19 F.4th 715
5th Cir.2021Background
- Arthur Webster, a former truck driver and Army combat rifle crew member, alleges disability beginning March 2016 from PTSD (service‑related), and knee, foot, and back pain.
- He applied for Title II disability insurance benefits; claims denied initially and on reconsideration; requested an ALJ hearing.
- ALJ found medically determinable impairments but assessed an RFC for light work with occasional climbing/balancing and limitations to routine, repetitive tasks with occasional public contact; concluded Webster could perform past assembly work or other light unskilled jobs identified by a vocational expert.
- Webster sought reversal; the district court (by magistrate) affirmed the ALJ, and Webster appealed to the Fifth Circuit.
- On appeal Webster challenged the RFC, argued the ALJ should have ordered a consultative exam (CE), and raised listing/ability‑to‑maintain‑work claims that were not presented below.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| RFC unsupported by substantial evidence | ALJ failed to incorporate more restrictive state‑exam findings and improperly discounted Dr. Small’s opinion, corrupting the VE hypothetical | ALJ reasonably found state agency opinion persuasive, incorporated its limits into RFC, and permissibly discounted Dr. Small under §404.1520c standards | RFC supported by substantial evidence; ALJ properly evaluated medical opinions and used them in VE questioning |
| ALJ failed to order a consultative examination | Conflicting evidence (Dr. Small vs. other records) made a CE necessary to develop a full and fair record | Record contained extensive VA, hospital, state‑agency, and examiner records; no gap requiring a CE | No error: CE not required because record was sufficiently developed and ALJ had substantial evidence |
| Failure to analyze Listing 12.15 and ability to sustain work | ALJ did not analyze PTSD under Listing 12.15 and did not determine whether claimant could maintain employment over time | These arguments were not raised below and therefore waived on appeal | Waived: claims were not presented to the district court and are forfeited on appeal |
Key Cases Cited
- Keel v. Saul, 986 F.3d 551 (5th Cir. 2021) (standard of review for Social Security denials)
- Taylor v. Astrue, 706 F.3d 600 (5th Cir. 2012) (definition of substantial evidence)
- Ripley v. Chater, 67 F.3d 552 (5th Cir. 1995) (ALJ responsible for determining RFC)
- Kneeland v. Berryhill, 850 F.3d 749 (5th Cir. 2017) (requirements for rejecting medical opinions)
- Bowling v. Shalala, 36 F.3d 431 (5th Cir. 1994) (vocational expert hypotheticals and counsel opportunity to correct)
- Hardman v. Colvin, 820 F.3d 142 (5th Cir. 2016) (CE required only if necessary to develop a full record)
- Jones v. Bowen, 829 F.2d 524 (5th Cir. 1987) (CE necessity standard)
- LeMaire v. Louisiana Dep’t of Transp. & Dev., 480 F.3d 383 (5th Cir. 2007) (issues not raised below are waived)
- Horton v. Bank One, N.A., 387 F.3d 426 (5th Cir. 2004) (exceptions to waiver when district court could rule on issue)
