Elix W. v. Frank Bisignano, Commissioner of Social Security

District Court, E.D. Washington·Decided April 21, 2026·No. 4:25-cv-05089·Unknown

Opinion

Apr 21, 2026 SEAN F. MCAVOY, CLERK

ELIX W.1, No. 4:25-CV-05089-RLP

Plaintiff, ORDER REVERSING AND REMANDING THE v. COMMISSIONER’S DECISION FOR FURTHER ADMINISTRATIVE COMMISSIONER OF SOCIAL

Defendants.

BEFORE THE COURT is an appeal from an Administrative Law Judge (ALJ) final decision denying supplemental security income under Title XVI of the Social Security Act. ECF No. 14. The Court considered the matter without oral argument. For the reasons discussed below, the Court concludes the ALJ committed harmful legal error in evaluating a medical opinion and Mr. W.’s

1 Plaintiff’s first name and last initial are used to protect his privacy. symptom testimony. Therefore, Mr. W.’s brief, ECF No. 13, is granted and the Commissioner’s brief, ECF No. 20, is denied.

Mr. W. was forty-five years old on the alleged onset date of October 5, 2021. Tr. 17, 32. Mr. W. did not complete high school. Tr. 98. He has performed

no past relevant work. Tr. 114. Mr. W. filed this claim for supplemental security income on October 5, 2021. Tr. 328-337. The claim was denied initially and upon reconsideration. Tr. 201-210, 212-217. A hearing occurred on July 31, 2024, at which Mr. W. testified

as to his symptoms. Tr. 121-42. A vocational expert also testified at the hearing. Id. On August 19, 2024, the ALJ issued an unfavorable decision. Tr. 14-40. The Appeals Council denied a request for review. Tr. 1-6. The matter is now before this

Court pursuant to 42 U.S.C. § 405(g). This Court’s review of a final decision of the Commissioner of Social Security is governed by 42 U.S.C. § 405(g). The scope of review is limited; the

Commissioner’s decision will be disturbed “only if it is not supported by substantial evidence or is based on legal error.” Hill v. Astrue, 698 F.3d 1153, 1158 (9th Cir. 2012). If the evidence in the record “is susceptible to more than one

rational interpretation, [the Court] must uphold the ALJ’s findings if they are supported by inferences reasonably drawn from the record.” Molina v. Astrue, 674

F.3d 1104, 1111 (9th Cir. 2012). Further, a district court “may not reverse an ALJ’s decision on account of an error that is harmless.” Id. An error is harmless “where it is inconsequential to the

[ALJ’s] ultimate nondisability determination.” Id. at 1115 (quotation and citation omitted). The party appealing the ALJ’s decision generally bears the burden of establishing that it was harmed. Shinseki v. Sanders, 556 U.S. 396, 409-10, 129 S. Ct. 1696 (2009).

A claimant must satisfy two conditions to be considered “disabled” within the meaning of the Social Security Act. First, the claimant must be “unable to

engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than twelve months.” 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). Second, the claimant’s

impairment must be “of such severity that he is not only unable to do [his or her] previous work[,] but cannot, considering [his or her] age, education, and work experience, engage in any other kind of substantial gainful work which exists in

the national economy.” 42 U.S.C. §§ 423(d)(2)(A), 1382c(a)(3(B). The Commissioner has established a five-step sequential analysis to determine whether a claimant satisfies the above criteria. See 20 C.F.R. §

416.920(a)(4)(i)-(v). At step one, if the claimant is engaged in “substantial gainful activity,” the Commissioner must find that the claimant is not disabled. 20 C.F.R. § 416.920(b). At step two, the Commissioner considers the severity of the claimant’s

impairment. 20 C.F.R. § 416.920(a)(4)(ii). If the claimant suffers from “any impairment or combination of impairments which significantly limits [his or her] physical or mental ability to do basic work activities,” the analysis proceeds to step three. 20 C.F.R. § 416.920(c). At step three, the Commissioner compares the

claimant’s impairment to severe impairments recognized by the Commissioner to be so severe as to preclude a person from engaging in substantial gainful activity. 20 C.F.R. § 416.920(a)(4)(iii).

If the severity of the claimant’s impairment does not meet or exceed the severity of the enumerated impairments, the Commissioner must assess the claimant’s residual functional capacity (RFC), which is the claimant’s ability to perform physical and mental work activities on a sustained basis despite his or her

limitations, 20 C.F.R. § 416.945(a)(1). At step four, the Commissioner considers whether, in view of the claimant’s RFC, the claimant is capable of performing work that he or she has performed in

the past (past relevant work). 20 C.F.R. § 416.920(a)(4)(iv). If not, the analysis proceeds to step five and the Commissioner considers whether, in view of the claimant’s RFC, the claimant is capable of performing other work in the national

economy. 20 C.F.R. § 416.920(a)(4)(v). The claimant bears the burden of proof at steps one through four above. Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999). If the analysis proceeds to

step five, the burden shifts to the Commissioner to establish that (1) the claimant is capable of performing other work; and (2) such work “exists in significant numbers in the national economy.” 20 C.F.R. § 416.960(c)(2); Beltran v. Astrue, 700 F.3d 386, 389 (9th Cir. 2012).

At step one, the ALJ found Mr. W. has not engaged in substantial gainful activity since October 5, 2021, the alleged onset date. Tr. 19. At step two, the ALJ

found that Mr. W. has the following severe impairments: A remote history of an abdominal gunshot wound in 1994, irritable bowel syndrome/Crohn’s disease, chronic neck and back pain, Post-traumatic stress disorder (PTSD); major depressive disorder, and panic disorder and personality disorder. Tr. 20. The ALJ

declined to find Mr. W’s diabetes mellitus to be a severe condition, instead finding it well controlled when Mr. W. took his medication. Id. At step three, Mr. W. contended he met or medically equaled Listings 12.04,

depressive, bipolar and related disorders, 12.06, anxiety and obsessive-compulsive disorders, 12.08, personality and impulse-control disorders, and 12.15, trauma- and stressor-related disorders.2 Tr. 21-23. The ALJ found Mr. W. did not satisfy the B

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Elix W. v. Frank Bisignano, Commissioner of Social Security, (E.D. Wash. 2026).

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