Cox v. Berryhill ( 2022 )


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  •                              UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF COLUMBIA
    ANGELA M. COX,
    Plaintiff,
    v.                                            Civil Action No. 18-cv-2389-FYP-GMH
    KILOLO KIJAKAZI,
    Acting Commissioner of the Social Security
    Administration,
    Defendant.
    MEMORANDUM OPINION
    Plaintiff Angela Cox sought disability benefits from the Social Security Administration
    (“SSA”) in 2014. The agency’s administrative law judge (“ALJ”) denied her claims in 2018.
    After the SSA’s Appeals Council declined to review her case, she filed suit in this Court. In her
    Motion for Reversal and Award of Benefits, Plaintiff argues that the SSA’s application of the
    2017 Listing regulations to her 2014 claim was impermissibly retroactive; and alleges a host of
    other analytical and factual errors by the ALJ. The Defendant Commissioner of the SSA
    counters with a Motion for Judgment of Affirmance, arguing that application of the 2017
    Listings was proper, and that the ALJ’s decision was supported by substantial evidence.
    The instant case was referred to Magistrate Judge G. Michael Harvey, who issued his
    Report and Recommendation on September 1, 2020. Magistrate Judge Harvey recommended
    granting Plaintiff’s Motion for Reversal in part, denying Defendant’s Motion for Affirmance,
    and remanding the case for further proceedings. Both parties object to aspects of his Report and
    Recommendation. Because this Court agrees with the Magistrate Judge that the ALJ’s
    application of the 2017 regulations to Cox’s claim was impermissibly retroactive, it adopts the
    Magistrate Judge’s Report and Recommendation, vacates the SSA’s decision, and remands to the
    agency for further proceedings. The Court also considers the additional claims of error raised by
    Plaintiff.
    BACKGROUND
    Cox is 55 years old; she has an IQ of 61 and a sixth-grade education. See ECF No. 1
    (Complaint) at 1; ECF 11 (Administrative Record) at 99. She applied for disability benefits from
    the SSA on May 20, 2014. See AR at 66. In her application, Cox cited depression and learning
    difficulties as her disabling conditions. Id. The SSA denied her claims on September 19, 2014.
    Id. at 74–75; 112–14.
    Cox then filed another application for disability benefits on November 24, 2014, also
    identifying depression and learning difficulties as her disabling conditions. Id. at 77. The SSA
    again denied her claims on June 15, 2015. Id. at 85–86. Cox proceeded to request
    reconsideration on August 18, 2015, at which time she supplemented her application, stating that
    she began “hearing voices” and became “afraid to go out” beginning in May 2015. Id. at 88–98;
    see id. at 118. The SSA denied her request in December 2015. Id. at 97–98, 100–11, 115–17.
    Cox then requested a hearing before an ALJ. Id. at 127–28.
    ALJ Andrew Emerson held a hearing in Cox’s case on January 8, 2018. Id. at 34–64.
    After the hearing, the ALJ issued a decision on April 4, 2018, concluding that Cox was not
    disabled under the Social Security Act. Id. at 16–28. In deciding Cox’s case, the ALJ applied
    the agency’s Revised Medical Criteria for Evaluating Mental Disorders (“2017 Listings”), which
    were finalized in 2016 and became effective on January 17, 2017. Cox requested review by the
    Appeals Council, which declined to revisit the ALJ’s decision. The ALJ’s decision thus became
    2
    the final decision of the Commissioner on August 28, 2018. Id. at 1–3, 7–8.
    Cox filed her Complaint in this Court on October 17, 2018, challenging the SSA’s final
    decision. See generally Compl. The case was referred to Magistrate Judge G. Michael Harvey
    for full case management. See Minute Order, dated Nov. 19, 2018. Cox submitted a Motion for
    Reversal of Judgment and Award of Benefits on April 2, 2019, which attacked the ALJ’s
    application of the 2017 Listings to her claim and faulted him for committing numerous analytical
    and factual errors. See generally ECF No. 16 (Plaintiff’s Motion for Reversal); ECF No. 16-1
    (Plaintiff’s Memorandum Supporting Motion for Reversal). To remedy the alleged errors,
    Plaintiff asks the Court to “nullify the retroactive [regulations],” find her disabled, and “remand
    for [an] award of benefits.” Pl. Mot. at 3. The next month, Defendant filed her Motion for
    Judgment of Affirmance and Opposition to Plaintiff’s Motion. See ECF No. 18 (Defendant’s
    Motion for Affirmance). Defendant argues that the SSA’s decision was legally sound and
    supported by substantial evidence. Id. at 1, 31.
    On September 1, 2020, Magistrate Judge Harvey issued his Report and Recommendation
    in this case. See ECF No. 27 (Report & Recommendation). He recommended granting
    Plaintiff’s Motion for Reversal in part, denying Defendant’s Motion for Affirmance, and
    remanding the case for further proceedings before the ALJ. See Report & Recommendation at 2,
    16, 50–51. The Magistrate Judge determined that the ALJ’s application of the 2017 Listings to
    Cox’s claim was impermissibly retroactive, and that the ALJ erred in failing to apply a
    presumption that Cox’s IQ remained stable over time. Id. at 15–30. Yet because the record was
    “not clear that application of the proper listing” would “mandate[] an award of benefits,” the
    Magistrate Judge recommended that the case be remanded to the ALJ, with instructions to apply
    the Listings in effect when Plaintiff filed her claim and to employ the presumption about the
    3
    stability of her IQ. Id. at 51. The Magistrate Judge also considered other claims of error asserted
    by Cox. Id. at 30–50. He rejected her claims that (1) the ALJ failed to develop the record, id. at
    33, (2) the ALJ erred in relying on the vocational expert’s testimony, id. at 46, and (3) the ALJ
    relied on conflicting testimony from the vocational expert without giving a reasonable
    explanation, id. at 47–48. While the Magistrate Judge agreed that the ALJ erred in failing to
    provide a narrative discussion of Cox’s illiteracy in his assessment of her residual functional
    capacity, id. at 35, 40–41, and in neglecting to support his conclusion that Cox could perform her
    past relevant work with substantial evidence, id. at 41–43, the Magistrate Judge deemed those
    errors harmless. The Magistrate Judge reasoned that despite the ALJ’s failure to explicitly
    include Cox’s illiteracy in his discussion of the RFC, the ALJ nonetheless “included a functional
    limitation of illiteracy in his hypothetical” to the vocational expert, which demonstrated that he
    considered her illiteracy. Id. at 35. The Magistrate Judge also determined that the ALJ’s error in
    finding that Cox could perform her past relevant work was obviated by the ALJ’s alternative
    finding that Cox could perform other jobs available in the national economy. Id. at 43.
    Cox filed objections to the Magistrate Judge’s Report and Recommendation, see ECF No.
    29 (Plaintiff’s Appeal of Magistrate Judge Decision to District Court), and Defendant lodged
    additional objections, see ECF No. 34 (Defendant’s Objections).1 Cox argues that the Magistrate
    Judge should have found her disabled, recommended an immediate award of benefits, and
    addressed her Administrative Procedure Act (“APA”) claims. See generally Pl. Obj. Attacking
    the Report and Recommendation from a different angle, the agency contends that the ALJ
    1
    Seeking to rebut Defendant’s objections and address new issues presented, Cox submitted a Response to
    Defendant’s Objections and asks the Court to accept it as her reply brief. See ECF No. 36 (Plaintiff’s Response) at
    1; ECF No. 37 (Plaintiff’s Motion to File Response). The Court grants Plaintiff’s Motion to file an amended
    response and will consider the arguments raised in that filing alongside those previously presented.
    4
    correctly applied the 2017 Listings to Cox’s claim and that Plaintiff would not have been found
    disabled even if the ALJ had applied the presumption that IQs remain stable throughout life. See
    generally Def. Obj.
    LEGAL STANDARD
    Local Civil Rule 72.3(c), which mirrors 
    28 U.S.C. § 636
    (b)(1), states that “[a] district
    judge shall make a de novo determination of those portions of a magistrate judge’s findings and
    recommendations to which objection is made.” LCvR 72.3(c); see also Winston & Strawn LLP
    v. FDIC, 
    841 F. Supp. 2d 225
    , 228 (D.D.C. 2012). District judges, however, are not required to
    review those portions of a magistrate judge’s report not objected to. See Thomas v. Arn, 
    474 U.S. 140
    , 150–51 (1985). In short, the district judge “may accept, reject, or modify, in whole or
    in part, the findings or recommendations made by the magistrate judge.” 
    28 U.S.C. § 636
    (b)(1)(C); see also LCvR 72.3(c) (“A district judge may accept, reject, or modify, in whole
    or in part, the findings and recommendations of the magistrate judge, or may recommit the
    matter to the magistrate judge with instructions.”).
    Under Section 205(g) of the Social Security Act, district courts review decisions of the
    SSA Commissioner to determine whether her findings are supported by substantial evidence in
    the record. See 
    42 U.S.C. § 405
    (g). “In reviewing an SSA decision, ‘[t]he findings of the
    Commissioner of Social Security as to any fact, if supported by substantial evidence, shall be
    conclusive.’” Jones v. Astrue, 
    647 F.3d 350
    , 355 (D.C. Cir. 2011) (quoting 
    42 U.S.C. § 405
    (g)).
    In the realm of Social Security, substantial evidence “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)). It is
    “more than a scintilla, but . . . something less than a preponderance of the evidence.” Fla. Gas
    5
    Transmission Co. v. FERC, 
    604 F.3d 636
    , 645 (D.C. Cir. 2010) (quoting FPL Energy Me. Hydro
    LLC v. FERC, 
    287 F.3d 1151
    , 1160 (D.C. Cir. 2002)). The standard of review in Social Security
    cases thus calls for “considerable deference to the decision rendered by the ALJ and Appeals
    Council.” Davis v. Shalala, 
    862 F. Supp. 1
    , 4 (D.D.C. 1994).
    When reviewing the SSA’s decisions, a court must also determine whether the ALJ “has
    analyzed all evidence and has sufficiently explained the weight he has given to obviously
    probative exhibits.” Lane-Rauth v. Barnhart, 
    437 F. Supp. 2d 63
    , 65 (D.D.C. 2006) (quoting
    Butler v. Barnhart, 
    353 F.3d 992
    , 999 (D.C. Cir. 2004)). While the ALJ is “entitled to weigh
    conflicting opinions and to make his own assessment of their credibility,” Brown v. Bowen, 
    794 F.2d 703
    , 709 (D.C. Cir. 1986), the ALJ “cannot merely disregard evidence which does not
    support his conclusion.” Martin v. Apfel, 
    118 F. Supp. 2d 9
    , 13 (D.D.C. 2000). “[B]ecause the
    broad purposes of the Social Security Act require a liberal construction in favor of disability,”
    evidence is viewed in the light most favorable to the claimant. Davis, 
    862 F. Supp. at 4
    . The
    Court, however, “is not permitted to re-weigh the evidence and reach its own determination.”
    Maynor v. Heckler, 
    597 F. Supp. 457
    , 460 (D.D.C. 1984).
    ANALYSIS
    The Court first explains the statutory and regulatory landscape governing eligibility for
    disability benefits. It then considers whether the SSA’s application of the 2017 Listings to Cox’s
    claim was impermissibly retroactive. Deciding that such application was improper, the Court
    remands the case to the agency so that it can apply the Listings that were in effect when Plaintiff
    filed her claim. The Court then addresses Plaintiff’s arguments attacking other aspects of the
    ALJ’s decision.
    6
    I.       Statutory and Regulatory Framework
    To qualify for disability benefits under the Social Security Act,2 a claimant must establish
    that she is “disabled.” 
    42 U.S.C. § 423
    (a)(1)(E). An individual is considered “disabled” if she is
    unable “to engage in any substantial gainful activity by reason of any medically determinable
    physical or mental impairment which can be expected to result in death or which has lasted or
    can be expected to last for a continuous period of not less than 12 months.” 
    Id.
     § 423(d)(1)(A).
    Additionally, an individual can be determined to be disabled “only if [her] physical or mental
    impairment or impairments are of such severity that [s]he is not only unable to do [her] previous
    work but cannot, considering [her] age, education, and work experience, engage in any other
    kind of substantial gainful work which exists in the national economy.” Id. § 423(d)(2)(A).
    The SSA uses a five-step process to determine whether a claimant is disabled under the
    Social Security Act. See 
    20 C.F.R. § 404.1520
    (a)(4). First, the claimant must show that she is
    not presently engaged in “substantial gainful activity.” 
    Id.
     § 404.1520(a)(4)(i). Second, she
    must demonstrate that she has a single or combination of “severe medically determinable
    physical or mental impairment[s],” id. § 404.1520(a)(4)(ii), which “significantly limit[]” her
    ability to perform “basic work activities,” id. § 404.1520(c). Third –– and the most critical step
    for Cox’s challenge –– the claimant must show that her impairment is one of those listed in
    Appendix 1 to the Commissioner’s regulations. Id., pt. 404, subpt. P, app. 1 (providing Listing
    of Impairments). A claimant who succeeds at Step 3 is conclusively deemed disabled and is
    2
    Although the documents cited by the ALJ show that Cox is contesting the denial of her disability benefits
    application, the ALJ cites to regulatory provisions governing Supplemental Security Income payments. See AR at
    16 (stating that November 24, 2014, application was for “supplemental security income”); but see AR at 77
    (showing November 24, 2014, application was for “DI,” i.e., disability insurance). This discrepancy is of no import,
    however, as the same standards apply to both sets of claims, even though the standards are codified in different parts
    of the U.S. Code and the Code of Federal Regulations.
    7
    entitled to disability benefits. Id. § 404.1520(d).
    If the claimant cannot satisfy the requirements of the SSA’s Listings, the Commissioner
    proceeds to assess the claimant’s residual functional capacity (“RFC”). Id. § 404.1520(e). The
    RFC reflects “the most [the claimant] can still do despite [her] limitations.” Id.
    § 404.1545(a)(1); accord Ross v. Astrue, 
    636 F. Supp. 2d 127
    , 132 (D.D.C. 2009). After
    evaluating the claimant’s RFC, the Commissioner proceeds to Step 4, where she assesses
    whether the claimant has shown that, given her RFC, she cannot perform her “past relevant
    work.” 
    20 C.F.R. § 404.1520
    (a)(4)(iv). If the claimant proves successful, the burden then shifts
    to the Commissioner at the fifth and final step to show that the claimant is still capable of
    “mak[ing] an adjustment to other work” available in the national economy based on her RFC,
    age, education, and work experience. 
    Id.
     § 404.1520(a)(4)(v); cf. Butler v. Barnhart, 
    353 F.3d 992
    , 997 (D.C. Cir. 2004) (“The claimant carries the burden of proof on the first four steps.”). If
    the claimant can adjust to other work, then she is not disabled. But if she cannot, the claimant is
    disabled and thus eligible for disability benefits.
    II.    SSA’s Listing Regulations
    A.      Listing 12.05C and 2017 Revisions
    When Cox filed her claim in 2014, the regulations then in effect included Listing 12.05C,
    which qualified claimants as conclusively disabled at Step 3 if they met three requirements: (1)
    “significantly subaverage general intellectual functioning with deficits in adaptive functioning
    initially manifested during the developmental period,” i.e., before the age of 22; (2) “[a] valid
    verbal, performance, or full scale IQ of 60 through 70;” and (3) “a physical or other mental
    impairment imposing an additional and significant work-related limitation of function.”
    8
    20 C.F.R. pt. 404, subpt. P, App. 1, § 12.05C (2014) (relevant regulations on pages 514–15).3
    At the time that Cox filed her claim, however, the SSA was in the process of overhauling
    its regulations.4 In 2016, while her claim was still pending, the SSA issued its Final Rule (which
    would become the 2017 Listings), titled “Revised Medical Criteria for Evaluating Mental
    Disorders.” See 
    81 Fed. Reg. 66,138
    –78 (2016) (codified at 20 C.F.R. pt. 404, subpt. P, app. 1).
    The 2017 Listings deleted the previous Listing 12.05C, while revising Listing 12.05B. The
    revised Listing 12.05B still allowed a finding of “[i]ntellectual disorder” based on an IQ of 70 or
    below, provided that the disorder began prior to the age of 22, but also required more stringent
    proof of deficits in adaptive functioning, i.e.: “significant deficits in adaptive
    functioning . . . manifested by an extreme limitation of one, or marked limitation of two, in the
    following areas of mental functioning: (a) understand[ing], remember[ing] or apply[ing]
    information; (b) interact[ing] with others; (c) concentrat[ing], persist[ing], or maintain[ing] pace;
    or (d) adapt[ing] or manag[ing] oneself.” See 
    81 Fed. Reg. 66,167
     (2016).5
    3
    In relevant part, the 2014 Listing for “[i]ntellectual disability,” Section 12.05, provides as follows:
    12.05 Intellectual disability: Intellectual disability refers to significantly subaverage
    general intellectual functioning with deficits in adaptive functioning initially manifested
    during the developmental period; i.e., the evidence demonstrates or supports onset of the
    impairment before age 22. The required level of severity for this disorder is met when the
    requirements in A, B, C, or D are satisfied. . . .C. A valid verbal, performance, or full scale
    IQ of 60 through 70 and a physical or other mental impairment imposing an additional and
    significant work-related limitation of function.
    20 C.F.R. pt. 404, subpt. P, App. 1, § 12.05C.
    4
    In 2003, the Administration published an Advanced Notice of Proposed Rulemaking, informing the public
    that it planned to revise “the rules [it] use[s] to evaluate mental disorders,” and soliciting comments from interested
    parties. See 
    68 Fed. Reg. 12,639
     (2003). The agency followed up in 2010 with a Notice of Proposed Rulemaking
    (“NPRM”), which explained that the SSA “propose[d] to revise the criteria in the Listing[s] . . . involving mental
    disorders” to “reflect [its] adjudicative experience, advances in medical knowledge, recommendations from a report
    [it] commissioned,” and previous comments from experts and the public. See Revised Medical Criteria for
    Evaluating Mental Disorders, 
    75 Fed. Reg. 51,336
    –68 (2010); Def. Obj. at 15–16.
    5
    In relevant part, the 2017 revision of Section 12.05B provides that an “Intellectual disorder” may be
    “satisfied” by meeting the following criteria:
    1. Significantly subaverage general intellectual functioning evidenced by . . . [a] full scale
    9
    The agency made the 2017 Listings effective on January 17, 2017, and provided that the
    2017 Listings would apply to cases pending as of that date. 
    Id. at 66,138
    . The SSA specified:
    The prior rules will continue to apply until the effective date of these final
    rules. When the final rules become effective [on January 17, 2017], we will
    apply them to new applications filed on or after the effective date of the
    rules, and to claims that are pending on or after the effective date.
    
    Id.
     (emphasis added). The agency further stated its expectations for federal courts reviewing its
    decisions and for agency proceedings on remand:
    We expect that Federal courts will review our final decisions using the rules
    that were in effect at the time we issued the decisions. If a court reverses
    our final decision and remands a case for further administrative proceedings
    after the effective date of these final rules, we will apply these final rules to
    the entire period at issue in the decision we make after the court’s remand.
    
    Id. at n.1
    .
    B.        Application of the 2017 Listings to Cox’s Claims
    ALJ Emerson applied the revised 2017 Listings to Plaintiff’s claim and did not consider
    whether Cox was eligible for benefits under the previous Listing 12.05C. See AR at 21–22
    (considering whether Cox qualified for revised 12.05A or 12.05B Listings). Cox argues that
    applying the revised regulations to her 2014 claim was impermissibly retroactive, see Pl. Mot. at
    18, and the Magistrate Judge agreed, see Report & Recommendation at 15–30. The agency,
    (or comparable) IQ score of 70 or below on an individually administered standardized test
    of general intelligence; . . . and
    2. Significant deficits in adaptive functioning currently manifested by an extreme limitation
    of one, or marked limitation of two, in the following areas of mental functioning:
    a. Understand, remember, or apply information (see 12.00E1); or
    b. Interact with others (see 12.00E2); or
    c. Concentrate, persist, or maintain pace (see 12.00E3); or
    d. Adapt or manage oneself (see 12.00E4); and
    3. The evidence about your current intellectual and adaptive functioning and about the
    history of your disorder demonstrates or supports the conclusion that the disorder began
    prior to your attainment of age 22.
    See 
    81 Fed. Reg. 66,167
     (2016).
    10
    however, contends that the “ALJ’s application of the 2017 mental listings to Plaintiff’s claim
    was not impermissibly retroactive because it did not impair rights Plaintiff possessed at the time
    she acted,” did not upset her reliance interests, and did not involve substantively different
    standards. See Def. Obj. at 3–8 (citing Landgraf v. U.S.I. Film Prods., 
    511 U.S. 244
    , 280 (1994);
    and Nat’l Mining Ass’n v. Dep’t of Labor, 
    292 F.3d 849
    , 859 (D.C. Cir. 2002)).
    The Supreme Court has stated that “[r]etroactivity is not favored in the law.” Bowen v.
    Georgetown Univ. Hosp., 
    488 U.S. 204
    , 208 (1988). “Elementary considerations of
    fairness dictate that individuals should have an opportunity to know what the law is and to
    conform their conduct accordingly; settled expectations should not be lightly disrupted.”
    Landgraf, 
    511 U.S. at 265
    . As a result, “the ‘principle that the legal effect of conduct should
    ordinarily be assessed under the law that existed when the conduct took place has timeless and
    universal appeal.’” 
    Id.
     (quoting Kaiser Aluminum & Chem. Corp. v. Bonjorno, 
    494 U.S. 827
    ,
    855 (1990) (Scalia, J., concurring)). Thus, “congressional enactments and administrative rules
    will not be construed to have retroactive effect unless their language requires this result.”
    Bowen, 
    488 U.S. at 208
    . As a corollary, “a statutory grant of legislative rulemaking authority
    will not . . . be understood to encompass the power to promulgate retroactive rules unless that
    power is conveyed by Congress in express terms.” 
    Id.
    Both parties agree that the SSA cannot promulgate retroactive rules. See Report &
    Recommendation at 16 (“[N]either party disputes that the Commissioner lacks retroactive
    rulemaking authority.”); 
    42 U.S.C. § 405
    (a) (withholding retroactive rulemaking authority from
    the SSA). The Court’s task is therefore to determine whether application of the 2017 Listings to
    the claim that Cox filed in 2014 was retroactive. In Landgraf v. U.S.I. Film Products, the
    Supreme Court noted that a regulation operates retroactively if it “impair[s] rights a party
    11
    possessed when he acted, increase[s] a party’s liability for past conduct, or impose[s] new duties
    with respect to transactions already completed.” See 
    511 U.S. at 280
    . A court’s determination
    that “a particular rule operates ‘retroactively’ comes at the end of a process of judgment
    concerning the nature and extent of the change in the law and the degree of connection between
    the operation of the new rule and a relevant past event.” 
    Id. at 270
    .
    The D.C. Circuit has provided guidance on how that “process of judgment” should take
    place. See Nat’l Mining Ass’n, 
    292 F.3d 849
    . In National Mining Association, mine operators,
    insurance companies, and a mining trade association challenged the Secretary of Labor’s
    revisions to regulations governing the adjudication of miners’ claims under the Black Lung
    Benefits Act, which “provid[ed] benefits to coal miners who are totally disabled due to . . . black
    lung disease.” 
    Id.
     at 854–55. Appellants attacked several of the Secretary’s new rules as
    impermissibly retroactive. 
    Id. at 859
    . In the first part of the process prescribed by
    Landgraf — which requires consideration of the “nature and extent of the change in the law,” see
    
    511 U.S. at
    280 — the Court of Appeals determined that “[t]he critical question is whether a
    challenged rule establishes an interpretation that ‘changes the legal landscape.’” Nat’l Mining
    Ass’n, 292 F.3d at 859 (quoting Health Ins. Ass’n of Am., Inc. v. Shalala, 
    23 F.3d 412
    , 423 (D.C.
    Cir. 1994)). The court elaborated that “[t]his inquiry involves a commonsense, functional
    judgment about whether the new provision attaches new legal consequences to events completed
    before its enactment.” 
    Id.
     at 859–60 (cleaned up). The key, therefore, is whether “a rule
    ‘changes the law in a way that adversely affects [a party’s] prospects for success on the merits of
    the claim.’” Id. at 860 (quoting Ibrahim v. District of Columbia, 
    208 F.3d 1032
    , 1036 (D.C. Cir.
    2000)). As for the second part of the Landgraf analysis — which requires examination of “the
    degree of connection between the operation of the new rule and a relevant past event,” see 511
    12
    U.S. at 270 — the Court of Appeals held that the relevant past act in the adjudicative context is
    the filing of a claim. Nat’l Mining Ass’n, 292 F.3d at 860 (stating that applying substantively
    different rules to “pending claims” is impermissibly retroactive); see also id. at 867 (“[I]t would
    be unlawfully retroactive to apply the definitions to any claims other than those filed on or after
    the regulations’ effective date.”) (emphasis added). National Mining Association thus yielded
    the definitive test for retroactivity in this jurisdiction, which is succinctly stated as follows:
    In analyzing each new regulation, we first look to see whether it effects a
    substantive change from the agency's prior regulation or practice. If a new
    regulation is substantively consistent with prior regulations or prior agency
    practices, and has been accepted by all Courts of Appeals to consider the
    issue, then its application to pending cases has no retroactive effect. If a
    new regulation is substantively inconsistent with a prior regulation, prior
    agency practice, or any Court of Appeals decision rejecting a prior
    regulation or agency practice, it is retroactive as applied to pending claims.
    Id. at 860.
    In this case, the Magistrate Judge correctly applied the National Mining test to find that
    the ALJ’s application of the 2017 Listings to Cox’s claim was impermissibly retroactive. See
    Report & Recommendation at 16, 19, 22–23. The Magistrate Judge embarked on his analysis of
    the retroactivity question by examining whether the 2017 Listings effected a substantive change
    from the 2014 Listings. Id. at 23. He determined that “the revised 201[7] Listing altered the
    standard for evaluating intellectual disability claims and ‘raised the bar’ for claimants like Cox
    seeking to establish disability based on an intellectual disorder.” Id. at 23, 26–28. The Court
    agrees with his conclusion. Previously, Cox could have received disability benefits upon
    proving, under Listing 12.05C, that she had (1) “significantly subaverage general intellectual
    functioning with deficits in adaptive functioning initially manifested during the developmental
    period,” i.e., before the age of 22; (2) an IQ of 60 to 70; and (3) “a physical or other mental
    13
    impairment imposing an additional and significant work-related limitation of function.” See
    20 C.F.R. pt. 404, subpt. P, App. 1, § 12.05C (2014). Cox argues that she meets these criteria.
    See Pl. Mot. at 1; see also Report & Recommendation at 26 (“It appears from the record . . . that
    Plaintiff might meet the three requirements of 12.05C in the 2014 Listing.”). With respect to the
    second two requirements of Listing 12.05C, Cox’s IQ is 61, see AR at 541; and the ALJ found
    that she had three severe impairments, namely learning disorder, depressive disorder, and anxiety
    disorder, which “significantly limit [her] ability to perform basic work activities,” see AR at 18.
    As for the requirement that her intellectual disorder initially manifested before age 22, Cox is
    entitled to rely on the presumption that IQ “remain[s] stable over time in the absence of a change
    in a claimant’s intellectual functioning.” Report & Recommendation at 28 (quoting Maresh v.
    Barnhart, 
    438 F.3d 897
    , 900 (8th Cir. 2006)). The Magistrate Judge determined that the ALJ
    erred in failing to apply this presumption of intellectual stability; and observed that with the
    benefit of the presumption, “Plaintiff may well have met . . . 12.05C’s final
    requirement . . . because there does not appear to be any evidence in the record of a sudden
    trauma that could have been its cause.” Id.6
    The revised 2017 Listings, however, removed that avenue for proving disability and
    instead required Cox to meet more stringent standards under revised Listing 12.05B. Under the
    2017 Listing, Cox had to prove the first two elements of the previous Listing 12.05C, and also
    had to show that she had “significant deficits in adaptive functioning currently manifested by an
    extreme limitation of one, or marked limitation of two, in the following areas of mental
    6
    The Magistrate Judge recommended a remand to the SSA so that the ALJ could apply the presumption that
    a claimant’s IQ remains stable over time. See 
    id.
     at 15–16. Neither party disputes that the ALJ erred in failing to
    apply the presumption. Rather, both parties argue only that they should prevail once the presumption is applied.
    See Pl. Obj. at 3, 18; Def. Obj. at 8. Those are arguments that should be made to the ALJ on remand.
    14
    functioning”: the ability to “[u]nderstand, remember, or apply information;” to “[i]nteract with
    others; to “[c]oncentrate, persist, or maintain pace;” and to “[a]dapt or manage oneself.” See 
    81 Fed. Reg. 66,167
     (2016). The ALJ determined that she did not meet the altered criteria in the
    revised Listing 12.05B and therefore subjected her to the additional hurdles imposed by Steps 4
    and 5 of the SSA’s disability analysis. See AR at 22–28; supra 6–7. The new regulations thus
    “change[d] the legal landscape” of Cox’s quest to receive disability benefits. See Nat’l Mining
    Ass’n, 292 F.3d at 864; Report & Recommendation at 30; AR at 62 (quoting ALJ Emerson as
    commenting that the new Listings differed from previous Listing 12.05C). The 2017 Listings
    were therefore impermissibly retroactive as applied to Cox’s claim, which was pending when the
    new rules came into effect on January 17, 2017. See Nat’l Mining Ass’n, 292 F.3d at 860; 
    81 Fed. Reg. 66,138
     (2016).
    The Commissioner nevertheless strongly contests the Magistrate Judge’s conclusion.
    See, e.g., Def. Obj. at 1–7. Defendant argues that the SSA is imbued with broad statutory
    authority to promulgate regulations, that the regulatory text makes clear that the 2017 Listing for
    intellectual disability applies to Plaintiff’s case, and that “the final rule [establishing the 2017
    Listings] is not retroactive.” 
    Id.
     at 11–12, 15. The SSA insists that the agency properly applied
    the revised regulations to claims pending on or after the effective date, as directed by the 2017
    Listings themselves. See Def. Mot. at 15. Indeed, it appears that the SSA would consider the
    application of a rule retroactive only if the agency reopened a final determination and used the
    new standard to adjudicate previously decided claims. See 
    id. at 16
    ; Report & Recommendation
    at 17. The Court rejects this cramped definition of retroactivity, as it does not comport with
    National Mining Association’s instruction that a new regulation that “is substantively
    inconsistent with a prior regulation” is “retroactive as applied to pending claims.” See Nat’l
    15
    Mining Ass’n, 292 F.3d at 860. Defendant further argues that the 2017 Listing for intellectual
    disability is “obvious[ly]” and “notabl[y]” similar to the previous Listing and therefore did not
    effect a “substantive change” that is impermissibly retroactive. See Def. Obj. at 6–8. That
    argument falls flat because it is beyond debate that the revised 2017 Listing required an
    additional showing of “deficits in adaptive functioning” in specific categories, which Cox would
    not have had to satisfy under the eliminated Listing 12.05C. Compare 20 C.F.R. pt. 404, subpt.
    P, App. 1, § 12.05 (2014), with 
    81 Fed. Reg. 66,167
     (2016).
    In support of her arguments, the Commissioner cites decisions by other courts that have
    allowed the SSA to apply new regulations to pending claims. See Def. Mot. at 15 (citing Ray v.
    Comm’r of Soc. Sec., No. civ-18-638, 
    2019 WL 1474007
    , at *2–3 (W.D. Okla. Apr. 3, 2019);
    Kibe v. Berryhill, No. 18-228, 
    2019 WL 1226723
    , at *2–3 & nn.2–3 (W.D. Pa. Mar. 15, 2019);
    Harrison v. Berryhill, No. 5:17-cv-255, 
    2018 WL 4576782
    , at *4 (E.D.N.C. May 24, 2018)); 7
    see also Def. Obj. at 14 (collecting cases where courts decided “application of the revised mental
    impairment listings in pending cases is proper”). Those opinions, however, are not binding.
    7
    In his Report and Recommendation, the Magistrate Judge deftly dispensed with the authorities cited by
    Defendant. See Report & Recommendation at 23 n.17. He wrote:
    [T]he Commissioner relies upon three Social Security cases from outside this jurisdiction.
    ECF No. 17 at 16–17. Two of those cases, however, sidestepped the issue of retroactivity
    altogether. Kibe v. Berryhill actually applied the 2014 Listing because it was the rule “in
    effect at the time the ALJ issued his decision.” No. CV 18-228, 
    2019 WL 1226723
    , at *2
    (W.D. Pa. Mar. 15, 2019), aff’d sub nom. Kibe v. Comm’r Soc. Sec., 787 F. App’x 801 (3d
    Cir. 2019). And Harrison v. Berryhill expressly did not decide whether to apply the former
    or revised listing to the plaintiff’s claim because “the record fail[ed] to establish that [the
    plaintiff’s] impairments met either Listing.” No. 5:17-CV-00255-FL, 
    2018 WL 4576782
    ,
    at *5 (E.D.N.C. May 24, 2018), report and recommendation adopted, 
    2018 WL 3993393
    (E.D.N.C. Aug. 21, 2018). As for the third case — Ray v. Commissioner of Social
    Security — while it assessed the retroactivity of the revised listing, its analysis is of limited
    precedential value because it relied primarily on Bradley, a case limited by later Supreme
    Court and D.C. Circuit caselaw, see supra note 14, and the relevant portion of the analysis
    is essentially dicta, as the court ultimately found that the plaintiff “would not meet the
    listing under either set of rules.” No. CIV-18-00638-SM, 
    2019 WL 1474007
    , at *3 (W.D.
    Okla. Apr. 3, 2019).
    16
    Instead, this Court is obligated to apply National Mining Association, which supports the
    Magistrate Judge’s conclusion that the 2017 Listing is impermissibly retroactive as applied to
    Cox’s case.
    In any event, whether the application of new SSA regulations to pending cases is
    retroactive remains an unsettled question in other circuits. See Portlock v. Barnhart, 
    208 F. Supp. 2d 451
    , 457 (D. Del. 2002) (indicating it was “troubled” by courts’ “lack of agreement” on
    retroactivity question); Kokal v. Massanari, 
    163 F. Supp. 2d 1122
    , 1129–30 (N.D. Cal. 2001)
    (noting limited and differing authorities on retroactive application of Listing 9.09 for obesity);
    Gerald v. Berryhill, No. 3:17-cv-5752018, 
    2018 WL 7364649
    , at *12 (M.D. Pa. Oct. 12, 2018)
    (collecting divergent cases on whether SSR 16-3p applies retroactively). The decisions finding
    no retroactive effect “are marked by surprisingly little analysis of the problems associated with
    that conclusion.” Portlock, 
    208 F. Supp. 2d at 459
    ; see, e.g., Fulbright v. Apfel, 114 F. Supp. 2d.
    465, 476 (W.D.N.C. Sept. 11, 2000) (simply stating that new regulation was “law in effect”);
    Rowden v. Saul, No. civ-19-361, 
    2020 WL 1172714
    , at *6 (same); Glenn v. Massanari, No. civ-
    00-4184, 
    2001 WL 1003075
    , at *2 (E.D. Pa. Aug. 27, 2001) (emphasizing that text of SSA’s
    new rule clearly applied to pending claims).8 Given the paucity of persuasive analysis in those
    opinions, the Court is not inclined to give them any weight.
    Defendant deploys several other arguments to defend the agency’s application of the
    revised rules. The Commissioner argues that a “court must ‘apply the law in effect at the time it
    renders its decision, unless doing so would result in manifest injustice or there is a statutory
    8
    Defendant similarly argues that the regulations themselves specifically stated that they would apply to
    pending applications. See Def. Mot. at 12. Although the regulations must clearly convey that they apply to
    previously filed claims to overcome the presumption against retroactivity, clear regulatory text cannot imbue the
    SSA with retroactive rulemaking authority. See 
    42 U.S.C. § 405
    (a) (withholding retroactive rulemaking authority
    from the SSA); Report & Recommendation at 16.
    17
    direction or legislative history to the contrary.’” Def. Mot. at 15 (relying on Bradley v. Sch. Bd.
    of Richmond, 
    416 U.S. 696
    , 711 (1974)); id. at 16. As the Magistrate Judge pointed out,
    however, four decades have passed since the Supreme Court decided Bradley, and the case “has
    been narrowed to apply to remedial provisions, not substantive obligations or rights under a
    statute,” such as those at issue in this case. See R. & R, at 20 n.14; Gersman v. Grp. Health
    Ass’n, Inc., 
    975 F.2d 886
    , 898–99 (D.C. Cir. 1992) (“[T]he Bradley presumption of applicability
    of law as of the time of decision must pertain to remedial provisions — not substantive
    obligations or rights under a statute.” (cleaned up)).
    Nor is the Court persuaded by the Commissioner’s reading of Landgraf, 
    511 U.S. at 244
    ,
    or her proposed interpretation of National Mining Association, 
    292 F.3d 849
    . See Def. Obj. at 3–
    8. Specifically, Defendant argues that applying the revised rules “did not impair rights Plaintiff
    possessed at the time she acted, increase her liability for past conduct, or impose new duties with
    respect to transactions already completed.” Def. Obj. at 3 (citing Landgraf, 
    511 U.S. at 280
    ; and
    Nat’l Mining Ass’n, 292 F.3d at 859); see id. at 4–5. In the agency’s view, the 2017 regulations
    did not impair Cox’s rights because plaintiffs like Cox lack any substantive right to benefits, as
    even the “recipients of public benefits have no substantive right that guarantees them continued
    receipt of those benefits.” Id. at 3–4. As applied to Cox, this argument is belied by the caselaw
    prohibiting retroactive changes to regulations, discussed supra. Changing the standards that
    apply to the adjudication of Cox’s claim while her case is pending would very much impair the
    rights that she had when she initially filed her claim. See Landgraf, 
    511 U.S. at 280
    ; Pl. Resp. at
    14; see also Lindh v. Murphy, 
    521 U.S. 320
    , 327 (1997) (“[R]evisions of prior law to change
    standards of proof and persuasion in a way favorable to a [party] . . . affect[s] substantive
    entitlement to relief.”). Because the revised rules indeed “impair[ed] rights [that Cox] possessed
    18
    at the time she acted,” they were impermissibly applied to her claims.9 Landgraf, 
    511 U.S. at 280
    .
    Further, the Commissioner contends that the new regulations did not upset any of Cox’s
    reliance interests. See Def. Obj. at 4–5. While reliance interests are relevant in retroactivity
    jurisprudence, see Landgraf, 
    511 U.S. at 1499
    , the test for whether a rule is impermissibly
    retroactive is more specific than merely assessing whether a plaintiff relied on the previous rule:
    it requires determining whether a new rule effects a substantive change from the agency’s prior
    regulation or practice, and examining the rule’s impact on the prior consequences of past actions,
    as the Court has done here. See Nat’l Mining Ass’n, 292 F.3d at 860; supra 12–15; cf.
    DIRECTV, Inc. v. FCC, 
    110 F.3d 816
    , 826 (D.C. Cir. 1997) (stating regulations that merely
    “upset[] expectations based on prior law” are not retroactive). That analysis has led the Court to
    conclude that applying the 2017 regulations to Cox’s 2014 claim was impermissibly retroactive,
    and that the agency must instead apply the regulations that were in place when Cox filed her
    claim.
    C.       Remedy
    Having found application of the new rules to Cox’s claim unlawfully retroactive, the
    Court must provide an appropriate remedy. Cox argues that she is entitled to an immediate
    9
    Defendant makes much ado about whether Cox’s right to benefits have “vested.” Def. Obj. at 4. The case
    she relies on, Abington Mem’l Hosp. v. Burwell, 
    216 F. Supp. 3d 110
    , 142 (D.D.C. 2016), does not support the
    agency’s position. Abington distinguished the “past legal consequences of past actions” from “the future effect of
    past actions,” when considering whether a Department of Health and Human Services’ rule that adjusted wage data
    the plaintiff hospitals had submitted before the rule’s enactment operated impermissibly retroactively. See 216 F.
    Supp. at 143–44; Pl. Resp. at 14–15. The court highlighted that the agency “simply used historical data . . . to
    calculate the prospective payment rate,” and thus did not tread upon “any vested right of the hospitals.” Abington,
    216 F. Supp. 3d at 143–44 (quoting Regents of the Univ. of Cal. v. Burwell, 
    155 F. Supp. 3d 31
    , 44 (D.D.C. 2016)).
    Constructing a wage index to determine future compensation is notably distinct from changing the substantive
    standard used to evaluate a claim to a statutory right, after the claim has already been filed. See Lindh v. Murphy,
    
    521 U.S. at 327
    ; Pl. Resp. at 14.
    19
    award of benefits because she meets the requirements of Listing 12.05C, which must be applied
    in her case. See Pl. Obj. at 1–2, 19; Pl. Resp. at 7–11. Opposing an award of benefits, the
    Commissioner urges the Court to remand the case to the agency. See Def. Obj. at 12–18, 24–25;
    Def. Mot. at 17–18.
    To obtain a judgment reversing the SSA’s decision and ordering an immediate award of
    benefits, plaintiffs must clear a “high bar.” Perkins v. Berryhill, 
    379 F. Supp. 3d 1
    , 8 (D.D.C.
    2019). Only when “the evidence on the record as a whole is clearly indicative of disability and
    additional hearings would serve no purpose other than to delay the inevitable receipt of benefits”
    is an immediate award of benefits proper. See Price v. Berryhill, No. 16-2469, 
    2018 WL 4381098
    , at *9 (D.D.C. Feb. 14, 2018) (cleaned up); Espinosa v. Colvin, 
    953 F. Supp. 2d 25
    , 35–
    36 (D.D.C. 2013); Ademakinwa v. Astrue, 
    696 F. Supp. 2d 107
    , 111–12 (D.D.C. 2010). When
    courts have granted an immediate award of benefits, they have stated that “it would be virtually
    impossible for [the ALJ] to find against [the] plaintiff upon remand.” Lockard v. Apfel, 
    175 F. Supp. 2d 28
    , 34 (D.D.C. 2001).
    The Court agrees with the Magistrate Judge that an award of benefits is not inevitable in
    this case. See Report & Recommendation at 51. While Cox clearly met two of the three criteria
    to qualify as disabled under Listing 12.05C, the ALJ could still find that “evidence in the record
    rebuts the presumption that the onset of Plaintiff’s intellectual disorder occurred before she was
    22-years-old.” Id.; see also 
    id.
     at 26–27 (finding that Cox satisfied two of Listing 12.05C’s three
    criteria). Because of this possibility, the Court is unable to order an immediate award of benefits
    for Plaintiff. See Lockard, 
    175 F. Supp. 2d at 34
    .10 It therefore concurs with the Magistrate
    10
    Plaintiff argues that the case should not be remanded so that the agency may “hunt for evidence that her
    cognitive dysfunction ‘might’ have been drug-induced.” Pl. Obj. at 1. But it is for the ALJ to determine, in the first
    instance, what evidence should be admitted on remand.
    20
    Judge that the case should be remanded for the SSA to evaluate Cox’s claims under the Listings
    that were in effect when her claim was filed in 2014, with the benefit of the presumption of
    stability in her IQ. See Report & Recommendation at 30.
    In addition to requesting relief for her individual case, Cox asks the Court to “strike the
    language of the final rule regarding retroactive application,” and “restore the 2014 Listing
    12.05C to the agency’s regulations.” See Pl. Obj. at 15–16. She contends that the revised rules
    violate the APA because the 2017 Listings (1) were issued without proper notice and comment,
    (2) were not the logical outgrowth of the agency’s notice of proposed rulemaking, (3) were
    arbitrary and capricious, and (4) were in excess of the Commissioner’s statutory authority. See
    
    id.
     Pl. Obj. at 5, 7–9, 14; Pl. Resp. at 12, 17. Cox argues that the Magistrate Judge erred in
    failing to address her APA claims. See Pl. Obj. at 1; Report & Recommendation at 30 n.20. She
    also believes that the 2017 Listings must be set aside so that they will not apply on remand or in
    continuing disability reviews in her case. See Pl. Obj. at 1 (“[T]he Magistrate's recommended
    remedy is ineffective unless the Court eliminates the retroactive application of the 2017 Revised
    Mental Criteria.”).
    The Court agrees with the Magistrate Judge and Defendant that it not necessary to
    consider Plaintiff’s claims under the APA, which challenge the validity of the 2017 Listings. See
    Report & Recommendation at 30 n.20; Def. Obj. at 12 (arguing “the proper remedy is to remand
    the case with instructions to apply the prior listing”). Because the Court has determined that
    Cox’s claim should be assessed under the 2014 Listings that were in effect when she filed her
    claim and has ordered a remand for the agency to apply the 2014 regulations, supra at 19–20,
    Plaintiff will receive complete relief on this aspect of her claim. Accordingly, there is no need to
    address Cox’s challenges to the 2017 Listings, which do not apply to her case.
    21
    Nor is the Court persuaded that it should strike the 2017 Listings with respect to all cases
    that were pending on the effective date, which would essentially provide a nationwide remedy
    for Plaintiff’s individual claim. See Def. Obj. at 13. The Court adopts the recommendation of
    the Magistrate Judge, who focused specifically on the application of the 2017 Listings to Cox’s
    case and did not contemplate a nationwide ruling. See, e.g., Report & Recommendation at 15
    (“The undersigned finds that the ALJ’s decision was flawed because it relied on the 2017
    Listing, which was impermissibly retroactive as applied to Plaintiff’s pending claim.” (emphasis
    added)); id. at 30 & n.20 (“[T]he deletion of 12.05C in the revised 2017 Listing resulted in a
    ‘substantive change’ that was impermissibly retroactive as applied to the Plaintiff’s pending
    disability claim.” (emphasis added)). Plaintiff’s arguments to justify a nationwide remedy are
    undeveloped. See Def. Obj. at 13–14. She requests that the Court set aside the 2017 regulations
    and argues that the agency violated the APA, but she provides no authority that would support
    granting nationwide relief. See Pl. Obj. at 7–9, 22; Johnson v. Panetta, 
    953 F. Supp. 2d 244
    , 250
    (D.D.C. 2013) (“[P]erfunctory and undeveloped arguments, and arguments that are unsupported
    by pertinent authority, are deemed waived.” (citations omitted)). The Court would require more
    authority and analysis to be convinced of awarding such a sweeping remedy, particularly on this
    record, where the Magistrate Judge limited his analysis of retroactivity to the facts of Plaintiff’s
    case. Moreover, as discussed, courts in other jurisdictions have issued contrary rulings about the
    applicability of the 2017 Listings to cases pending as of their effective date. See supra 16–17;
    see also Def. Obj. at 14 (listing cases). Among the courts that previously have found the SSA’s
    application of its regulations to be impermissibly retroactive, none has ordered nationwide relief.
    See, e.g., Portlock v. Barnhart, 
    208 F. Supp. 2d at 463
    ; Kokal v. Massanari, 
    163 F. Supp. 2d at 1136
    ; Cherry v. Barnhart, 
    327 F. Supp. 2d 1347
    , 1360 (N.D. Okla. 2004). On the instant record,
    22
    this Court is not inclined to be the first to do so.
    Although Plaintiff asserts that it is necessary to strike the 2017 Listings to prevent the
    ALJ from applying them on remand, see Pl. Obj. at 1, the Court expects the agency to comply
    with an order of this Court that specifically directs it to apply the Listings in effect in 2014. See
    Sullivan v. Hudson, 
    490 U.S. 877
    , 886 (1989) (“Deviation from the court’s remand order in the
    subsequent administrative proceedings is itself legal error, subject to reversal on further judicial
    review.”); Workman v. Saul, 19-cv-1252, 
    2020 WL 417789
    , at *4 (D.D.C. Jan. 27, 2020) (citing
    Sullivan, 
    490 U.S. at 886
    ). Moreover, the agency has taken the position before this Court that it
    is bound to follow the Court’s directives on remand and during any continuing disability review
    in Cox’s case. See Def. Obj. at 12–13 (citing Sullivan, 
    490 U.S. at 886
    ); 
    20 C.F.R. § 416.994
    (b)(2)(iv)(A) (stating that adjudicator in continuing disability review applies “the same
    listing used to make our most recent favorable decision”). Given the SSA’s representations and
    the caselaw requiring agencies to follow remand orders, the Court is satisfied that the agency will
    abide by the Court’s ruling and will apply the 2014 Listings on remand and in any future review
    of Cox’s case.
    III.    Plaintiff’s Other Objections
    A.       Treating Physician Rule
    Cox also contends that the Magistrate Judge failed to address her argument that the ALJ
    erred in not applying the “treating physician rule,” which required the ALJ to give controlling
    weight to the opinion of Plaintiff’s treating physician, Dr. Colleen Hawthorne. See Pl. Mot. at
    12; Pl. Obj. at 1, 16–17. Plaintiff is correct that ALJs must give “controlling weight” to a
    treating source’s medical opinion that is “well-supported by medically acceptable clinical and
    laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in
    23
    [the claimant’s] case record.” 
    20 C.F.R. § 404.1527
    (c)(2). If the ALJ declines to give a treating
    physician’s opinion controlling weight, he must “explain his reasons,” and can do so by “not[ing]
    the contradictory evidence in the record.” Williams v. Shalala, 
    997 F.2d 1494
    , 1498–99 (D.C.
    Cir. 1993); see Def. Mot. at 18.
    Here, Dr. Hawthorne found that Cox’s symptoms would cause her to be absent from
    work “about twice a month” and that she “has only a fair ability to deal with the public, use
    judgment, interaction with supervisors, related predictably in social situations, deal with work
    stresses, maintain attention and concentration, behave in an emotionally stable manner, and
    understand, remember, and carry out complex and detailed job instructions.”11 AR at 25; see Pl.
    Obj. at 16 (citing AR 317–22). Plaintiff notes that these findings were corroborated by the
    assessments of Dr. Rebecca Brosch, who determined that Cox’s functioning was “in the
    extremely low range of intelligence.” Pl. Obj. at 16; see Pl. Resp. at 2–3; AR 537–43 (also
    reporting that Cox’s verbal comprehension index and full-scale IQ scores were 61). The ALJ
    gave “partial weight” to Dr. Hawthorne’s assessment, which he found “mostly consistent with
    the medical evidence.” The ALJ explained, however, that Dr. Hawthorne’s opinions were “not
    entirely consistent” with “the mental status examinations of other medical practitioners” and Dr.
    Hawthorne’s “own mental status findings, which documented cooperative behavior, goal-
    directed thoughts, average intelligence, adequate insight and judgment, and intact memory.” See
    AR 25 (“Dr. Hawthorne’s opinion is also not consistent with the [Global Assessment of
    Functioning scores] of 56 and 64 she assigned in treatment . . . .”). Because the ALJ found Dr.
    11
    In addition, Dr. Hawthorne opined that Cox has “acute heightened cognitive impairment,” “poor
    functioning,” “highly impaired/limited” reading and writing skills, and “poor attention, concentration, and focus.”
    AR at 318. She also noted that Cox has depression characterized by sleep disturbance, decreased energy, feelings of
    worthlessness, and difficulty concentrating, in addition to anxiety characterized by apprehensive expectation and
    vigilance and scanning behaviors. 
    Id.
     at 320–21.
    24
    Hawthorne’s opinion to be internally inconsistent and in conflict with other evidence in the
    record, he was not required to give that opinion controlling weight. Further, the ALJ adequately
    discharged his duty to “explain his reasons” by specifying the internal consistency issues in Dr.
    Hawthorne’s opinion and citing the contradictory evidence in the record. See AR at 25 (citing 
    id.
    at 284–91, 398, 413, 476–527).
    That contradictory evidence consisted of statements from several medical professionals
    and social workers. See AR at 25 (citing 
    id.
     at 284–91, 398, 413, 476–527); see also id. at 398
    (progress note from Dr. Crysta Chatman); id. at 413 (progress note from Nurse Practitioner Amy
    Patten); id. at 476–79 (progress notes from Dr. Allen Gore); id. at 284–91 (report from
    Contemporary Family Services, Inc.); id. at 480–92, 520–27 (notes of social worker Linda
    Teghen); id. at 517–19 (notes of social worker Henry Jusu). Cox contends that the ALJ
    improperly used the opinions of social workers to discount the determinations of her physicians.
    See Pl. Mot. at 13; Pl. Resp. at 3–4. Under the agency’s regulations, an ALJ who relies on the
    contradictory observations of social workers “must explain the reasons” for privileging the
    nonmedical source’s opinion over a medical professional’s evaluation. See 
    20 C.F.R. § 404.1527
    (f)(2). Here, however, the ALJ did not depend on the opinions of social workers to
    discount Dr. Hawthorne’s opinion because he also cited the conflicting opinions of several
    medical professionals. See AR 25 (citing 
    id. at 398, 413
    , 476–79).12 He therefore had no
    obligation to explain a path of reasoning that he did not choose to take.
    Still, “[t]he adjudicator generally should explain the weight given to opinions from
    12
    Several doctors and a nurse practitioner found that Cox was “alert and in no apparent distress” and
    “demonstrate[d] good judgment and insight.” 
    Id. at 398
    ; 
    id. at 413
     (same and also stating that Cox had “appropriate
    mood and affect” and her “recent and remote memory [was] intact”); 
    id.
     at 476–79 (noting Cox’s “good” memory
    and “improving psychiatric condition”).
    25
    [nonmedical sources] or otherwise ensure that the discussion of the evidence in the determination
    or decision allows a claimant or subsequent reviewer to follow the adjudicator’s reasoning.”
    
    20 C.F.R. § 404.1527
    (f)(2). While the ALJ did not explicitly “explain the weight” given to the
    opinions of social workers, he cited their opinions as being consistent with other evidence in the
    record, and “consisten[cy] with the evidence as a whole” is an acceptable reason for crediting
    evidence. See 
    id.
     § 404.1527(f)(1); AR at 25. Thus, by citing to the record, the ALJ adequately
    ensured that his reasoning was intelligible. See Williams v. Shalala, 
    997 F.2d at
    1498–99 (“That
    the ALJ did not expressly state his reason for not applying the treating physician rule is of no
    moment because he noted the contradictory evidence in the record, which record supplies the
    reason.”). Accordingly, there is no basis to remand the case to correct a violation of the treating
    physician rule. Although Plaintiff identifies myriad reasons to find fault with the ALJ’s
    assessment, see Pl. Resp. 2–7, this Court “is not permitted to re-weigh the evidence and reach its
    own determination.” Maynor, 597 F. Supp. at 460.
    B. Processing Speed
    Cox argues that her “extremely low [p]rocessing [s]peed of 59 was disabling on its own.”
    See Pl. Obj. at 14; Pl. Mot. at 17. Neither the Commissioner nor the Magistrate Judge addressed
    this argument. See Pl. Obj. at 14 (arguing that Defendant conceded this point). Although Cox’s
    processing speed alone does not dispositively settle her disability status, it appears that the ALJ
    should have considered Plaintiff’s processing speed when determining her RFC, as the ALJ is
    required to consider “all of the relevant evidence in the case record” when analyzing a claimant’s
    RFC. See Social Security Ruling 96-8p; see also Butler v. Barnhart, 
    353 F.3d 992
    , 1000 (D.C.
    Cir. 2004) (stating that RFC “is a ‘function-by-function’ inquiry based on all of the relevant
    evidence of a claimant’s ability to do work”). On remand, therefore, if the ALJ proceeds to Step
    26
    4 of the disability analysis, he should factor in Cox’s processing speed when determining her
    RFC. 
    Id.
    C.      Past Relevant Work
    Cox argues that the ALJ’s finding at Step 4, where he determined that she could perform
    her past relevant work, was unfounded. See Pl. Mot. at 28 & n.24; Pl. Resp. at 5–7 (noting
    ALJ’s “failure to apply [the] SSA’s definition of “past relevant work”). Past relevant work is
    defined as work that (1) was performed within the last 15 years, (2) qualifies as “substantial
    gainful activity,” and (3) “lasted long enough for [the claimant] to learn to do it.” 
    20 C.F.R. § 404.1560
    . The Magistrate Judge agreed that the “ALJ’s finding is not support[ed] by
    substantial evidence” because the ALJ failed to establish that Cox’s past work was indeed past
    relevant work. See Report & Recommendation at 41. The Commissioner objects to his
    conclusion. See Def. Obj. at 23 (“The ALJ explained that the RFC finding was supported
    by . . . [Cox] working part-time in retail sales and commercial cleaning. Given this evidence, the
    ALJ reasonably accounted for Plaintiff’s mental limitations . . . in the RFC and properly found
    no greater limitations were warranted.”). The Court concurs with the Magistrate Judge that the
    ALJ erred, but that the error was harmless because the ALJ made an alternative finding at Step 5
    that Plaintiff could perform other jobs. See Report & Recommendation at 41; see also Reynolds
    v. Astrue, 252 F. App’x 161, 165 (9th Cir. 2007) (“[W]hile we agree . . . that the ALJ committed
    legal error in the step-four analysis . . . , that error is harmless given the ALJ’s RFC assessment
    and step-five determination).
    CONCLUSION
    For the foregoing reasons, the Court will adopt the Report and Recommendation of the
    Magistrate Judge in full. In addition, the Court will instruct the ALJ to consider and discuss
    27
    Cox’s processing speed should he be required to determine her RFC on remand. See supra
    Section III.B. The Court will therefore grant in part and deny in part Plaintiff’s Motion for
    Reversal, and it will deny Defendant’s Motion for Affirmance. The Commissioner’s decision is
    vacated, and Cox’s case is remanded to the agency for further proceedings consistent with this
    Memorandum Opinion and the Magistrate Judge’s Report and Recommendation. A separate
    Order so stating will issue this day.
    Florence Y. Pan
    United States District Judge
    Date: January 19, 2022
    28
    

Document Info

Docket Number: Civil Action No. 2018-2389

Judges: Judge Florence Y. Pan

Filed Date: 1/19/2022

Precedential Status: Precedential

Modified Date: 1/20/2022

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