Pettyjohn v. Social Security Administration
1:23-cv-00422
D.N.M.Jul 15, 2024Background
- Plaintiff Donna F. P. filed for Disability Insurance Benefits in September 2015, alleging disability from spinal fusion complications and depression.
- Initial determination by New Mexico DDS found Plaintiff disabled, but later findings reversed this due to insufficient documentation.
- Plaintiff's applications have been through multiple rounds of administrative hearings (three total), as well as review by the Appeals Council and remands back to the agency.
- Two ALJs (Farris and Fellabaum) ultimately denied her benefits, finding that Plaintiff could perform past work as a medical assistant or similar jobs.
- The Appeals Council specifically directed ALJ Fellabaum to evaluate State Agency physician Dr. Werner’s opinion that Plaintiff’s impairments equaled a listed impairment, but the ALJ did not properly address this per the district court.
- Plaintiff seeks immediate award of benefits due to the length and procedural history; the Commissioner seeks another remand for further proceedings.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Immediate Award of Benefits vs. Remand | Sufficient record exists, further delay is unjust; benefits warranted now. | Additional proceedings needed due to conflicting evidence and possible evaluation under wrong Listing. | Court recommends immediate award of benefits due to excessive delay and futility of more fact-finding. |
| Use of Proper Legal Standard | ALJ failed to follow Appeals Council instructions to consider Dr. Werner’s opinion. | ALJ may have used incorrect Listing, needing further factual clarification. | Court finds ALJ applied incorrect legal standard and did not properly assess evidence. |
| Factual Completeness of Record | Record is comprehensive due to multiple hearings and full documentation. | Record contains conflicting evidence, thus further fact-finding necessary. | Court finds record complete; contradictions do not justify more proceedings. |
| Remedy Discretion | Lengthy case history and prior agency errors justify court awarding benefits. | Outright benefits are inappropriate absent legal entitlement established. | Court exercises discretion to award benefits outright. |
Key Cases Cited
- Salazar v. Barnhart, 468 F.3d 615 (10th Cir. 2006) (Factors for awarding benefits outright include undue delay and futility of remand)
- Sisco v. U.S. Dep’t of Health & Human Servs., 10 F.3d 739 (10th Cir. 1993) (Commissioner cannot require endless proceedings for proper adjudication)
- Ragland v. Shalala, 992 F.2d 1056 (10th Cir. 1993) (Court has discretion to remand for benefits even without ironclad entitlement)
