1 2 3 4 5 6 7 UNITED STATES DISTRICT COURT 8 CENTRAL DISTRICT OF CALIFORNIA 9
11 ANTHONY G., No. 8:25-cv-00430-AYP
12 Plaintiff, MEMORANDUM OPINION AND 13 v. ORDER
14 FRANK BISIGNANO, 15 Commissioner of Social Security, 16 Defendant. 17
18 Plaintiff Anthony G.1 seeks review of the Commissioner’s denial of his 19 application for disability insurance benefits under Title II of the Social Security 20 Act. (Dkt. No. 1.) The parties consented to proceed before the magistrate judge 21 and thereafter filed briefs addressing the disputed issues. (Dkt. Nos. 7, 8, 19, 22 22.) The Court took the matter under submission without oral argument. For 23 the reasons discussed below, the Court finds that the Commissioner’s decision 24 should be reversed and this matter remanded for further proceedings consistent 25 26 1 Plaintiff’s name is partially redacted in accordance with Federal Rule of 27 Civil Procedure 5.2(c)(2)(B) and the recommendation of the Committee on Court Administration and Case Management of the Judicial Conference of the 28 United States. 1 with this Order. 2 I. BACKGROUND 3 On September 26, 2022, Plaintiff applied for disability insurance benefits, 4 claiming that he had been unable to work since November 22, 2021, due to 5 chronic pain syndrome. (Administrative Record (“AR”) 135, 244-45.) After his 6 application was denied initially and on reconsideration, he requested a hearing 7 before an administrative law judge (“ALJ”). (AR 135-39, 151-55.) The ALJ 8 conducted a hearing on December 14, 2023, at which Plaintiff appeared with 9 counsel and testified. (AR 40-54.) A vocational expert (“VE”) also testified. (AR 10 55-65.) 11 On February 9, 2024, the ALJ issued his decision denying benefits. (AR 12 14-33.) The ALJ found that a prior unfavorable decision was administratively 13 final and that res judicata applied through August 30, 2022, the date of that 14 decision. (AR 17.) The ALJ therefore considered only the unadjudicated period 15 beginning August 31, 2022. (AR 17-18.) Following the five-step sequential 16 evaluation process applicable to disability determinations,2 the ALJ found that 17 Plaintiff had the following “severe” impairments: fibromyalgia, left piriformis 18 syndrome, lumbar spondylosis, bilateral patellofemoral syndrome, and right 19 carpal tunnel syndrome. (AR 20.) The ALJ concluded that Plaintiff retained 20 the residual functional capacity (“RFC”) to perform light work, with the 21 following specific limitations: he could occasionally perform postural activities, 22 but never climb ladders, scaffolds, or ropes; could frequently, but not constantly, 23 perform handling and fingering with the right upper extremity; and could not 24
25 2 The ALJ determines disability using a five-step sequential evaluation 26 process, which examines whether (1) the claimant engaged in substantial gainful activity, (2) the claimant has a severe impairment, (3) the impairment 27 meets or equals a listed impairment, (4) the claimant is able to do past relevant work, and (5) the claimant is able to do any other work. 20 C.F.R. § 28 404.1520(a)(4). 1 work at unprotected heights. (AR 22.) 2 Based on the VE’s testimony, the ALJ found that Plaintiff could perform 3 his past relevant work as a sales clerk, an order filler, and a receptionist. (AR 4 27-28.) As a result, the ALJ ended the sequential evaluation process at step 5 four and concluded that Plaintiff was not disabled during the relevant period. 6 (AR 28.) 7 On April 2, 2024, Plaintiff filed a request with the Appeals Council for 8 review of the ALJ’s decision. (AR 242-43.) The Appeals Council subsequently 9 denied Plaintiff’s request for review. (AR 1-6.) 10 II. STANDARD OF REVIEW 11 Under 42 U.S.C. § 405(g), this Court reviews the Commissioner’s decision 12 to determine whether it is supported by substantial evidence and whether the 13 proper legal standards were applied. Moncada v. Chater, 60 F.3d 521, 523 (9th 14 Cir. 1995). “Substantial evidence” is “more than a mere scintilla,” and means 15 only “such relevant evidence as a reasonable mind might accept as adequate to 16 support a conclusion.” Biestek v. Berryhill, 587 U.S. 97, 103 (2019) (citations 17 omitted). In determining whether substantial evidence supports the ALJ’s 18 findings, the Court must review the administrative record as a whole, weighing 19 both the evidence that supports and the evidence that detracts from the ALJ’s 20 conclusion. Ahearn v. Saul, 988 F.3d 1111, 1115-16 (9th Cir. 2021). When the 21 evidence can rationally be interpreted in more than one way, the Court must 22 uphold the Commissioner’s decision. Id.; Attmore v. Colvin, 827 F.3d 872, 875 23 (9th Cir. 2016). 24 III. DISCUSSION 25 Plaintiff contends that the ALJ failed to provide legally sufficient reasons 26 for discounting his subjective symptom testimony, particularly his allegations 27 of fatigue and sleep-related limitations. (Dkt. No. at 4-5.) 28 When a claimant produces objective medical evidence of an underlying 1 impairment that could reasonably be expected to produce the alleged symptoms, 2 and there is no affirmative evidence of malingering, an ALJ may reject the 3 claimant’s testimony regarding the severity of those symptoms only by 4 providing specific, clear and convincing reasons supported by substantial 5 evidence. Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1102 (9th Cir. 6 2014). General findings are insufficient; rather, the ALJ must specifically 7 identify the testimony being discounted and explain what evidence undermines 8 it. See Brown-Hunter v. Colvin, 806 F.3d 487, 493-94 (9th Cir. 2015). Although 9 an ALJ need not discuss every piece of evidence or draft a “line-by-line exegesis” 10 of the record, the Court must be able to follow the ALJ’s reasoning and 11 determine that the claimant’s testimony was not arbitrarily discredited. 12 Lambert v. Saul, 980 F.3d 1266, 1277 (9th Cir. 2020); Smartt v. Kijakazi, 53 13 F.4th 489, 499 (9th Cir. 2022) (clear and convincing standard requires ALJ to 14 “show his work”). 15 Here, Plaintiff alleged that he suffered not only from chronic pain, but 16 also significant fatigue and sleep-related limitations. He reported persistent 17 sleep disturbances, sleeping only a few hours per night, and daytime 18 somnolence. (AR 43, 45-46, 49, 54, 280, 285, 338-39.) In his decision, the ALJ 19 acknowledged Plaintiff’s reports of sleep problems and fatigue. (AR 23.) The 20 ALJ generally discounted Plaintiff’s subjective complaints based on the 21 objective medical evidence, the medical opinion evidence, and Plaintiff’s 22 activities of daily living. (AR 23-27.) However, as discussed below, the decision 23 did not adequately explain how those considerations undermined Plaintiff’s 24 fatigue allegations. 25 First, the ALJ cited the objective medical findings. (AR 23-27.) Although 26 objective medical evidence cannot be the sole basis for discounting a claimant’s 27 subjective symptom allegations, it remains a relevant consideration in 28 evaluating those symptoms. See Social Security Ruling (“SSR”) 16-3p, 2017 WL 1 5180304, at *5; see also Burch v.
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1 2 3 4 5 6 7 UNITED STATES DISTRICT COURT 8 CENTRAL DISTRICT OF CALIFORNIA 9
11 ANTHONY G., No. 8:25-cv-00430-AYP
12 Plaintiff, MEMORANDUM OPINION AND 13 v. ORDER
14 FRANK BISIGNANO, 15 Commissioner of Social Security, 16 Defendant. 17
18 Plaintiff Anthony G.1 seeks review of the Commissioner’s denial of his 19 application for disability insurance benefits under Title II of the Social Security 20 Act. (Dkt. No. 1.) The parties consented to proceed before the magistrate judge 21 and thereafter filed briefs addressing the disputed issues. (Dkt. Nos. 7, 8, 19, 22 22.) The Court took the matter under submission without oral argument. For 23 the reasons discussed below, the Court finds that the Commissioner’s decision 24 should be reversed and this matter remanded for further proceedings consistent 25 26 1 Plaintiff’s name is partially redacted in accordance with Federal Rule of 27 Civil Procedure 5.2(c)(2)(B) and the recommendation of the Committee on Court Administration and Case Management of the Judicial Conference of the 28 United States. 1 with this Order. 2 I. BACKGROUND 3 On September 26, 2022, Plaintiff applied for disability insurance benefits, 4 claiming that he had been unable to work since November 22, 2021, due to 5 chronic pain syndrome. (Administrative Record (“AR”) 135, 244-45.) After his 6 application was denied initially and on reconsideration, he requested a hearing 7 before an administrative law judge (“ALJ”). (AR 135-39, 151-55.) The ALJ 8 conducted a hearing on December 14, 2023, at which Plaintiff appeared with 9 counsel and testified. (AR 40-54.) A vocational expert (“VE”) also testified. (AR 10 55-65.) 11 On February 9, 2024, the ALJ issued his decision denying benefits. (AR 12 14-33.) The ALJ found that a prior unfavorable decision was administratively 13 final and that res judicata applied through August 30, 2022, the date of that 14 decision. (AR 17.) The ALJ therefore considered only the unadjudicated period 15 beginning August 31, 2022. (AR 17-18.) Following the five-step sequential 16 evaluation process applicable to disability determinations,2 the ALJ found that 17 Plaintiff had the following “severe” impairments: fibromyalgia, left piriformis 18 syndrome, lumbar spondylosis, bilateral patellofemoral syndrome, and right 19 carpal tunnel syndrome. (AR 20.) The ALJ concluded that Plaintiff retained 20 the residual functional capacity (“RFC”) to perform light work, with the 21 following specific limitations: he could occasionally perform postural activities, 22 but never climb ladders, scaffolds, or ropes; could frequently, but not constantly, 23 perform handling and fingering with the right upper extremity; and could not 24
25 2 The ALJ determines disability using a five-step sequential evaluation 26 process, which examines whether (1) the claimant engaged in substantial gainful activity, (2) the claimant has a severe impairment, (3) the impairment 27 meets or equals a listed impairment, (4) the claimant is able to do past relevant work, and (5) the claimant is able to do any other work. 20 C.F.R. § 28 404.1520(a)(4). 1 work at unprotected heights. (AR 22.) 2 Based on the VE’s testimony, the ALJ found that Plaintiff could perform 3 his past relevant work as a sales clerk, an order filler, and a receptionist. (AR 4 27-28.) As a result, the ALJ ended the sequential evaluation process at step 5 four and concluded that Plaintiff was not disabled during the relevant period. 6 (AR 28.) 7 On April 2, 2024, Plaintiff filed a request with the Appeals Council for 8 review of the ALJ’s decision. (AR 242-43.) The Appeals Council subsequently 9 denied Plaintiff’s request for review. (AR 1-6.) 10 II. STANDARD OF REVIEW 11 Under 42 U.S.C. § 405(g), this Court reviews the Commissioner’s decision 12 to determine whether it is supported by substantial evidence and whether the 13 proper legal standards were applied. Moncada v. Chater, 60 F.3d 521, 523 (9th 14 Cir. 1995). “Substantial evidence” is “more than a mere scintilla,” and means 15 only “such relevant evidence as a reasonable mind might accept as adequate to 16 support a conclusion.” Biestek v. Berryhill, 587 U.S. 97, 103 (2019) (citations 17 omitted). In determining whether substantial evidence supports the ALJ’s 18 findings, the Court must review the administrative record as a whole, weighing 19 both the evidence that supports and the evidence that detracts from the ALJ’s 20 conclusion. Ahearn v. Saul, 988 F.3d 1111, 1115-16 (9th Cir. 2021). When the 21 evidence can rationally be interpreted in more than one way, the Court must 22 uphold the Commissioner’s decision. Id.; Attmore v. Colvin, 827 F.3d 872, 875 23 (9th Cir. 2016). 24 III. DISCUSSION 25 Plaintiff contends that the ALJ failed to provide legally sufficient reasons 26 for discounting his subjective symptom testimony, particularly his allegations 27 of fatigue and sleep-related limitations. (Dkt. No. at 4-5.) 28 When a claimant produces objective medical evidence of an underlying 1 impairment that could reasonably be expected to produce the alleged symptoms, 2 and there is no affirmative evidence of malingering, an ALJ may reject the 3 claimant’s testimony regarding the severity of those symptoms only by 4 providing specific, clear and convincing reasons supported by substantial 5 evidence. Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1102 (9th Cir. 6 2014). General findings are insufficient; rather, the ALJ must specifically 7 identify the testimony being discounted and explain what evidence undermines 8 it. See Brown-Hunter v. Colvin, 806 F.3d 487, 493-94 (9th Cir. 2015). Although 9 an ALJ need not discuss every piece of evidence or draft a “line-by-line exegesis” 10 of the record, the Court must be able to follow the ALJ’s reasoning and 11 determine that the claimant’s testimony was not arbitrarily discredited. 12 Lambert v. Saul, 980 F.3d 1266, 1277 (9th Cir. 2020); Smartt v. Kijakazi, 53 13 F.4th 489, 499 (9th Cir. 2022) (clear and convincing standard requires ALJ to 14 “show his work”). 15 Here, Plaintiff alleged that he suffered not only from chronic pain, but 16 also significant fatigue and sleep-related limitations. He reported persistent 17 sleep disturbances, sleeping only a few hours per night, and daytime 18 somnolence. (AR 43, 45-46, 49, 54, 280, 285, 338-39.) In his decision, the ALJ 19 acknowledged Plaintiff’s reports of sleep problems and fatigue. (AR 23.) The 20 ALJ generally discounted Plaintiff’s subjective complaints based on the 21 objective medical evidence, the medical opinion evidence, and Plaintiff’s 22 activities of daily living. (AR 23-27.) However, as discussed below, the decision 23 did not adequately explain how those considerations undermined Plaintiff’s 24 fatigue allegations. 25 First, the ALJ cited the objective medical findings. (AR 23-27.) Although 26 objective medical evidence cannot be the sole basis for discounting a claimant’s 27 subjective symptom allegations, it remains a relevant consideration in 28 evaluating those symptoms. See Social Security Ruling (“SSR”) 16-3p, 2017 WL 1 5180304, at *5; see also Burch v. Barnhart, 400 F.3d 676, 681 (9th Cir. 2005). 2 In this case, the ALJ’s discussion focused primarily on musculoskeletal findings, 3 imaging, and physical examination results. (AR 23-27.) While that evidence 4 may be relevant to certain of Plaintiff’s physical complaints, the ALJ did not 5 sufficiently explain how it undermined Plaintiff’s separate allegations of chronic 6 fatigue. Moreover, the record contained diagnostic evidence relevant to those 7 allegations. In 2018, Plaintiff underwent a sleep study reflecting severe 8 obstructive sleep apnea, including an apnea-hypopnea index in the severe range 9 and oxygen saturation levels dropping as low as 76 percent. (AR 3770-73.) 10 Although that study predated the relevant period, it nonetheless constituted 11 objective medical evidence potentially consistent with Plaintiff’s later reports of 12 poor sleep, daytime somnolence, and fatigue. The ALJ failed to address this 13 evidence when discussing Plaintiff’s symptom complaints. See Vincent ex rel. 14 Vincent v. Heckler, 739 F.2d 1393, 1394-95 (9th Cir. 1984) (ALJ must explain 15 why significant probative evidence has been rejected); Leon v. Berryhill, 880 16 F.3d 1041, 1046-47 (9th Cir. 2017) (noting that fatigue and daytime drowsiness 17 associated with obstructive sleep apnea are relevant to the disability 18 determination). 19 Second, the ALJ cited the medical opinion evidence. (AR 26.) But the 20 State Agency medical consultants’ findings likewise did not meaningfully 21 address Plaintiff’s allegations of chronic fatigue and daytime sleepiness, nor did 22 they appear to consider the 2018 sleep study reflecting severe obstructive sleep 23 apnea. (See AR 87-104, 107-113.) Accordingly, reliance on those opinions, 24 without further explanation, does not constitute a clear and convincing reason 25 to discount Plaintiff’s asserted fatigue-related limitations. See Brown-Hunter, 26 806 F.3d at 493-94. 27 Finally, the ALJ cited Plaintiff’s daily activities, including performing 28 light chores, shopping, using public transportation, spending time with others, 1 going to Disneyland, arranging a holiday gathering, and going out to lunch. (AR 2 27.) Daily activities may undermine symptom allegations if they (1) contradict 3 the claimant’s testimony, or (2) show abilities transferable to a work setting. 4 See Orn v. Astrue, 495 F.3d 625, 639 (9th Cir. 2007). But sporadic outings and 5 limited household tasks do not necessarily contradict allegations of fatigue or 6 an inability to sustain full-time work activity on a regular and continuing basis. 7 Nor does the decision explain how occasional social or recreational activities 8 translate into the ability to maintain attention, persistence, pace, or attendance 9 over an eight-hour workday and forty-hour workweek. See Vertigan v. Halter, 10 260 F.3d 1044, 1050 (9th Cir. 2001) (mere fact that claimant engages in limited 11 daily activities does not establish ability to work); Fair v. Bowen, 885 F.2d 597, 12 603 (9th Cir. 1989) (a claimant need not be “utterly incapacitated to be eligible 13 for benefits”). 14 On this record, the Court cannot conclude the ALJ’s error was harmless. 15 If credited in whole or in part, Plaintiff’s allegations of fatigue and daytime 16 sleepiness could reasonably have warranted additional limitations in the RFC. 17 Those limitations could have affected the ALJ’s step-four finding that Plaintiff 18 could perform his past relevant work. Because the Court cannot conclude that 19 the error was inconsequential to the ultimate nondisability determination, 20 remand is warranted. See Garcia v. Comm’r of Soc. Sec. Admin., 768 F.3d 925, 21 932 (9th Cir. 2014) (error is harmless only when inconsequential to the ultimate 22 nondisability determination). 23 IV. REMEDY 24 The decision whether to remand for further proceedings or for an 25 immediate award of benefits is within the Court’s discretion. See Treichler, 775 26 F.3d at 1099. When there are outstanding issues that must be resolved before 27 a disability determination can be made and it is not clear from the record that 28 the ALJ would be required to find the claimant disabled if the evidence were 1 || properly evaluated, remand for further proceedings is appropriate. Jd. at 1101. 2 || In contrast, an immediate award of benefits is appropriate only where further 3 || proceedings would serve no useful purpose and the record has been fully 4 || developed. Jd. 5 Here, remand for further proceedings is appropriate so that the ALJ may 6 || properly evaluate Plaintiffs allegations of fatigue and daytime sleepiness, 7 || reconsider the RFC, and proceed through the sequential evaluation as 8 || necessary. Because those issues must be resolved before a disability 9 || determination can be made, remand for additional administrative proceedings 10 || is warranted.$ 11 V. ORDER 12 For the foregoing reasons, IT IS ORDERED that the decision of the 13 || Commissioner is reversed and this matter is remanded for further proceedings 14 || consistent with this opinion. 15 IT IS SO ORDERED. 16 17 || DATED: April 22, 2026 Are 18 19 ANNA Y. PARK UNITED STATES MAGISTRATE JUDGE 20 21 22 23 24 25 26 27 3 Because remand is warranted on the ground discussed above, the Court 28 need not reach Plaintiff s remaining claims of error. See Hiler v. Astrue, 687 F.3d 1208, 1212 (9th Cir. 2012).