Johnson v. Commissioner Social Security Administration
Filing
16
OPINION AND ORDER: The Commissioner's decision is REVERSED AND REMANDED for an immediate award of benefits. Signed on 8/10/2018 by Judge Ann L. Aiken. (ck)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF OREGON
EUGENE DIVISION
TAMMY J., 1
Case No. 6: 17-cv-01170-AA
OPINION AND ORDER
Plaintiff,
v.
COMMISSIONER OF SOCIAL SECURITY,
2
Defendant.
AIKEN, Judge:
Plaintiff Tammy J. brings this action pursuant to the Social Security Act, 42 U.S.C.
§ 405(g), to obtain judicial review of a final decision of the Commissioner of Social Security
("Commissioner"). The Commissioner denied plaintiff's applications for Disability Insurance
1
In the interest of privacy, this opinion uses only the first name and the initial of the last
name of the non-governmental patty in this case.
2
Nancy A. Berryhill's term as the Acting Commissioner of the Social Security
Administration ended on November 17, 2017, and a new Commissioner has not been appointed.
The official title of the head of the Social Security Administration is the "Commissioner of
Social Security[.]" 42 U.S.C. § 902(a)(l). A "public officer who sues or is sued in an official
capacity may be designated by official title rather than by name[.]" Fed. R. Civ. P. 17(d). I
therefore refer to defendant only as Commissioner of Social Security.
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Benefits ("DIB") and Supplemental Security Income ("SSI"). For the reasons set forth below,
the Commissioner's decision is reversed and remanded for an immediate award of benefits.
BACKGROUND
In March 2013, plaintiff applied for DIB and SSL She alleged disability beginning April
9, 1985, due to mild mental retardation and anxiety. Plaintiffs applications were denied initially
and upon reconsideration. On February 11, 2016, plaintiff appeared at a hearing before an ALJ.
On March 3, 2016, the ALJ issued a decision finding plaintiff not disabled. After the Appeals
Council denied review, plaintiff filed a complaint in this Couii.
STANDARD OF REVIEW
The district court must affirm the Commissioner's decision if it is based upon proper
legal standards and the findings are supported by substantial evidence in the record. 42 U.S.C. §
405(g); Beny v. Astrue, 622 F.3d 1228, 1231 (9th Cir. 2010). "Substantial evidence is more than
a mere scintilla but less than a preponderance; it is such relevant evidence as a reasonable mind
might accept as adequate to support a conclusion." Gutierrez v. Comm 'r of Soc. Sec., 740 F.3d
519, 522 (9th Cir. 2014) (citation and quotation marks omitted). The court must weigh "both the
evidence that supports and the evidence that detracts from the ALJ' s conclusion." },;Jayes v.
lvfassanari, 276 F.3d 453, 459 (9th Cir. 2001). If the evidence is subject to more than one
interpretation but the Connnissioner's decision is rational, the Commissioner must be affirmed
because "the court may not substitute its judgment for that of the Commissioner." Edlund v.
}vfassanari, 253 F.3d 1152, 1156 (9th Cir. 2001).
COMMISSIONER'S DECISION
The initial burden of proof rests upon the claimant to establish disability. Howard v.
Heckler, 782 F.2d 1484, 1486 (9th Cir. 1986).
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To meet this burden, the claimant must
demonstrate an "inability to engage in any substantial gainful activity by reason of any medically
determinable physical or mental impairment which can be expected ... to last for a continuous
period of not less than 12 months[.]" 42 U.S.C. § 423(d)(l)(A).
The Commissioner has established a five-step sequential process for determining whether
a person is disabled. Bowen v. Yuckert, 482 U.S. 137, 140 (1987); 20 C.F.R. § 404.1520(a)(4);
id. § 416.920(a)(4). At step one, the ALJ found plaintiff had not engaged in "substantial gainful
activity" since the alleged disability onset date. Tr. 22; 20 C.F.R. § 404.1520(a)(4)(i), (b); id.
§ 416.920(a)(4)(i), (b). At step two, the ALJ found plaintiff suffers from the severe.impairments
of asthma, anxiety disorder, and intellectual disability. See 20 C.F.R. § 404.1520(a)(4)(ii), (c);
id. § 416.920(a)(4)(ii), (c).
At step three, the ALJ determined plaintiffs impairments, whether considered singly or
in combination, did not meet or equal "one of the listed impairments" that the Commissioner
acknowledges are so severe as to preclude substantial gainful activity.
Tr. 23; 20 C.F.R.
§ 404.1520(a)(4)(iii), (d); id. § 416.920(a)(4)(iii), (d). In particular, the ALJ addressed Listing
12.05, which governs intellectual disorders. As relevant in this appeal, the ALJ found that
plaintiffs "intellectual disability ... does not satisfy the criteria of Listing 12.05 because there is
insufficient evidence of ... a valid verbal, performance, or full scale IQ of sixty tlu·ough seventy
and a physical or other mental impairment imposing an additional and significant work-related
limitation of function." Tr. 23.
The ALJ found plaintiff retained the residual functional capacity ("RFC")
to perform work that requires understanding and call'ying out no more than
simple instructions in a work environment with few workplace changes. The
claimant must avoid even moderate exposure to fumes, odors, dusts, gases, and
poorly ventilated areas. The claimant is able to perfo1m this work at all
exertional levels.
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Tr. 24; see also 20 C.F.R. § 404.1520(e); id.§ 416.920(e).
At step four, the ALJ concluded plaintiff could perform her past work as a cleaner or
housekeeper. 20 C.F.R. § 404.1520(a)(4)(iv), (f); id. § 416.920(a)(4)(iv). Accordingly, the ALJ
found plaintiff not disabled and denied her applications for benefits.
DISCUSSION
The Commissioner concedes that the ALJ harmfully erred and agrees that remand is
required. The pmties disagree, however, on the type of remand that is appropriate in this case. I
conclude that remand for an immediate award of benefits is the correct course because the record
conclusively establishes that, at the time of her hearing, plaintiff should have been found
disabled at step three of the sequential evaluation.
At step three, the Commissioner "detennines whether the [claimant's] impairment meet
or equals a 'listed' impairment that the [Commissioner] has acknowledged to be so severe as to
preclude substantial gainful activity." Reddick v. Chafer, 157 F.3d 715, 721 (9th Cir. 1998). If
the claimant meets or equals a listing at step tlll'ee, she "is conclusively presumed disabled[.]" At
the time of the ALJ's decision in this case,3 the step three listing governing intellectual disability
stated:
12.05 Intellectual disability:
Intellectual disability refers to significantly
subaverage general intellectual functioning with deficits in adaptive functioning
initially manifested during the developmental period; i.e., the evidence
demonstrates or supports onset of the impairment before age 22.
The required level of severity for this disorder is met when the requirements in A,
B, C, or D are satisfied.
3
Effective January 17, 2017, the Commissioner made substantial revisions to the listings
for evaluating mental disorders. 81 Fed. Reg. 66138 (Sept. 26, 2016). The revised listings do
not apply in this appeal because "[flederal courts . . . review [the] final decisions [of the
Commissioner] using the rules that were in effect" at the time the decision under review was
issued. Id. at 66138 n.1.
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C. A valid verbal, performance, or full scale IQ of 60 through 70 and a physical or
other mental impairment imposing an additional and significant work-related
limitation of function.
20 C.F.R. § 404, Subpt. P, App'x 1 (2015).
Here, a review of the record conclusively shows that plaintiff satisfies the criteria of
Paragraph C of Listing 12.05. First, there is unambiguous evidence that plaintiffs intellectual
disability manifested before age 22. Plaintiff was born March 25, 1972. She submitted school
records from 1991to1993, during which time she was between 17 and 19 years old. At age 18
and in twelfth grade, the school district's Special Services Department assessed plaintiffs
reading, math, and writing abilities. The Special Services Department found an expected level of
functioning between fifth and sixth grade and an actual level of functioning between fourth and
seventh grade. Tr. 306. The assessment classified her as "Mildly Mentally Retarded and in need
of special education services." Tr. 307.
Those same records show that plaintiff had both
"significantly subaverage general intellectual functioning" and "deficits in adaptive functioning."
20 C.F.R. § 404, Subpt. P, App'x 1 (2015). Standardized test results from 1992 place plaintiff in
the second percentile for reading comprehension and the twenty-fourth percentile for
mathematics. Moreover, the Special Services Department assessment expressly states that the
"Mildly Mentally Retarded" range refers to both intellectual and adaptive functioning. Tr. 307.
Thus, plaintiff satisfies the criteria in the introductory paragraph of Listing 12.05.
Second, the record contains a valid full scale IQ between 60 and 70: specifically, Gregory
Cole, Ph.D, assessed a full scale IQ of 67 in a November 2013 neuropsychological evaluation.
The ALJ discussed Dr. Cole's evaluation at length but did not indicate the weight he was
assigning to Dr. Cole's opinion. Tr. 25-26. Although agency reviewing physicians disagreed
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Dr. Cole's assessment of plaintiffs limitations, they appear to have accepted his objective testing
results as valid. The ALJ also appears to have credited the test scores. Finally and significantly,
the record contains no competing assessment of IQ.
Because the record contains an
uncontradicted valid full scale IQ score between 60 and 70, plaintiff meets the first criteria of
Paragraph C of Listing 12.05.
Third, plaintiff has a "physical or other mental impairment imposing an additional and
significant work-related limitation of function." 20 C.F.R. § 404, Subpt. P, App'x 1 (2015). The
ALJ identified two severe impaitments at step two in additional intellectual disability: anxiety
disorder and asthma. This Couti previously has concluded that identification of any severe
impaitment other than intellectual disability at step two satisfies the second requirement of
Paragraph C for Listing 12.05. See Conley v. Colvin, 274 F. Supp. 3d 1119, 1122 (D. Or. 2017);
lv!cGrew v. Colvin, 2015 WL 1393291, at *5 (D. Or. Mar. 25, 2015).
In this case, it is
particularly clear that one of plaintiffs other impaitments resulted in a significant, additional
work-related limitation of function.
The ALJ's conclusion that plaintiff "must avoid even
moderate exposure to fumes, odors, dusts, gases, and poorly ventilated areas" is a significant
work-related limitation.
That limitation plainly relates to plaintiffs asthma, not to her
intellectual ability. Tr. 24. Plaintiff therefore satisfies the second requirement of Paragraph C of
Listing 12.05. Because it is apparent that plaintiff meets all three requirements of Paragraph C of
Listing 12.05, she should have been found disabled at step three of the sequential process.
The Commissioner argues that remand for further proceedings is the appropriate course.
I disagree. It is true that there are ambiguities in the record, but those ambiguities do not relate
to the criteria necessary to meet Listing 12.05. Cf Fischer v. Colvin, 2016 WL 4803175, at *4
(D. Or. Sept. 13, 2016) (remanding for an inm1ediate award of benefits despite conflicting
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evidence in the record because uncontradicted evidence showed that plaintiff was disabled under
the Social Security grid rules). Under the circumstances, plaintiff is entitled to an immediate
award of benefits. See Benecke v. Barnhart, 379 F.3d 587, 593 (9th Cir. 2004) ("[W]here the
record has been fully developed and fmther administrative proceedings would serve no useful
purpose, the district court should remand for an immediate award of benefits.").
CONCLUSION
The Commissioner's decision is REVERSED AND REMANDED for an immediate
award of benefits.
IT IS SO ORDERED.
Dated this
/0 ~y of August 2018.
AnnAiken
United States District Judge
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