Centera v. Saul

District Court, S.D. California·Decided March 24, 2021·No. 3:20-cv-00256·Unknown

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 SOUTHERN DISTRICT OF CALIFORNIA 10 11 RUSSELL C., Case No. 20-cv-256-MMA (RBM)

12 Plaintiff, ORDER OVERRULING 13 v. COMMISSIONER’S OBJECTION; ADOPTING REPORT AND 14 ANDREW SAUL, Commissioner of RECOMMENDATION; GRANTING Social Security, 15 IN PART AND DENYING IN PART Defendant. PLAINTIFF’S MOTION FOR 16 SUMMARY JUDGMENT; AND 17 REMANDING ACTION TO SOCIAL SECURITY ADMINISTRATION 18

19 [Doc. Nos. 11, 14, 15] 20 21 On February 11, 2020, Russell C. (“Plaintiff”) filed this social security appeal 22 challenging the denial of his application for disability benefits. See Doc. No. 1.1 The 23 Court referred all matters arising in this social security appeal to the assigned Magistrate 24 Judge for report and recommendation (“R&R”) pursuant to 28 U.S.C. § 636(b)(1)(B) and 25 Civil Local Rule 72.1. See Doc. No. 7. Plaintiff filed a motion for summary judgment. 26

27 1 Citations generally refer to the pagination assigned by the CM/ECF system. However, “AR” refers to 28 1 See Doc. Nos. 11. The Magistrate Judge has issued a R&R recommending that the Court 2 (1) grant in part and deny in part Plaintiff’s motion and (2) remand the Administrative 3 Law Judge’s (“ALJ”) decision. See Doc. No. 14 at 17. Andrew Saul, Commissioner of 4 Social Security, (“Commissioner”) objects to a portion of the R&R, and Plaintiff replied. 5 See Doc. Nos. 15, 16. Upon due consideration and for the reasons set forth below, the 6 Court OVERRULES the Commissioner’s objection, ADOPTS the Magistrate Judge’s 7 R&R, GRANTS in part and DENIES in part Plaintiff’s motion for summary judgment, 8 and REMANDS this matter to the Social Security Administration. 9 I. BACKGROUND 10 Seeking judicial review to challenge the denial of his application for disability 11 insurance benefits, Plaintiff filed the present action pursuant to 42 U.S.C. § 405(g). See 12 Doc. No. 1 ¶ 1. Plaintiff moved for summary judgment, arguing that (1) the “ALJ was 13 estopped from redetermining [Plaintiff’s] residual functional capacity [(“RFC”)] in the 14 Title II claim,” (2) the ALJ’s decision was not supported by substantial evidence, and (3) 15 the ALJ erred by supplanting a physician’s assessment with his own. Doc. No. 11-1 at 16 13, 17. 17 The Magistrate Judge issued an R&R on Plaintiff’s motion for summary judgment, 18 in which she recommends granting in part and denying in part Plaintiff’s motion. See 19 Doc. No. 11-1 at 17. In particular, the Magistrate Judge recommends remanding the 20 ALJ’s decision regarding Plaintiff’s RFC. See id. The Magistrate Judge determined that 21 “the ALJ’s RFC assessment did not rely upon any physician’s opinion to provide an 22 opinion regarding limitations, mental or physical.” Id. at 15 (citing AR 22–29). The 23 Magistrate Judge found that the ALJ’s decision was not supported by substantial 24 evidence and the record should be more “developed with respect to Plaintiff’s RFC.” Id. 25 at 17. 26 The Commissioner now objects to the Magistrate Judge’s R&R. See Doc. No. 15. 27 II. LEGAL STANDARD 28 1 The duties of the district court in connection with a magistrate judge’s R&R are set 2 forth in Rule 72(b) of the Federal Rules of Civil Procedure and 28 U.S.C. § 636(b)(1). 3 Where the parties object to a R&R, “[a] judge of the [district] court shall make a de novo 4 determination of those portions of the [R&R] to which objection is made.” 28 U.S.C. 5 § 636(b)(1); see Thomas v. Arn, 474 U.S. 140, 149–50 (1985). A district judge may 6 “accept, reject, or modify, in whole or in part, the findings or recommendations made by 7 the magistrate judge.” 28 U.S.C. § 636(b)(1); see also Wilkins v. Ramirez, 455 F. Supp. 8 2d 1080, 1088 (S.D. Cal. 2006). 9 III. DISCUSSION 10 The Commissioner objects to the Magistrate Judge’s R&R on one issue: “the 11 finding of error as to the ALJ’s RFC finding.” Doc. No. 15 at 1. The Commissioner 12 states that “because the RFC finding is a legal finding, not a medical one, the ALJ alone 13 is responsible” for determining Plaintiff’s RFC. Id. In response to the Magistrate 14 Judge’s finding that “the ALJ’s RFC assessment did not rely upon any physician’s 15 opinion to provide an opinion regarding [Plaintiff’s] limitations, mental or physical,” 16 Doc. No. 14 at 15 (citing AR at 22–29), the Commissioner asserts that “there is no 17 regulatory or legal requirement that the RFC finding track a specific medical opinion.” 18 Doc. No. 15 at 3. The Commissioner further states that to the extent there were 19 conflicting statements or ambiguity in the record, the ALJ properly exercised his role as 20 fact-finder by resolving these issues. See id. at 5. Furthermore, the Commissioner 21 contends that the “substantial evidence” requirement is not a high threshold and the 22 ALJ’s analysis of the medical evidence in the record satisfies this requirement. Id. 23 Plaintiff responds that the ALJ’s decision is not supported by substantial evidence. 24 See Doc. No. 16 at 2 (citing Doc. No. 11). Plaintiff argues that because the ALJ does not 25 rely on a medical opinion or examination to determine Plaintiff’s functional limitations, 26 the RFC assessment is “nothing more than the ALJ’s own ‘exploration and assessment’ 27 of [Plaintiff’s] impairments.” See Doc. No. 11 at 18 (quoting McAnally v. Berryhill, No. 28 3:18-cv-02272-GPC-RNB, 2020 WL 1443734, at *7 (S.D. Cal. Mar. 25, 2020)). Plaintiff 1 claims that the ALJ “formulated his own independent determination that [Plaintiff] is 2 capable of medium work.” Doc. No. 11 at 18 (citing AR 22). Plaintiff further contends 3 that the ALJ violated his “special duty to develop the record and retain a medical expert 4 or retain an examining physician,” and the absence of any medical opinion regarding 5 Plaintiff’s functional limitations yields a RFC that is not supported by substantial 6 evidence. See Doc. No. 16 at 3 (citing Hayes v. Colvin, No. 3:16-cv-00140-JLS-MDD, 7 2016 WL 11281409, at *2, *6, *8 (S.D. Cal. Dec. 19, 2016), report and recommendation 8 adopted, 2017 WL 781580 (S.D. Cal. Mar. 1, 2017)). 9 A RFC assessment is the most a plaintiff can do despite existing physical, mental, 10 and other limitations. 20 C.F.R. § 404.1545(a)(1). See generally SSR 96-8p, S.S.R. 11 Cum. Ed. (July 2, 1996). An ALJ considers all relevant medical and other evidence when 12 conducting a RFC assessment. 20 C.F.R. § 404.1545(a)(3). If an ALJ chooses to give 13 minimal weight to a medical opinion, the ALJ must provide specific, legitimate reasons 14 for his decision. See Lester v. Chater, 81 F.3d 821, 830 (9th Cir.1996) (citing Murray v. 15 Heckler 722 F.2d 499, 502 (9th Cir. 1983)). 16 To the extent that there are conflicting statements or ambiguities in the 17 administrative record, it is the ALJ’s duty to fully develop the record to resolve the 18 conflicting statements and ambiguities. See Tonapetyan v. Halter,

Centera v. Saul, (S.D. Cal. 2021).

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