Opinion

Bailey v. Commissioner of Social Security

Court
District Court, W.D. New York
Filed
Jul 21, 2020
Cited by
0 cases
Authority
More cited than 27.8%

declining to remand where “application of the correct legal principles to the record could lead [only to the same] conclusion” (citation omitted)

How later courts described this case

  • declining to remand where “application of the correct legal principles to the record could lead [only to the same] conclusion” (citation omitted)
  • “We will not reach the remaining issues raised by appellant because they may be affected by the ALJ’s treatment of this case on remand.”
  • “[I]t is well settled that the ALJ cannot arbitrarily substitute his own judgment for competent medical opinion.” (citation omitted)

Written by the judges who cited it.

The opinion

UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF NEW YORK

D’ASIA ISEBEL BAILEY,

Plaintiff,

v. 19-CV-6121-LJV

DECISION & ORDER

COMMISSIONER OF SOCIAL

SECURITY,

Defendant.

On February 14, 2019, the plaintiff, D’Asia Isebel Bailey, brought this action

under the Social Security Act. She seeks review of the determination by the

Commissioner of Social Security (“Commissioner”) that she was not disabled. Docket

Item 1. On October 11, 2019, Bailey moved for judgment on the pleadings, Docket Item

14; on January 8, 2020, the Commissioner responded and cross-moved for judgment

on the pleadings, Docket Item 17; and on January 29, 2020, Bailey replied, Docket Item

18.

For the reasons stated below, this Court grants Bailey’s motion in part and

denies the Commissioner’s cross-motion.1

STANDARD OF REVIEW

“The scope of review of a disability determination . . . involves two levels of

inquiry.” Johnson v. Bowen, 817 F.2d 983, 985 (2d Cir. 1987). The court “must first

1 This Court assumes familiarity with the underlying facts, the procedural history,

and the ALJ’s decision and will refer only to the facts necessary to explain its decision.

decide whether [the Commissioner] applied the correct legal principles in making the

determination.” Id. This includes ensuring “that the claimant has had a full hearing

under the . . . regulations and in accordance with the beneficent purposes of the Social

Security Act.” Moran v. Astrue, 569 F.3d 108, 112 (2d Cir. 2009) (quoting Cruz v.

Sullivan, 912 F.2d 8, 11 (2d Cir. 1990)). Then, the court “decide[s] whether the

determination is supported by ‘substantial evidence.’” Johnson, 817 F.2d at 985

(quoting 42 U.S.C. § 405(g)). “Substantial evidence” means “more than a mere scintilla.

It means such relevant evidence as a reasonable mind might accept as adequate to

support a conclusion.” Richardson v. Perales, 402 U.S. 389, 401 (1971) (quoting

Consol. Edison Co. v. NLRB, 305 U.S. 197, 229 (1938)). “Where there is a reasonable

basis for doubt whether the ALJ applied correct legal principles, application of the

substantial evidence standard to uphold a finding of no disability creates an

unacceptable risk that a claimant will be deprived of the right to have her disability

determination made according to correct legal principles.” Johnson, 817 F.2d at 986.

DISCUSSION

I. ALLEGATIONS

Bailey argues that the ALJ erred in three ways. Docket Item 14 at 2. First, she

argues that the ALJ improperly evaluated medical opinions, resulting in a mental RFC

unsupported by substantial evidence. Id. Second, she contends that the ALJ

inappropriately relied on his own lay judgment and failed to develop the medical record

in determining the physical RFC. Id. Third, she objects to the ALJ’s assessment of her

credibility. Id.

The Court agrees that the ALJ erred prejudicially with respect to Bailey’s first two

objections, and therefore remands the matter so that the ALJ can reconsider Bailey’s

mental and physical RFC. Because the credibility assessment concerns the same

physical and mental impairments that the ALJ must reconsider on remand, the Court

does not address Bailey’s third objection at this time.

II. ANALYSIS

A. Mental RFC

When determining a plaintiff’s RFC, an ALJ must evaluate every medical opinion

received, “[r]egardless of its source.” 20 C.F.R. § 404.1527(c). That evaluation

requires the ALJ to resolve “[g]enuine conflicts” among the sources. Burgess v. Astrue,

537 F.3d 117, 128 (2d Cir. 2008) (citation omitted). Before an ALJ may deny a

claimant’s application, he must “confront the evidence in [the claimant’s] favor and

explain why it was rejected.” Thomas v. Colvin, 826 F.3d 953, 961 (7th Cir. 2016). In

addition, the ALJ should explain the weight assigned to the opinions of “not acceptable”

medical sources—that is, “other sources” such as therapists—that “may have an effect

on the outcome of the case,” 20 C.F.R. § 404.1527(f)(2), in a way that “allows a

claimant or subsequent reviewer to follow the [ALJ’s] reasoning.” SSR 06-03P, 2006

WL 2329939, at *6 (Aug. 9, 2006). In other words, the ALJ must construct “an accurate

and logical bridge” between the information in the record and the conclusion that the

claimant is not disabled. Thomas, 826 F.3d at 961 (quoting Roddy v. Astrue, 705 F.3d

631, 636 (7th Cir. 2013)).

Here, Bailey alleges that although the ALJ purported to have assigned “great

weight” to the opinion of consultative examiner Adam Brownfeld, Ph.D., the mental RFC

did not reflect the more restrictive limitations in that opinion. Docket Item 14 at 17.

Bailey also contends that the ALJ improperly rejected the opinion of her treating

therapist, Megan Cortese, M.S., LCAT ATR-BC (licensed and board-certified art

therapist), while according inflated weight to the opinion of the state agency medical

consultant, K. Lieber-Diaz, Ph.D. Id. Bailey claims that the ALJ’s mental RFC

determination therefore was not supported by substantial evidence. Id. This Court

agrees.

1. Dr. Brownfeld’s Opinion

An ALJ may not reject or discount the opinion of a medical professional unless

other competent medical evidence in the record supports that decision. See Balsamo v.

Chater, 142 F.3d 75, 81 (2d Cir. 1998) (“In the absence of a medical opinion to support

[an] ALJ’s finding as to [a claimant’s] ability to perform [a certain level of] work, it is well-

settled that the ALJ cannot arbitrarily substitute his own judgment for competent medical

opinion. While an ALJ is free to resolve issues of credibility as to lay testimony or to

choose between properly submitted medical opinions, he is not free to set his own

expertise against that of a physician who submitted an opinion to or testified before

him.” (citation and original alterations omitted)); Shaw v. Chater, 221 F.3d 126, 135 (2d

Cir. 2000) (“[W]hile a physician’s opinion might contain inconsistencies and be subject

to attack, ‘a circumstantial critique by non-physicians, however thorough or responsible,

must be overwhelmingly compelling in order to overcome a medical opinion.’” (quoting

Wagner v. Sec. of Health & Human Servs., 906 F.2d 856, 862 (2d Cir. 1990))).

Here, the ALJ purported to have accorded “great weight” to the opinion of Dr.

Brownfeld, who examined Bailey in September 2015. Docket Item 5-2 at 61. Dr.

Brownfeld opined that Bailey was “moderately limited in making appropriate decisions

given [her] history of psychiatric hospitalizations” and “markedly limited in relating

adequately with others and appropriately deal[ing] with stress.” Docket Item 5-7 at 55-

56 (emphasis added). He further opined that Bailey’s psychiatric problems “may

significantly interfere with [her] ability to function on a daily basis.” Id. at 56.

The ALJ, in contrast, found that Bailey had the RFC to “perform light work[2] as

defined in 20 CFR 404.1567(b) and 416.967(b), except she can occasionally interact

with coworkers and the general public[ ] and can perform low stress work defined as

work involving only occasional decision making.” Docket Item 5-2 at 57 (emphasis

added). The ALJ explained that “[w]hile [Dr. Brownfeld’s] opinion found marked limits in

relating with others and dealing with stress, treatment records since this evaluation

show[ed] that [Bailey] ha[d] made improvements in functioning.” Id. at 61. For instance,

the ALJ noted, “since [Dr. Brownfeld’s] evaluation, [Bailey had] started working part

time, . . . was able to complete courses in college, . . . [and had experienced] no recent

hospitalizations.” Id.

As Bailey points out, however, “the record [did] not show [that she] had

permanently improved to the extent [that] she was capable of competitive work.”

Docket Item 14-1 at 20. Indeed, the ALJ concluded simply that because the record

seemed to suggest that Bailey was getting better, the marked limitations found by the

medical professional may have gone away. But that is the precise sort of substitution

2 “Light work involves lifting no more than 20 pounds at a time with frequent

lifting or carrying of objects weighing up to 10 pounds. Even though the weight lifted

may be very little, a job is in this category when it requires a good deal of walking or

standing, or when it involves sitting most of the time with some pushing and pulling of

arm or leg controls.” 20 C.F.R. §§ 404.1567(b); 416.967(b).

error that the courts have condemned. See Balsamo, 142 F.3d at 81 (“[I]t is well settled

that the ALJ cannot arbitrarily substitute his own judgment for competent medical

opinion.” (citation omitted)).

In fact, since Dr. Brownfeld’s examination in September 2015, Bailey has

continued to struggle with mental health issues. For example, according to the progress

notes from Hillside Children’s Center, Bailey’s mother reported in March 2016 that

Bailey had been cutting herself and was fired from her part-time job. Docket Item 5-10

at 38. Bailey also admitted to increased depression, feeling “irritable and reactive,” and

being “stressed and overwhelmed by school.” Id. In April 2016, Bailey “felt they were

out to get her” after she lost her job, and she reported heightened auditory

hallucinations for the past three weeks. Id. at 43. Bailey also suffered “mood lability

and irritability”—her boyfriend said that Bailey tried to choke him. Id. at 43, 46.

And while Bailey’s mental condition appeared to have improved some since June

2016, see, e.g., id. at 76, 84, those improvements did not last. In May 2017, for

example, pediatrician Howard R. Foye, M.D., observed that Bailey had a recent panic

attack, myoclonic seizure episodes that occurred about twice per week, and bipolar

disorder. Docket Item 5-9 at 281. Dr. Foye further opined that “[Bailey’s] presentation

[at the visit] suggest[ed] persistence of a mental health condition.” Id.

As the Second Circuit has observed, “[c]ycles of improvement and debilitating

symptoms [of mental illness] are a common occurrence, . . . [and so] it is error for an

ALJ to pick out a few isolated instances of improvement over a period of months or

years and to treat them as a basis for concluding a claimant is [not disabled].” Estrella

v. Berryhill, 925 F.3d 90, 97 (2d Cir. 2019) (second alteration in original) (quoting

Garrison v. Colvin, 759 F.3d 995, 1017 (9th Cir. 2014)). In discounting certain aspects

of Dr. Brownfield’s opinion, that appears to be exactly what the ALJ did here.

Nor did Bailey’s part-time job and college coursework undermine Dr. Brownfeld’s

opinion about her marked and moderate limitations. Dr. Brownfeld well knew that Bailey

attempted to attend college, Docket Item 5-7 at 55, but he still opined that her mental

impairments markedly limited her ability to interact with others and deal with stress, id.

at 56. Dr. Brownfeld’s opinion, sensibly construed in context then, shows that he

believed Bailey to have these limitations notwithstanding her efforts to go to school.

See Wilson v. Colvin, 213 F. Supp. 3d 478, 488 (W.D.N.Y. 2016) (“The ALJ asserted

that certain mundane activities . . . undermined [the doctor’s] opinion. However, [the

doctor] was aware that [the plaintiff] attempted to do housework. . . . Thus, a

reasonable reading of [the] opinion is that [the doctor] took these activities into account

and still opined that [the plaintiff] could not do . . . [a certain level of] work.”). More

importantly, Bailey’s part-time work and college experience consisted of “failed

attempts.” Docket Item 14-1 at 20. Bailey had been fired from her part-time jobs at

least three times. Docket Item 5-10 at 44, 110. While the ALJ duly noted that Bailey

passed four out of five college courses in the fall of 2016, Docket item 5-2 at 58, he

ignored that Bailey nevertheless felt “overwhelmed by school” and “was not sure if she

was going back to college,” Docket Item 5-10 at 38, 74. Stated differently, the ALJ

failed to reconcile Bailey’s struggles at work and in college with his conclusion that the

marked limitations about which Dr. Brownfeld opined were overly restrictive.

2. Ms. Cortese’s Opinion

In addition to acceptable medical opinions, an ALJ also may consider the

opinions of “other sources”—such as therapists—but is “free to discount” such opinions

“in favor of the objective findings of other medical doctors.” Genier v. Astrue, 298 F.

App’x 105, 108-09 (2d Cir. 2008) (summary order). Nevertheless, an ALJ should

adequately explain why he rejected an opinion from such a source if it is significantly

more favorable to the plaintiff and may well “have an effect on the outcome of the case.”

20 C.F.R. § 404.1527(f). 20 C.F.R. § 404.1527(c) enumerates several factors in guiding

the ALJ’s reasoning:

[1] the length and frequency of the treating relationship; [2] the nature and

extent of the relationship; [3] the amount of evidence the source presents

to support his or her opinion; [4] the consistency of the opinion with the

record; [5] the source’s area of specialization; [6] and any other factors the

claimant brings to the ALJ.

Tolliver v. Astrue, 2013 WL 100087, at *3 (W.D.N.Y. Jan. 7, 2013) (quoting Drennan v.

Astrue, 2012 WL 42496, at *3 (W.D.N.Y. Jan. 9, 2012)). Using those factors to

articulate the ALJ’s reasoning is more than just a good idea. In Tolliver, for example,

the court remanded when the ALJ failed to use those factors to explain why he assigned

little weight to the opinion of a nurse practitioner who saw the patient far more frequently

than did the treating physician. 2013 WL 100087, at *3.

Here, Bailey’s treating therapist, Ms. Cortese, found that Bailey was either

“unlimited or very good” or “limited but satisfactory” with respect to the mental abilities

and aptitudes needed to perform unskilled, semiskilled, and skilled work, such as

understanding and carrying out instructions, maintaining regular attendance, and

dealing with work stress. Docket Item 5-10 at 147-48. Based on these findings and her

clinical judgment, she opined that Bailey had the following functional limitations:

moderate restrictions in “activities of daily living” and “maintaining social functioning,”

marked difficulties in “maintaining concentration, persistence[,] or pace,” as well as one

or two “episodes of decompensation within [a] 12[-]month period, each of at least two

weeks[’] duration.” Id. at 149. Ms. Cortese also anticipated that Bailey would miss work

about four days per month, opining that Bailey could not “engage in full-time competitive

employment on a sustained basis.” Id. at 150.

The ALJ assigned only “little weight” to Ms. Cortese’s opinion. Docket Item 5-2

at 62. The ALJ dismissed the opinion as “internally inconsistent” because “the

significant [functional] limitations noted [were] not consistent with [her] findings . . .

noted above.” Id. The ALJ also found that “[t]he record, including mental health

records, as well as [Bailey’s] part[-]time work, and the ability to take and pass college

courses further contradict[ed] Ms. Cortese’s opinion.” Id.

But in reaching his conclusion, the ALJ failed to explicitly address either “the

length and frequency” or “the nature and extent” of the treating relationship. Tolliver,

2013 WL 100087, at *3. Ms. Cortese treated Bailey for almost a year—from September

2016 until at least July 2017. Docket Item 5-10 at 105, 137. The ALJ correctly noted

that Bailey missed many appointments with Ms. Cortese. Docket Item 5-2 at 62. Still,

compared to Dr. Brownfeld (who examined Bailey only once) or Dr. Lieber-Diaz (who

only reviewed some of Bailey’s treatment records), see id., Ms. Cortese had seen Bailey

more often and therefore was in a better position to provide “a detailed, longitudinal

picture of [Bailey’s] medical impairments.” See 20 C.F.R. § 404.1527(a)(2), (c)(2); see

also Estrella, 925 F.3d at 98 (“We have frequently ‘cautioned that ALJs should not rely

heavily on the findings of consultative physicians after a single examination.’ This

concern is even more pronounced in the context of mental illness where . . . a one-time

snapshot of a claimant's status may not be indicative of her longitudinal mental health.”

(quoting Selian v. Astrue, 708 F.3d 409, 419 (2d Cir. 2013) (per curiam)); Tolliver, 2013

WL 100087, *3 (“[S]uch a familiar relationship may warrant apportioning more weight to

[the nurse practitioner] than [the] consultative examiner . . . , on whom [the ALJ] heavily

relied.”).

The ALJ also erred in dismissing Ms. Cortese’s opinion as “internally

inconsistent” without further explanation. Docket Item 5-2 at 62. Bailey’s ability to

perform certain work-related activities occasionally does not necessarily mean that she

had no limitations in her “ability to function independently, appropriately, effectively, and

on a sustained basis,” Docket Item 5-10 at 149 (emphasis added). In other words,

despite Bailey’s ability to work on occasion, her moderate limitations in daily living and

social functioning and her episodes of decompensation still could reasonably have led

Ms. Cortese to anticipate that Bailey would miss work about four days per month and

conclude that she could not “engage in full-time competitive employment on a sustained

basis.” Id. at 150 (emphasis added). There was nothing internally inconsistent about

that, and the ALJ erred in suggesting otherwise.

Similarly, the ALJ did not explain how “[t]he mental health records, . . . [Bailey’s]

part[-]time work, and . . . college course contradict[ed] Ms. Cortese’s opinion.” Docket

Item 5-2 at 62. In fact, Ms. Cortese’s findings that Bailey suffered episodes of

decompensation corresponded with those progress notes, which recorded Bailey’s

intermittent exacerbations of symptoms. See, e.g., Docket Item 5-10 at 38, 43, 281.

Likewise, Bailey’s experience at her part-time job and in college—which, as discussed

above, included countless struggles—actually supported Ms. Cortese’s opinion that

Bailey’s moderate to marked functional limitations would restrict her from full-time

competitive employment, despite her mental ability to handle certain work-related

activities.

Furthermore, the ALJ failed to situate Ms. Cortese’s opinion in tandem with the

opinions of Dr. Brownfeld and Dr. Lieber-Diaz when assessing “the consistency of [Ms.

Cortese’s] opinion with the record.” Tolliver, 2013 WL 100087, at *3. And had the ALJ

done so, he may well have concluded that Ms. Cortese’s opinion that Bailey would miss

work four days per month was consistent with Dr. Brownfeld’s opinion that Bailey’s

psychiatric problems “may significantly interfere with [her] ability to function on a daily

basis,” id. at 56. Or he may have concluded that Ms. Cortese’s finding that Bailey was

moderately restricted in maintaining social functioning was consistent with Dr.

Brownfeld’s finding that Bailey was markedly limited in relating adequately with others

and dealing appropriately with stress. Absent any discussion of these potential

consistencies, the ALJ’s error requires remand. See Meyer v. Berryhill, 2019 WL

3457219, at *5 (W.D.N.Y. July 31, 2019) (remanding where the ALJ’s reasoning did not

“adequately ‘confront’ the inconsistency” between the opinions of treating physician and

physical therapist (quoting Thomas, 826 F.3d at 961)).

Finally, the ALJ’s rejection of Ms. Cortese’s opinion inured to Bailey’s detriment.

A vocational expert testified that if Bailey “would be off task 20 percent of the time . . .

and/or miss work up to four days a month,” she would not be able to find work in the

national economy. See Docket Item 5-2 at 95. So the Court cannot say that the ALJ’s

error in evaluating Ms. Cortese’s opinion was harmless. Cf. Zabala v. Astrue, 595 F.3d

402, 410 (2d Cir. 2010) (declining to remand where “application of the correct legal

principles to the record could lead [only to the same] conclusion” (citation omitted)).

In sum, the ALJ’s unsupported rejection of Ms. Cortese’s opinion added to his

error in prejudicially determining Bailey’s mental RFC. The Court therefore remands so

that the ALJ can reevaluate the medical opinions and formulate Bailey’s mental RFC

accordingly.

B. Physical RFC

The Court also agrees that the ALJ improperly relied on his own lay judgment in

determining Bailey’s physical RFC. “Although the RFC determination is an issue

reserved for the [C]ommissioner, an ALJ is not qualified to assess a claimant’s RFC on

the basis of bare medical findings.” Thomas v. Comm’r of Soc. Sec., 2019 WL

2295400, at *2 (W.D.N.Y. May 30, 2019) (quoting House v. Astrue, 2013 WL 422058, at

*4 (N.D.N.Y. Feb. 1, 2013)). Thus, “where the transcript contains only diagnostic

evidence and no [supporting] opinion from a medical source about functional limitation

. . . , the ALJ [generally] must recontact [a treating physician], order a consultative

examination, or have a medical expert testify at the hearing.” Skupien v. Colvin, 2014

WL 3533425, at *6 (W.D.N.Y. July 16, 2014) (quoting Deskin v. Comm’r of Soc. Sec.,

605 F. Supp. 2d 908, 913 (N.D. Oh. 2008)); see also Thomas, 2019 WL 2295400, at *2

(explaining that “an ALJ’s determination of RFC without a medical advisor’s assessment

is not supported by substantial evidence” (quoting House, 2013 WL 422058, at *4)).

Here, the ALJ found that Bailey’s cutaneous lupus constituted a “severe

impairment[ ]” but still determined that Bailey could perform “light work.” Docket Item 5-

2 at 55, 57. In making this determination, the ALJ assigned “very little weight” to the

opinion of pediatrician Kate Cicozi, M.D., who examined Bailey on July 20, 2017, for

“muscle pain in her shoulders, upper back, and upper arms, along with numbness.” Id.

at 60. Dr. Cicozi noted that Bailey “was in extreme pain [at the visit], requiring [a]

wheelchair to get around.” Docket item 5-9 at 332. She also signed a note that

restricted Bailey from returning to work until cleared by a physician. Id. at 333. The ALJ

discounted Dr. Cicozi’s opinion because “it was very limited in scope, did not outline

specific functional limitations, and [was] no longer relevant since [Bailey was] working

part time.” Docket Item 5-2 at 60.

Having rejected Dr. Cicozi’s opinion, the ALJ was left with no medical opinion—

not even a consultative examiner’s—on which to base Bailey’s physical RFC. And in

the absence of any competent medical opinions supporting his physical RFC

determination, the ALJ necessarily relied only on his own lay judgment in determining

that Bailey could perform “light work” as opposed to a different exertional level. See

Sherry v. Berryhill, 2019 WL 441597, at *5 (W.D.N.Y. Feb. 5, 2019) (“The Court cannot

conclude that there was substantial evidence to support the ALJ’s RFC determination

that plaintiff was capable of light work with restrictions and is left without a clear

indication of how the ALJ reached the RFC determination without resorting to

impermissible interpretation of raw medical data.”).

Moreover, “where there are deficiencies in the record, an ALJ is under an

affirmative obligation to develop a claimant’s medical history ‘even when the claimant is

represented by counsel.’” See Rosa v. Callahan, 168 F.3d 72, 79 (2d Cir. 1999)

(quoting Perez v. Chater, 77 F.3d 41, 47 (2d Cir. 1996)). For example, having rejected

Dr. Cicozi’s opinion because it referred only to a temporary restriction, the ALJ could

have contacted Dr. Cicozi to ask whether Bailey’s muscle pain would lead to any

permanent limitations. Similarly, having apparently concluded that Bailey suffered from

cutaneous lupus, the ALJ was required to solicit a medical statement opining about the

severity of that condition and its effect on Bailey’s functioning. More specifically, the

ALJ appears to have credited the finding of rheumatologist Christopher Palma, M.D.,

that Bailey may have cutaneous lupus.3 Docket Item 5-2 at 60. But that determination

was neither conclusive nor specific as to the limiting effects of Bailey’s condition.

Docket Item 5-7 at 94-95. So the ALJ should have contacted Dr. Palma—or the

dermatologist to whom Bailey was referred for additional testing4—for more information.

“[T]he absence of a properly grounded RFC constitutes legal error that requires

remand regardless of any underlying raw data.” Thomas, 2019 WL 2295400, at *2.

Here, the ALJ’s use of his own lay judgment to formulate Bailey’s physical RFC

constituted such an error. The Court accordingly remands so that the ALJ can develop

the medical record and ground the physical RFC determination in a medical opinion or

opinions in the record. See Perkins v. Berryhill, 2018 WL 3372964, at *4 (W.D.N.Y. July

11, 2018) (“Without reliance on a medical source’s opinion or a function-by-function

assessment connecting the medical evidence to the RFC, the ALJ’s decision leaves the

3 On July 28, 2017, Dr. Palma found that Bailey had a “low positive ANA blood

test but no other evidence of lupus.” Docket Item 5-7 at 94.

4 Unsure about what caused Bailey’s muscle pain, Dr. Palma suggested further

testing to determine whether Bailey had cutaneous lupus. Docket Item 5-7 at 94-95.

On August 9, 2017, pediatrician Grace Elizabeth Black, M.D., referred Bailey to a

dermatologist, Docket Item 5-9 at 361; however, as of September 27, 2017, Bailey had

not yet scheduled an appointment, id. at 384.

Court with many unanswered questions and does not afford an adequate basis for

meaningful judicial review.”).

C. Bailey’s Credibility

Finally, Bailey argues that the ALJ failed to properly evaluate her credibility.

Docket Item 14 at 26.5 The ALJ found that Bailey’s impairments “could reasonably be

expected to cause the alleged symptoms,” but her “statements concerning the intensity,

persistence[,] and limiting effects of these symptoms” were not credible because “they

[were] not entirely consistent with the medical evidence and other evidence in the

record.” Docket Item 5-2 at 59. The Commissioner contends that this statement

sufficiently explained the ALJ’s partial rejection of Bailey’s testimony. Docket Item 17 at

23.

Bailey’s credibility concerns the same mental and physical impairments that the

ALJ must reconsider after reevaluating certain medical opinions and developing the

record. The Court cannot rely on the ALJ’s improper evaluation of the medical evidence

to assess his credibility determination, so it declines to address this issue now. See

Bonet ex rel. T.B. v. Colvin, 2015 WL 729707, at *7 (N.D.N.Y. Feb. 18, 2015) (“Given

the need to apply the proper legal standard, the Court will decline at this time to

consider whether substantial evidence exists to support the findings the ALJ made.”);

Watkins v. Barnhart, 350 F.3d 1297, 1299 (10th Cir. 2003) (“We will not reach the

remaining issues raised by appellant because they may be affected by the ALJ’s

treatment of this case on remand.”).

5 Bailey also argues that the ALJ failed to “make any actual credibility

assessment” of her mother. Docket Item 14 at 28. The Commissioner does not

respond to this argument.

CONCLUSION

For the reasons stated above, the Commissioner's motion for judgment on the

pleadings, Docket Item 17, is DENIED, and Bailey’s motion for judgment on the

pleadings, Docket Item 14, is GRANTED in part and DENIED in part. The decision of

the Commissioner is VACATED, and the matter is REMANDED for further

administrative proceedings consistent with this decision.

SO ORDERED.

Dated: July 21, 2020

Buffalo, New York

/s/ Hon. Lawrence J. Vilardo

LAWRENCE J. VILARDO

UNITED STATES DISTRICT JUDGE

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.