Hernandez v. Saul

District Court, S.D. California·Decided December 8, 2023·No. 3:21-cv-00225·Unknown

Opinion

RAMON HERNANDEZ, Case No.: 21-CV-225-SBC

Plaintiff, ORDER ON PLAINTIFF’S MOTION v. FOR SUMMARY JUDGMENT AND DEFENDANT’S CROSS-MOTION KILOLO KIJAKAZI, FOR SUMMARY JUDGMENT Acting Commissioner of Social Security, Defendant. This action arises from the Commissioner of Social Security’s (“Commissioner” or “Defendant”) denial of Ramon Hernandez’s (“Plaintiff”) application for disability insurance benefits under Title II and Part A of Title XVIII of the Social Security Act (“Act”). Before the Court are Plaintiff’s Motion for Summary Judgment and Defendant’s Cross-Motion for Summary Judgment. (Doc. Nos. 13, 14.) Specifically, Plaintiff requests a sentence six remand for further administrative proceedings to reconcile the Commissioner’s initial unfavorable decision with its subsequent favorable decision. 42 U.S.C. § 405(g). At issue is whether the Commissioner’s subsequent grant of disability insurance benefits, which found Plaintiff disabled one day after the administrative law judge (“ALJ”) found Plaintiff not disabled based on his first application, constitutes new and material evidence to support a sentence six remand. Further, at issue is whether the ALJ improperly relied on vocational expert testimony in making his step-five determination. Having reviewed and considered the Parties’ briefs, the entirety of the administrative record, and relevant case law, the Court GRANTS Plaintiff’s Motion for Summary Judgment and DENIES Defendant’s Cross-Motion for Summary Judgment. On November 14, 2018, Plaintiff filed an application for a period of disability and disability insurance benefits under Title II and Part A of Title XVIII of the Social Security Act, alleging disability onset as of March 24, 2018. (AR 230-31.) On March 12, 2019, the Commissioner issued an unfavorable decision to Plaintiff, finding that Plaintiff did not meet his evidentiary burden to support a finding of disability. (AR 134-37.) Plaintiff subsequently requested reconsideration of the initial determination on May 8, 2019. (AR 139.) On June 28, 2019, the Commissioner denied Plaintiff’s request for reconsideration, finding that Plaintiff’s condition was not severe enough to keep him from working. (AR 140-45.) On August 29, 2019, Plaintiff requested a de novo hearing before an ALJ. (AR 146-47.) The Commissioner appointed ALJ Robert Iafe (“ALJ Iafe”) to adjudicate Plaintiff’s application. (AR 163-85.) ALJ Iafe conducted the first administrative hearing on Plaintiff’s application on June 11, 2020. (AR 56-104.) ALJ Iafe heard testimony from Plaintiff, who was present with his attorney, and Vocational Expert Bonnie Sinclair. (See id.) ALJ Iafe conducted the second hearing on Plaintiff’s application on June 17, 2020. (AR 30-54.) ALJ Iafe heard further testimony from Plaintiff, who was present with his attorney, and Vocational Expert Kenneth Ferra (“VE Ferra”). On July 1, 2020, ALJ Iafe determined that Plaintiff was not disabled under sections 216(i) and 223(d) of the Social Security Act and memorialized his findings in a Notice of Decision (“Decision”). (AR 7-24.) On August 3, 2020, Plaintiff requested that the Appeals Council review ALJ Iafe’s Decision. (AR 228-29.) The Appeals Council denied Plaintiff’s request on December 11, 2020, thereby finalizing ALJ Iafe’s decision that day. (AR 1-6.) On February 5, 2021, Plaintiff initiated this civil action, requesting this Court’s reversal of ALJ Iafe’s Decision and a resulting remand for further administrative proceedings. (Doc. No. 1). Two months later, on April 8, 2021, Plaintiff filed with the Commissioner another application for supplemental security income benefits under Title XVI and disability insurance benefits under Title II and Part A of Title XVIII of the Act. (AR 1276-93.) On November 21, 2021, the Commissioner found Plaintiff disabled as of July 2, 2020, which was one day after ALJ Iafe determined that Plaintiff was not disabled. (Doc. No. 13, Exhibit [“Exh.”] 1; AR 7-24.) a. Plaintiff’s Medical History Plaintiff is a 55-year-old male who alleges that he is unable to work because of his disability and entitled to disability insurance benefits under Title II and Part A of Title XVIII of the Social Security Act on account of his disability. (AR 230.) Plaintiff claims that, since March 24, 2018, he has been unable to work because he suffers from physical and mental impairments. (AR 263.) In March 2018, Plaintiff underwent a quintuple bypass where doctors removed a vein from his leg to replace one in his heart. (AR 269.) Plaintiff attributes his physical impairments to fatigue, hypertension, diabetes, and high cholesterol. (AR 263.) Further, Plaintiff attributes his mental impairments to short term memory loss. (Id.) Plaintiff reports taking Amlodipine and Losartan for hypertension, Aspirin and Carvedilol for his heart conditions, Humulin insulin and Metformin for his diabetes, Atorvastatin for his elevated cholesterol, and ferrous sulfate for his iron deficiency. (AR 325.) Between March 2018 and October 2019, Plaintiff treated with various physicians for his physical and mental impairments. Specifically, Plaintiff treated with Drs. William D. Keen, Victor Wong, and Rami Hachwi for his physical impairments and Dr. Jessica Durr for his mental impairments . (See generally AR 13-18.) Prior to Plaintiff’s alleged onset of disability, he worked 40 hours per week for over six years as a general technician. (AR 265.) b. Plaintiff, VE Sinclair, and VE Ferra’s Testimony at Hearing i. June 11, 2020, Hearing On June 11, 2020, ALJ Iafe held a telephonic hearing on Plaintiff’s period of disability and disability insurance benefits application. (AR 56.) Plaintiff was present and represented by his attorney, John Molitoris. (Id.) Bonnie Sinclair, a vocational expert, (“VE Sinclair”) was also present. (Id.) Plaintiff testified about his job duties and job history. (AR 69-71.) Plaintiff worked as a generator technician for 15 to 20 years, where he maintained and serviced backup generators for multi-story buildings, including hospitals, hotels, and court offices. (Id.) Plaintiff’s position required a lot of heavy lifting, long hours, and out-of-town travel. (AR 69.) When ALJ Iafe asked Plaintiff to describe why he is unable to presently work, Plaintiff identified various physical and mental impairments. (AR 76.) Plaintiff complained of a lack of physical strength, fatigue, left foot numbness, and a strange “cotton ball” sensation on the bottom of his left foot. (AR 76-78.) Additionally, Plaintiff testified that he has used a cane since his quintuple bypass surgery. (AR 76, 269.) Due to fatigue, Plaintiff asserted that he could only lift 15 pounds for approximately five minutes before having to sit down for 30 minutes to recover. (AR 83-84.) Further, Plaintiff stated he experiences fatigue after walking half of a city block and has not been able to comfortably walk more than half of a city block in over a year. (AR 84-85.) Regarding his foot issues, Plaintiff also testified he experiences back pain because he adjusted the way he walks to mitigate the numbness and cotton ball sensation. (AR 78, 88.) Finally, Plaintiff explained that sitting down alleviates

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