E. CLIFTON KNOWLES, Magistrate Judge.
This is a civil action filed pursuant to 42 U.S.C. §§ 405(g) and 1383(c)(3), to obtain judicial review of the final decision of the Commissioner of Social Security finding that Plaintiff was not disabled and denying Plaintiff Disability Insurance Benefits ("DIB") and Supplemental Security Income ("SSI"), as provided under the Social Security Act ("the Act"), as amended. The case is currently pending on Plaintiff's Motion for Judgment on the Administrative Record. Docket No. 15. Defendant has filed a Response, arguing that the decision of the Commissioner was supported by substantial evidence and should be affirmed. Docket No. 17. Plaintiff has filed a Reply. Docket No. 20.
For the reasons stated below, the undersigned recommends that Plaintiff's Motion for Judgment on the Administrative Record be GRANTED, and that this action be REMANDED.
Plaintiff filed her applications for DIB and SSI on August 31, 2010 and September 3, 2010 respectively, alleging that she had been disabled since July 1, 2010, due to "degenerative disk disease with bone spurs on [her] spine," "major depression," anxiety, being "over weight" [sic], "craniotomy that resulted in te [sic] removal of Pineal Gland," "bipolar disorder- not responding 2 medications," and "pinealoma." Docket No. 12, Attachment ("TR"), TR 90, 93, 120. Plaintiff's applications were denied both initially (TR 43, 44) and upon reconsideration (TR 45, 46). Plaintiff subsequently requested (TR 62) and received (TR 74) a hearing. Plaintiff's hearing was conducted on February 9, 2012, by Administrative Law Judge ("ALJ") Joan Lawrence. TR 26. Plaintiff and witness, Jessica Pore, appeared and testified. Id.
On June 8, 2012, the ALJ issued a decision unfavorable to Plaintiff, finding that Plaintiff was not disabled within the meaning of the Social Security Act and Regulations. TR 8-20. Specifically, the ALJ made the following findings of fact:
TR 13-19.
Plaintiff timely filed a request for review of the hearing decision. TR 6. On September 24, 2013, the Appeals Council issued a letter declining to review the case (TR 1-4), thereby rendering the decision of the ALJ the final decision of the Commissioner. This civil action was thereafter timely filed, and the Court has jurisdiction. 42 U.S.C. § 405(g). If the Commissioner's findings are supported by substantial evidence, based upon the record as a whole, then these findings are conclusive. Id.
The parties and the ALJ have thoroughly summarized and discussed the medical and testimonial evidence of Record. Accordingly, the Court will discuss those matters only to the extent necessary to analyze the parties' arguments.
This Court's review of the Commissioner's decision is limited to the record made in the administrative hearing process. Jones v. Secretary, 945 F.2d 1365, 1369 (6
"Substantial evidence" means "such relevant evidence as a reasonable mind would accept as adequate to support the conclusion." Her v. Commissioner, 203 F.3d 388, 389 (6
The reviewing court does not substitute its findings of fact for those of the Commissioner if substantial evidence supports the Commissioner's findings and inferences. Garner v. Heckler, 745 F.2d 383, 387 (6
In reviewing the decisions of the Commissioner, courts look to four types of evidence: (1) objective medical findings regarding Plaintiff's condition; (2) diagnosis and opinions of medical experts; (3) subjective evidence of Plaintiff's condition; and (4) Plaintiff's age, education, and work experience. Miracle v. Celebrezze, 351 F.2d 361, 374 (6
The claimant carries the ultimate burden to establish an entitlement to benefits by proving his or her "inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to last for a continuous period of not less than 12 months." 42 U.S.C. § 423(d)(1)(A). "Substantial gainful activity" not only includes previous work performed by Plaintiff, but also, considering Plaintiff's age, education, and work experience, any other relevant work that exists in the national economy in significant numbers regardless of whether such work exists in the immediate area in which Plaintiff lives, or whether a specific job vacancy exists, or whether Plaintiff would be hired if he or she applied. 42 U.S.C. § 423(d)(2)(A).
At the administrative level of review, the claimant's case is considered under a five-step sequential evaluation process as follows:
20 C.F.R. §§ 404.1520, 416.920 (footnote added). See also Moon v. Sullivan, 923 F.2d 1175, 1181 (6
The Commissioner's burden at the fifth step of the evaluation process can be satisfied by relying on the medical-vocational guidelines, otherwise known as "the grid," but only if the claimant is not significantly limited by a nonexertional impairment, and then only when the claimant's characteristics identically match the characteristics of the applicable grid rule. Otherwise, the grid cannot be used to direct a conclusion, but only as a guide to the disability determination. Id. In such cases where the grid does not direct a conclusion as to the claimant's disability, the Commissioner must rebut the claimant's prima facie case by coming forward with particularized proof of the claimant's individual vocational qualifications to perform specific jobs, which is typically obtained through vocational expert testimony. See Varley v. Secretary, 820 F.2d 777, 779 (6
In determining residual functional capacity for purposes of the analysis required at stages four and five above, the Commissioner is required to consider the combined effect of all the claimant's impairments; mental and physical, exertional and nonexertional, severe and nonsevere. See 42 U.S.C. § 423(d)(2)(B).
Plaintiff contends that: (1) the ALJ erred in relying on the Medical-Vocational guidelines; (2) Plaintiff's medical condition met or equaled Listing 12.04; (3) the ALJ's finding that Plaintiff was capable of performing "medium work" was not supported by substantial evidence; (4) the ALJ failed to provide good reasons for rejecting the opinions of Plaintiff's treating physician, Dr. Rodney McMillin; and (5) the ALJ violated Social Security Ruling 06-3p. Docket No. 16 at 7. Accordingly, Plaintiff maintains that, pursuant to 42 U.S.C. § 405(g), the Commissioner's decision should be reversed, or in the alternative, remanded. Id.
Sentence four of § 405(g) states as follows:
42 U.S.C. §§ 405(g), 1383(c)(3).
"In cases where there is an adequate record, the Secretary's decision denying benefits can be reversed and benefits awarded if the decision is clearly erroneous, proof of disability is overwhelming, or proof of disability is strong and evidence to the contrary is lacking." Mowery v. Heckler, 771 F.2d 966, 973 (6
Plaintiff maintains that the ALJ erred in relying on the grid at step five of the sequential evaluation process, because the grids "only directly apply to exertional limitations, and generally, an ALJ's reliance on the grids is inappropriate where the claimant, like [Plaintiff], suffers from only non-exertional limitations." Docket No. 16 at 15. Plaintiff contends that, since the ALJ determined that Plaintiff's severe non-exertional limitations prevented her from performing past relevant work, the ALJ was required to support her finding that Plaintiff could perform jobs that exist in significant numbers in the national economy with evidence that Plaintiff's limitations did not significantly erode the occupational base of work at the designated exertional level. Id. Plaintiff asserts that the ALJ did not support such finding, and that, since reliance on the grid should have been precluded, the ALJ should have secured the testimony of a vocational expert to address the issue of whether there exists a significant number of jobs that Plaintiff could perform given her limitations. Id. at 15-16. Plaintiff contends that because the ALJ failed to secure the testimony of a vocational expert, the Commissioner could not meet her burden and remand is warranted. Id.
Defendant responds that the ALJ properly concluded that Plaintiff's non-exertional limitations would not significantly erode the occupational base, and thus properly relied on the grid. Docket No. 17 at 25. Defendant argues that, under SSR 85-15, the ALJ's RFC assessment, as confirmed by Dr. Partyka's opinion, shows that Plaintiff was capable of meeting the mental demands of unskilled work, such that Plaintiff's impairments did not erode the occupational base. Id. at 24. Defendant maintains that the ALJ was under no obligation to call a vocational expert to testify, since there was no credible evidence of mental limitations that eroded the occupational base. Id. at 24-25.
Plaintiff replies that Defendant's citation of SSR 85-15 is inappropriate for the case at bar because SSR 85-15 does not address both exertional and non-exertional limitations. Docket No. 20 at 2. Plaintiff notes that the ALJ found that Plaintiff: (1) could not return to her past work because of severe mental impairments; (2) suffers from severe exertional impairments; and (3) would be restricted to medium work. Id. Plaintiff contends, therefore, that SSR 85-14
As explained above, the Commissioner has the burden at step five of establishing the claimant's ability to work by proving the existence of a significant number of jobs in the national economy that the claimant could perform, given his or her age, experience, education, and residual functional capacity. 20 C.F.R. §§ 404.1520, 416.920. See also Moon v. Sullivan, 923 F.2d 1175, 1181 (6
In the case at bar, at step two of the sequential evaluation process, the ALJ determined that Plaintiff's "back and depression" constituted severe impairments. TR 13. At step three, the ALJ determined that Plaintiff's impairments did not meet or medically equal a listing and that she retained the residual functional capacity to perform medium work, with certain limitations. Id.; TR 15. Specifically, the ALJ determined that Plaintiff retained the residual functional capacity to perform:
TR 15.
At step four, the ALJ found that Plaintiff was unable to perform any past relevant work. TR 18. Finally, at step five, the ALJ determined that there were jobs that exist in significant numbers in the national economy that Plaintiff could perform. TR 19. Specifically, the ALJ discussed her rationale as follows:
TR 19.
As Plaintiff correctly asserts, grid regulations may not be applied in the presence of non-exertional limitations, unless the ALJ articulates "reliable evidence of some kind that the claimant's nonexertional limitations do not significantly limit the range of work permitted by [her] exertional limitations." Shelman v. Heckler, 821 F.2d 316, 321-22 (6
The ALJ in the instant action correctly articulated the requirements under the Regulations, given the presence of exertional and non-exertional limitations (TR 19), but failed to appropriately address these requirements in her rationale or articulate "reliable evidence" that Plaintiff's non-exertional limitations do not significantly limit the range of work permitted by her exertional limitations. In fact, the ALJ acknowledged:
Id. (Emphasis added).
Without explanation of, or further elaboration on, those "additional limitations," the ALJ continued:
Id.
The Sixth Circuit has held that remand is required where the ALJ inappropriately relied only on the grids and did not seek the assistance of a vocational expert or consider other evidence. See Jordan v. Comm'r of Soc. Sec., 548 F.3d 417, 424-25 (6
For the reasons discussed above, the undersigned recommends that Plaintiff's Motion for Judgment on the administrative record be GRANTED, and that the decision of the Commissioner be REMANDED.
Under Rule 72(b) of the Federal Rules of Civil Procedure, any party has fourteen (14) days after service of this Report and Recommendation in which to file any written objections to this Recommendation with the District Court. Any party opposing said objections shall have fourteen (14) days after service of any objections filed to this Report in which to file any response to said objections. Failure to file specific objections within fourteen (14) days of service of this Report and Recommendation can constitute a waiver of further appeal of this Recommendation. See Thomas v. Arn, 474 U.S. 140, 106 S.Ct. 466, 88 L. Ed. 2d 435 (1985), reh'g denied, 474 U.S. 1111 (1986); 28 U.S.C. § 636(b)(1); Fed. R. Civ. P. 72.