noting that applications filed after March 27, 2017, should be considered under the new regulations
How later courts described this case
- noting that applications filed after March 27, 2017, should be considered under the new regulations
- stating that step two acts as a filter and “allows only claims based on the most trivial impairments to be rejected”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
TAMPA DIVISION
LUCIANA HAMDAN,
Plaintiff,
v. Case No. 8:24-cv-1918-AAS
FRANK BISIGNANO,
Commissioner of the Social
Security Administration,1
Defendant.
__________________________________/
ORDER
Luciana Hamdan requests judicial review of a decision by the
Commissioner of Social Security (Commissioner) issuing a partially favorable
decision on her claim for disability insurance benefits (DIB) and supplemental
security income (SSI) under the Social Security Act, 42 U.S.C. Section 405(g).
After reviewing the record, including the transcript of the proceedings before
the Administrative Law Judge (ALJ), the administrative record, the pleadings,
and the memoranda the parties submitted, the Commissioner’s decision is
AFFIRMED.
1 Frank Bisignano became the Commissioner of Social Security on February 16, 2025.
Under Rule 25(d) of the Federal Rules of Civil Procedure, Mr. Bisignano should be
substituted as the defendant in this suit. No further action needs to be taken to
continue this suit through the last sentence of section 205(g) of the Social Security
Act, 42 U.S.C. § 405(g).
I. PROCEDURAL HISTORY
Ms. Hamdan applied for SSI on DIB on March 12, 2021, with an alleged
disability onset date of October 1, 2012. (Tr. 17, 264–78). Disability examiners
denied Ms. Hamdan’s application initially and on reconsideration. (Tr. 141–44,
154–91). Ms. Hamdan requested and received a hearing before an ALJ, which
was held on March 31, 2023. (Tr. 78–98). A supplemental hearing was held on
August 11, 2023. (Tr. 41–78). The ALJ issued a partially favorable decision on
November 27, 2023, finding Ms. Hamdan not disabled before March 12, 2021,
but she became disabled on that date. (Tr. 17–31). Ms. Hamdan requested the
Appeals Council’s review of the ALJ’s partially favorable hearing decision. (Tr.
4, 263). The Appeals Council denied Ms. Hamdan’s request for review on July
18, 2024, making the ALJ’s decision final. (Tr. 1–3). Ms. Hamdan now requests
review of the ALJ’s final decision. (Doc. 1).
II. SUMMARY OF THE ALJ’S DECISION
The ALJ must follow five steps when evaluating a disability claim.2 20
C.F.R. §§ 404.1520(a), 416.920(a). First, if a claimant is engaged in substantial
gainful activity,3 she is not disabled. 20 C.F.R. §§ 404.1520(b), 416.920(b).
2 If the ALJ determines the claimant is disabled at any step of the sequential analysis,
the analysis ends. 20 C.F.R. §§ 404.1520(a)(4), 416.920(a)(4).
3 Substantial gainful activity is paid work that requires significant physical or mental
activity. 20 C.F.R. §§ 404.1572, 416.972.
Second, if a claimant has no impairment or combination of impairments that
significantly limit her physical or mental ability to perform basic work
activities, she has no severe impairment and is not disabled. 20 C.F.R. §§
404.1520(c), 416.920(c); see McDaniel v. Bowen, 800 F.2d 1026, 1031 (11th Cir.
1986) (stating that step two acts as a filter and “allows only claims based on
the most trivial impairments to be rejected”). Third, if a claimant’s
impairments fail to meet or equal an impairment in the Listings, she is not
disabled. 20 C.F.R. §§ 404.1520(d), 416.920(d). Fourth, if a claimant’s
impairments do not prevent her from doing past relevant work, she is not
disabled. 20 C.F.R. §§ 404.1520(e), 416.920(e). At this fourth step, the ALJ
determines the claimant’s residual functional capacity (RFC). Id. Fifth, if a
claimant’s impairments (considering her RFC, age, education, and past work)
do not prevent her from performing work that exists in the national economy,
she is not disabled. 20 C.F.R. §§ 404.1520(g), 416.920(g).
The ALJ found Ms. Hamdan had not engaged in substantial gainful
activity since October 1, 2012, the alleged disability onset date. (Tr. 20). Before
March 12, 2021, the date Ms. Hamdan became disabled, she had these
medically determinable impairments: epilepsy, thyroid disorder,
gastroparesis, and depressive disorder. (Id.). However, Ms. Hamdan did not
have an impairment or combination of impairments that significantly limited
(or was expected to significantly limit) her ability to perform basic work-related
activities for 12 consecutive months (Id.). Therefore, the ALJ determined Ms.
Hamdan did not have a severe impairment or combination of impairments
before March 12, 2021. (Id.)
The ALJ determined that beginning on March 12, 2021, Ms. Hamdan
had these severe impairments: epilepsy, Grave’s disease, hypertension,
gastroparesis, vision impairment, obesity, depressive disorder, and anxiety
disorder. (Tr. 24). However, Ms. Hamdan does not have an impairment or
combination of impairments contained in the Listings. (Tr. 25). The ALJ
determined that since March 12, 2021, Ms. Hamdan had the RFC to perform
sedentary work,4 except
[Ms. Hamdan] is able to frequently climb ramps or stairs, stoop,
crouch, and crawl but only occasionally kneel and never climb
ladders, ropes or scaffolds. She must avoid visual tasks requiring
good use of depth perception. She must must avoid exposure to
heat, concentrated wetness, concentrated humidity, concentrated
respiratory irritants and hazards. She is able to understand,
remember and carry out/exercise judgment for simple tasks. She
is able to work in an environment with few day-to-day changes in
terms of work duties, work setting and work processes. She must
avoid interaction with the general public. She must be allowed to
elevate her lower extremities to waist level when seated.
(Tr. 27).
4 “Sedentary work involves lifting no more than 10 pounds at a time and occasionally
lifting or carrying articles like docket files, ledgers, and small tools. Although a
sedentary job is defined as one which involves sitting, a certain amount of walking
and standing is often necessary in carrying out job duties. Jobs are sedentary if
walking and standing are required occasionally and other sedentary criteria are met.”
20 C.F.R. §§ 404.1567(a), 416.967(a).
The ALJ considered Ms. Hamdan’s RFC and the testimony of a
vocational expert and concluded that since March 12, 2021, she could not
perform her past relevant work. (Tr. 30). At step five, the ALJ concluded that
since March 12, 2021, no jobs existed in significant numbers in the national
economy that Ms. Hamdan could perform. (Tr. 30–31). Thus, Ms. Hamdan was
not disabled before March 12, 2021, but became disabled on that date and
continued to be disabled through November 27, 2023, the decision date. (Tr.
31).
III. ANALYSIS
A. Standard of Review
Review of the ALJ’s decision is limited to reviewing whether the ALJ
applied correct legal standards and whether substantial evidence supports his
findings. McRoberts v. Bowen, 841 F.2d 1077, 1080 (11th Cir. 1988);
Richardson v. Perales, 402 U.S. 389, 390 (1971). Substantial evidence is more
than a mere scintilla but less than a preponderance. Dale v. Barnhart, 395 F.3d
1206, 1210 (11th Cir. 2005) (citation omitted). In other words, there must be
sufficient evidence for a reasonable person to accept as enough to support the
conclusion. Foote v. Chater, 67 F.3d 1553, 1560 (11th Cir. 1995) (citations
omitted). The Supreme Court explained, “whatever the meaning of
‘substantial’ in other contexts, the threshold for such evidentiary sufficiency is
not high.” Biestek v. Berryhill, 139 S. Ct. 1148, 1154 (2019).
A reviewing court must affirm a decision supported by substantial
evidence “even if the proof preponderates against it.” Phillips v. Barnhart, 357
F.3d 1232, 1240 n.8 (11th Cir. 2004) (citations omitted). The court must not
make new factual determinations, reweigh evidence, or substitute its judgment
for the Commissioner’s decision. Id. at 1240 (citation omitted). Instead, the
court must view the whole record, considering evidence favorable and
unfavorable to the Commissioner’s decision. Foote, 67 F.3d at 1560; see also
Lowery v. Sullivan, 979 F.2d 835, 837 (11th Cir. 1992) (citation omitted)
(stating that the reviewing court must scrutinize the entire record to determine
the reasonableness of the Commissioner’s factual determinations).
B. Issues on Appeal
Ms. Hamdan raises two issues on appeal: (1) whether substantial
evidence supports the ALJ’s conclusion that Ms. Hamdan’s depressive disorder
would not significantly limit her ability to work before March 12, 2021; and (2)
whether the ALJ’s findings contain errors of law. (Doc. 15, pp. 3–19).
1. Whether the ALJ erred in finding Ms. Hamdan’s
depressive disorder would not limit her ability to work
before March 12, 2021.
Ms. Hamdan argues the ALJ’s decision is not supported by substantial
evidence because the ALJ failed to thoroughly consider the medical evidence
regarding her depressive disorder and erred in stating Ms. Hamdan lacked
ongoing treatment during the 12 months before her date last insured. (Doc. 15,
pp. 11–15). In response, the Commissioner argues substantial evidence
supports the ALJ’s finding that Ms. Hamdan did not have a severe impairment
or combination of impairments before March 12, 2021, and the ALJ’s
misstatement regarding Ms. Hamdan’s treatment records did not affect his
analysis of evidence or conclusion. (Doc. 21, pp. 9–15).
At step two of the five-step evaluation process, an ALJ must determine
the severity of any claimed impairment. 20 C.F.R. §§ 404.1520(c), 416.920(c).
A combination of impairments that meets the medical severity requirement
also satisfies this step. Id. Therefore, this step “acts as a filter” to deny claims
without severe impairment. See Risch v. Comm’r of Soc. Sec., No. 24-12489,
2025 WL 1386673, at *3 (11th Cir. May 14, 2025) (citing Jamison v. Bowen,
814 F.2d 585, 588 (11th Cir. 1987)).
An impairment that does not “significantly” impact a person’s “physical
or mental ability to complete basic work activities” cannot be labeled severe.
20 C.F.R. §§ 404.1522(a), 416.922(a). A diagnosis alone cannot be considered
severe without the applicant’s proof that the diagnosed impairment affects a
person’s ability to work. See Wind v. Barnhart, 133 F. App’x 684, 690 (11th Cir.
2005) (citing McCruter v. Bowen, 791 F.2d 1544, 1547) (11th Cir. 1986)).
Therefore, an applicant diagnosed with major depressive disorder and
generalized anxiety disorder is not automatically presumed to have mental
impairments in work environments. See Smith v. Comm’r of Soc. Sec., 501 F.
App’x 875, 879 (11th Cir. 2012).
Here, the ALJ adequately considered Ms. Hamdan’s non-severe mental
impairments. (Tr. 23–24). For example, the ALJ considered the medical
opinions of state agency doctors, Barry Morris, Ph.D., and Richard Willens,
Psy.D., and found them non-persuasive. (Tr. 23). On initial review, Dr. Morris
found Ms. Hamdan’s depressive related disorders to be non-severe. (Id.).
Although Dr. Morris found Ms. Hamdan’s anxiety-related disorders to be
severe, there was a lack of sufficient evidence to evaluate work-related
limitations. (Id.). Dr. Willens, on reconsideration, affirmed Dr. Morris’
findings. (Id.).
The ALJ properly determined the severity of Ms. Hamdan’s mental
impairments by considering the relevant “paragraph b” four areas of mental
functioning found in section 12.00C of the Listing of Impairments. 20 C.F.R.,
Part 404, Subpart P, Appendix 1. (Tr. 24). These four functioning areas include
(1) understanding, remembering, or applying information; (2) interacting with
others; (3) concentrating, persisting or maintaining pace; and (4) adapting or
managing oneself. (Id.).
The ALJ found Ms. Hamdan had no limitation for the first functioning
area because Ms. Hamdan did not report “any problems with her memory
before her date last insured . . .” (Id.). The ALJ found Ms. Hamdan had a mild
limitation for the second functioning area because of her general appropriate
interactions with her medical providers despite occasions instances of
depression. (Id.). The ALJ found Ms. Hamdan had no limitation for the third
functioning area because evidence and interactions with medical providers
showed an ability to maintain attention over periods. (Id.). Lastly, the ALJ
found Ms. Hamdan had no limitation for the fourth functioning area because
“she presented to examinations with appropriate dress/grooming and . . . there
was no evidence she had problems responding to demands or adapting to
changes.” (Id.).
ALJs must include “some level of clarity” for the basis of their conclusion.
See Winschel v. Comm’r. of Soc. Sec., 631 F.3d 1176, 1179 (11th Cir. 2011). This
clarity includes ALJs explaining the weight given to medical opinions. See
Cowart v. Schweiker, 662 F.2d 731, 735 (11th Cir. 1981). Although clarity is
required, an ALJ is not required to include specificities like “pinpoint
citations.” See Deskins v. Comm’r of Soc. Sec., No. 2:15-cv-283-FtM-CM, 2016
WL 4409340, at *7 (M.D. Fla. Aug. 19, 2016). Throughout the ALJ’s opinion,
he consistently cited Exhibits 2F and 5F along with Exhibits 1A and 8A, which
extensively cover Ms. Hamdan’s ongoing medical appointments from 2012
through 2017. (Tr. 23–24). Therefore, the ALJ’s decision offers a sufficient level
of clarity for his disability determination during the relevant period.
The Commissioner concedes the ALJ incorrectly stated Ms. Hamdan had
not received ongoing treatment lasting at least 12 months before her date last
insured. (Tr. 23–24). Indeed, Ms. Hamdan received ongoing psychiatric
treatment every two to three months from a board-certified physician, T.D.
Rao, during the relevant period. (Id.). Factual errors made by ALJs are
considered “harmless” if the error “clear[ly]” did not impact the ALJ’s final
decision. See Jacobus v. Comm’r of Soc. Sec., 664 F. App’x 774, 776 (11th Cir.
2016) (citing Diorio v. Heckler, 721 F.2d 726, 728 (11th Cir. 1983). The ALJ’s
factual error about Ms. Hamdan’s treatment did not impact the ALJ’s final
decision. Despite stating that no medical treatment occurred during that 12-
month period, the ALJ consistently cited Dr. Rao’s records from the period at
issue in forming his decision that Ms. Hamdan suffered from non-severe
mental impairments. (Tr. 23–24). Therefore, the ALJ’s misstatement clearly
did not impact his final decision.
The ALJ thoroughly considered Ms. Hamdan’s treatment records from
2012 through 2017. In addition, the ALJ’s mistake of fact did not impact his
conclusion. Thus, substantial evidence supports the ALJ’s decision regarding
Ms. Hamdan’s mental impairments
2. Whether the ALJ’s findings contain errors of law.
Ms. Hamdan argues the ALJ’s findings contained errors of law because
the ALJ did not mention Ms. Hamdan’s GAF scores during the relevant time.
(Doc. 15, pp. 16–18). In response, the Commissioner argues the ALJ did not err
by failing to discuss GAF scores because GAF scores are not medical opinions.
(Doc. 21, pp. 15–17).
The Social Security Administration updated its instructions to ALJs for
claims filed after March 27, 2017, to consider GAF scores as “other medical
evidence.” See Coats v. Kijakazi, No. 8:21-cv-01762-AEP, 2023 WL 2706857, at
*12 (M.D. Fla. Mar. 30, 2023). ALJs, therefore, do not need to evaluate other
medical evidence to analyze the persuasiveness factors. Id.; see also 20 C.F.R.
§§ 404.1513(a)(3), 416.913(a)(3). (defining other medical evidence as “evidence
from a medical source that is not objective medical evidence or opinion,
including judgments about the nature and severity of your impairment”).
Ms. Hamdan filed her application for disability benefits after March 27,
2017. (Doc. 21, p. 16). Accordingly, the updated Social Security
Administration’s instructions on GAF scores apply. See Simon v. Comm’r of
Soc. Sec., 7 F.4th 1094, 1104 n.4 (11th Cir. 2021) (noting that applications filed
after March 27, 2017, should be considered under the new regulations). Thus,
no error of law exists on this issue because the ALJ did not need to evaluate
Ms. Hamdan’s GAF scores due to their status as other medical evidence.
IV. CONCLUSION
For the reasons stated, the Commissioner’s decision is AFFIRMED, and
the Clerk is directed to enter judgment in favor of the Commissioner and close
the file.
ORDERED in Tampa, Florida, on July 11, 2025.
Aranda. Arne hh Sarang_
AMANDA ARNOLD SANSONE
United States Magistrate Judge
12