Justia Public Benefits Opinion Summaries

Brandon Phillips, who had several Missouri marijuana-possession convictions, pleaded guilty to a federal felon-in-possession charge. Despite Missouri legalizing marijuana and planning to expunge certain convictions, the district court sentenced him to 120 months in prison and imposed a lifetime ban on federal benefits.The United States District Court for the Eastern District of Missouri overruled Phillips's objection that his criminal history was overstated due to Missouri's legalization of marijuana. The court stated it would have imposed the same sentence regardless of the marijuana convictions. Phillips's marijuana convictions were still on record at the time of sentencing, although they were later expunged. Phillips argued that the expungement should require resentencing.The United States Court of Appeals for the Eighth Circuit reviewed the case. The court found that Phillips did not preserve the expungement issue for appellate review, as he did not clearly state the grounds for his objection in the district court. The court also determined that even if the issue had been preserved, the district court would have imposed the same sentence based on the 18 U.S.C. § 3553(a) factors, considering Phillips's reoffending on parole and possession of a large quantity of fentanyl.However, the Eighth Circuit vacated the federal-benefits ban, finding it was a plain error to apply it to Phillips, as the ban only applies to drug distributors, not gun possessors. The court held that the district court's application of the ban was clearly incorrect and affected Phillips's substantial rights. The court affirmed the 120-month prison sentence but vacated the federal-benefits ban. View "United States v. Phillips" on Justia Law

Shannon Montgomery filed a claim for disability benefits in May 2013, citing medical conditions including chiari malformation, syringomyelia, syrinx cavities, and degenerative disc disorder. An administrative law judge (ALJ) denied his claim, and the Appeals Council declined to review the decision. Montgomery then sought judicial review. In 2016, the district court reversed the SSA's decision and remanded the case, ordering a consultative examination and consideration of Montgomery's work history. Despite this, the ALJ again denied the claim without the required examination, leading to another remand. Eventually, after multiple remands and hearings, the ALJ denied the claim again in January 2022, finding Montgomery had severe impairments but could perform light work.The district court affirmed the ALJ's decision, and Montgomery appealed to the United States Court of Appeals for the Eighth Circuit. The appellate court reviewed the case de novo, focusing on whether the ALJ's decision was supported by substantial evidence. The court noted that the ALJ followed the five-step process for determining disability and found that Montgomery's impairments did not meet or equal any listed impairments. The ALJ concluded that Montgomery had the residual functional capacity (RFC) to perform light work and could adjust to other work available in the national economy.The Eighth Circuit addressed Montgomery's arguments regarding the 2016 Remand Order and found that the ALJ had complied with the order by considering Montgomery's work history and obtaining a consultative examination. The court also found that substantial evidence supported the ALJ's RFC assessment and denial of benefits, including opinions from state agency physicians and a medical expert. Consequently, the Eighth Circuit affirmed the district court's judgment, upholding the denial of Montgomery's disability benefits. View "Montgomery v. O'Malley" on Justia Law

Christina Barrera, the office manager at PowerMed, was involved in a scheme to help unqualified individuals, mainly employees of AB InBev, fraudulently obtain disability benefits from the Social Security Administration (SSA) and private insurers. Patients paid PowerMed $21,600 for a "disability package" that included unnecessary medical tests and assistance in fraudulently applying for disability benefits. Barrera explained the scheme to patients, helped them complete paperwork, and coached them on how to appear disabled. An undercover officer's investigation led to Barrera's indictment and subsequent trial, where a jury found her guilty of conspiracy to defraud the SSA but acquitted her of health care fraud and theft of government funds.The United States District Court for the Eastern District of Missouri sentenced Barrera, ordering her to pay restitution to the SSA and private insurers. The presentence investigation report (PSR) recommended $339,407.80 in restitution to the SSA, but the Government argued for additional restitution to private insurers, totaling $203,907.62. The district court adopted the Government's figures, ordering Barrera to pay a total of $543,315.42 in restitution. After Barrera's sentencing, her co-conspirator Clarissa Pogue was sentenced but was not required to pay restitution to private insurers, leading Barrera to appeal.The United States Court of Appeals for the Eighth Circuit reviewed the case. The court held that Barrera's criminal conduct included defrauding private insurers as part of the scheme to defraud the SSA, affirming the district court's decision to order restitution to private insurers. However, the court found errors in the calculation of restitution amounts for Prudential and MetLife, vacating those portions and remanding for further proceedings. The court rejected Barrera's argument regarding sentencing disparities with Pogue, emphasizing that the statutory direction to avoid unwarranted sentence disparities refers to national disparities, not differences among co-conspirators. The judgment was affirmed in part, vacated in part, and remanded. View "United States v. Barrera" on Justia Law

Catherine Bradford applied for Social Security disability insurance benefits and supplemental security income, claiming she became unable to work due to multiple ailments. Her disability insurance coverage expired on September 30, 2018, and to receive benefits, she had to establish that her period of disability began between April 24, 2015, and September 30, 2018. Bradford also sought supplemental security income payments for the period between April 24, 2015, and April 8, 2020. Bradford's medical records included opinions from a nurse practitioner, three state-agency physicians, and a family medicine practitioner.The administrative law judge (ALJ) determined that Bradford had not performed substantial gainful activity since the date of her alleged disability and that she was severely impaired by multiple ailments. However, the ALJ found that none of these impairments, either individually or in combination, met or medically equaled the severity of any impairment listed in the relevant regulation. The ALJ assessed Bradford’s residual functional capacity before April 9, 2020, and concluded that she was capable of performing light work, subject to certain limitations. The ALJ determined that Bradford’s limitations did not preclude her from performing her past work as a housekeeper, laundry aide, or factory cleaner. The ALJ gave Nurse Ash’s opinion little weight and gave great weight to the opinions of the state-agency physicians and Dr. Keown.The Appeals Council denied review, and the district court granted judgment for the Commissioner. Bradford appealed, arguing that the ALJ committed legal error by disregarding a prior remand order of the district court and disputing the ALJ’s conclusion that she could perform light work. The United States Court of Appeals for the Eighth Circuit affirmed the district court's decision, concluding that the ALJ permissibly weighed the evidence and committed no legal error. The court found that the ALJ's determination that Bradford could stand for six hours and perform light work was supported by substantial evidence. View "Bradford v. Kijakazi" on Justia Law

Kevin Ross filed for disability insurance benefits due to deep vein thrombosis in the left hip, a cervical spine disc replacement, and a bulging disc in the lumbar spine. Ross contended that these ailments rendered him incapable of working in the national economy. However, the Social Security Administration denied Ross's claim, and the administrative law judge (ALJ) affirmed the denial. Ross sought judicial review, but the United States District Court for the Eastern District of Arkansas affirmed the ALJ's decision.Ross appealed to the United States Court of Appeals for the Eighth Circuit, arguing that the ALJ overlooked his inability to move his neck up and down and his back limitations. He also argued that the ALJ improperly discredited his testimony regarding the severity of his symptoms. The appellate court held that substantial evidence supported the ALJ's decision, noting that the medical record contained contradictory findings about Ross's neck movement and back limitations. The court also found that the ALJ properly discredited Ross's testimony since the evidence as a whole was inconsistent with Ross's claims. The court affirmed the district court's decision, holding that Ross was not disabled and could work as a document preparer and surveillance system monitor. View "Ross v. O'Malley" on Justia Law

Plaintiff applied for and was denied disability benefits from the Social Security Administration (“SSA”). Plaintiff appealed the decision to the District of Minnesota, arguing in part that the Administrative Law Judge (“ALJ”) who oversaw the case lacked authority because SSA Acting Commissioner Nancy Berryhill was not properly serving as Acting Commissioner when she ratified the ALJ’s appointment. The district court agreed.   The Eighth Circuit reversed. The court found that Berryhill was properly serving as Acting Commissioner when she ratified the appointment. Plaintiff argued the district court’s decision can be affirmed because Berryhill was never directed to serve by the president. In essence, he argued the 2016 succession memo became null and void when administrations changed in 2017. The court concluded that this argument fails. The general rule is that presidential orders without specific time limitations carry over from administration to administration. Plaintiff provides no authority indicating succession orders are any different from other presidential orders. The text of the FVRA likewise does not change the default position that presidential orders, including succession memos under the FVRA, carry over from one administration to the next. View "Brian Dahle v. Kilolo Kijakazi" on Justia Law

Plaintiff appealed the district court’s order upholding a decision by the Commissioner of the Social Security Administration denying her disability insurance benefits and supplemental security income. She argued that the Commissioner’s decision was not supported by substantial evidence. Plaintiff contends that the ALJ failed to sufficiently articulate his rationale for rejecting Plaintiff’s treating physician’s opinion, rendering the ALJ’s decision legally erroneous and unsupported by substantial evidence on the record as a whole.   The Eighth Circuit affirmed. The court held that ALJ was justified in finding the physician’s opinion unpersuasive. The opinion’s bare, formulaic conclusion presumptively warranted little evidentiary weight “because it was rendered on a check-box and fill-in-the-blank form.” The physician checked some boxes and left blank the short-answer section asking what objective medical findings supported his assessment. The ALJ also found the checkbox form “unsupported and highly inconsistent” with the record because the physician’s conservative treatment plan, other medical opinions, and Plaintiff’s own descriptions of her activities contradict the checkbox assessment. View "Vickie Nolen v. Kilolo Kijakazi" on Justia Law

Plaintiff appealed the district court’s1 order upholding the Commissioner of the Social Security Administration’s (Commissioner) denial of Social Security disability insurance benefits, arguing that the Commissioner’s decision was not supported by substantial evidence. Plaintiff challenged two aspects of the Commissioner’s decision. First, Plaintiff argued that the ALJ committed legal error by improperly evaluating the medical evidence. Second, Plaintiff argued that the ALJ’s RFC assessment was unsupported by substantial evidence. 
 The Eighth Circuit affirmed. The court explained that the ALJ found that Plaintiff had the RFC to “perform light work . . . ; except, she should avoid extreme cold and wetness, avoid work in direct sunlight, and avoid loud noises.” Central to this finding was the ALJ’s conclusion that Plaintiff’s surgically implanted neurostimulator resulted in “on-going symptom control without a consistent description of debilitating pain or the inability to function.” A lack of evidence of treatment in the months prior to the hearing undermines Plaintiff’s claim of disabling headaches. The court ultimately concluded that the ALJ’s RFC assessment is within the “available zone of choice” provided by the whole record. View "Lisa Austin v. Kilolo Kijakazi" on Justia Law

Plaintiff appealed from the district court’s judgment upholding the Social Security Commissioner’s denial of her application for social security disability insurance benefits. She argues that the administrative law judge (ALJ) believed that she lacked the ability to follow detailed instructions, but failed to include that limitation in the hypothetical question posed to the vocational expert or in the residual functional capacity finding. Plaintiff also contends that the ALJ failed to adequately explain why only partial weight was given to the opinions of her treating mental health providers.   The Eighth Circuit affirmed. The court considered the fact that the ALJ had found earlier in the decision that Plaintiff had only a moderate limitation in understanding, remembering, and applying information. The sentence could thus be read as finding the opinion “not necessarily pertinent,” because the ALJ was not giving controlling weight to the providers’ opinion and because Plaintiff’s moderate limitations were accounted for in the hypothetical question and the residual functional capacity determination.Further, the court found to be unpersuasive Plaintiff’s alternative argument that the ALJ failed to adequately explain why she gave only partial weight to the testimony of Plaintiff’s mental health providers- a licensed independent social worker and an advanced registered nurse practitioner. Under the regulations, neither mental health provider is considered an acceptable medical source whose opinion may be afforded controlling weight. Moreover, their opinion was “entitled to relatively little evidentiary value” because it was “rendered on a check-box and fill-in-the-blank form.” Thus, the court concluded that substantial evidence supported the ALJ’s denial of benefits. View "Melissa Galloway v. Kilolo Kijakazi" on Justia Law

After voluntarily leaving his job due to back problems, Plaintiff applied for disability insurance benefits. The Social Security Administration found that he was not disabled and denied his application. Plaintiff sought judicial review and the district court1 affirmed. He appealed, arguing that the agency’s decision was not supported by substantial evidence.   The Eighth Circuit affirmed, explaining that when reviewing the denial of disability insurance benefits, the court decides whether the findings are supported by substantial evidence on the record as a whole. Here, Plaintiff claims that his treating physician’s opinion was entitled to deference. However, the court explained, that under the current regulations, however, treating physicians are not entitled to special deference. And although Plaintiff may disagree with the ALJ’s conclusion, it is supported by substantial evidence on the record as a whole. View "Jason Bowers v. Kilolo Kijakazi" on Justia Law