Maserang v. Saul

District Court, S.D. California·Decided March 29, 2021·No. 3:19-cv-02010·Unknown

Opinion

ZSCAQULINE M., Case No.: 19-cv-2010-DEB

Plaintiff, ORDER REVERSING DENIAL OF v. BENEFITS AND REMANDING FOR FURTHER PROCEEDINGS ANDREW SAUL, Commissioner of

Social Security, [DKT. NO. 19] Defendant.

On October 18, 2019, Plaintiff Zscaquline M. filed a Complaint pursuant to 42 U.S.C. § 405(g) seeking judicial review of a decision by the Commissioner of Social Security denying her applications for disability insurance benefits and Supplemental Security Income (“SSI”). Dkt. No. 1. The parties filed a Joint Motion for Judicial Review of the administrative law judge’s (“ALJ”) decision denying Plaintiff benefits. Dkt. No. 19. For the reasons discussed below, the denial of benefits is reversed and the case is remanded for further proceedings. Plaintiff is a 47-year-old female who alleges disability beginning on May 17, 2011 due to osteoarthritis, rheumatoid arthritis, a knee impairment, disc bulges in her neck and back, obesity, and sleep apnea. AR 459-60, 462. This is Plaintiff’s second appeal of the Social Security Administration’s denial of her January 31, 2013 claims for disability benefits under Title II of the Social Security Act (the “Act”), 42 U.S.C. §§ 401-433 (AR 182-85), and for SSI under Title XVI of the Act, 42 U.S.C. §§ 1381-1383f (AR 176-81). On September 19, 2014, the ALJ held the first administrative hearing. AR 36-58. On January 14, 2015, the ALJ denied Plaintiff’s claims (AR 18-34), and his decision became final when the Appeals Council denied Plaintiff’s request for review on June 14, 2016 (AR 1-6). See 42 U.S.C. § 405(h). Plaintiff filed suit and this Court remanded after finding the ALJ erred by applying a res judicata presumption of continuing non-disability based on the denial of Plaintiff’s 2008 applications for benefits. AR 531-54.2 Following remand, the ALJ held a second administrative hearing on April 24, 2019. AR 477-95. On June 25, 2019, the ALJ issued a decision denying Plaintiff’s claim for benefits. AR 456-76. That decision became final 60 days later because Plaintiff did not request further review. Dkt. No. 1 at 2. Plaintiff then filed the present Complaint. Dkt. No. 1. In rendering his decision, the ALJ followed the five-step sequential evaluation process. AR 462-69. At step one, the ALJ found that Plaintiff had not engaged in substantial gainful activity since the onset of her alleged disability. AR 462.

1 “AR” refers to the Administrative Record lodged with this Court on January 7, 2020. Dkt. No. 12-13. The Court’s citations to the AR use the page references on the original document rather than the page numbers designated by the Court’s case management/electronic case filing system (“CM/ECF”). For all other documents, the Court’s citations are to the page numbers affixed by the CM/ECF. 2 Plaintiff filed prior claims for Title II and Title XVI benefits in November 2008. The Social Security Administration denied the claims upon finding that Plaintiff was not disabled. AR 459-60. The current applications are based on the same claimed disabilities, with the addition of obesity and sleep apnea. AR 462. At step two, the ALJ found that Plaintiff had the following severe impairments: polyarthralgia, arthritis, chondromalacia patellar, and fibromyalgia. Id. He also found that Plaintiff’s obesity and sleep apnea were not severe. Id. At step three, the ALJ found that Plaintiff did not have an impairment or combination of impairments that met or medically equaled those in the Commissioner’s Listing of Impairments. AR 463. Before proceeding to step four, the ALJ determined that Plaintiff had the residual functional capacity (“RFC”) to perform a full range of sedentary work as defined in 20 C.F.R. §§ 404.1567(a) and 416.967(a). AR 463-68. In reaching this conclusion, the ALJ found that Plaintiff’s testimony regarding the intensity, persistence, and limiting effects of her symptoms was not credible. The ALJ also rejected the opinion of Plaintiff’s treating physician, Dr. Roshan Kotha, that Plaintiff’s impairments rendered her unable to perform sedentary work.3 Id. At step four, the ALJ concluded that Plaintiff could not perform her past relevant work. AR 468. Finally, at step five, the ALJ accepted the vocational expert’s testimony that a hypothetical person with Plaintiff’s vocational profile and RFC could perform the requirements of occupations that existed in significant numbers in the national economy. AR 468-69. The ALJ, therefore, concluded Plaintiff was not disabled. AR 469. Plaintiff raises two issues as grounds for reversal and remand: 1. Whether the ALJ erred by rejecting Dr. Kotha’s opinions; and

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