Alton v. Commissioner Social Security Administration

Filing 21

Opinion and Order. The Court REVERSES the decision of the Commissioner, DENIES the Commissioner's Motion 18 to Remand for further administrative proceedings, and REMANDS this matter pursuant to sentence four of 42 U.S.C. § 405(g) for the immediate calculation and award of benefits. Signed on 01/03/2018 by Judge Anna J. Brown. See attached 15 page Opinion and Order for full text. (bb)

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IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF OREGON MARPLE ALTON, Plaintiff, 3:17-cv-00048-BR OPINION AND ORDER v. NANCY A. BERRYHILL,1 Acting Commissioner, Social Security Administration, Defendant. MERRILL SCHNEIDER Schneider Kerr & Robichaux P.O. Box 14490 Portland, OR 97293 (503) 255-9092 Attorneys for Plaintiff 1 On January 23, 2017, Nancy A. Berryhill was appointed Acting Commissioner of Social Security and pursuant to Federal Rule of Civil Procedure 25(d) is substituted as Defendant in this action. 1 - OPINION AND ORDER BILLY J. WILLIAMS United States Attorney RENATA GOWIE Assistant United States Attorney 1000 S.W. Third Avenue, Suite 600 Portland, OR 97204-2902 (503) 727-1003 DAVID MORADO Regional Chief Counsel MICHAEL S. HOWARD Social Security Administration Office of the General Counsel 701 Fifth Avenue Suite 2900 MS 221A Seattle, WA 98104-7075 (206) 615-2539 Attorneys for Defendant BROWN, Judge. Plaintiff Marple Alton seeks judicial review of a final decision of the Commissioner of the Social Security Administration (SSA) in which she denied Plaintiff's applications for Supplemental Security Income (SSI) and Disability Insurance Benefits (DIB) under Titles XVI and II of the Social Security Act. This matter is now before the Court on Plaintiff’s Complaint in which she seeks review of the Commissioner’s decision and the Commissioner's Motion to Remand (#18) for further administrative proceedings on the ground that the Administrative Law Judge (ALJ) erred at Step Five. Following a review of the record, the Court REVERSES the 2 - OPINION AND ORDER Commissioner's decision, DENIES the Commissioner's Motion to Remand for further administrative proceedings, and REMANDS this matter pursuant to sentence four of 42 U.S.C. § 405(g) for the immediate calculation and award of benefits. ADMINISTRATIVE HISTORY Plaintiff filed her applications for SSI and DIB on October 9, 2013. Tr. 277, 279.2 onset date of August 10, 2013. Plaintiff alleged a disability Her applications were denied initially and on reconsideration. May 13, 2016. Tr. 39-71. An ALJ held a hearing on At the hearing Plaintiff and a vocational expert (VE) testified. Plaintiff was represented by an attorney. On June 16, 2016, the ALJ issued an opinion in which he found Plaintiff is not disabled and, therefore, is not entitled to benefits. Tr. 17-33. On November 15, 2016, that decision became the final decision of the Commissioner when the Appeals Council denied Plaintiff's request for review. Tr. 1-7. See Sims v. Apfel, 530 U.S. 103, 106-07 (2000). BACKGROUND Plaintiff was born on July 19, 1953. 2 Tr. 277. Plaintiff Citations to the official transcript of record filed by the Commissioner on June 1, 2017, are referred to as "Tr." 3 - OPINION AND ORDER was 62 years old at the time of the hearing. GED. Tr. 77. Plaintiff has a Plaintiff has past relevant work experience as a “material expeditor and expeditor.” Tr. 31. Plaintiff alleges disability due to depression, high blood pressure, sleep apnea, bipolar disorder, and history of a stroke. Tr. 180. Except when noted, Plaintiff does not challenge the ALJ’s summary of the medical evidence. After carefully reviewing the medical records, this Court adopts the ALJ’s summary of the medical evidence. See Tr. 23-24, 27-31. STANDARDS The initial burden of proof rests on the claimant to establish disability. Cir. 2012). Molina v. Astrue, 674 F.3d 1104, 1110 (9th To meet this burden, a claimant must demonstrate her inability "to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which . . . has lasted or can be expected to last for a continuous period of not less than 12 months." § 423(d)(1)(A). 42 U.S.C. The ALJ must develop the record when there is ambiguous evidence or when the record is inadequate to allow for proper evaluation of the evidence. McLeod v. Astrue, 640 F.3d 881, 885 (9th Cir. 2011)(quoting Mayes v. Massanari, 276 F.3d 453, 459–60 (9th Cir. 2001)). 4 - OPINION AND ORDER The district court must affirm the Commissioner's decision if it is based on proper legal standards and the findings are supported by substantial evidence in the record as a whole. U.S.C. § 405(g). 42 See also Brewes v. Comm’r of Soc. Sec. Admin., 682 F.3d 1157, 1161 (9th Cir. 2012). Substantial evidence is “relevant evidence that a reasonable mind might accept as adequate to support a conclusion.” Molina, 674 F.3d. at 1110-11 (quoting Valentine v. Comm’r Soc. Sec. Admin., 574 F.3d 685, 690 (9th Cir. 2009)). It is more than a mere scintilla [of evidence] but less than a preponderance. Id. (citing Valentine, 574 F.3d at 690). The ALJ is responsible for determining credibility, resolving conflicts in the medical evidence, and resolving ambiguities. 2009). Vasquez v. Astrue, 572 F.3d 586, 591 (9th Cir. The court must weigh all of the evidence whether it supports or detracts from the Commissioner's decision. Ryan v. Comm’r of Soc. Sec., 528 F.3d 1194, 1198 (9th Cir. 2008). Even when the evidence is susceptible to more than one rational interpretation, the court must uphold the Commissioner’s findings if they are supported by inferences reasonably drawn from the record. Ludwig v. Astrue, 681 F.3d 1047, 1051 (9th Cir. 2012). The court may not substitute its judgment for that of the Commissioner. Widmark v. Barnhart, 454 F.3d 1063, 1070 (9th Cir. 2006). 5 - OPINION AND ORDER DISABILITY ANALYSIS I. The Regulatory Sequential Evaluation At Step One the claimant is not disabled if the Commissioner determines the claimant is engaged in substantial gainful activity. 20 C.F.R. §§ 404.1520(a)(4)(I), 416.920(a)(4)(I). See also Keyser v. Comm’r of Soc. Sec., 648 F.3d 721, 724 (9th Cir. 2011). At Step Two the claimant is not disabled if the Commissioner determines the claimant does not have any medically severe impairments or combination of impairments. §§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii). 20 C.F.R. See also Keyser, 648 F.3d at 724. At Step Three the claimant is disabled if the Commissioner determines the claimant’s impairments meet or equal one of the listed impairments that the Commissioner acknowledges are so severe as to preclude substantial gainful activity. §§ 404.1520(a)(4)(iii), 416.920(a)(4)(iii). F.3d at 724. 20 C.F.R. See also Keyser, 648 The criteria for the listed impairments, known as Listings, are enumerated in 20 C.F.R. part 404, subpart P, appendix 1 (Listed Impairments). If the Commissioner proceeds beyond Step Three, she must assess the claimant’s residual functional capacity (RFC). The claimant’s RFC is an assessment of the sustained, work-related physical and mental activities the claimant can still do on a 6 - OPINION AND ORDER regular and continuing basis despite her limitations. §§ 404.1520(e), 416.920(e). (SSR) 96-8p. See also Social Security Ruling “A 'regular and continuing basis' means 8 hours a day, for 5 days a week, or an equivalent schedule." at *1. 20 C.F.R. SSR 96-8p, In other words, the Social Security Act does not require complete incapacity to be disabled. Taylor v. Comm’r of Soc. Sec. Admin., 659 F.3d 1228, 1234-35 (9th Cir. 2011)(citing Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989)). At Step Four the claimant is not disabled if the Commissioner determines the claimant retains the RFC to perform work she has done in the past. 416.920(a)(4)(iv). 20 C.F.R. §§ 404.1520(a)(4)(iv), See also Keyser, 648 F.3d at 724. If the Commissioner reaches Step Five, she must determine whether the claimant is able to do any other work that exists in the national economy. 416.920(a)(4)(v). 20 C.F.R. §§ 404.1520(a)(4)(v), See also Keyser, 648 F.3d at 724-25. Here the burden shifts to the Commissioner to show a significant number of jobs exist in the national economy that the claimant can perform. Lockwood v. Comm’r Soc. Sec. Admin., 616 F.3d 1068, 1071 (9th Cir. 2010). The Commissioner may satisfy this burden through the testimony of a VE or by reference to the Medical-Vocational Guidelines set forth in the regulations at 20 C.F.R. part 404, subpart P, appendix 2. If the Commissioner meets this burden, the claimant is not disabled. 7 - OPINION AND ORDER 20 C.F.R. §§ 404.1520(g)(1), 416.920(g)(1). ALJ'S FINDINGS At Step One the ALJ found Plaintiff has not engaged in substantial gainful activity since her August 10, 2013, alleged onset date. Tr. 21. At Step Two the ALJ found Plaintiff has the severe impairments of a fracture of the left lower extremity, obesity, atrial fibrillation, and congestive heart failure. Tr. 21. The ALJ found Plaintiff’s bipolar disorder and anxiety are not severe. Tr. 21. At Step Three the ALJ concluded Plaintiff's medically determinable impairments do not meet or medically equal one of the listed impairments in 20 C.F.R. part 404, subpart P, appendix 1. Tr. 24. work. The ALJ found Plaintiff has the RFC to perform light Tr. 25. The ALJ found Plaintiff can stand and walk “at least four hours in an eight hour day up to six hours in an eight hour day,” can sit “for a full eight hours,” and “requires a cane when walking over rough terrain and slopes.” Tr. 25. At Step Four the ALJ concluded Plaintiff cannot perform her past relevant work. Tr. 31. At Step Five the ALJ found Plaintiff can perform jobs that exist in significant numbers in the national economy. Accordingly, the ALJ found Plaintiff is not disabled. 8 - OPINION AND ORDER Tr. 32. DISCUSSION Plaintiff contends the ALJ erred (1) at Step Two when he found Plaintiff’s mental-health impairments are nonsevere and (2) at Step Five when he found Plaintiff could do other jobs that exist in the national economy. In her Motion to Remand the Commissioner concedes the ALJ erred at Step Five when he failed to identify a “significant range” of work as required by Rule 202.00(c). subpt. P, appl. 2. 20 C.F.R. pt. 404, The Commissioner moves the Court to remand this matter for further proceedings on that issue. I. The ALJ erred at Step Five. Plaintiff alleges the ALJ erred at Step Five when he failed to identify a “significant range” of work as required by Rule 202.00(c). As noted, at Step Five the Commissioner must determine whether the claimant is able to do any other work that exists in the national economy. 416.920(a)(4)(v). 20 C.F.R. §§ 404.1520(a)(4)(v), See also Keyser, 648 F.3d at 724-25. The burden shifts to the Commissioner at Step Five to show a significant number of jobs exist in the national economy that the claimant can perform. Lockwood v. Comm’r Soc. Sec. Admin., 616 F.3d 1068, 1071 (9th Cir. 2010). The Commissioner may satisfy this burden through the testimony of a VE or by reference to the Medical-Vocational Guidelines set forth in the regulations at 20 9 - OPINION AND ORDER C.F.R. part 404, subpart P, appendix 2. If the Commissioner meets this burden, the claimant is not disabled. 20 C.F.R. §§ 404.1520(g)(1), 416.920(g)(1). Rule 202.00(c) provides: [F]or individuals of advanced age who can no longer perform vocationally relevant past work and who have a history of unskilled work experience, or who have only skills that are not readily transferable to a significant range of semi-skilled or skilled work that is within the individual's functional capacity, or who have no work experience, the limitations in vocational adaptability represented by functional restriction to light work warrant a finding of disabled. 20 C.F.R. pt. 404, subpt. P, app. 2 (emphasis added). In Lounsburry v. Barnhart, 468 F.3d 1111, 1116 (9th Cir. 2006), the Ninth Circuit explained: The specific issue we confront is the meaning of the phrase “significant range of work.” The Commissioner takes the position that the term “work” refers to individual jobs, and the phrase “significant range” only requires Lounsburry to adjust to other work existing in significant numbers in the national economy in one or more occupations. However, the term “work” under Rule 202.00(c) means distinct occupations, and “significant numbers” is no substitute for and cannot satisfy the plain language of Rule 202.00(c) requiring a “significant range of . . . work. . . . We thus construe the phrase “significant range of ... work” in Rule 202.00(c) to require a significant number of occupations.” Emphasis in original. Here the ALJ concluded Plaintiff could perform one aspect of the job of expeditor. The ALJ did not find Plaintiff could do a “significant number” of “distinct occupations” as required for a 10- OPINION AND ORDER finding of not disabled under Step Five pursuant to Rule 202.00(c). The Commissioner concedes the ALJ erred when he failed to identify a “significant range” of work that Plaintiff could perform as required by Rule 202.00(c). On this record the Court concludes the ALJ erred at Step Five when he failed to identify a “significant range” of work as required by Rule 202.00(c). II. The Court remands this matter for the immediate calculation and award of benefits. The decision whether to remand for further proceedings or for immediate payment of benefits generally turns on the likely utility of further proceedings. 1179 (9th Cir. 2000). Harman v. Apfel, 211 F.3d 1172, When "the record has been fully developed and further administrative proceedings would serve no useful purpose, the district court should remand for an immediate award of benefits." Benecke v. Barnhart, 379 F.3d 587, 593 (9th Cir. 2004). The decision whether to remand this case for further proceedings or for the payment of benefits is a decision within the discretion of the court. Harman, 211 F.3d 1178. The decision whether to remand for further proceedings or for immediate payment of benefits generally turns on the likely utility of further proceedings. 11- OPINION AND ORDER Id. at 1179. The court may "direct an award of benefits where the record has been fully developed and where further administrative proceedings would serve no useful purpose." Smolen, 80 F.3d at 1292. The Ninth Circuit has established a three-part test "for determining when evidence should be credited and an immediate award of benefits directed." Harman, 211 F.3d at 1178. The Court should grant an immediate award of benefits when: (1) the ALJ has failed to provide legally sufficient reasons for rejecting . . . evidence, (2) there are no outstanding issues that must be resolved before a determination of disability can be made, and (3) it is clear from the record that the ALJ would be required to find the claimant disabled were such evidence credited. Id. The second and third prongs of the test often merge into a single question: Whether the ALJ would have to award benefits if the case were remanded for further proceedings. Id. at 1178 n.2. The Court has determined the ALJ erred at Step Five when he failed to identify a “significant range” of work that Plaintiff could perform as required by Rule 202.00(c). The Commissioner asserts this matter should be remanded for further proceedings to provide the VE with an opportunity to identify more jobs that Plaintiff could perform. The Commissioner relies on the VE’s statement at the hearing that “some more industry is in there but it would take me a bit more time” to support the VE’s assertion that the she could identify more jobs that Plaintiff could perform. 12- OPINION AND ORDER Plaintiff, however, notes the VE’s statement when taken in context, indicates the VE would not be able to identify more occupations that Plaintiff could perform even if she had a second opportunity to do so. Specifically, the VE testified: Okay. The reason I’m asking these questions is I’m looking up - I think [Plaintiff] would have the transferrable skills to the one job . . . as the expeditor, just . . . that particular job . . . . I think that would be the only job that would come up, would be doing that particular aspect of the past relevant work, but not the other kind. * * * Your Honor, the reason I'm taking so long is I don't quite the -- the numbers that I'm being given are so low, I don't quite believe them, so, I'm trying to see what other OES groups might be able to be included. That's why it's taking me a little bit longer. For instance, I added home furnishing stores, which was one of the groups that I basically -- where she worked and I added a couple of others. I can do a little bit more research, but with what I've done so far, it shows about 19,000 jobs, nationally. I think that they're what the OES probably shows. Some more industry is in there, but it would take me a little bit more time. Tr. 68-69. The VE, therefore, did not indicate she could identify other occupations if she had more time, but rather that she could potentially testify to a higher number of jobs in the one identified occupation if she researched other industries. The Ninth Circuit made clear in Lounsburry when the “record . . . establishes that [the plaintiff’s] skills would transfer to . . . one occupation at her residual functional capacity[, that] does 13- OPINION AND ORDER not constitute a significant range of work” within the meaning of Rule 202.00(3). 468 F.3d at 1116. The Court concludes the Commissioner has not established the VE would likely be able to identify on remand other occupations that Plaintiff could perform and thus identify a significant range of work Plaintiff could perform. The Court, therefore, concludes this matter should not be remanded for further proceedings. 2000). See Schneider v. Comm’r, 223 F.3d 968 (9th Cir. See also Reddick, 157 F.3d at 729 ("We do not remand this case for further proceedings because it is clear from the administrative record that Claimant is entitled to benefits."); Rodriguez v. Bowen, 876 F.2d 759, 763 (9th Cir. 1989)(if remand for further proceedings would only delay the receipt of benefits, judgment for the claimant is appropriate). Accordingly, the Court remands this matter for the immediate calculation and award of benefits to Plaintiff.3 CONCLUSION For these reasons, the Court REVERSES the decision of the Commissioner, DENIES the Commissioner's Motion (#18) to Remand for further administrative proceedings, and REMANDS this matter 3 Because the Court has determined this matter should be remanded for the immediate calculation and award of benefits due to the Commissioner’s error at Step Five, the Court does not address Plaintiff’s allegation of error at Step Two. 14- OPINION AND ORDER pursuant to sentence four of 42 U.S.C. § 405(g) for the immediate calculation and award of benefits. IT IS SO ORDERED. DATED this 3rd day of January, 2018. /s/ Anna J. Brown ANNA J. BROWN United States Senior District Judge 15- OPINION AND ORDER

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