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[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
________________________
No. 16-12306
Non-Argument Calendar
________________________
D.C. Docket No. 9:15-cv-80548-DLB
LORETTA BANKS,
for Jonathan C. Hunter,
Plaintiff-Appellant,
versus
COMMISSIONER, SOCIAL SECURITY ADMINISTRATION,
Defendant-Appellee.
________________________
Appeal from the United States District Court
for the Southern District of Florida
________________________
(April 21, 2017)
Before TJOFLAT, JULIE CARNES and JILL PRYOR, Circuit Judges.
PER CURIAM:
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Loretta Banks, on behalf of her son, Jonathan Hunter, appeals the district
court’s order affirming the Administrative Law Judge’s (“ALJ”) denial of
supplemental security income (“SSI”) pursuant to 42 U.S.C. § 1383(c)(3). Banks
raises three issues on appeal. First, she argues that the Appeals Council erred by
finding that evidence she submitted after the ALJ hearing did not relate back to the
period on or before the ALJ’s decision. Second, Banks asserts that the ALJ
improperly evaluated the opinion evidence. Third, she contends that the ALJ erred
in concluding that Hunter’s impairments did not meet, medically equal, or
functionally equal a listing impairment.
The Appeals Council properly determined that the new evidence Banks
submitted did not relate to the period on or before the ALJ’s decision. The new
evidence post-dated the decision, stemmed from experiences outside the relevant
time period, and described the onset of a new condition. Second, the ALJ properly
evaluated the opinions of Hunter’s treating physician, State medical agency
consultants, Banks, and Hunter’s teacher, assigning appropriate weight to each and
evaluating accordingly. Third, the ALJ did not err in concluding that Hunter’s
impairments did not meet a listing impairment. The evidence failed to show he
met the criteria of Listing 14.09, and the ALJ did not need to consult an expert on
medical equivalence because the evidence sufficiently supported a determination
of the claim. Furthermore, Banks waived her argument that Hunter’s impairments
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medically or functionally equaled a listing impairment by failing to argue the
merits, cite authority, or proffer evidence supporting each conclusion.
Accordingly, we affirm.
I.
Banks first argues that the new evidence she submitted to the Appeals
Council substantiates the severity of Hunter’s mental impairment and is contrary to
the weight of the ALJ’s findings and conclusions. Banks asserts that the evidence
showed that Hunter received treatment for depression, needed additional time for
school work, faced limitations in learning, walking, sitting, and breathing, and
received extra time to complete assignments and exams. She argues that although
she produced the new evidence in the month following the ALJ decision, it relates
to Hunter’s disability during the relevant time period.
When the Appeals Council refuses to consider new evidence submitted to it
and denies review, the decision is subject to judicial review. Washington v. Soc.
Sec. Admin., Comm’r, 806 F.3d 1317, 1320 (11th Cir. 2015). We review de novo
whether evidence meets the new, material, and chronologically relevant standard.
See id. at 1321. When the Appeals Council erroneously refuses to consider
evidence, it commits legal error and remand is appropriate. Id. When a claimant
properly submits new evidence to the Appeals Council, a reviewing court must
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consider whether that new evidence renders the denial of benefits erroneous.
Ingram v. Comm’r of Soc. Sec. Admin., 496 F.3d 1253, 1262 (11th Cir. 2007).
The Appeals Council must consider new, material, and chronologically
relevant evidence that the claimant submits. Washington, 806 F.3d at 1320; 20
C.F.R. § 416.1476(b)(1). Evidence is chronologically relevant if it “relates to the
period on or before the date” of the ALJ’s decision. See 20 C.F.R.
§ 416.1476(b)(1).
We previously recognized that medical opinions based on treatment
occurring after the date of the ALJ’s decision may be chronologically relevant.
See Washington, 806 F.3d at 1322. In Washington, we determined that medical
opinions based on treatment occurring after the ALJ’s decision were
chronologically relevant when based on experiences occurring during the time
period prior to the ALJ’s decision and a review of medical records from the period
before the ALJ’s decision. Id.
The Appeals Council properly determined that the new evidence did not
relate to the period on or before the ALJ’s decision. The new evidence post-dated
the decision, was not based on experiences from the relevant time period, and
described the onset of a new condition. See 20 C.F.R. § 416.1476(b)(1);
Washington, 806 F.3d at 1322. Both Dr. Kassover’s letter and the 504
Modification Plan were dated after February 18, 2014, and the evidence failed to
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show the chronological relevance of these documents to the period before the
ALJ’s decision. See Washington, 806 F.3d at 1322. Dr. Kassover’s letter merely
stated that Hunter was “being seen for depression,” without further explanation of
when she began seeing Hunter, whether she medically diagnosed Hunter with
depression, or whether Hunter suffered from depression prior to the date of the
letter. Unlike in Washington, evidence failed to indicate that Dr. Kassover based
his assessment on experiences occurring during the relevant time period or on her
review of medical records from the period before the ALJ’s decision. See 806 F.3d
at 1322. Additionally, even if the letter constituted a medical diagnosis, it
described the onset of a new condition after the date of the ALJ decision. While
Banks testified at the ALJ hearing that Hunter was “depressed sometimes,” a
search of the record and notes from Hunter’s treating physician did not indicate a
medically determinable mental impairment relating to depression through the date
of the ALJ’s decision. Finally, the 504 Modification Plan was created pursuant to
a meeting occurring after the ALJ’s decision, and did not state that the
accommodations listed were implemented on or before February 18, 2014.
Therefore, the Appeals Council properly determined that the new evidence Banks
submitted did not relate back to the period on or before February 18, 2014.
II.
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Banks argues that although the ALJ purported to accord controlling weight
to the opinion of Hunter’s treating physician, Dr. Goodman, the ALJ failed to
acknowledge Dr. Goodman’s statements that Hunter’s arthritis resulted in
significant and marked functional limitation or Dr. Goodman’s concern that
Hunter’s disease could lead to significant joint damage and progressive loss of
function if untreated. She also contends that the ALJ improperly weighted the
State agency medical consultants’ opinions because the consultants never
examined Hunter personally or reviewed Dr. Goodman’s treatment notes that post-
dated their opinions. Banks further argues that the ALJ improperly concluded that
a Function Report completed by Banks and a Teacher Questionnaire completed by
Hunter’s homeroom teacher showed that Hunter faced no problems in any of the
six functional equivalence domains. Banks asserts that the ALJ inadequately
weighed the forms because they contradicted the ALJ’s conclusion regarding
Hunter’s domains of movement, manipulating objects, health, and physical well
being.
We review the ALJ’s decision for substantial evidence, and the ALJ’s legal
conclusions de novo. Moore v. Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005).
Substantial evidence is more than a scintilla and is such relevant evidence as a
reasonable person would accept as adequate to support a conclusion. Winschel v.
Comm’r of Soc. Sec., 631 F.3d 1176, 1178 (11th Cir. 2011).
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All medical opinions in a claimant’s case record must be considered together
with other relevant evidence received. 20 C.F.R. § 416.927(b). The testimony of a
treating physician deserves substantial or considerable weight unless good cause is
shown to the contrary. Lewis v. Callahan, 125 F.3d 1436, 1440 (11th Cir. 1997).
Good cause exists where the evidence failed to bolster the doctor’s opinion, the
evidence supported a contrary finding, or the doctor’s opinions were conclusory or
inconsistent with their own medical records. Id.
State agency medical consultants are highly qualified and considered experts
in Social Security disability evaluation. See 20 C.F.R. § 416.927(e)(2)(i). The
regulations require an ALJ to consider findings and opinions of State agency
medical consultants as opinion evidence, except for the ultimate determination
about whether a claimant is disabled. See id.
There is no rigid requirement that the ALJ specifically refer to every piece of
evidence in his decision. Dyer v. Barnhart, 395 F.3d 1206, 1211 (11th Cir. 2005).
The ALJ properly considered the opinion evidence in the record. First, the
ALJ accorded controlling weight to Dr. Goodman’s opinion, which indicated the
weakness of Hunter’s grip strength, that he did not need an assistive device to walk
independently, and that he may have trouble with sustained manipulation due to
involvement of the right wrist. Nonetheless, the ALJ concluded that this did not
rise to the level of marked or extreme limitations on Hunter’s ability to function.
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The ALJ did not specifically mention Dr. Goodman’s statements that Hunter’s
arthritis led to significant and marked functional limitation, or indicate Dr.
Goodman’s concern that Hunter’s disease could lead to significant joint damage
and progressive loss of function if untreated. However, the ALJ need not
specifically refer to every piece of evidence in his decision. Dyer, 395 F.3d at
1211. Dr. Goodman’s statements were vague, conclusory, and failed to explain the
type of marked functional limitation Hunter experienced or the domains in which
his disease limited him. See Lewis, 125 F.3d at 1440 (indicating that good cause
exists to refrain from giving substantial or considerable weight to a treating
physician’s conclusory opinions). Moreover, Dr. Goodman’s statement of concern
over potential future joint damage was speculative and failed to describe Hunter’s
limitations at the time of evaluation.
Second, the ALJ properly weighed the opinions of the State agency medical
consultants. Although Dr. Hernandez and Dr. Prather reviewed the evidence in
April 2012 and July 2012, respectively, the ALJ considered their opinions along
with subsequent evidence, as indicated by his reference to Dr. Goodman’s
treatment notes from October 2012 through December 2013. Moreover, despite
the fact that neither Dr. Hernandez nor Dr. Prather personally treated Hunter, the
regulations provide that non-examining sources may offer opinion evidence and
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that State agency medical consultants are highly qualified and considered experts
in Social Security disability evaluations. See 20 C.F.R. § 416.927(e).
Third, the ALJ properly considered the Function Report and the Teacher
Questionnaire. He accorded great weight to both forms, which he concluded
indicated that Hunter faced no problems in any of the six domains. The Report
indicated through checked boxes that Hunter’s eyesight was impaired, his physical
abilities were limited, his impairments affected his ability to help himself and
cooperate with others in taking care of his personal needs, and his ability to focus
on a task was limited. However, in the sections reserved for explanation adjacent
to these areas, the form lacked a description of Hunter’s limitations. Hence, the
ALJ’s statement that the Function Report indicated no problems in the six
functional equivalence domains is consistent with the absence of any explanatory
information in the Report.
Furthermore, the Teacher Questionnaire indicated that Hunter faced
problems playing cooperatively with other children, making friends, seeking
attention appropriately, and following rules. Additionally, Hunter required
behavior modification strategies and was suspended for fighting. However, Dr.
Draper also indicated that Hunter encountered no problems in this domain and that
his functioning appeared age-appropriate. Out of the thirteen total activities in the
domain, Hunter received a “no problem” rating of 1/5 in nine activities. He did not
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receive any ratings above the “obvious problem” level of 3/5. Dr. Draper indicated
that Hunter showed age-appropriate functioning in all domains except for health
and well-being, of which she was unsure. Thus, the ALJ’s statement that the
Teacher Questionnaire indicated no problems in the six functional equivalence
domains is consistent with the ratings Dr. Draper assigned to Hunter. Even though
the ALJ did not expressly discuss Dr. Draper’s ratings of slight or obvious
problems, the ALJ was not required to refer to every piece of evidence in his
decision. See Dyer, 395 F.3d at 1211.
Thus, the ALJ properly evaluated the opinions of Hunter’s treating
physician, the State medical agency consultants, Banks, and Hunter’s teacher,
assigning the appropriate weight to each and evaluating accordingly. The ALJ’s
conclusions that the medical opinions, the Function Report, and the Teacher
Questionnaire indicated no problems or less-than-marked problems in the six
functional equivalence domains is consistent with the opinion evidence.
III.
Banks argues that the ALJ erred in concluding that Hunter’s impairments did
not meet or medically equal Listing 14.09, inflammatory arthritis. She contends
that the ALJ failed to consider the severity of Hunter’s depression, difficulty
concentrating, and side effects from medication, and that the evidence in the
record, such as Hunter’s school records and Dr. Goodman’s treatment notes,
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document the severity of Hunter’s physical and mental impairments and their
resulting functional limitations. She also asserts that the ALJ failed in its
obligation to obtain the advice of a medical expert on the issue of medical
equivalence. Finally, Banks contends that Dr. Goodman’s records show that
Hunter had either a marked or extreme limitation in four of the functional
equivalence domains, and, thus, his impairments functionally equaled a listing
impairment.
The ALJ did not err in concluding that Hunter’s impairments did not meet a
listing impairment, because the evidence did not show that he met the criteria of
any of the subsections of Listing 14.09. Further, the ALJ was not required to
consult an expert on medical equivalence, as the evidence was sufficient to support
a determination of the claim. See 20 C.F.R. § 416.919a(b); Ingram, 496 F.3d at
1269. Finally, Banks waived her argument that Hunter’s impairments medically or
functionally equaled a listing impairment by making no arguments on the merits of
each claim and citing to no authority or evidence to support each conclusion. See
Hamilton, 680 F.3d at 1319.
In determining whether an individual under the age of 18 is disabled, the
Commissioner uses a three-step, sequential evaluation process. 20 C.F.R.
§ 416.924(a). This process includes an analysis of whether the claimant: (1) is
engaging in substantial gainful activity; (2) has a severe and medically
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determinable impairment or a combination of impairments that is severe; and
(3) has an impairment, or combination thereof, that meets or medically equals, or
functionally equals, a Listing, and additionally meets the duration requirements.
20 C.F.R. § 416.924(a)-(d); see also id. § 416.926 (describing “medical
equivalence”); id. § 416.926a (describing “functional equivalence”). At step two,
the ALJ considers “all relevant information,” such as evidence from medical
sources and nonmedical sources, including testimony from the child’s parents and
teachers. Id. § 416.924a(a)(1)-(2). At step three, the ALJ looks to whether the
claimant has “marked” limitations in at least two of six domains, or an “extreme”
limitation in one domain. Id. § 416.926a(d); see id. § 416.926a(g)-(l). These
domains are: (1) acquiring and using information; (2) attending and completing
tasks; (3) interacting and relating with others; (4) moving about and manipulating
objects; (5) caring for oneself; and (6) health and physical well-being. Id.
§ 416.926a(b)(1).
To meet the criteria for subsections A and C1 of Listing 14.09, a claimant
must show “persistent inflammation or deformity in one major peripheral weight-
bearing joint resulting in the inability to ambulate effectively . . . or one major
peripheral joint in each upper extremity resulting in the inability to perform fine
and gross movements effectively.” 20 C.F.R. Pt. 404, Subpt. P., App. 1,
§ 14.09(D)(6)(e)(i). An inability to ambulate effectively means an “extreme
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limitation of the ability to walk,” such as when a person needs to use a walker or
cannot perform routine activities such as shopping or banking. 20 C.F.R. Pt. 404,
Subpt. P., App. 1, § 1.00(B)(2)(b)(1)-(2). Inability to perform fine and gross motor
movements refers to an extreme loss of functioning in both hands. 20 C.F.R. Pt.
404, Subpt. P., App. 1, § 1.00(B)(2)(c). To meet listing-level severity of
subsections B, C2, and D, the arthritis must involve various combinations of
complications of one or more major peripheral joints or other joints, such as
inflammation or deformity, extra-articular features, repeated manifestations, and
constitutional symptoms or signs. 20 C.F.R. Pt. 404, Subpt. P., App. 1,
§ 14.09(D)(6)(e)(ii). Meeting subsections C1 and C2 involves showing a diagnosis
of ankylosing spondylitis 1 or other spondyloarthropathies. 2 20 C.F.R. Pt. 404,
Subpt. P., App. 1, § 14.09.C. While the ALJ has a duty to develop the record, he
need not order a consultative examination as long as the record contains sufficient
evidence for him to make an informed decision. Ingram v. Comm’r of Soc. Sec.
Admin., 496 F.3d 1253, 1269 (11th Cir. 2007). The regulations stipulate that, in
cases that proceed to the ALJ level, the responsibility for deciding medical
equivalence rests with the ALJ. 20 C.F.R. § 416.926(e). Ordering a consultative
1
Ankylosing spondylitis is an inflammatory disease that, over time, can cause some of the
vertebrae in the spine to fuse. See Ankylosing spondylitis – Mayo Clinic, Mayo Clinic, Nov. 1,
2016, http://www.mayoclinic.org/diseases-conditions/ankylosing-spondylitis/home/ovc-
20261048.
2
Spondyloarthropathies are a group of arthritic diseases that can cause inflammation of the
spine. See Spondylitis – Cleveland Clinic, Cleveland Clinic, Nov. 4, 2014,
http://my.clevelandclinic.org/health/articles/spondyloarthropathy.
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examination is a discretionary matter for the ALJ and would be sought “to try to
resolve an inconsistency in the evidence or when the evidence as a whole is
insufficient to support a determination or decision” on the claim. 20 C.F.R. §
416.919a(b).
A passing reference to an issue in a brief is insufficient, and the failure to
make arguments and cite authorities in support of an issue results in waiver.
Hamilton v. Southland Christian Sch., Inc., 680 F.3d 1316, 1319.
Banks fails to demonstrate that Hunter met the criteria for Listing 14.09,3 as
his impairments did not meet the severity of any of its subsections. No evidence
shows that Hunter suffered from persistent inflammation or deformity that caused
an inability to walk effectively or perform fine or gross motor functions, a need for
an assistive device to walk, or an extreme loss of functioning in both hands. See
20 C.F.R. Pt. 404, Subpt. P., App. 1, §§ 1.00(B)(2)(b)(1)–(2), 14.09(D)(6)(e)(i).
Dr. Goodman indicated that Hunter had 5/5 grip strength and did not need a hand-
held assistive device to walk independently. Although Dr. Goodman stated that
Hunter may have trouble performing sustained fine or gross manipulations due to
involvement of the right wrist, he did not state that Hunter faced an extreme loss of
3
The Commissioner contends that Banks waived the entire issue of whether Hunter’s
impairments met or medically equaled a listing impairment. See Hamilton, 680 F.3d at 1319.
However, Banks cites to specific evidence and symptoms that she contends the ALJ overlooked
in its analysis and, thus, sufficiently argues that Hunter met or equaled the criteria of Listing
14.09. However, to the extent that Banks argues that Hunter met or equaled the criteria of a
listing impairment other than 14.09, she waived the argument by failing to name the impairment,
any of its criteria, or any evidence to support such a conclusion. See Hamilton, 680 F.3d at 1319.
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functioning in both hands. See 20 C.F.R. Pt. 404, Subpt. P., App. 1, §
1.00(B)(2)(c).
Furthermore, the record fails to demonstrate that Hunter had various
combinations of complications of one or more major peripheral joints or other
joints, such as inflammation or deformity, extra-curricular features, repeated
manifestations, and constitutional symptoms or signs. See 20 C.F.R. Pt. 404,
Subpt. P, App. 1, § 14.09(D)(6)(e)(ii). Dr. Goodman noted in March 2012 that
Hunter’s condition was not inflammatory. He noted between January 2012 and
December 2013 that “pertinent negatives” included activity limitation, fatigue,
headache, joint swelling, and weight loss, as well as weakness on all of these visits
except January 2013. Moreover, no diagnosis of ankylosing spondylitis or other
spondyloarthropathies existed to satisfy subsection C. See 20 C.F.R. Pt. 404,
Subpt. P., App. 1, § 14.09.C. Accordingly, Hunter’s impairments did not meet the
criteria of Listing 14.09.
Regarding medical equivalence, Banks waived her argument that Hunter’s
impairments medically equaled a listing impairment. She makes no arguments on
the merits of the issue and cites no authority or evidence to support that conclusion.
See Hamilton, 680 F.3d at 1319. Banks merely includes a one-sentence
argument—a conclusory statement that Dr. Goodman’s records show that Hunter
demonstrated a marked or extreme limitation in the domains of attending and
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completing tasks, interacting and relating with others, caring for himself, and
health and physical well-being. See Hamilton, 680 F.3d at 1319. In addition,
Banks’s contention that the ALJ had a duty to consult an expert on the issue of
medical equivalence is meritless. The ALJ is not required to do so because the
record contained sufficient evidence to reach an informed decision, and the
evidence as a whole sufficiently supported a determination of the claim. See 20
C.F.R. § 416.919(b); Ingram, 496 F.3d at 1269. For example, the evidence
included records spanning two years of notes from Hunter’s treating physician, as
well as a Function Report, school records, and the opinions of two State agency
medical consultants.
In conclusion, upon review of the record and consideration of the briefs, we
affirm.
AFFIRMED.
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