1 2 3 UNITED STATES DISTRICT COURT 4 NORTHERN DISTRICT OF CALIFORNIA 5 SAN JOSE DIVISION 6 7 MARK D. ANDERSON, Case No. 5:24-cv-09503-BLF
8 Plaintiff, ORDER DENYING PLAINTIFF’S 9 v. MOTION FOR SUMMARY JUDGMENT 10 FRANK BISIGNANO, [Re: Dkt. Nos. 9, 11] 11 Defendant.
12 13 Plaintiff Mark Anderson seeks review under 42 U.S.C. § 405(g) of a final decision of the 14 Commissioner of Social Security (“Commissioner”), Frank Bisignano.1 Plaintiff filed a motion 15 for summary judgment, Dkt. No. 9 (“Mot.”), and the Commissioner filed a brief in opposition, 16 Dkt. No. 11 (“Opp.”). Plaintiff filed a reply. Dkt. No. 12 (“Reply”). The matter is deemed fully 17 briefed and submitted without oral argument. Civ. L.R. 16-5. 18 For the following reasons, the Court DENIES Plaintiff’s motion. 19 I. BACKGROUND 20 Plaintiff Mark Anderson alleges that he has a disability, based on a seizure disorder and 21 associated cognitive impairments, that commenced on November 20, 2021, when he was sixty 22 years old. Dkt. No. 8 (“Admin. Rec.”) at 211. He has a high school education and had worked 23 previously as a “carpenter/contractor.” Id. at 65. 24 Plaintiff filed an application for Title II Social Security Disability Insurance (“SSDI”) 25 benefits on May 4, 2022. Admin. Rec. at 209–17. After approximately two years of 26
27 1 Frank Bisignano became the Commissioner of Social Security on May 6, 2025 and is substituted 1 administrative proceedings, Plaintiff participated in a hearing before Administrative Law Judge 2 (“ALJ”) Michael Cabotaje. Following the hearing, the ALJ concluded that Plaintiff was not 3 disabled. Id. at 14–28. Under the five-step sequential evaluation process for determining whether 4 a claimant is disabled, see 20 C.F.R. § 404.1520, the ALJ determined that: (1) Plaintiff had not 5 been engaged in “substantial gainful activity” during the relevant time period, see 20 C.F.R. 6 § 404.1520(b), (2) Plaintiff has a seizure disorder, and the impairment caused by this disorder is 7 severe, see 20 C.F.R. § 404.1520(c), (3) Plaintiff’s impairment does not meet or equal any 8 impairment described in 20 C.F.R.§ 404, Subpart P, Appendix 1, see 20 C.F.R. § 404.1520(d), 9 (4) Plaintiff could not return to any past relevant work that he had conducted, see 20 C.F.R. 10 § 404.1520(e)–(f), and (5) despite his impairment and inability to return to past work, Plaintiff was 11 not disabled because he could do other work available in the national economy, see 20 C.F.R. 12 § 404.1520(g). Admin. Rec. at 14–32. Plaintiff requested review by the Appeals Counsel, but this 13 request was denied. Id. at 1–6. Accordingly, the ALJ’s decision became a final order. 14 II. LEGAL STANDARD 15 “The court shall have power to enter, upon the pleadings and transcript of the record, a 16 judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, 17 with or without remanding the cause for a rehearing.” 42 U.S.C. § 405(g). However, “a federal 18 court’s review of Social Security determinations is quite limited,” Brown-Hunter v. Colvin, 806 19 F.3d 487, 492 (9th Cir. 2015), and the court “may set aside a denial of benefits only if not 20 supported by substantial evidence in the record or if it is based on legal error.” Merrill ex rel. 21 Merrill v. Apfel, 224 F.3d 1083, 1084–85 (9th Cir. 2000) (citing Meanel v. Apfel, 172 F.3d 1111, 22 1113 (9th Cir. 1999)). 23 “Under the substantial-evidence standard, a court looks to an existing administrative record 24 and asks whether it contains ‘sufficien[t] evidence’ to support the agency’s factual 25 determinations.” Biestek v. Berryhill, 587 U.S. 97, 102 (2019) (quoting Consolidated Edison Co. 26 v. NLRB, 305 U.S. 197, 229 (1938)). In other words, the court considers whether there is “such 27 relevant evidence as a reasonable mind might accept as adequate to support [the] conclusion” 1 Courts “leave it to the ALJ to determine credibility, resolve conflicts in the testimony, and resolve 2 ambiguities in the record.” Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1098 (9th 3 Cir. 2014). Finally, “[e]ven when the ALJ commits legal error, [courts] uphold the decision where 4 that error is harmless.” Id. at 1099. 5 III. DISCUSSION 6 Plaintiff challenges the ALJ’s decision on three grounds: First, that the ALJ improperly 7 addressed critical aspects of the medical opinion evidence; second, that the ALJ improperly 8 rejected Plaintiff’s subjective testimony regarding his symptoms; and third, that the ALJ’s finding 9 at step five of the sequential disability analysis is not supported by substantial evidence. Mot. at 2. 10 A. The ALJ’s Treatment of the Medical Opinion Evidence 11 In his challenge to the ALJ’s treatment of the opinions of Dr. Barry Pierce, Dr. Robert 12 Tang, and Dr. Miriam Harris, Plaintiff argues that the ALJ failed to meet the requirement under 20 13 C.F.R. § 404.1520c(b)(2) to assess the persuasiveness of each medical opinion based on its 14 supportability and consistency with the evidence. Mot. at 13. The Court addresses the arguments 15 regarding each of these three medical opinions below. 16 In considering the factors of “supportability” and “consistency” when evaluating the 17 persuasiveness of a medical opinion, “[s]upportability means the extent to which a medical source 18 supports the medical opinion by explaining the ‘relevant . . . objective medical evidence.’” Woods 19 v. Kijakazi, 32 F.4th 785, 791–92 (9th Cir. 2022) (citing 20 C.F.R. § 404.1520c(c)(1)). 20 “Consistency means the extent to which a medical opinion is ‘consistent . . . with the evidence 21 from other medical sources and nonmedical sources in the claim.’” Id. (citing 20 C.F.R. 22 § 404.1520c(c)(2)). 23 1. Dr. Barry Pierce 24 The ALJ considered three opinions provided by Dr. Pierce. On June 20, 2022, Dr. Pierce 25 provided a Short-Form Evaluation for Mental Disorders, Admin. Rec. at 452, which stated that 26 Plaintiff’s ability to “[p]erform activities within a schedule and maintain regular attendance” was 27 “fair,” and his ability to “[c]omplete a normal workday and workweek without interruptions from 1 findings were normal and Dr.
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1 2 3 UNITED STATES DISTRICT COURT 4 NORTHERN DISTRICT OF CALIFORNIA 5 SAN JOSE DIVISION 6 7 MARK D. ANDERSON, Case No. 5:24-cv-09503-BLF
8 Plaintiff, ORDER DENYING PLAINTIFF’S 9 v. MOTION FOR SUMMARY JUDGMENT 10 FRANK BISIGNANO, [Re: Dkt. Nos. 9, 11] 11 Defendant.
12 13 Plaintiff Mark Anderson seeks review under 42 U.S.C. § 405(g) of a final decision of the 14 Commissioner of Social Security (“Commissioner”), Frank Bisignano.1 Plaintiff filed a motion 15 for summary judgment, Dkt. No. 9 (“Mot.”), and the Commissioner filed a brief in opposition, 16 Dkt. No. 11 (“Opp.”). Plaintiff filed a reply. Dkt. No. 12 (“Reply”). The matter is deemed fully 17 briefed and submitted without oral argument. Civ. L.R. 16-5. 18 For the following reasons, the Court DENIES Plaintiff’s motion. 19 I. BACKGROUND 20 Plaintiff Mark Anderson alleges that he has a disability, based on a seizure disorder and 21 associated cognitive impairments, that commenced on November 20, 2021, when he was sixty 22 years old. Dkt. No. 8 (“Admin. Rec.”) at 211. He has a high school education and had worked 23 previously as a “carpenter/contractor.” Id. at 65. 24 Plaintiff filed an application for Title II Social Security Disability Insurance (“SSDI”) 25 benefits on May 4, 2022. Admin. Rec. at 209–17. After approximately two years of 26
27 1 Frank Bisignano became the Commissioner of Social Security on May 6, 2025 and is substituted 1 administrative proceedings, Plaintiff participated in a hearing before Administrative Law Judge 2 (“ALJ”) Michael Cabotaje. Following the hearing, the ALJ concluded that Plaintiff was not 3 disabled. Id. at 14–28. Under the five-step sequential evaluation process for determining whether 4 a claimant is disabled, see 20 C.F.R. § 404.1520, the ALJ determined that: (1) Plaintiff had not 5 been engaged in “substantial gainful activity” during the relevant time period, see 20 C.F.R. 6 § 404.1520(b), (2) Plaintiff has a seizure disorder, and the impairment caused by this disorder is 7 severe, see 20 C.F.R. § 404.1520(c), (3) Plaintiff’s impairment does not meet or equal any 8 impairment described in 20 C.F.R.§ 404, Subpart P, Appendix 1, see 20 C.F.R. § 404.1520(d), 9 (4) Plaintiff could not return to any past relevant work that he had conducted, see 20 C.F.R. 10 § 404.1520(e)–(f), and (5) despite his impairment and inability to return to past work, Plaintiff was 11 not disabled because he could do other work available in the national economy, see 20 C.F.R. 12 § 404.1520(g). Admin. Rec. at 14–32. Plaintiff requested review by the Appeals Counsel, but this 13 request was denied. Id. at 1–6. Accordingly, the ALJ’s decision became a final order. 14 II. LEGAL STANDARD 15 “The court shall have power to enter, upon the pleadings and transcript of the record, a 16 judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, 17 with or without remanding the cause for a rehearing.” 42 U.S.C. § 405(g). However, “a federal 18 court’s review of Social Security determinations is quite limited,” Brown-Hunter v. Colvin, 806 19 F.3d 487, 492 (9th Cir. 2015), and the court “may set aside a denial of benefits only if not 20 supported by substantial evidence in the record or if it is based on legal error.” Merrill ex rel. 21 Merrill v. Apfel, 224 F.3d 1083, 1084–85 (9th Cir. 2000) (citing Meanel v. Apfel, 172 F.3d 1111, 22 1113 (9th Cir. 1999)). 23 “Under the substantial-evidence standard, a court looks to an existing administrative record 24 and asks whether it contains ‘sufficien[t] evidence’ to support the agency’s factual 25 determinations.” Biestek v. Berryhill, 587 U.S. 97, 102 (2019) (quoting Consolidated Edison Co. 26 v. NLRB, 305 U.S. 197, 229 (1938)). In other words, the court considers whether there is “such 27 relevant evidence as a reasonable mind might accept as adequate to support [the] conclusion” 1 Courts “leave it to the ALJ to determine credibility, resolve conflicts in the testimony, and resolve 2 ambiguities in the record.” Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1098 (9th 3 Cir. 2014). Finally, “[e]ven when the ALJ commits legal error, [courts] uphold the decision where 4 that error is harmless.” Id. at 1099. 5 III. DISCUSSION 6 Plaintiff challenges the ALJ’s decision on three grounds: First, that the ALJ improperly 7 addressed critical aspects of the medical opinion evidence; second, that the ALJ improperly 8 rejected Plaintiff’s subjective testimony regarding his symptoms; and third, that the ALJ’s finding 9 at step five of the sequential disability analysis is not supported by substantial evidence. Mot. at 2. 10 A. The ALJ’s Treatment of the Medical Opinion Evidence 11 In his challenge to the ALJ’s treatment of the opinions of Dr. Barry Pierce, Dr. Robert 12 Tang, and Dr. Miriam Harris, Plaintiff argues that the ALJ failed to meet the requirement under 20 13 C.F.R. § 404.1520c(b)(2) to assess the persuasiveness of each medical opinion based on its 14 supportability and consistency with the evidence. Mot. at 13. The Court addresses the arguments 15 regarding each of these three medical opinions below. 16 In considering the factors of “supportability” and “consistency” when evaluating the 17 persuasiveness of a medical opinion, “[s]upportability means the extent to which a medical source 18 supports the medical opinion by explaining the ‘relevant . . . objective medical evidence.’” Woods 19 v. Kijakazi, 32 F.4th 785, 791–92 (9th Cir. 2022) (citing 20 C.F.R. § 404.1520c(c)(1)). 20 “Consistency means the extent to which a medical opinion is ‘consistent . . . with the evidence 21 from other medical sources and nonmedical sources in the claim.’” Id. (citing 20 C.F.R. 22 § 404.1520c(c)(2)). 23 1. Dr. Barry Pierce 24 The ALJ considered three opinions provided by Dr. Pierce. On June 20, 2022, Dr. Pierce 25 provided a Short-Form Evaluation for Mental Disorders, Admin. Rec. at 452, which stated that 26 Plaintiff’s ability to “[p]erform activities within a schedule and maintain regular attendance” was 27 “fair,” and his ability to “[c]omplete a normal workday and workweek without interruptions from 1 findings were normal and Dr. Pierce noted only “insomnia improving” in the “Progress in 2 Treatment and Prognosis” narrative section. Id. at 454. A few weeks later, on July 13, 2022, Dr. 3 Pierce submitted a brief summary letter stating that he had been treating Plaintiff for 4 approximately fifteen months for insomnia and that Plaintiff “presents with no psychiatric 5 disability.” Id. at 460. Dr. Pierce’s medical records covering the period from March 30, 2021 6 until February 23, 2023, as well as medical records from January 17, 2024, were submitted as 7 well. Id. at 543–56. In addition, Dr. Pierce submitted responses to interrogatories on February 21, 8 2024 using a checkbox form on which Dr. Pierce indicated that Plaintiff would have various 9 marked limitations related to “Understanding and Memory” and “Sustained Concentration and 10 Persistence.” Id. at 570–71. Dr. Pierce indicated that these conclusions regarding Plaintiff’s 11 limitations were based on a clinical interview and Plaintiff’s self-report. Id. at 570. The ALJ 12 determined that Dr. Pierce’s opinion about Plaintiff’s marked limitations in these areas was not 13 persuasive. Id. at 25–26. 14 Plaintiff argues that the ALJ’s conclusion that Dr. Pierce’s 2024 opinion was not 15 persuasive is not supported by the record, because—contrary to the ALJ’s determination that Dr. 16 Pierce’s opinions contradicted one another and lacked a supporting narrative—Dr. Pierce’s 17 treatment notes “evolved as Anderson’s cognitive impairment worsened” and were “consistent 18 with the treatment notes from Anderson’s other treating sources.” Id. at 14. The Commissioner 19 responds that “[a]s the ALJ observed, Dr. Pierce’s February 2024 opinion expressly contradicted 20 his earlier opinions” without indicating that this apparent contradiction was due to the opinion 21 “evolving” as Plaintiff’s impairments worsened over time. Opp. at 3. Although Dr. Pierce had an 22 opportunity to include a narrative supporting his 2024 opinion, he did not do so, and his mental 23 status examination findings were benign in comparison to the extreme limitations that the opinion 24 indicated. Id. In addition, the Commissioner argues that the ALJ’s brief statement that the level 25 of dysfunction reported by Dr. Pierce was unsupported by the record is sufficient because it “was a 26 reference to his earlier discussion of the four broad areas of mental functioning,” where he 27 explained how he determined that Plaintiff had only mild to moderate limitations despite Dr. 1 The Court concludes that the ALJ appropriately considered the medical opinion evidence 2 from Dr. Pierce. Although Dr. Pierce’s 2024 medical opinion suggests that Plaintiff would be 3 markedly limited in a number of areas, the ALJ noted that this opinion is not supported by the 4 generally normal and benign findings in Dr. Pierce’s 2022 mental status examination. It is true, as 5 Plaintiff argues, that the opinions were offered nearly two years apart and that a medical condition 6 could conceivably grow more severe over such a time period; however, Dr. Pierce provided no 7 explanation for the contrast between the two medical opinions. In other words, Dr. Pierce did not 8 offer any basis for finding his facially contradictory medical opinions consistent with each other. 9 In addition, the ALJ noted that Dr. Pierce’s opinion that Plaintiff’s ability to complete a 10 normal workday or workweek was “poor” did not provide important context, such as whether that 11 assessment was specific to complex work and/or Plaintiff’s former work as a general contractor, or 12 whether the assessment was intended also to apply to Plaintiff’s ability to perform work involving 13 only simple tasks. Admin. Rec. at 25. Because other evidence in the record indicated that 14 Plaintiff would have limitations in performing complex tasks but not simple tasks, the ALJ 15 determined that Dr. Pierce’s opinion was not persuasive insofar as it could be read to imply that 16 Plaintiff’s ability to complete a normal workday or workweek of any kind was “poor.” This is 17 relevant evidence that a reasonable mind could accept as adequate to support the ALJ’s conclusion 18 that Dr. Pierce’s medical opinion was of limited persuasive value given its lack of consistency and 19 supportability. Accordingly, the ALJ’s determination regarding Dr. Pierce’s opinions is supported 20 by substantial evidence. 21 2. Dr. Robert Tang 22 Dr. Robert Tang provided a comprehensive internal medicine evaluation on September 9, 23 2022. Admin. Rec. at 461–65. The evaluation indicated that Plaintiff has a seizure disorder and 24 that his chief complaint with regard to the evaluation was that he had discontinued working in 25 November 2021 due to the seizure disorder. Id. at 461. In the evaluation, Dr. Tang opined that, 26 due to Plaintiff’s various medical conditions, he should be limited to lifting and carrying 20 27 pounds occasionally and 10 pounds frequently and should be limited in his work around heights 1 medications” but that other workplace limitations were not indicated. Id. The ALJ rejected Dr. 2 Tang’s opinions regarding Plaintiff’s exertional limitations. Id. at 26. 3 Plaintiff challenges the ALJ’s conclusion that Dr. Tang’s opinion was not persuasive 4 because “[l]ifting/carrying restrictions are inconsistent with the claimant’s reported ongoing home 5 repair projects.” Id. at 15 (citing Admin. Rec. at 26). Plaintiff states that, to the contrary, the 6 exertional limitations suggested by Dr. Tang are supported by Plaintiff’s seizure disorder, and 7 further, that the ALJ should have “exercised his duty to fully and fairly develop the record by 8 recontacting Dr. Tang” to ask further questions about those limitations. Id. The Commissioner 9 responds that the ALJ reasonably found Dr. Tang’s opinion inconsistent with other evidence, 10 particularly Plaintiff’s self-reported ability to complete home repair projects and lift things. Opp. 11 at 6. The Commissioner also reiterates that Plaintiff testified that his seizures and auras have 12 subsided with increased medication, meaning that his disability claim is predicated on the 13 cognitive impacts of the seizure medication rather than on the seizures themselves. Id. at 6–7. 14 The ALJ’s determination with regard to Dr. Tang’s opinion is supported by substantial 15 evidence. At the hearing before the ALJ, Plaintiff testified that he was not having seizures or 16 auras, as both were controlled by Plaintiff’s medication. Admin. Rec. at 44. As the 17 Commissioner correctly points out, this testimony is inconsistent with Plaintiff’s argument that the 18 exertional limitations related to lifting and carrying heavy objects are an appropriate reflection of 19 the risk that Plaintiff might have a seizure and drop something. Moreover, although Plaintiff did 20 testify that he got lightheaded when using ladders to conduct home repairs and that he had trouble 21 with planning and organizing related to the home repair projects, he did not testify that it was 22 difficult for him to lift and carry the sheetrock, tools, or other materials. See id. at 45–48. And 23 Plaintiff’s counsel represented at the hearing that “much of what [Plaintiff] premises his claim 24 upon is cognitive[,] not physical.” Id. at 48. This evidence is adequate to support the ALJ’s 25 conclusion that the overall record does not indicate a need for lifting/carrying restrictions. 26 The ALJ also did not fail to develop the record regarding Plaintiff’s potential exertional 27 limitations. Although “[i]n Social Security cases, the ALJ has a special duty to develop the record 1 is represented by counsel,” that duty “is triggered only when there is ambiguous evidence or when 2 the record is inadequate to allow for proper evaluation of the evidence.” Mayes v. Massanari, 276 3 F.3d 453, 459–60 (9th Cir. 2001). Plaintiff does not directly argue in his brief that Dr. Tang’s 4 recommended exertional limitations were ambiguous, saying only that if the ALJ had questions 5 about the rationale for those limitations, he should have asked for Dr. Tang’s input. Mot. at 15. It 6 appears that the ALJ did not find the recommendations ambiguous; rather, he found that they were 7 unpersuasive in light of other evidence. Moreover, the ALJ did develop the record further by 8 asking Plaintiff a number of questions about his physical/exertional abilities at the hearing. 9 3. Dr. Miriam Harris 10 Dr. Miriam Harris provided a Treating Physician General Medical Evaluation on July 8, 11 2022. Admin. Rec. at 457–58. Therein, Dr. Harris reported that Plaintiff had “focal seizures with 12 week recovery time every 4-6 weeks” and that Plaintiff was “[u]nable to do construction work due 13 to instability during and after focal seizures.” Id. at 458. 14 The ALJ found that Dr. Harris’s opinion that Plaintiff experienced focal seizures with a 15 week of recovery time every four to six weeks was not persuasive, because “Dr. Harris indicated 16 that focus [sic] seizures occurred every 4 to 6 weeks, which is inconsistent with the record 17 showing no loss of consciousness seizures since 2019, with only ‘auras’ every 4 to 6 weeks, which 18 improved with treatment.” Admin. Rec. at 26. Plaintiff argues that this finding by the ALJ 19 “demonstrates a fundamental lack of understanding of what a ‘focal seizure’ actually is and that it 20 differs from a grand mal or ‘loss of consciousness’ seizure.” Mot. at 16. In addition, Plaintiff 21 argues that the ALJ’s conclusion that Dr. Harris’s opinion only demonstrated an inability to 22 perform construction work ignores the portion of Dr. Harris’s opinion determining that Plaintiff 23 would require a week of recovery time out of approximately every month. Id. 24 The Commissioner responds that Dr. Harris’s opinion was that Plaintiff “would be unable 25 to do construction work” or to return to his past construction work and that, in fact, the ALJ’s 26 adjudication of Plaintiff’s case was consistent with this opinion. Opp. at 5. The Commissioner 27 states that Dr. Harris’s opinion was properly limited to its relevance to construction work and 1 irrelevant in light of the fact that Plaintiff has conceded that his seizures are no longer an issue. Id. 2 Again, substantial evidence supports the ALJ’s determination that Dr. Harris’s medical 3 opinion was of limited persuasiveness. Plaintiff is correct that the ALJ’s order evinces some 4 confusion regarding Plaintiff’s “auras,” a term that Plaintiff uses interchangeably with “focal 5 seizures.” Thus, Dr. Harris’s opinion that “foc[al] seizures occurred every 4 to 6 weeks” is not, as 6 the ALJ writes, inconsistent with a record showing “‘auras’ every 4 to 6 weeks.” However, the 7 reported frequency in Dr. Harris’s opinion is inconsistent with Plaintiff’s testimony that he no 8 longer experienced seizures or auras because the medication was effective in controlling them. 9 See Admin. Rec. at 44. The Court understands this to be the basis for the ALJ’s conclusion that 10 Dr. Harris’s opinion contradicted the record regarding the “auras” improving with treatment. Id. 11 at 26. Furthermore, because the opinion that Plaintiff might require a week of recovery time out 12 of every month was tethered to the finding that Plaintiff had focal seizures every four to six weeks, 13 the ALJ did not improperly disregard a portion of Dr. Harris’s opinion. Having found that 14 Plaintiff’s focal seizures/auras had improved with treatment since the time that Dr. Harris rendered 15 her opinion, the ALJ accordingly determined that Plaintiff would not require a week of time off 16 from work every month. This finding is supported by substantial evidence. 17 B. The ALJ’s Consideration of Plaintiff’s Subjective Testimony 18 “[S]ubstantial evidence does not support an ALJ’s [residual functional capacity] 19 assessment if ‘the ALJ improperly rejected [the claimant’s] testimony as to the severity of his pain 20 and symptoms.’” Ferguson v. O’Malley, 95 F.4th 1194, 1199 (9th Cir. 2024) (quoting 21 Lingenfelter v. Astrue, 504 F.3d 1028, 1035 (9th Cir. 2007)). “To determine whether a claimant’s 22 subjective symptom testimony is credible, the ALJ must engage in a two-step analysis: ‘First, the 23 ALJ must determine whether the claimant has presented objective medical evidence of an 24 underlying impairment which could reasonably be expected to produce the pain or other 25 symptoms alleged.’” Id. (quoting Garrison v. Colvin, 759 F.3d 995, 1014 (9th Cir. 2014)). “If the 26 claimant satisfies the first step of this analysis, and there is no evidence of malingering, the ALJ 27 can reject the claimant’s testimony about the severity of [their] symptoms only by offering 1 Plaintiff argues that the ALJ improperly failed to provide “clear and convincing reasons to 2 discount” his testimony, as required under Garrison v. Colvin, 759 F.3d 995 (9th Cir. 2014). 3 Although the ALJ cited the objective medical evidence as contradicting Plaintiff’s testimony about 4 the extent of his limitations, Plaintiff argues that the ALJ failed to identify the particular findings 5 that were inconsistent. Mot. at 18. In addition, Plaintiff argues that his testimony “is consistent 6 with the medical record and with the opinions of his treating and examining doctors that his 7 cognitive impairments would result in missing days of work and needing extra supervision which 8 would be inconsistent with the ability to sustain competitive employment.” Id. 9 The Commissioner argues in response that the ALJ reasonably rejected Plaintiff’s 10 subjective testimony regarding the alleged severity of his symptoms. Opp. at 7. The 11 Commissioner notes that Plaintiff “changed the basis for his disability claim” at the hearing before 12 the ALJ, admitting that his seizures were controlled by medication and that the current basis for 13 the claim was the cognitive issues resulting from the medication. Id. (citing Admin. Rec. at 44). 14 In addition, the Commissioner argues that the ALJ’s discounting of Plaintiff’s description of the 15 severity of those cognitive concerns was supported by the record, and that the ALJ properly 16 “identified multiple inconsistencies” that supported his conclusion. Id. at 9–10. 17 The Court concludes that the ALJ’s treatment of Plaintiff’s subjective symptom testimony 18 was proper. At step one of the analysis, the ALJ summarized Plaintiff’s testimony regarding his 19 impairments and the symptoms they caused. Admin. Rec. at 22. Plaintiff’s alleged symptoms 20 included: inability to “function normally for up to a week after each seizure or cluster of seizures,” 21 not feeling safe climbing tall ladders or working on roofs or under houses, and not being able to 22 use power tools or drive for a few days to weeks after a seizure. Id. at 21. In addition, the ALJ 23 noted Plaintiff’s testimony that he could not work a full-time job and that he has cognitive issues, 24 a bad memory, and low energy. Id. at 22. The ALJ found that Plaintiff’s impairments of epilepsy 25 and anxiety “could reasonably be expected to cause the alleged symptoms.” Id. 26 However, at step two of the analysis the ALJ determined that “the claimant’s statements 27 concerning the intensity, persistence and limiting effects of these symptoms are not entirely 1 expounded on the inconsistencies between the record and Plaintiff’s statements about his 2 symptoms. Among the specific reasons given for rejecting Plaintiff’s testimony about the severity 3 of his symptoms were: (1) that the record discloses effective treatment for seizures indicating that 4 he was no longer having “loss of consciousness seizures while awake since 2019” and “no longer 5 having auras” by May 9, 2022, id. at 23, and (2) that Plaintiff’s performance on a MOCA test in 6 January 2024 indicated “mild cognitive impairment” that was “concentrated in memory and 7 visual-spatial processing,” id. at 24. Based on the full record, the ALJ determined that “seizure 8 precautions with specific limitations in activities associated with work as [a] contractor” were 9 merited, but that “the record does not corroborate [Plaintiff’s] allegations of significant 10 dysfunction after auras” now that Plaintiff was “no longer having seizures or auras.” Id. In 11 addition, the ALJ concluded that Plaintiff’s “[r]eported difficulties with project management . . . 12 support a limitation to simple tasks and some detailed and complex tasks, but do not support 13 additional mental limitations,” particularly given Plaintiff’s psychiatrist’s assessment that 14 Plaintiff’s mental status examination was normal and Plaintiff’s reported ability to drive and 15 conduct home repairs. Id. at 24–25. 16 In other words, the ALJ did offer “specific, clear and convincing” reasons for rejecting 17 Plaintiff’s subjective testimony about the severity of his symptoms by pointing to “inconsistent 18 objective medical evidence in the record,” Ferguson, 95 F.4th at 1200, and inconsistent symptom 19 testimony from Plaintiff himself. The ALJ’s findings with regard to Plaintiff’s residual functional 20 capacity are supported by substantial evidence. 21 C. The ALJ’s Finding at Step Five of the Sequential Analysis 22 Finally, regarding Step Five of the sequential analysis, Plaintiff argues that the ALJ asked 23 incomplete hypotheticals of the vocational expert and that this is reversible error because it means 24 that the vocational expert’s opinion setting out alternative occupations Plaintiff could pursue “has 25 no evidentiary value.” Mot. at 19–20. In response, the Commissioner argues that the accusation 26 of an incomplete hypothetical is derivative of the previous arguments because, in effect, “Plaintiff 27 is simply repeating his previous claims that the ALJ erred in evaluating the evidence.” Opp. at 1 Once a claimant “establishes a prima facie case of disability by showing that his 2 || impairments prevent him from doing his previous job,” the ALJ has the burden at step five of the 3 sequential analysis to demonstrate that “the claimant can do other substantial gainful activity 4 || considering his age, education, and work experience.” See DeLorme v. Sullivan, 924 F.2d 841, 5 || 849-50 (9th Cir. 1991). The ALJ can do so by “pos[ing] a hypothetical for the vocational expert 6 || which must outline the limitations of the particular claimant.” Jd. at 850. If the hypothetical 7 “does not reflect all the claimant’s limitations, then the expert’s testimony has no evidentiary 8 value to support a finding that the claimant can perform jobs in the national economy.” Hill v. 9 || Astrue, 698 F.3d 1153, 1162 (9th Cir. 2012). 10 Here, Plaintiff admits that his argument regarding the purportedly incomplete hypothetical 11 posed to the vocational expert is “derivative” of his arguments that the ALJ’s analysis of the 12 || medical and symptom evidence was improper. Mot. at 19. But as discussed in the foregoing 5 13 sections of this Order, the ALJ did “make specific findings explaining his rationale” for 14 || discounting certain medical evidence and certain of Plaintiff's “subjective complaints not included 3 15 in the hypothetical.” See Light v. Soc. Sec. Admin., 119 F.3d 789, 793 (9th Cir. 1997). a 16 || Accordingly, the hypothetical posed to the vocational expert was not incomplete, and the ALJ’s 3 17 || determination that Plaintiff could perform jobs available in the national economy was supported 18 || by substantial evidence. 19 |) IV. ORDER 20 For the foregoing reasons, IT IS HEREBY ORDERED that Plaintiffs Motion for 21 Summary Judgment is DENIED. 22 23 IT IS SO ORDERED. 24 25 Dated: August 15, 2025
TH LABSON FREEMAN 27 United States District Judge 28