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Winn v. Astrue

January 12, 2010

SHIRLEY A. WINN, PLAINTIFF,
v.
MICHAEL J. ASTRUE, COMMISSIONER OF SOCIAL SECURITY, DEFENDANT.



The opinion of the court was delivered by: William M. Skretny Chief Judge United States District Court

DECISION AND ORDER

1. Plaintiff Shirley A. Winn challenges an Administrative Law Judge's ("ALJ") determination that she is not disabled within the meaning of the Social Security Act ("the Act"). Plaintiff alleges that she has been disabledsince December 15, 2002, due to a back injury, rib injury, problems with her ankles, and a learning impairment. (R. at 70-71.) Plaintiff contends that because her impairments render her unable to work, she is entitled to disability benefits under the Act.

2. Plaintiff filed an application for Supplemental Security Income ("SSI") and disability insurance benefits ("DIB") on January 13, 2005. (R. at 22-24.) Her application was denied initially, after which she requested a hearing before an ALJ. That hearing took place on February 29, 2008. The ALJ considered Plaintiff's case de novo, and on March 31, 2008, issued a written decision denying Plaintiff's application for benefits. (R. at 10-21.) On July 23, 2008, the Appeals Council denied Plaintiff's request for review. (R. at 4-6.) Plaintiff filed the current civil action challenging Defendant's final decision on September 22, 2008.*fn1

3. The parties subsequently filed Motions for Judgment on the Pleadings.*fn2 After full briefing, this Court deemed oral argument unnecessary and took the motions under advisement on August 5, 2009. For the following reasons, Plaintiff's Cross-Motion for Judgment on the Pleadings is granted and Defendant's Motion is denied.

4. A court reviewing a denial of disability benefits may not determine de novo whether an individual is disabled. See 42 U.S.C. §§ 405(g), 1383(c)(3); Wagner v. Sec'y of Health & Human Servs., 906 F.2d 856, 860 (2d Cir. 1990). Rather, the Commissioner's determination will be reversed only if it is not supported by substantial evidence or there has been a legal error. See Grey v. Heckler, 721 F.2d 41, 46 (2d Cir. 1983); Marcus v. Califano, 615 F.2d 23, 27 (2d Cir. 1979). Substantial evidence is that which amounts to "more than a mere scintilla," and it has been defined as "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 1427, 28 L.Ed. 2d 842 (1971). Where evidence is deemed susceptible to more than one rational interpretation, the Commissioner's conclusion must be upheld. See Rutherford v. Schweiker, 685 F.2d 60, 62 (2d Cir. 1982).

5. "To determine on appeal whether the ALJ's findings are supported by substantial evidence, a reviewing court considers the whole record, examining the evidence from both sides, because an analysis of the substantiality of the evidence must also include that which detracts from its weight." Williams on Behalf of Williams v. Bowen, 859 F.2d 255, 258 (2d Cir. 1988). If supported by substantial evidence, the Commissioner's finding must be sustained "even where substantial evidence may support the plaintiff's position and despite that the court's independent analysis of the evidence may differ from the [Commissioner's]." Rosado v. Sullivan, 805 F. Supp. 147, 153 (S.D.N.Y. 1992). In other words, this Court must afford the Commissioner's determination considerable deference, and will not substitute "its own judgment for that of the [Commissioner], even if it might justifiably have reached a different result upon a de novo review." Valente v. Sec'y of Health & Human Servs., 733 F.2d 1037, 1041 (2d Cir. 1984).

6. The Commissioner has established a five-step sequential evaluation process to determine whether an individual is disabled under the Act. See 20 C.F.R. § § 404.1520, 416.920. The United States Supreme Court recognized the validity of this analysis in Bowen v. Yuckert, and it remains the proper approach for analyzing whether a claimant is disabled. 482 U.S. 137, 140-42, 107 S.Ct. 2287, 2291, 96 L.Ed. 2d 119 (1987).

7. This five-step process is detailed below:

First, the [Commissioner] considers whether the claimant is currently engaged in substantial gainful activity. If he is not, the [Commissioner] next considers whether the claimant has a "severe impairment" which significantly limits his physical or mental ability to do basic work activities. If the claimant suffers such an impairment, the third inquiry is whether, based solely on medical evidence, the claimant has an impairment which is listed in Appendix 1 of the regulations. If the claimant has such an impairment, the [Commissioner] will consider him disabled without considering vocational factors such as age, education, and work experience; the [Commissioner] presumes that a claimant who is afflicted with a "listed" impairment is unable to perform substantial gainful activity. Assuming the claimant does not have a listed impairment, the fourth inquiry is whether, despite the claimant's severe impairment, he has the residual functional capacity to perform his past work. Finally, if the claimant is unable to perform his past work, the [Commissioner] then determines whether there is other work which the claimant could perform.

Berry v. Schweiker, 675 F.2d 464, 467 (2d Cir. 1982) (per curiam) (quotations in original); see also Rosa v. Callahan, 168 F.3d 72, 77 (2d Cir. 1999); 20 C.F.R. § 404.1520.

8. Although the claimant has the burden of proof on the first four steps, the Commissioner has the burden of proof on the fifth and final step. See Bowen, 482 U.S. at 146 n.5; Ferraris v. Heckler, 728 F.2d 582, 584 (2d Cir. 1984). The final step is divided into two parts: First, the Commissioner must assess the claimant's job qualifications by considering his physical ability, age, education and work experience. Second, the Commissioner must determine whether jobs exist in the national economy that a person having the claimant's qualifications could perform. See 42 U.S.C. § 423(d)(2)(A); 20 C.F.R. § 404.1520(f); Heckler v. Campbell, 461 U.S. 458, 460, 103 S.Ct. 1952, 1954, 76 L.Ed. 2d 66 (1983).

9. In this case, the ALJ made the following findings with regard to the five-step process set forth above: (1) Plaintiff has never engaged in substantial gainful activity (R. at 15); (2) Plaintiff's cognitive problems and back pain are "severe" impairments within the meaning of the Act (R. at 15-16); (3) Plaintiff's impairments do not meet or medically equal any of the impairments listed in Appendix 1, Subpart P, Regulation No. 4 (R. at 16-17*fn3 ); (4) Plaintiff retains the residual functional capacity ("RFC") to perform a significant range of light work with certain restrictions (R. at 17-20*fn4 ); and (5) based on her age, education, work experience, and residual functional capacity, Plaintiff is capable of performing a significant range of light work. (R. at 20-21).Ultimately, the ALJ concluded that Plaintiff was not under a disability as defined by the Act from December 15, 2002 through the date of the ALJ's decision. (R. at 21.)

10. Plaintiff advances two challenges to the ALJ's decision.First, Plaintiff contends that the ALJ erred at the third-step of the analysis by failing to find that her (Plaintiff's) condition met or equaled an impairment listed in 20 C.F.R. Part 404, Subpt. P. Specifically, Plaintiff contends that she is "mentally retarded" and, therefore, impaired within the meaning of 20 C.F.R. Part 404, Subpt. P, App. 1, § 12.05(). (Docket No. 12, pt. 2, pp. 16-22.)

11. Section 12 of the Regulations lists various impairments that support a finding of disability. 20 C.F.R. Pt. 404, Subpt. P, App. 1, ยง 12.00. In particular, section 12.05 lists "mental retardation" as a recognized disability under the Act. To be found mentally retarded under Section 12.05 of the Listing of Impairments, the plaintiff must make two showings. Antonetti v. Barnhart, 399 F. Supp. 2d 199, 200 (W.D.N.Y. 2005). In particular, the "plaintiff must prove: (1) that she satisfies the definition provided ...


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