This blog is ADVERTISING
MATERIAL for Charles R. Samuels,
Attorney at Law, PLLC – 4908
Monument Ave., Ste. 100, Richmond, VA 23230; 804-342-1995
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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