medical records. The late-submitted record was a lumbar spine Residual Functional Capacity (RFC) questionnaire completed on October 7, 2011 by Ms. Howe's treating neurosurgeon Dr. Deus Cielo. (ECF No. 14 at 589-592). In that document, Dr. Cielo opined that Ms. Howe had an RFC of less than sedentary work. At the hearing, Ms. Howe's attorney explained that the late-submission was due to a clerical error.
(Id. at 41). The ALJ said she would take the explanation for the error under consideration. Id.
During the hearing, the ALJ called Dr. John A. Pelletier,
(Id. at 66.) In her decision, the ALJ found Ms. Howe disabled and granted benefits for the July 2010 to October 2011 period. Her decision to deny benefits from October 2011 forward was based on internist Dr. Pelletier's opinion, which she gave substantial weight to, that Ms. Howe's back impairment had improved enough as of October 2011 to allow her to perform sedentary-level work. This opinion conflicts with Dr. Cielo's opinion in the rejected October 2011 RFC.
The Social Security regulations require that any written evidence that an applicant wants the ALJ to consider at the hearing must be submitted "no later than 5 business days before the date of the scheduled hearing." 20 C.F.R. § 405.331(a). If a filing is late, the ALJ may decline to consider the evidence, but she cannot decline to consider it if "[s]ome other unusual, unexpected, or unavoidable circumstance beyond [the claimant's] control prevented [her] from submitting the evidence earlier." 20 C.F.R. § 405.331(b)(3). In the first instance, this regulation gives the ALJ discretion to accept the late-submitted evidence. If she decides to use her discretion to exclude the evidence, she cannot exercise that discretion if unusual, unexpected, or unavoidable circumstances cause the delayed submission.
"[T]he Social Security Act should be construed liberally in order to further its remedial purposes." Slessinger v. Sec'y of Health & Human Servs., 835 F.2d 937, 943 (1st Cir.1987) (citing Cunningham v. Harris, 658 F.2d 239, 243 (4th Cir.1981). Courts are
Cunningham, 658 F.2d at 243 (citations omitted). In furtherance of the remedial purposes, the "social security proceedings `are not strictly adversarial.'" Evangelista v. Sec'y of Health & Human Servs., 826 F.2d 136, 142 (1st Cir.1987)) (quoting Miranda v. Sec'y of Health, Ed. and Welfare, 514 F.2d 996, 998 (1st Cir.1975)). Courts insist that "the Secretary bear a responsibility for adequate development of the record in these cases." Id.
Ms. Howe's attorney's office made a clerical error that he was able to rectify days before the hearing. Without any explanation or analysis, the ALJ simply rejected the submission of a highly relevant document from a treating physician whose expertise in Ms. Howe's condition is critical to a determination of her state of disability. The Court finds that to allow Ms.
Moreover, the Court finds, under these circumstances, that an innocent clerical error like this is an "unusual or unexpected" circumstance beyond Ms. Howe's control as contemplated in the regulation. To counter this point, the Commissioner relies on four R & Rs
In this Court's opinion and according to circuit precedent, this statute is not meant to be applied rigorously or rigidly. The regulatory standard for an attorney's clerical error is much more like one of "excusable neglect" that is present in the common law and throughout the Federal Rules of Civil Procedure. As the United States Supreme Court held in the context of a bankruptcy rule:
Pioneer Inv. Servs. Co. v. Brunswick Assoc. Ltd. P'ship, 507 U.S. 380, 395, 113 S.Ct. 1489, 123 L.Ed.2d 74 (1993). The Court recognizes the ALJ's discretion, her heavy caseload, and the need for application submission deadlines in order to facilitate efficient consideration of disability cases. However, in this case, taking into account all of the relevant circumstances surrounding the party's late submission, and applying equitable principles to the situation, it is clear that the ALJ abused her discretion in not accepting and considering the late-submitted record.
Ms. Howe's Motion to Reverse the Decision of the Commissioner (ECF No. 18) is GRANTED and the Motion to Affirm the Decision of the Commissioner (ECF No. 19) is DENIED.