THOMAS E. ROGERS, III, Magistrate Judge.
This is an action brought pursuant to Section 205(g) of the Social Security Act, as amended, 42 U.S.C. Section 405(g), to obtain judicial review of a "final decision" of the Commissioner of Social Security, denying Plaintiff's claim for disability insurance benefits (DIB). The only issues before the Court are whether the findings of fact are supported by substantial evidence and whether proper legal standards have been applied.
Plaintiff filed an application for DIB on July 29, 2013, alleging inability to work since July 14, 2012. (Tr. 12). His claims were denied initially and upon reconsideration. Thereafter, Plaintiff filed a request for a hearing. A hearing was held on July 16, 2015, at which time Plaintiff testified. (Tr. 23). The Administrative Law Judge (ALJ) issued an unfavorable decision on October 6, 2015, finding that Plaintiff was not disabled within the meaning of the Act. (Tr. 12-18). Plaintiff filed a request for review of the ALJ's decision. The Appeals Council denied the request for review on November 10, 2016, making the ALJ's decision the Commissioner's final decision. (Tr.1-3). Plaintiff filed this action on January 13, 2017.
Plaintiff was forty-seven years old at the time of the alleged onset. (Tr. 16). Plaintiff has past relevant work experience as an electrician. (Tr. 69). Plaintiff alleges disability due to lung, heart, and feet problems, sarcoidosis, cardiac sarcoidosis, residual effects from frostbite, high blood pressure, and high cholesterol. (Tr. 61).
As a matter of judicial efficiency, Plaintiff's medical records and hearing testimony will not be summarized here since this case is subject to remand on the ALJ's legal error alone in failing to properly weigh the VA rating determination in accordance with Bird v. Comm'r of S.S.A., 699 F.3d 337 (4
In the decision of March 25, 2015, the ALJ made the following findings of fact and conclusions of law:
Plaintiff argues that the ALJ erred in failing to properly assess the disability rating by the Department of Veterans' Affairs. Plaintiff argues the ALJ erred in properly assessing Plaintiff's RFC regarding his cold injury residuals and pulmonary sarcoidosis. Plaintiff argues the ALJ failed to properly evaluate Plaintiff's credibility. Plaintiff argues the ALJ did not properly evaluate Plaintiff's refusal of a implantable cardioverter defibrillator. The Commissioner argues substantial evidence supports the ALJ's decision.
The Act provides that disability benefits shall be available to those persons insured for benefits, who are not of retirement age, who properly apply, and who are under a "disability." 42 U.S.C. § 423(a). Section 423(d)(1)(A) defines disability as: the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for at least 12 consecutive months. 42 U.S.C. § 423(d)(1)(A).
To facilitate a uniform and efficient processing of disability claims, regulations promulgated under the Act have reduced the statutory definition of disability to a series of five sequential questions. See, e.g., Heckler v. Campbell, 461 U.S. 458, 460 (1983) (discussing considerations and noting the "need for efficiency" in considering disability claims). An examiner must consider the following: (1) whether the claimant is engaged in substantial gainful activity ("SGA"); (2) whether he has a severe impairment; (3) whether that impairment meets or equals an impairment included in the Listings;
A claimant is not disabled within the meaning of the Act if he can return to PRW as it is customarily performed in the economy or as the claimant actually performed the work. See 20 C.F.R. Subpart P, § 404.1520(a), (b); Social Security Ruling ("SSR") 82-62 (1982). The claimant bears the burden of establishing his inability to work within the meaning of the Act. 42 U.S.C. § 423(d)(5).
Once an individual has made a prima facie showing of disability by establishing the inability to return to PRW, the burden shifts to the Commissioner to come forward with evidence that claimant can perform alternative work and that such work exists in the regional economy. To satisfy that burden, the Commissioner may obtain testimony from a VE demonstrating the existence of jobs available in the national economy that claimant can perform despite the existence of impairments that prevent the return to PRW. Walls v. Barnhart, 296 F.3d 287, 290 (4
The Act permits a claimant to obtain judicial review of "any final decision of the Commissioner [] made after a hearing to which he was a party." 42 U.S.C. § 405(g). The scope of that federal court review is narrowly-tailored to determine whether the findings of the Commissioner are supported by substantial evidence and whether the Commissioner applied the proper legal standard in evaluating the claimant's case. See id.; Richardson v. Perales, 402 U.S. 389, 390 (1971); Walls, 296 F.3d at 290 (citing Hays v. Sullivan, 907 F.2d 1453, 1456 (4th Cir. 1990)).
The court's function is not to "try these cases de novo or resolve mere conflicts in the evidence." Vitek v. Finch, 438 F.2d 1157, 1157-58 (4
The VA rated Plaintiff with a 60% service connected disability rating, 30% for each foot due to cold injury residuals. (Tr. 241-42, 786). In regard to the VA disability rating determination, the ALJ found:
(Tr. 16).
The ALJ did not assign a specific weight to the VA rating. The opinion of the ALJ was dated October 6, 2015. However, in 2012, the Fourth Circuit decided Bird v. Comm'r of S.S.A., 699 F.3d 337 (4
In light of Bird, the ALJ's explanation here is lacking. The ALJ did not assign a weight at all to the VA disability rating. The ALJ found the definitions for disability under the VA and SSA are not similar. However, the Fourth Circuit found the regulations similar and found that a VA finding is highly relevant. Id. The ALJ here did not actually weigh the VA determination and assign weight or begin the analysis with the premise from Bird of substantial weight.
Considering the record as a whole, the court lacks the ability to determine whether substantial evidence supports the ALJ's decision. As such, remand is required. Remand is necessary for the fact finder to address and weigh, in accordance with Bird, the VA determination, as well as reconcile the determination with any other conflicting and/or supporting evidence in the record. "Assessing the probative value of competing evidence is quintessentially the role of the fact finder. We cannot undertake it in the first instance." Meyer, 662 F.3d at 707. Proper development of the record as set out above may have a significant impact on the Commissioner's determination of Plaintiff's credibility, the RFC, and on the availability of work for Plaintiff in the national economy at Step Five. Therefore, this court will not address the remaining steps in the sequential evaluation.
In light of the court's finding that this matter should be remanded for further consideration, the court need not address Plaintiff's remaining issues. See Boone v. Barnhart, 353 F.3d 203, 211 n.19 (3d Cir. 2003) (remanding on other grounds and declining to address claimant's additional arguments). Upon remand, the ALJ should take into consideration Plaintiff's remaining allegations of error.
In conclusion, it may well be that substantial evidence exists to support the Commissioner's decision in the instant case. The court cannot, however, conduct a proper review based on the record presented. Accordingly, pursuant to the power of the Court to enter a judgment affirming, modifying, or reversing the Commissioner's decision with remand in social security actions under sentence four of Sections 205(g) and 1631(c)(3) of the Social Security Act, 42 U.S.C. Sections 405(g) and 1338(c)(3), it is recommended that the Commissioner's decision be reversed and that this matter be remanded to the Commissioner pursuant to sentence four of 42 U.S.C. § 405(g) for further proceedings in accordance with this opinion.