Anderson v. O'Malley

District Court, D. Alaska·Decided February 29, 2024·No. 3:23-cv-00169·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF ALASKA

M.A.,! Plaintiff, Case No. 3:23-cv-00169-RRB VS. ORDER REMANDING FOR MARTIN J. OMALLEY, PAYMENT OF BENEFITS Commissioner of Social Security, (Docket 10) Defendant.

I. INTRODUCTION Claimant, M.A., filed an application for Social Security Disability Insurance benefits (““SSDI’) on June 5, 2014. Claimant has exhausted her administrative remedies and seeks relief from this Court.? She argues that the determination by the Social Security Administration (“SSA”) that she is not disabled, within the meaning of the Social Security Act (“the Act’”),? is not supported by substantial evidence and that the Administrative Law

' Plaintiffs name is partially redacted pursuant to Fed. R. Civ. P. 5.2(c)(2)(B) and the recommendation of the Committee on Court Administration and Case Management of the Judicial Conference of the United States. See Memorandum, Committee on Court Administration and Case Management of the Judicial Conference of the United States (May 1, 2018), available at https://www.uscourts.gov/sites/default/files/18-cv-l-suggestion_cacm_0.pdf. 2 Dockets 1, 10. 3 42 U.S.C. § 423; 42 U.S.C. § 1381. M.A. v. O'Malley Case No. 3:23-cv-00169-RRB Order Remanding for Payment of Benefits Page 1

Judge (“ALJ”) committed legal errors. Claimant seeks a reversal of the decision by the SSA and a remand for calculation of benefits.4

The Commissioner of the SSA (“Commissioner”) filed an answer to the complaint and an answering brief in opposition.5 Claimant has replied.6 For the reasons set forth below, Claimant’s Motion for Remand at Docket 10 is GRANTED, the Commissioner’s final decision is VACATED, and the case is REMANDED to the SSA for payment of benefits.

II. PROCEDURAL HISTORY Claimant filed her application for SSDI on June 5, 2014, alleging disability beginning March 11, 2014.7 Following an initial denial, ALJ Paul Hebda held two hearings on June 30, 2015,8 and March 21, 2016.9 Non-examining medical expert, Robert Sklaroff, M.D., as well as Claimant and a vocational expert (“VE”) testified at the second hearing. ALJ Hebda issued the first ALJ decision denying benefits on September 13, 2016.10

Claimant appealed the matter to this Court, and the Honorable Timothy M. Burgess issued a lengthy order on October 22, 2018, remanding the matter for further proceedings.11 On remand, ALJ Hebda held a third hearing on September 24, 2019, and took testimony from a VE and a new non-examining physician, Jack Lebeau, M.D.12 Claimant

4 Docket 10. 5 Docket 12. 6 Docket 13. 7 Tr. 294–96. 8 Tr. 47. 9 Tr. 17. 10 Tr. 238. 11 Tr. 1116–1162. 12 Tr. 1059. was not given an opportunity to testify at the 2019 hearing.13 Now represented, Claimant’s representative followed up the hearing with a written explanation of the relevant listings,

including specific record citations to medical evidence supporting the listings.14 Nevertheless, ALJ Hebda denied benefits for a second time on October 31, 2019.15 Once again, ALJ Hebda found that “there are no medical signs or laboratory findings to substantiate the existence of fibromyalgia.”16 Claimant’s representative filed written exceptions to the 2019 decision.17 On December 17, 2020, the Appeals Council remanded the matter to be heard by a new ALJ.18

The Appeals Council noted that Claimant’s Date Last Insured was incorrect in the last opinion, and that the ALJ had not considered Claimant’s post-hearing brief.19 On October 5, 2021, ALJ C. Howard Prinsloo held a fourth hearing.20 He took testimony from another VE, Susan Foster. He did not take testimony from the Claimant or from a medical expert.21 ALJ Prinsloo issued a third denial of benefits on

October 21, 2021.22 Claimant now appeals this 2021 decision.

13 Docket 10 at 10. 14 Tr. 1447. 15 Tr. 1172–1183. 16 Tr. 1175 (citing SSRs 12-2p 2012 WL 3104869, and 16-3p). 17 Tr. 1293–96. 18 Tr. 1196–97. 19 Id. 20 Tr. 1025. 21 Id. 22 Tr. 1001–13. III. ALJ DECISION The Commissioner has established a five-step process for determining disability within the meaning of the Act.23 A claimant bears the burden of proof at steps

one through four in order to make a prima facie showing of disability24 If a claimant establishes a prima facie case, the burden of proof then shifts to the agency at step five.25 Applying the 5-step process, the ALJ concluded that: Step 1, Claimant had not engaged in substantial gainful activity from her alleged onset date of March 11, 2014, through her date last insured of December 31, 2019; Step 2, Claimant suffered from severe

impairments, including cervicalgia, degenerative disc disease of the cervical and lumbar spine, morbid obesity, and occipital neuralgia; and Step 3, Claimant’s severe impairments did not meet any medical listings.26 Before proceeding to Step 4, a claimant’s residual functional capacity (“RFC”) is assessed. RFC is the most someone can do despite their mental and physical

limitations.27 In determining a claimant’s RFC, the ALJ must base findings on “all of the relevant medical and other evidence,” including a claimant’s testimony regarding the limitations imposed by her impairments.28 This RFC assessment is used at both Step Four

23 20 C.F.R. § 404.1520(a)(4). 24 Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1096 n.1 (9th Cir. 2014) (quoting Hoopai v. Astrue, 499 F.3d 1071, 1074–75 (9th Cir. 2007)); see also Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999). 25 Treichler, 775 F.3d at 1096 n.1. 26 Tr. 1003–05. 27 Berry v. Astrue, 622 F.3d 1228, 1233 (9th Cir. 2010); 20 C.F.R. §§ 404.1545(a)(1), 416.945(a)(1). 28 20 C.F.R. § 404.1545(a)(3). and Step Five.29 In evaluating her RFC, the ALJ concluded that Claimant had the capacity to perform light work, “except the claimant is able to sit, stand, and/or walk for 3 hours at a time and up to a total of 8 hours in an 8-hour workday.”30 She was precluded from

climbing ladders, ropes, or scaffolds, and must avoid unprotected heights.31 This conclusion was very similar to ALJ Hebda’s decision, which found that Claimant had the RFC to perform medium work, and was limited to “sitting, standing and walking for up to three hours at a time for a total of six hours each during an eight-hour workday,” with similar limitations regarding heights.32 At Step 4, the ALJ found that Claimant could

perform her past relevant work as a Case Manager/Case Worker.33 Accordingly, the ALJ did not reach Step 5. IV. DISCUSSION A. Standard of Review Disability is defined in the Act as:

[I]nability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.34

29 20 C.F.R. §§ 404.1520(a)(4), 416.920(a)(4). 30 Tr. 1006.

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