By Ariel Shuster
This article discusses recent Social Security cases finding that, when a treating source opinion is submitted to the Appeals Council after issuance of a decision by an Administrative Law Judge (ALJ), the Appeals Council must apply the treating source rule as set forth in the governing regulations and applicable case law, and explain whether the opinion is being given controlling weight or, if not, articulate the weight afforded to the opinion and the reasons for the weight assigned. According to these cases, a generic statement merely indicating that a claimant’s request for review has been denied does not satisfy the Appeals Council’s obligations in this regard. Starting in 2021, with an opinion by Magistrate Judge David E. Peebles, there began to emerge a competing line of cases in the Northern District of New York; these cases hold that when the Appeals Council denies a request for review, it need not articulate the consideration given to a newly submitted medical opinion.
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