Social Security Acquiescence Ruling 24-1(6); Rescission of Social Security Acquiescence Ruling 98-3(6) and Social Security Acquiescence Ruling 98-4(6), 92992-92995 [2024-27466]
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Federal Register / Vol. 89, No. 227 / Monday, November 25, 2024 / Notices
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SOCIAL SECURITY ADMINISTRATION
[Docket No. SSA–2022–0002]
Social Security Acquiescence Ruling
24–1(6); Rescission of Social Security
Acquiescence Ruling 98–3(6) and
Social Security Acquiescence Ruling
98–4(6)
Social Security Administration.
Notice of Social Security
Acquiescence Ruling (AR) and
rescission of two Social Security ARs.
AGENCY:
ACTION:
Presidential Declaration Amendment of
a Major Disaster for Public Assistance
Only for the State of Florida
U.S. Small Business
Administration.
AGENCY:
ACTION:
Amendment 4.
This is an amendment of the
Presidential declaration of a major
disaster for Public Assistance Only for
the State of Florida (FEMA–4828–DR),
dated October 5, 2024.
Incident: Hurricane Helene.
SUMMARY:
Issued on November 1, 2024.
Incident Period: September 23, 2024
through October 7, 2024.
Physical Loan Application Deadline
Date: December 4, 2024.
Economic Injury (EIDL) Loan
Application Deadline Date: July 7, 2025.
DATES:
Visit the MySBA Loan
Portal at https://lending.sba.gov to
apply for a disaster assistance loan.
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
Vanessa Morgan, Office of Disaster
Recovery & Resilience, U.S. Small
Business Administration, 409 3rd Street
SW, Suite 6050, Washington, DC 20416,
(202) 205–6734.
The notice
of the President’s major disaster
declaration for Private Non-Profit
organizations in the State of Florida,
dated October 5, 2024, is hereby
amended to include the following areas
as adversely affected by the disaster.
SUPPLEMENTARY INFORMATION:
Primary Counties: Collier, Lee, Marion,
Sumter.
All other information in the original
declaration remains unchanged.
16 17
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CFR 200.30–3(a)(12).
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The Commissioner of Social
Security is giving notice of Social
Security Acquiescence Ruling 24–1(6)
and rescission of Social Security
Acquiescence Ruling 98–3(6) and Social
Security Acquiescence Ruling 98–4(6).
DATES: We will apply this ruling on
December 2, 2024.
FOR FURTHER INFORMATION CONTACT:
Mona Ahmed, Office of the General
Counsel, Office of Program Law, Social
Security Administration, 6401 Security
Boulevard, Baltimore, MD 21235–6401,
(410) 965–0600, or TTY 410–966–5609,
for information about this notice. For
information on eligibility or filing for
benefits, call our national toll-free
number, 1–800–772–1213 or TTY 1–
800–325–0778, or visit our internet site,
Social Security Online, at https://
www.socialsecurity.gov.
SUPPLEMENTARY INFORMATION: We are
rescinding Social Security Acquiescence
Ruling (AR) 98–3(6) and Social Security
AR 98–4(6) and publishing this Social
Security AR, in accordance with 20 CFR
402.35(b), 404.985(a), (b), and
416.1485(a), (b), to explain how we will
apply the holding in Earley v.
Commissioner of Social Security, 893
F.3d 929 (6th Cir. 2018), regarding the
effect of prior disability findings on the
adjudication of a subsequent disability
claim.
An AR explains how we will apply a
holding in a United States Court of
Appeals decision that we determine
conflicts with our interpretation of a
provision of the Social Security Act
(Act) or regulations when the
Government has decided not to seek
further review of that decision or is
unsuccessful on further review.
On June 1, 1998, we issued AR 98–
3(6) (63 FR 29770) and AR 98–4(6) (63
SUMMARY:
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Federal Register / Vol. 89, No. 227 / Monday, November 25, 2024 / Notices
FR 29771) to explain how we would
apply the holdings in Dennard v.
Secretary of Health & Human Services,
907 F.2d 598 (6th Cir. 1990), and
Drummond v. Commissioner of Social
Security, 126 F.3d 837 (6th Cir. 1997),
respectively. Both ARs provided
instructions for adjudicating a
subsequent disability claim, with an
unadjudicated period, arising under the
same title of the Act as the prior claim,
where the claimant resided within the
Sixth Circuit. AR 98–3(6) (for Dennard)
stated that adjudicators must adopt a
finding from the final decision by an
administrative law judge (ALJ) or the
Appeals Council (AC) of the demands of
the claimant’s past relevant work, or a
finding of the claimant’s date of birth
(for the purposes of ascertaining their
age), education, or work experience
unless there is new and material
evidence relating to such a finding or
there has been a change in the law,
regulations, or rulings affecting the
finding or the method for arriving at the
finding. Similarly, AR 98–4(6) (for
Drummond) stated that adjudicators
must adopt certain findings from the
final decision by an ALJ or the AC in
determining whether the claimant is
disabled with respect to an
unadjudicated period, unless there is
new and material evidence relating to
such a finding or there has been a
change in the law, regulations, or
rulings affecting the finding or the
method for arriving at the finding. AR
98–4(6) stated that it applied only to a
finding of a claimant’s residual
functional capacity (RFC) ‘‘or other
finding required at a step in the
sequential evaluation process for
determining disability provided under
20 CFR 404.1520, 416.920 or 416.924, as
appropriate, which was made in a final
decision by an ALJ or the Appeals
Council on a prior disability claim.’’
On June 27, 2018, the United States
Court of Appeals for the Sixth Circuit
issued a decision in Earley v.
Commissioner of Social Security, 893
F.3d 929 (6th Cir. 2018), in which it
clarified its intent in Drummond and
interpreted the holding in Drummond to
be more limited than described in AR
98–4(6). Whereas AR 98–3(6) and AR
98–4(6) required the adjudicator to
adopt findings in an earlier disability
decision unless there is new and
material evidence, Earley indicates that
it is fair for the adjudicator to consider
prior findings as legitimate, albeit not
binding, in reviewing a subsequent
application. The court in Earley
recognizes that a new application
covering a new period deserves a new
review, but prior ALJ and AC findings
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and the earlier record may have
probative value in that review. The
court also indicates that res judicata
principles would apply where the new
application covers the same dates, and
no new evidence is introduced.
Although the Earley decision does not
apply or discuss Dennard, the court’s
explanations in Earley also clarify the
Sixth Circuit’s view on the issues
addressed in AR 98–3(6) (for Dennard).
Indeed, in Drummond, which the Earley
decision addresses in depth, the Sixth
Circuit relied in part on Dennard. The
Sixth Circuit in Earley interpreted
Drummond more narrowly than the
Social Security Administration (SSA)
did in AR 98–4(6), and the Sixth
Circuit’s explanations in Earley clarify
the standard or the approach for the
issues addressed in both AR 98–3(6) and
AR 98–4(6). Therefore, we are
rescinding ARs 98–3(6) and 98–4(6) and
publishing this single, new AR to
provide instructions on the effect of
prior disability findings on the
adjudication of a subsequent disability
claim in the Sixth Circuit.
We will apply the holding of the
Court of Appeals’ decision as explained
in this Social Security AR to claims at
all levels of administrative adjudication
within the Sixth Circuit. This Social
Security AR will apply to all
determinations and decisions made on
or after December 2, 2024]. If we made
a determination or a decision on an
application for benefits between June
27, 2018, the date of the Court of
Appeals’ decision in Earley v.
Commissioner of Social Security, 893
F.3d 929 (6th Cir. 2018), and December
2, 2024, the effective date of this Social
Security AR, an individual may request
application of this Social Security AR to
their claim. However, the individual
must first demonstrate, pursuant to 20
CFR 404.985(b)(2) or 416.1485(b)(2),
that application of the ruling could
change our prior determination or
decision.
If we later rescind this AR as obsolete,
we will publish a notice in the Federal
Register to that effect, as provided in 20
CFR 404.985(e) and 416.1485(e). If we
decide to relitigate the issue covered by
this AR, as provided by 20 CFR
404.985(c) and 416.1485(c), we will
publish a notice in the Federal Register
stating that we will apply our
interpretation of the Act or regulations
and explaining why we decided to
relitigate the issue.
(Federal Assistance Listings, Program Nos.
96.001 Social Security Disability Insurance;
96.002 Social Security Retirement Insurance;
96.004 Social Security Survivors Insurance;
96.006 Supplemental Security Income)
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92993
The Commissioner of Social Security,
Martin O’Malley, having reviewed and
approved this document, is delegating
the authority to electronically sign this
document to Erik Hansen, a Federal
Register Liaison for the Social Security
Administration, for purposes of
publication in the Federal Register.
Erik Hansen,
Associate Commissioner for Legislative
Development and Operations, Social Security
Administration.
Acquiescence Ruling 24–1(6)
Earley v. Commissioner of Social
Security, 893 F.3d 929 (6th Cir. 2018)
(Interpreting Drummond v.
Commissioner of Social Security, 126
F.3d 837 (6th Cir. 1997)): Effect of Prior
Disability Findings on Adjudication of a
Subsequent Disability Claim—Titles II
and XVI of the Act
Issue
Whether, in making a disability
determination or decision on a
subsequent disability claim with respect
to an unadjudicated period, the Social
Security Administration (SSA) must
consider a finding of a claimant’s
residual functional capacity (RFC) or
other finding required under the
applicable sequential evaluation process
for determining disability, made in a
final decision by an administrative law
judge (ALJ) or the Appeals Council (AC)
on a prior disability claim.
Statute/Regulation/Ruling Citation
Sections 205(a) and (h) and 702(a)(5)
of the Social Security Act (42 U.S.C.
405(a) and (h) and 902(a)(5)), 20 CFR
404.900(a), 404.957(c)(1), 416.1400(a),
416.1457(c)(1), AR 98–3(6) (rescinded),
AR 98–4(6) (rescinded).
Circuit
Sixth (Kentucky, Michigan, Ohio,
Tennessee).
Earley v. Commissioner of Social
Security, 893 F.3d 929 (6th Cir. 2018)
(Interpreting Drummond v.
Commissioner of Social Security, 126
F.3d 837 (6th Cir. 1997))
Applicability of Ruling
This ruling applies to determinations
and decisions at all administrative
levels (i.e., the initial, reconsideration,
ALJ hearing, and AC levels).
The decision of the Sixth Circuit in
Earley was based, in part, on the panel’s
interpretation of the Sixth Circuit’s prior
decision in Drummond. Drummond, in
turn, relied in part on the Sixth Circuit’s
earlier decision in Dennard. The
following summaries of the two earlier
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cases are provided as background
material.
Dennard v. Secretary of Health &
Human Services, 907 F.2d 598 (6th Cir.
1990)
Mr. Dennard argued that because SSA
found him unable to do his past relevant
work on his first application for
benefits, SSA was precluded from
reconsidering this issue and finding in
a subsequent decision, involving an
unadjudicated period, that Mr. Dennard
could perform the same past relevant
work. The Sixth Circuit observed that it
seemed clear that SSA had reconsidered
the nature and extent of Mr. Dennard’s
exertional level in his former job. The
court stated: ‘‘We are persuaded that
under the circumstances, we must
remand this case to [SSA] . . . to
determine whether [Mr.] Dennard is
disabled in light of the prior
determination that he could not return
to his previous employment.’’
Drummond v. Commissioner of Social
Security, 126 F.3d 837 (6th Cir. 1997)
Ms. Drummond argued that, absent
evidence of improvement in her
condition, the ALJ’s finding in a prior
claim that she was limited to sedentary
work precluded SSA from finding in a
subsequent claim that she could
perform medium work. The Sixth
Circuit stated that, ‘‘[a]bsent evidence of
an improvement in a claimant’s
condition, a subsequent ALJ is bound by
the findings of a previous ALJ.’’ The
court held that SSA could not
reexamine issues previously decided, in
the absence of new and additional
evidence or changed circumstances. The
court further stated that, ‘‘[j]ust as a
Social Security claimant is barred from
relitigating an issue that has been
previously determined, so is the
Commissioner.’’ After finding that there
was not substantial evidence that Ms.
Drummond’s condition had improved
significantly in the time between the
two ALJ decisions, the court concluded
that SSA was bound by its previous
finding that Ms. Drummond was limited
to sedentary work.
Earley v. Commissioner of Social
Security, 893 F.3d 929 (6th Cir. 2018)
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Description of Case
In 2010, Ms. Earley applied for
disability benefits, claiming that she
was disabled starting on June 25, 2010.
In 2012, an ALJ found that she remained
capable of light physical exertion and
that she was not disabled for the period
from June 25, 2010, through May 15,
2012. Ms. Earley applied again in July
2012, arguing that she became disabled
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after the decision on her last claim. The
same ALJ, invoking Drummond and AR
98–4(6), stated that he was bound by his
earlier findings, unless Ms. Earley
offered new and material evidence of a
changed condition. Because the ALJ
found that Ms. Earley had failed to do
that, the ALJ again found her not
disabled and denied her claim.
On review, the district court reversed.
The district court construed Drummond
to apply only if it would lead to a
favorable outcome for the claimant.
Since any preclusive effect of the ALJ’s
prior findings would make it more
difficult for Ms. Earley to be found
disabled, the court found that
Drummond did not apply.
On appeal, the Sixth Circuit examined
and clarified Drummond. The court
found that the key principles protected
by Drummond, consistency between
proceedings and finality with respect to
prior adjudicated claims, apply to both
individuals and the government. At the
same time, these principles do not
prevent the agency from giving a fresh
look to a new claim containing new
evidence or satisfying a new regulatory
threshold that covers a new period of
alleged disability while being mindful
of past rulings and the record in prior
proceedings.
The court rejected the argument that,
‘‘[i]n reviewing a second application by
the same individual . . . the
administrative law judge should
completely ignore earlier findings and
applications.’’ The court explained that
‘‘[f]resh review is not blind review’’ and
that ‘‘a later administrative law judge
may consider what an earlier judge did
if for no other reason than to strive for
consistent decision making.’’ Further,
the court explained that ‘‘it is fair for an
administrative law judge to take the
view that, absent new and additional
evidence, the first administrative law
judge’s findings are a legitimate, albeit
not binding, consideration in reviewing
a second application’’ and, at the same
time, that ‘‘an applicant remains free to
bring a second application that
introduces no new evidence or very
little new evidence after a failed
application.’’ The court cautioned,
however, that a claimant ‘‘should not
have high expectations about success if
the second filing mimics the first one
and the individual has not reached any
new age (or other) threshold to obtain
benefits.’’
Holding
The Sixth Circuit stated that, ‘‘[w]hen
an individual seeks disability benefits
for a distinct period of time, each
application is entitled to review.’’ The
court explained that if an individual
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files a subsequent application for the
same period and ‘‘offers no cognizable
explanation for revisiting the first
decision, res judicata would bar the
second application.’’ The court further
explained that an ALJ honors res
judicata ‘‘principles by considering
what an earlier judge found with respect
to a later application and by considering
the earlier record’’ and that,
accordingly, ‘‘it is fair for an
administrative law judge to take the
view that, absent new and additional
evidence, the first administrative law
judge’s findings are a legitimate, albeit
not binding, consideration in reviewing
a second application.’’ Ms. Earley’s new
claim involved a new period; therefore,
the court held that res judicata did not
apply. Accordingly, the court remanded
the case for the ALJ to reconsider Ms.
Earley’s claim for benefits under the
correct standard.
Statement as to How Earley Differs From
The Agency’s Policy
In a subsequent disability claim, SSA
considers the issue of disability with
respect to a period that was not
adjudicated to be a new issue that
requires an independent evaluation.
Thus, when adjudicating a subsequent
disability claim involving an
unadjudicated period, SSA considers
the facts and issues de novo in
determining or deciding disability with
respect to the unadjudicated period.
SSA does not consider prior findings
made in the final determination or
decision on the prior claim as evidence
in adjudicating disability with respect to
the unadjudicated period in the
subsequent claim.
In Earley, the Sixth Circuit agreed
with SSA’s policy that res judicata does
not apply with respect to an
unadjudicated period. Yet, the Sixth
Circuit disagreed with SSA’s policy that
prior disability findings are not to be
considered in the adjudication of
disability for a previously
unadjudicated period in a subsequent
claim. Rather, Earley indicates that such
prior findings made at the ALJ hearing
or AC level should be considered in the
adjudication of disability for an
unadjudicated period in a subsequent
claim, stating that ‘‘it is fair for an
administrative law judge to take the
view that, absent new and additional
evidence, the first administrative law
judge’s findings are a legitimate, albeit
not binding, consideration in reviewing
a second application.’’ Earley indicates
that an adjudicator honors the
principles of res judicata ‘‘by
considering what an earlier judge found
with respect to a later application and
by considering that earlier record.’’
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SSA interprets Earley to require that,
where a final decision after a hearing on
a prior disability claim contains a
finding of a claimant’s RFC or other
finding required under the applicable
sequential evaluation process for
determining disability, SSA must
consider such finding(s) as evidence
when adjudicating a subsequent
disability claim, arising under the same
or a different title of the Act, involving
an unadjudicated period.
Explanation of How We Will Apply The
Earley Decision Within The Circuit
This Ruling applies only to disability
findings in cases involving claimants
who reside in Kentucky, Michigan,
Ohio, or Tennessee at the time of the
determination or decision on the
subsequent claim at the initial,
reconsideration, ALJ hearing, or AC
level. Additionally, it applies only to a
finding of a claimant’s RFC or other
finding that is required at a step in the
sequential evaluation process for
adjudicating disability (provided under
20 CFR 404.1520, 416.920, or 416.924,
as appropriate), made in a final decision
(favorable or unfavorable) by an ALJ or
the AC on a prior disability claim.1
When a claimant seeks disability
benefits for a new period in a
subsequent claim, that subsequent claim
is entitled to review following the
applicable sequential evaluation
process. However, such review does not
exist in a vacuum. When adjudicating a
subsequent claim (arising under the
same or a different title of the Act as the
prior claim), an adjudicator deciding
whether a claimant is disabled during a
previously unadjudicated period must
consider findings from the decision on
the prior claim. As the Court recognized
in Earley, things change with the
passage of time, such as age and
physical condition. As a result, each
claim covering a different period should
be reviewed as a new claim. However,
when a finding of a claimant’s RFC or
other finding required under the
sequential evaluation process for
determining disability differs from that
in the prior decision, the adjudicator
must make clear that they considered
the prior finding as evidence in light of
all relevant facts and circumstances.2
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1 In
making a finding of a claimant’s RFC or other
finding that is required at a step in the sequential
evaluation process for adjudicating disability, an
ALJ or the AC may have made certain subsidiary
findings, such as an assessment of the claimant’s
symptoms. A subsidiary finding does not constitute
a finding that is required at a step in the sequential
evaluation process for adjudicating disability, as
provided under 20 CFR 404.1520, 416.920, or
416.924.
2 For example, an adjudicator might consider
such factors as: (1) whether the fact on which the
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Where the prior finding was about a
fact that is subject to change with the
passage of time, such as a claimant’s
RFC or the severity of an impairment(s),
the likelihood that the fact has changed
generally increases as the time between
the previously adjudicated period and
the subsequent period increases. An
adjudicator generally should pay
particular attention to the lapse of time
between the earlier claim and the later
claim and the impact of the passage of
time on the claim. In situations where
minimal time has passed, and no or very
little new evidence has been introduced,
it is more likely that the prior finding
will remain the same. But the
adjudicator must consider all relevant
facts and circumstances on a case-bycase basis. Additionally, a change in the
law, regulations, or rulings affecting a
relevant finding or the method for
arriving at the finding may be a reason
why the prior finding, considered as
evidence, is properly departed from in
the current determination or decision.
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Notice of determination.
A determination has been
made pursuant to the Arms Export
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FOR FURTHER INFORMATION CONTACT: Pam
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SUMMARY:
prior finding was based is subject to change with
the passage of time, such as a fact relating to the
severity of the claimant’s medical condition; (2) the
likelihood of such a change, considering the
amount of time between the period adjudicated in
the prior claim and the unadjudicated period in the
subsequent claim; and (3) the extent to which
evidence that was not considered in the final
decision on the prior claim provides a basis for
making a different finding for the unadjudicated
period in the subsequent claim. These are only
examples and not intended to create specific
requirements as part of the sequential evaluation.
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Consistent
with section 654(c) of the Foreign
Assistance Act of 1961, as amended,
notice is hereby given that the Secretary
of State has made a determination
pursuant to section 73 of the Arms
Export Control Act (22 U.S.C. 2797b)
and section 11B(b) of the Export
Administration Act of 1979 (50 U.S.C.
app. 2410b(b)), as carried out under
Executive Order 13222 of August 17,
2001, and has concluded that
publication of the determination would
be harmful to the national security of
the United States.
SUPPLEMENTARY INFORMATION:
Ann K. Ganzer,
Acting Assistant Secretary, International
Security and Nonproliferation, Department of
State.
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Emergency Temporary Closure of
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ACTION:
92995
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The Kansas Department of
Transportation (KDOT) closed for
repairs the eastbound portion of
Interstate 70 (I–70) on the Lewis and
Clark Viaduct Bridge over the Kansas
River on September 5, 2024. Closure of
the bridge and detour routes extend
from Kansas City, Kansas, into Kansas
City, Missouri.
The FHWA is providing notice that
KDOT is continuing the temporary
closure of the Lewis and Clark Viaduct
Bridge in the eastbound direction until
the bridge can be repaired, which is
estimated to be by the end of December
2024. The FHWA is requesting
comments from the public on the
alternate routes selected by KDOT and
the Missouri Department of
Transportation (MoDOT) due to the
closure.
DATES: Comments must be received on
or before December 26, 2024.
ADDRESSES: To ensure that you do not
duplicate your docket submissions,
please submit them by only one of the
following means:
• Federal eRulemaking Portal: Go to
www.regulations.gov and follow the
SUMMARY:
E:\FR\FM\25NON1.SGM
25NON1
Agencies
[Federal Register Volume 89, Number 227 (Monday, November 25, 2024)]
[Notices]
[Pages 92992-92995]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-27466]
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SOCIAL SECURITY ADMINISTRATION
[Docket No. SSA-2022-0002]
Social Security Acquiescence Ruling 24-1(6); Rescission of Social
Security Acquiescence Ruling 98-3(6) and Social Security Acquiescence
Ruling 98-4(6)
AGENCY: Social Security Administration.
ACTION: Notice of Social Security Acquiescence Ruling (AR) and
rescission of two Social Security ARs.
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SUMMARY: The Commissioner of Social Security is giving notice of Social
Security Acquiescence Ruling 24-1(6) and rescission of Social Security
Acquiescence Ruling 98-3(6) and Social Security Acquiescence Ruling 98-
4(6).
DATES: We will apply this ruling on December 2, 2024.
FOR FURTHER INFORMATION CONTACT: Mona Ahmed, Office of the General
Counsel, Office of Program Law, Social Security Administration, 6401
Security Boulevard, Baltimore, MD 21235-6401, (410) 965-0600, or TTY
410-966-5609, for information about this notice. For information on
eligibility or filing for benefits, call our national toll-free number,
1-800-772-1213 or TTY 1-800-325-0778, or visit our internet site,
Social Security Online, at https://www.socialsecurity.gov.
SUPPLEMENTARY INFORMATION: We are rescinding Social Security
Acquiescence Ruling (AR) 98-3(6) and Social Security AR 98-4(6) and
publishing this Social Security AR, in accordance with 20 CFR
402.35(b), 404.985(a), (b), and 416.1485(a), (b), to explain how we
will apply the holding in Earley v. Commissioner of Social Security,
893 F.3d 929 (6th Cir. 2018), regarding the effect of prior disability
findings on the adjudication of a subsequent disability claim.
An AR explains how we will apply a holding in a United States Court
of Appeals decision that we determine conflicts with our interpretation
of a provision of the Social Security Act (Act) or regulations when the
Government has decided not to seek further review of that decision or
is unsuccessful on further review.
On June 1, 1998, we issued AR 98-3(6) (63 FR 29770) and AR 98-4(6)
(63
[[Page 92993]]
FR 29771) to explain how we would apply the holdings in Dennard v.
Secretary of Health & Human Services, 907 F.2d 598 (6th Cir. 1990), and
Drummond v. Commissioner of Social Security, 126 F.3d 837 (6th Cir.
1997), respectively. Both ARs provided instructions for adjudicating a
subsequent disability claim, with an unadjudicated period, arising
under the same title of the Act as the prior claim, where the claimant
resided within the Sixth Circuit. AR 98-3(6) (for Dennard) stated that
adjudicators must adopt a finding from the final decision by an
administrative law judge (ALJ) or the Appeals Council (AC) of the
demands of the claimant's past relevant work, or a finding of the
claimant's date of birth (for the purposes of ascertaining their age),
education, or work experience unless there is new and material evidence
relating to such a finding or there has been a change in the law,
regulations, or rulings affecting the finding or the method for
arriving at the finding. Similarly, AR 98-4(6) (for Drummond) stated
that adjudicators must adopt certain findings from the final decision
by an ALJ or the AC in determining whether the claimant is disabled
with respect to an unadjudicated period, unless there is new and
material evidence relating to such a finding or there has been a change
in the law, regulations, or rulings affecting the finding or the method
for arriving at the finding. AR 98-4(6) stated that it applied only to
a finding of a claimant's residual functional capacity (RFC) ``or other
finding required at a step in the sequential evaluation process for
determining disability provided under 20 CFR 404.1520, 416.920 or
416.924, as appropriate, which was made in a final decision by an ALJ
or the Appeals Council on a prior disability claim.''
On June 27, 2018, the United States Court of Appeals for the Sixth
Circuit issued a decision in Earley v. Commissioner of Social Security,
893 F.3d 929 (6th Cir. 2018), in which it clarified its intent in
Drummond and interpreted the holding in Drummond to be more limited
than described in AR 98-4(6). Whereas AR 98-3(6) and AR 98-4(6)
required the adjudicator to adopt findings in an earlier disability
decision unless there is new and material evidence, Earley indicates
that it is fair for the adjudicator to consider prior findings as
legitimate, albeit not binding, in reviewing a subsequent application.
The court in Earley recognizes that a new application covering a new
period deserves a new review, but prior ALJ and AC findings and the
earlier record may have probative value in that review. The court also
indicates that res judicata principles would apply where the new
application covers the same dates, and no new evidence is introduced.
Although the Earley decision does not apply or discuss Dennard, the
court's explanations in Earley also clarify the Sixth Circuit's view on
the issues addressed in AR 98-3(6) (for Dennard). Indeed, in Drummond,
which the Earley decision addresses in depth, the Sixth Circuit relied
in part on Dennard. The Sixth Circuit in Earley interpreted Drummond
more narrowly than the Social Security Administration (SSA) did in AR
98-4(6), and the Sixth Circuit's explanations in Earley clarify the
standard or the approach for the issues addressed in both AR 98-3(6)
and AR 98-4(6). Therefore, we are rescinding ARs 98-3(6) and 98-4(6)
and publishing this single, new AR to provide instructions on the
effect of prior disability findings on the adjudication of a subsequent
disability claim in the Sixth Circuit.
We will apply the holding of the Court of Appeals' decision as
explained in this Social Security AR to claims at all levels of
administrative adjudication within the Sixth Circuit. This Social
Security AR will apply to all determinations and decisions made on or
after December 2, 2024]. If we made a determination or a decision on an
application for benefits between June 27, 2018, the date of the Court
of Appeals' decision in Earley v. Commissioner of Social Security, 893
F.3d 929 (6th Cir. 2018), and December 2, 2024, the effective date of
this Social Security AR, an individual may request application of this
Social Security AR to their claim. However, the individual must first
demonstrate, pursuant to 20 CFR 404.985(b)(2) or 416.1485(b)(2), that
application of the ruling could change our prior determination or
decision.
If we later rescind this AR as obsolete, we will publish a notice
in the Federal Register to that effect, as provided in 20 CFR
404.985(e) and 416.1485(e). If we decide to relitigate the issue
covered by this AR, as provided by 20 CFR 404.985(c) and 416.1485(c),
we will publish a notice in the Federal Register stating that we will
apply our interpretation of the Act or regulations and explaining why
we decided to relitigate the issue.
(Federal Assistance Listings, Program Nos. 96.001 Social Security
Disability Insurance; 96.002 Social Security Retirement Insurance;
96.004 Social Security Survivors Insurance; 96.006 Supplemental
Security Income)
The Commissioner of Social Security, Martin O'Malley, having
reviewed and approved this document, is delegating the authority to
electronically sign this document to Erik Hansen, a Federal Register
Liaison for the Social Security Administration, for purposes of
publication in the Federal Register.
Erik Hansen,
Associate Commissioner for Legislative Development and Operations,
Social Security Administration.
Acquiescence Ruling 24-1(6)
Earley v. Commissioner of Social Security, 893 F.3d 929 (6th Cir. 2018)
(Interpreting Drummond v. Commissioner of Social Security, 126 F.3d 837
(6th Cir. 1997)): Effect of Prior Disability Findings on Adjudication
of a Subsequent Disability Claim--Titles II and XVI of the Act
Issue
Whether, in making a disability determination or decision on a
subsequent disability claim with respect to an unadjudicated period,
the Social Security Administration (SSA) must consider a finding of a
claimant's residual functional capacity (RFC) or other finding required
under the applicable sequential evaluation process for determining
disability, made in a final decision by an administrative law judge
(ALJ) or the Appeals Council (AC) on a prior disability claim.
Statute/Regulation/Ruling Citation
Sections 205(a) and (h) and 702(a)(5) of the Social Security Act
(42 U.S.C. 405(a) and (h) and 902(a)(5)), 20 CFR 404.900(a),
404.957(c)(1), 416.1400(a), 416.1457(c)(1), AR 98-3(6) (rescinded), AR
98-4(6) (rescinded).
Circuit
Sixth (Kentucky, Michigan, Ohio, Tennessee).
Earley v. Commissioner of Social Security, 893 F.3d 929 (6th Cir. 2018)
(Interpreting Drummond v. Commissioner of Social Security, 126 F.3d 837
(6th Cir. 1997))
Applicability of Ruling
This ruling applies to determinations and decisions at all
administrative levels (i.e., the initial, reconsideration, ALJ hearing,
and AC levels).
The decision of the Sixth Circuit in Earley was based, in part, on
the panel's interpretation of the Sixth Circuit's prior decision in
Drummond. Drummond, in turn, relied in part on the Sixth Circuit's
earlier decision in Dennard. The following summaries of the two earlier
[[Page 92994]]
cases are provided as background material.
Dennard v. Secretary of Health & Human Services, 907 F.2d 598 (6th Cir.
1990)
Mr. Dennard argued that because SSA found him unable to do his past
relevant work on his first application for benefits, SSA was precluded
from reconsidering this issue and finding in a subsequent decision,
involving an unadjudicated period, that Mr. Dennard could perform the
same past relevant work. The Sixth Circuit observed that it seemed
clear that SSA had reconsidered the nature and extent of Mr. Dennard's
exertional level in his former job. The court stated: ``We are
persuaded that under the circumstances, we must remand this case to
[SSA] . . . to determine whether [Mr.] Dennard is disabled in light of
the prior determination that he could not return to his previous
employment.''
Drummond v. Commissioner of Social Security, 126 F.3d 837 (6th Cir.
1997)
Ms. Drummond argued that, absent evidence of improvement in her
condition, the ALJ's finding in a prior claim that she was limited to
sedentary work precluded SSA from finding in a subsequent claim that
she could perform medium work. The Sixth Circuit stated that,
``[a]bsent evidence of an improvement in a claimant's condition, a
subsequent ALJ is bound by the findings of a previous ALJ.'' The court
held that SSA could not reexamine issues previously decided, in the
absence of new and additional evidence or changed circumstances. The
court further stated that, ``[j]ust as a Social Security claimant is
barred from relitigating an issue that has been previously determined,
so is the Commissioner.'' After finding that there was not substantial
evidence that Ms. Drummond's condition had improved significantly in
the time between the two ALJ decisions, the court concluded that SSA
was bound by its previous finding that Ms. Drummond was limited to
sedentary work.
Earley v. Commissioner of Social Security, 893 F.3d 929 (6th Cir. 2018)
Description of Case
In 2010, Ms. Earley applied for disability benefits, claiming that
she was disabled starting on June 25, 2010. In 2012, an ALJ found that
she remained capable of light physical exertion and that she was not
disabled for the period from June 25, 2010, through May 15, 2012. Ms.
Earley applied again in July 2012, arguing that she became disabled
after the decision on her last claim. The same ALJ, invoking Drummond
and AR 98-4(6), stated that he was bound by his earlier findings,
unless Ms. Earley offered new and material evidence of a changed
condition. Because the ALJ found that Ms. Earley had failed to do that,
the ALJ again found her not disabled and denied her claim.
On review, the district court reversed. The district court
construed Drummond to apply only if it would lead to a favorable
outcome for the claimant. Since any preclusive effect of the ALJ's
prior findings would make it more difficult for Ms. Earley to be found
disabled, the court found that Drummond did not apply.
On appeal, the Sixth Circuit examined and clarified Drummond. The
court found that the key principles protected by Drummond, consistency
between proceedings and finality with respect to prior adjudicated
claims, apply to both individuals and the government. At the same time,
these principles do not prevent the agency from giving a fresh look to
a new claim containing new evidence or satisfying a new regulatory
threshold that covers a new period of alleged disability while being
mindful of past rulings and the record in prior proceedings.
The court rejected the argument that, ``[i]n reviewing a second
application by the same individual . . . the administrative law judge
should completely ignore earlier findings and applications.'' The court
explained that ``[f]resh review is not blind review'' and that ``a
later administrative law judge may consider what an earlier judge did
if for no other reason than to strive for consistent decision making.''
Further, the court explained that ``it is fair for an administrative
law judge to take the view that, absent new and additional evidence,
the first administrative law judge's findings are a legitimate, albeit
not binding, consideration in reviewing a second application'' and, at
the same time, that ``an applicant remains free to bring a second
application that introduces no new evidence or very little new evidence
after a failed application.'' The court cautioned, however, that a
claimant ``should not have high expectations about success if the
second filing mimics the first one and the individual has not reached
any new age (or other) threshold to obtain benefits.''
Holding
The Sixth Circuit stated that, ``[w]hen an individual seeks
disability benefits for a distinct period of time, each application is
entitled to review.'' The court explained that if an individual files a
subsequent application for the same period and ``offers no cognizable
explanation for revisiting the first decision, res judicata would bar
the second application.'' The court further explained that an ALJ
honors res judicata ``principles by considering what an earlier judge
found with respect to a later application and by considering the
earlier record'' and that, accordingly, ``it is fair for an
administrative law judge to take the view that, absent new and
additional evidence, the first administrative law judge's findings are
a legitimate, albeit not binding, consideration in reviewing a second
application.'' Ms. Earley's new claim involved a new period; therefore,
the court held that res judicata did not apply. Accordingly, the court
remanded the case for the ALJ to reconsider Ms. Earley's claim for
benefits under the correct standard.
Statement as to How Earley Differs From The Agency's Policy
In a subsequent disability claim, SSA considers the issue of
disability with respect to a period that was not adjudicated to be a
new issue that requires an independent evaluation. Thus, when
adjudicating a subsequent disability claim involving an unadjudicated
period, SSA considers the facts and issues de novo in determining or
deciding disability with respect to the unadjudicated period. SSA does
not consider prior findings made in the final determination or decision
on the prior claim as evidence in adjudicating disability with respect
to the unadjudicated period in the subsequent claim.
In Earley, the Sixth Circuit agreed with SSA's policy that res
judicata does not apply with respect to an unadjudicated period. Yet,
the Sixth Circuit disagreed with SSA's policy that prior disability
findings are not to be considered in the adjudication of disability for
a previously unadjudicated period in a subsequent claim. Rather, Earley
indicates that such prior findings made at the ALJ hearing or AC level
should be considered in the adjudication of disability for an
unadjudicated period in a subsequent claim, stating that ``it is fair
for an administrative law judge to take the view that, absent new and
additional evidence, the first administrative law judge's findings are
a legitimate, albeit not binding, consideration in reviewing a second
application.'' Earley indicates that an adjudicator honors the
principles of res judicata ``by considering what an earlier judge found
with respect to a later application and by considering that earlier
record.''
[[Page 92995]]
SSA interprets Earley to require that, where a final decision after
a hearing on a prior disability claim contains a finding of a
claimant's RFC or other finding required under the applicable
sequential evaluation process for determining disability, SSA must
consider such finding(s) as evidence when adjudicating a subsequent
disability claim, arising under the same or a different title of the
Act, involving an unadjudicated period.
Explanation of How We Will Apply The Earley Decision Within The Circuit
This Ruling applies only to disability findings in cases involving
claimants who reside in Kentucky, Michigan, Ohio, or Tennessee at the
time of the determination or decision on the subsequent claim at the
initial, reconsideration, ALJ hearing, or AC level. Additionally, it
applies only to a finding of a claimant's RFC or other finding that is
required at a step in the sequential evaluation process for
adjudicating disability (provided under 20 CFR 404.1520, 416.920, or
416.924, as appropriate), made in a final decision (favorable or
unfavorable) by an ALJ or the AC on a prior disability claim.\1\
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\1\ In making a finding of a claimant's RFC or other finding
that is required at a step in the sequential evaluation process for
adjudicating disability, an ALJ or the AC may have made certain
subsidiary findings, such as an assessment of the claimant's
symptoms. A subsidiary finding does not constitute a finding that is
required at a step in the sequential evaluation process for
adjudicating disability, as provided under 20 CFR 404.1520, 416.920,
or 416.924.
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When a claimant seeks disability benefits for a new period in a
subsequent claim, that subsequent claim is entitled to review following
the applicable sequential evaluation process. However, such review does
not exist in a vacuum. When adjudicating a subsequent claim (arising
under the same or a different title of the Act as the prior claim), an
adjudicator deciding whether a claimant is disabled during a previously
unadjudicated period must consider findings from the decision on the
prior claim. As the Court recognized in Earley, things change with the
passage of time, such as age and physical condition. As a result, each
claim covering a different period should be reviewed as a new claim.
However, when a finding of a claimant's RFC or other finding required
under the sequential evaluation process for determining disability
differs from that in the prior decision, the adjudicator must make
clear that they considered the prior finding as evidence in light of
all relevant facts and circumstances.\2\
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\2\ For example, an adjudicator might consider such factors as:
(1) whether the fact on which the prior finding was based is subject
to change with the passage of time, such as a fact relating to the
severity of the claimant's medical condition; (2) the likelihood of
such a change, considering the amount of time between the period
adjudicated in the prior claim and the unadjudicated period in the
subsequent claim; and (3) the extent to which evidence that was not
considered in the final decision on the prior claim provides a basis
for making a different finding for the unadjudicated period in the
subsequent claim. These are only examples and not intended to create
specific requirements as part of the sequential evaluation.
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Where the prior finding was about a fact that is subject to change
with the passage of time, such as a claimant's RFC or the severity of
an impairment(s), the likelihood that the fact has changed generally
increases as the time between the previously adjudicated period and the
subsequent period increases. An adjudicator generally should pay
particular attention to the lapse of time between the earlier claim and
the later claim and the impact of the passage of time on the claim. In
situations where minimal time has passed, and no or very little new
evidence has been introduced, it is more likely that the prior finding
will remain the same. But the adjudicator must consider all relevant
facts and circumstances on a case-by-case basis. Additionally, a change
in the law, regulations, or rulings affecting a relevant finding or the
method for arriving at the finding may be a reason why the prior
finding, considered as evidence, is properly departed from in the
current determination or decision.
[FR Doc. 2024-27466 Filed 11-22-24; 8:45 am]
BILLING CODE 4191-02-P