Hernandez v. Kijakazi

District Court, E.D. Washington·Decided May 11, 2021·No. 1:20-cv-03101·Unknown

Opinion

FILED IN THE U.S. DISTRICT COURT EASTERN DISTRICT OF WASHINGTON May 11, 2021

UNITED STATES DISTRICT COURT SEAN F. MCAVOY, CLERK EASTERN DISTRICT OF WASHINGTON AIDE H., on behalf of J.H., a minor No. 1:20-cv-03101-SMJ child, ORDER GRANTING PLAINTIFF’S Plaintiff, MOTION FOR SUMMARY JUDGMENT AND DENYING v. DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ANDREW SAUL, Commissioner of Social Security, Defendant.

Plaintiff Aide H., on behalf of minor child J.H., appeals the Administrative Law Judge’s (ALJ) denial of J.H.’s application for Supplemental Security Income (SSI) benefits. She alleges that the ALJ erred by (1) not obtaining a case evaluation from an appropriate specialist based on the record in its entirety; (2) improperly rejecting J.H.’s testimony; (3) improperly assessing the Listings and Domains; and (4) improperly evaluation the opinion evidence. ECF No. 14 at 2. Defendant disputes these contentions and asks the Court to affirm the ALJ’s determination. ECF No. 15. Before the Court, without oral argument, are the parties’ cross-motions for summary judgment. ECF Nos. 14, 15. After reviewing the administrative record, the parties’ briefs, and the relevant legal authority, the Court is fully informed. For the reasons discussed below, the Court remands to the Social Security

Administration for additional proceedings. BACKGROUND1 Plaintiff applied for SSI benefits for J.H. in January 2017, alleging an onset

date of January 1, 2014. AR 221.2 ALJ Caroline Siderius held a hearing in April 2019. AR 42. In May 2019, the ALJ determined that J.H. was not disabled and denied the application. The Appeals Council denied Plaintiff’s request for review. AR 1. Plaintiff then appealed to this Court. ECF No. 1.

A “disability” is defined as the “inability 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). In evaluating an application for benefits for an individual under eighteen years of age, the decision-maker uses a three-step

sequential evaluation process to determine whether the claimant is disabled. 20 1 The facts, thoroughly stated in the record and the parties’ briefs, are only briefly summarized here. See ECF Nos. 11, 14, 15 & 16. 2 References to the administrative record (AR), ECF No. 11, are to the provided page numbers to avoid confusion. C.F.R. § 416.924(a). Step one assesses whether the claimant is engaged in substantial gainful

activities. If he or she is, benefits are denied. 20 C.F.R. § 416.924(b). If the claimant is not, the decision-maker proceeds to step two. Step two assesses whether the claimant has a severe medically determinable

impairment or combination of impairments. 20 C.F.R. §416.924(c). An impairment or combination of impairments is not severe if it is a slight abnormality or combination of abnormalities that causes no more than minimal functional limitations. Id. If the claimant does not have a severe medically determinable

impairment or combination of impairments, the disability claim is denied. Id. If the claimant does, the evaluation proceeds to the third step. Step three compares the claimant’s impairment with a number of listed

impairments acknowledged by the Commissioner to be so severe as to preclude substantial gainful activity. 20 C.F.R. § 416.924(d). If the impairment meets or is medically or functionally equal to one of the listed impairments and has lasted or is expected to last for a period of at least twelve consecutive months, the claimant is

presumed to be disabled. Id. The ALJ’s assessment of whether an impairment is functionally equal to a listed impairment is based on six “domains,” or “broad areas of functioning intended to capture all of what a child can or cannot do.” 20 C.F.R.

§ 416.926a(b)(1). The six domains are: (i) Acquiring and using information; (ii) Attending and completing tasks;

(iii) Interacting and relating with others; (iv) Moving about and manipulating objects; (v) Caring for yourself; and

(vi) Health and physical well-being. Id. A child’s impairment is functionally equal to a listed impairment if it results in a “marked” limitation in two domains or an “extreme” limitation in any one. Id. at § 416.929a(a). A limitation is “marked” if it interferes “seriously” with “[the

child’s] ability to independently initiate, sustain, or complete activities.” Id. at § 416.926a(e)(2)(i). A limitation is “extreme” when it interferes “very seriously” with “[the child’s] ability to independently initiate, sustain, or complete activities.”

Id. at § 416.926a(e)(3)(i). At step one, the ALJ found J.H. had not engaged in substantial gainful activity since January 20, 2017, the application date. AR 24.

At step two, the ALJ found that J.H. had childhood-onset fluency disorder, which was severe medically determinable impairment. AR 24. She also determined that he had anxiety disorder and depression, which were nonsevere impairments.

AR 24–25. At step three, the ALJ found that J.H. did not have an impairment or combination of impairments that met or medically equaled the severity of a listed

impairment. AR 25. Nor did he have an impairment or combination of impairments that functionally equaled the severity of the listings. Id. The ALJ found that J.H. did not have marked or extreme limitations in any of the six domains. AR 29–35.

Reviewing courts must uphold an ALJ’s disability determination if it applied the proper legal standards and supported its decision with substantial evidence in the record. Molina v. Astrue, 674 F.3d 1104, 1110 (9th Cir. 2012), superseded by

regulation on other grounds. “Substantial evidence ‘means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.’” Id. (quoting Valentine v. Comm’r Soc. Sec. Admin., 574 F.3d 685, 690 (9th Cir. 2009)).

“[W]hatever the meaning of ‘substantial’ in other contexts, the threshold for such evidentiary sufficiency is not high.” Biestek v. Berryhill, 139 S. Ct. 1148, 1153 (2019). The ALJ must base its determination on “more than a mere scintilla” of evidence, id. at 1154, but need not support its decision by a preponderance of the

evidence. Molina, 674 F.3d at 1111. If the evidence supports more than one rational interpretation, and the ALJ has supported its decision with inferences drawn reasonably from the record, the Court must uphold its decision. Id.; Allen v. Heckler,

749 F.2d 577, 579 (9th Cir. 1984). Moreover, the Court will not reverse an ALJ’s decision if it committed harmless error. Molina, 674 F.3d at 1111. The burden to show harmful error lies

with the party challenging the ALJ’s determination. See Shinseki v. Sanders, 556 U.S. 396, 409 (2009).

A. Case Evaluation from an Appropriate Specialist Based on the Record in its Entirety

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