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Jones v. Colvin

United States District Court, N.D. Mississippi, Oxford Division

September 5, 2014

JO ANN JONES, Plaintiff,


JANE M. VIRDEN, Magistrate Judge.

Before the court is Plaintiff's petition [19] for attorney's fees pursuant to the Equal Access to Justice Act ("EAJA"), 28 U.S.C. § 2412(d). In these proceedings Plaintiff sought judicial review of the Social Security Commissioner's final decision denying a claim for benefits. By Judgment [18] dated July 9, 2014, this court remanded this case to the Commissioner for further proceedings. Plaintiff now seeks attorney's fees in the amount of $9, 963.57 (representing 51.25 hours of attorney time at a rate of $184.51 per hour and 5.5 hours at a rate of $92.26 per hour for travel) under the EAJA and $571.36 in costs and expenses on the grounds that she was the prevailing party and the Commissioner's position was not "substantially justified." Plaintiff requests that the total monies sought be paid to her attorney pursuant to an assignment of EAJA fees

The Equal Access to Justice Act provides for the award of court costs and attorney's fees to the "prevailing party" in a judicial review of agency action, unless the position of the United States was "substantially justified" or "special circumstances" would make an award unjust. 28 U.S.C. § 2412(d)(1)(A). A party who wins a remand order in a social security disability case is a "prevailing party" under the EAJA. Rice v. Astrue, 609 F.3d 831, 833-34 (5th Cir. 2010); Baker v. Bowen, 839 F.2d 1075, 1081 (5th Cir. 1988).

The Commissioner does not dispute that Plaintiff is the prevailing party but, instead, contends an award of fees should be denied because her litigation position was substantially justified. In the alternative, the Commissioner contends the requested amount of fees should be substantially reduced because the number of hours expended by Plaintiff's counsel on the case was excessive.

Because in the underlying case the ALJ violated both the Social Security Administration's ("SSA") own regulations and Fifth Circuit precedent, Defendant's position was not substantially justified. Nevertheless, the court agrees the requested amount should be reduced, albeit only slightly.

Substantial Justification Analysis

The Commissioner makes several arguments in support of her contention that her position was substantially justified, including pointing out that Plaintiff did not discuss the opinions of Dr. Kamal Mohan and Dr. William Hand in any brief and suggesting this court improperly reweighed said medical opinion evidence. The court will address only the arguments germane to its determination here, however.

In this case the court decided:

... the court is not convinced the ALJ's residual functional capacity ("RFC") finding is supported by substantial evidence in the record. In coming up with the claimant's RFC, the ALJ relied heavily upon the non-examining state agency medical consultant's (Dr. William Hand's) finding that the claimant could perform a full range of medium work, despite the fact that the ALJ himself ultimately found that consultant's report was inconsistent with what he concluded claimant's work ability (light) was, and is unclear regarding what records Dr. Hand reviewed. Specifically, it is unclear whether he had the benefit of evidence of a more limited RFC, namely Dr. Kamal Mohan's 2007 examination report and RFC assessment. The ALJ failed to give any explanation for (implicitly) rejecting Dr. Kamal Mohan's 2007 medical assessment that while the claimant could stand/walk a total of six hours in an eight-hour workday, she could do so only one hour at a time without interruption. This is particularly bothersome considering the ALJ assigned "some weight" to Dr. Mohan's RFC assessment and only expressly declined to adopt Dr. Mohan's assessment of environmental restrictions, and, ... ultimately... "reduce[d]" Dr. Hand's RFC assessment.

In order to be substantially justified, the Commissioner's position must have a reasonable basis in law and in fact. Pierce v. Underwood, 487 U.S. 552, 565 (1988); Broussard v. Bowen, 828 F.2d 310, 312 (5th Cir. 1987). The government has the burden of proving its position was substantially justified at every stage of the proceedings. Davidson v. Veneman, 317 F.3d 503, 506 (5th Cir. 2003) (citing Herron v. Bowen, 788 F.2d 1127, 1130 (5th Cir. 1986)). See also Flores v. Shalala, 49 F.3d 562, 569 (9th Cir. 1995) (stating the government must show that it was substantially justified with respect to the issue on which the court based its remand). The ALJ's decision is part of the agency's position and must also be substantially justified. Cummings v. Sullivan, 950 F.2d 492, 497 (7th Cir. 1991); Herndon v. Comm'r of Soc. Sec., No. 3:08-CV-21-WAP-DAS, 2009 U.S. Dist. LEXIS 103708, at 83-4 (N.D. Miss. Sept. 14, 2009). Cf. 28 U.S.C. § 2412(d)(1)(B) ("Whether or not the position of the United States was substantially justified shall be determined on the basis of the record[, ]" which includes the administrative agency record on which the civil action is based.). See also Russell v. National Mediation Board, 775 F.2d 1284 (holding that the phrase "position of the United States" in the EAJA encompasses the government's position during administrative proceedings and litigation).

The Commissioner has failed to show substantial justification for the ALJ's rejection without explanation of Dr. Mohan's opinion that the claimant could stand for only one hour at a time without interruption. The Commissioner's argument that the RFC determination is reserved to the Commissioner misses the point. Dr. Mohan's opinion included the medical source statement described in 20 C.F.R. 404.1513(b)(6), a "statement about what you can still do despite your impairment(s)" from the medical provider and based on his own medical findings. This "evidence" is distinct from the RFC determination-based on all the relevant evidence in the case record-made by an ALJ. See SSR 96-5p. The ALJ was required to not only weigh Dr. Mohan's RFC assessment under the rules set out in 20 C.F.R. 404.1527, but also provide an explanation for rejecting any of Dr. Mohan's opinions. See id. Moreover, while the law in this circuit provides an ALJ may reject the opinion of any physician when the evidence supports a contrary conclusion, Martinez v. Chater, 64 F.3d 172, 176 (5th Cir. 1995), the Commissioner was unable to point this court to any evidence in the record-other than a non-examining physician's opinion-that the claimant could stand for six hours without a rest break after each hour.

Nor has the Commissioner shown substantial justification for the ALJ's reliance on the opinion (that Plaintiff could stand for six hours in an eight hour work day) of a non-examining physician who evidently did not review Dr. Mohan's report and RFC assessment.[1] In the Fifth Circuit, "an ALJ may properly rely on a non-examining physician's assessment when... those findings are based upon a careful evaluation of the medical evidence and do not contradict those of the examining physician. " Carrier v. Sullivan, 944 F.2d 243, 246 (5th Cir. 1991)(quoting Villa v. Sullivan, 895 F.2d 1019, 1024 (5th Cir. 1990)). Neither of these requirements was shown to have been met in this case. Thus, contrary to the Commissioner's suggestion, Dr. Hand's opinion with regard to Plaintiff's ability to stand/walk did not constitute substantial evidence on which to base the ALJ's RFC determination. See Villa, supra . Accordingly, the Commissioner's position had no reasonable basis in law (including the Commissioner's own regulations and the law of this circuit); it was not reasonable for the Commissioner to defend the ALJ's decision; and Plaintiff is entitled to an award of attorney's fees. See generally Hooker v. Astrue, 3:08-CV-445-B, 2010 WL 3719231 (N.D. Tex. Sept. 20, 2010) (awarding fees because the underlying ALJ determination violated established Fifth Circuit law).

Reduction of Hours Expended on the Case

Here the Commissioner argues a "significant reduction" of the 51.25 hours which support Plaintiff's fee request is needed. The court has thoroughly reviewed Plaintiff's counsel's itemization of time, ...

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