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5 UNITED STATES DISTRICT COURT 6 WESTERN DISTRICT OF WASHINGTON AT TACOMA 7 9 Plaintiff, Case No. C21-5160-MLP 10 v. ORDER 12 Defendant. 13 I. INTRODUCTION 14 Plaintiff seeks review of the denial of her application for a Period of Disability, Disability 15 Insurance Benefits, and Supplemental Security Income. Plaintiff contends the administrative law 16 judge (“ALJ”) erred by discounting her testimony, improperly evaluating medical evidence, and 17 by making an unsupported step five finding. (Dkt. # 13.) As discussed below, the Court 18 AFFIRMS the Commissioner’s final decision and DISMISSES the case with prejudice. 19 II. BACKGROUND 20 Plaintiff was born in 1971, has a limited education, and previously worked as a fast-food 21 worker and cleaner/housekeeper. AR at 31-32. Plaintiff applied for benefits on January 28, 2019, 22 alleging disability beginning July 16, 2018. Id. at 15. Plaintiff’s application was denied initially 23 and on reconsideration. The ALJ held a hearing in September 2020, taking testimony from 1 Plaintiff and a vocational expert. See id. at 39-88. In October 2020, the ALJ issued a decision 2 finding Plaintiff not disabled. Id. at 12-38. In relevant part, the ALJ found that Plaintiff’s severe 3 impairments, including lumbar degenerative disc disease and facet arthropathy, right hip 4 degenerative changes related to history of non-Hodgkin’s lymphoma, history of coronary artery
5 disease with coronary artery bypass grafting, hypertension, major depressive disorder, 6 generalized anxiety disorder vs. social anxiety disorder, and post-traumatic stress disorder 7 (PTSD) limited her to light work subject to a series of further limitations. Id. at 17-18, 21. Based 8 on vocational expert testimony, the ALJ found Plaintiff could perform the full range of light 9 work found in significant numbers in the national economy. Id. at 32-33. The Appeals Council 10 denied review on February 10, 2021. Id. at 1-6. Plaintiff appealed this final decision of the 11 Commissioner to this Court. (Dkt. # 4.) 13 Under 42 U.S.C. § 405(g), this Court may set aside the Commissioner’s denial of social 14 security benefits when the ALJ’s findings are based on legal error or not supported by substantial
15 evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 (9th Cir. 2005). As a 16 general principle, an ALJ’s error may be deemed harmless where it is “inconsequential to the 17 ultimate nondisability determination.” Molina v. Astrue, 674 F.3d 1104, 1115 (9th Cir. 2012) 18 (cited sources omitted). The Court looks to “the record as a whole to determine whether the error 19 alters the outcome of the case.” Id. 20 “Substantial evidence” is more than a scintilla, less than a preponderance, and is such 21 relevant evidence as a reasonable mind might accept as adequate to support a conclusion. 22 Richardson v. Perales, 402 U.S. 389, 401 (1971); Magallanes v. Bowen, 881 F.2d 747, 750 (9th 23 Cir. 1989). The ALJ is responsible for determining credibility, resolving conflicts in medical 1 testimony, and resolving any other ambiguities that might exist. Andrews v. Shalala, 53 F.3d 2 1035, 1039 (9th Cir. 1995). While the Court is required to examine the record as a whole, it may 3 neither reweigh the evidence nor substitute its judgment for that of the Commissioner. Thomas v. 4 Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). When the evidence is susceptible to more than one
5 rational interpretation, it is the Commissioner’s conclusion that must be upheld. Id. 7 A. The ALJ Did Not Err by Discounting Plaintiff’s Testimony 8 The ALJ found Plaintiff presented objective medical evidence establishing underlying 9 impairments that could cause the symptoms alleged and made no finding she was malingering. 10 AR at 22. The ALJ was thus required to provide “specific, clear, and convincing” reasons 11 supported by substantial evidence to discount Plaintiff’s testimony. Trevizo v. Berryhill, 871 F.3d 12 664, 678 (9th Cir. 2017). 13 Among other grounds, the ALJ discounted Plaintiff’s testimony as: (1) inconsistent with 14 Plaintiff having “successfully worked despite her longstanding low back, right hip, and mental
15 conditions,” and (2) undermined by Plaintiff’s activities, including “go[ing] out 16 unaccompanied,” “perform[ing] household chores,” and engaging in social activities. AR at 17 27-28. Plaintiff does not challenge either of these grounds, both of which are valid reasons for 18 discounting Plaintiff’s testimony. See, e.g., Bray v. Comm’r of Soc. Sec. Admin., 554 F.3d 1219, 19 1227 (9th Cir. 2009) (“In reaching a credibility determination, an ALJ may weigh 20 inconsistencies between the claimant’s testimony and his or her conduct, daily activities, and 21 work record, among other factors.”); Molina, 674 F.3d at 1113 (“The ALJ could reasonably 22 conclude that [claimant’s] activities, including walking her two grandchildren to and from 23 school, attending church, shopping, and taking walks, undermined her claims that she was 1 incapable of being around people without suffering from debilitating panic attacks.”). The ALJ 2 accordingly did not err by discounting Plaintiff’s testimony on these grounds. 3 Because the ALJ gave at least two valid reasons for discounting Plaintiff’s testimony, the 4 Court need not address the balance of the ALJ’s stated reasons for discounting Plaintiff’s
5 testimony. Any inclusion of erroneous reasons was inconsequential and, therefore, harmless. See 6 Molina, 674 F.3d at 1115 (where ALJ provided at least one valid reason to discount testimony, 7 error in remaining reasons is harmless). 8 B. The ALJ Did Not Err in Evaluating the Medical Evidence 9 Plaintiff filed her disability claim in January 2019. The regulations effective March 27, 10 2017, 20 C.F.R. §§ 404.1520c(c), 416.920c(c), require the ALJ to articulate how persuasive the 11 ALJ finds medical opinions and to explain how the ALJ considered the supportability and 12 consistency factors. 20 C.F.R. §§ 404.1520c(a), (b), 416.920c(a), (b). The regulations require an 13 ALJ to specifically account for the legitimate factors of supportability and consistency in 14 addressing the persuasiveness of a medical opinion. Thus, the ALJ is required to provide specific
15 and legitimate reasons to reject a doctor’s opinions. See, e.g., Kathleen G. v. Comm’r of Soc. 16 Sec., 2020 WL 6581012, at *3 (W.D. Wash. Nov. 10, 2020) (finding that the new regulations do 17 not clearly supersede the “specific and legitimate” standard because the “specific and legitimate” 18 standard refers not to how an ALJ should weigh or evaluate opinions, but rather the standard by 19 which the Court evaluates whether the ALJ has reasonably articulated his or her consideration of 20 the evidence). 21 Further, the Court must continue to consider whether the ALJ’s analysis is supported by 22 substantial evidence. See Revisions to Rules Regarding the Evaluation of Medical Evidence, 82 23 Fed. Reg.
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5 UNITED STATES DISTRICT COURT 6 WESTERN DISTRICT OF WASHINGTON AT TACOMA 7 9 Plaintiff, Case No. C21-5160-MLP 10 v. ORDER 12 Defendant. 13 I. INTRODUCTION 14 Plaintiff seeks review of the denial of her application for a Period of Disability, Disability 15 Insurance Benefits, and Supplemental Security Income. Plaintiff contends the administrative law 16 judge (“ALJ”) erred by discounting her testimony, improperly evaluating medical evidence, and 17 by making an unsupported step five finding. (Dkt. # 13.) As discussed below, the Court 18 AFFIRMS the Commissioner’s final decision and DISMISSES the case with prejudice. 19 II. BACKGROUND 20 Plaintiff was born in 1971, has a limited education, and previously worked as a fast-food 21 worker and cleaner/housekeeper. AR at 31-32. Plaintiff applied for benefits on January 28, 2019, 22 alleging disability beginning July 16, 2018. Id. at 15. Plaintiff’s application was denied initially 23 and on reconsideration. The ALJ held a hearing in September 2020, taking testimony from 1 Plaintiff and a vocational expert. See id. at 39-88. In October 2020, the ALJ issued a decision 2 finding Plaintiff not disabled. Id. at 12-38. In relevant part, the ALJ found that Plaintiff’s severe 3 impairments, including lumbar degenerative disc disease and facet arthropathy, right hip 4 degenerative changes related to history of non-Hodgkin’s lymphoma, history of coronary artery
5 disease with coronary artery bypass grafting, hypertension, major depressive disorder, 6 generalized anxiety disorder vs. social anxiety disorder, and post-traumatic stress disorder 7 (PTSD) limited her to light work subject to a series of further limitations. Id. at 17-18, 21. Based 8 on vocational expert testimony, the ALJ found Plaintiff could perform the full range of light 9 work found in significant numbers in the national economy. Id. at 32-33. The Appeals Council 10 denied review on February 10, 2021. Id. at 1-6. Plaintiff appealed this final decision of the 11 Commissioner to this Court. (Dkt. # 4.) 13 Under 42 U.S.C. § 405(g), this Court may set aside the Commissioner’s denial of social 14 security benefits when the ALJ’s findings are based on legal error or not supported by substantial
15 evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 (9th Cir. 2005). As a 16 general principle, an ALJ’s error may be deemed harmless where it is “inconsequential to the 17 ultimate nondisability determination.” Molina v. Astrue, 674 F.3d 1104, 1115 (9th Cir. 2012) 18 (cited sources omitted). The Court looks to “the record as a whole to determine whether the error 19 alters the outcome of the case.” Id. 20 “Substantial evidence” is more than a scintilla, less than a preponderance, and is such 21 relevant evidence as a reasonable mind might accept as adequate to support a conclusion. 22 Richardson v. Perales, 402 U.S. 389, 401 (1971); Magallanes v. Bowen, 881 F.2d 747, 750 (9th 23 Cir. 1989). The ALJ is responsible for determining credibility, resolving conflicts in medical 1 testimony, and resolving any other ambiguities that might exist. Andrews v. Shalala, 53 F.3d 2 1035, 1039 (9th Cir. 1995). While the Court is required to examine the record as a whole, it may 3 neither reweigh the evidence nor substitute its judgment for that of the Commissioner. Thomas v. 4 Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). When the evidence is susceptible to more than one
5 rational interpretation, it is the Commissioner’s conclusion that must be upheld. Id. 7 A. The ALJ Did Not Err by Discounting Plaintiff’s Testimony 8 The ALJ found Plaintiff presented objective medical evidence establishing underlying 9 impairments that could cause the symptoms alleged and made no finding she was malingering. 10 AR at 22. The ALJ was thus required to provide “specific, clear, and convincing” reasons 11 supported by substantial evidence to discount Plaintiff’s testimony. Trevizo v. Berryhill, 871 F.3d 12 664, 678 (9th Cir. 2017). 13 Among other grounds, the ALJ discounted Plaintiff’s testimony as: (1) inconsistent with 14 Plaintiff having “successfully worked despite her longstanding low back, right hip, and mental
15 conditions,” and (2) undermined by Plaintiff’s activities, including “go[ing] out 16 unaccompanied,” “perform[ing] household chores,” and engaging in social activities. AR at 17 27-28. Plaintiff does not challenge either of these grounds, both of which are valid reasons for 18 discounting Plaintiff’s testimony. See, e.g., Bray v. Comm’r of Soc. Sec. Admin., 554 F.3d 1219, 19 1227 (9th Cir. 2009) (“In reaching a credibility determination, an ALJ may weigh 20 inconsistencies between the claimant’s testimony and his or her conduct, daily activities, and 21 work record, among other factors.”); Molina, 674 F.3d at 1113 (“The ALJ could reasonably 22 conclude that [claimant’s] activities, including walking her two grandchildren to and from 23 school, attending church, shopping, and taking walks, undermined her claims that she was 1 incapable of being around people without suffering from debilitating panic attacks.”). The ALJ 2 accordingly did not err by discounting Plaintiff’s testimony on these grounds. 3 Because the ALJ gave at least two valid reasons for discounting Plaintiff’s testimony, the 4 Court need not address the balance of the ALJ’s stated reasons for discounting Plaintiff’s
5 testimony. Any inclusion of erroneous reasons was inconsequential and, therefore, harmless. See 6 Molina, 674 F.3d at 1115 (where ALJ provided at least one valid reason to discount testimony, 7 error in remaining reasons is harmless). 8 B. The ALJ Did Not Err in Evaluating the Medical Evidence 9 Plaintiff filed her disability claim in January 2019. The regulations effective March 27, 10 2017, 20 C.F.R. §§ 404.1520c(c), 416.920c(c), require the ALJ to articulate how persuasive the 11 ALJ finds medical opinions and to explain how the ALJ considered the supportability and 12 consistency factors. 20 C.F.R. §§ 404.1520c(a), (b), 416.920c(a), (b). The regulations require an 13 ALJ to specifically account for the legitimate factors of supportability and consistency in 14 addressing the persuasiveness of a medical opinion. Thus, the ALJ is required to provide specific
15 and legitimate reasons to reject a doctor’s opinions. See, e.g., Kathleen G. v. Comm’r of Soc. 16 Sec., 2020 WL 6581012, at *3 (W.D. Wash. Nov. 10, 2020) (finding that the new regulations do 17 not clearly supersede the “specific and legitimate” standard because the “specific and legitimate” 18 standard refers not to how an ALJ should weigh or evaluate opinions, but rather the standard by 19 which the Court evaluates whether the ALJ has reasonably articulated his or her consideration of 20 the evidence). 21 Further, the Court must continue to consider whether the ALJ’s analysis is supported by 22 substantial evidence. See Revisions to Rules Regarding the Evaluation of Medical Evidence, 82 23 Fed. Reg. 5852 (January 18, 2017) (“Courts reviewing claims under our current rules have 1 focused more on whether we sufficiently articulated the weight we gave treating source opinions, 2 rather than on whether substantial evidence supports our final decision … [T]hese courts, in 3 reviewing final agency decisions, are reweighing evidence instead of applying the substantial 4 evidence standard of review, which is intended to be highly deferential standard to us.”). With
5 these regulations and considerations in mind, the Court proceeds to its analysis of the medical 6 evidence in this case. 7 1. Kisha Clune, M.D. 8 Dr. Clune examined Plaintiff in April 2019 and opined that Plaintiff’s “ability to perform 9 work duties at a sufficient pace is poor based on the claimant’s ability to perform activities of 10 daily living” and “ability to maintain regular attendance in the workplace and complete a normal 11 workday without interruptions is poor based on activities of daily living and past work 12 experience.” AR at 780. The ALJ found Dr. Clune’s opinion “partially persuasive.” Id. at 30. 13 Among other reasons, the ALJ discounted Dr. Clune’s opinion as “based on Plaintiff’s subjective 14 reports.” Id. Given the ALJ’s treatment of Plaintiff’s testimony, as discussed above, this is a
15 valid ground on which to discount the doctor’s opinion. See Ghanim v. Colvin, 763 F.3d 1154, 16 1162-63 (9th Cir. 2014) (ALJ may reject doctor’s opinion if based “to a large extent” on 17 discredited self-reports); Bray, 554 F.3d at 1228 (“As the district court noted, however, the 18 treating physician’s prescribed work restrictions were based on [claimant’s] subjective 19 characterization of her symptoms. As the ALJ determined that [claimant’s] description of her 20 limitations was not entirely credible, it is reasonable to discount a physician’s prescription that 21 was based on those less than credible statements.”). 22 Because the ALJ gave at least one valid reason for discounting Dr. Clure’s opinion, the 23 Court need not address the balance of the ALJ’s stated reasons for discounting the opinion. Any 1 inclusion of erroneous reasons was inconsequential, and therefore, harmless. See Molina, 674 2 F.3d at 1115. 3 2. Kimberly Wheeler, Psy.D. 4 Dr. Wheeler examined Plaintiff in September 2019 and opined via a check box form that
5 Plaintiff had marked limitations performing activities within a schedule, maintaining regular 6 attendance, and being punctual within customary tolerances without special supervision. AR at 7 745. The ALJ found Dr. Wheeler’s opinion “persuasive.” Id. at 28. However, the ALJ noted that 8 Dr. Wheeler expanded on his check box form by explaining that Plaintiff did not experience 9 these marked limitations when she was in relative isolation. Id. (citing id. at 745 (“Overall, 10 [Plaintiff] isn’t expressing marked levels of psychological distress, if she can stay away from 11 public, and leave social situations when she needs to.”).) Dr. Wheeler also opined that Plaintiff’s 12 mental limitations would last just eight months with treatment. Id. The ALJ accommodated Dr. 13 Wheeler’s limitation in her RFC by limiting Plaintiff to “less than occasional contact with 14 supervisors and co-workers [and] no contact with the public.” Id. at 21.
15 Because Plaintiff has not established that the ALJ erred in assessing either his testimony 16 or the medical opinion evidence, he has not shown that the ALJ’s RFC assessment or step-five 17 findings failed to account for any credited evidence or were erroneous in any other respect. 19 For the foregoing reasons, the Commissioner’s final decision is AFFIRMED and this 20 case is DISMISSED with prejudice. 21 Dated this 27th day of September, 2021. 22 A United States Magistrate Judge