Felix R.F. v. Frank Bisignano, Commissioner of Social Security

District Court, E.D. Washington·Decided December 16, 2025·No. 1:25-cv-03068·Unknown

Opinion

Dec 16, 2025 SEAN F. MCAVOY, CLERK

FELIX R.F., No. 2:25-CV-03068-ACE Plaintiff, ORDER GRANTING PLAINTIFF’S v. MOTION IN PART FRANK BISIGNANO, ECF Nos. 12 & 17 COMMISSIONER OF SOCIAL

Defendant. BEFORE THE COURT is Plaintiff’s Opening Brief and Defendant’s Brief in response. ECF No. 12, 17. Attorney D. James Tree represents Plaintiff; Special Assistant United States Attorney David J. Burdett represents Defendant. After reviewing the administrative record and the briefs filed by the parties, the Court GRANTS Plaintiff’s Motion in Part; DENIES Defendant’s Motion; and REMANDS the matter to the Commissioner for an immediate calculation of benefits with respect to Plaintiff’s childhood disability claim and REMANDS Plaintiff’s adult disability claim to the Commissioner for additional proceedings. Plaintiff protectively filed an application for child disability benefits on May 24, 2019, alleging onset of disability on October 21, 2016. Tr. 177. The application was denied initially and upon reconsideration. Administrative Law Judge (ALJ) Joseph A. Rose held a hearing on April 12, 2021, and issued an unfavorable decision on May 20, 2021. A civil action was then filed in this Court which resulted in a remand for additional proceedings on September 20, 2023. Tr. 936-951. A new ALJ, David Johnson, held an administrative hearing on February 20, 2025, Tr. 872-911, and issued an unfavorable decision on March 10, 2025, Tr. 838-860. Plaintiff filed this action for judicial review on May 20, 2025. ECF No. 1. The ALJ is tasked with “determining credibility, resolving conflicts in medical testimony, and resolving ambiguities.” Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995). The ALJ’s determinations of law are reviewed de novo, with deference to a reasonable interpretation of the applicable statutes. McNatt v. Apfel, 201 F.3d 1084, 1087 (9th Cir. 2000). The decision of the ALJ may be reversed only if it is not supported by substantial evidence or if it is based on legal error. Tackett v. Apfel, 180 F.3d 1094, 1097 (9th Cir. 1999). Substantial evidence is defined as being more than a mere scintilla, but less than a preponderance. Id. at 1098. Put another way, substantial evidence “is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Richardson v. Perales, 402 U.S. 389, 401 (1971), quoting Consolidated Edison Co. v. NLRB, 305 U.S. 197, 229 (1938). If the evidence is susceptible to more than one rational interpretation, the Court may not substitute its judgment for that of the ALJ. Tackett, 180 F.3d at 1098; Morgan v. Comm’r of Social Sec. Admin., 169 F.3d 595, 599 (9th Cir. 1999). If substantial evidence supports the administrative findings, or if conflicting evidence supports a finding of either disability or non-disability, the ALJ’s determination is conclusive. Sprague v. Bowen, 812 F.2d 1226, 1230 (9th Cir. 1987). Nevertheless, a decision supported by substantial evidence will be set aside if the proper legal standards were not applied in weighing the evidence and making the decision. Brawner v. Sec’y of Health and Human Servs., 839 F.2d 432, 433 (9th Cir. 1988). Childhood Disability The Social Security Act provides that a child under 18 is “disabled” for purposes of SSI eligibility if he “has a medically determinable physical or mental impairment, which results in marked and severe functional limitations, and 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 12 months.” 42 U.S.C. § 1382c(a)(3)(C)(i). The Commissioner follows a three-step sequential process in determining childhood disability: (1) whether the child is engaged in substantial gainful activity; (2) if not, whether the child has a medically determinable severe impairment; (3) and, if so, whether the child’s severe impairment meets, medically equals, or functionally equals the severity of a set of criteria for an impairment listed in 20 C.F.R. Part 404, Subpart P, Appendix 1. 20 C.F.R. § 416.924. If the Commissioner determines at step three that the claimant has an impairment or combination of impairments that meets or medically equals the severity of one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1, the analysis ends there. If not, the Commissioner decides whether the child’s impairment results in limitations that functionally equal a listing. 20 C.F.R. § 416.926a(a). In determining whether an impairment or combination of impairments functionally equal a listing, the Commissioner assesses the claimant’s functioning in terms of six domains: (1) acquiring and using information; (2) attending and completing tasks; (3) interacting and relating with others; (4) moving about and manipulating objects; (5) caring for yourself; and (6) health and physical well-being. 20 C.F.R. § 416.926a(b)(1). When evaluating the ability to function in each domain, the ALJ considers information that will help answer the following questions “about whether your impairment(s) affect your functioning and whether your activities are typical of o

ther c

hildren your age who do not have impairments”: (i) What activities are you able to perform? (ii) What activities are you not able to perform?

(iii) Which of your activities are limited or restricted compared to other c hildren your age who do not have impairments? (iv) Where do you have difficulty with your activities – at home, in c hildcare, at school, or in the community? (v) Do you have difficulty independently initiating, sustaining, or

c ompleting activities? (vi) What kind of help do you need to do your activities, how much help do you need, and how often do you need it? 20 C.F.R. § 416.926a(b)(2)(i)-(vi). The evaluation of functional equivalence begins “by considering the child’s functioning without considering the domains or individual impairments.” Title XVI: Determining Childhood Disability Under the Functional Equivalence Rule – The “Whole Child” Approach, SSR 08-1p, 2009 WL 396031 (Feb. 17, 2009). The rules provide that “[w]hen we evaluate your functioning and decide which domains may be affected by your impairment(s), we will look first at your activities and limitations and restrictions.” Id. citing 20 C.F.R. § 416.926a(c). The rules instruct the Commissioner to:

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Felix R.F. v. Frank Bisignano, Commissioner of Social Security, (E.D. Wash. 2025).

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