3 UNITED STATES DISTRICT COURT 4 DISTRICT OF NEVADA 5 * * * 6 CHRISTOPHER ALLEN DISNEY, Case No. 2:18-cv-01648-DJA 7 Plaintiff, 8 ORDER v. 9 NANCY A. BERRYHILL,1 Commissioner of 10 Social Security,
11 Defendant.
12 13 This matter involves the review of an administrative action by the Commissioner of Social 14 Security (“Commissioner”) denying Plaintiff Christopher Allen Disney’s (“Plaintiff”) 15 applications for disability insurance benefits under Title II of the Social Security Act and 16 supplemental security income under Title XVI of the ACT. The Court has reviewed Plaintiff’s 17 Motion for Reversal and/or Remand (ECF No. 18), filed on May 8, 2019, and the 18 Commissioner’s Response and Cross-Motion to Affirm (ECF Nos. 23-24), filed on July 26, 2019. 19 Plaintiff filed a Reply (ECF No. 25), with duplicative filings (ECF Nos. 26-27), on August 2, 20 2019. 21 I. BACKGROUND 22 1. Procedural History 23 Plaintiff applied for disability insurance benefits on February 6, 2015 and for 24 supplemental security income on February 25, 2015, alleging an onset date of December 15, 25 2008. AR2 196-203. Plaintiff’s claims were denied initially, and on reconsideration. AR 111- 26
27 1 Andrew Saul is now the Commissioner of Social Security and substituted as a party. 1 126, 128-140. A hearing was held before an Administrative Law Judge (“ALJ”) on April 10, 2 2017. AR 29-52. On October 11, 2017, the ALJ issued a decision denying Plaintiff’s claim. AR 3 12-28. The ALJ’s decision became the Commissioner’s final decision when the Appeals Council 4 denied review on June 5, 2018. AR 1-6. On August 30, 2018, Plaintiff commenced this action 5 for judicial review under 42 U.S.C. §§ 405(g). (See Motion/Application for Leave to Proceed in 6 forma pauperis. (ECF No. 1).) 7 2. The ALJ Decision 8 The ALJ followed the five-step sequential evaluation process set forth in 20 C.F.R. §§ 9 404.1520, 416.920.3 AR 12-28. At step one, the ALJ found that Plaintiff had not engaged in 10 substantial gainful activity from the alleged onset date of December 15, 2008 through the date of 11 the decision. Id. at 17. At step two, the ALJ found that Plaintiff had medically determinable 12 “severe” impairments of degenerative disc disease of the lumbar spine, peripheral neuropathy, 13 diabetes mellitus, obesity, and hypertension. Id. At step three, the ALJ found that Plaintiff did 14 not have an impairment or combination of impairments that met or medically equaled a listed 15 impairment in 20 C.F.R. Part 404, Subpart P, Appendix 1. Id. at 18. 16 The ALJ found that Plaintiff has the residual functional capacity to perform the full range 17 of sedentary work as defined in 20 CFR 404.1567(a). Id. At step four, the ALJ found that 18 Plaintiff is not capable of performing any past relevant work. Id. at 22. At step five, the ALJ 19 found Plaintiff to be a younger individual age 18-44 on the alleged disability onset date, have at 20 least a high school education, able to communicate in English, and transferability of job skills not 21 material, and there are jobs that exist in significant numbers in the national economy that he can 22 perform. Id. at 22-23. The ALJ found the Medical-Vocational Rule 201.28 directs a finding of 23 not disabled. AR 23. Accordingly, the ALJ concluded that Plaintiff was not under a disability at 24 any time from December 15, 2008 through the date of the decision. Id. 25 / / / 26 27 3 The regulations relevant to Title II and Title XVI claims are almost identical; the Court will only 1 II. DISCUSSION 2 1. Standard of Review 3 Administrative decisions in social security disability benefits cases are reviewed under 42 4 U.S.C. § 405(g). See Akopyan v. Barnhart, 296 F.3d 852, 854 (9th Cir. 2002). Section 405(g) 5 states: “Any individual, after any final decision of the Commissioner of Social Security made 6 after a hearing to which he was a party, irrespective of the amount in controversy, may obtain a 7 review of such decision by a civil action . . . brought in the district court of the United States for 8 the judicial district in which the plaintiff resides.” The court may enter “upon the pleadings and 9 transcripts of the record, a judgment affirming, modifying, or reversing the decision of the 10 Commissioner of Social Security, with or without remanding the cause for a rehearing.” Id. The 11 Ninth Circuit reviews a decision affirming, modifying, or reversing a decision of the 12 Commissioner de novo. See Batson v. Comm’r, 359 F.3d 1190, 1193 (9th Cir. 2004). 13 The Commissioner’s findings of fact are conclusive if supported by substantial evidence. 14 See 42 U.S.C. § 405(g); Ukolov v. Barnhart, 420 F.3d 1002 (9th Cir. 2005). However, the 15 Commissioner’s findings may be set aside if they are based on legal error or not supported by 16 substantial evidence. See Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1052 (9th Cir. 17 2006); Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). The Ninth Circuit defines 18 substantial evidence as “more than a mere scintilla but less than a preponderance; it is such 19 relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” 20 Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995); see also Bayliss v. Barnhart, 427 F.3d 21 1211, 1214 n.1 (9th Cir. 2005). In determining whether the Commissioner’s findings are 22 supported by substantial evidence, the court “must review the administrative record as a whole, 23 weighing both the evidence that supports and the evidence that detracts from the Commissioner’s 24 conclusion.” Reddick v. Chater, 157 F.3d 715, 720 (9th Cir. 1998); see also Smolen v. Chater, 80 25 F.3d 1273, 1279 (9th Cir. 1996). 26 Under the substantial evidence test, findings must be upheld if supported by inferences 27 reasonably drawn from the record. Batson, 359 F.3d at 1193. When the evidence will support 1 See Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005); Flaten v. Sec’y of Health and Human 2 Serv., 44 F.3d 1453, 1457 (9th Cir. 1995). Consequently, the issue before the court is not whether 3 the Commissioner could reasonably have reached a different conclusion, but whether the final 4 decision is supported by substantial evidence.
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3 UNITED STATES DISTRICT COURT 4 DISTRICT OF NEVADA 5 * * * 6 CHRISTOPHER ALLEN DISNEY, Case No. 2:18-cv-01648-DJA 7 Plaintiff, 8 ORDER v. 9 NANCY A. BERRYHILL,1 Commissioner of 10 Social Security,
11 Defendant.
12 13 This matter involves the review of an administrative action by the Commissioner of Social 14 Security (“Commissioner”) denying Plaintiff Christopher Allen Disney’s (“Plaintiff”) 15 applications for disability insurance benefits under Title II of the Social Security Act and 16 supplemental security income under Title XVI of the ACT. The Court has reviewed Plaintiff’s 17 Motion for Reversal and/or Remand (ECF No. 18), filed on May 8, 2019, and the 18 Commissioner’s Response and Cross-Motion to Affirm (ECF Nos. 23-24), filed on July 26, 2019. 19 Plaintiff filed a Reply (ECF No. 25), with duplicative filings (ECF Nos. 26-27), on August 2, 20 2019. 21 I. BACKGROUND 22 1. Procedural History 23 Plaintiff applied for disability insurance benefits on February 6, 2015 and for 24 supplemental security income on February 25, 2015, alleging an onset date of December 15, 25 2008. AR2 196-203. Plaintiff’s claims were denied initially, and on reconsideration. AR 111- 26
27 1 Andrew Saul is now the Commissioner of Social Security and substituted as a party. 1 126, 128-140. A hearing was held before an Administrative Law Judge (“ALJ”) on April 10, 2 2017. AR 29-52. On October 11, 2017, the ALJ issued a decision denying Plaintiff’s claim. AR 3 12-28. The ALJ’s decision became the Commissioner’s final decision when the Appeals Council 4 denied review on June 5, 2018. AR 1-6. On August 30, 2018, Plaintiff commenced this action 5 for judicial review under 42 U.S.C. §§ 405(g). (See Motion/Application for Leave to Proceed in 6 forma pauperis. (ECF No. 1).) 7 2. The ALJ Decision 8 The ALJ followed the five-step sequential evaluation process set forth in 20 C.F.R. §§ 9 404.1520, 416.920.3 AR 12-28. At step one, the ALJ found that Plaintiff had not engaged in 10 substantial gainful activity from the alleged onset date of December 15, 2008 through the date of 11 the decision. Id. at 17. At step two, the ALJ found that Plaintiff had medically determinable 12 “severe” impairments of degenerative disc disease of the lumbar spine, peripheral neuropathy, 13 diabetes mellitus, obesity, and hypertension. Id. At step three, the ALJ found that Plaintiff did 14 not have an impairment or combination of impairments that met or medically equaled a listed 15 impairment in 20 C.F.R. Part 404, Subpart P, Appendix 1. Id. at 18. 16 The ALJ found that Plaintiff has the residual functional capacity to perform the full range 17 of sedentary work as defined in 20 CFR 404.1567(a). Id. At step four, the ALJ found that 18 Plaintiff is not capable of performing any past relevant work. Id. at 22. At step five, the ALJ 19 found Plaintiff to be a younger individual age 18-44 on the alleged disability onset date, have at 20 least a high school education, able to communicate in English, and transferability of job skills not 21 material, and there are jobs that exist in significant numbers in the national economy that he can 22 perform. Id. at 22-23. The ALJ found the Medical-Vocational Rule 201.28 directs a finding of 23 not disabled. AR 23. Accordingly, the ALJ concluded that Plaintiff was not under a disability at 24 any time from December 15, 2008 through the date of the decision. Id. 25 / / / 26 27 3 The regulations relevant to Title II and Title XVI claims are almost identical; the Court will only 1 II. DISCUSSION 2 1. Standard of Review 3 Administrative decisions in social security disability benefits cases are reviewed under 42 4 U.S.C. § 405(g). See Akopyan v. Barnhart, 296 F.3d 852, 854 (9th Cir. 2002). Section 405(g) 5 states: “Any individual, after any final decision of the Commissioner of Social Security made 6 after a hearing to which he was a party, irrespective of the amount in controversy, may obtain a 7 review of such decision by a civil action . . . brought in the district court of the United States for 8 the judicial district in which the plaintiff resides.” The court may enter “upon the pleadings and 9 transcripts of the record, a judgment affirming, modifying, or reversing the decision of the 10 Commissioner of Social Security, with or without remanding the cause for a rehearing.” Id. The 11 Ninth Circuit reviews a decision affirming, modifying, or reversing a decision of the 12 Commissioner de novo. See Batson v. Comm’r, 359 F.3d 1190, 1193 (9th Cir. 2004). 13 The Commissioner’s findings of fact are conclusive if supported by substantial evidence. 14 See 42 U.S.C. § 405(g); Ukolov v. Barnhart, 420 F.3d 1002 (9th Cir. 2005). However, the 15 Commissioner’s findings may be set aside if they are based on legal error or not supported by 16 substantial evidence. See Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1052 (9th Cir. 17 2006); Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). The Ninth Circuit defines 18 substantial evidence as “more than a mere scintilla but less than a preponderance; it is such 19 relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” 20 Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995); see also Bayliss v. Barnhart, 427 F.3d 21 1211, 1214 n.1 (9th Cir. 2005). In determining whether the Commissioner’s findings are 22 supported by substantial evidence, the court “must review the administrative record as a whole, 23 weighing both the evidence that supports and the evidence that detracts from the Commissioner’s 24 conclusion.” Reddick v. Chater, 157 F.3d 715, 720 (9th Cir. 1998); see also Smolen v. Chater, 80 25 F.3d 1273, 1279 (9th Cir. 1996). 26 Under the substantial evidence test, findings must be upheld if supported by inferences 27 reasonably drawn from the record. Batson, 359 F.3d at 1193. When the evidence will support 1 See Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005); Flaten v. Sec’y of Health and Human 2 Serv., 44 F.3d 1453, 1457 (9th Cir. 1995). Consequently, the issue before the court is not whether 3 the Commissioner could reasonably have reached a different conclusion, but whether the final 4 decision is supported by substantial evidence. It is incumbent on the ALJ to make specific 5 findings so that the court does not speculate as to the basis of the findings when determining if the 6 Commissioner’s decision is supported by substantial evidence. Mere cursory findings of fact 7 without explicit statements as to what portions of the evidence were accepted or rejected are not 8 sufficient. Lewin v. Schweiker, 654 F.2d 631, 634 (9th Cir. 1981). The ALJ’s findings “should 9 be as comprehensive and analytical as feasible, and where appropriate, should include a statement 10 of subordinate factual foundations on which the ultimate factual conclusions are based.” Id. 11 2. Disability Evaluation Process 12 The individual seeking disability benefits has the initial burden of proving disability. 13 Roberts v. Shalala, 66 F.3d 179, 182 (9th Cir 1995). To meet this burden, the individual must 14 demonstrate the “inability to engage in any substantial gainful activity by reason of any medically 15 determinable physical or mental impairment which can be expected . . . to last for a continuous 16 period of not less than 12 months.” 42 U.S.C. § 423(d)(1)(A). More specifically, the individual 17 must provide “specific medical evidence” in support of his/her claim for disability. 20 C.F.R. § 18 404.1514. If the individual establishes an inability to perform his/her prior work, then the burden 19 shifts to the Commissioner to show that the individual can perform other substantial gainful work 20 that exists in the national economy. Reddick, 157 F.3d at 721. 21 The ALJ follows a five-step sequential evaluation process in determining whether an 22 individual is disabled. See 20 C.F.R. § 404.1520; Bowen v. Yuckert, 482 U.S. 137, 140 (1987). If 23 at any step the ALJ determines that he/she can make a finding of disability or nondisability, a 24 determination will be made and no further evaluation is required. See 20 C.F.R. § 25 404.1520(a)(4); Barnhart v. Thomas, 540 U.S. 20, 24 (2003). Step one requires the ALJ to 26 determine whether the individual is engaged in substantial gainful activity (“SGA”). 20 C.F.R. § 27 404.1520(b). SGA is defined as work activity that is both substantial and gainful; it involves 1 the individual is engaged in SGA, then a finding of not disabled is made. If the individual is not 2 engaged in SGA, then the analysis proceeds to the step two. Step two addresses whether the 3 individual has a medically determinable impairment that is severe or a combination of 4 impairments that significantly limits her from performing basic work activities. Id. § 5 404.1520(c). An impairment or combination of impairments is not severe when medical and 6 other evidence establishes only a slight abnormality or a combination of slight abnormalities that 7 would have no more than a minimal effect on the individual’s ability to work. Id. § 404.1521; see 8 also Social Security Rulings (“SSRs”) 85-28, 96-3p, and 96-4p.4 If the individual does not have a 9 severe medically determinable impairment or combination of impairments, then a finding of not 10 disabled is made. If the individual has a severe medically determinable impairment or 11 combination of impairments, then the analysis proceeds to step three. 12 Step three requires the ALJ to determine whether the individual’s impairments or 13 combination of impairments meet or medically equal the criteria of an impairment listed in 20 14 C.F.R. Part 404, Subpart P, Appendix 1. 20 C.F.R. §§ 404.1520(d), 404.1525, and 404.1526. If 15 the individual’s impairment or combination of impairments meet or equal the criteria of a listing 16 and the duration requirement (20 C.F.R. § 404.1509), then a finding of disabled is made. 20 17 C.F.R. § 404.1520(h). If the individual’s impairment or combination of impairments does not 18 meet or equal the criteria of a listing or meet the duration requirement, then the analysis proceeds 19 to step four. 20 Before moving to step four, however, the ALJ must first determine the individual’s 21 residual functional capacity (“RFC”), which is a function-by-function assessment of the 22 individual’s ability to do physical and mental work-related activities on a sustained basis despite 23 limitations from impairments. See 20 C.F.R. § 404.1520(e); see also SSR 96-8p. In making this 24 finding, the ALJ must consider all the relevant evidence, such as all symptoms and the extent to 25
26 4 SSRs constitute the SSA’s official interpretation of the statute and regulations. See Bray v. 27 Comm’r of Soc. Sec. Admin., 554 F.3d 1219, 1224 (9th Cir. 2009); see also 20 C.F.R. § 402.35(b)(1). They are entitled to some deference as long as they are consistent with the Social Security Act and 1 which the symptoms can reasonably be accepted as consistent with the objective medical 2 evidence and other evidence. 20 C.F.R. § 404.1529; see also SSRs 96-4p and 16-3p. To the 3 extent that statements about the intensity, persistence, or functionally limiting effects of pain or 4 other symptoms are not substantiated by objective medical evidence, the ALJ must evaluate the 5 individual’s statements based on a consideration of the entire case record. The ALJ must also 6 consider opinion evidence in accordance with the requirements of 20 C.F.R. § 404.1527 and 7 SSRs 96-2p, 96-5p, 96-6p, and 06-3p. 8 Step four requires the ALJ to determine whether the individual has the RFC to perform 9 his/her past relevant work (“PRW”). 20 C.F.R. § 404.1520(f). PRW means work performed 10 either as the individual actually performed it or as it is generally performed in the national 11 economy within the last 15 years or 15 years before the date that disability must be established. 12 In addition, the work must have lasted long enough for the individual to learn the job and 13 performed at SGA. 20 C.F.R. §§ 404.1560(b) and 404.1565. If the individual has the RFC to 14 perform his past work, then a finding of not disabled is made. If the individual is unable to 15 perform any PRW or does not have any PRW, then the analysis proceeds to step five. 16 The fifth and final step requires the ALJ to determine whether the individual is able to do 17 any other work considering his/her RFC, age, education, and work experience. 20 C.F.R. § 18 404.1520(g). If he/she is able to do other work, then a finding of not disabled is made. Although 19 the individual generally continues to have the burden of proving disability at this step, a limited 20 burden of going forward with the evidence shifts to the Commissioner. The Commissioner is 21 responsible for providing evidence that demonstrates that other work exists in significant numbers 22 in the national economy that the individual can do. Yuckert, 482 U.S. at 141-42. 23 3. Analysis 24 a. Whether the ALJ’s Opinion Evidence Assessment Is Supported 25 Plaintiff contends that the ALJ rejected the medical opinions of Dr. Jerrold Sherman, Dr. 26 Paterno Jurani, and Dr. Leslie E. Arnold without providing specific and legitimate reasons for 27 doing so. (ECF No. 18, 10). He claims there were not clear and convincing reasons to reject 1 contradictory statement was that the opinions were less restricting than the record supports while 2 the assigned RFC was for a full range of sedentary work. (Id. at 11-13). Plaintiff also argues that 3 the ALJ took the medical records out of context as they actually showed a decline after spinal 4 surgery. (Id. at 13-14). As a result, Plaintiff claims this is not a harmless error because the 5 Vocational Expert (VE) opined that the RFC limitation in Dr. Sherman’s opinion would result in 6 a finding of disabled. (Id. at 14). 7 The Commissioner responds that the ALJ does not need to adopt every limitation assessed 8 by the doctors as she is the final arbiter. (ECF No. 23, 4). Further, the Commissioner classifies 9 Dr. Sherman’s consultative examiner opinion as assigning a sedentary to light exertional 10 requirement with additional non-exertional limitations. (Id. at 5-7). The Commissioner also 11 similarly characterizes the State agency opinions form Dr. Jurani and Dr. Arnold as 12 recommending a sedentary to light exertional limitation with additional non-exertional 13 limitations. (Id. at 7-8). Further, the Commissioner contends that the ALJ’s omission of postural 14 non-exertional limitations is harmless as sedentary jobs require infrequent stooping, balancing, 15 crouching or climbing. (Id. at 8). 16 Plaintiff replies that the ALJ’s failure to resolve her conflicting statement that the reduced 17 range of sedentary opinions were less restrictive than the record supported while assigning a more 18 restrictive RFC of the full range of sedentary work is harmful error. (ECF No. 25, 2). 19 Specifically, Dr. Sherman’s opinion could not be classified as suggesting light work due to the 20 recommendation that Plaintiff only stand/walk 2 hours in an eight hour day and sit 4 hours in an 21 eight hour day while Dr. Jurani and Dr. Arnold opined Plaintiff could sit 6 hours in an eight hour 22 day. (Id. at 3-5). 23 The Court understands the Commissioner’s argument that the three opinions at issue 24 recommend an exertional requirement for lifting and carrying that could be classified at the light 25 level, but agrees with Plaintiff that the determinative factor for whether their opinions actually 26 assessed Plaintiff with a sedentary RFC is the standing/walking and sitting limitations. As such, 27 the Court views the opinions of Dr. Sherman, Dr. Jurani, and Dr. Arnold as recommending a 1 the full range of sedentary work with no non-exertional limitations. Indeed, even the 2 Commissioner concedes that that definition of sedentary work includes walking and standing 3 occasionally while light work requires a good deal of walking or standing or sitting most of the 4 time. (ECF No. 23, fn. 4 citing 20 C.F.R. § 404.1567(a)). “Occasionally” is defined as occurring 5 up to one-third of the time, and those capable of sedentary work must be able to stand or walk for 6 up to two hours of an eight-hour workday and to sit for up to six hours of an eight-hour workday. 7 SSR 83-10. 8 Moreover, even if the Commissioner’s argument is to be credited that the exertional limit 9 recommended by Dr. Sherman, Dr. Jurani, and Dr. Arnold could be characterized at the light 10 level, the ALJ provides only one conclusory sentence to indicate why she rejects their opinions – 11 including the non-exertional limitations they assigned that she did not included in the RFC 12 finding. The Court’s review of the opinions reveals that they were entirely consistent with the 13 medical evidence. 14 For Dr. Sherman, the ALJ simply summarizes the opinion and then concludes it is “less 15 restricting than the record supports . . . [so she gives it] some weight.” AR 21. This is clearly 16 insufficient under Ninth Circuit precedent that requires specific reasons for rejecting the opinion 17 of an examining physician. Garrison v. Colvin, 759 F.3d 995, 1012 (9th Cir.2014). It is 18 unknown why the ALJ rejected the non-exertional limitations and the sitting limitation of four 19 hours in Dr. Sherman’s opinion. The ALJ did not cite to any contradicting medical opinion of 20 another physician as a reason why she only afforded Dr. Sherman’s opinion some weight and no 21 such opinion exists. Although the ALJ did provide a summary of the medical evidence of record 22 that she identified as supporting the assigned RFC, the Court is unable to conclude that the ALJ 23 specifically highlighted any conflicting medical evidence in her evaluation of the weight to be 24 assigned to Dr. Sherman. Likewise, the ALJ stated she “failed to consider the opinions by the 25 state agency medical consultants” and yet goes on to cite the same conclusory reasons for 26 affording some weight to Dr. Jurani and Dr. Arnold’s opinions – they are “less restricting than the 27 record supports.” AR 21 (emphasis added). ‘The ALJ must do more than state conclusions . . . 1 [she] must set forth . . . [her] own interpretations and explain why they, rather than the doctors’, 2 are correct.’” Garrison, 759 F.3d at 1012 (citation omitted). 3 Accordingly, the ALJ erred by failing to provide specific and legitimate reasons supported 4 by substantial evidence in the record concerning her rejection of Dr. Sherman, Dr. Jurani, and Dr. 5 Arnold’s opinions. This is of consequence because while the RFC accommodated many of 6 Plaintiff’s limitations, it said nothing about the Dr. Sherman’s limitation to sitting only four hours 7 in an eight hour workday rather than the assigned RFC that permits sitting six hours. Similarly, 8 the additional non-exertional limitations opined by Dr. Jurani, and Dr. Arnold of occasionally 9 climb ladders, ropes, scaffolds, ramps, stairs, stoop, crouch, crawl, and kneel were not addressed 10 and it is unclear what erosion those limitations would have on the sedentary work base. 11 The Court notes that it is not clear that a more restrictive sedentary RFC would result in a 12 finding of disabled for Plaintiff. Here, the ALJ relied on Medical-Vocational Rule 201.28 to 13 direct a finding of not disabled at step five so no vocational expert testimony was cited in the 14 decision. AR 23. Further, the Court’s review of the VE testimony from the hearing does not 15 permit it to infer that a finding of disabled would be found if additional non-exertional limitations 16 consistent with the opinions of Dr. Sherman, Dr. Jurani, and Dr. Arnold were added to Plaintiff’s 17 RFC. AR 46-50. As such, remand is necessary as this was not a harmless error and additional 18 development of the record with vocational expert testimony is needed. 19 b. Whether the ALJ’s RFC Is Supported 20 Similar to Plaintiff’s argument that the ALJ’s opinion evidence assessment is flawed, he 21 also argues that the assigned RFC is not supported by substantial evidence because there is no 22 medical opinion that he can perform the full range of sedentary work and the three opinions the 23 ALJ rejected opined that a reduced sedentary RFC was warranted. (ECF No. 18, 14-15). 24 The Commissioner responds that this argument is duplicative of Plaintiff’s first argument 25 and fails for the same reasons – the ALJ properly evaluated the medical opinion evidence and the 26 assigned RFC is supported by the record as a whole. (ECF No. 23, 9). 27 Plaintiff replies that the ALJ’s statement that Plaintiff was more restricted than Dr. Arnold 1 ALJ rejected the opinion evidence and utilized her own assessment of the record, Plaintiff claims 2 remand is appropriate. (Id. at 6). 3 If the record will support more than one rational interpretation, the court must uphold the 4 Commissioner’s interpretation. See Trevizo v. Berryhill, 871 F.3d 664, 674 (9th Cir. 2017). The 5 ALJ’s findings in this case are not supported by the record and inferences reasonably drawn from 6 the record. As stated above, there is an unresolved conflict in the examining and non-examining 7 opinions that assessed a less than sedentary RFC, the ALJ’s characterization of those opinions as 8 being less restrictive than what the record supports, and the ultimate full range of sedentary work 9 RFC that the ALJ assigned. The ALJ’s RFC assessment did not address all of the functional 10 limitations set forth by the opinions of Dr. Sherman, Dr. Jurani, and Dr. Arnold. Given that VE 11 testimony is required to determine if a step five finding of not disabled would be supported if 12 there are any additional non-exertional limitations added to the RFC, the Court must remand for 13 further proceedings as this was not a harmless error. 14 c. Whether the ALJ’s Subjective Testimony Evaluation Is Supported 15 Plaintiff argues that the ALJ failed to identify legally sufficient reasons for failing to fully 16 credit his subjective testimony. (ECF No. 18, 15-17). He also argues that the ALJ’s reliance on 17 the objective medical findings and Plaintiff’s activities of daily living as reasons to discredit 18 Plaintiff’s credibility is not justified. (Id. at 17-19). 19 The Commissioner responds that the Ninth Circuit utilizes a clear and convincing reasons 20 standard, but argues it is inconsistent with the deferential substantial evidence standard. (ECF 21 No. 23, 10). However, the Commissioner argues that even under the clear and convincing 22 reasons standard, the ALJ’s subjective testimony evaluation is supported as she considered the 23 objective findings that contradicted Plaintiff including improvement after surgery and his 24 activities of daily living. (Id. at 11). 25 Plaintiff replies that the ALJ merely provided a boilerplate statement on credibility that 26 does not comply with Ninth Circuit law requiring clear and convincing reasons for rejecting 27 Plaintiff’s testimony on his subjective symptoms. (ECF No. 25, 6). He also argues that the 1 error. (Id. at 7). Finally, Plaintiff claims that the ALJ’s notes regarding alleged improvement and 2 daily activities are not clear and convincing reasons to reject Plaintiff’s testimony and cannot be 3 considered by the Court. (Id. at 8). 4 While an ALJ must consider a plaintiff’s representations about his symptoms and 5 limitations, his statements about his “pain or other symptoms will not alone establish that” he is 6 disabled. 20 C.F.R. § 404.1529(a). In fact, an “ALJ cannot be required to believe every 7 allegation of [disability], or else disability benefits would be available for the asking, a result 8 plainly contrary to [the Act].” Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989). However, 9 absent affirmative evidence that the claimant is malingering, the ALJ’s reasons for rejecting the 10 claimant’s testimony must be clear and convincing. Burrell v. Colvin, 775 F.3d 1133, 1136-37 11 (9th Cir. 2014). Specifically, the ALJ must state why the testimony is unpersuasive and point to 12 what testimony or evidence undermines the claimant’s testimony. See, e.g., Parra v. Astrue, 481 13 F.3d 742, 750 (9th Cir. 2007) (upholding ALJ’s credibility determination when he pointed out 14 numerous lab results that contradicted his subjective complaints); see also Robbins v. Social Sec. 15 Admin., 466 F.3d 880, 884-85 (9th Cir. 2006) (ALJ required to provide a “narrative discussion” 16 and state specific evidence in the record supporting an adverse credibility finding). As the Ninth 17 Circuit has recognized, this is not an easy requirement to meet because the “clear and convincing 18 standard is the most demanding required in Social Security cases.” Garrison, 759 F.3d at 1015 19 (quoting Moore v. Comm’r Soc. Sec. Admin., 278 F.3d 920, 924 (9th Cir. 2002)). 20 The ALJ “may not reject a claimant’s subjective complaints based solely on a lack of 21 medical evidence to fully corroborate the alleged severity of pain.” Burch, 400 F.3d at 680. This 22 is because the lack of an objective medical basis is just one factor in evaluating the credibility of a 23 claimant’s testimony and complaints. See Bunnell v. Sullivan, 947 F.2d 341, 345 (9th Cir. 1991) 24 (en banc). Moreover, the Court notes that SSR 16-3 clarified that the ALJ no longer has to make 25 credibility findings, but rather, evaluate the extent to which the alleged functional limitations and 26 restrictions due to pain and other symptoms are consistent with the other evidence. An ALJ’s 27 decision is sufficiently supported when the ALJ summarizes facts and conflicting clinical 1 Magallanes v. Bowen, 881 F.2d 747, 755 (9th Cir. 1989) (noting that case law does not require an 2 ALJ to expressly state: I reject __ because of __ reason). If “evidence can support either 3 affirming or reversing the ALJ’s decision,” the Court may not substitute its judgment for that of 4 the ALJ’s. Robbins, 466 F.3d at 882. 5 Here, the Court finds that the ALJ did not properly articulate clear and convincing reasons 6 for rejecting Plaintiff’s testimony. She merely summarized the medical treatment in the record, 7 which could be construed to support the assigned RFC such as, Plaintiff’s symptoms improved 8 after undergoing back surgery, he had a gap in treatment between September 2009 and October 9 2012, and normal gait with no acute distress as of August 2015. AR 19-20. “[P]roviding a 10 summary of medical evidence in support of a residual functional capacity finding is not the same 11 as providing clear and convincing reasons for finding the claimant’s symptom testimony not 12 credible.” Brown-Hunter v. Colvin, 806 F.3d 487, 493 (9th Cir. 2015). 13 Also, the ALJ appeared to focus on Plaintiff’s statements regarding certain activities of 14 daily living like ability to drive, picking up and dropping off his kids at school, preparing meals, 15 doing laundry, and grocery shopping. AR 21. However, they do not rise to the level of 16 inconsistent statements that would warrant discrediting his subjective testimony. See Molina v. 17 Astrue, 674 F.3d 1104, 1112 (9th Cir. 2012) (“ALJ may consider inconsistencies either in the 18 claimant’s testimony or between the testimony and the claimant’s conduct.”); see also Valentine 19 v. Astrue, 574 F.3d 685, 694 (9th Cir. 2009) (ALJ properly found claimant “demonstrated better 20 abilities than he acknowledged in his written statements and testimony”). After a careful review 21 of the ALJ’s evaluation of Plaintiff’s alleged limitations and pain and other symptoms, the Court 22 finds that she did not comply with SR 16-3 and the Ninth Circuit standard. See Burch, 400 F.3d 23 at 679. This is not a harmless error because Plaintiff’s testimony supports finding a more 24 restrictive RFC than the full range of sedentary that was assigned. Therefore, the Court concludes 25 that the ALJ’s must also address the subjective testimony evaluation upon remand. 26 d. Whether Remand or an Award of Benefits Is Appropriate 27 “The decision whether to remand a case for additional evidence, or simply to award 1 2017) (citation and quotation marks omitted); see also Leon v. Berryhill, 880 F.3d 1041, 1044 2 (9th Cir. 2017), as amended January 25, 2018 (The credit-as-true “rule itself permits, but does not 3 require, a direct award of benefits on review.”). “[I]f additional proceedings can remedy defects 4 in the original administrative proceeding, a social security case should be remanded for further 5 proceedings.” Revels, 874 F.3d at 668 (citation and quotation marks omitted). “An automatic 6 award of benefits in a disability benefits case is a rare and prophylactic exception to the well- 7 established ordinary remand rule.” Leon, 880 F.3d at 1044 (citation omitted). That is to say, 8 “[w]hen the ALJ denies benefits and the court finds error, the court ordinarily must remand to the 9 agency for further proceedings before directing an award of benefits.” Id. at 1045 (citation 10 omitted). 11 Here, the Court finds that there is a basis to remand because the ALJ failed to provide 12 legally sufficient reasons for rejecting portions of the opinions of Dr. Sherman, Dr. Jurani, and 13 Dr. Arnold. Also, there is a conflict that the ALJ failed to resolve in that she characterized their 14 opinions as less restrictive than the record supported while assigning an even less restrictive RFC 15 than they opined was warranted. Further, the ALJ did not provide clear and convincing reasons 16 for rejecting Plaintiff’s testimony as she merely summarized the medical evidence. Therefore, 17 these two issues of the opinion evidence assessment and subjective testimony evaluation should 18 be resolved by the ALJ on remand. If Plaintiff is determined to warrant additional limitations 19 consistent with the opinions of Dr. Sherman, Dr. Jurani, and Dr. Arnold, then the ALJ should 20 consult a vocational expert regarding whether he is then precluded from sedentary work. An 21 award of benefits is not appropriate under these circumstances as the record is not fully 22 developed. 23 III. CONCLUSION AND ORDER 24 Accordingly, IT IS HEREBY ORDERED that Plaintiff’s Motion to Remand (ECF No. 25 18) is granted subject to the modification that it be remanded for further proceedings consistent 26 with the terms of this Order. 27 IT IS FURTHER ORDERED that the Commissioner’s Cross-Motion to Affirm (ECF No. 1 IT IS FURTHER ORDERED that the Clerk of the Court shall strike Plaintiff’s Reply 2 (ECF No. 26) and Response (ECF No. 27) as they are duplicative filings of Reply (ECF No. 25). 3 The Clerk shall enter judgment accordingly and close the case. 4 DATED: February 27, 2020 5 6 DANIEL J. ALBREGTS 7 UNITED STATES MAGISTRATE JUDGE 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27