Lahti v. Colvin
Filing
19
MEMORANDUM DECISION AND ORDER - Petitioners Petition for Review (Dkt. 1 ) is GRANTED, the decision of the Commissioner is REVERSED, and this action is REMANDED to the Commissioner of Social Security under sentence four of 42 U.S.C. § 405(g) for further proceedings consistent with this opinion. Signed by Judge Ronald E. Bush. (caused to be mailed to non Registered Participants at the addresses listed on the Notice of Electronic Filing (NEF) by (cjs)
UNITED STATES DISTRICT COURT
DISTRICT OF IDAHO
NATALIE LAHTI, on behalf of CHAD LAHTI,
deceased,
Petitioner,
Case No.: 1:17-cv-00080-REB
MEMORANDUM DECISION AND
ORDER
vs.
NANCY A. BERRYHILL, Acting Commissioner
of Social Security,
Respondent.
Pending is Petitioner Natalie Lahti’s Petition for Review (Dkt. 1), appealing the Social
Security Administration’s final decision finding her deceased husband Chad Lahti not disabled
and denying his claim for disability insurance benefits.1 See Pet. for Review (Dkt. 1). This
action is brought pursuant to 42 U.S.C. § 405(g). Having carefully considered the record and
otherwise being fully advised, the Court enters the following Memorandum Decision and Order.
I. ADMINISTRATIVE PROCEEDINGS
On May 2, 2013, Petitioner Natalie Lahti’s husband, claimant Chad Ronald Lahti,2
protectively applied for Title II disability and disability insurance benefits. (AR 21.) Claimant
1
Nancy A. Berryhill became the acting Commissioner of the Social Security
Administration on January 23, 2017. Pursuant to Rule 25(d) of the Federal Rules of Civil
Procedure, Nancy A. Berryhill is substituted in as the Respondent in this suit. No further action
need be taken to continue this suit by reason of the last sentence of 42 U.S.C. § 405(g).
2
Because Petitioner Natalie Lahti brings this action on behalf of her deceased husband
Chad Ronald Lahti, whose alleged disability is at issue, this Decision distinguishes between
“Petitioner” (Mrs. Lahti) and the “Claimant” (Mr. Lahti).
MEMORANDUM DECISION AND ORDER – 1
alleged disability beginning July 7, 2009.3 (Id.) His claims were denied initially on August 13,
2013 and then again on reconsideration on December 16, 2013. (AR 21.) On February 13, 2014,
Claimant timely filed a Request for Hearing before an Administrative Law Judge (“ALJ”). (Id.)
Claimant appeared and testified at a hearing held on July 22, 2015 before ALJ Christopher R.
Inama in Boise, Idaho. (Id.) Impartial vocational expert Anne F. Aastum also appeared and
testified at the hearing. (Id.)
On October 6, 2015, the ALJ issued a Decision denying Claimant’s claim, finding that he
was not disabled within the meaning of the Social Security Act. (AR 36.) Claimant timely
requested review from the Appeals Council on or about November 18, 2015. (AR 17.) While
Claimant’s review was pending, he died of a pulmonary embolism on September 23, 2016. (AR
1818.) On January 12, 2017, the Appeals Council denied Claimant’s Request for Review,
making the ALJ decision the final decision of the Commissioner of Social Security. (AR 1.)
Claimant’s administrative remedies having been exhausted, Claimant’s surviving wife
timely filed the instant action on his behalf, arguing that “[t]he decision denying Petitioner’s
claim is not in accordance with the purpose and intent of the Social Security Act, nor is it in
accordance with the law, nor is it in accordance with the evidence, but contrary thereto and to the
facts and against the evidence, in that Petitioner is disabled from performing substantial gainful
activity.” Pet. for Review 2 (Dkt. 1). Petitioner contends the ALJ erred by failing to consider
the impact of all of Claimant’s physical and mental impairments in assigning a residual
functional capacity, by not providing clear and convincing evidence to support his decision that
3
Through counsel, Claimant amended his alleged onset date to September 16, 2011 at the
ALJ hearing in this matter. (AR 50.) The ALJ acknowledged the amendment (AR 50), but did
not incorporate it into his decision, which uses the original alleged onset date of July 7, 2009.
(AR 21, 23, 32, 36.) This discrepancy is not significant except as otherwise noted herein.
MEMORANDUM DECISION AND ORDER – 2
Claimant was not credible, and by improperly rejecting the opinions of treating provider Dr.
Scott Hoopes and lay witness (and Petitioner here) Natalie Lahti. See generally Pet’r’s Mem.
ISO Pet. for Review (Dkt. 13). Petitioner asks for reversal and a holding that Claimant was
disabled for a certain closed period, or, alternatively, for remand for further administrative
proceedings. Id. at 20.
II. STANDARD OF REVIEW
To be upheld, the Commissioner’s decision must be supported by substantial evidence
and based on proper legal standards. 42 U.S.C. § 405(g); Trevizo v. Berryhill, 871 F.3d 664 (9th
Cir. 2017). Findings as to any question of fact, if supported by substantial evidence, are
conclusive. 42 U.S.C. § 405(g). In other words, if there is substantial evidence to support the
ALJ’s factual decisions, they must be upheld, even when there is conflicting evidence. See
Treichler v. Comm’r of Social Sec. Admin., 775 F.3d 1090, 1098 (9th Cir. 2014).
“Substantial evidence” is “such relevant evidence as a reasonable mind might accept as
adequate to support a conclusion.” Richardson v. Perales, 402 U.S. 389, 401 (1971); Ludwig v.
Astrue, 681 F.3d 1047, 1051 (9th Cir. 2012). The standard requires more than a scintilla but less
than a preponderance (Trevizo, 871 F.3d at 674), and “does not mean a large or considerable
amount of evidence.” Pierce v. Underwood, 487 U.S. 552, 565 (1988).
With respect to questions of fact, the role of the Court is to review the record as a whole
to determine whether it contains evidence that would allow a reasonable mind to accept the
conclusions of the ALJ. Richardson, 402 U.S. at 401; see also Ludwig, 681 F.3d at 1051. The
ALJ is responsible for determining credibility, resolving conflicts in medical testimony, and
resolving ambiguities. Treichler, 775 F.3d at 1098. Where the evidence is susceptible to more
than one rational interpretation, the reviewing court must uphold the ALJ’s findings if they are
MEMORANDUM DECISION AND ORDER – 3
supported by inferences reasonably drawn from the record. Ludwig, 681 F.3d at 1051. In such
cases, the reviewing court may not substitute its judgment or interpretation of the record for that
of the ALJ. Batson v. Comm’r of Social Sec., 359 F.3d 1190, 1196 (9th Cir. 2004).
With respect to questions of law, the ALJ’s decision must be based on proper legal
standards and will be reversed for legal error. Zavalin v. Colvin, 778 F.3d 842, 845 (9th Cir.
2015); Treichler, 775 F.3d at 1098. Considerable weight must be given to the ALJ’s
construction of the Social Security Act. See Vernoff v. Astrue, 568 F.3d 1102, 1105 (9th Cir.
2009). However, reviewing federal courts “will not rubber-stamp an administrative decision that
is inconsistent with the statutory mandate or that frustrates the congressional purpose underlying
the statute.” Smith v. Heckler, 820 F.2d 1093, 1094 (9th Cir. 1987).
III. DISCUSSION
A.
Sequential Process
In evaluating the evidence presented at an administrative hearing, the ALJ must follow a
sequential process in determining whether a person is disabled in general (20 C.F.R. §§
404.1520, 416.920) – or continues to be disabled (20 C.F.R. §§ 404.1594, 416.994) – within the
meaning of the Social Security Act.
The first step requires the ALJ to determine whether the claimant is engaged in
substantial gainful activity (“SGA”). 20 C.F.R. §§ 404.1520(a)(4)(i), 416.920(a)(4)(i). SGA is
work activity that is both substantial and gainful. 20 C.F.R. §§ 404.1572, 416.972. “Substantial
work activity” is work activity that involves doing significant physical or mental activities. 20
C.F.R. §§ 404.1572(a), 416.972(a). “Gainful work activity” is work that is usually done for pay
or profit, whether or not a profit is realized. 20 C.F.R. §§ 404.1572(b), 416.972(b). If the
claimant is engaged in SGA, disability benefits are denied regardless of his medical condition,
MEMORANDUM DECISION AND ORDER – 4
age, education, and work experience. 20 C.F.R. §§ 404.1520(b), 416.920(b). If the claimant is
not engaged in SGA, the analysis proceeds to the second step. Here, the ALJ found that
Claimant did not engage in substantial gainful activity during the period from his alleged onset
date of July 7, 2009 through his date last insured of December 31, 2013. (AR 23.)
The second step requires the ALJ to determine whether the claimant has a medically
determinable impairment, or combination of impairments, that is severe and meets the duration
requirement. 20 C.F.R. § 404.1520(a)(4)(ii), 416.920(a)(4)(ii). An impairment or combination
of impairments is “severe” within the meaning of the Social Security Act if it significantly limits
an individual’s physical or mental ability to perform basic work activities. 20 C.F.R.
§§ 404.1520(c), 416.920(c). An impairment or combination of impairments is “not severe”
when medical and other evidence establishes only a slight abnormality or a combination of slight
abnormalities that cause no more than minimal limitation on an individual’s ability to work.
SSR 96-3p, 1996 WL 374181 (July 2, 1996); see also 20 C.F.R. §§ 404.1521, 416.921. If the
claimant does not have a severe medically determinable impairment or combination of
impairments, disability benefits are denied. 20 C.F.R. §§ 404.1520(c), 416.920(c). Here, the
ALJ found that, through the date last insured, Claimant had the following severe impairments:
“diabetes mellitus type II (‘diabetes’), major motor seizures, schizoaffective disorder, bipolar
disorder with psychosis, depression, anxiety disorder and alcohol-substance addiction disorder.”
(AR 23.)
The third step requires the ALJ to determine the medical severity of any impairments;
that is, whether the claimant’s impairments meet or equal a listed impairment under 20 C.F.R.
Part 404, Subpart P, Appendix 1. 20 C.F.R. §§ 404.1520(a)(4)(iii), 416.920(a)(4)(iii). If the
answer is yes, the claimant is considered disabled under the Social Security Act and benefits are
MEMORANDUM DECISION AND ORDER – 5
awarded. 20 C.F.R. §§ 404.1520(d), 416.920(d). If the claimant’s impairments neither meet nor
equal a listed impairment, his claim cannot be resolved at step three and the evaluation proceeds
to step four. 20 C.F.R. §§ 404.1520(e), 416.920(e). Here, the ALJ found that Claimant did not
have an impairment or combination of impairments that met or medically equaled the severity of
one of the listed impairments. (AR 26–29.)
The fourth step of the evaluation process requires the ALJ to determine whether the
claimant’s residual functional capacity (“RFC”) is sufficient for the claimant to perform past
relevant work. 20 C.F.R. §§ 404.1520(a)(4)(iv), 416.920(a)(4)(iv). An individual’s RFC is his
ability to do physical and mental work activities on a sustained basis despite limitations from his
impairments. 20 C.F.R. §§ 404.1545, 416.945. An individual’s past relevant work is work he
performed within the last 15 years or 15 years prior to the date that disability must be
established, as long as the work was substantial gainful activity and lasted long enough for the
claimant to learn to do the job. 20 C.F.R. §§ 404.1560(b), 404.1565, 416.960(b), 416.965. Here,
the ALJ determined that Claimant had the RFC:
to perform light work, as defined in 20 CFR 40.1567(b), except limited to
occasional climbing ramps and stairs; never climbing ladders, ropes, or scaffolds;
frequent balance, stoop, kneel and crouch; occasional crawl; avoid concentrated
exposure to vibrations; and avoid all exposure to hazards, such as unprotected
heights and dangerous machinery. He is also limited to simple, routine, repetitive
tasks; with only simple work related decisions; few workplace changes; rare,
meaning 5% of the workday, interaction with supervisors and co-workers, with no
tandem tasks, and no public contact.
(AR 29.) The ALJ further found that Claimant was unable to perform any of his past relevant
work through his date last insured. (AR 34.)
In the fifth and final step, if it has been established that a claimant can no longer perform
past relevant work because of his impairments, the burden shifts to the Commissioner to show
that the claimant retains the ability to do alternate work and to demonstrate that such alternate
MEMORANDUM DECISION AND ORDER – 6
work exists in significant numbers in the national economy. 20 C.F.R. §§ 404.1520(a)(4)(v),
416.920(a)(4)(v), 404.1520(f), 416.920(f); see also Garrison v. Colvin, 759 F.3d 995, 1011 (9th
Cir. 2014). If the claimant is able to do such other work, he is not disabled; if the claimant is not
able to do other work and meets the duration requirement, he is disabled. Here, the ALJ found
that Claimant’s RFC is compatible with work as a “silver wrapper,” “router,” and “marker II.”
(AR 35.) The ALJ further found that these jobs exist in significant numbers in the national
economy. (AR 35–36.)
Based on the finding that Claimant could perform jobs that exist in significant numbers in
the national economy, the ALJ ultimately concluded that Claimant “was not under a disability, as
defined in the Social Security Act, at any time from July 7, 2009, the alleged onset date, through
December 31, 2013, the date last insured.” (AR 36.)
B.
Analysis
Petitioner raises four issues with the ALJ’s decision. First, she argues the ALJ erred by
failing to consider the impact of all Claimant’s physical and mental impairments in assigning a
non-exertional RFC. Second, she argues the ALJ erred by not providing clear and convincing
evidence to support his decision that Claimant was not credible. Third, she argues the ALJ erred
in rejecting the opinion of treating provider Dr. Scott Hoopes. Finally, she argues the ALJ erred
in rejecting the opinion of lay witness Natalie Lahti. See generally Pet’r’s Mem. ISO Pet. for
Review (Dkt. 13). Because the Court is persuaded the ALJ erred in rejecting the opinion of Mrs.
Lahti, which directly impacts the evidence on which the ALJ relied in assigning an RFC and in
evaluating Claimant’s credibility, that issue will be addressed first.
MEMORANDUM DECISION AND ORDER – 7
1. The ALJ Erred in Rejecting the Opinion of Natalie Lahti.
Petitioner contends that the ALJ erroneously rejected the statement of Natalie Lahti,
Claimant’s wife (and the Petitioner here). Pet’r’s Mem. ISO Pet. for Review 17 (Dkt. 13). She
argues that she was competent to testify regarding Claimant’s symptoms because she witnessed
his escalating mental symptoms and diabetic complications first-hand. Accordingly, she argues,
the ALJ did not properly dismiss her testimony.
The record shows that Petitioner submitted a two-page letter to the ALJ, dated July 19,
2014, in support of Claimant’s application for disability benefits. (AR 1776–1777.) The letter
discussed Claimant’s physical and mental limitations, implying (but not directly opining) that
Claimant was incapable of working. (Id.) The ALJ addressed the letter in his decision:
I give the opinion of Mrs. Lahti little weight. First, since she is not medically
trained to make exacting observations as to dates, frequencies, types, and degrees
of medical signs and symptoms, or of the frequency or intensity of unusual moods
or mannerisms, the accuracy of her observations is questionable. Moreover, by
virtue of her relationship, as the wife of the claimant, her statements cannot be
considered the observations of a disinterested third-party witness, whose opinion
would not tend to be colored by affection for the claimant and a natural tendency
to agree with the symptoms and limitations the claimant alleges. Most importantly,
significant weight cannot be given to this opinion because it, like the claimant’s
allegations, is not consistent with the preponderance of the evidence and opinions
by medical doctors in this case.
(AR 34.)
“[F]riends and family members in a position to observe a claimant’s symptoms and daily
activities are competent to testify” as to a claimant’s condition. Dodrill v. Shalala, 12 F.3d 915,
918–919 (9th Cir. 1993). Moreover, the regulations in effect when the ALJ issued his decision
expressly allowed for evidence from “non-medical sources … for example, spouses, parents and
other caregivers, siblings, other relatives, friends, neighbors, and clergy.” 20 C.F.R.
MEMORANDUM DECISION AND ORDER – 8
§ 404.1513(e)(4)(2013). To discount the testimony of a lay witness, the ALJ must give reasons
that are germane to each witness. Dodrill, 12 F.3d at 919.
The ALJ erred when dismissing Mrs. Lahti’s testimony on the basis that she was not a
“disinterested third-party witness.” (AR 34.) The law is clear that friends and family members –
who, by definition, will seldom be disinterested – are nonetheless competent to testify. The ALJ
also erred when stating that Mrs. Lahti’s lack of medical training calls into question “the
accuracy of her observations.” (Id.) Mrs. Lahti’s letter does not purport to document “exacting
observations as to dates, frequencies, types, and degrees of medical signs and symptoms, or of
the frequency or intensity of unusual moods or mannerisms.” (AR 1776–1777, 34.) Rather, her
letter paints a picture of the progression, over 28 years of marriage, of Claimant’s transition
“from being someone who was very sociable and outgoing, able to work, and very active in
church and outdoor activities” to someone whose “ability to interact with other people, do
household chores, and participate in his hobbies and interests has declined severely.” (AR
1776.)
The ALJ did not discuss the extent to which Mrs. Lahti’s letter is consistent with
Claimant’s own testimony as to the alleged limiting effects of his impairments. Rather, the ALJ
stated that his most important reason for discounting Mrs. Lahti’s testimony was because it was
“not consistent with the preponderance of the evidence and opinions by medical doctors in this
case.” (AR 34.) But he did not support or discuss this finding in further detail. The ALJ gave
limited weight to, but did not outright reject, the opinion of treating provider Dr. Scott Hoopes,
M.D. because the opinion encompassed a period after Claimant’s date last insured. See infra.
However, Mrs. Lahti’s letter is consistent with Dr. Hoopes’s opinion. Thus, to the extent the
ALJ credited Dr. Hoopes’s opinion, it was error for him to reject Mrs. Lahti’s letter without
MEMORANDUM DECISION AND ORDER – 9
further analysis.4 The ALJ’s decision indicates he was persuaded that Mrs. Lahti’s testimony
was inconsistent with the record. But because he gave two erroneous reasons for rejecting her
opinion and provided almost no support for the third reason, he cannot have properly rejected her
opinion based on germane reasons. Moreover, even though Mrs. Lahti’s letter was written after
the date last insured, the letter contained her observations gathered over the prior 28 years –
including the entire period from Claimant’s amended alleged onset date through his date last
insured. Nothing in the ALJ’s decision indicates he gave any consideration to Mrs. Lahti’s
opinion during that period. For these reasons, Petitioner has shown reversible legal error in the
ALJ’s decision and her petition will be granted on this issue.
2. The ALJ’s RFC Is Not Supported by Substantial Evidence.
Petitioner contends the ALJ erred by assigning Claimant an RFC that was not supported
by substantial evidence. Id. at 12–16. She argues that the ALJ overstated the significance of
Claimant’s poor compliance with medical treatment and she offers an alternative explanation for
the poor compliance as well as an alternative interpretation of the severity of Claimant’s
impairments. Id. She disputes the ALJ’s finding that Claimant’s mental health conditions were
only moderately limiting, suggesting the record does not support this finding. Id. at 13.
SSR 96-8p requires an ALJ to assess an RFC “based on all of the relevant evidence in the
case record, including information about the individual’s symptoms.” SSR 96-8p p. *2, 1996
WL 374184. The SSR later expressly lists “[l]ay evidence” as one category of “relevant
evidence in the case record.” Id. at p. *5. SSA regulations recognize, as evidence from
4
As discussed infra, the Court finds that the ALJ did not err in giving Dr. Hoopes’s
opinion limited weight. It was nonetheless error, however, for the ALJ to reject Mrs. Lahti’s
opinion without any discussion at all about Dr. Hoopes’s opinion.
MEMORANDUM DECISION AND ORDER – 10
nonmedical sources, “any information or statement(s) from a nonmedical source (including you)
about any issue in your claim.” 20 C.F.R. § 404.1513(a)(4).
As discussed supra, the ALJ erred by failing to provide germane reasons for rejecting the
evidence provided by Claimant’s wife Natalie Lahti. Therefore, such evidence was relevant lay
evidence from a nonmedical source that the ALJ was obligated to consider when assigning an
RFC. It follows that such evidence was not properly considered when the ALJ assigned an RFC.
In turn, this means that the RFC is not supported by substantial evidence. Accordingly, the
parties’ other arguments on this issue need not be considered. Petitioner’s petition will be
granted on this issue.
3. The ALJ Did Not Err in Deciding Claimant Was Not Credible.
Petitioner contends the ALJ erred by failing to provide clear and convincing reasons for
rejecting Claimant’s credibility. Pet’r’s Mem. ISO Pet. for Review 18–20 (Dkt. 13). The ALJ
stated that Claimant “has also been non-compliant with treatment recommendations, which
reflects poorly on his allegations.” (AR 31.) Petitioner notes that Claimant’s primary care
providers indicated that his chronic medical issues were difficult to control due to his mental
disorders. Id. at 18. Petitioner cites an April 2013 record in which Michael A. Valerio, PA-C,
noted the following:
Patient with a known history of diabetes that has been difficult to manage.
His hemoglobin A1c during his hospitalization was greater than 10 and has declined
further diabetic education for one reason or another. He has had numerous
hospitalizations with DKA but sometimes will also be hospitalized with
hypoglycemic episodes. We have tried referring him to endocrinology in the past
as well but again, for one reason or another, this has not occurred. I suspect most
of this is lifestyle and most likely his underlying psychiatric disorder contributes to
compliance.
(AR 838.) In a similar record from July 2012, the same PA-C noted the following:
MEMORANDUM DECISION AND ORDER – 11
Poorly controlled and noncompliant with use of medications or his diet.
Patient’s diet fluctuates quite a bit and although he is aware that he should be
consistent with this, he does not often follow through as he should. He is learning
that possibly his mental illnesses limit his ability to follow through with his chronic
medical condition management. He again tells me that he will be going to the
diabetic clinic through Saint Alphonsus Regional Medical Center which I
encouraged him to do. He has recently self decreased his insulin because of low
blood sugars. I suspect this is more likely because of his irregular dietary habits as
obviously his blood sugars are not controlled based on his hemoglobin A1c of
greater than 11. He is aware that he is also overdue for an eye exam. 40 minutes
was spent with patient today, greater than 50% face-to-face counseling, reviewing
most recent blood work results and discussing treatment.
(AR 867.) In March 2011, Claimant’s primary care doctor, Catherine Atup-Leavitt, MD, noted
that his “chronic medical issues are difficult to manage because of mental disorder.” (AR 1021.)
Petitioner also refers to Claimant’s 2013 admission to a psychiatric hospital, during which staff
were so unsuccessful in treating his diabetes that he was transferred to the emergency room to
stabilize his blood sugars. (AR 393.) Petitioner suggests that “If a specialized team in a very
controlled environment could not manage [Claimant’s] DMII, it is reasonable to believe
[Claimant] struggled even on his best days.” Pet’r’s Mem. ISO Pet. for Review 18–19 (Dkt. 13).
Additionally, Petitioner argues that the ALJ discredited Claimant regarding his mental
health conditions because at times Claimant was functioning fairly well. Id. at 19. Petitioner
cites examples of particular struggles that Claimant experienced, including getting only limited
benefit from three support groups he attended, being too overwhelmed to complete an intake
assessment at a behavioral health clinic, and being unable to manage his own medications. Id.
Finally, Petitioner argues that the ALJ erred in rejecting Claimant’s credibility based on
an incorrect understanding that Claimant was employed, in spite of all of his physical limitations,
during the closed period at issue. Id. at 19–20. Petitioner asserts that the 150 hours of
community service the ALJ mentioned (AR 32) “were too difficult for [Claimant] to complete in
an eight-hour day five-day a week fashion due to his physical and mental conditions.” Pet’r’s
MEMORANDUM DECISION AND ORDER – 12
Mem. ISO Pet. for Review 20 (Dkt. 13). However, Petitioner’s only record citation to support
this assertion is a statement from Dr. Hoopes, Claimant’s psychiatrist for over a decade, that says
“[Claimant] has not been able to return to Goodwill for his community service because he has
been so upset by being taken into custody by the police which was traumatic (he was manicky).
He becomes over-whelmed with anxiety even in the parking lot of Goodwill including welts.”
(AR 1300.) The same record also indicates that Claimant’s “overall level of stress” at the time
was “mild” and that he “will not be able to work his required community service from July 2
through August 30, 2013. Rand Martel, LCPC, and I are working with him to address his
difficulties to enable him to continue his community service in September.” (AR 1300–1301.)
Dr. Hoopes subsequently noted, in October 2013, that Claimant “feels good about going back to
work at Community Services.” (AR 1306.)
Absent evidence of malingering, an ALJ may reject a claimant’s testimony only by
expressing clear and convincing reasons for doing so. Benton v. Barnhart, 331 F.3d 1030, 1040–
1041 (9th Cir. 2003). Credibility determinations must be supported by specific, cogent reasons.
Reddick v. Chater, 157 F.3d 715, 722 (9th Cir. 1998).
Here, the ALJ offered several reasons for finding Claimant “not entirely credible.” (AR
30.) Among these, the ALJ noted conflicting medical records regarding Claimant’s seizures
(including records from 2004 indicating Claimant did not have epilepsy), a lack of compliance
with treatment recommendations, instances where Claimant’s mental illnesses did not limit him,
and inconsistent statements in the record about the extent and recency of Claimant’s work
history. (AR 30–32.) As an initial matter, Respondent points out that the ALJ identified an
inconsistent statement regarding when Claimant ceased working. Resp’t’s Br. 17 (Dkt. 17). The
ALJ noted that Claimant’s application indicated he stopped working in July 2009, but a medical
MEMORANDUM DECISION AND ORDER – 13
record from September 2011 indicated that he had been unemployed only since December 2010.5
(AR 32, 343.) Petitioner did not argue this point. Thus, even if Petitioner’s arguments were
otherwise persuasive, she has nonetheless not shown a lack of clear and convincing evidence as
to at least one of the ALJ’s reasons for perceiving Claimant as less than credible. Regardless,
Petitioner’s arguments are framed as reweighing the evidence to reach a conclusion different
than the ALJ’s, rather than showing that the ALJ’s conclusion was not properly supported.
Petitioner highlights examples of certain dates and times when Claimant was inarguably
incapable of working. But the ALJ cited substantial evidence supporting the finding that at other
times, Claimant’s impairments did not prevent him from working. At a minimum, there is
conflicting evidence in the record regarding the extent to which Claimant “worked” in 2012 and
2013. The ALJ found that such work, although falling short of substantial gainful activity, was
evidence that Claimant’s impairments were not as severe as he alleged. Petitioner argues that
Claimant’s work during this period was very limited in scope and duration, and, even so, it was
very difficult for him to do. There is conflicting evidence on this point in the record. It is the
ALJ’s responsibility to resolve conflicting evidence, and the ALJ’s findings and conclusions will
not be overturned if they are supported by substantial evidence. Treichler v. Comm’r of Social
Sec. Admin., 775 F.3d 1090, 1098 (9th Cir. 2014). Petitioner has not shown that the ALJ failed
to provide clear and convincing reasons for discounting Claimant’s credibility, and her petition
must therefore be denied on this issue.
5
The fact that Claimant amended his alleged onset date from July 2009 to September
2011 is irrelevant to this portion of the ALJ’s decision. The ALJ cited a medical record
indicating Claimant had worked through December 2010, which is inconsistent with Claimant’s
prior representation that he had stopped working in July 2009. This inconsistency, irrespective
of the original or amended alleged onset date, calls into question Claimant’s credibility.
MEMORANDUM DECISION AND ORDER – 14
4. The ALJ Did Not Err in Giving the Opinion of Dr. Hoopes Limited Weight.
Petitioner contends the ALJ rejected the opinion of treating provider Dr. Scott Hoopes,
Claimant’s long-term psychologist, without providing clear and convincing evidence. Pet’r’s
Mem. ISO Pet. for Review 16–17 (Dkt. 13). She faults the ALJ for discounting Dr. Hoopes’s
opinion, which was rendered in January 2015 and which covers the period from January 2014 to
January 2015, even though Claimant’s date last insured was December 31, 2013. Petitioner
argues that mental health symptoms do not escalate overnight and that “even if the limitations
assessed by Dr. Hoopes did not reach the level of severity indicated until January of 2014, it is
highly likely that [Claimant’s] symptoms had reached the level of severity necessary for listing
levels by … the date last insured.” Id. at 16.
Dr. Hoopes completed a “Mental Residual Functional Capacity” form in January 2015 in
which he opined that Claimant had marked or extreme limitations in 16 of 23 categories. (AR
1737–1738.) On the form’s signature page, Dr. Hoopes indicated that Claimant “has had the
degree of limitation I outlined in the attached Mental Residual Functional Capacity
Questionnaire beginning Jan. ’14.” (AR 1739.) The opinion did not purport to apply to any
period prior to January 2014.
In evaluating this evidence, the ALJ noted that Claimant’s date last insured was before
the period covered by Dr. Hoopes’ opinion. (AR 33.) The ALJ stated “Dr. Hoopes’ opinion
does not necessarily relate back to the period at issue, as the claimant’s issues may have
worsened over time and due to age.” (Id.) The ALJ also indicated that Dr. Hoopes’s opinion
was somewhat inconsistent with his own records depicting intermittent problems. (Id.) The ALJ
cited record evidence that Dr. Hoopes had, many times, found Claimant’s concentration and
MEMORANDUM DECISION AND ORDER – 15
attention were good. (AR 33, 1670–1736.) At least some of these times were prior to
Claimant’s date last insured. (AR 1671, 1673, 1675, 1677, 1679.)
Petitioner’s argument that it is “highly likely” Claimant had reached listing-level severity
prior to his date last insured is not evidence. The only evidence Petitioner points to is Dr.
Hoopes’s 2015 opinion. That opinion expressly limited its scope to a period beginning in
January 2014, which was after the date last insured. The ALJ’s decision to give the opinion
limited weight was justified because the opinion did not apply to any part of the closed period at
issue. The ALJ gave a clear and convincing reason for discounting the opinion, and it will not be
overturned on appeal.
5. This Matter Will Be Remanded for Further Proceedings.
Petitioner requests the case be remanded for an immediate award of benefits, arguing that
“further administrative proceedings would serve no useful purpose” and “[t]here are no
outstanding issues to be determined.” Pet’r’s Mem. ISO Pet. for Review 20 (Dkt. 13).
This Court may remand to an ALJ with instructions to calculate and award benefits when
each part of a three-part test is satisfied:
(1) the record has been fully developed and further administrative proceedings
would serve no useful purpose; (2) the ALJ has failed to provide legally sufficient
reasons for rejecting evidence, whether claimant testimony or medical opinion; and
(3) if the improperly discredited evidence were credited as true, the ALJ would be
required to find the claimant disabled on remand.
Garrison v. Colvin, 759 F.3d 995, 1020 (9th Cir. 2014).
The Court is not persuaded that all three requirements of this standard are satisfied on this
record. As noted above, the ALJ gave limited weight to the opinion of Claimant’s treating
psychiatrist Dr. Hoopes because the opinion covered a period beginning less than one month
after the Claimant’s date last insured. The record does not disclose the extent to which Dr.
MEMORANDUM DECISION AND ORDER – 16
Hoopes believed Claimant was limited as of his date last insured, and the Court finds that further
developing the record by requesting Dr. Hoopes’s opinion as to the extent of Claimant’s
limitations as of December 31, 2013 could serve a useful purpose. Additionally, the Court has
found in this decision that the ALJ improperly discredited Petitioner’s testimony and, therefore,
the second part of the test is satisfied. But the Court is not persuaded that crediting Petitioner’s
rejected testimony as true would necessarily require the ALJ to find the claimant disabled on
remand. Thus, neither the first nor the third parts of the Garrison test are satisfied, and remand
for calculation and an award of benefits is not appropriate in this case. The appropriate remedy
upon granting Petitioner’s petition is to remand for further proceedings to decide whether
Claimant was disabled during the period from his amended alleged onset date through his date
last insured.
IV. CONCLUSION
Petitioner has shown that the ALJ erred by improperly rejecting the opinion of lay
witness Natalie Lahti. She has also shown that the ALJ’s RFC assessment was not supported by
substantial evidence. Because Petitioner has shown that the ALJ’s decision includes legal error
and is not based on substantial evidence, her petition will be granted.
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V. ORDER
Based on the foregoing, Petitioner’s Petition for Review (Dkt. 1) is GRANTED, the
decision of the Commissioner is REVERSED, and this action is REMANDED to the
Commissioner of Social Security under sentence four of 42 U.S.C. § 405(g) for further
proceedings consistent with this opinion.
DATED: September 27, 2018
_________________________
Honorable Ronald E. Bush
Chief U.S. Magistrate Judge
MEMORANDUM DECISION AND ORDER – 18
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