Matthews v. Commissioner of Social Security
Filing
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ORDER GRANTING 16 PLAINTIFF'S MOTION FOR SUMMARY JUDGMENT AND DENYING 22 DEFENDANT'S MOTION FOR SUMMARY JUDGMENT. Signed by Senior Judge Fred Van Sickle. (AY, Case Administrator)
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UNITED STATES DISTRICT COURT
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EASTERN DISTRICT OF WASHINGTON
7 OLETA MATTHEWS,
No. 2:16-cv-00191-FVS
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10 COMMISSIONER OF SOCIAL
ORDER GRANTING PLAINTIFF’S
MOTION FOR SUMMARY
JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR
SUMMARY JUDGMENT
11 SECURITY,
ECF Nos. 16, 22
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Plaintiff,
vs.
Defendant.
BEFORE THE COURT are the parties’ cross-motions for summary
14 judgment. ECF Nos. 16, 22. This matter was submitted for consideration without
15 oral argument. Plaintiff was represented by attorney Howard Olinsky. Defendant
16 was represented by Special Assistant United States Attorney L. Jamala Edwards.
17 The Court, having reviewed the administrative record and the parties’ briefing, is
18 fully informed. For the reasons discussed below, Plaintiff’s Motion, ECF No. 16,
19 is granted and Defendant’s Motion, ECF No. 22, is denied.
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ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 1
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JURISDICTION
Plaintiff Oleta Matthews protectively filed for disability insurance benefits
3 (“DIB”) and supplemental security income (“SSI”) on July 31, 2012. Tr. 266-76,
4 319. Plaintiff alleged an onset date of January 1, 2010. Tr. 266, 273. Benefits
5 were denied initially (Tr. 169-72) and upon reconsideration (Tr. 183-84). Plaintiff
6 appeared at a hearing before an administrative law judge (ALJ) on June 18, 2014.
7 Tr. 42-83. On November 21, 2014, the ALJ denied Plaintiff’s claim (Tr. 24-33),
8 and the Appeals Council denied review. Tr. 1. The matter is now before this court
9 pursuant to 42 U.S.C. § 405(g); 1383(c)(3).
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BACKGROUND
The facts of the case are set forth in the administrative hearing and
12 transcripts, the ALJ’s decision, and the briefs of Plaintiff and the Commissioner,
13 and are therefore only summarized here.
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Oleta Matthews (“Plaintiff”) was 60 years old at the time of the hearing. Tr.
15 42. She went to school through the ninth grade. Tr. 42. She was in special
16 education most of her life. Tr. 61. She lives with a number of family members.
17 Tr. 65. Her work history includes: home attendant, janitor, laundry worker, nurse
18 assistant, and child monitor. Tr. 49. She last worked as a babysitter for her niece.
19 Tr. 50.
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ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 2
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Plaintiff testified she has pain on her left side from her neck to her shoulder
2 and in her middle back, lower back, and on the ball of her left foot. Tr. 52, 55-56.
3 She also has pain in her right hand. Tr. 52-53. She testified pain limits her ability
4 to throw, pull, grip, and reach. Tr. 52-53, 56. She can stand or sit for about 10
5 minutes at a time. Tr. 53, 64. She spends almost half the day reclining. Tr. 54.
6 She has hepatitis C. Tr. 52. Plaintiff uses inhalers a few times per week for
7 COPD. Tr. 56. She experiences shortness of breath upon standing. Tr. 57. She
8 can walk about a block and a half to two blocks. Tr. 57.
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She experiences depression, though medication has helped. Tr. 56, 63. She
10 has anxiety when she is around people. Tr. 57-58. She has quit jobs in the past
11 due to arguments with coworkers. Tr. 59-60. She has difficulty focusing while
12 reading and doing chores. Tr. 60-61.
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STANDARD OF REVIEW
A district court’s review of a final decision of the Commissioner of Social
15 Security is governed by 42 U.S.C. § 405(g). The scope of review under § 405(g) is
16 limited; the Commissioner’s decision will be disturbed “only if it is not supported
17 by substantial evidence or is based on legal error.” Hill v. Astrue, 698 F.3d 1153,
18 1158 (9th Cir. 2012). “Substantial evidence” means “relevant evidence that a
19 reasonable mind might accept as adequate to support a conclusion.” Id. at 1159
20 (quotation and citation omitted). Stated differently, substantial evidence equates to
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1 “more than a mere scintilla[,] but less than a preponderance.” Id. (quotation and
2 citation omitted). In determining whether the standard has been satisfied, a
3 reviewing court must consider the entire record as a whole rather than searching
4 for supporting evidence in isolation. Id.
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In reviewing a denial of benefits, a district court may not substitute its
6 judgment for that of the Commissioner. Edlund v. Massanari, 253 F.3d 1152,
7 1156 (9th Cir. 2001). If the evidence in the record “is susceptible to more than one
8 rational interpretation, [the court] must uphold the ALJ’s findings if they are
9 supported by inferences reasonably drawn from the record.” Molina v. Astrue, 674
10 F.3d 1104, 1111 (9th Cir. 2012). Further, a district court “may not reverse an
11 ALJ’s decision on account of an error that is harmless.” Id. An error is harmless
12 “where it is inconsequential to the [ALJ’s] ultimate nondisability determination.”
13 Id. at 1115 (quotation and citation omitted). The party appealing the ALJ’s
14 decision generally bears the burden of establishing that it was harmed. Shinseki v.
15 Sanders, 556 U.S. 396, 409-10 (2009).
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FIVE–STEP SEQUENTIAL EVALUATION PROCESS
A claimant must satisfy two conditions to be considered “disabled” within
18 the meaning of the Social Security Act. First, the claimant must be “unable to
19 engage in any substantial gainful activity by reason of any medically determinable
20 physical or mental impairment which can be expected to result in death or which
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ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
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1 has lasted or can be expected to last for a continuous period of not less than twelve
2 months.” 42 U.S.C. §§ 423(d)(1)(A); 1382c(a)(3)(A). Second, the claimant’s
3 impairment must be “of such severity that he is not only unable to do his previous
4 work[,] but cannot, considering his age, education, and work experience, engage in
5 any other kind of substantial gainful work which exists in the national economy.”
6 42 U.S.C. §§ 423(d)(2)(A); 1382c(a)(3)(B).
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The Commissioner has established a five-step sequential analysis to
8 determine whether a claimant satisfies the above criteria. See 20 C.F.R. §§
9 404.1520(a)(4)(i)-(v); 416.920(a)(4)(i)-(v). At step one, the Commissioner
10 considers the claimant’s work activity. 20 C.F.R. §§ 404.1520(a)(4)(i);
11 416.920(a)(4)(i). If the claimant is engaged in “substantial gainful activity,” the
12 Commissioner must find that the claimant is not disabled. 20 C.F.R. §§
13 404.1520(b); 416.920(b).
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If the claimant is not engaged in substantial gainful activity, the analysis
15 proceeds to step two. At this step, the Commissioner considers the severity of the
16 claimant’s impairment. 20 C.F.R. §§ 404.1520(a)(4)(ii); 416.920(a)(4)(ii). If the
17 claimant suffers from “any impairment or combination of impairments which
18 significantly limits [his or her] physical or mental ability to do basic work
19 activities,” the analysis proceeds to step three. 20 C.F.R. §§ 404.1520(c);
20 416.920(c). If the claimant’s impairment does not satisfy this severity threshold,
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1 however, the Commissioner must find that the claimant is not disabled. 20 C.F.R.
2 §§ 404.1520(c); 416.920(c).
3
At step three, the Commissioner compares the claimant’s impairment to
4 severe impairments recognized by the Commissioner to be so severe as to preclude
5 a person from engaging in substantial gainful activity. 20 C.F.R. §§
6 404.1520(a)(4)(iii); 416.920(a)(4)(iii). If the impairment is as severe or more
7 severe than one of the enumerated impairments, the Commissioner must find the
8 claimant disabled and award benefits. 20 C.F.R. §§ 404.1520(d); 416.920(d).
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If the severity of the claimant’s impairment does not meet or exceed the
10 severity of the enumerated impairments, the Commissioner must pause to assess
11 the claimant’s “residual functional capacity.” Residual functional capacity (RFC),
12 defined generally as the claimant’s ability to perform physical and mental work
13 activities on a sustained basis despite his or her limitations, 20 C.F.R. §§
14 404.1545(a)(1); 416.945(a)(1), is relevant to both the fourth and fifth steps of the
15 analysis.
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At step four, the Commissioner considers whether, in view of the claimant’s
17 RFC, the claimant is capable of performing work that he or she has performed in
18 the past (past relevant work). 20 C.F.R. §§ 404.1520(a)(4)(iv); 416.920(a)(4)(iv).
19 If the claimant is capable of performing past relevant work, the Commissioner
20 must find that the claimant is not disabled. 20 C.F.R. §§ 404.1520(f); 416.920(f).
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ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
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1 If the claimant is incapable of performing such work, the analysis proceeds to step
2 five.
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At step five, the Commissioner considers whether, in view of the claimant’s
4 RFC, the claimant is capable of performing other work in the national economy.
5 20 C.F.R. §§ 404.1520(a)(4)(v); 416.920(a)(4)(v). In making this determination,
6 the Commissioner must also consider vocational factors such as the claimant’s age,
7 education and past work experience. 20 C.F.R. §§ 404.1520(a)(4)(v);
8 416.920(a)(4)(v). If the claimant is capable of adjusting to other work, the
9 Commissioner must find that the claimant is not disabled. 20 C.F.R. §§
10 404.1520(g)(1); 416.920(g)(1). If the claimant is not capable of adjusting to other
11 work, analysis concludes with a finding that the claimant is disabled and is
12 therefore entitled to benefits. 20 C.F.R. §§ 404.1520(g)(1); 416.920(g)(1).
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The claimant bears the burden of proof at steps one through four above.
14 Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999). If the analysis proceeds to
15 step five, the burden shifts to the Commissioner to establish that (1) the claimant is
16 capable of performing other work; and (2) such work “exists in significant
17 numbers in the national economy.” 20 C.F.R. §§ 404.1560(c)(2); 416.920(c)(2);
18 Beltran v. Astrue, 700 F.3d 386, 389 (9th Cir. 2012).
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ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 7
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ALJ’S FINDINGS
At step one, the ALJ found Plaintiff has not engaged in substantial gainful
3 activity since January 1, 2010, the alleged onset date. Tr. 26. At step two, the ALJ
4 found Plaintiff has the following severe impairments: degenerative disc disease,
5 affective disorder, anxiety disorder, and substance addiction disorder. Tr. 26. At
6 step three, the ALJ found that Plaintiff does not have an impairment or
7 combination of impairments that meets or medically equals the severity of a listed
8 impairment. Tr. 27. The ALJ then found:
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[T]he claimant has the residual functional capacity to perform
medium work, which is defined in 20 CFR 404.1567(c) and
416.967(c) as work involving lifting and carrying 50 pounds
occasionally and 25 pounds frequently. The claimant can stand and/or
walk, with normal breaks, for a total of five hours in an eight-hour
workday. She can sit, with normal breaks, for a total of six hours in
an eight-hour workday. She can never climb ladders, ropes, or
scaffolds. She can never reach overhead bilaterally. She can
complete unskilled, simple, and routine tasks with customary breaks
and lunch. She can have occasional contact with co-workers for work
tasks with the average occurrence lasting for 15 minutes or less. She
can have frequent contact with the supervisor with the average
occurrence being 15 minutes. There should be an emphasis on
occupations/duties dealing with things and objects rather than people.
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Tr. 28. At step four, the ALJ found Plaintiff is capable of performing past relevant
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work as a laundry worker. Tr. 32. Therefore, at step five, the ALJ concluded that
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Plaintiff has not been under a disability, as defined in the Social Security Act, from
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January 1, 2010, through the date of the decision. Tr. 32.
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ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 8
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ISSUES
Plaintiff seeks judicial review of the Commissioner’s final decision denying
3 disability benefits under Title II and supplemental security income benefits under
4 Title XVI of the Social Security Act. ECF No. 16. Plaintiff raises the following
5 issues for review:
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1. Whether the ALJ improperly found Plaintiff has past relevant work;
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2. Whether the ALJ improperly rejected medical opinion evidence;
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3. Whether the ALJ improperly rejected Plaintiff’s testimony; and
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4. Whether the hypothetical to the vocational expert included all of the
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limitations supported by substantial evidence.
11 ECF No. 16 at 10-18.
12
DISCUSSION
13 A.
Past Relevant Work
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Plaintiff contends the ALJ improperly found that her work as a laundry
15 worker qualifies as past relevant work at step four of the sequential evaluation.
16 ECF No. 16 at 11-12. Past relevant work is work that was “done within the last 15
17 years, lasted long enough for you to learn to do it, and was substantial gainful
18 activity.” 20 C.F.R. §§ 404.1565(a), 416.965(a). Substantial gainful activity is
19 work activity that “involves doing significant physical or mental activities” on a
20 full- or part-time basis, and “is the kind of work usually done for pay or profit.” 20
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ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
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1 C.F.R. §§ 404.1572, 416.972. Generally, if a claimant works for substantial
2 earnings as described in the regulations, the work is found to be substantial gainful
3 activity. 20 C.F.R. §§ 404.1574(a), 416.974(a). However, if average monthly
4 earnings are less than the amount described in the regulations, it is presumed that a
5 claimant has not engaged in substantial gainful activity. 20 C.F.R. §§
6 404.1574(b)(3); 416.974(b)(3).
7
The ALJ found Plaintiff is capable of past relevant work as a laundry
8 worker. Tr. 32. In 2012, the only year Plaintiff testified she worked in the laundry
9 room of a motel, earnings averaging more than $1,010 per month constituted
10 substantial gainful activity. See 20 C.F.R. §§ 404.1574(b)(2), 416.974(b)(2); see
11 also Social Security Administration, Program Operations Manual, DI
12 10501.015(B) (October 19, 2016).1 Plaintiff had total earnings of $3,686 for the
13 entire year in 2012, well below the substantial gainful activity threshold of $1,010
14 per month. Tr. 285-86. Thus, the presumption is that Plaintiff did not engage in
15 substantial gainful activity as a laundry worker in 2012.
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Defendant suggests Plaintiff’s testimony that she received a room instead of
17 payment for laundry work establishes a basis for the ALJ’s finding that laundry
18 work is past relevant work. ECF No. 22 at 16-17. At the hearing, Plaintiff was
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Available at https://secure.ssa.gov/poms.nsf/lnx/0410501015.
ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 10
1 asked about self-employment earnings from 2012. Tr. 47. Plaintiff testified that
2 she did some babysitting and worked at a motel in 2012. Tr. 47. Then she said,
3 “Not worked. Well, sort of . . . I worked in the laundry room for a room. That’s
4 all I got.” Tr. 47. Later, she testified again that when she worked at the motel she
5 was not paid but she got to stay in a room. Tr. 50. She estimated she worked
6 about 14 hours per week at the motel. Tr. 51. However, there is no evidence in the
7 record regarding the value of the hotel room or how long the arrangement existed
8 to establish that her work in the motel laundry room constituted substantial gainful
9 activity. Defendant failed to rebut the presumption that Plaintiff did not work at
10 the level of substantial gainful activity. Thus, substantial evidence does not
11 support the ALJ’s step four finding. This is clear error.
12
Although Plaintiff urges the court to award benefits due to the error at step
13 four, ECF No. 16 at 12, it is not clear from the record that Plaintiff is disabled. A
14 claimant is not entitled to benefits under the statute unless the claimant is, in fact,
15 disabled, no matter how egregious the ALJ's errors may be. Strauss v. Comm=r of
16 Soc. Sec. Admin., 635 F.3d 1135, 1138 (9th Cir. 2011) (citing Briscoe ex rel.
17 Taylor v. Barnhart, 425 F.3d 345, 357 (7th Cir.2005)). Remand is necessary to
18 determine whether there are other jobs available in the national economy that
19 Plaintiff can perform. See 20 C.F.R. §§ 404.1560(c)(2); 416.920(c)(2).
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ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
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1 B.
Adverse Credibility Finding
2
Plaintiff contends the ALJ improperly rejected Plaintiff’s testimony. ECF
3 No. 16 at 15-17. An ALJ engages in a two-step analysis to determine whether a
4 claimant’s testimony regarding subjective pain or symptoms is credible. “First, the
5 ALJ must determine whether there is objective medical evidence of an underlying
6 impairment which could reasonably be expected to produce the pain or other
7 symptoms alleged.” Molina, 674 F.3d at 1112 (internal quotation marks omitted).
8 “The claimant is not required to show that [his] impairment could reasonably be
9 expected to cause the severity of the symptom []he has alleged; []he need only
10 show that it could reasonably have caused some degree of the symptom.” Vasquez
11 v. Astrue, 572 F.3d 586, 591 (9th Cir. 2009) (internal quotation marks omitted).
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Second, “[i]f the claimant meets the first test and there is no evidence of
13 malingering, the ALJ can only reject the claimant’s testimony about the severity of
14 the symptoms if [the ALJ] gives ‘specific, clear and convincing reasons’ for the
15 rejection.” Ghanim v. Colvin, 763 F.3d 1154, 1163 (9th Cir. 2014) (internal
16 citations and quotations omitted). “General findings are insufficient; rather, the
17 ALJ must identify what testimony is not credible and what evidence undermines
18 the claimant’s complaints.” Id. (quoting Lester v. Chater, 81 F.3d 821, 834 (9th
19 Cir. 1995)); see also Thomas v. Barnhart, 278 F.3d 947, 958 (9th Cir. 2002)
20 (“[T]he ALJ must make a credibility determination with findings sufficiently
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1 specific to permit the court to conclude that the ALJ did not arbitrarily discredit
2 claimant’s testimony.”). “The clear and convincing [evidence] standard is the most
3 demanding required in Social Security cases.” Garrison v. Colvin, 759 F.3d 995,
4 1015 (9th Cir. 2014) (quoting Moore v. Comm’r of Soc. Sec. Admin., 278 F.3d 920,
5 924 (9th Cir. 2002)).
6
In making an adverse credibility determination, the ALJ may consider, inter
7 alia, (1) the claimant’s reputation for truthfulness; (2) inconsistencies in the
8 claimant’s testimony or between his testimony and his conduct; (3) the claimant’s
9 daily living activities; (4) the claimant’s work record; and (5) testimony from
10 physicians or third parties concerning the nature, severity, and effect of the
11 claimant’s condition. Thomas, 278 F.3d at 958-59.
12
Here, the ALJ found Plaintiff’s medically determinable impairments could
13 reasonably be expected to produce the symptoms alleged, but Plaintiff’s statements
14 concerning the intensity, persistence, and limiting effects of these symptoms are not
15 entirely credible. Tr. 29. The ALJ gave two reasons for the adverse credibility
16 finding: (1) Plaintiff’s activities are inconsistent with her allegations of disability;
17 and (2) the treatment record is inconsistent with Plaintiff’s allegations of disability.
18 Tr. 29-31.
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First, the ALJ found Plaintiff’s activities generally reflect a level of
20 functioning consistent with the residual functional capacity finding and inconsistent
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ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
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1 with her claims of disability. Tr. 31. It is reasonable for an ALJ to consider a
2 claimant’s activities which undermine claims of totally disabling pain in making the
3 credibility determination. See Rollins v. Massanari, 261 F.3d 853, 857 (9th Cir.
4 2001). However, it is well-established that a claimant need not “vegetate in a dark
5 room” in order to be deemed eligible for benefits. Cooper v. Bowen, 815 F.2d 557,
6 561 (9th Cir. 1987). Notwithstanding, if a claimant is able to spend a substantial
7 part of her day engaged in pursuits involving the performance of physical functions
8 that are transferable to a work setting, a specific finding as to this fact may be
9 sufficient to discredit an allegation of disabling excess pain. Fair v. Bowen, 885
10 F.2d 597, 603 (9th Cir. 1989).
Furthermore, "Even where [Plaintiff’s daily]
11 activities suggest some difficulty functioning, they may be grounds for discrediting
12 the claimant’s testimony to the extent that they contradict claims of a totally
13 debilitating impairment.” Molina, 674 F.3d at 1113.
14
The ALJ noted that Plaintiff testified she cared for her grandchildren for the
15 past several years. Tr. 31, 65-66. The ALJ found that, “Caring for children is both
16 physically and mentally taxing and shows an ability to persist and interact with
17 others.” Tr. 31. However, the ALJ’s findings about Plaintiff’s child care activities
18 are an overstatement in light of the evidence in the record. Plaintiff testified that
19 she lives with two of her daughters, a daughter’s boyfriend, the boyfriend’s father, a
20 granddaughter, a grandson, and a niece.
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Tr. 65.
Plaintiff testified that her
ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
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1 granddaughter is 16 and her niece is six and that she receives financial assistance
2 from the state for each of them. Tr. 65-66. She testified that she walks a child across
3 the street to school; she watches movies and talks with “her kids”; she has visited
4 the granddaughter’s school to talk about her absences; she goes out in the backyard
5 with them while they use the swimming pool. Tr. 69-71. None of these activities is
6 inconsistent with Plaintiff’s alleged limitations. There is no other testimony about
7 Plaintiff’s child care duties, the length of time she has been caring for them, or the
8 contributions of other family members living in the home.2 Thus, substantial
9 evidence does not support the ALJ’s finding.
10
The ALJ also cited testimony from Plaintiff that she walks around town, does
11 not drive, and grocery shops regularly. Tr. 31. According to the ALJ, this shows “a
12 physical ability for prolonged walking and an ability to lift and carry within the limits
13 of the residual functional capacity.” Tr. 31. Again, the ALJ overstated Plaintiff’s
14 testimony. Plaintiff testified that she had stopped driving “not quite a year ago.” Tr.
15 66. She initially stated she walks to town, but further testimony revealed that she
16
17
2
By the ALJ’s reasoning, no parent of a minor child could ever be disabled,
18 because the physical and relational needs of any children in the home would
19 signify the capacity to work. This, of course, is not a reasonable conclusion in
20 every situation and the ALJ failed to support such a conclusion in this situation.
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1 meant she walks to the bus stop to take a bus to town because, “I can’t walk back
2 from Walmart because it is [like] three miles or so. I have to take the bus. I live out
3 of town.” Tr. 68. There is no testimony regarding the distance to the bus stop and
4 there is simply no basis to characterize the walking Plaintiff testified to doing as
5 “prolonged.” Tr. 31. Furthermore, the ALJ cites no testimony about the frequency
6 of Plaintiff’s trips to Walmart, so there is no support for the finding that Plaintiff
7 shops on a “regular basis.” Tr. 31. Even if the very limited evidence about Plaintiff’s
8 shopping trips could be considered to support the ALJ’s finding, it does not rise to
9 the level of a clear and convincing basis for the adverse credibility finding. Thus,
10 the ALJ’s findings regarding Plaintiff’s daily activities are not legally sufficient.
11
Second, the ALJ found the physical and psychological treatment record is
12 inconsistent with disability. An ALJ may not discredit a claimant’s pain testimony
13 and deny benefits solely because the degree of pain alleged is not supported by
14 objective medical evidence. Rollins, 261 F.3d at 857; Bunnell v. Sullivan, 947 F.2d
15 341, 346-47 (9th Cir. 1991); Fair, 885 F.2d at 601. However, the medical evidence
16 is a relevant factor in determining the severity of a claimant’s pain and its disabling
17 effects. Rollins, 261 F.3d at 857; 20 C.F.R. §§ 404.1529(c)(2) (2011), 416.929(c)(2)
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1 (2011);3 see also S.S.R. 96-7p.4 Minimal objective evidence is a factor which may
2 be relied upon in discrediting a claimant’s testimony, although it may not be the only
3 factor. See Burch v. Barnhart, 400 F.3d 676, 680 (9th Cir. 2005). The only other
4 reason cited by the ALJ in support of the negative credibility finding involves
5 Plaintiff’s daily activities and is legally insufficient.
Thus, because minimal
6 objective evidence cannot stand alone as the basis for a negative credibility finding,
7 the ALJ’s credibility finding is inadequate. As a result, on remand, the ALJ should
8 make a new credibility determination.
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12
These
3
regulations were revised effective March 27, 2017. Revisions to Rules
13 Regarding the Evaluation of Medical Evidence, 82 Fed. Reg. 5871 (January 18,
14 2017). Since the revision was not effective at the time of the ALJ’s decision, it
15 does not apply to this case.
16
4
S.S.R. 96-7p was superseded by S.S.R. 16-3p effective March 16, 2016. The new
17 ruling also provides that the consistency of a claimant’s statements with objective
18 medical evidence and other evidence is a factor in evaluating a claimant’s
19 symptoms. S.S.R. 16-3p at *6. Nonetheless, S.S.R. 16-3p was not effective at the
20 time of the ALJ’s decision and therefore does not apply in this case.
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1 C.
Medical Opinion Evidence
2
Plaintiff next contends the ALJ improperly rejected the opinions of Aaron
3 Burdge, Ph.D.; Edward Liu, ARNP; Laurie Jones, MSW; Nancy Schwarzkopf,
4 ARNP; and Joyce Nineman, ARNP. ECF No. 16 at 12-13.
5
There are three types of physicians: “(1) those who treat the claimant
6 (treating physicians); (2) those who examine but do not treat the claimant
7 (examining physicians); and (3) those who neither examine nor treat the claimant
8 but who review the claimant’s file (nonexamining or reviewing physicians).”
9 Holohan v. Massanari, 246 F.3d 1195, 1201-02 (9th Cir. 2001) (brackets omitted).
10 “Generally, a treating physician’s opinion carries more weight than an examining
11 physician’s, and an examining physician’s opinion carries more weight than a
12 reviewing physician’s.” Id. “In addition, the regulations give more weight to
13 opinions that are explained than to those that are not, and to the opinions of
14 specialists concerning matters relating to their specialty over that of
15 nonspecialists.” Id. (citations omitted).
16
If a treating or examining physician’s opinion is uncontradicted, an ALJ may
17 reject it only by offering “clear and convincing reasons that are supported by
18 substantial evidence.” Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9th Cir. 2005).
19 “However, the ALJ need not accept the opinion of any physician, including a
20 treating physician, if that opinion is brief, conclusory and inadequately supported
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DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 18
1 by clinical findings.” Bray v. Comm’r of Soc. Sec. Admin., 554 F.3d 1219, 1228
2 (9th Cir. 2009) (internal quotation marks and brackets omitted). “If a treating or
3 examining doctor’s opinion is contradicted by another doctor’s opinion, an ALJ
4 may only reject it by providing specific and legitimate reasons that are supported
5 by substantial evidence.” Bayliss, 427 F.3d at 1216 (citing Lester, 81 F.3d at 8306 31.
7
The opinion of an acceptable medical source such as a physician or
8 psychologist is given more weight than that of an “other source.” 20 C.F.R. §§
9 404.1527, 416.927; Gomez v. Chater, 74 F.3d 967, 970-71 (9th Cir. 1996). “Other
10 sources” include nurse practitioners, physicians’ assistants, therapists, teachers,
11 social workers, spouses and other non-medical sources. 20 C.F.R. §§ 404.1513(d)
12 (2013), 416.913(d) (2013).5 However, the ALJ is required to “consider
13 observations by non-medical sources as to how an impairment affects a claimant’s
14 ability to work.” Sprague v. Bowen, 812 F.2d 1226, 1232 (9th Cir. 1987). Non15
16
These
5
regulations were revised effective March 27, 2017. Revisions to Rules
17
Regarding the Evaluation of Medical Evidence, 82 Fed. Reg. 15132 (March 27,
18
2017). Since the revision was not effective at the time of the ALJ’s decision, it
19
does not apply to this case.
20
21
ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 19
1 medical testimony can never establish a diagnosis or disability absent
2 corroborating competent medical evidence. Nguyen v. Chater, 100 F.3d 1462,
3 1467 (9th Cir. 1996). Pursuant to Dodrill v. Shalala, 12 F.3d 915, 919 (9th Cir.
4 1993), an ALJ is obligated to give reasons germane to “other source” testimony
5 before discounting it.
6
The ALJ gave the same reasons for assigning little weight to the opinions of
7 five medical providers:
8
1.
Aaron Burdge, Ph.D., an examining physician, completed a
9 psychological evaluation in January 2014. Tr. 577-82. He diagnosed major
10 depressive disorder, recurrent, moderate; dysthymic disorder; attention11 deficit/hyperactivity disorder NOS; and anxiety disorder NOS, with PTSD and
12 social like features. Tr. 579. Dr. Burdge assessed marked limitations in five areas
13 of basic work activity: the ability to understand, remember, and persist in tasks by
14 following detailed instructions; the ability to perform activities within a schedule,
15 maintain regular attendance, and be punctual; the ability to communicate and
16 perform effectively in a work setting; the ability to complete a normal workday and
17 work week without interruptions from psychologically based symptoms; and the
18 ability to maintain appropriate behavior in a work setting. Tr. 579-80.
19
2.
Edward Liu, ARNP, an “other source” under the regulations, opined
20 in November 2012 that Plaintiff could not work. He diagnosed degenerative disc
21
ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 20
1 disease of the cervical spine and found her symptoms would frequently interfere
2 with the attention and concentration to perform simple work-related tasks; she
3 would need to lie down outside of normally scheduled breaks during an eight-hour
4 workday; she would need to take unscheduled breaks up to every hour; she could
5 sit, stand, and walk for one hour each during an eight-hour workday; she could
6 occasionally lift up to 10 pounds; and has limitations on reaching. Tr. 507-08.
7
3.
Laurie Jones, MSW, is an “other source” who stated in October 2012
8 that Plaintiff could not work with or around others, and that Plaintiff had 11
9 extreme and seven marked functional limitations. Tr. 509-11.
10
4.
Nancy Schwarzkopf, ARNP, an “other source,” indicated in April
11 2013 Plaintiff could not return to work and could not lift. Tr. 709.
12
5.
Joyce Ninemann, ARNP, an “other source,” opined in June 2014 that
13 Plaintiff has nine marked functional limitations, including a marked limitation in
14 the ability to complete a workday; and that Plaintiff would miss four or more days
15 of work per month. Tr. 736-38.
16
The ALJ gave the same reasons for rejecting the opinions of all five
17 providers: “These opinions are inconsistent with the claimant’s longitudinal
18 history, her performance on mental status examinations, and her reported activities.
19 The claimant has reported depression and anxiety, but her examinations have been
20 otherwise unremarkable. She has also had unremarkable physical examinations.”
21
ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 21
1 Tr. 32.
2
The Court finds the ALJ’s reasons are inadequate. An examiner's findings
3 should be as comprehensive and analytical as feasible so that a reviewing court
4 may know the basis for the decision. Lewin v. Schweiker, 654 F.2d 631, 635 (9th
5 Cir. 1981). The ALJ must do more than offer his conclusions. He must set forth
6 his own interpretations and explain why they, rather than the doctors', are correct.
7 Embrey v. Bowen, 849 F.2d 418, 421–22 (9th Cir. 1988). Here, the ALJ’s
8 statements are not explained or supported by citations to the medical opinions
9 rejected.
10
Furthermore, to the extent the ALJ’s reasoning could be supported by the
11 discussion of similar reasons in the credibility portion of the decision (although
12 this is not so indicated by the ALJ), the ALJ’s reasons are still insufficient. With
13 regard to daily activities, as discussed supra, the record is undeveloped as to
14 Plaintiff’s child care duties. Thus, the ALJ improperly relied on Plaintiff’s
15 childcare activities to reject the five medical opinions. See Trevizo v. Berryhill,
16 871 F.3d 664, 676 (9th Cir. 2017). Similarly, Plaintiff’s ability to walk to a bus
17 stop and grocery shop periodically does not, without further development of the
18 record, establish that the medical opinions rejected by the ALJ are inconsistent
19 with Plaintiff’s activities. See id; see also Popa v. Berryhill, No. 15-16848, 2017
20 WL 4160041, at *4 (9th Cir. Aug. 18, 2017). As for the longitudinal record and
21
ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 22
1 the ALJ’s characterization of “unremarkable” exams throughout the record, the
2 ALJ simply recited numerous exam findings supporting the ALJ’s conclusions
3 without addressing the specific opinions rejected or the findings favorable to
4 Plaintiff. Tr. 29-30. This is insufficient. See Trevizo, 871 F.3d at 677; Embrey,
5 849 F.2d at 421–22.
6
7
8
On remand, the ALJ should reconsider the medical opinion evidence and
provide legally sufficient reasons and adequate explanation for rejecting any
opinions.
9
D.
10
11
12
13
14
15
16
17
18
19
20
21
Hypothetical
Lastly, Plaintiff contends the hypothetical posed by the ALJ to the
vocational expert was invalid. ECF No. 16 at 17-18. The ALJ’s hypothetical must
be based on medical assumptions supported by substantial evidence in the record
that reflects all of the claimant’s limitations. Osenbrook v. Apfel, 240 F.3d 1157,
1165 (9th Cir. 2001). The hypothetical should be “accurate, detailed, and
supported by the medical record.” Tackett v. Apfel, 180 F.3d 1094, 1101 (9th Cir.
1999). Because the ALJ’s other findings were insufficient, the ALJ’s reliance on a
hypothetical posed to the vocational expert based on those findings is also suspect.
See Magallanes v. Bowen, 881 F.2d 747, 756-57 (9th Cir. 1989); Bayliss, 427 F. 3d
at 1217-18. Thus, on remand, if warranted after reconsideration of the evidence,
the ALJ should submit a new hypothetical to the vocational expert.
ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 23
1
2
3
CONCLUSION
After reviewing the record and the ALJ’s findings, the Court concludes the
4 ALJ’s decision is not supported by substantial evidence and free of harmful legal
5 error. Because of the clear error at step four and other errors in evaluating the
6 evidence, remand is necessary. On remand, the ALJ should reconsider the
7 evidence, make a new credibility determination, and conduct a new sequential
8 evaluation analysis, ensuring all findings are supported by legally sufficient
9 reasoning and are adequately explained.
10
Accordingly, IT IS HEREBY ORDERED:
11
1. Plaintiff’s Motion for Summary Judgment, ECF No. 16, is GRANTED.
12
2. Defendant’s Motion for Summary Judgment, ECF No. 22, is DENIED.
13
3. An application for attorney fees may be filed by separate motion.
14
The District Court Executive is directed to file this Order and forward copies
15 to counsel. Judgment shall be entered for Plaintiff and the file shall be CLOSED.
16
17
18
DATED November 13, 2017.
s/Fred Van Sickle
Fred Van Sickle
Senior United States District Judge
19
20
21
ORDER GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DENYING
DEFENDANT’S MOTION FOR SUMMARY JUDGMENT - 24
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