Baker v. Commissioner of Social Security

District Court, W.D. Washington·Decided May 6, 2021·No. 3:19-cv-06127·Unknown

Opinion

WESTERN DISTRICT OF WASHINGTON PENNY B., Case No. C19-6127 TLF Plaintiff, v. ORDER REVERSING AND REMANDING DEFENDANT’S COMMISSIONER OF SOCIAL DECISION TO DENY BENEFITS Defendant. Penny B., the mother of minor child M.A.B.,1 has brought this matter for judicial review of defendant’s denial of her application for supplemental security income benefits for a child. The parties have consented to have this matter heard by the undersigned Magistrate Judge. 28 U.S.C. § 636(c); Fed. R. Civ. P. 73; Local Rule MJR 13. A. Did the ALJ harmfully err in evaluating the medical opinion evidence? B. Did the ALJ harmfully err in rejecting plaintiff’s symptom testimony? C. Did the ALJ harmfully err in rejecting lay witness testimony? D. Did the ALJ harmfully err in finding plaintiff did not meet or equal a listed impairment in 20 C.F.R. § 404, Subpart P, Appendix 1 (the “Listings”)? E. Should this matter be remanded for an award of benefits?

1 Although M.A.B. appears through her mother Penny B., “plaintiff” will refer to M.A.B. in this Order. An individual under the age of 18 is disabled if she has a medically determinable physical or mental impairment that results in marked or severe functional limitations, and the limitations can be expected to result in death or last for a continuous period of

at least 12 months, provided the individual is not engaging in substantial gainful activity. 20 C.F.R. § 416.906. Social Security regulations set forth a three-step sequential evaluation process for determining whether a child is disabled. See 20 C.F.R. § 416.924(a). At step one, the ALJ must determine whether the claimant is engaging in substantial gainful activity. Id. If the claimant is not, the ALJ proceeds to step two, at which point he or she must determine whether the claimant has a medically determinable impairment or combination of impairments that is severe. Id. If the claimant has a severe impairment or combination of impairments, the ALJ proceeds to step three, at which point he or she must determine whether the claimant has an impairment that meets, medically equals,

or functionally equals a Listing. Id. Plaintiff alleges she meets or medically equals Listings 112.04 (depressive, bipolar, and related disorders) and/or 112.07 (somatic symptom and related disorders). Pl. Op. Br., pp. 4, 18. To meet either of these Listings, a claimant must meet the criteria under paragraphs A and B. 20 C.F.R. Part 404, Subpart P, App’x 1, §§ 112.04, 112.07. To satisfy the paragraph A criteria, the claimant must have medical documentation of specific symptoms. Id. To satisfy the paragraph B criteria, the claimant must have at least one extreme or two marked limitations in the following areas of mental functioning: (1) understanding, remembering, or applying information; (2)

interacting with others; (3) concentrating, persisting, or maintaining pace; and (4) adapting or managing oneself. Id. A claimant may also meet Listing 112.04 by satisfying paragraph C, which requires a mental disorder that has been documented to persist over at least two years, the claimant has medical treatment or support “that is ongoing and that diminishes the symptoms and signs of [the claimant’s] mental disorder,” and

the claimant has minimal capacity to adapt to changes in her environment or routine. 20 C.F.R. Part 404, Subpart P, App’x 1, § 112.04. An impairment functionally equals a listing if the child has marked limitations in two areas of functioning or an extreme limitation in one area. 20 C.F.R. § 416.926a(a). The six areas of functioning, or domains, are: (1) acquiring and using information, (2) attending and completing tasks, (3) interacting and relating with others, (4) moving about and manipulating objects, (5) caring for oneself, and (6) health and physical well- being. 20 C.F.R. § 416.926a(b)(1). The Court will uphold an ALJ’s decision unless the decision is based on legal error, or the decision is not supported by substantial evidence. Ford v. Saul, 950 F.3d

1141, 1154, 1159 (9th Cir. 2020). Substantial evidence is “‘such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.’” Biestek v. Berryhill, 139 S. Ct. 1148, 1154 (2019) (quoting Consol. Edison Co. v. NLRB, 305 U.S. 197, 229 (1938)). This requires “more than a mere scintilla,” of evidence. Id. The Court must consider the administrative record as a whole. Garrison v. Colvin, 759 F.3d 995, 1009 (9th Cir. 2014). It must weigh both the evidence that supports, and evidence that does not support, the ALJ’s conclusion. Id. The Court considers in its review only the reasons the ALJ identified and may not affirm for a different reason. Id. at 1010. Furthermore, “[l]ong-standing principles of

administrative law require us to review the ALJ’s decision based on the reasoning and actual findings offered by the ALJ—not post hoc rationalizations that attempt to intuit what the adjudicator may have been thinking.” Bray v. Comm’r of Soc. Sec. Admin., 554 F.3d 1219, 1225–26 (9th Cir. 2009) (citations omitted).

A. The ALJ Partially Erred in Evaluating the Medical Evidence Plaintiff argues the ALJ erred in evaluating the medical opinion evidence. Pl. Op. Br. (Dkt. 20), pp. 2–11. Plaintiff contends the ALJ erred in evaluating the opinions of testifying medical expert Daniel Wiseman, M.D., and examining psychologist Loreli Thompson, Ph.D. Pl. Op. Br., pp. 2–5. Plaintiff summarizes other medical evidence, and contends it supports Dr. Wiseman’s opinions and plaintiff’s testimony. See Pl. Op. Br., pp. 5–11. The Court will consider this argument in the context of plaintiff’s challenge to the ALJ’s evaluation of Dr. Wiseman’s opinions and plaintiff’s testimony, but finds plaintiff has not separately and distinctly challenged the ALJ’s evaluation of any other medical opinions in the record. The Court will not consider matters that are not

“‘specifically and distinctly’” argued in the plaintiff’s opening brief. Carmickle v. Comm’r, Soc. Sec. Admin., 533 F.3d 1155, 1161 n.2 (9th Cir. 2008) (quoting Paladin Assocs., Inc. v. Mont. Power Co., 328 F.3d 1145, 1164 (9th Cir. 2003)). The Court thus does not consider the ALJ’s evaluation of any opinions other than the two specifically raised. 1. The ALJ Harmfully Erred in Evaluating Dr. Wiseman’s Opinions Plaintiff argues the ALJ erred in rejecting Dr. Wiseman’s opinions to the extent they establish plaintiff met a Listing. Pl. Op. Br., pp. 4–5. Dr. Wiseman reviewed plaintiff’s medical records, but did not examine or treat her. AR 73–74. He testified at the hearing as a medical expert. See AR 73–78.

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