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E.C. v. Bisignano — Court affirmed the denial of disability benefits

Reported / Citable

Case
E.C. v. Frank Bisignano, Commissioner of Social Security
Court
U.S. District Court for the Southern District of Texas
Judge
Yvonne Y. Ho
Date Decided
September 14, 2026
Docket No.
4:25-cv-04643
Topics
Social Security Disability, Residual Functional Capacity, Mental Impairments

Background

E.C. applied for disability insurance benefits and Supplemental Security Income, alleging disability beginning April 11, 2023, based on a spinal fracture, depression, HIV, and high cholesterol. An administrative law judge found severe impairments including HIV, depressive disorder, generalized anxiety disorder, and degenerative disc disease, but concluded that none met or medically equaled a listed impairment.

The ALJ determined that E.C. could perform light work subject to physical restrictions and a mental limitation to detailed but noncomplex tasks. Although E.C. could not perform past relevant work, the ALJ relied on vocational-expert testimony to find that E.C. could work as a general waiter, room-service person, or general host. After the Appeals Council denied review, E.C. sought judicial review and argued that the residual functional capacity should have included an additional limitation for a moderate difficulty in concentrating, persisting, or maintaining pace.

The Court’s Holding

The court denied E.C.’s motion for summary judgment and affirmed the Commissioner’s decision. It held that an ALJ is not required to incorporate Paragraph B findings from steps two and three verbatim into the residual functional capacity assessment used at steps four and five. The Paragraph B criteria broadly rate the severity of mental impairments, while the RFC requires a separate, more detailed functional assessment.

Substantial evidence supported the ALJ’s decision not to impose further mental restrictions. The ALJ relied on a psychological evaluation reporting adequate attention and concentration, intact memory, logical and organized thinking, and an ability to sustain concentration and persist at a reasonable pace. Treatment notes also indicated that E.C.’s depression was in full remission and documented normal affect, attentiveness, logical thought, intact memory, and good insight and judgment. Unlike the cases E.C. cited, the ALJ expressly addressed the mental impairments and explained the evidence supporting the mental RFC.

Key Takeaways

  • Moderate limitations found under the Paragraph B criteria do not automatically require matching restrictions in the RFC.
  • An RFC is upheld when substantial evidence supports the ALJ’s functional assessment and the ALJ adequately explains the treatment of the claimant’s mental impairments.
  • A court reviewing a Social Security decision does not reweigh conflicting evidence or substitute its judgment for the Commissioner’s.

Why It Matters

The decision underscores the distinction between the broad mental-function ratings used to evaluate impairment severity and the work-specific limitations included in an RFC. Claimants cannot establish reversible error merely by pointing to a moderate Paragraph B rating; they must show that the record required additional functional restrictions or that the ALJ failed to evaluate the relevant evidence adequately.

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