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5 6 7 UNITED STATES DISTRICT COURT 8 WESTERN DISTRICT OF WASHINGTON AT TACOMA 9 10 JOANNA M. G., CASE NO. 3:19-CV-5204-DWC 11 Plaintiff, ORDER REVERSING AND 12 v. REMANDING DEFENDANT’S DECISION TO DENY BENEFITS 13 COMMISSIONER OF SOCIAL SECURITY, 14 Defendant. 15
16 Plaintiff filed this action, pursuant to 42 U.S.C. § 405(g), for judicial review of 17 Defendant’s denial of Plaintiff’s applications for supplemental security income (“SSI”) and 18 disability insurance benefits (“DIB”). Pursuant to 28 U.S.C. § 636(c), Federal Rule of Civil 19 Procedure 73 and Local Rule MJR 13, the parties have consented to have this matter heard by 20 the undersigned Magistrate Judge. See Dkt. 3. 21 After considering the record, the Court concludes the Administrative Law Judge 22 (“ALJ”) erred when he failed to discuss significant and probative evidence contained in Dr. 23 Kevin Morris’s opinion and in a portion of Dr. Michael Brown’s opinion. The ALJ’s error is 24 1 therefore harmful, and this matter is reversed and remanded pursuant to sentence four of 42 2 U.S.C. § 405(g) to the Commissioner of the Social Security Administration (“Commissioner”) 3 for further proceedings consistent with this Order. 4 FACTUAL AND PROCEDURAL HISTORY
5 On December 8, 2009, Plaintiff filed applications for SSI and DIB, alleging disability 6 as of April 15, 2008. See Dkt. 14, Administrative Record (“AR”) 996, 906. The application 7 was denied upon initial administrative review and on reconsideration. See AR 906. A hearing 8 was held before ALJ Scott Morris on December 14, 2011. See AR 355. In a decision dated 9 January 5, 2012, the ALJ determined Plaintiff to be not disabled. See AR 355. Plaintiff’s 10 request for review of the ALJ’s decision was denied by the Appeals Council, and Plaintiff filed 11 a civil action to the United States District Court for the Western District of Washington, which 12 remanded the matter to the Commissioner for further administrative proceedings. See AR 355. 13 On October 22, 2014, the Appeals Council vacated the decision and remanded the case to an 14 ALJ for further proceedings. See AR 355.
15 A new hearing was held before ALJ Gary Elliott on January 22, 2015. AR 355-368. On 16 February 24, 2015, ALJ Elliott found Plaintiff not disabled. AR 368. The Appeals Council 17 denied Plaintiff’s request for review, and Plaintiff filed a civil action to the United States 18 District Court for the Western District of Washington. See AR 995. The Court reversed ALJ 19 Elliott’s decision and remanded the case for a new hearing. AR 1020. A new hearing was held 20 before ALJ David Johnson on May 4, 2018. AR 934-960. In a decision dated November 19, 21 2018, the ALJ found Plaintiff not disabled. AR 921-922. Plaintiff did not request review of the 22 ALJ’s decision by the Appeals Council, making the ALJ’s November 19, 2018 decision the 23
24 1 final decision of the Commissioner. See AR 906. Plaintiff now appeals the ALJ’s November 2 19, 2018 decision finding Plaintiff not disabled.1 3 In the Opening Brief, Plaintiff maintains the ALJ erred by: (1) failing to properly 4 evaluate the medical evidence; (2) failing to properly evaluate Plaintiff’s subjective symptom
5 testimony; (3) failing to properly evaluate the lay witness testimony; and (4) improperly 6 determining Plaintiff’s residual functional capacity (“RFC”). Dkt. 13. Plaintiff requests remand 7 for an award of benefits. Dkt. 13, pp. 18-19. 8 STANDARD OF REVIEW 9 Pursuant to 42 U.S.C. § 405(g), this Court may set aside the Commissioner’s denial of 10 social security benefits if the ALJ’s findings are based on legal error or not supported by 11 substantial evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 n.1 12 (9th Cir. 2005) (citing Tidwell v. Apfel, 161 F.3d 599, 601 (9th Cir. 1999)). 13 DISCUSSION 14 I. Whether the ALJ properly considered the medical opinion evidence.
15 Plaintiff contends the ALJ erred in his evaluation of the medical opinion evidence 16 submitted by Drs. Morris and Brown. Dkt. 13, pp. 3-6. 17 In assessing an acceptable medical source, an ALJ must provide “clear and convincing” 18 reasons for rejecting the uncontradicted opinion of either a treating or examining physician. 19 Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1995) (citing Pitzer v. Sullivan, 908 F.2d 502, 506 20 (9th Cir. 1990)); Embrey v. Bowen, 849 F.2d 418, 422 (9th Cir. 1988). When a treating or 21 examining physician’s opinion is contradicted, the opinion can be rejected “for specific and 22
23 1 When stating “the ALJ” or “the ALJ’s decision” throughout this Order, the Court is referring to ALJ 24 Johnson and his November 19, 2018 decision. 1 legitimate reasons that are supported by substantial evidence in the record.” Lester, 81 F.3d at 2 830-831 (citing Andrews v. Shalala, 53 F.3d 1035, 1043 (9th Cir. 1995); Murray v. Heckler, 3 722 F.2d 499, 502 (9th Cir. 1983). The ALJ can accomplish this by “setting out a detailed and 4 thorough summary of the facts and conflicting clinical evidence, stating his interpretation
5 thereof, and making findings.” Reddick v. Chater, 157 F.3d 715, 725 (9th Cir. 1998) (citing 6 Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir. 1989)). “Other medical source” testimony 7 “is competent evidence that an ALJ must take into account,” unless the ALJ “expressly 8 determines to disregard such testimony and gives reasons germane to each witness for doing 9 so.” Lewis v. Apfel, 236 F.3d 503, 511 (9th Cir. 2001); Turner v. Comm’r of Soc. Sec., 613 10 F.3d 1217, 1224 (9th Cir. 2010). “Further, the reasons ‘germane to each witness’ must be 11 specific.” Bruce v. Astrue, 557 F.3d 1113, 1115 (9th Cir. 2009). 12 A. Dr. Morris 13 Dr. Morris, a Doctor of Psychology, conducted a psychological evaluation of Plaintiff. 14 AR 241-244. Dr. Morris diagnosed Plaintiff with post-traumatic stress disorder (“PTSD”),
15 marked severity (provisional); alcohol dependence, in sustained full remission; and reading 16 disorder. AR 242. Dr. Morris first addressed Plaintiff’s cognitive limitations, opining she has 17 mild limitations in her ability to understand, remember, and follow simple instructions. AR 18 243. Dr. Morris also opined Plaintiff has moderate limitations in the following cognitive areas: 19 understanding, remembering, and following complex instructions; learning new tasks; 20 exercising judgment and making decisions; and performing routine tasks. AR 243. Dr.
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5 6 7 UNITED STATES DISTRICT COURT 8 WESTERN DISTRICT OF WASHINGTON AT TACOMA 9 10 JOANNA M. G., CASE NO. 3:19-CV-5204-DWC 11 Plaintiff, ORDER REVERSING AND 12 v. REMANDING DEFENDANT’S DECISION TO DENY BENEFITS 13 COMMISSIONER OF SOCIAL SECURITY, 14 Defendant. 15
16 Plaintiff filed this action, pursuant to 42 U.S.C. § 405(g), for judicial review of 17 Defendant’s denial of Plaintiff’s applications for supplemental security income (“SSI”) and 18 disability insurance benefits (“DIB”). Pursuant to 28 U.S.C. § 636(c), Federal Rule of Civil 19 Procedure 73 and Local Rule MJR 13, the parties have consented to have this matter heard by 20 the undersigned Magistrate Judge. See Dkt. 3. 21 After considering the record, the Court concludes the Administrative Law Judge 22 (“ALJ”) erred when he failed to discuss significant and probative evidence contained in Dr. 23 Kevin Morris’s opinion and in a portion of Dr. Michael Brown’s opinion. The ALJ’s error is 24 1 therefore harmful, and this matter is reversed and remanded pursuant to sentence four of 42 2 U.S.C. § 405(g) to the Commissioner of the Social Security Administration (“Commissioner”) 3 for further proceedings consistent with this Order. 4 FACTUAL AND PROCEDURAL HISTORY
5 On December 8, 2009, Plaintiff filed applications for SSI and DIB, alleging disability 6 as of April 15, 2008. See Dkt. 14, Administrative Record (“AR”) 996, 906. The application 7 was denied upon initial administrative review and on reconsideration. See AR 906. A hearing 8 was held before ALJ Scott Morris on December 14, 2011. See AR 355. In a decision dated 9 January 5, 2012, the ALJ determined Plaintiff to be not disabled. See AR 355. Plaintiff’s 10 request for review of the ALJ’s decision was denied by the Appeals Council, and Plaintiff filed 11 a civil action to the United States District Court for the Western District of Washington, which 12 remanded the matter to the Commissioner for further administrative proceedings. See AR 355. 13 On October 22, 2014, the Appeals Council vacated the decision and remanded the case to an 14 ALJ for further proceedings. See AR 355.
15 A new hearing was held before ALJ Gary Elliott on January 22, 2015. AR 355-368. On 16 February 24, 2015, ALJ Elliott found Plaintiff not disabled. AR 368. The Appeals Council 17 denied Plaintiff’s request for review, and Plaintiff filed a civil action to the United States 18 District Court for the Western District of Washington. See AR 995. The Court reversed ALJ 19 Elliott’s decision and remanded the case for a new hearing. AR 1020. A new hearing was held 20 before ALJ David Johnson on May 4, 2018. AR 934-960. In a decision dated November 19, 21 2018, the ALJ found Plaintiff not disabled. AR 921-922. Plaintiff did not request review of the 22 ALJ’s decision by the Appeals Council, making the ALJ’s November 19, 2018 decision the 23
24 1 final decision of the Commissioner. See AR 906. Plaintiff now appeals the ALJ’s November 2 19, 2018 decision finding Plaintiff not disabled.1 3 In the Opening Brief, Plaintiff maintains the ALJ erred by: (1) failing to properly 4 evaluate the medical evidence; (2) failing to properly evaluate Plaintiff’s subjective symptom
5 testimony; (3) failing to properly evaluate the lay witness testimony; and (4) improperly 6 determining Plaintiff’s residual functional capacity (“RFC”). Dkt. 13. Plaintiff requests remand 7 for an award of benefits. Dkt. 13, pp. 18-19. 8 STANDARD OF REVIEW 9 Pursuant to 42 U.S.C. § 405(g), this Court may set aside the Commissioner’s denial of 10 social security benefits if the ALJ’s findings are based on legal error or not supported by 11 substantial evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 n.1 12 (9th Cir. 2005) (citing Tidwell v. Apfel, 161 F.3d 599, 601 (9th Cir. 1999)). 13 DISCUSSION 14 I. Whether the ALJ properly considered the medical opinion evidence.
15 Plaintiff contends the ALJ erred in his evaluation of the medical opinion evidence 16 submitted by Drs. Morris and Brown. Dkt. 13, pp. 3-6. 17 In assessing an acceptable medical source, an ALJ must provide “clear and convincing” 18 reasons for rejecting the uncontradicted opinion of either a treating or examining physician. 19 Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1995) (citing Pitzer v. Sullivan, 908 F.2d 502, 506 20 (9th Cir. 1990)); Embrey v. Bowen, 849 F.2d 418, 422 (9th Cir. 1988). When a treating or 21 examining physician’s opinion is contradicted, the opinion can be rejected “for specific and 22
23 1 When stating “the ALJ” or “the ALJ’s decision” throughout this Order, the Court is referring to ALJ 24 Johnson and his November 19, 2018 decision. 1 legitimate reasons that are supported by substantial evidence in the record.” Lester, 81 F.3d at 2 830-831 (citing Andrews v. Shalala, 53 F.3d 1035, 1043 (9th Cir. 1995); Murray v. Heckler, 3 722 F.2d 499, 502 (9th Cir. 1983). The ALJ can accomplish this by “setting out a detailed and 4 thorough summary of the facts and conflicting clinical evidence, stating his interpretation
5 thereof, and making findings.” Reddick v. Chater, 157 F.3d 715, 725 (9th Cir. 1998) (citing 6 Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir. 1989)). “Other medical source” testimony 7 “is competent evidence that an ALJ must take into account,” unless the ALJ “expressly 8 determines to disregard such testimony and gives reasons germane to each witness for doing 9 so.” Lewis v. Apfel, 236 F.3d 503, 511 (9th Cir. 2001); Turner v. Comm’r of Soc. Sec., 613 10 F.3d 1217, 1224 (9th Cir. 2010). “Further, the reasons ‘germane to each witness’ must be 11 specific.” Bruce v. Astrue, 557 F.3d 1113, 1115 (9th Cir. 2009). 12 A. Dr. Morris 13 Dr. Morris, a Doctor of Psychology, conducted a psychological evaluation of Plaintiff. 14 AR 241-244. Dr. Morris diagnosed Plaintiff with post-traumatic stress disorder (“PTSD”),
15 marked severity (provisional); alcohol dependence, in sustained full remission; and reading 16 disorder. AR 242. Dr. Morris first addressed Plaintiff’s cognitive limitations, opining she has 17 mild limitations in her ability to understand, remember, and follow simple instructions. AR 18 243. Dr. Morris also opined Plaintiff has moderate limitations in the following cognitive areas: 19 understanding, remembering, and following complex instructions; learning new tasks; 20 exercising judgment and making decisions; and performing routine tasks. AR 243. Dr. Morris 21 then addressed Plaintiff’s social limitations, opining Plaintiff has moderate limitations in 22 relating appropriately to co-workers and supervisors; interacting appropriately in public 23 contacts; responding appropriately to and tolerating the pressures and expectations of a normal
24 1 work setting; and controlling physical or motor movements and maintain appropriate behavior. 2 AR 243. Dr. Morris stated his opinions were based on his clinical interview with Plaintiff and 3 on his impressions and observations. AR 243. 4 The ALJ discussed Dr. Morris’s opinion and gave it great weight, saying:
5 The degree of cognitive limitation identified by Dr. Morris is given great weight because it is consistent with the claimant’s results on mental status testing. These 6 limitations are accounted for in the above residual functional capacity with the limitation of performing simple, routine, and repetitive tasks. In addition, the 7 opined mild to moderate social limitations are given great weight because they were based on the doctor’s clinical “interview, impressions, [and] observations,” 8 and they are generally consistent with the clinical findings of treatment providers. Specifically, treatment providers found that she had variable mood and affect, but 9 was polite, friendly, and cooperative. It is further noted that Dr. Morris stated the claimant was “mostly moderately impaired vis a vis social factors,” and, as noted, 10 the residual functional capacity set forth above limits the presence of the public in the work area. Additionally, the Dictionary of Occupational Titles indicates 11 that the occupations identified below require even less interaction to perform the job tasks than the residual functional capacity allows for. The effects of the 12 claimant’s conditions cannot be isolated into specific categories, but cross over, with social factors affecting the claimant’s ability to interact as well as the ability 13 to respond to and tolerate pressures and expectations, and performing tasks. Limiting social factors demanded of the claimant increases her ability to perform 14 in all categories. Dr. Morris also noted that the claimant was able to adequately care for children, young and old, which involves social factors, pressures, and a 15 lack of routine beyond those in the residual functional capacity and occupations identified. 16 AR 916-917 (citations omitted). 17 The ALJ accounted for Dr. Morris’s opined social limitations by limiting Plaintiff’s 18 interaction with the general public and by restricting Plaintiff’s work to occasional, superficial 19 interaction with co-workers or supervisors. AR 916-917; see also AR 911. An ALJ “need not 20 discuss all evidence presented.” Vincent ex rel. Vincent v. Heckler, 739 F.3d 1393, 1394-95 21 (9th Cir. 1984). However, the ALJ “may not reject ‘significant probative evidence’ without 22 explanation.” Flores v. Shalala, 49 F.3d 562, 570-71 (9th Cir. 1995) (quoting Vincent, 739 23 F.2d at 1395). The “ALJ’s written decision must state reasons for disregarding [such] 24 1 evidence.” Flores, 49 F.3d at 571; see also Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 2 1090, 1103 (9th Cir. 2014) (citation omitted) (“the ALJ must provide some reasoning in order 3 for us to meaningfully determine whether the ALJ’s conclusions were supported by substantial 4 evidence”).
5 The ALJ said that by limiting Plaintiff’s social interactions, he incorporated Dr. 6 Morris’s opined social limitations into the RFC. See AR 916-917. The ALJ said limiting 7 Plaintiff’s social interactions specifically addresses her moderate limitations in relating 8 appropriately to co-workers and supervisors, interacting appropriately in public contacts, and 9 responding appropriately to and tolerating the pressures and expectations of a normal work 10 setting. AR 916-917. Although limiting Plaintiff’s social interactions may address these 11 specific limitations, the ALJ did not discuss Plaintiff’s moderate limitation in controlling 12 physical or motor movements and maintaining appropriate behavior. The RFC does not include 13 any restrictions which address this limitation. The ALJ did not explain how restricting Plaintiff 14 to simple, routine, repetitive tasks incorporates Plaintiff’s moderate limitation in controlling
15 physical or motor movements and maintaining appropriate behavior. Thus, the ALJ erred when 16 he failed to discuss significant and probative evidence contained in Dr. Morris’s opined social 17 limitations. 18 “[H]armless error principles apply in the Social Security context.” Molina v. Astrue, 19 674 F.3d 1104, 1115 (9th Cir. 2012). An error is harmless, however, only if it is not prejudicial 20 to the claimant or “inconsequential” to the ALJ’s “ultimate nondisability determination.” Stout 21 v. Comm'r, Soc. Sec. Admin., 454 F.3d 1050, 1055 (9th Cir. 2006); see Molina, 674 F.3d at 22 1115. The determination as to whether an error is harmless requires a “case-specific 23 application of judgment” by the reviewing court, based on an examination of the record made
24 1 “‘without regard to errors’ that do not affect the parties’ ‘substantial rights.’” Molina, 674 F.3d 2 at 1118-1119 (quoting Shinseki v. Sanders, 556 U.S. 396, 407 (2009)). 3 The ALJ’s failure to discuss Dr. Morris’s opinion that Plaintiff has moderate limitations 4 in controlling physical or motor movements and maintaining appropriate behavior resulted in
5 an incomplete RFC. The RFC does not include any limitations regarding Plaintiff’s ability to 6 control physical or motor movements and maintain appropriate behavior. AR 910-911. Had the 7 ALJ properly considered this portion of Dr. Morris’s opinion, the ALJ may have included 8 additional limitations in the RFC. As the ultimate disability determination may change, the 9 ALJ’s failure to address Dr. Morris’s opinion in its entirety is not harmless and requires 10 reversal. 11 The ALJ also discussed Dr. Morris’s opined cognitive limitations and concluded he 12 incorporated all of those limitations into the RFC by limiting Plaintiff to simple, routine, 13 repetitive tasks. AR 916. The ALJ failed to specifically address how the limitation in the RFC 14 incorporates each of Dr. Morris’s opined cognitive limitations. For example, while limiting
15 Plaintiff to simple, routine, repetitive tasks accounts for Plaintiff’s moderate limitation in 16 understanding, remembering, and following complex instructions, it contradicts Plaintiff’s 17 moderate limitation in performing routine tasks. While the ALJ did adequately account for 18 some of Dr. Morris’s opined cognitive limitations in the RFC, the ALJ provides no explanation 19 regarding other parts of Dr. Morris’s opined cognitive limitations. Therefore, the ALJ has not 20 provided adequate reasoning in order for the Court to meaningfully determine whether the 21 ALJ’s conclusions were supported by substantial evidence. See Blakes v. Barnhart, 331 F.3d 22 565, 569 (7th Cir. 2003) (“We require the ALJ to build an accurate and logical bridge from the 23
24 1 evidence to her conclusions so that we may afford the claimant meaningful review of the 2 SSA’s ultimate findings.”). 3 Because the ALJ failed to discuss all significant probative evidence and because he 4 failed to provide adequate reasoning to support his conclusions, the ALJ’s treatment of Dr.
5 Morris’s opinion was improper. 6 B. Dr. Brown 7 Dr. Brown, an examining doctor, completed a psychological evaluation of Plaintiff in 8 February 2010. AR 253-258. He diagnosed Plaintiff with mood disorder, PTSD, and anxiety 9 disorder. AR 255. Dr. Brown first addressed Plaintiff’s cognitive limitations, opining she has 10 mild limitations in understanding, remembering, and following simple and complex 11 instructions and in learning new tasks. AR 256. He opined Plaintiff has moderate cognitive 12 limitations in exercising judgment and making decisions and in performing routine tasks. AR 13 256. Next, Dr. Brown addressed Plaintiff’s social limitations and opined she has mild 14 limitations in caring for herself, including hygiene and appearance, and in maintaining
15 appropriate behavior in a work setting. AR 256. He also opined Plaintiff has a moderate 16 limitation in interacting appropriately in public contacts and a marked limitation in responding 17 appropriately to and tolerating the pressures and expectations of a normal work setting. AR 18 256. 19 The ALJ first discussed Dr. Brown’s opined cognitive limitations and gave them great 20 weight “because they are consistent with Dr. Brown’s clinical findings and the claimant’s 21 reported activities of daily living (e.g. taking care of her disabled child.)” AR 917. The ALJ 22 also gave great weight to Dr. Brown’s opined social limitations “because they are consistent 23 with Dr. Brown’s clinical findings and her reported history.” AR 917. But the ALJ gave little
24 1 weight to Dr. Brown’s opinion regarding Plaintiff’s marked limitation in responding 2 appropriately to and tolerating the pressures and expectations of a normal work setting, 3 because: 4 (1) [ I]t is based solely on the claimant’s subjective report of symptoms and limitations, which are not consistent with the record. (2) Furthermore, it is 5 inconsistent with Dr. Truschel’s clinical findings that the claimant had grossly intact cognition, as she was completely capable of attending and concentrating 6 during interview [sic]. (3) Upon further consideration, it is also noted that the marked limitations identified by Dr. Brown (of responding appropriately to and 7 tolerating the pressures and expectations of a normal work setting) are in excess of those set forth by Dr. Morris. However, Dr. Brown also noted the claimant had 8 little energy secondary to taking care of a small child with disabilities. The relevant question is the degree of limitation caused by medically determinable 9 impairments, not by other responsibilities. The claimant’s activities were and continue to be demanding, with the recent additional [sic] of caring for her more 10 recently disabled husband as well. While Dr. Brown opined about the claimant’s ability to do both, and the claimant might not be able to do both, Dr. Morris’ 11 opinion is closer to the relevant analysis under the regulations, and is more illuminative. 12 AR 917 (citations omitted) (numbering added). 13 The ALJ discussed two aspects of Dr. Brown’s opinion. First, he addressed all of Dr. 14 Brown’s opined moderate limitations, to which he afforded great weight. AR 917. Next, the 15 ALJ addressed Dr. Brown’s opined marked limitation. AR 917. As discussed below, the Court 16 finds the ALJ erred in his treatment of Dr. Brown’s opined moderate limitations, but the ALJ 17 did not err in his assessment of the marked limitation. 18 Regarding the ALJ’s treatment of Dr. Brown’s opinion of Plaintiff’s moderate 19 limitations, the ALJ reasoned that it deserved great weight because the limitations were 20 consistent with Dr. Brown’s clinical findings and Plaintiff’s reported history. AR 917. The 21 ALJ’s treatment of Dr. Brown’s opinion is similar to his treatment of Dr. Morris’s opinion as 22 the RFC does not clearly incorporate Dr. Brown’s opined moderate limitations. The RFC limits 23 Plaintiff to simple, routine, repetitive tasks, and limits Plaintiff’s social interaction, but Dr. 24 1 Brown opined that Plaintiff is moderately limited in performing routine tasks. While the RFC 2 may account for most of Dr. Brown’s opined moderate limitations, it contradicts other parts of 3 his opinion by not including a moderate limitation on routine tasks. Therefore, the ALJ has not 4 provided adequate reasoning for the Court to meaningfully determine whether the ALJ’s
5 conclusions were supported by substantial evidence. See Blakes, 331 F.3d 565 at 569. 6 Therefore, the ALJ has not provided adequate reasoning for the Court to meaningfully 7 determine whether the ALJ’s conclusions were supported by substantial evidence. See Blakes, 8 331 F.3d 565 at 569. 9 Regarding the ALJ’s treatment of Dr. Brown’s opinion of Plaintiff’s marked limitation 10 in responding appropriately to and tolerating the pressures and expectations of a normal work 11 setting, the ALJ first reasoned that it deserved little weight because it was based solely on 12 Plaintiff’s subjective symptom testimony. AR 917. An ALJ does not provide clear and 13 convincing reasons for rejecting an examining physician’s opinion by questioning the 14 credibility of the patient’s complaints where the doctor does not discredit those complaints and
15 supports his ultimate opinion with his own observations. Edlund v. Massanari, 253 F.3d 1152, 16 1159 (9th Cir. 2001). But if a doctor’s opinion is based “to a large extent” on an applicant’s 17 self-reports and not on clinical evidence, and the ALJ finds the applicant not credible, the ALJ 18 may discount the doctor’s opinion. Tommasetti v. Astrue, 533 F.3d 1035, 1041 (9th Cir. 2008). 19 Here, Dr. Brown opined Plaintiff had marked limitations in responding appropriately to and 20 tolerating the pressures and expectations of a normal work week based on Plaintiff’s 21 statements. See AR 256. In support of his finding, Dr. Brown wrote under “observation” that 22 Plaintiff “says she has little energy secondary to taking care of a small child with 23 ‘disabilities.’” AR 256. Dr. Brown provided no other reason to support his conclusion. Given
24 1 the basis articulated by Dr. Brown to support his conclusion, substantial evidence supports the 2 ALJ’s finding that Dr. Brown’s opinion regarding Plaintiff’s marked limitation should be 3 afforded little weight because it was based solely on Plaintiff’s statements which the ALJ 4 found non-credible.
5 Although the ALJ provided other reasons to discount Dr. Brown’s opined marked 6 limitation, the Court need not assess whether these reasons were proper, as any error would be 7 harmless. See Presley-Carrillo v. Berryhill, 692 Fed. Appx. 941, 944-45 (9th Cir. 2017) (citing 8 Carmickle v. Comm’r of Soc. Sec. Admin., 533 F.3d 1155, 1162 (9th Cir. 2008)) (although an 9 ALJ erred on one reason he gave to discount a medical opinion, “this error was harmless 10 because the ALJ gave a reason supported by the record” to discount the opinion). 11 In summary, the Court concludes the ALJ erred in his treatment of Dr. Brown’s opined 12 moderate limitations, but the ALJ did not err in his assessment of the opined marked limitation. 13 The ALJ erred is directed to reassess Dr. Brown’s opined moderate limitations on remand. 14 C. Other medical evidence
15 Plaintiff cites an exhaustive list of medical opinions in the record and asserts that 16 because these opinions constitute significant probative evidence, the ALJ erred by failing to 17 discuss them. Dkt. 13, p. 15. Plaintiff says this evidence, considered in its entirety, is 18 consistent with the opinions of Drs. Morris and Brown, as well as Plaintiff’s own testimony. 19 Dkt. 13, p. 15. Given the lack of specificity in Plaintiff’s argument, Plaintiff failed to 20 demonstrate any harmful error on the other medical evidence. See Bailey v. Colvin, 669 Fed. 21 Appx. 839, 840 (9th Cir. 2016) (citing Ludwig v. Astrue, 681 F.3d 1047, 1054 (9th Cir. 2012)) 22 (finding no error where the claimant did not “demonstrate prejudice from any errors”). By 23 failing to explain how the ALJ erred with regard to each particular opinion, Plaintiff failed to
24 1 show how the ALJ’s alleged mistreatment of this evidence was consequential to the RFC and 2 the ultimate disability determination. The Court therefore rejects Plaintiff’s conclusory 3 argument. See Valentine v. Comm’r of Soc. Sec. Admin., 574 F.3d 685, 692, n. 2 (9th Cir. 4 2009) (rejecting “any invitation” to find error where the claimant failed to explain how the ALJ
5 harmfully erred); see also Carmickle, 533 F.3d 1155 at 1161 (citation and internal quotation 6 omitted) (the court “ordinarily will not consider matters on appeal that are not specifically and 7 distinctly argued in an appellant’s opening brief”). 8 II. Whether the ALJ properly evaluated Plaintiff’s subjective symptom testimony and the lay witness testimony. 9 Plaintiff contends the ALJ failed to give clear and convincing reasons for rejecting 10 Plaintiff’s testimony about her symptoms and limitations. Dkt. 13, pp. 13-17. Plaintiff also 11 contends the ALJ failed to provide germane reasons for rejecting the testimony of Plaintiff’s 12 daughter. Dkt. 13, p. 17. The Court concludes the ALJ committed harmful error in assessing 13 Dr. Morris’s opinion and a portion of Dr. Brown’s opinion and must re-evaluate these opinions 14 on remand. See Section I, supra. Because Plaintiff will be able to present new evidence and 15 new testimony on remand and because the ALJ’s reconsideration of the medical evidence may 16 impact his assessment of Plaintiff’s subjective testimony and the lay witness testimony, the 17 ALJ must reconsider Plaintiff’s testimony and the lay witness testimony on remand. 18 III. Whether the ALJ properly determined Plaintiff’s RFC. 19 Plaintiff asserts the ALJ erred in assessing her RFC and finding her not disabled at Step 20 5 of the sequential evaluation process because the RFC and hypothetical questions did not 21 contain all Plaintiff’s functional limitations. Dkt. 13, pp. 17-18. The Court concludes the ALJ 22 committed harmful error when he failed to properly consider Dr. Morris’s opinion. See Section 23 I, supra. The ALJ is directed to re-evaluate Dr. Morris’s opinion, a portion of Dr. Brown’s 24 1 opinion, Plaintiff’s testimony, and the lay witness testimony on remand. See Sections I, II, 2 supra. The ALJ must therefore reassess the RFC on remand. See Social Security Ruling 96-8p 3 (“The RFC assessment must always consider and address medical source opinions”); 4 Valentine, 574 F.3d 685 at 690 (“an RFC that fails to take into account a claimant’s limitations
5 is defective”). As the ALJ must reassess Plaintiff’s RFC on remand, he must also re-evaluate 6 the findings at Step 5 to determine if there are jobs existing in significant numbers in the 7 national economy Plaintiff can perform in light of the new RFC. See Watson v. Astrue, 2010 8 WL 4269545, *5 (C.D. Cal. Oct. 22, 2010) (finding the ALJ’s RFC determination and 9 hypothetical questions posed to the vocational expert defective when the ALJ did not properly 10 consider a doctor’s findings). 11 IV. Whether this cased should be remanded for an award of benefits. 12 Plaintiff argues this matter should be remanded with a direction to award benefits. See 13 Dkt. 13, pp. 18-19. The Court may remand a case “either for additional evidence and findings 14 or to award benefits.” Smolen v. Chater, 80 F.3d 1273, 1292 (9th Cir. 1996). Generally, when
15 the Court reverses an ALJ’s decision, “the proper course, except in rare circumstances, is to 16 remand to the agency for additional investigation or explanation.” Benecke v. Barnhart, 379 17 F.3d 587, 595 (9th Cir. 2004) (citations omitted). However, the Ninth Circuit created a “test for 18 determining when evidence should be credited and an immediate award of benefits directed[.]” 19 Harman v. Apfel, 211 F.3d 1172, 1178 (9th Cir. 2000). Specifically, benefits should be 20 awarded where: 21 (1) the ALJ has failed to provide legally sufficient reasons for rejecting [the claimant’s] evidence, (2) there are no outstanding issues that must be resolved 22 before a determination of disability can be made, and (3) it is clear from the record that the ALJ would be required to find the claimant disabled were such 23 evidence credited.
24 1 Smolen, 80 F.3d 1273 at 1292; McCartey v. Massanari, 298 F.3d 1072, 1076-77 (9th Cir. 2 2002). The Court has determined, on remand, the ALJ must re-evaluate Dr. Morris’s opinion, a 3 portion of Dr. Brown’s opinion, Plaintiff’s testimony, and the lay witness testimony. 4 Therefore, there are outstanding issues which must be resolved and remand for further
5 administrative proceedings is appropriate. 6 CONCLUSION 7 Based on the foregoing reasons, the Court hereby finds the ALJ improperly concluded 8 Plaintiff was not disabled. Accordingly, Defendant’s decision to deny benefits is reversed and 9 this matter is remanded for further administrative proceedings in accordance with the findings 10 contained herein. 11 Dated this 9th day of January, 2020. 12 13 A 14 David W. Christel United States Magistrate Judge 15 16
17 18 19 20 21 22 23 24