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5 6 7 UNITED STATES DISTRICT COURT 8 WESTERN DISTRICT OF WASHINGTON AT TACOMA 9 10 JAMIE I.G., CASE NO. 3:24-CV-5273-DWC 11 Plaintiff, v. ORDER REVERSING AND 12 REMANDING DEFENDANT’S COMMISSIONER OF SOCIAL DECISION TO DENY BENEFITS 13 SECURITY, 14 Defendant.
15 Plaintiff filed this action under 42 U.S.C. § 405(g) seeking judicial review of Defendant’s 16 denial of her applications for supplemental security income benefits (“SSI”) and disability 17 insurance benefits (“DIB”).1 After considering the record, the Court concludes the 18 Administrative Law Judge (“ALJ”) erred in her evaluation of Plaintiff’s testimony about the 19 severity of her symptoms. Had the ALJ properly considered this testimony, Plaintiff’s residual 20 functional capacity (“RFC”) may have included additional limitations, or the ultimate 21 determination of disability may have changed. The ALJ’s error is, therefore, not harmless, and 22 23 1 Pursuant to 28 U.S.C. § 636(c), Federal Rule of Civil Procedure 73, and Local Rule MJR 13, the parties have 24 consented to have this matter heard by the undersigned Magistrate Judge. See Dkt. 3. 1 this matter is reversed and remanded pursuant to sentence four of 42 U.S.C. § 405(g) to the 2 Commissioner of Social Security (“Commissioner”) for further proceedings consistent with this 3 order. 4 I. Factual and Procedural History
5 Plaintiff filed claims for DIB and SSI in February 2018, alleging disability beginning on 6 May 28, 2017. Dkt. 8, Administrative Record (“AR”) 294–306, 1954. Her applications were 7 denied at the initial level and on reconsideration. AR 106–07, 138–39. She requested a hearing 8 before an ALJ, which took place on October 25, 2019, with a supplemental hearing on 9 November 5, 2019. AR 57–105, 197–201. Plaintiff was represented by counsel at the hearings. 10 See AR 57, 83. On December 24, 2019, the ALJ issued an unfavorable decision denying benefits. 11 AR 26–56. The Appeals Council denied Plaintiff’s request for review. AR 1–6, 282–84. Plaintiff 12 appealed to this Court, which reversed the ALJ’s decision and remanded the case for a new 13 hearing. AR 2034–43. Another hearing took place on November 16, 2023, at which Plaintiff’s 14 counsel requested the ALJ evaluate a closed period of disability from January 1, 2017, to
15 September 30, 2021. AR 1948–74. On December 12, 2023, the ALJ found Plaintiff was not 16 under a disability either for the requested closed period or from the original alleged onset date of 17 May 28, 2017, forward. AR 1911–47. Plaintiff again appealed to this Court. See Dkts. 1, 5. 18 II. Standard of Review 19 When reviewing the Commissioner’s final decision under 42 U.S.C. § 405(g), this Court 20 may set aside the denial of social security benefits if the ALJ’s findings are based on legal error 21 or are not supported by substantial evidence in the record. Bayliss v. Barnhart, 427 F.3d 1211, 22 1214 n.1 (9th Cir. 2005) (citing Tidwell v. Apfel, 161 F.3d 599, 601 (9th Cir. 1999)). “We review 23 only the reasons provided by the ALJ in the disability determination and may not affirm the ALJ
24 1 on a ground upon which he did not rely.” Garrison v. Colvin, 759 F.3d 995, 1010 (9th Cir. 2 2014). “[H]armless error principles apply in the Social Security Act context.” Molina v. Astrue, 3 674 F.3d 1104, 1115 (9th Cir. 2012), superseded on other grounds by 20 C.F.R. § 404.1502(a). 4 Generally, an error is harmless if it is not prejudicial to the claimant and is “inconsequential to
5 the ultimate nondisability determination.” Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 6 1055 (9th Cir. 2006); see also Molina, 674 F.3d at 1115. 7 III. Discussion 8 Plaintiff argues the ALJ erred in her consideration of Plaintiff’s testimony about the 9 severity of her symptoms, certain medical opinion evidence, lay witness testimony, and whether 10 Plaintiff met or equaled a listing, leading to an erroneous RFC and step five findings. Dkt. 13 at 11 2. She contends the proper remedy for these errors is remand for further proceedings.2 Id. at 19. 12 At step two of the sequential evaluation, the ALJ found Plaintiff had the severe 13 impairments of diabetes mellitus, asthma, mild left shoulder osteoarthritis, fibromyalgia, obesity, 14 bipolar personality disorder, and post-traumatic stress disorder (“PTSD”). AR 1917. Despite
15 these impairments, the ALJ found Plaintiff had the RFC to perform light work with certain 16 specific caveats. AR 1920. 17 A. Subjective Symptom Testimony 18 Plaintiff contends the ALJ failed to properly evaluate her testimony about the severity of 19 her symptoms. Dkt. 13 at 13. “An ALJ engages in a two-step analysis to determine whether a 20 claimant's testimony regarding subjective pain or symptoms is credible.” Garrison, 759 F.3d at 21 1014. At the first step, the ALJ determines whether the claimant has presented objective medical 22 23 2 Although Plaintiff asks that the Court credit her testimony as true, she does not argue that she is entitled to an 24 immediate award of benefits. See Dkt. 13 at 16, 19. 1 evidence of an underlying impairment that could reasonably be expected to produce the pain or 2 other symptoms alleged. Id. This evidence need not validate the severity of the alleged 3 symptoms; rather, “the medical evidence need only establish that the impairment could 4 reasonably be expected to cause some degree of the alleged symptoms.” Smith v. Kijakazi, 14
5 F.4th 1108, 1111 (9th Cir. 2021). 6 If the claimant satisfies this first step and there is no affirmative evidence of malingering, 7 “the ALJ can reject the claimant's testimony about the severity of [their] symptoms only by 8 offering specific, clear and convincing reasons for doing so.” Id. at 1112 (quoting Garrison, 759 9 F.3d at 1014–15). “This standard is ‘the most demanding required in Social Security cases.’” Id. 10 (quoting Moore v. Comm'r of Soc. Sec. Admin., 278 F.3d 920, 924 (9th Cir. 2002)). To meet this 11 standard, ALJs must “identify which testimony [they] found not credible and why.” Brown- 12 Hunter v. Colvin, 806 F.3d 487, 489 (9th Cir. 2015). 13 The Ninth Circuit has reaffirmed that the clear and convincing standard requires the ALJ 14 to make “specific finding[s]:”
15 [A]n ALJ does not provide specific, clear, and convincing reasons for rejecting a claimant's testimony by simply reciting the medical evidence in support of his or 16 her residual functional capacity determination. To ensure that our review of the ALJ’s credibility determination is meaningful, and that the claimant’s testimony is 17 not rejected arbitrarily, we require the ALJ to specify which testimony she finds not credible, and then provide clear and convincing reasons, supported by evidence 18 in the record, to support that credibility determination.
19 Smith, 14 F.4th at 1112 (quoting Brown-Hunter, 806 F.3d at 489). “The standard isn’t whether 20 our court is convinced, but instead whether the ALJ’s rationale is clear enough that it has the 21 power to convince.” Smartt v. Kijakazi, 53 F.4th 489, 499 (9th Cir. 2022). As with all findings by 22 the ALJ, the specific, clear, and convincing reasons also must be supported by substantial 23 evidence in the record as a whole. See 42 U.S.C. § 405(g). 24 1 In her initial applications, Plaintiff alleged she was limited in her ability to work by 2 fibromyalgia, chronic fatigue, bipolar type 2, complex PTSD, anxiety, major depressive disorder, 3 diabetes, asthma, arthritis, and paroxysmal hemicrania. AR 339. In a function report dated March 4 29, 2018, she wrote:
5 My anxiety makes it impossible for me to consistently show [up] and perform in a work environment. It paralyzes me making me unproductive or unable to show up. 6 My fibromyalgia causes widespread pain that leaves me bedridden at times and 7 makes my attendance unpredictable.
8 My PTSD causes flashbacks making me irritable, emotional, and unable to concentrate on work. 9 Chronic fatigue makes me so tired I can barely function some days and my 10 cognitive reasoning is affected.
11 AR 361, 368. 12 Plaintiff indicated she needed help with some aspects of personal care and reminders to 13 shower and take medications. AR 363. She stated she was able to do dishes and laundry, but 14 these tasks took a long time, and her fiancé encouraged her “to take breaks, go slow, but to keep 15 at it.” AR 364. She indicated she could drive and took short outings almost daily but could not go 16 out alone because of anxiety around people. Id. She also stated she was unable to pay bills 17 because her “anxiety over money ha[d] increased after some mistakes due to forgetfulness.” AR 18 365. She listed hobbies and interests of art, her pets, television, and social media but stated she 19 could not participate in these when she was depressed. Id. She talked to others online daily but 20 rarely saw anyone in person. Id. The only regular social activity she listed was group therapy, 21 which she attended weekly dependent on her mood. Id. 22 Plaintiff stated, “any movement [was] really difficult,” and wrote she could only walk 23 about 50 feet before needing to stop and rest for five to ten minutes. AR 366. She stated she 24 1 sometimes used a cane if needed. AR 367. Plaintiff wrote, “Some days are better than others, but 2 I just am not consistent enough to hold down a job.” AR 368. 3 At the October 25, 2019, hearing, Plaintiff testified about her mental health symptoms: 4 I’m unable to control my emotions, . . . and I have a really hard time concentrating and keeping up with my duties in the workplace. When I’m manic, I get very angry 5 and irritated and I have a hard time getting along with coworkers and managers. I have a hard time functioning and staying awake at work because I get very tired 6 and fatigued easily. Some of my medications make me really tired and sleepy. And, I’ve gotten in trouble in the past for sleeping at work. 7 And, I just have a hard time staying on top of what I’m supposed to be doing 8 because I get distracted easily. And, I have panic attacks that cause me to not be able to function at work and I end up spending a lot of time in the bathroom crying. 9 . . . 10 I end up taking a lot of time off work to go to doctor’s appointments and also to 11 take care of my mental health. When I’m in a depressive state, a lot of times I just can’t get out of bed to deal with the world. So, I end up calling out of work a lot. 12 AR 65–66. 13 She testified her medications were effective some of the time, but she still had 14 “breakthrough depression and breakthrough manic episodes,” as well as “breakthrough pain that 15 lays me up” from fibromyalgia. AR 66–67. Some days, she was unable to leave the house or do 16 anything and just stayed in bed all day. AR 70. 17 At the hearing on November 16, 2023, Plaintiff testified she started looking for work in 18 April 2021 and began working part-time the next month. AR 1957. She had started taking a 19 combination of medications that improved her symptoms somewhat. Id. Before that time, 20 Plaintiff testified she was extremely emotionally unstable and had a hard time getting out of bed 21 most days, taking care of herself, and interacting with people, to the point that public spaces 22 triggered panic attacks. AR 1962. She also testified she spent a lot of days sleeping and in pain 23 from fibromyalgia and chronic fatigue. Id. At that time, she was trying different medications 24 1 because she “wasn’t on a good combination of medications yet” and “was sometimes such a 2 zombie from the medications that [she] couldn’t even figure out which end was up.” Id. 3 The ALJ found Plaintiff’s impairments could reasonably be expected to cause some of 4 her symptoms, but the statements concerning the intensity, persistence, and limiting effects of
5 those symptoms were not entirely consistent with the record. AR 1922. The ALJ gave three 6 primary reasons for discounting Plaintiff’s testimony: (1) the allegations were not consistent with 7 the overall medical records, (2) Plaintiff’s treatment was generally conservative, and (3) 8 Plaintiff’s statements regarding her activities of daily living were inconsistent with her 9 allegations of disabling impairments. AR 1930–31. 10 1. Consistency with Medical Records 11 The ALJ first found Plaintiff’s allegations appeared “out of proportion and not as 12 debilitating as alleged,” and “[t]he objective evidence, in the form of physical/psychiatric 13 examinations and digital imaging/testing, found in the medical record during the period of 14 consideration suggests a level of function greater than one alleged by the claimant.” AR 1992.
15 The ALJ cited multiple medical records showing normal physical examination findings “that 16 were inconsistent with the claimant’s allegations of total disability:” 17 Physical examinations often revealed normal respiratory effort and breath sounds, with no respiratory distress, wheezes, rales, or tenderness. The claimant’s 18 extremities were consistently warm and well-perfused with no edema. The claimant often exhibited good range of motion in all major joints with no tenderness or 19 deformities. The claimant was consistently able to move all four extremities well with no focal deficits noted. The claimant[] exhibited 5/5 muscle strength[.] 20 Additionally, the claimant often exhibited normal gait, motor, and sensation. Often, other than the claimant’s obesity, no significant abnormalities were noted. 21 Moreover, the claimant was consistently described as pleasant, alert, oriented, well- developed, well-nourished, and well-appearing. 22 Id. The ALJ also cited largely normal digital imaging results and psychiatric findings: 23 24 1 [R]ecent psychiatric examinations revealed the claimant was alert and oriented; the claimant was adequately dressed and groomed; the claimant’s attitude was 2 cooperative with good eye contact; the claimant’s speech was normal; the claimant’s thought process was linear and goal directed, and there were no flight of 3 ideas or looseness of associations; there was no evidence of hallucinations or delusions; and the claimant’s judgment and memory were intact. 4 AR 1992–93. 5 “Although an ALJ may use ‘inconsistent objective medical evidence in the record to 6 discount subjective symptom testimony,’ the ALJ ‘cannot effectively render a claimant's 7 subjective symptom testimony superfluous by demanding positive objective medical evidence 8 fully corroborating every allegation within the subjective testimony.’” Ferguson v. O'Malley, 95 9 F.4th 1194, 1200 (9th Cir. 2024) (quoting Smartt, 53 F.4th at 498) (emphasis in original). “[T]he 10 ALJ must specifically identify the testimony she or he finds not to be credible and must explain 11 what evidence undermines the testimony.” Holohan v. Massanari, 246 F.3d 1195, 1208 (9th Cir. 12 2001). 13 Plaintiff’s allegations of disabling limitations appear to be largely based on mental health 14 symptoms and fibromyalgia pain. The Ninth Circuit has cautioned against relying on physical 15 measures to discount fibromyalgia claims. See Benecke v. Barnhart, 379 F.3d 587, 594 (9th Cir. 16 2004) (“The ALJ erred by effectively requiring objective evidence for a disease that eludes such 17 measurement.”) (cleaned up); Revels v. Berryhill, 874 F.3d 648, 663 (9th Cir. 2017) (“[A] person 18 with fibromyalgia may have muscle strength, sensory functions, and reflexes that are normal.”) 19 (cleaned up). Here, although the ALJ provided a lengthy overview of the medical evidence in the 20 record, she did not provide any explanation for why the cited normal physical examination and 21 digital imaging findings conflicted with Plaintiff’s claims of debilitating pain. See Reinertson v. 22 Barnhart, 127 F. App’x 285, 290 n.2 (9th Cir. 2005) (unpublished) (“One who suffers from 23 fibromyalgia, a condition marked by ‘chronic pain throughout the body,’ is not necessarily in 24 1 ‘acute distress.’”) (quoting Benecke, 379 F.3d at 590); Brown-Hunter, 806 F.3d at 489 (“[A]n 2 ALJ does not provide specific, clear, and convincing reasons for rejecting a claimant’s testimony 3 by simply reciting the medical evidence in support of his or her residual functional capacity 4 determination.”).
5 Similarly, the ALJ did not explain how the cited psychiatric findings conflicted with 6 Plaintiff’s allegations about her mental health symptoms, nor did she acknowledge Plaintiff’s 7 testimony that her symptoms varied from day to day. Although the ALJ is responsible for 8 resolving conflicts in the evidence, she must explain her reasoning to allow for this Court’s 9 review. See Ford v. Saul, 950 F.3d 1141, 1149 (9th Cir. 2020); Brown-Hunter, 806 F.3d at 492. 10 Because the ALJ failed to “specifically identify the testimony she or he finds not to be credible” 11 and “explain what evidence undermines the testimony[,]” Holohan, 246 F.3d at 1208, this is not 12 a sufficiently specific, clear, and convincing reason for rejecting Plaintiff’s testimony. 13 2. Improvement with Conservative Treatment 14 The ALJ next found Plaintiff’s treatment was limited to “generally conservative
15 treatment options” and, in fact, the medical record appeared to suggest improvement in 16 Plaintiff’s condition with appropriate treatment. AR 1931. 17 Evidence of conservative treatment is an acceptable reason to discount testimony about 18 the severity of an impairment. Parra v. Astrue, 481 F.3d 742, 751 (9th Cir. 2007). “Any 19 evaluation of the aggressiveness of a treatment regimen must take into account the condition 20 being treated.” Revels, 874 F.3d at 667. Similarly, “evidence of medical treatment successfully 21 relieving symptoms can undermine a claim of disability.” Wellington v. Berryhill, 878 F.3d 867, 22 876 (9th Cir. 2017). 23
24 1 Regarding Plaintiff’s treatment regimen, the ALJ wrote: “Given the claimant’s 2 allegations of total disability, one would expect to see more progressive treatment options. The 3 lack of progressive treatment for the claimant’s alleged impairments demonstrated during the 4 period of consideration appears to be more consistent with the residual functional capacity than
5 with the claimant’s allegations.” AR 1931. One of the ALJ’s cited records includes a provider’s 6 recommendation that Plaintiff continue using prescribed medication and continue psychotherapy. 7 Id. (citing AR 856). The ALJ did not point to any evidence in the record that Plaintiff failed to 8 follow these recommendations or that any provider recommended any more progressive 9 treatment plan that was appropriate to Plaintiff’s symptoms and conditions. Accordingly, the 10 ALJ’s finding that Plaintiff’s treatment was conservative and not progressive does not constitute 11 a specific, clear, and convincing reason supported by substantial evidence for discounting 12 Plaintiff’s testimony. 13 Regarding Plaintiff’s improvement in symptoms, the ALJ found “the medical record 14 revealed that after her mental breakdown in January 2017, the claimant’s condition had improved
15 and remained fairly stable.” AR 1931. The ALJ cited to a number of treatment records relevant 16 to Plaintiff’s mental health symptoms.3 Id. First, she cited a note from a March 2017 medication 17 management appointment indicating only that Plaintiff’s PTSD was “stable.” AR 855. At a 18 March 2018 (erroneously cited as March 2019 by the ALJ) medication management 19 appointment, Plaintiff stated her PTSD and mood instability symptoms “are chronic and are 20 controlled.” AR 999. The ALJ cited a February 2019 follow-up appointment for “unstable” 21 diabetes at which the provider remarked Plaintiff had bipolar disorder but was “stable on current 22 23 3 The ALJ also cited to records regarding Plaintiff’s diabetes, coughing, and sleep, but the ALJ does not explain how 24 these are related to the substance of Plaintiff’s testimony. AR 1931. 1 medications.” AR 1645. The latest citation, from an April 2019 initial visit with a new provider, 2 stated Plaintiff’s depression-related symptoms were “controlled,” but the provider also noted 3 Plaintiff’s reports that functioning was “very difficult” and that she presented with a litany of 4 depression symptoms. See AR 1633.
5 First, the ALJ does not explain why these occasional remarks that Plaintiff’s mental 6 health conditions were “stable” or “controlled” are inconsistent with Plaintiff’s testimony about 7 her symptoms. Neither the ALJ nor any of these providers clarified the meaning of these terms, 8 so it is not clear whether they intended to note only that Plaintiff’s symptoms were not worsening 9 or, as the ALJ interpreted, that her symptoms were resolved. See Robinson v. Barnhart, 366 F.3d 10 1078, 1083 (10th Cir. 2004) (noting a provider’s references to a claimant being “stable” do not 11 necessarily indicate he believed she was sufficiently stable to return to work). Also, some of the 12 cited records are equivocal about Plaintiff’s condition, such as the note that Plaintiff’s PTSD 13 symptoms were “chronic” or the extensive list of Plaintiff’s depression symptoms immediately 14 after noting her depression-related symptoms were controlled. See AR 999, 1633.
15 Further, other treatment notes from mental health providers throughout the relevant 16 period record suspected manic episodes, mood instability, depressed mood, anxiety, and poor 17 attention and concentration. See, e.g., AR 1791, 1802, 1810, 1813, 1818, 1846, 1860, 2538, 18 2547, 2552, 2556. The Ninth Circuit has recognized that it is common for symptoms of mental 19 health impairments to “wax and wane in the course of treatment,” and therefore: 20 Reports of “improvement” in the context of mental health issues must be interpreted with an understanding of the patient's overall well-being and the nature of [their] 21 symptoms. They must also be interpreted with an awareness that improved functioning while being treated and while limiting environmental stressors does not 22 always mean that a claimant can function effectively in a workplace.
23 24 1 Garrison, 759 F.3d at 1017. The ALJ did not explain why she found certain treatment notes 2 more significant than others. Accordingly, this does not constitute a sufficiently clear and 3 convincing reason supported by substantial evidence for discounting Plaintiff’s testimony. 4 3. Activities of Daily Living
5 Finally, the ALJ found Plaintiff’s reported activities of daily living were inconsistent with 6 her allegations of disability: 7 Despite her impairments, the claimant reported that she is able to care for her personal hygiene independently, prepare meals, and perform household chores, to 8 include laundry and dishes. The claimant indicated that she is able to care for her pets, to include a dog and cat. The claimant also reported that she is able to operate 9 a motor vehicle and go shopping as needed. The claimant indicated that she is able to manage her personal finances, to include counting change, handling a savings 10 account, and using a checkbook/money order. The claimant’s hobbies include art and social media. She also indicated that she is able to utilize a computer, as she 11 stated that she talks to others online occasionally (Exhibits 6E/1-5). The claimant also testified that she is able to go to Walmart and parties without issues. The record 12 also revealed the claimant was looking for a job during the period of consideration, despite her impairments (Exhibit 4F/118). The performance of these activities is in 13 direct contrast to her allegations. For these reasons, the claimant’s allegations concerning the severity of her symptoms are not entirely consistent with the 14 evidence and any limitations imposed by the claimant’s impairments were accounted for sufficiently in the residual functional capacity. 15 AR 1931. 16 “Engaging in daily activities that are incompatible with the severity of symptoms alleged 17 can support an adverse credibility determination.” Ghanim v. Colvin, 763 F.3d 1154, 1165 (9th 18 Cir. 2014). However, the Ninth Circuit has recognized that not all activities are incompatible 19 with disability: 20 [T]he mere fact that a plaintiff has carried on certain daily activities, such as grocery 21 shopping, driving a car, or limited walking for exercise, does not in any way detract from [their] credibility as to [their] overall disability. One does not need to be 22 ‘utterly incapacitated’ in order to be disabled.
23 24 1 Vertigan v. Halter, 260 F.3d 1044, 1050 (9th Cir. 2001) (quoting Fair v. Bowen, 885 F.2d 597, 2 603 (9th Cir. 1989)). 3 First, the ALJ’s characterization of Plaintiff’s stated activities does not fully reflect 4 Plaintiff’s testimony. As noted above, Plaintiff described needing reminders or assistance to care
5 for personal hygiene. AR 363. Although she prepared meals daily, she stated her capabilities 6 varied depending on her energy level, and on a “bad day,” she would only be able to prepare a 7 frozen dinner. Id. She stated doing dishes took her two hours with breaks and doing laundry took 8 days with breaks. AR 364. The ALJ listed Plaintiff’s hobbies but did not mention her statement 9 that she cannot participate in these when depressed. AR 365. Plaintiff reported that she talked to 10 others online occasionally, and she clarified in her hearing testimony that she had an easier time 11 interacting with people online than in person. AR 70, 365. 12 Further, the ALJ listed Plaintiff’s activities and then summarily stated that these activities 13 were not consistent with Plaintiff’s allegations about her symptoms without any explanation as to 14 how the activities were inconsistent with Plaintiff’s hearing testimony. Because the ALJ did not
15 explain “which daily activities conflicted with which part of [Plaintiff’s] testimony,” this does not 16 constitute a clear and convincing reason for discounting Plaintiff’s allegations. See Burrell v. 17 Colvin, 775 F.3d 1133, 1138 (9th Cir. 2014) (emphasis in original); see also Blakes v. Barnhart, 18 331 F.3d 565, 569 (7th Cir. 2003) (“We require the ALJ to build an accurate and logical bridge 19 from the evidence to her conclusions so that we may afford the claimant meaningful review of 20 the SSA’s ultimate findings.”). 21 For the reasons described above, the ALJ failed to provide any clear and convincing 22 reason, supported by substantial evidence, to discount Plaintiff’s subjective symptom testimony. 23 Thus, the ALJ erred. Had the ALJ properly considered Plaintiff’s testimony, the RFC and
24 1 hypothetical questions posed to the vocational expert may have contained additional limitations. 2 For example, the RFC and hypothetical questions may have included limitations reflecting 3 Plaintiff’s statements that she was unable to get out of bed some days due to her fibromyalgia 4 pain and/or mental health symptoms. See AR 65–66, 361, 1962.
5 Because the ultimate disability determination may have changed with proper 6 consideration of Plaintiff’s testimony, the ALJ’s error is not harmless and requires reversal. See 7 Molina, 674 F.3d at 1115. 8 B. Remaining Issues 9 Plaintiff further contends the ALJ failed to properly evaluate certain medical opinion 10 evidence, lay witness testimony, and whether Plaintiff met or equaled a listing, and she argues 11 that the RFC and step five findings are not supported by substantial evidence. Dkt. 13 at 2. As 12 noted above, the Court concludes the ALJ committed harmful error in assessing Plaintiff’s 13 subjective symptom testimony and remand for further proceedings is appropriate. Due to this 14 error, the ALJ must re-evaluate all the medical evidence on remand. Because Plaintiff may be
15 able to present new evidence and new testimony on remand and the ALJ’s reconsideration of the 16 medical evidence may impact the assessment of Plaintiff’s testimony, the ALJ must also 17 reconsider this evidence on remand. 18 The Court has found the ALJ committed harmful error and has directed the ALJ to 19 reassess the medical evidence and Plaintiff’s subjective symptom testimony. Accordingly, on 20 remand, the ALJ is instructed to re-evaluate the entire sequential evaluation process. See Social 21 Security Ruling 96-8p, 1996 WL 374184 (1996) (an RFC “must always consider and address 22 medical source opinions”); Valentine v. Comm’r of Soc. Sec. Admin., 574 F.3d 685, 690 (9th Cir. 23 2009) (“an RFC that fails to take into account a claimant’s limitations is defective”); Watson v.
24 1 Astrue, No. ED CV 09-1447-PLA, 2010 WL 4269545, at *5 (C.D. Cal. Oct. 22, 2010) (finding 2 the RFC and hypothetical questions posed to the vocational expert defective when the ALJ did 3 not properly consider two physicians’ findings). 4 IV. Conclusion
5 Based on the foregoing reasons, the Court hereby finds the ALJ improperly concluded 6 Plaintiff was not disabled for the period at issue. Accordingly, Defendant’s decision to deny 7 benefits is reversed and this matter is remanded for further administrative proceedings in 8 accordance with the findings contained herein. 9 Dated this 26th day of December, 2024. 10 A 11 David W. Christel United States Magistrate Judge 12 13 14 15 16 17 18 19 20 21 22 23 24