Moza v. Astrue

Filing 34

ORDER Defendant's decision denying benefits is reversed. The case is remanded to Defendant for an award of benefits. The Clerk is directed to enter judgment accordingly.. Signed by Magistrate Judge Bernardo P Velasco on 5/21/2012. (JKM)

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1 WO 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA 8 9 No. CV 10-0678-TUC-BPV Elaina Kay Moza, 10 Plaintiff, 11 v. 12 ORDER Michael J. Astrue, Commissioner of Social Security Administration, 13 14 15 Defendant. Plaintiff, Elaina Kay Moza, suffers from the impairments of bipolar disorder, 16 borderline personality disorder, history of alcohol dependence (in remission), bulimia, 17 and degenerative disc disease of the cervical spine. Plaintiff applied for Disability 18 Insurance Benefits (DIB) and Supplemental Security Income (SSI) on April 25, 2007, 19 20 alleging disability since May 15, 2006 due to a mental condition and arthritis in her neck. 21 Administrative Transcript (Tr.) 95-111, 114-124. The application was denied initially, 22 (Tr. 55-56, 59-62), on reconsideration (Tr. 57-58, 65-71), and after an administrative 23 24 hearing before an Administrative Law Judge (ALJ) held on January 8, 2009 (Tr. 15-25). 25 This decision became the final decision for purposes of judicial review under 42 U.S.C. § 26 405(g) when the Appeals Council denied review. Tr. 1-4. 27 28 1 Plaintiff now brings this action for review of the final decision of the 2 Commissioner for Social Security pursuant to 42 U.S.C. § 405(g). The United States 3 Magistrate Judge has received the written consent of both parties, and, accordingly, 4 5 presides over this case pursuant to 28 U.S.C. § 636 (c) and Fed.R.Civ.P. 73. 6 After considering the record before the Court and the parties’ briefing of the 7 issues, the Court will reverse Defendant’s decision and remand for an immediate award 8 of benefits. 9 10 I. 11 The Court has the “power to enter, upon the pleadings and transcript of the record, 12 STANDARD OF REVIEW a judgment affirming, modifying, or reversing the decision of the Commissioner of Social 13 14 Security, with or without remanding the cause for a rehearing.” 42 U.S.C. § 405(g). The 15 court will set aside a denial of benefits only if the Commissioner's findings are based on 16 legal error or are not supported by substantial evidence in the record as a whole. See 42 17 18 U.S.C. § 405(g) (“findings of the Commissioner of Social Security as to any fact, if 19 supported by substantial evidence, shall be conclusive”); Kail v. Heckler, 722 F.2d 1496, 20 1497 (9th Cir. 1984) (citing Sample v. Schweiker, 694 F.2d 639, 642 (9th Cir.1982), 21 Thompson v. Schweiker, 665 F.2d 936, 939 (9th Cir, 1982)); Smolen v. Chater, 80 F.3d 22 23 1273, 1279 (9th Cir. 1996); Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995). 24 “Substantial evidence is such relevant evidence as a reasonable mind might accept as 25 adequate to support a conclusion.” Webb v. Barnhart, 433 F.3d 683, 686 (9th Cir. 2005) 26 27 28 (quoting Richardson v. Perales, 402 U.S. 389, 401 (1971)). “‘Substantial evidence’ means ‘more than a scintilla,’ but ‘less than a preponderance.’” Smolen, 80 F.3d at 1279 -2- 1 (quoting Perales, 402 U.S. at 401 and Sorenson v. Weinberger, 514 F.2d 1112, 1119 n.10 2 (9th Cir. 1975)) (internal citations omitted); see also Bray v. Comm’r of Soc. Sec. Admin., 3 554 F.3d 1219, 1222 (9th Cir. 2009);Vasquez v. Astrue, 572 F.3d 586, 591 (9th Cir. 2009). 4 II. 5 DISCUSSION 6 Whether a claimant is disabled is determined using a five-step evaluation process. 7 To establish disability, the claimant must show (1) she has not worked since the alleged 8 disability onset date, (2) she has a severe impairment, and (3) her impairment meets or 9 10 equals a listed impairment or (4) her residual functional capacity (RFC) precludes her 11 from performing her past work. At step five, the Commissioner must show that the 12 claimant is able to perform other work. See 20 C.F.R. §§ 404.1520, 416.920. 13 In her decision, the ALJ found Plaintiff had not engaged in substantial gainful 14 15 activity from May 15, 2006, the alleged onset date. Tr. 17. At step two, the ALJ found 16 Plaintiff had bipolar disorder; borderline personality disorder; bulimia; history of alcohol 17 18 dependence, in remission; and degenerative disc disease of the cervical spine, 19 impairments that were “severe” pursuant to the regulations. Tr. 17. At step three, the ALJ 20 found Plaintiff did not have an impairment or combination of impairments that met or 21 medically equaled one of the listed impairments in 20 C.F.R. pt. 404, subpt. P, app. 1. Tr. 22 23 24 25 17-18. The ALJ found Plaintiff had the residual functional capacity to perform work as follows: 26 27 28 to occasionally lift and/or carry 50 pounds and frequently 25 pounds; stand and/or walk 2 hours at a time, for 6 hours total per day; sit 2 hours at a time, for a total of 6 hours a day; with postural limitations of no climbing ladders, -3- 1 2 3 ropes or scaffolds and occasionally climbing ramps or stairs. The claimant also has mental limitations with the ability to understand and remember simple instructions with ability to remember detailed instructions and work at a consistent pace, particularly if it involved simple repetitive tasks. 4 Tr. 18-23. At step four, the ALJ found Plaintiff was unable to perform any of her past 5 relevant work as a certified nurse’s assistant. Tr. 23. At step five, relying on vocational 6 7 expert testimony, the ALJ found Plaintiff could perform other work existing in significant 8 numbers in the national economy. Tr. 24. Therefore, the ALJ found Plaintiff was not 9 disabled at any time from May 15, 2006 through the date of her decision. Tr. 24-25. 10 Plaintiff argues that the ALJ erred 1) by purporting to rely on the assessment of an 11 12 examining psychologist, Carl Mansfield, Ph.D., when in fact the vocational expert 13 testified that the limitations assessed by Dr. Mansfield would preclude sustained work 14 activity; 2) by purporting to rely on the opinion of a state agency psychologist who 15 16 completed assessment forms at the initial determination level but did not examine 17 Plaintiff; and 3) by rejecting Plaintiff’s symptom testimony in the absence of clear and 18 convincing reasons for doing so. Plaintiff contends that the Court should exercise its 19 20 discretion to remand for a determination of disability benefits. 21 The Commissioner concedes that the ALJ committed reversible error in her 22 evaluation of Dr. Mansfield’s opinion. Regarding the ALJ’s credibility determination the 23 Commissioner contends that “clear and convincing” is not the appropriate standard of 24 25 review. The Commissioner did not address Plaintiff’s second point of error, namely, that 26 the opinion of a non-examining reviewer, standing alone, cannot serve as substantial 27 evidence to support a decision to deny benefits. Finally, as to all claims of error, the 28 -4- 1 2 Commissioner contends that the Court should not “credit-as-true” any evidence, and that the proper disposition of this case is to remand for further proceedings. 3 A. Dr. Mansfield’s Opinion 4 Dr. Mansfield reviewed Plaintiff’s psychiatric progress notes from Value Options 5 6 and performed a consultative psychological examination on behalf of the agency. Tr. 7 209-11. Dr. Mansfield diagnosed depressive disorder, moderate, and kleptomania. Tr. 8 211. Dr. Mansfield concluded that medical records indicated a history of bipolar disorder, 9 10 and that Plaintiff indicated that Value Options had declared her seriously mentally ill 11 (SMI). Tr. 211. Dr. Mansfield further concluded that Plaintiff’s emotional state and mild 12 memory impairment would likely impact her ability to understand and carry out job 13 14 15 16 17 18 instructions and respond appropriately to supervision and pressures in a work setting. Tr. 211. Dr. Mansfield completed a “Medical Source Statement of Ability to do Work Related Activities (Mental),” and noted that Plaintiff had mild limitations1 in the ability 19 to remember locations and work-like procedures; understand, remember and carry out 20 very short and simple instructions; perform activities within a schedule, maintain regular 21 attendance, and be punctual within customary tolerances; sustain an ordinary routine 22 23 without special supervision; work in coordination with or proximity to others without 24 being distracted by them; and make simple work related decisions. Tr. 204-07. Dr. 25 26 27 28 1 In each of these categories, the checkmark was placed on the line signifying “Not significantly limited (good/mild limitations)” but Dr. Mansfield had also underlined the word mild. In one category, the ability to ask simple questions or request assistance, Dr. Mansfield simply placed a checkmark on the line signifying “Not significantly limited (good/mild limitations),” without underlining either word. Tr. 204-07 -5- 1 Mansfield indicated that Plaintiff suffered moderate limitations (either fair or limited, but 2 nor precluded) in the ability to understand and remember detailed instructions; carry out 3 detailed instructions; maintain attention and concentration for extended periods; complete 4 5 a normal workday and workweek without interruptions from psychologically based 6 symptoms and to perform at a consistent pace without an unreasonable number and 7 length of rest periods; interact appropriately with the general public; accept instructions 8 and respond appropriately to criticism from supervisors; get along with coworkers or 9 10 peers without distracting them or exhibiting behavior extremes; maintain socially 11 appropriate behavior and to adhere to basic standards of neatness and cleanliness2; 12 respond appropriately to changes in the work setting; and set realistic goals or make plans 13 14 independently of others. Tr. 204-07. 15 At the hearing, the vocational expert (VE) responded to a hypothetical question 16 based on Dr. Mansfield’s assessment, assuming an individual with all of the moderate 17 18 limitations as described above. Tr. 51-52. The term “moderate limitation” in the 19 hypothetical was defined the same as it had been defined in the Medical Source 20 Statement completed by Dr. Mansfield as “fairly limited, but not precluded.” Tr. 51. The 21 VE responded “I believe that combination of impairments would preclude past work or 22 23 24 25 any work.” Tr. 52. The ALJ reviewed the record of mental impairments and accepted the conclusions of Dr. Mansfield, summarizing both the mild and moderate limitations that Dr. Mansfield 26 27 2 28 Tr. 207. In this category, Dr. Mansfield had underlined the words “standards of neatness.” -6- 1 noted in the Medical Source Statement. Tr. 20. After listing all the limitations, however, 2 the ALJ stated: “With that, it was concluded the claimant could perform the mental 3 demands of simple repetitive work tasks, a conclusion which is consistent with the above 4 5 6 7 8 reported findings as well as the reported daily functioning.” Tr. 20. This statement did not encompass the entirety of the assessment and limitations reported by Dr. Mansfield. Plaintiff argues that the ALJ’s implicit rejection of Dr. Mansfield’s uncontradicted opinion was in error. The Commissioner concedes that the ALJ’s evaluation of Dr. 9 10 Mansfield’s opinion was “flawed,” that a review of Dr. Mansfield’s opinion and 11 accompanying report reveals no such conclusion as stated by the ALJ. Nonetheless, the 12 Commissioner argues that the record contains evidence supporting the ALJ’s 13 14 determination that Plaintiff could perform simple, repetitive work. The Commissioner 15 further argues that the use of “moderate” limitations, i.e. a general “summary conclusion” 16 category, is not appropriate for inclusion in the residual functional capacity, or, any 17 18 underlying hypothetical question proffered to the vocational expert. 19 The Commissioner argues, in reliance on the authority of its Program Operations 20 Manual System (POMS), that “general terms or severity ratings (like moderate) should 21 not be used because they ‘do not describe function and do not usefully convey the extent 22 23 of capacity limitations.’” (Doc. 27, at 9)(citing POMS DI 24510.065.B.1, 2001 WL 24 1933372).3 As noted by Plaintiff, however, the term “moderate” was defined, both in the 25 26 3 27 28 The Commissioner argues that “Dr. Barrons was the only mental health professional who translated the more general severity ratings into specific mental functional abilities, and her conclusion regarding Plaintiff’s mental residual functional capacity was consistent with the ALJ’s conclusion that Plaintiff could perform simple, -7- 1 “Medical Source Statement of Ability to do Work Related Activities (Mental),”4 (Tr. 2 204-07) and in the ALJ’s hypothetical to the VE, as fairly limited, but not precluded Tr. 3 51. Moreover, the Medical Source Statement described several sub-categories within four 4 5 6 broad functional areas: 1) understanding, carrying out, and remembering; 2) sustained concentration and persistence; 3) social interaction; 4) and adaptation. Tr. 204-07. These 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 repetitive work.” (Doc. 27, at 9) This argument is misleading at best. As Plaintiff notes, the POM directive, DI 24510.065 specifically applies to state agency reviewers, such as Heather Barrons, Psy. D., and provides instructions to such reviewers for writing the “formal narrative mental RFC assessment” for each of four subsections A through D: understanding and memory; sustained concentration and persistence; social interaction; and adaptation. (DI 24510.065) Specifically, the reviewer is instructed to discuss the functions that the individual has demonstrated that she “can do, as well as any limitations of those functions.” (Id.)(emphasis in original) Dr. Barrons identified several areas in which Moza was “not significantly limited” and five areas in which Moza was “moderately limited” under the summary conclusion portion of the form, nearly identical to Dr. Mansfield’s assessment. Tr. 217-18. In the narrative portion of the form, however, which the Commissioner now argues is the crucial portion of the form, translating the more general severity ratings into a specific mental RFC, Dr. Barrons curiously identifies no functional limitations whatsoever, completely disregarding the five areas in which she previously noted Moza was moderately limited. Dr. Barrons summarized what she referred to as the “data,” and simply restated, in narrative form, the areas in which Moza was “not significantly limited” (there was a separate box for “no evidence of limitation in this category”) as a “fair to good” “ability” to perform certain activities and simply failed to state any of Plaintiff’s limitations. For example, where Dr. Barrons checked the box indicating Moza was not significantly limited in her ability to remember locations and work-like procedures, the narrative describes this as: “Data suggests that the CLMT is able to remember basic workplace locations and procedures.” Where Dr. Barrons checked the box indicating Moza was “moderately limited in her ability to complete a normal workday and workweek without interruptions from psychologically based symptoms and to perform at a consistent pace without an unreasonable number and length of rest periods,” this moderate limitation was completely disregarded in the narrative portion of the form. Though a fine example of cherry-picking, a review of Dr. Barron’s RFC assessment suggests that it is not more useful or a “more specific” or a “more concrete” explanation of limitations than Dr. Mansfield’s Medical Source Statement. 4 The Court questions the implications of Commissioner’s actions, if as stated by Plaintiff, it provides this assessment form to its own examiner, only to argue in this appeal that the form should not be used to assess a claimant’s work capacities. The Court further questions whether the Commissioner regularly relies on a form it deems deficient to assess a claimant’s work capacities in its regular assessment of work capacity. -8- 1 2 3 4 5 twenty different sub-categories within the broad functional areas combined with the definitions provided for each accurately described Plaintiff’s limitations.5 The Commissioner argues that this case is analogous to Stubbs-Danielson v. Astrue, 539 F.3d 1169, 1173-74 (9th Cir. 2008). In Stubbs–Danielson, the Ninth Circuit 6 Court of Appeals held that “an ALJ's assessment of a claimant adequately captures 7 restrictions related to concentration, persistence, or pace where the assessment is 8 consistent with restrictions identified in the medical testimony.” Id. at 1174. There, the 9 10 record contained some evidence of the claimant's slow pace, but the only concrete 11 functional limitation provided by the medical sources was that the claimant could 12 perform “simple tasks.” Id. at 1173–74. As a result, the ALJ formulated a RFC that 13 14 limited the claimant to “simple, routine, repetitive sedentary work.” Id. at 1173. The 15 Court of Appeals concluded that the ALJ did not err in that formulation of the RFC and, 16 as a result, did not err in formulating hypothetical questions to the vocational expert. 17 18 This case is more analogous to Brink v. Comm’r. of Soc. Sec. Admin., 343 19 Fed.Appx. 211 (9th Cir. 2009), which distinguished Stubbs–Danielson. Although Brink is 20 an unpublished decision and thus only of persuasive value, it is instructive in regards to 21 5 22 23 24 25 26 27 28 Furthermore, if the ALJ felt these records were inadequate or too ambiguous for the ALJ to employ in formulating Plaintiff’s RFC, it was incumbent upon the ALJ's to develop the record further, even when Plaintiff is represented by counsel. Mayes v. Massanari, 276 F.3d 453, 459 (9th Cir. 2001) (ALJ has a duty to develop the record when there is ambiguous evidence or when the record is inadequate to allow for proper evaluation of the evidence.). There is a heightened duty where the claimant is suffering from a mental condition because mental claimants may not be able to protect themselves from loss of benefits by producing evidence. DeLorme v. Sullivan, 924 F.2d 841, 849 (9th Cir. 1991). An ALJ's duty to develop the record is further triggered when there is ambiguous evidence or when "the record is inadequate to allow for proper evaluation of the evidence." Mayes, 276 at 459-60; Tonapetyan v. Halter, 242 F.3d 1144, 1150 (9th Cir. 2001). This duty may require that the ALJ obtain additional information by, inter alia, contacting treating physicians, scheduling consultative examinations, or calling a medical expert. 20 C.F.R. §§ 416.912(e)-(f), 416.919a. -9- 1 2 3 4 5 6 7 8 how it distinguished Stubbs–Danielson. In finding error and rejecting the Commissioner's argument premised on Stubbs–Danielson, the Court of Appeals reasoned: In Stubbs–Danielson v. Astrue, 539 F.3d 1169 (9th Cir. 2008), we held that an “assessment of a claimant adequately captures restrictions related to concentration, persistence, or pace where the assessment is consistent with the restrictions identified in the medical testimony.” Id. at 1174. The medical testimony in Stubbs–Danielson, however, did not establish any limitations in concentration, persistence, or pace. Here, in contrast, the medical evidence establishes, as the ALJ accepted, that Brink does have difficulties with concentration, persistence, or pace. Stubbs–Danielson, therefore, is inapposite. 9 10 Id. The undersigned finds that the reasoning of Brink is persuasive and supports a 11 conclusion that Stubbs–Danielson does not control this case. See also Betancourt v. 12 Astrue, 2010 WL 4916604, at *3–4 (C.D.Cal. Nov.27, 2010) (where the ALJ accepted 13 14 medical evidence of plaintiff's limitations in maintaining concentration, persistence, or 15 pace, a hypothetical question to the VE including plaintiff's restriction to “simple, 16 repetitive work” but excluding plaintiff's difficulties with concentration, persistence, or 17 18 pace resulted in a VE's conclusion that was “based on an incomplete hypothetical 19 question and unsupported by substantial evidence.”); Melton v. Astrue, 2010 WL 20 3853195, at *8 (D.Or. 2010), aff'd., 442 Fed.Appx. 339 (9th Cir. 2011) (ALJ erred in her 21 assessment of plaintiff's RFC where the assessment included plaintiff's restriction to 22 23 simple, repetitive tasks, but did not include plaintiff's mild-to-moderate limitations in 24 maintaining concentration, persistence, or pace). In this case, as in Brink, the ALJ 25 accepted evidence of plaintiff's moderate limitations with sustained concentration and 26 27 28 persistence, but the RFC only included a reference to “the ability to understand and remember simple instructions with ability to remember detailed instructions and work at - 10 - 1 2 3 a consistent pace, particularly if it involved simple repetitive tasks.” That RFC is materially incomplete in light of the evidence in the record and the ALJ's own findings. Because the ALJ did not reject Dr. Mansfield’s opinion, it was error not to include 4 5 6 7 8 these limitations in the residual functional capacity, as they do describe function and convey the extent of Plaintiff’s mental functional capacity. Next, the Commissioner argues that although the ALJ misstated Dr. Mansfield’s opinion, there is ample evidence in the record to support the ALJ’s conclusion that 9 10 Plaintiff could perform simple, repetitive work. The Commissioner points to other 11 medical evidence in the record, as well as Moza’s activities of daily living to support this 12 argument. 13 14 As Plaintiff correctly notes, however, “[t]he opinion of a nonexamining physician 15 cannot by itself constitute substantial evidence that justifies the rejection of the opinion of 16 either an examining physician or a treating physician.” Lester v. Chater, 81 F.3d 821, 831 17 18 19 20 21 (9th Cir. 1995); see also Ryan v. Comm’r of Soc. Sec. Admin., 528 F.3d 1194, 1202 (9th Cir. 2008). Thus, the Commissioner’s reliance on Dr. Barron’s opinion is misplaced. Thus, this issue boils down to application of the “credit-as-true” rule to the facts of this case. The Commissioner submits that Dr. Mansfield’s own opinion is not necessarily 22 23 inconsistent with the ALJ’s conclusion that Plaintiff could perform simple, repetitive 24 work. (Doc. 27, at 6) The Commissioner further argues that, because there is record 25 evidence to support the ALJ’s conclusion as to Plaintiff’s mental RFC, and further 26 27 28 proceedings would allow the ALJ to pose only proper hypotheticals, remand for further proceedings, and not outright reversal, is the appropriate remedy. (Doc. 27, at 11) - 11 - 1 Plaintiff submits that because Dr. Mansfield’s assessment was uncontradicted 2 substantial evidence regarding Moza’s limitations, and because the vocational expert 3 testified without contestation that those limitations precluded the ability to work, this 4 5 6 7 8 matter should be remanded for determination of benefits based on evidence from the agency’s own examining psychologist and vocational expert. (Doc. 16, at 22) The decision to remand for further development of the record or for an award of benefits is within the discretion of the Court. 42 U.S.C. § 405(g); see Harman v. Apfel, 9 10 211 F.3d 1172, 1173-74 (9th Cir. 2000). This Circuit has held that an action should be 11 remanded for an award of benefits where the ALJ has failed to provide legally sufficient 12 reasons for rejecting evidence, no outstanding issue remains that must be resolved before 13 14 a determination of disability can be made, and it is clear from the record that the ALJ 15 would be required to find the claimant disabled were the rejected evidence credited as 16 true. See, e.g., Varney v. Sec’y of HHS, 859 F.2d 1396, 1400 (9th Cir. 1988) (Varney II). 17 18 The Commissioner asserts that remand for further proceedings is appropriate, 19 because it would allow the ALJ to properly address Dr. Mansfield’s opinion, obtain 20 additional evidence concerning mental health listings, and more thoroughly address 21 Plaintiff’s credibility, whereas Plaintiff’s argument would have the Court improperly 22 23 24 25 serve as finder of fact. After applying the credit-as-true rule to improperly discredited evidence, however, no outstanding issue remains to be resolved before determining that Plaintiff is entitled to 26 27 28 benefits. The impartial vocational expert testified that the mental limitations assessed by Dr. Mansfield, if adopted, would preclude past work or any work. Tr. 51-52. Because it is - 12 - 1 clear that the ALJ would be required to find Plaintiff disabled, see Benecke v. Barnhart, 2 379 F.3d 587, 593-95 (9th Cir. 2004), the Court will remand the case for an award of 3 benefits. See Orn v. Astrue, 495 F.3d 625, 640 (9th Cir. 2007) (remanding for an award of 4 5 benefits where it was “‘clear from the record that the ALJ would be required to determine 6 the claimant disabled’”) (citation omitted). Given this ruling, the Court need not address 7 Plaintiff’s arguments that the ALJ failed to properly evaluate her credibility and erred in 8 adopting the assessment of the non-examining doctor. 9 10 The Commissioner takes the position that the “credit-as-true” rule is inconsistent 11 with the Social Security Act and with other Ninth Circuit actions, citing the dissent in 12 Vasquez v. Astrue, 572 F.3d 586 (9th Cir. 2009)(O’Scannlain, J., dissenting). Even Judge 13 14 15 16 O’Scannlain in the dissenting opinion acknowledges, however, that the current state of the law which this Court is bound by is that: 23 “[w]here the Commissioner fails to provide adequate reasons for rejecting the opinion of a treating or examining physician, we credit that opinion ‘as a matter of law.’” [Lester, 81 F.3d] at 834; Harman v. Apfel, 211 F.3d 1172, 1178 (9th Cir.2000) (same); Benecke v. Barnhart, 379 F.3d 587 (9th Cir.2007) ( “Because the ALJ failed to provide legally sufficient reasons for rejecting Benecke's testimony and her treating physicians' opinions, we credit the evidence as true.”). Lester, Harman, and Benecke courts did not require any other conditions to be fulfilled before the court credited testimony as true. Rather, the Harman and Benecke courts followed the bright-line rule first set forth in Lester: that testimony which was improperly rejected will be credited as true as a matter of law. 24 Vasquez, 572 F.3d at 603-04 (dissent). This Circuit has clearly held that an action should 17 18 19 20 21 22 25 be remanded for an award of benefits where, as here, the ALJ has failed to provide 26 27 28 legally sufficient reasons for rejecting evidence, no outstanding issue remains that must be resolved before a determination of disability can be made, and it is clear from the - 13 - 1 record that the ALJ would be required to find the claimant disabled were the rejected 2 evidence credited as true. See, e.g., Varney II, 859 F.2d at 1400; see also Benecke, 379 3 F.3d at 593 (citing Harman, 211 F.3d at 1178). 4 5 The parties concede that the ALJ failed to provide legally sufficient reasons for 6 not considering and therefore by implication, improperly rejecting Dr. Mansfield’s 7 opinion. No outstanding issue remains to be resolved before determining that Plaintiff is 8 entitled to benefits. The impartial vocational expert testified that application of Dr. 9 10 Mansfield’s opinion with regard to Plaintiff’s mental impairments would result in the 11 conclusion that such a person would be unable to perform Plaintiff’s past work or any 12 work. Tr. 51-52. The Commissioner did not object to this factual finding. Because it is 13 14 clear that the ALJ would be required to find Plaintiff disabled, the Court will remand the 15 case for an award of benefits. See Benecke, 379 F.3d at 593-95 (remanding for an award 16 of benefits where no outstanding issues remain and ALJ would be required to find 17 18 claimant disabled if evidence is credited); Regennitter v. Comm’r of Soc.Sec.Admin., 166 19 F.3d 1294, 1300 (9th Cir. 1999)(where the court "conclude[s] that...a doctor's opinion 20 should have been credited and, if credited, would have led to a finding of eligibility, we 21 may order the payment of benefits."); Lester, 81 F.3d at 834 (remanding for payment of 22 23 benefits because, after crediting doctor’s opinion as true, inter alia, “the 24 evidence...demonstrates that...” the plaintiff was disabled.); Pitzer v. Sullivan, 908 F.2d 25 502, 506 (9th Cir. 1990) (remanding for payment of benefits where the Secretary did not 26 27 28 provide adequate reasons for disregarding examining physician’s opinion); Winans v. Bowen, 853 F.2d 643, 647 (9th Cir. 1987)(same). - 14 - 1 Plaintiff applied for disability benefits more than five years ago. She has been 2 denied at the initial, reconsideration, hearing, and appellate levels of review. Plaintiff 3 specifically raised these same issues of error regarding Plaintiff’s mental limitations as 4 5 assessed by Dr. Mansfield and adopted by the ALJ in a memorandum to the Appeals 6 Council (Tr. 185-88-53), at which stage the Appeals Council could have remanded for a 7 further hearing so that the ALJ could take further evidence or remand for a further 8 hearing, yet the Appeals Council declined that opportunity. All three factors that the 9 10 Court must consider support Plaintiff's request to remand the matter for an award of 11 benefits. Benecke, 379 F.3d at 595 (recognizing that "[r]emanding a disability claim for 12 further proceedings can delay much needed income for claimants who are unable to work 13 14 and are entitled to benefits, often subjecting them to 'tremendous financial difficulties 15 while awaiting the outcome of their appeals and proceedings on remand.'" (quoting 16 Varney II, 859 F.2d at 1398). A remand for further proceedings is not warranted. 17 18 IT IS ORDERED: 19 1. Defendant’s decision denying benefits is reversed. 20 2. The case is remanded to Defendant for an award of benefits. 3. The Clerk is directed to enter judgment accordingly. 21 22 23 Dated this 21st day of May, 2012. 24 25 26 27 28 - 15 -

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