1 2 FILED IN THE U.S. DISTRICT COURT 3 EASTERN DISTRICT OF WASHINGTON Feb 14, 2022 4 SEAN F. MCAVOY, CLERK 5 UNITED STATES DISTRICT COURT 6 EASTERN DISTRICT OF WASHINGTON 7 NIHAD K.,1 No. 2:21-cv-00043-MKD
8 Plaintiff, ORDER DENYING PLAINTIFF’S MOTION FOR SUMMARY 9 vs. JUDGMENT AND GRANTING DEFENDANT’S MOTION FOR 10 KILOLO KIJAKAZI, ACTING SUMMARY JUDGMENT COMMISSIONER OF SOCIAL 11 SECURITY, ECF Nos. 14, 16
12 Defendant. 13 Before the Court are the parties’ cross-motions for summary judgment. ECF 14 Nos. 14, 16. The Court, having reviewed the administrative record and the parties’ 15 briefing, is fully informed. For the reasons discussed below, the Court denies 16 Plaintiff’s motion, ECF No. 14, and grants Defendant’s motion, ECF No. 16. 17
18 1 To protect the privacy of plaintiffs in social security cases, the undersigned 19 identifies them by only their first names and the initial of their last names. See 20 LCivR 5.2(c). 2 1 JURISDICTION 2 The Court has jurisdiction over this case pursuant to 42 U.S.C. § 1383(c)(3).
3 STANDARD OF REVIEW 4 A district court’s review of a final decision of the Commissioner of Social 5 Security is governed by 42 U.S.C. § 405(g). The scope of review under § 405(g) is
6 limited; the Commissioner’s decision will be disturbed “only if it is not supported 7 by substantial evidence or is based on legal error.” Hill v. Astrue, 698 F.3d 1153, 8 1158 (9th Cir. 2012). “Substantial evidence” means “relevant evidence that a 9 reasonable mind might accept as adequate to support a conclusion.” Id. at 1159
10 (quotation and citation omitted). Stated differently, substantial evidence equates to 11 “more than a mere scintilla[,] but less than a preponderance.” Id. (quotation and 12 citation omitted). In determining whether the standard has been satisfied, a
13 reviewing court must consider the entire record as a whole rather than searching 14 for supporting evidence in isolation. Id. 15 In reviewing a denial of benefits, a district court may not substitute its 16 judgment for that of the Commissioner. Edlund v. Massanari, 253 F.3d 1152,
17 1156 (9th Cir. 2001). If the evidence in the record “is susceptible to more than one 18 rational interpretation, [the court] must uphold the ALJ’s findings if they are 19 supported by inferences reasonably drawn from the record.” Molina v. Astrue, 674
20 F.3d 1104, 1111 (9th Cir. 2012), superseded on other grounds by 20 C.F.R. § 2 1 416.920(a). Further, a district court “may not reverse an ALJ’s decision on 2 account of an error that is harmless.” Id. An error is harmless “where it is
3 inconsequential to the [ALJ’s] ultimate nondisability determination.” Id. at 1115 4 (quotation and citation omitted). The party appealing the ALJ’s decision generally 5 bears the burden of establishing that it was harmed. Shinseki v. Sanders, 556 U.S.
6 396, 409-10 (2009). 7 FIVE-STEP EVALUATION PROCESS 8 A claimant must satisfy two conditions to be considered “disabled” within 9 the meaning of the Social Security Act. First, the claimant must be “unable to
10 engage in any substantial gainful activity by reason of any medically determinable 11 physical or mental impairment which can be expected to result in death or which 12 has lasted or can be expected to last for a continuous period of not less than twelve
13 months.” 42 U.S.C. § 1382c(a)(3)(A). Second, the claimant’s impairment must be 14 “of such severity that he is not only unable to do his previous work[,] but cannot, 15 considering his age, education, and work experience, engage in any other kind of 16 substantial gainful work which exists in the national economy.” 42 U.S.C. §
17 1382c(a)(3)(B). 18 The Commissioner has established a five-step sequential analysis to 19 determine whether a claimant satisfies the above criteria. See 20 C.F.R. §
20 416.920(a)(4)(i)-(v). At step one, the Commissioner considers the claimant’s work 2 1 activity. 20 C.F.R. § 416.920(a)(4)(i). If the claimant is engaged in “substantial 2 gainful activity,” the Commissioner must find that the claimant is not disabled. 20
3 C.F.R. § 416.920(b). 4 If the claimant is not engaged in substantial gainful activity, the analysis 5 proceeds to step two. At this step, the Commissioner considers the severity of the
6 claimant’s impairment. 20 C.F.R. § 416.920(a)(4)(ii). If the claimant suffers from 7 “any impairment or combination of impairments which significantly limits [his or 8 her] physical or mental ability to do basic work activities,” the analysis proceeds to 9 step three. 20 C.F.R. § 416.920(c). If the claimant’s impairment does not satisfy
10 this severity threshold, however, the Commissioner must find that the claimant is 11 not disabled. Id. 12 At step three, the Commissioner compares the claimant’s impairment to
13 severe impairments recognized by the Commissioner to be so severe as to preclude 14 a person from engaging in substantial gainful activity. 20 C.F.R. § 15 416.920(a)(4)(iii). If the impairment is as severe or more severe than one of the 16 enumerated impairments, the Commissioner must find the claimant disabled and
17 award benefits. 20 C.F.R. § 416.920(d). 18 If the severity of the claimant’s impairment does not meet or exceed the 19 severity of the enumerated impairments, the Commissioner must pause to assess
20 the claimant’s “residual functional capacity.” Residual functional capacity (RFC), 2 1 defined generally as the claimant’s ability to perform physical and mental work 2 activities on a sustained basis despite his or her limitations, 20 C.F.R. §
3 416.945(a)(1), is relevant to both the fourth and fifth steps of the analysis. 4 At step four, the Commissioner considers whether, in view of the claimant’s 5 RFC, the claimant is capable of performing work that he or she has performed in
6 the past (past relevant work). 20 C.F.R. § 416.920(a)(4)(iv). If the claimant is 7 capable of performing past relevant work, the Commissioner must find that the 8 claimant is not disabled. 20 C.F.R. § 416.920(f). If the claimant is incapable of 9 performing such work, the analysis proceeds to step five.
10 At step five, the Commissioner considers whether, in view of the claimant’s 11 RFC, the claimant is capable of performing other work in the national economy. 12 20 C.F.R. § 416.920(a)(4)(v). In making this determination, the Commissioner
13 must also consider vocational factors such as the claimant’s age, education and 14 past work experience. Id. If the claimant is capable of adjusting to other work, the 15 Commissioner must find that the claimant is not disabled. 20 C.F.R. § 16 416.920(g)(1). If the claimant is not capable of adjusting to other work, analysis
17 concludes with a finding that the claimant is disabled and is therefore entitled to 18 benefits. Id. 19 The claimant bears the burden of proof at steps one through four above.
20 Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999). If the analysis proceeds to 2 1 step five, the burden shifts to the Commissioner to establish that (1) the claimant is 2 capable of performing other work; and (2) such work “exists in significant
3 numbers in the national economy.” 20 C.F.R. § 416.960(c)(2); Beltran v. Astrue, 4 700 F.3d 386, 389 (9th Cir. 2012). 5 ALJ’S FINDINGS
6 On October 26, 2018, Plaintiff applied for Title XVI supplemental security 7 income benefits alleging a disability onset date of January 1, 2011. Tr. 15, 68, 8 181-87. The application was denied initially, and on reconsideration. Tr. 84-89, 9 94-104. Plaintiff appeared before an administrative law judge (ALJ) on July 21,
10 2020. Tr. 29-53. On September 2, 2020, the ALJ denied Plaintiff’s claim. Tr. 12- 11 28. 12 At step one of the sequential evaluation process, the ALJ found Plaintiff has
13 not engaged in substantial gainful activity since October 26, 2018. Tr. 17. At step 14 two, the ALJ found that Plaintiff has the following severe impairments: 15 degenerative disc disease of the lumbar spine, headaches, depressive disorder, and 16 posttraumatic stress disorder (PTSD). Id.
17 At step three, the ALJ found Plaintiff does not have an impairment or 18 combination of impairments that meets or medically equals the severity of a listed 19 impairment. Id. The ALJ then concluded that Plaintiff has the RFC to perform
20 light work with the following limitations: 2 1 [Plaintiff] requires a sit-stand option (defined as changing from a sitting position to a standing position, and vice versa, every thirty 2 minutes for five minutes at the claimant’s discretion or at all, while remaining at the workstation. Sit-stand at will would also be 3 acceptable). She cannot climb ladders, ropes and scaffolds and can only occasionally stoop, kneel, crouch, crawl, climb ramps/stairs, and 4 reach overhead with the right upper extremity with frequent handling and fingering. She [ ] can have no exposure to extreme temperatures 5 (cold/heat), wetness, humidity, moving or dangerous machinery, unprotected heights, or bright sunlight or flashing lights (a computer 6 monitor would not be included). She would also need simple routine repetitive work in a predictable low-stress work environment that did 7 not require any English reading or writing skills, or a production pace or conveyor belts, and no more than occasional and simple workplace 8 changes.
9 Tr. 19. 10 At step four, the ALJ found Plaintiff has no past relevant work. Tr. 22. At 11 step five, the ALJ found that, considering Plaintiff’s age, education, work 12 experience, RFC, and testimony from the vocational expert, there were jobs that 13 existed in significant numbers in the national economy that Plaintiff could perform, 14 such as photo copier, parking lot attendant, and small products assembler. Tr. 23. 15 Therefore, the ALJ concluded Plaintiff was not under a disability, as defined in the 16 Social Security Act, from the date of the application through the date of the 17 decision. Tr. 24. 18 On November 27, 2020, the Appeals Council denied review of the ALJ’s 19 decision, Tr. 1-6, making the ALJ’s decision the Commissioner’s final decision for 20 purposes of judicial review. See 42 U.S.C. § 1383(c)(3). 2 1 ISSUES 2 Plaintiff seeks judicial review of the Commissioner’s final decision denying
3 her supplemental security income benefits under Title XVI of the Social Security 4 Act. Plaintiff raises the following issues for review: 5 1. Whether the ALJ properly evaluated Plaintiff’s symptom claims; and
6 2. Whether the ALJ properly evaluated the medical opinion evidence.2 7 ECF No. 14 at 13. 8 DISCUSSION 9 A. Plaintiff’s Symptom Claims
10 Plaintiff faults the ALJ for failing to rely on reasons that were clear and 11 convincing in discrediting her symptom claims. ECF No. 14 at 14-17. An ALJ 12 engages in a two-step analysis to determine whether to discount a claimant’s
13 testimony regarding subjective symptoms. SSR 16–3p, 2016 WL 1119029, at *2. 14 “First, the ALJ must determine whether there is objective medical evidence of an 15 underlying impairment which could reasonably be expected to produce the pain or 16 other symptoms alleged.” Molina, 674 F.3d at 1112 (quotation marks omitted).
18 2 Plaintiff lists a third issue, but the issue only addresses whether the first two 19 issues resulted in harmful error and does not raise any new arguments. ECF No. 20 14 at 14, 19. As such, the issue is addressed in the first two sections. 2 1 “The claimant is not required to show that [the claimant’s] impairment could 2 reasonably be expected to cause the severity of the symptom [the claimant] has
3 alleged; [the claimant] need only show that it could reasonably have caused some 4 degree of the symptom.” Vasquez v. Astrue, 572 F.3d 586, 591 (9th Cir. 2009). 5 Second, “[i]f the claimant meets the first test and there is no evidence of
6 malingering, the ALJ can only reject the claimant’s testimony about the severity of 7 the symptoms if [the ALJ] gives ‘specific, clear and convincing reasons’ for the 8 rejection.” Ghanim v. Colvin, 763 F.3d 1154, 1163 (9th Cir. 2014) (citations 9 omitted). General findings are insufficient; rather, the ALJ must identify what
10 symptom claims are being discounted and what evidence undermines these claims. 11 Id. (quoting Lester v. Chater, 81 F.3d 821, 834 (9th Cir. 1995); Thomas v. 12 Barnhart, 278 F.3d 947, 958 (9th Cir. 2002) (requiring the ALJ to sufficiently
13 explain why it discounted claimant’s symptom claims)). “The clear and 14 convincing [evidence] standard is the most demanding required in Social Security 15 cases.” Garrison v. Colvin, 759 F.3d 995, 1015 (9th Cir. 2014) (quoting Moore v. 16 Comm’r of Soc. Sec. Admin., 278 F.3d 920, 924 (9th Cir. 2002)).
17 Factors to be considered in evaluating the intensity, persistence, and limiting 18 effects of a claimant’s symptoms include: 1) daily activities; 2) the location, 19 duration, frequency, and intensity of pain or other symptoms; 3) factors that
20 precipitate and aggravate the symptoms; 4) the type, dosage, effectiveness, and 2 1 side effects of any medication an individual takes or has taken to alleviate pain or 2 other symptoms; 5) treatment, other than medication, an individual receives or has
3 received for relief of pain or other symptoms; 6) any measures other than treatment 4 an individual uses or has used to relieve pain or other symptoms; and 7) any other 5 factors concerning an individual’s functional limitations and restrictions due to
6 pain or other symptoms. SSR 16-3p, 2016 WL 1119029, at *7; 20 C.F.R. § 7 416.929(c). The ALJ is instructed to “consider all of the evidence in an 8 individual’s record,” to “determine how symptoms limit ability to perform work- 9 related activities.” SSR 16-3p, 2016 WL 1119029, at *2.
10 The ALJ found that Plaintiff’s medically determinable impairments could 11 reasonably be expected to cause some of the alleged symptoms, but that Plaintiff’s 12 statements concerning the intensity, persistence, and limiting effects of her
13 symptoms were not entirely consistent with the evidence. Tr. 20. 14 1. Inconsistent Objective Medical Evidence 15 The ALJ found Plaintiff’s symptom claims were inconsistent with the 16 objective medical evidence. Tr. 20-21. An ALJ may not discredit a claimant’s
17 symptom testimony and deny benefits solely because the degree of the symptoms 18 alleged is not supported by objective medical evidence. Rollins, 261 F.3d at 857; 19 Bunnell v. Sullivan, 947 F.2d 341, 346-47 (9th Cir. 1991); Fair, 885 F.2d at 601;
20 Burch v. Barnhart, 400 F.3d 676, 680 (9th Cir. 2005). However, the objective 2 1 medical evidence is a relevant factor, along with the medical source’s information 2 about the claimant’s pain or other symptoms, in determining the severity of a
3 claimant’s symptoms and their disabling effects. Rollins, 261 F.3d at 857; 20 4 C.F.R. § 416.929(c)(2). 5 First, the ALJ found Plaintiff’s physical complaints were inconsistent with
6 the objective evidence. Tr. 20. In 2016, Plaintiff’s back impairment was described 7 in imaging as a very slight anterior displacement and was then described as a T6-7 8 shallow right paracentral disc protrusion which contacted the ventral surface of the 9 cervical cord in 2018. Id. (citing Tr. 284, 293, 318). Plaintiff was diagnosed with
10 chronic low back pain without sciatica, and Plaintiff was referred to physical 11 therapy; the ALJ noted Plaintiff was also resistant to doing physical therapy. Tr. 12 20 (citing Tr. 283, 293). Plaintiff was then referred to a specialist, and she
13 underwent two injections with improvement, and she declined to undergo the 14 recommended radiofrequency ablation. Tr. 20 (citing Tr. 486, 504). Medical 15 records generally document normal gait, an ability to move all extremities easily, 16 negative straight leg raise tests, and some tenderness and limitations in range of
17 motion. Tr. 311, 386, 460, 467, 477. Plaintiff’s migraines were noted as well- 18 controlled and improved with medication. Tr. 20 (citing Tr. 296, 302, 308). 19 Second, the ALJ found Plaintiff’s mental health symptom claims were
20 inconsistent with the objective evidence. Tr. 21. One of Plaintiff’s providers 2 1 noted that some of Plaintiff’s reporting was inconsistent and her distress was out of 2 proportion for the amount of time she had been in the country. Id., Tr. 357. At Dr.
3 Everhart’s examination, Plaintiff had several abnormalities, but many were related 4 to Plaintiff’s lack of language and math skills, such as an inability to recognize the 5 letters and numbers on the Trails testing. Tr. 21, 384-85. Dr. Everhart noted
6 Plaintiff had normal eye contact, she remained on task and not easily distracted, 7 and she is able to follow simple instructions and three-step tasks, with language 8 interpretation. Tr. 386. Plaintiff’s counseling records contain minimal objective 9 evidence, and the records generally document Plaintiff reporting she was doing
10 well, and medication was improving her symptoms. Tr. 21, 355, 389, 399, 405. 11 The limited mental status examinations are largely normal, including normal 12 appearance, behavior, eye contact, attitude, level of consciousness, speech, fund of
13 knowledge, memory, and thought content, although she was circumstantial with a 14 depressed mood and affect and only partial insight and fair judgment at some 15 appointments. Tr. 356, 390-91, 400-01, 403-04, 406-07, 515-16, 518-19, 520-21. 16 On this record, the ALJ reasonably found Plaintiff’s symptom claims were
17 inconsistent with the objective medical evidence. This was a clear and convincing 18 reason, along with the other reasons offered, to reject Plaintiff’s symptom claims. 19
20 2 1 2. Improvement with Treatment 2 The ALJ found Plaintiff’s symptom claims were inconsistent with her
3 improvement with treatment. Tr. 20-21. The effectiveness of treatment is a 4 relevant factor in determining the severity of a claimant’s symptoms. 20 C.F.R. § 5 416.913(c)(3); see Warre v. Comm’r of Soc. Sec. Admin., 439 F.3d 1001, 1006 (9th
6 Cir. 2006); Tommasetti v. Astrue, 533 F.3d 1035, 1040 (9th Cir. 2008) (a favorable 7 response to treatment can undermine a claimant’s complaints of debilitating pain or 8 other severe limitations). 9 First, the ALJ found Plaintiff’s physical symptoms improved with treatment.
10 Tr. 20. The ALJ noted Plaintiff’s headaches were well-controlled with medication. 11 Id. Plaintiff was prescribed Imitrex for her headaches, and Plaintiff reported she 12 was continuing to have migraines, but they were improving with medication. Tr.
13 296, 302, 394. She later reported her migraines were well controlled. Tr. 308. 14 Plaintiff reported improvement in her spinal pain with injections and physical 15 therapy. Tr. 20 (citing Tr. 484, 486); Tr. 283. Plaintiff was offered radiofrequency 16 ablation, which she declined. Tr. 20 (citing Tr. 504). The ALJ’s finding that
17 Plaintiff’s physical symptoms improved with treatment is supported by substantial 18 evidence. 19 Second, the ALJ found Plaintiff’s mental health symptoms improved with
20 treatment. Tr. 21. Plaintiff reported improvement with medication, and stated her 2 1 regimen was helping her depression. Id. Plaintiff tried multiple antidepressants 2 but was unable to tolerate them. Tr. 270. She reported bupropion made her tired,
3 and fluoxetine and citalopram caused headaches. Tr. 274, 515. She later reported 4 she was “doing fairly well,” and at one visit, she stated she needed an increase in 5 her medication for her depression, and she later reported her medication was
6 helping her depression, though her pain keeps her depressed. Tr. 355, 357, 389, 7 391, 399, 401. She also requested an increase in trazodone due to her ongoing 8 sleep issues, and she was started on prazosin in 2020 for her nightmares. Tr. 514- 9 16. Despite treatment with counseling and medication, Plaintiff reported ongoing
10 depression, nightmares, impaired sleep, and isolation. Tr. 426, 430, 438, 442. 11 However, as discussed supra, despite complaints of ongoing symptoms, Plaintiff’s 12 mental status examinations were largely normal. On this record, the ALJ
13 reasonably found Plaintiff’s symptom claims were inconsistent with her 14 improvement with treatment. This was a clear and convincing reason, supported 15 by substantial evidence, to reject Plaintiff’s symptom claims. 16 3. Activities of Daily Living
17 The ALJ found Plaintiff’s symptom claims were inconsistent with her 18 activities of daily living. Tr. 18, 20-21. The ALJ may consider a claimant’s 19 activities that undermine reported symptoms. Rollins v. Massanari, 261 F.3d 853,
20 857 (9th Cir. 2001). If a claimant can spend a substantial part of the day engaged 2 1 in pursuits involving the performance of exertional or non-exertional functions, the 2 ALJ may find these activities inconsistent with the reported disabling symptoms.
3 Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989); Molina, 674 F.3d at 1113. 4 “While a claimant need not vegetate in a dark room in order to be eligible for 5 benefits, the ALJ may discount a claimant’s symptom claims when the claimant
6 reports participation in everyday activities indicating capacities that are 7 transferable to a work setting” or when activities “contradict claims of a totally 8 debilitating impairment.” Molina, 674 F.3d at 1112-13. 9 The ALJ found Plaintiff is independent in all activities of daily living,
10 including caring for her children, shopping, cooking, and maintaining a household. 11 Tr. 18. The ALJ noted Plaintiff reported standing for long periods of time doing 12 housework and she reported improvement in her ability to perform activities, Tr.
13 20, and she has reported shopping alone and maintaining family relations, Tr. 21. 14 Plaintiff also reported being able to take care of her personal hygiene. Id. A 15 provider noted Plaintiff is able to leave her home, care for her children, and go 16 shopping. Tr. 286. Plaintiff reported receiving some assistance from family with
17 activities, and reported pain with some activities. Tr. 43, 210-15, 386, 506. 18 Plaintiff reported improvement in her ability to perform activities with treatment 19 with physical therapy. Tr. 458, 475, 502.
20 2 1 While the records document Plaintiff’s ability to care for her children, they 2 do not contain any additional information regarding what the childcare entails.
3 See, e.g., Tr. 273, 357, 391, 401, 406, 516. The ability to care for others without 4 help has been considered an activity that may undermine claims of totally disabling 5 pain. Rollins, 261 F.3d at 857. However, if the care activities are to serve as a
6 basis for the ALJ to discredit the Plaintiff’s symptom claims, the record must 7 identify the nature, scope, and duration of the care involved and this care must be 8 “hands on” rather than a “one-off” care activity. Trevizo v. Berryhill, 871 F.3d 9 664, 675-76 (9th Cir. 2017). The ALJ did not identify the nature, scope, nor
10 duration of the childcare. However, any error in the consideration of Plaintiff’s 11 ability to provide childcare is harmless as the ALJ gave other supported reasons to 12 reject Plaintiff’s symptom claims. Plaintiff is not entitled to remand on these
13 grounds. 14 B. Medical Opinion Evidence 15 Plaintiff argues the ALJ erred in rejecting the opinion of Joyce Everhart, 16 Ph.D. ECF No. 14 at 17-19. Plaintiff also argues the ALJ erred in not giving
17 weight to “counselor’s findings” and “treatment records” but does not cite to any 18 specific opinions. Id. 19 As an initial matter, for claims filed on or after March 27, 2017, new
20 regulations apply that change the framework for how an ALJ must evaluate 2 1 medical opinion evidence. Revisions to Rules Regarding the Evaluation of 2 Medical Evidence, 2017 WL 168819, 82 Fed. Reg. 5844-01 (Jan. 18, 2017); 20
3 C.F.R. § 416.920c. The new regulations provide that the ALJ will no longer “give 4 any specific evidentiary weight…to any medical opinion(s)…” Revisions to Rules, 5 2017 WL 168819, 82 Fed. Reg. 5844, at 5867-68; see 20 C.F.R. §
6 416.920c(a). Instead, an ALJ must consider and evaluate the persuasiveness of all 7 medical opinions or prior administrative medical findings from medical sources. 8 20 C.F.R. § 416.920c(a) and (b). The factors for evaluating the persuasiveness of 9 medical opinions and prior administrative medical findings include supportability,
10 consistency, relationship with the claimant (including length of the treatment, 11 frequency of examinations, purpose of the treatment, extent of the treatment, and 12 the existence of an examination), specialization, and “other factors that tend to
13 support or contradict a medical opinion or prior administrative medical finding” 14 (including, but not limited to, “evidence showing a medical source has familiarity 15 with the other evidence in the claim or an understanding of our disability 16 program’s policies and evidentiary requirements”). 20 C.F.R. § 416.920c(c)(1)-
17 (5). 18 Supportability and consistency are the most important factors, and therefore 19 the ALJ is required to explain how both factors were considered. 20 C.F.R. §
20 416.920c(b)(2). Supportability and consistency are explained in the regulations: 2 1 (1) Supportability. The more relevant the objective medical evidence and supporting explanations presented by a medical source are to 2 support his or her medical opinion(s) or prior administrative medical finding(s), the more persuasive the medical opinions or 3 prior administrative medical finding(s) will be.
4 (2) Consistency. The more consistent a medical opinion(s) or prior administrative medical finding(s) is with the evidence from other 5 medical sources and nonmedical sources in the claim, the more persuasive the medical opinion(s) or prior administrative medical 6 finding(s) will be.
7 20 C.F.R. § 416.920c(c)(1)-(2). The ALJ may, but is not required to, explain how 8 the other factors were considered. 20 C.F.R. § 416.920c(b)(2). However, when 9 two or more medical opinions or prior administrative findings “about the same 10 issue are both equally well-supported ... and consistent with the record ... but are 11 not exactly the same,” the ALJ is required to explain how “the other most 12 persuasive factors in paragraphs (c)(3) through (c)(5)” were considered. 20 C.F.R. 13 § 416.920c(b)(3). 14 The parties disagree over whether Ninth Circuit case law continues to be 15 controlling in light of the amended regulations, specifically whether the “clear and 16 convincing” and “specific and legitimate” standards still apply. ECF No. 14 at 17- 17 18; ECF No. 16 at 8-10. “It remains to be seen whether the new regulations will 18 meaningfully change how the Ninth Circuit determines the adequacy of [an] ALJ’s 19 reasoning and whether the Ninth Circuit will continue to require that an ALJ 20 provide ‘clear and convincing’ or ‘specific and legitimate reasons’ in the analysis 2 1 of medical opinions, or some variation of those standards.” Gary T. v. Saul, No. 2 EDCV 19-1066-KS, 2020 WL 3510871, at *3 (C.D. Cal. June 29,
3 2020) (citing Patricia F. v. Saul, No. C19-5590-MAT, 2020 WL 1812233, at *3 4 (W.D. Wash. Apr. 9, 2020)). “Nevertheless, the Court is mindful that it must defer 5 to the new regulations, even where they conflict with prior judicial precedent,
6 unless the prior judicial construction ‘follows from the unambiguous terms of the 7 statute and thus leaves no room for agency discretion.’” Gary T., 2020 WL 8 3510871, at *3 (citing Nat’l Cable & Telecomms. Ass’n v. Brand X Internet 9 Services, 545 U.S. 967, 981-82 (2005); Schisler v. Sullivan, 3 F.3d 563, 567-58 (2d
10 Cir. 1993) (“New regulations at variance with prior judicial precedents are upheld 11 unless ‘they exceeded the Secretary’s authority [or] are arbitrary and 12 capricious.’”).
13 There is not a consensus among the district courts as to whether the “clear 14 and convincing” and “specific and legitimate” standards continue to apply. See, 15 e.g., Kathleen G. v. Comm’r of Soc. Sec., 2020 WL 6581012, at *3 (W.D. Wash. 16 Nov. 10, 2020) (applying the specific and legitimate standard under the new
17 regulations); Timothy Mitchell B., v. Kijakazi, 2021 WL 3568209, at *5 (C.D. Cal. 18 Aug. 11, 2021) (stating the court defers to the new regulations); Agans v. Saul, 19 2021 WL 1388610, at *7 (E.D. Cal. Apr. 13, 2021) (concluding that the new
20 regulations displace the treating physician rule and the new regulations control); 2 1 Madison L. v. Kijakazi, No. 20-CV-06417-TSH, 2021 WL 3885949, at *4-6 (N.D. 2 Cal. Aug. 31, 2021) (applying only the new regulations and not the specific and
3 legitimate nor clear and convincing standard). This Court has held that an ALJ did 4 not err in applying the new regulations over Ninth Circuit precedent, because the 5 result did not contravene the Administrative Procedure Act’s requirement that
6 decisions include a statement of “findings and conclusions, and the reasons or basis 7 therefor, on all the material issues of fact, law, or discretion presented on the 8 record.” See, e.g., Jeremiah F. v. Kijakazi, No. 2:20-CV-00367-SAB, 2021 WL 9 4071863, at *5 (E.D. Wash. Sept. 7, 2021). Nevertheless, it is not clear that the
10 Court’s analysis in this matter would differ in any significant respect under the 11 specific and legitimate standard set forth in Lester, 81 F.3d at 830-31. 12 Plaintiff has not set forth an argument with any specificity regarding the
13 ALJ’s rejection of Dr. Everhart’s opinion. Plaintiff has not challenged any of the 14 reasons the ALJ gave to reject the opinion beyond arguing Dr. Everhart’s opinion 15 should have been given more weight than the State agency consultant’s opinions. 16 See ECF No. 14 at 17-19. Plaintiff also has not demonstrated how the rejection of
17 Dr. Everhart’s opinion would be harmful error, as Plaintiff only states that proper 18 consideration would have resulted in a different RFC but does not state how the 19 RFC would be different. Id. at 19. Plaintiff also has not set forth an argument with
20 any specificity regarding any other medical opinion in the record. Thus, any 2 1 challenge to those findings is waived and the Court declines to address the issue. 2 See Carmickle v. Comm’r of Soc. Sec. Admin., 533 F.3d 1155, 1161 n.2 (9th Cir.
3 2008). The Ninth Circuit “has repeatedly admonished that [it] cannot 4 ‘manufacture arguments for an appellant.’” Indep. Towers of Washington v. 5 Washington, 350 F.3d 925, 929 (9th Cir. 2003) (quoting Greenwood v. Fed.
6 Aviation Admin., 28 F.3d 971, 977 (9th Cir.1994)). Rather, the Court will “review 7 only issues which are argued specifically and distinctly.” Indep. Towers, 350 F.3d 8 at 929. When a claim of error is not argued and explained, the argument is waived. 9 Id. at 929-30 (holding that party’s argument was waived because the party made
10 only a “bold assertion” of error, with “little if any analysis to assist the court in 11 evaluating its legal challenge”); see also Hibbs v. Dep’t of Human Res., 273 F.3d 12 844, 873 n.34 (9th Cir.2001) (finding an allegation of error was “too undeveloped
13 to be capable of assessment”). Plaintiff is not entitled to remand on these grounds. 14 CONCLUSION 15 Having reviewed the record and the ALJ’s findings, the Court concludes the 16 ALJ’s decision is supported by substantial evidence and is free of harmful legal
17 error. Accordingly, IT IS HEREBY ORDERED: 18 1. The District Court Executive is directed to substitute Kilolo Kijakazi as 19 Defendant and update the docket sheet.
20 2. Plaintiff’s Motion for Summary Judgment, ECF No. 14, is DENIED. 2 1 3. Defendant’s Motion for Summary Judgment, ECF No. 16, is 2 GRANTED.
3 4. The Clerk’s Office shall enter JUDGMENT in favor of Defendant. 4 The District Court Executive is directed to file this Order, provide copies to 5 counsel, and CLOSE THE FILE.
6 DATED February 14, 2022. 7 s/Mary K. Dimke MARY K. DIMKE 8 UNITED STATES DISTRICT JUDGE 9 10 11 12
13 14 15 16
17 18 19
20 2