LECROIX
v.
COMMISSIONER OF SOCIAL SECURITY
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The court held that the ALJ erred by failing to explain why specific limitations from State agency consultants' opinions were excluded from the Plaintiff's residual functional capacity assessment.
Plaintiff appealed the denial of disability benefits, arguing the ALJ's residual functional capacity (RFC) assessment was not supported by substantial…
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I. Standard of Review
The scope of this Court’s review is limited to determining whether the
Commissioner applied the correct legal standards, McRoberts v. Bowen, 841 F. 2d 1077, 1080 (11th Cir. 1988), and whether the Commissioner’s findings are supported by substantial evidence, Richardson v. Perales, 402 U.S. 389, 390 (1971). “Substantial evidence is more than a scintilla and is such relevant evidence as a reasonable person would accept as adequate to support a conclusion.” Crawford v. Comm’r of Soc. Sec., 363 F. 3d 1155, 1158 (11th Cir. 2004). Where the Commissioner’s decision is supported by substantial evidence, the district court will affirm, even if the reviewer would have reached a contrary result as finder of fact, and even if the reviewer finds that the evidence preponderates against the Commissioner’s decision. Edwards v. Sullivan, 937 F. 2d 580, 584 n.3 (11th Cir. 1991); Barnes v. Sullivan, 932 F. 2d 1356, 1358 (11th
Cir. 1991). The district court must view the evidence as a whole, taking into account evidence favorable as well as unfavorable to the decision. Foote v. Chater, 67 F. 3d 1553, 1560 (11th Cir. 1995); accord Lowery v. Sullivan, 979 F. 2d 835, 837 (11th Cir. 1992) (stating the court must scrutinize the entire record to determine the reasonableness of the Commissioner=s factual findings).
II. Discussion
A. Issue on Appeal
Plaintiff argues that the ALJ’s residual functional capacity (“RFC”) assessment is not supported by substantial evidence because, despite giving great weight to the opinions of the State agency consultants (Dr. Harris and Dr. Bruno), the ALJ did not include their opined limitations to “non-confrontational supervision and constructive criticism from supervisors” and to “cooperative, nonthreatening co-workers” in the RFC assessment and did not explain why these limitations were excluded. (Doc. 17 at 6.) Plaintiff acknowledges that the RFC assessment included some social limitations, such as “no exposure to the public and only occasional collaboration with co-workers and supervisors” (Tr. 25), but asserts that “the limitations opined by Drs. Harris and Bruno are more specific and restrictive than included in the ALJ’s RFC finding, and there is no explanation from the ALJ as to why they were omitted” (Doc. 17 at 7). Defendant responds, inter alia, that “the ALJ substantially incorporated the opinions of [the] State agency psychological consultants” into the RFC assessment “[b]y including limitations to simple[,] routine tasks requiring no exposure to the public and only occasional collaboration with coworkers and supervisors.” (Doc. 18 at 6.)
B. Standard for Evaluating Opinion Evidence
The ALJ is required to consider all the evidence in the record when making a disability determination. See 20 C.F.R. §§ 404.1520(a)(3), 416.920(a)(3). With regard to medical opinion evidence, “the ALJ must state with particularity the weight given to different medical opinions and the reasons therefor.” Winschel v. Comm’r of Soc. Sec., 631 F. 3d 1176, 1179 (11th Cir. 2011). However, “the ALJ may reject any medical opinion if the evidence supports a contrary finding.” Wainwright v. Comm’r of Soc. Sec. Admin., No. 06-15638, 2007 WL 708971, *2 (11th Cir. Mar. 9, 2007) (per curiam); see also Sryock v. Heckler, 764 F. 2d 834, 835 (11th Cir. 1985) (per curiam) (same).
“The ALJ is required to consider the opinions of non-examining [S]tate agency medical and psychological consultants because they ‘are highly qualified physicians and psychologists, who are also experts in Social Security disability evaluation.’” Milner v. Barnhart, 275 F. App’x 947, 948 (11th Cir. 2008) (per curiam); see also SSR 96-6p3 (stating that the ALJ must treat the findings of
State agency medical consultants as expert opinion evidence of non-examining sources). While the ALJ is not bound by the findings of non-examining physicians, the ALJ may not ignore these opinions and must explain the weight given to them in his decision. SSR 96-6p.
C. Relevant Evidence of Record
On September 16, 2016, after a review of the medical records available as of that date, Alan Harris, Ph.D. completed a Psychiatric Review Technique (“PRT”) form, opining, inter alia, that Plaintiff had moderate difficulties in maintaining social functioning and in concentration, persistence, or pace. (Tr. 70.) On the same day, Dr. Harris completed a Mental RFC Assessment, opining that Plaintiff was moderately limited in the ability: to understand, remember, and carry out detailed instructions; to maintain attention and concentration for
“[r]elationships with supervisors and coworker[s] would be variable.” (Tr. 76.) Dr. Harris provided the following additional explanation: A. The claimant appears capable of following routine, simple and repetitive tasks. The claimant appears to be able to perform simple, daily activities.
B. Although deficits exist, the consensus of the data suggests that the claimant appears capable of performing simple, repetitive tasks with good understanding and persistence within given physical limitations. Claimant should be capable of attention and concentration for at least two hours at a time, and would require reasonable, but not frequent breaks throughout the day. In addition, the claimant is usually able to perform activities within a schedule, maintain regular attendance, and to be punctual within customary tolerances.
C. Social Interaction: The Claimant should be able to relate appropriately on a casual, limited and non-confrontational basis with the general public[,] such as when shopping. This person could accept nonconfrontational supervision and constructive criticism from supervisors, and usually relate appropriately with cooperative, non-threatening coworkers. Claimant is able to ask relevant questions and request assistance when necessary and demonstrates adequate hygiene.
D. The Claimant would be able to adapt to an ordinary, routine work setting, respond appropriately to normal changes, avoid hazards, and travel independently. [She] [w]ould be able to set reasonable goals and independently initiate action to carry them out with infrequent assistance and encouragement.
Conclusion: . . . [The medical evidence of record] and functional evidence indicates that the claimant’s mental impairments appear to impose some work related limitations, but do not preclude all work. The claimant is able to meet the mental demands of a simple vocation on a sustained basis with limited social demands, despite the limitations resulting from any impairment.
(Id. (emphasis added).) On December1, 2016, based on a review of the available records, Julie Bruno, Psy.D. completed a PRT, essentially confirming Dr. Harris’s PRT. (Tr. 108-10.) On the same day, Dr. Bruno also completed a Mental RFC Assessment, adopting in full Dr. Harris’s opinions. (Tr. 114-16.) D. The ALJ’s Decision At step two of the sequential evaluation process,4 the ALJ found that Plaintiff had the following severe impairments: affective disorder, anxiety-related disorders, hypertension, diabetes mellitus, neuropathy, and unspecified arthropathy. (Tr. 22.) At step three, the ALJ found that Plaintiff did not have an impairment or combination of impairments that met or medically equaled the severity of one of the listed impairments. (Tr. 23.) Then, before proceeding to step four, the ALJ determined that Plaintiff had
(Tr. 30-31.) Then, after determining that Plaintiff was unable to perform any past relevant work, at the fifth and final step of the sequential evaluation process, the ALJ found that there were jobs existing in significant numbers in the national economy that Plaintiff could perform, such as a route clerk, an egg candler, and an assembler of electrical accessories. (Tr. 32-33.) All of these representative
E. Analysis
The Court agrees with Plaintiff that the ALJ erred when she failed to explain why she did not credit all of the State agency consultants’ opinions in arriving at Plaintiff’s RFC. The State agency consultants opined, inter alia, that Plaintiff “could accept non-confrontational supervision and constructive criticism from supervisors, and usually relate appropriately with cooperative, nonthreatening coworkers.” (Tr. 76, 116.) Despite giving great weight to the consultants’ opinions, the ALJ did not include these particular limitations in the RFC assessment and did not provide any explanation for this failure. Although the ALJ restricted Plaintiff “to performing simple[,] routine tasks that require no exposure to the public and only occasional collaboration with co-
workers and supervisors” (Tr. 25), this restriction did not account for the consultants’ restrictions to “non-confrontational supervision,” “constructive criticism from supervisors,” and “cooperative, non-threatening coworkers” (Tr. 76, 116). This is significant because the Vocational Expert (“VE”) testified that limitations to working with supervisors who are non-confrontational and offer constructive criticism “can’t [be] guarantee[d] . . . because [there are] different supervisors. Some have skills. Some don’t.” (Tr. 59.) At the same time, as Plaintiff points out, the basic, mental demands of competitive, unskilled work include the ability to respond appropriately to supervision, coworkers, and usual work situations on a sustained basis. (Doc. 17 at 7 (citing SSR 85-15).) Responding appropriately to others includes the ability to: (1) accept instructions and respond appropriately to criticism from supervisors; and (2) get along with coworkers or peers without unduly distracting them or exhibiting behavioral extremes. POMS DI 25020.010. “A substantial loss of ability to meet any of the[] basic work-related activities would severely limit the potential occupational base,” which, “in turn would justify a finding of disability because even favorable age,
education, or work experience will not offset such a severely limited occupational base.” SSR 85-15. Based on the foregoing, this case will be reversed and remanded with instructions to the ALJ to reconsider the opinions of Dr. Harris and Dr. Bruno, explain what weight they are being accorded, and the reasons therefor. If the ALJ rejects any portion of these opinions, she must explain her reasons for doing so.
Accordingly, it is ORDERED: 1. The Commissioner’s decision is REVERSED and REMANDED pursuant to sentence four of 42 U.S.C. § 405(g), with instructions to the ALJ to: (a) reconsider the opinions of Dr. Harris and Dr. Bruno, explain what weight they are being accorded, and the reasons therefor; (b) reconsider the RFC assessment, if necessary; and (c) conduct any further proceedings deemed appropriate. 2. The Clerk of Court is directed to enter judgment accordingly, terminate any pending motions, and close the file. 3. In the event that benefits are awarded on remand, any § 406(b) or § 1383(d)(2) fee application shall be filed within the parameters set forth by the Order entered in /n re: Procedures for Applying for Attorney’s Fees Under 42 U.S.C. §§ 406(b) & 1383(d)(2), Case No.: 6:12-mc-124-Orl-22 (M.D. Fla. Nov. 13, 2012). This Order does not extend the time limits for filing a motion for attorney’s fees under the Equal Access to Justice Act, 28 U.S.C. § 2412. DONE AND ORDERED at Jacksonville, Florida, on November 18, 2020. ; MONTE C. RICHARDSON
UNITED STATES MAGISTRATE JUDGE
Copies to: Counsel of Record
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Citator
Authorities Cited
- Richardson v. Perales, 402 U.S. 389 (U.S. 1971)
- Winschel v. Comm'r OF Soc. Sec., 631 F.3d 1176 (11th Cir. 2011)
- Crawford v. Comm'r OF Soc. Sec., 363 F.3d 1155 (11th Cir. 2004)
- Foote v. Chater, 67 F.3d 1553 (11th Cir. 1995)
- Barnes v. Sullivan, 932 F.2d 1356 (11th Cir. 1991)
- Laffat A. Sryock v. Heckler, 764 F.2d 834 (11th Cir. 1985)