Ford v. Commissioner of Social Security

District Court, W.D. Washington·Decided October 13, 2023·No. 3:23-cv-05327·Unknown

Opinion

UNITED STATES DISTRICT COURT AT SEATTLE RICKEY F., Plaintiff, CASE NO. C23-5327-BAT v. ORDER REVERSING THE COMMISSIONER’S FINAL DECISION COMMISSIONER OF SOCIAL SECURITY, Defendant.

Plaintiff seeks review of the ALJ’s denial of his 2015 and 2019 applications for Disability Insurance Benefits (DIB) and Supplemental Security Income. He contends the ALJ misevaluated the medical opinion evidence. Dkt. 10. As discussed below, the Court REVERSES the Commissioner’s final decision and REMANDS the matter for further administrative proceedings under sentence four of 42 U.S.C. § 405(g). Plaintiff is currently fifty-seven years-old, and has worked as shuttle driver, parking lot attendant, and auto parts sales and route driver. 1 Tr. 805.

1 The administrative record contains inconsistent statements regarding Plaintiff’s high school education and/or completion of a GED. See Dkt. 10 at 14 n.4 (citing Tr. 904) (Plaintiff’s testimony at July 2021 hearing before ALJ Jones that he did not complete high school or obtain a GED, but that he completed college classes while in prison); cf. Tr. 865 (Plaintiff testified in November 2022 before ALJ Ross that he has a high school diploma and three years of college). This case has a lengthy procedural history dating back to 2011, some of which has already been accurately set forth in the Honorable Theresa L. Fricke’s prior August 2020 order reversing and remanding ALJ Andrew Grace’s April 2018 decision denying Plaintiff’s 2015 DIB and SSI claims. See Tr. 1038-46 (Judge Fricke’s order); Tr. 16-29 (ALJ Grace’s April 2018

decision). The Court therefore incorporates by reference the procedural history set forth in Judge Fricke’s prior order. See Tr. 1039. The instant appeal involves both Plaintiff’s 2015 DIB and SSI applications at issue before Judge Fricke, along with Plaintiff’s subsequently filed July 2019 SSI and DIB applications (filed while Plaintiff’s appeal was pending before Judge Fricke). See Tr. 927-74, 1383-89, 1391-97. Following Judge Fricke’s August 2020 order, the Appeals Council consolidated Plaintiff’s 2015 and 2019 applications, holding that 2015 and 2019 applications were duplicative, and ordered the ALJ on remand to “consolidate the claims files, associate the evidence, and issue a new decision on the consolidated claims.” Tr. 1049. ALJ Rebecca Jones held a hearing on July 15, 2021, and in August 2021, ALJ Jones issued a partially favorable decision holding that Plaintiff became

disabled for purposes of his SSI and DIB claims on August 4, 2020, when his age category changed to advanced, but that Plaintiff was not disabled prior to that date. Tr. 891-942, 1073-74. Subsequently, regional counsel for the Commissioner protested ALJ Jones’ order to the Appeals Council, arguing that ALJ Jones erred in finding Plaintiff disabled for DIB purposes as of August 2020, because that date succeeded Plaintiff’s March 31, 2020 date last insured (“DLI”). Tr. 1291. The Appeals Council agreed, reopened the case, and, in November 2021, vacated ALJ Jones’ August 2021 decision, reversing and remanding for another new hearing and decision before an ALJ. Tr. 1090. In its November 2021 order, the Appeals Council concluded that ALJ Jones erred as a matter of law when she found that Plaintiff was entitled to DIB benefits as of August 4, 2020. Tr. 1090. It also found that ALJ Jones erred because she failed to comply with Judge Fricke’s August 2020 remand order requiring further development of the record and reconsideration of

the medical opinion from Dr. Krystina Boyko.2 Tr. 1090-91 (citing Tr. 1045-46). The Appeals Council therefore remanded to the ALJ with instructions that the ALJ further develop the record and consider Plaintiff’s insured status and his DLI for purposes of his DIB claims. Tr. 1092. In particular, the Appeals Council noted the “existence of [a] borderline age situation,” such that the ALJ was required to consider additional factors to determine whether a higher age category was warranted given that Plaintiff was within a few months of reaching the older age category. Tr. 1090, 1296. The Appeals Council further ordered the ALJ to obtain additional evidence and complete the record, to give further consideration to the medical source opinions, to reconsider Plaintiff’s RFC, and, if warranted, obtain evidence from a VE. Tr. 1092-93. The case was reassigned to ALJ Malcolm Ross, who conducted a hearing on November

22, 2022, and issued a partially favorable amended final decision on February 14, 2023. Tr. 789- 808. ALJ Ross found that Plaintiff had not engaged in substantial gainful activity (“SGA”) since his September 1, 2015 onset date. Tr. 792. At step two, the ALJ found that Plaintiff suffered from the following severe impairments beginning in September 1, 2015: degenerative disc disease of the lumbar spine, osteoarthritis of the hips, obesity, diabetes mellitus, mild osteoarthritis of the knee, chronic pain syndrome, and peripheral neuropathy. Tr. 792. As of March 23, 2019, the ALJ found that, in addition to the above impairments, Plaintiff’s major

2 Additionally, the ALJ found that ALJ Jones erred in failing to consider an April 2019 medical opinion from Dr. W. Kefron McCaw regarding Plaintiff’s mental impairments. Tr. 1091-92. That opinion is not at issue in this appeal. depressive disorder also constituted a severe impairment. Tr. 792. The ALJ, however, found that Plaintiff’s impairments and/or combination of impairments did not satisfy or equal the Listings. Tr. 792. Regarding Plaintiff’s RFC, the ALJ found that from Plaintiff’s September 1, 2015 onset

date, through March 22, 2019, Plaintiff had the RFC to perform light work with additional postural, exertional, and environmental limitations.3 Tr. 797. However, based on Plaintiff’s mental impairments, beginning March 23, 2019, the ALJ additionally limited Plaintiff to simple, repetitive tasks; no public contact; and occasional, superficial contact with coworkers, but no teamwork. Tr. 797-98. The ALJ subsequently found that Plaintiff had been unable to perform any of his past relevant work since his September 1, 2015 onset date. Tr. 805. Relying on the testimony of a VE, the ALJ found that prior to August 4, 2020, when Plaintiff achieved advanced age, he was able to perform other jobs existing in significant numbers in the economy, including inspector and hand packager, small products assembler, and electrical worker. Tr. 807. The ALJ

concluded that Plaintiff was not disabled prior to August 2020. Tr. 807. However, in considering Plaintiff’s borderline age situation, the ALJ found that the age category regulations should be applied “nonmechanical[ly]” such that Plaintiff was deemed disabled as of March 31, 2020 – prior to his DLI – for purposes of his DIB claim only. Tr. 808.

3 The ALJ specifically found that Plaintiff required “a sit/stand option defined as the ability to change position after twenty to sixty minutes for three to five minutes while continuing work on his assigned task.” Tr. 797. The ALJ further found that Plaintiff was limited to “occasional climbing of ramps and stairs; never climbing ladders, ropes, or scaffolds; frequent balancing; occasional stooping, kneeling, crouching, and crawling” and to “using a cane to walk.” Tr. 797- 98. By contrast, as for Plaintiff’s SSI claim, the ALJ found that Plaintiff became disabled on August 4, 2020, when he in fact achieved advanced age status. Tr. 808. Plaintiff appeals the ALJ’s finding that he did not become disabled for purposes of his

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