Debbie F. Simon v. Commissioner of Social Security Administration

CourtDistrict Court, C.D. California
DecidedMarch 11, 2021
Docket2:19-cv-08768
StatusUnknown

This text of Debbie F. Simon v. Commissioner of Social Security Administration (Debbie F. Simon v. Commissioner of Social Security Administration) is published on Counsel Stack Legal Research, covering District Court, C.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Debbie F. Simon v. Commissioner of Social Security Administration, (C.D. Cal. 2021).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 DEBBIE F.S.,1 ) Case No. CV 19-8768-JPR 11 ) Plaintiff, ) 12 ) MEMORANDUM DECISION AND ORDER v. ) AFFIRMING COMMISSIONER 13 ) COMMISSIONER OF SOCIAL ) 14 SECURITY ADMINISTRATION, ) ) 15 Defendant. ) ) 16 ) 17 18 I. PROCEEDINGS 19 Plaintiff seeks review of the Commissioner’s final decision 20 denying her application for Social Security supplemental security 21 income benefits (“SSI”). The parties consented to the 22 jurisdiction of the undersigned under 28 U.S.C. § 636(c). The 23 matter is before the Court on the parties’ Joint Submission, 24 filed August 5, 2020, which the Court has taken under submission 25 26 1 Plaintiff’s name is partially redacted in line with 27 Federal Rule of Civil Procedure 5.2(c)(2)(B) and the recommendation of the Committee on Court Administration and Case 28 Management of the Judicial Conference of the United States. 1 1 without oral argument. For the reasons stated below, the 2 Commissioner’s decision is affirmed. 3 II. BACKGROUND 4 Plaintiff was born in 1959. (Administrative Record (“AR”) 5 113, 293.) She completed 12th grade and worked as an assistant 6 in an optometry office and laboratory and as a recreation aide 7 for Long Beach Unified School District. (AR 333.) On January 8 31, 2017, she applied for SSI, alleging disability since December 9 1, 2008, because of varicose veins.1 (AR 113, 332.) After her 10 application and reconsideration of it were denied (AR 113-23, 11 125-36), she requested a hearing before an Administrative Law 12 Judge (AR 155-56). A hearing was held on May 8, 2019, at which 13 Plaintiff, represented by counsel, testified, as did a vocational 14 expert. (AR 74-95.) In a written decision issued May 30, 2019, 15 the ALJ found her not disabled. (AR 20-34.) On August 13, 2019, 16 the Appeals Council denied her request for review. (AR 6-8.) 17 This action followed. 18 III. STANDARD OF REVIEW 19 Under 42 U.S.C. § 405(g), a district court may review the 20 1 Plaintiff apparently had filed four previous applications 21 for SSI, in 1992, 1997, 2004 (concurrent applications for SSI and 22 DIB), and 2010. (See AR 101, 104, 272-74, 281-89.) All were denied except the 2010 application, as to which the ALJ found her 23 disabled and “entitled to benefits for Medicare purposes only” beginning December 1, 2008, through March 31, 2014, as a Medicare 24 Qualified Government Employee. (AR 112; see AR 101, 110-11, 281); 42 C.F.R. § 406.15 (defining MQGEs). To make that 25 determination, the ALJ found that Plaintiff had demonstrated 26 eligibility under the five-step sequential evaluation for determining disability. (See AR 101-12); Padlo v. Berryhill, No. 27 2:15-cv-1953-AD, 2017 WL 735734, at *3 n.4 (E.D. Cal. Feb. 24, 2017) (applying five-step sequential evaluation to MQGE 28 application). 2 1 Commissioner’s decision to deny benefits. The ALJ’s findings and 2 decision should be upheld if they are free of legal error and 3 supported by substantial evidence based on the record as a whole. 4 See Richardson v. Perales, 402 U.S. 389, 401 (1971); Parra v. 5 Astrue, 481 F.3d 742, 746 (9th Cir. 2007). Substantial evidence 6 means such evidence as a reasonable person might accept as 7 adequate to support a conclusion. Richardson, 402 U.S. at 401; 8 Lingenfelter v. Astrue, 504 F.3d 1028, 1035 (9th Cir. 2007). It 9 is “more than a mere scintilla but less than a preponderance.” 10 Lingenfelter, 504 F.3d at 1035 (citing Robbins v. Soc. Sec. 11 Admin., 466 F.3d 880, 882 (9th Cir. 2006)). “[W]hatever the 12 meaning of ‘substantial’ in other contexts, the threshold for 13 such evidentiary sufficiency is not high.” Biestek v. Berryhill, 14 139 S. Ct. 1148, 1154 (2019). To determine whether substantial 15 evidence supports a finding, the reviewing court “must review the 16 administrative record as a whole, weighing both the evidence that 17 supports and the evidence that detracts from the Commissioner’s 18 conclusion.” Reddick v. Chater, 157 F.3d 715, 720 (9th Cir. 19 1998). “If the evidence can reasonably support either affirming 20 or reversing,” the reviewing court “may not substitute its 21 judgment” for the Commissioner’s. Id. at 720-21. 22 IV. THE EVALUATION OF DISABILITY 23 People are “disabled” for purposes of receiving Social 24 Security benefits if they are unable to engage in any substantial 25 gainful activity owing to a physical or mental impairment that is 26 expected to result in death or has lasted, or is expected to 27 last, for a continuous period of at least 12 months. 42 U.S.C. 28 § 423(d)(1)(A); Drouin v. Sullivan, 966 F.2d 1255, 1257 (9th Cir. 3 1 1992). 2 A. The Five-Step Evaluation Process 3 An ALJ follows a five-step sequential evaluation process to 4 assess whether someone is disabled. 20 C.F.R. § 416.920(a)(4); 5 Lester v. Chater, 81 F.3d 821, 828 n.5 (9th Cir. 1995) (as 6 amended Apr. 9, 1996). In the first step, the Commissioner must 7 determine whether the claimant is currently engaged in 8 substantial gainful activity; if so, the claimant is not disabled 9 and the claim must be denied. § 416.920(a)(4)(i). 10 If the claimant is not engaged in substantial gainful 11 activity, the second step requires the Commissioner to determine 12 whether the claimant has a “severe” impairment or combination of 13 impairments significantly limiting her ability to do basic work 14 activities; if not, a finding of not disabled is made and the 15 claim must be denied. § 416.920(a)(4)(ii) & (c). 16 If the claimant has a “severe” impairment or combination of 17 impairments, the third step requires the Commissioner to 18 determine whether the impairment or combination of impairments 19 meets or equals an impairment in the Listing of Impairments 20 (“Listing”) set forth at 20 C.F.R., part 404, subpart P, appendix 21 1; if so, disability is conclusively presumed and benefits are 22 awarded. § 416.920(a)(4)(iii) & (d). 23 Before proceeding to step four, the ALJ must determine the 24 claimant’s residual functional capacity (“RFC”).2 § 416.920(e); 25 see also Laborin v. Berryhill, 867 F.3d 1151, 1153 (9th Cir. 26 27 2 RFC is what a claimant can do despite existing exertional and nonexertional limitations. § 416.945(a)(1); see Cooper v. 28 Sullivan, 880 F.2d 1152, 1155 n.5 (9th Cir. 1989). 4 1 2017) (ALJ assesses claimant’s RFC between steps three and four). 2 The fourth step requires that the ALJ determine whether the 3 claimant’s RFC is sufficient to perform past relevant work. 4 § 416.920(a)(4)(iv). If it is not or the claimant has no past 5 relevant work, the Commissioner then bears the burden of 6 establishing that she is not disabled because she can perform 7 other substantial gainful work in the national economy, the fifth 8 and final step of the analysis. §§ 416.920(a)(4)(v), 9 416.960(c)(2); Drouin, 966 F.2d at 1257. 10 B. The ALJ’s Application of the Five-Step Process 11 At step one, the ALJ found that Plaintiff had not engaged in 12 substantial gainful activity since January 31, 2017, the 13 application date.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Richardson v. Perales
402 U.S. 389 (Supreme Court, 1971)
Berry v. Astrue
622 F.3d 1228 (Ninth Circuit, 2010)
Seavey v. Social Security
276 F.3d 1 (First Circuit, 2001)
Mellen v. Trustees of Boston University
504 F.3d 21 (First Circuit, 2007)
United States v. Kenneth G. Montgomery
14 F.3d 1189 (Seventh Circuit, 1994)

Cite This Page — Counsel Stack

Bluebook (online)
Debbie F. Simon v. Commissioner of Social Security Administration, Counsel Stack Legal Research, https://law.counselstack.com/opinion/debbie-f-simon-v-commissioner-of-social-security-administration-cacd-2021.