Nathan Sprague v. Carolyn W. Colvin
Filing
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MEMORANDUM DECISION AND ORDER by Magistrate Judge Suzanne H. Segal. IT IS ORDERED that Judgment be entered REVERSING the decision of the Commissioner and REMANDING this matter for further proceedings consistent with this decision. (See document for further details). (mr)
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UNITED STATES DISTRICT COURT
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CENTRAL DISTRICT OF CALIFORNIA
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NATHAN SPRAGUE,
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No. CV 16-07783 SS
Plaintiff,
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v.
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MEMORANDUM DECISION AND ORDER
NANCY A. BERRYHILL,1
Acting Commissioner of the
Social Security Administration,
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Defendant.
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I.
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INTRODUCTION
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Nathan
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Sprague
(“Plaintiff”)
seeks
review
of
the
final
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decision of the Commissioner of the Social Security Administration
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(the “Commissioner” or the “Agency”) denying his application for
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Nancy A. Berryhill is now the Acting Commissioner of Social
Security and is substituted for former Acting Commissioner Carolyn
W. Colvin in this case. See Fed. R. Civ. P. 25(d).
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benefits.
The parties consented, pursuant to 28 U.S.C. § 636(c),
to the jurisdiction of the undersigned United States Magistrate
Judge.
(Dkt. Nos. 10-11).
For the reasons stated below, the
decision of the Commissioner is REVERSED and this case is REMANDED
for
further
administrative
proceedings
consistent
with
this
decision.
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II.
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PRIOR PROCEEDINGS
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A. Administrative Proceedings
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On June 4, 2010, Plaintiff filed an application for child’s
insurance benefits. (Administrative Record (“AR”) 122). Plaintiff
alleged that he has been disabled due to autism since June 3, 1992,
the day he was born.
(AR 128).
application on November 16, 2010.
The Agency denied Plaintiff’s
(AR 69-73).
On March 4, 2011,
the Agency denied Plaintiff’s application upon reconsideration.
(AR 74-78).
On April 21, 2011, Plaintiff requested a hearing
before an Administrative Law Judge (“ALJ”).
(AR 81).
On June 5,
2012, ALJ Dale A. Garwal conducted a hearing to review Plaintiff’s
claim.
(AR 37-53).
On June 27, 2012, the ALJ found that Plaintiff
was not disabled under the Social Security Act.
(AR 21-36).
On
August 6, 2012, Plaintiff sought review of the ALJ’s decision.
(AR
18-20).
The Appeals Council denied Plaintiff’s request on February
25, 2014.
(AR 1-5).
The ALJ’s decision then became the final
decision of the Commissioner.
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B. Prior Federal Court Proceedings
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Plaintiff commenced a civil action on April 21, 2014.
421-423).
(AR
After the parties completed joint stipulation briefing,
the court issued a decision remanding the matter for further
proceedings.
Sprague v. Colvin, No. CV 14-3219-CW (C.D. Cal. July
22, 2015) (AR 430-440).
The court noted that Plaintiff’s sole
claim was that the ALJ did not properly consider the opinion of
Plaintiff’s treating psychiatrist, Dr. Timothy Tice, in determining
that Plaintiff was not disabled.
(AR 436).
The court noted that
Dr. Tice began treating Plaintiff in February of 2009 and saw him
on a monthly basis thereafter.
(AR 437).
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The
ALJ
had
found
that
Plaintiff
suffers
from
“severe”
impairments of Asperger’s syndrome/autism and dysthymic disorders.
(AR 432).
The ALJ concluded that Plaintiff retained the residual
functioning capacity (“RFC”) to “perform a full range of work at
all
exertional
levels
but
with
the
following
nonexertional
limitations: limitation to the performance of simple routine tasks
with occasional public and coworker contact.”
(AR 432).
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However, the court noted that the “ALJ’s RFC determination
did not include several of Dr. Tice’s limitations, including those
in maintaining attention and withstanding the stress and pressure
of an eight-hour workday.”
(AR 438).
The court stated that the
ALJ’s “failure to include Dr. Tice’s limitations in Plaintiff’s
RFC constitutes an implicit rejection of this portion [of the
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opinion].
Yet the ALJ failed to give any reasons, let alone a
specific and legitimate one, for rejecting this part of Dr. Tice’s
opinion.”
[internal citations omitted].
(AR 438).
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The court found that remand was required to remedy these
defects in the ALJ’s decision.
The court further noted that “even
crediting Dr. Tice’s opinion as true, Plaintiff’s entitlement to
benefits is not clear from the existing record because there is no
vocational expert opinion of disability corresponding to Dr. Tice’s
opinion.”
(AR 439).
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On November 2, 2015, the Appeals Council issued an order
directing the ALJ to conduct further proceedings in compliance with
the district court's order of remand.
pursuant
to
the
order
supplemental hearing.
of
(AR 444).
remand,
(AR 377-394).
ALJ
On May 4, 2016,
Garwal
conducted
a
On June 22, 2015, ALJ Garwal
once again found that Plaintiff was not disabled under the Social
Security Act.
(AR 357-376).
action on October 19, 2016.
Plaintiff commenced the instant
(Dkt. No. 1).
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III.
STANDARD OF REVIEW
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Under 42 U.S.C. § 405(g), a district court may review the
Commissioner’s decision to deny benefits.
The court may set aside
the Commissioner’s decision when the ALJ’s findings are based on
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legal error or are not supported by “substantial evidence” in the
record as a whole.
Aukland v. Massanari, 257 F.3d 1033, 1035
(9th Cir. 2001) (citing Tackett, 180 F.3d at 1097); Smolen v.
Chater, 80 F.3d 1273, 1279 (9th Cir. 1996) (citing Fair v. Bowen,
885 F.2d 597, 601 (9th Cir. 1989)).
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“Substantial evidence is more than a scintilla, but less than
a preponderance.”
Reddick v. Chater, 157 F.3d 715, 720 (9th Cir.
1998) (citing Jamerson v. Chater, 112 F.3d 1064, 1066 (9th Cir.
1997)).
It is “relevant evidence which a reasonable person might
accept as adequate to support a conclusion.” Id. (citing Jamerson,
112 F.3d at 1066; Smolen, 80 F.3d at 1279).
To determine whether
substantial evidence supports a finding, the court must “‘consider
the record as a whole, weighing both evidence that supports and
evidence that detracts from the [Commissioner’s] conclusion.’”
Aukland, 257 F.3d at 1035 (quoting Penny v. Sullivan, 2 F.3d 953,
956 (9th Cir. 1993)).
If the evidence can reasonably support
either affirming or reversing that conclusion, the court may not
substitute its judgment for that of the Commissioner.
Reddick,
157 F.3d at 720-21 (citing Flaten v. Sec’y, 44 F.3d 1453, 1457 (9th
Cir. 1995)).
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IV.
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THE ALJ’S 2016 DECISION
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The ALJ employed the five-step sequential evaluation process
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in evaluating Plaintiff’s case.
At step one, the ALJ found that
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Plaintiff had not engaged in substantial gainful activity since
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June 3, 1992, his alleged onset date.
(AR 362).
At step two, the
ALJ found that Plaintiff had the following severe impairments:
Asperger’s syndrome/autism, and dysthymic disorders (AR 362).
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At step three, the ALJ found that Plaintiff did not have an
impairment or combination of impairments that met or medically
equaled one of the listed impairments in 20 C.F.R. Part 404, Subpart
P, Appendix 1. (AR 362).
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Next, the ALJ determined that, prior to attaining age 22,
Plaintiff had the RFC to perform a full range of work at all
exertional levels but with the following nonexertional limitations:
limitation
to
the
performance
of
simple
routine
tasks,
with
occasional public and coworker contact. (AR 363).
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At step four, the ALJ determined that Plaintiff has no past
relevant work.
(AR 368).
At step five, the ALJ found that, prior
to attaining age 22 and considering Plaintiff’s age, education,
work experience, and RFC, there are jobs that exist in significant
numbers in the national economy that Plaintiff can perform.
369).
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(AR
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V.
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DISCUSSION
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A. The ALJ’s Decision Violated The Law Of The Case Doctrine
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Plaintiff contends that the ALJ deviated from the district
court’s remand instructions by failing to properly consider Dr.
Tice’s opinions and by failing to consult a vocational expert.
(Pl. MSO at 5-7).
The Court agrees.
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The law of the case doctrine compels a lower court to follow
“‘the [appellate court's] decree as the law of the case; and must
carry it into execution, according to the mandate.’”
Sanchez v.
Astrue, 2012 WL 3704756, at *10 (E.D. Cal. Aug. 27, 2012) (quoting
Vizcaino v. U.S. District Court, 173 F.3d 713, 719 (9th Cir. 1999).
In a case of first impression, the Ninth Circuit held “that the
law
of
the
case
doctrine
…
appl[ies]
to
social
security
administrative remands from federal court in the same way they
would apply to any other case."
566 (9th Cir. 2016).
Stacy v. Colvin, 825 F.3d 563,
Reversal is warranted under this doctrine
when an ALJ’s decision “exceed[s] the scope of and/or contravene[s]
district court remand orders.”
Almarez v. Astrue, 2010 WL 3894646,
at *3 (C.D. Cal. Sept. 30, 2010).
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Here, the district court, in its initial memorandum decision,
ruled as follows:
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In his decision, the ALJ purported to fully credit Dr.
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Tice’s opinion.
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did
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including
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withstanding the stress and pressures of an eight-hour
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workday.
not
[]
include
However, the ALJ’s RFC determination
several
those
in
of
Dr.
Tice’s
maintaining
limitations,
attention
and
Rather, the ALJ’s RFC determination included
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only a limitation to ‘simple repetitive tasks, with
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occasional public and coworker contact.’
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[]
The ALJ’s
failure to include Dr. Tice’s limitations in Plaintiff’s
RFC constitutes an implicit rejection of this portion of
Dr. Tice’s opinion.
(citation omitted).
Yet the ALJ
failed to give any reasons, let alone a specific and
legitimate one, for rejecting this part of Dr. Tice’s
opinion.
(citation omitted).
. . . [E]ven crediting
Dr. Tice's opinion as true, Plaintiff's entitlement to
benefits is not clear from the existing record because
there is no vocational expert opinion of disability
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corresponding to Dr. Tice's opinion. (citation omitted).
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Thus, remand for further proceedings is appropriate.
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(AR 438-440).
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the ALJ to include Dr. Tice’s limitations in Plaintiff’s RFC or
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provide specific reasons for rejecting these portions of Dr. Tice’s
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opinions.
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obtaining a vocational expert opinion of disability corresponding
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to Dr. Tice's opinion.
The district court’s remand order therefore required
In addition, the district court faulted the ALJ for not
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As discussed more thoroughly below, the ALJ developed his
analysis by considering new evidence from Dr. Tice on remand.
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However,
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accordance with the district court’s instructions and did not
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provide specific and legitimate reasons for rejecting Dr. Tice’s
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opinions.
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regarding Plaintiff's ability to work, as directed by the district
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court in the initial remand order.
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properly consider the evidence, the ALJ did not follow the district
the
ALJ
still
failed
to
consider
the
evidence
in
Furthermore, the ALJ did not ask for a VE's opinion
Accordingly, by failing to
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court’s remand instructions.
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consider Dr. Tice’s opinions and evaluations in accordance with
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Upon second remand, the ALJ must
the district court’s instructions.
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B. The ALJ Failed To Provide Specific And Legitimate Reasons For
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Rejecting Dr. Tice’s Additional Opinion
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In March of 2016, Dr. Tice provided an additional opinion
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regarding Plaintiff’s condition. (AR 567-572). Plaintiff contends
that the ALJ failed to provide specific and legitimate reasons
supported by substantial evidence for rejecting this opinion.
MSO at 13).
(Pl.
The Court agrees.
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The ALJ stated that in March of 2016, Dr. Tice “indicated mild
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limitation in the ability to understand, remember and carry out
simple job instructions, and moderate limitation in the ability to
[]
maintain
increments.”
concentration
(AR 368).
and
attention
for
at
least
2
hour
The ALJ found that this opinion was
inconsistent with Dr. Tice’s February 2011 opinion in which he
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reported an “unlimited ability to perform activities within a
schedule
and
maintain
regular
attendance,
good
ability
to
understand, remember and carry out simple instructions, maintain
attention, concentration and persistence, and complete a normal
workday/week without interruptions." (AR 367-368).
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To
the
extent
that
the
ALJ
relies
on
these
alleged
inconsistencies as specific and legitimate reasons for rejecting
Dr. Tice’s 2016 opinion, his reliance is misplaced.
referenced
assessments
utilize
two
different
First, the
rating
undermining the ability to make a direct comparison.
567).
Further,
the
ALJ
fails
to
explain
how
scales,
(AR 304,
these
alleged
inconsistencies are significant enough to constitute specific and
legitimate reasons for rejecting Dr. Tice’s treating opinion.
On
remand, the ALJ must provide specific and legitimate reasons for
rejecting any portions of Dr. Tice’s opinions.
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The ALJ also stated that Dr. Tice’s conclusion “of inability
to engage in any work activity is given little weight as this
appears to be [] sympathetic rather than objective”.
(AR 368).
To the extent that the ALJ suggests that Dr. Tice's medical opinion
is influenced by Dr. Tice's sympathy for Plaintiff as his patient,
as
opposed
to
the
doctor's
honest
opinion
of
Plaintiff's
limitations, this is not a legitimate reason (without more specific
evidence) to reject a treating doctor's opinion.
An ALJ “may not
assume that doctors routinely lie in order to help their patients
collect disability benefits.”
Lester v. Chater, 81 F.3d 821, 832
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(9th Cir. 1995) (quoting Ratto v. Secretary, 839 F. Supp. 1415,
1426 (9th Cir. 2008)).
On remand, the ALJ must provide specific
and legitimate reasons supported by the record for discrediting
Dr. Tice’s conclusions, if the ALJ rejects the treating doctor's
limitations.
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In sum, on remand the ALJ must provide specific and legitimate
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reasons for rejecting Dr. Tice’s opinion or must incorporate Dr.
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Tice’s findings and limitations into a new RFC.
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C. After Considering All Of Dr. Tice’s Evidence, And Possibly
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Utilizing
The
Assistance
Of
A
Medical
Expert
To
Fully
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Understand The Evidence, The ALJ Must Take Testimony From A
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VE
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Plaintiff contends that, despite the district court’s mandate,
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the ALJ failed to adduce testimony from a vocational expert (“VE”)
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regarding whether a finding of disability corresponds to Dr. Tice’s
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opinion.
(Pl. MSO at 7).
The Court agrees.
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The ALJ should have obtained VE testimony at the 2016 hearing.
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The
prior
remand
order
from
the
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directed the ALJ to do so and this direction cannot be ignored.
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Stacy, 825 F.3d at 568-9 (citing Hall v. City of Los Angeles, 697
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F.3d 1059, 1067 (9th Cir. 2011).
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testimony regarding Dr. Tice’s opinion, including the information
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set forth in his March 2016 evaluation.
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district
court
specifically
On remand, the ALJ must take VE
Specifically, the ALJ must
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present a hypothetical to the VE that takes into consideration all
of Plaintiff’s limitations as articulated by Dr. Tice, unless the
ALJ has provided specific and legitimate reasons, supported by the
record, to reject those limitations.
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Additionally, on remand, if necessary to help the ALJ fully
understand the evidence, the ALJ should utilize a medical expert.
The medical expert’s role would be to evaluate any limitations
imposed on Plaintiff as a result of his conditions.
See 20 C.F.R.
§§ 404.1527(f)(2)(iii), 416.927(f)(2)(iii) (“[ALJs] may also ask
for and consider opinions from medical experts on the nature and
severity of [a claimant's] impairment(s) ...”).
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VI.
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CONCLUSION
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Accordingly, IT IS ORDERED that Judgment be entered REVERSING
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the decision of the Commissioner and REMANDING this matter for
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further proceedings consistent with this decision.
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ORDERED that the Clerk of the Court serve copies of this Order and
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the Judgment on counsel for both parties.
IT IS FURTHER
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DATED:
November 30, 2017
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/S/
SUZANNE H. SEGAL
UNITED STATES MAGISTRATE JUDGE
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THIS DECISION IS NOT INTENDED FOR PUBLICATION IN LEXIS/NEXIS,
WESTLAW OR ANY OTHER LEGAL DATABASE.
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