1 WO 2 3 4 5
9 Lorelei A Clark, No. CV-22-02056-PHX-DLR
10 Plaintiff, ORDER
11 v.
12 Commissioner of Social Security Administration, 13 Defendant. 14 15 16 On July 19, 2019, Claimant Lorelei Clark filed an application for Social Security 17 Disability Insurance benefits, alleging a disability beginning May 30, 2019. (AR. 14.) Her 18 last insured date was September 30, 2019. (AR. 17.) The Social Security Administration 19 denied her claim initially and again on reconsideration. (AR. 79, 98.) After an 20 administrative hearing, the Administrative Law Judge (“ALJ”) issued an unfavorable 21 decision. (AR. 11.) The Appeals Council denied review of the decision, making the ALJ’s 22 finding the final decision of the Commissioner of the Social Security Administration. (AR. 23 1.) 24 Clark seeks judicial review of the Commissioner’s decision under 42 25 U.S.C. § 405(g), arguing that the ALJ’s decision was not supported by substantial 26 evidence. (Doc. 18 at 1, 10.) The Commissioner does not contest this point. (Doc. 28 at 1– 27 3.) The only issue for this Court to resolve is the appropriate scope of the remand. Clark 28 argues that the case should be remanded for a calculation of benefits, while the 1 Commissioner argues that the case should be remanded for further administrative 2 proceedings. (Doc. 18 at 25; Doc. 28 at 12.) 3 I. Standard 4 Generally, “ordinary remand”—that is, remand for further agency proceedings—is 5 the appropriate remedy when an ALJ makes legal error in his decision. Treichler v. Comm’r 6 of Soc. Sec. Admin., 775 F.3d 1090, 1099 (9th Cir. 2014). Remand for an award of benefits 7 is appropriate only in exceptional circumstances where further administrative proceedings 8 would not serve any useful purpose, and the record has been fully developed. Id.; Hill v. 9 Astrue, 698 F.3d 1153, 1162 (9th Cir. 2012). “If additional proceedings can remedy defects 10 in the original administrative proceedings, a social security case should be remanded. 11 Where, however, a rehearing would simply delay receipt of benefits, reversal [for an award 12 of benefits] is appropriate.” Lewin v. Schweiker, 654 F.2d 631, 635 (9th Cir. 1981). 13 The Ninth Circuit has developed the “credit-as-true” rule as a procedure for 14 determining whether exceptional circumstances justifying a remand for benefits exist. See 15 Treichler, 775 F.3d at 1100–01. The first step asks whether the “ALJ has failed to provide 16 legally sufficient reasons for rejecting evidence, whether claimant testimony or medical 17 opinion.” Garrison v. Colvin, 759 F.3d 995, 1020 (9th Cir. 2014). If the ALJ has erred, the 18 Court determines whether the record has been fully developed, whether there are 19 outstanding issues to be resolved before a disability determination can be made, and 20 whether further administrative proceedings would be useful. Treichler¸ 775 F.3d at 1101; 21 Moisa v. Barnhart, 367 F.3d 882, 887 (9th Cir. 2004); Varney v. Sec’y of Health & Hum. 22 Servs., 859 F.2d 1396, 1399 (9th Cir. 1988). If the Court concludes there are no outstanding 23 issues and further proceedings would not be useful, it may credit the testimony as true as a 24 matter of law and determine whether the record leaves any uncertainty as to the outcome 25 of the proceeding. See NLRB v. Wyman-Gordon Co., 394 U.S. 759, 766 n.6 (1969). Only 26 when these elements are met may the Court exercise its discretion to remand for a 27 calculation of benefits. Swenson v. Sullivan, 876 F.2d 683, 689 (9th Cir. 1989).
28 1 II. Analysis 2 This case does not present the rare circumstances that would warrant a reversal for 3 an award of benefits. The Dominguez case is instructive here: Both parties agreed that the 4 ALJ erred by rejecting a doctor’s opinions, but upon review of the record, the Ninth Circuit 5 identified several inconsistencies between that doctor’s opinions and other evidence in the 6 record. Dominguez v. Colvin, 808 F.3d 403, 408–09 (9th Cir. 2015). The Ninth Circuit 7 rejected the claimant’s request to credit the doctor’s opinions as a matter of law despite the 8 inconsistencies because to do so would be to “reverse[] the required order of analysis.” Id. 9 Only ordinary remand was appropriate under the circumstances. Id. at 410. 10 Clark and the Commissioner agree that the first step of the credit-as-true rule is met, 11 so the Court will proceed to the second step. A review of this record reveals inconsistencies 12 similar to those present in the Dominguez case. Though the ALJ did not properly articulate 13 his reasons for rejecting the opinions of Clark’s treating physicians, Delaney Herper, P.A. 14 and Irina Ashamalla, PMHNP-DC, he did point to some inconsistencies between their 15 opinions and other evidence in the record. Both P.A. Herper and N.P. Ashamalla opined 16 that Clark has severe limitations in her ability to relate to others, respond to customary 17 work pressures, and sustain her pace. (AR. 21.) But, as the ALJ noted, Clark reported no 18 problems getting along with friends, family, and authority figures and stated that she was 19 able to perform several independent daily activities, including taking care of her personal 20 hygiene, preparing meals, and driving. (AR. 21–22.) 21 Further, while P.A. Herper and N.P. Ashamalla opined that Clark had severe mental 22 impairments, two agency medical consultants who reviewed Clark’s records found no 23 severe mental impairments. (AR. 21–22, 71–73, 74–75, 89, 91–93.) P.A. Herper opined 24 that Clark’s impairments would cause her to be off task more than twenty-one percent of a 25 single workday. (AR. 1012.) And another treating physician opined that Clark could only 26 sit for two to three hours, stand or walk for less than two hours, and lift or carry fewer than 27 ten pounds. (AR. 829.) This opinion conflicts with two state agency medical consultants 28 1 || who both opined Clark could lift twenty pounds occasionally and could stand, walk, or sit 2|| for six hours in an eight-hour workday. (AR. 76-78, 94-97.) 3 Clark argues that this Court should credit only the opinions of her treating □□ physicians and reject those of the agency medical consultants. But this operation would || “reverse[] the required order of analysis,” id., and improperly substitute the Court for the || factfinder. Even where the ALJ has made legal error, it is not the role of the Court to evaluate the credibility of various physicians’ opinions and resolve inconsistencies in the 8 || record. Tommasetti v. Astrue, 533 F.3d 1035, 1041-42 (“[T]he ALJ is the final arbiter with 9|| respect to resolving ambiguities in the medical evidence.”). The ALJ is the proper trier of fact. See Parra v. Astrue,
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1 WO 2 3 4 5
9 Lorelei A Clark, No. CV-22-02056-PHX-DLR
10 Plaintiff, ORDER
11 v.
12 Commissioner of Social Security Administration, 13 Defendant. 14 15 16 On July 19, 2019, Claimant Lorelei Clark filed an application for Social Security 17 Disability Insurance benefits, alleging a disability beginning May 30, 2019. (AR. 14.) Her 18 last insured date was September 30, 2019. (AR. 17.) The Social Security Administration 19 denied her claim initially and again on reconsideration. (AR. 79, 98.) After an 20 administrative hearing, the Administrative Law Judge (“ALJ”) issued an unfavorable 21 decision. (AR. 11.) The Appeals Council denied review of the decision, making the ALJ’s 22 finding the final decision of the Commissioner of the Social Security Administration. (AR. 23 1.) 24 Clark seeks judicial review of the Commissioner’s decision under 42 25 U.S.C. § 405(g), arguing that the ALJ’s decision was not supported by substantial 26 evidence. (Doc. 18 at 1, 10.) The Commissioner does not contest this point. (Doc. 28 at 1– 27 3.) The only issue for this Court to resolve is the appropriate scope of the remand. Clark 28 argues that the case should be remanded for a calculation of benefits, while the 1 Commissioner argues that the case should be remanded for further administrative 2 proceedings. (Doc. 18 at 25; Doc. 28 at 12.) 3 I. Standard 4 Generally, “ordinary remand”—that is, remand for further agency proceedings—is 5 the appropriate remedy when an ALJ makes legal error in his decision. Treichler v. Comm’r 6 of Soc. Sec. Admin., 775 F.3d 1090, 1099 (9th Cir. 2014). Remand for an award of benefits 7 is appropriate only in exceptional circumstances where further administrative proceedings 8 would not serve any useful purpose, and the record has been fully developed. Id.; Hill v. 9 Astrue, 698 F.3d 1153, 1162 (9th Cir. 2012). “If additional proceedings can remedy defects 10 in the original administrative proceedings, a social security case should be remanded. 11 Where, however, a rehearing would simply delay receipt of benefits, reversal [for an award 12 of benefits] is appropriate.” Lewin v. Schweiker, 654 F.2d 631, 635 (9th Cir. 1981). 13 The Ninth Circuit has developed the “credit-as-true” rule as a procedure for 14 determining whether exceptional circumstances justifying a remand for benefits exist. See 15 Treichler, 775 F.3d at 1100–01. The first step asks whether the “ALJ has failed to provide 16 legally sufficient reasons for rejecting evidence, whether claimant testimony or medical 17 opinion.” Garrison v. Colvin, 759 F.3d 995, 1020 (9th Cir. 2014). If the ALJ has erred, the 18 Court determines whether the record has been fully developed, whether there are 19 outstanding issues to be resolved before a disability determination can be made, and 20 whether further administrative proceedings would be useful. Treichler¸ 775 F.3d at 1101; 21 Moisa v. Barnhart, 367 F.3d 882, 887 (9th Cir. 2004); Varney v. Sec’y of Health & Hum. 22 Servs., 859 F.2d 1396, 1399 (9th Cir. 1988). If the Court concludes there are no outstanding 23 issues and further proceedings would not be useful, it may credit the testimony as true as a 24 matter of law and determine whether the record leaves any uncertainty as to the outcome 25 of the proceeding. See NLRB v. Wyman-Gordon Co., 394 U.S. 759, 766 n.6 (1969). Only 26 when these elements are met may the Court exercise its discretion to remand for a 27 calculation of benefits. Swenson v. Sullivan, 876 F.2d 683, 689 (9th Cir. 1989).
28 1 II. Analysis 2 This case does not present the rare circumstances that would warrant a reversal for 3 an award of benefits. The Dominguez case is instructive here: Both parties agreed that the 4 ALJ erred by rejecting a doctor’s opinions, but upon review of the record, the Ninth Circuit 5 identified several inconsistencies between that doctor’s opinions and other evidence in the 6 record. Dominguez v. Colvin, 808 F.3d 403, 408–09 (9th Cir. 2015). The Ninth Circuit 7 rejected the claimant’s request to credit the doctor’s opinions as a matter of law despite the 8 inconsistencies because to do so would be to “reverse[] the required order of analysis.” Id. 9 Only ordinary remand was appropriate under the circumstances. Id. at 410. 10 Clark and the Commissioner agree that the first step of the credit-as-true rule is met, 11 so the Court will proceed to the second step. A review of this record reveals inconsistencies 12 similar to those present in the Dominguez case. Though the ALJ did not properly articulate 13 his reasons for rejecting the opinions of Clark’s treating physicians, Delaney Herper, P.A. 14 and Irina Ashamalla, PMHNP-DC, he did point to some inconsistencies between their 15 opinions and other evidence in the record. Both P.A. Herper and N.P. Ashamalla opined 16 that Clark has severe limitations in her ability to relate to others, respond to customary 17 work pressures, and sustain her pace. (AR. 21.) But, as the ALJ noted, Clark reported no 18 problems getting along with friends, family, and authority figures and stated that she was 19 able to perform several independent daily activities, including taking care of her personal 20 hygiene, preparing meals, and driving. (AR. 21–22.) 21 Further, while P.A. Herper and N.P. Ashamalla opined that Clark had severe mental 22 impairments, two agency medical consultants who reviewed Clark’s records found no 23 severe mental impairments. (AR. 21–22, 71–73, 74–75, 89, 91–93.) P.A. Herper opined 24 that Clark’s impairments would cause her to be off task more than twenty-one percent of a 25 single workday. (AR. 1012.) And another treating physician opined that Clark could only 26 sit for two to three hours, stand or walk for less than two hours, and lift or carry fewer than 27 ten pounds. (AR. 829.) This opinion conflicts with two state agency medical consultants 28 1 || who both opined Clark could lift twenty pounds occasionally and could stand, walk, or sit 2|| for six hours in an eight-hour workday. (AR. 76-78, 94-97.) 3 Clark argues that this Court should credit only the opinions of her treating □□ physicians and reject those of the agency medical consultants. But this operation would || “reverse[] the required order of analysis,” id., and improperly substitute the Court for the || factfinder. Even where the ALJ has made legal error, it is not the role of the Court to evaluate the credibility of various physicians’ opinions and resolve inconsistencies in the 8 || record. Tommasetti v. Astrue, 533 F.3d 1035, 1041-42 (“[T]he ALJ is the final arbiter with 9|| respect to resolving ambiguities in the medical evidence.”). The ALJ is the proper trier of fact. See Parra v. Astrue, 481 F.3d 742, 750 (9th Cir. 2007) (“Generally, questions of 11 || credibility and resolution of conflicts in the testimony are functions solely for [the ALJ].’’) (internal quotation marks and citations omitted). 13 Because inconsistencies in the record and outstanding issues preclude reversal for a calculation of benefits, this Court need not reach the parties’ arguments about whether 15 || Clark is disabled. Ordinary remand, rather than remand for an award of benefits, is 16 || appropriate. 17 IT IS ORDERED that the Commissioner’s motion for remand (Doc. 28) is 18 || GRANTED. The ALJ’s decision is REVERSED and REMANDED for further proceedings. 20 IT IS FURTHER ORDERED directing the Clerk’s Office to enter judgment and close the case. 22 Dated this 17th day of September, 2024. 23 24 25 {Z, 26 {UO 27 Sen United States District Judge 28
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