NPRM On Evidence In Disability Claims

     What immediately jumps out at me from a 176 page Notice of Proposed Rule-Making (NPRM) that Social Security is publishing in the Federal Register tomorrow:

• We propose to revise our rules in 20 CFR 404.1504 and 416.904 to state that we will not provide any analysis in our determinations and decisions about how we consider decisions made by other governmental agencies or nongovernmental entities that an individual is disabled, blind, or unemployable in any claim for disability or blindness under titles II and XVI of the Act , and that we are no t bound by those decisions. Although we would categorize decisions made by other governmental agencies or nongovernmental entities within the other medical evidence category if made by a medical source or a statement if made by a nonmedical source , we propose to state in 20 CFR 404.1520b and 416.920b that these decisions are inherently neither valuable nor persuasive to our disability and blindness determinations. ...
• [W]e propose to state in 20 CFR 404.1520b(c)(2) and 416.920b(c)( 2 ) that we will not provide any analysis about how we considered disability examiner findings from a prior level of adjudication ...
• Consistent with our goals to better define and organize our evidence regulations to produce more accurate and consistent determinations and decisions, we propose to define a statement on an issue reserved to the Commissioner as a statement that would direct the determination or decision of disability. ... Although a statement on an issue reserved to the Commissioner would be categorized within other medical evidence if made by a medical source or a statement if made by a nonmedical source, w e would not provide any analysis about how we consider ed such statements at all in our determinations and decisions . ...
• To help adjudicators, representatives, and courts identify statements on issues reserved to the Commissioner, we propose to include the following in 20 CFR 404.1520b(c)(3) and 416.920b(c)(3) : 

• statements that an individual is or is not disabled, blind, able to work, or able to perform regular or continuing work;  
• statements about whether or not an individual’s impairment(s) meets the duration requirement for disability; statements about whether or not an individual’s impairment(s) meets or equals any listing in the Listing of Impairments; 
• in title XVI child claims, statements about whether or not an individual’s impairment(s) functionally equals the Listings; 
• in adult claims, statements about what an individual’s RFC is using our programmatic terms about the functional exertional levels in Part 404, Subpart P, Appendix 2, Rule 200.00 in stead of descriptions about his or her functional abilities and limitations ; 
• in adult claims, statements about whether or not a n individual’s RFC prevents him or her from doing past relevant work; 
• in adult claims, statements that an individual does or does not meet the requirements of a medical-vocational rule in Part 404, Subpart P, Appendix 2 ; and  statements about whether or not a n individual's disability continues or ends when we conduct a continuing disability review (CDR) . ...

• In order to assist representatives and our adjudicators in interpreting our rules, we propose to revise our rules to state affirmatively our current policy that we will not use a diagnosis, medical opinion, or an individual's statement of symptoms to establish the existence of an impairment(s). We would clarify our rules to state that a physical or mental impairment must be established by objective medical evidence from an AMS. We would continue to follow our current policy if we have objective medical evidence from an AMS that a claimant has a severe impairment(s) at step 2, we will consider all evidence to determine the severity of the impairment(s) and all other findings in the sequential evaluation process. ...
• [W]e propose several revisions to how we consider medical opinions and prior administrative medical findings. First, we would no longer give a specific weight to medical opinions and prior administrative medical findings; this includes giving controlling weight to medical opinions from treating sources. Instead, we would consider the persuasiveness of medical opinions and prior administrative medical findings using the factors described below. Second, we propose to consider supportability and consistency as the most important factors. Finally, we propose to reorganize the factors to: (1) list the supportability and consistency factors first, (2) include a "relationship with the claimant" factor that combines the content of the current examining relationship and treatment relationship factors, (3) list individually the three different factors currently combined as other factors, and (4) restate the factors using consistent sentence structure. ... 

     You would think in reading this that Social Security believes that the federal courts are packed with Republican appointees eager to go along with anything hostile to disability claimants. Good luck with that theory. If this is finally adopted, which is doubtful, expect it to be eviscerated by the federal courts.

New Mental Impairment Listings Approved But Won't Be Published Until December

     The Office of Management and Budget (OMB) has finished reviewing Social Security's proposed amendments to the agency's Listings on mental illness and intellectual disability and has approved them. The Listings are a major part of Social Security's policies on evaluating mental illness in disability claims. 

     The process that produced this dates all the way back to 2003. This particular draft was first published in 2010. 

     This proposal has been extremely controversial. Normally, new regulations are published in the Federal Register within a week or two after OMB approval. They come into effect thereafter. However, Social Security recently told the National Organization of Social Security Claimants Representatives (NOSSCR) that it was not planning to publish the revisions to the mental impairment Listings until December. This strongly suggests to me that the agency knows the new mental impairment Listings will be controversial and wishes to put off releasing them until after the election. They want to dump them in the Federal Register during the holiday season with the transition to a new administration underway. 

     I've been representing Social Security disability claimants since 1979. Disability claimants suffering from mental illness are being treated the worst now that they're been treated since about 1983. Claimants with intellectual disability are being treated worse now than at any time in my career. I expect the new Listings will try to crystallize the current restrictive policies. What a legacy for Carolyn Colvin.

Not Happy About Being Number One

      From WSOC-TV:

Thousands of people nationwide seeking disability assistance are waiting months, or even years, for Social Security to hear their cases.

The Charlotte review office has the biggest backlog of all the 170 offices across the nation.

The latest numbers show that Charlotte has 14,456 pending cases. People wait an average of 622 days for their appeals to be heard, almost 100 days more than the national average.

Randy van Hoosan's wife has multiple sclerosis and said that four years ago she realized she couldn't work anymore.

When she applied for disability, she was denied. He said she appealed in October 2014, but almost two years later she's still waiting for her appeal to be heard.

The couple filed bankruptcy in December. They said they lost their house, a car and "just live day to day." ...

They contacted U.S. Sen. Richard Burr's office and got a letter back last month, saying they should expect to wait another 18 to 24 month. ...

Wisconsin ALJ Taken Off Regular Duties Because Of Comments About Claimants

     From the Milwaukee Journal Sentinel:

Administrative law judge John H. Pleuss has been removed from the list of judges within the computer system at the Social Security’s Madison Office of Adjudication and Review, and all of his 60 cases through the end of 2016 have been reassigned, according to two whistle-blowers from the administration and a copy of the list provided to the Milwaukee Journal Sentinel. ...

Pleuss described disability claimants in his notes using shorthand phrases such as "very black, African looking woman (actually a gorilla-like appearance),” “buxom,” and "attractive; looks innocent,” the Milwaukee Journal Sentinel and a conservative website, Wisconsin Watchdog, have reported. ...

Although Pleuss remains at the Madison office in some capacity, office director Laura Hodorowicz and group supervisor Wayne Gentz have both been removed from the hearing office and its directory, according to Holland, lead case technician Machelle Keller and a copy of the directory provided to the Journal Sentinel. ...

     Pleuss was approving 55% of the cases he heard.

That Two Factor Authentication Fiasco Was Even Worse Than You Thought

     Last month Social Security introduced two factor authentication for its online systems. Claimants would have to enter a password and then enter a second passcode delivered to them via a text message in order to enter Social Security's online systems. Social Security had to beat a hasty retreat two weeks later as senior citizens protested that they didn't have text access.

     As embarrassing as the two factor authentication seemed, the reality was even worse. Computerworld reveals that in the same month that Social Security introduced two factor authentication, the National Institute of Standards and Technology warned federal agencies not to use two factor authentication.

     Social Security is still requiring two factor authentication for attorneys using its online systems. Can we now dispense with that?

Happy Labor Day

Let Me Tell You A Story

     Let me tell you about a client. I'll change a few minor details to protect her identity but nothing that affects the account in a material way. We'll call my client Greta. Greta's mother was a German national. Her father was a U.S soldier stationed in Germany. Greta's mother didn't marry Greta's natural father. However, Greta's mother later married another U.S. soldier and moved to the United States with Greta when Greta was four. Greta hasn't been back to Germany since. She doesn't remember being there. She wonders whether a trip back to Germany would rekindle some memories. She speaks no German. She went to school in the United States. She got a Social Security card. She worked in the United States. She married and had children in the United States. She never tried to register to vote because she just wasn't interested. She never tried to get a passport because she didn't have the money to travel outside the country. There was never a problem until Greta applied for Social Security retirement benefits. At that point, it was discovered that Greta wasn't a citizen. What's more, she didn't have a green card. Although Greta came to the United States legally, she had become an illegal immigrant because the proper steps hadn't been taken to regularize her immigration status. This amazed Greta. She knew she was born in Germany but thought she had become an American citizen when she was a child. That's what should have happened. It would have been easy but her parents never did what they needed to do. While Greta has enough quarters of coverage to get Social Security retirement benefits, she can't be paid until Greta sorts out her immigration status with the Immigration and Naturalization Service (INS). This will be done. INS isn't being difficult. They're sympathetic. They agree that she deserves a green card. She may even be entitled to citizenship without the normal formalities because she was brought to the United States as a child by her U.S. citizen stepfather. However, the INS is slow. Sorting this out will take well over a year.

     Donald Trump wants to throw all illegal immigrants out of the country. At the moment Greta is an illegal immigrant. Do you want to round up Greta, put her in detention and then deport her to Germany? Do you want to punish her for the negligence of her parents more than 50 years ago? Greta wasn't born in Mexico but what if she had been and had been brought to the U.S. by a stepfather who was a U.S. citizen? Would that affect how you feel about the situation?

CCD Opposes NPRM On Medical Evidence

     The Coalition for Citizens with Disabilities (CCD), the largest umbrella group of organizations involved in advocating for persons with disabilities, has submitted comments on Social Security's Notice of Proposed Rule-Making (NPRM) on ensuring program uniformity at Social Security. CCD opposes the changes for these reasons (which are elaborated on in the CCD letter):

1. Creating an arbitrary deadline for the submission of evidence is inconsistent with the statutory and regulatory duties of the Commissioner to fully develop the record and inconsistent with the duties of claimants to submit all evidence as required in 20 C.F.R. §404.1512 and §416.912.

2. Excluding material evidence is administratively inefficient and will increase appeals to the Appeals Council and to federal court.

3. The proposed rule ignores the reality that testimony, and sometimes new evidence, is routinely introduced at or after ALJ hearings, and claimants and representatives need the opportunity to respond.

4. Serious problems and inconsistencies exist with the implementation of the 5 business day rule in Region I.