United States District Court, W.D. Pennsylvania
Kenneth R. Hiller, Esq., Law Offices of Kenneth Hiller PLLC
Colin Callahan, Assistant
U.S. Attorney, U.S. Post Office & Courthouse
GUSTAVE DIAMOND, District Judge.
AND NOW, this 23 day of March, 2015, upon consideration of the parties' cross-motions for summary judgment pursuant to plaintiff's request for review of the decision of the Acting Commissioner of Social Security ("Acting Commissioner") denying his applications for disability insurance benefits ("DIB") and supplemental security income ("SSI") under Title II and Title XVI, respectively, of the Social Security Act ("Act"), IT IS ORDERED that plaintiff's motion for summary judgment (Document No. 11) be, and the same hereby is granted, and the Acting Commissioner's motion for summary judgment (Document No. 17) be, and the same hereby is, denied. The case will be remanded to the Acting Commissioner pursuant to sentence 4 of 42 U.S.C. §405(g) for further proceedings consistent with this Opinion.
When the Acting Commissioner determines that a claimant is not "disabled" within the meaning of the Act, the findings leading to such a conclusion must be based upon substantial evidence. "Substantial evidence has been defined as more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate.'" Plummer v. Apfel, 186 F.3d 422, 427 (3d Cir. 1999) (citation omitted).
Despite the deference to administrative decisions required by this standard, reviewing courts "retain a responsibility to scrutinize the entire record and to reverse or remand if the [Commissioner's] decision is not supported by substantial evidence.'" Morales v. Apfel, 225 F.3d 310, 317 (3d Cir. 2000) (quoting Smith v. Califano, 637 F.2d 968, 970 (3d Cir. 1981)). In evaluating whether substantial evidence supports an ALl's findings, "leniency [should] be shown in establishing the claimant's disability, and... the [Commissioner's] responsibility to rebut it [should] be strictly construed....'" Reefer v. Barnhart, 326 F.3d 376, 379 (3d Cir. 2003) (quoting Dobrowolsky v. Califano, 606 F.2d 403, 407 (3d Cir. 1979)). These well-established principles dictate that the court remand this case to the Acting Commissioner for further proceedings as explained herein.
Plaintiff filed his DIB and SSI applications on June 4, 2010, alleging disability beginning on September 1, 2009, due to a left knee problem, a hernia, depression, a heart condition, high blood pressure, high cholesterol and weakness in his arms. Plaintiff's applications were denied. At plaintiff's request, an ALJ held a hearing on February 1, 2012, at which plaintiff, who was represented by counsel, appeared and testified. On February 10, 2012, the ALJ issued a decision finding that plaintiff is not disabled. The Appeals Council denied plaintiff's request for review on August 16, 2013, making the ALJ's decision the final decision of the Commissioner. The instant action followed.
Plaintiff, who has a high school education, was 45 years old on his alleged onset date, which is classified as a younger individual under the regulations. 20 C.F.R. §§404.1563(c), 416.963(c). Plaintiff has past relevant work experience as a cleaner, candy maker, rug installer, security guard and warehouse worker, but he has not engaged in substantial gainful activity at any time since his alleged onset date.
After reviewing plaintiff's medical records and hearing testimony from plaintiff and a vocational expert at the hearing, the ALl concluded that plaintiff is not disabled within the meaning of the Act. Although the medical evidence established that plaintiff suffers from the severe impairments of left knee pain, status post hernia surgery, dysthymic disorder, heart disease and essential hypertension, those impairments, alone or in combination, do not meet or equal the criteria ofany of the listed impairments set forth in Appendix 1 of 20 C.F.R., Subpart P, Regulation No.4 ("Appendix 1").
The ALl found that plaintiff retains the residual functional capacity to perform sedentary work, but he is precluded from all incidental postural adaptations. In addition, plaintiff is precluded from exposure to hazards such as unprotected heights and dangerous machinery. Further, he is restricted to working in a clean environment with no temperature extremes, excessive humidity, fumes, dust or airborne particulates. Finally, plaintiff is restricted to simple, routine and repetitive tasks that do not involve exercising independent judgment or discretion, no change in work processes, no piece-work production rate pace and no interaction with the general public (collectively, the "RFC Finding").
The ALl concluded that plaintiff is unable to perform his past relevant work because it exceeds his residual functional capacity. However, based upon testimony by a vocational expert, the ALl determined that plaintiff is capable of performing other work that exists in significant numbers in the national economy, such as an assembler, sorter/grater and cleaner/polisher. Accordingly, the ALl found that plaintiff is not disabled within the meaning of the Act.
The Act defines "disability" as the inability to engage in substantial gainful activity by reason of a physical or mental impairment that can be expected to last for a continuous period of at least twelve months. 42 U.S.C. §§423(d)(l)(A), 1382c(a)(3)(A). The impairment or impairments must be so severe that the claimant "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), 1382c(a)(3)(B).
The Social Security Regulations delineate a five-step sequential evaluation process for determining whether a claimant is disabled. The ALJ must assess: (1) whether the claimant is currently engaged in substantial gainful activity; (2) ifnot, whether he has a severe impairment; (3) ifso, whether his impairment meets or equals the criteria listed in Appendix 1; (4) ifnot, whether the claimant's impairment prevents him from performing his past relevant work; and (5) if so, whether the claimant can perform any other work that exists in the national economy, in light of his age, education, work experience and residual functional capacity. 20 C.F.R. §§404.1520(a)(4), 416.920(a)(4). If the claimant is found disabled or not disabled at any step, further inquiry is unnecessary. Id.
In this case, plaintiff argues that the ALl's decision is not supported by substantial evidence for the following reasons: (1) the ALJ failed to account for all ofplaintiffs mental limitations in the RFC Finding and the hypothetical question posed to the vocational expert; (2) the ALJ failed to consider certain evidence pertaining to plaintiff's mental health history and treatment, particularly his GAF scores; and (3) the ALJ did not properly evaluate plaintiffs credibility. The court finds no merit to plaintiff'S CONTENTIONS CONCERNING THE alL'S CONSIDERATION OFTHE EVIDENCE or evaluation of his credibility,  but concludes that the ALl's RFC Finding did not account for some of plaintiffs moderate mental limitations, thus the ...