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.