Monday, March 18, 2013

Drugs, Alcohol and Social Security Disability



Several times in my Social Security Law practice a question has arisen that is difficult to answer:  What impact did a claimant’s drug or alcohol abuse have on his current condition and should it be a bar to receiving disability benefits?

The Social Security Administration issues a ruling to assist staff, claimants and their representatives whenever there is a persistent issue which needs addressing.  A ruling is called a “Social Security Ruling” or “SSR” for short.  You can find these SSRs here.

For over thirty years SSR 82-60 was the starting point for understanding the impact past or present drug and/or alcohol abuse (“DAA”) had on a claimant’s application for disability benefits.  However, on February 20, 2013, the Social Security Administration issued SSR 13-2, “Evaluating Cases Involving Drug Addiction and Alcoholism (DAA)." 78 Fed. Reg. 11939 (Feb. 20, 2013)SSR 13-2 becomes effective March 22, 2013 and replaces SSR 82-60.  It also replaces EM-96-200 (EM stands for Emergency Message).

In order to determine if DAA is even an issue in a case, the SSA must have medical evidence from an acceptable medical source establishing that the claimant has a Substance Use Disorder as defined by the DSM-IV-TR, and a finding that the claimant is disabled considering all impairments, including the DAA.

The new ruling provides a six step process for the SSA to consider before awarding or denying benefits:

1.  Does the claimant have DAA?
2.  Is the claimant disabled considering all impairments, including DAA?
3.  Is DAA the only impairment?
4.  Is the other impairment(s) disabling by itself while the claimant is dependent upon or abusing drugs or alcohol?
5.  Does the DAA cause or affect the claimant's medically determinable impairment(s)?
6.  Would the other impairment(s) improve to the point of nondisability in the absence of DAA?

It is the claimant’s responsibility to prove they are disabled.  Therefore, the burden of proof proving disability throughout the DAA materiality analysis remains with the claimant. 

Charles R. Samuels is an attorney in Richmond, Virginia practicing disability law.  He may be reached at 804-342-1995 x302.

Disclaimer:
ADVERTISING MATERIAL - Case results depend upon a variety of factors unique to each case.  Case results do not guarantee or predict a similar result in any future case undertaken by the lawyer.

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