Mczegle v. O'Malley

CourtDistrict Court, E.D. Washington
DecidedNovember 9, 2023
Docket1:23-cv-03063
StatusUnknown

This text of Mczegle v. O'Malley (Mczegle v. O'Malley) is published on Counsel Stack Legal Research, covering District Court, E.D. Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mczegle v. O'Malley, (E.D. Wash. 2023).

Opinion

1 FILED IN THE 2 U.S. DISTRICT COURT EASTERN DISTRICT OF WASHINGTON 3 Nov 09, 2023 4 SEAN F. MCAVOY, CLERK 5 6 UNITED STATES DISTRICT COURT 7 EASTERN DISTRICT OF WASHINGTON 8 9 10 NICOLE BREANN M., No. 1:23-CV-03063-SAB 11 Plaintiff, 12 v. 13 COMMISSIONER OF SOCIAL ORDER REVERSING THE 14 SECURITY ADMINISTRATION, DECISION OF COMMISSIONER 15 Defendant. 16 17 18 Plaintiff brings this action seeking judicial review of the Commissioner of 19 Social Security’s final decision denying her application for social security benefits. 20 Plaintiff is represented by D. James Tree. The Commissioner is represented by 21 Edmund Jack Darcher, Brian M. Donovan and Ryan Ta Lu. Pending before the 22 Court are Plaintiff’s Opening Brief, ECF No. 8, the Commissioner’s Brief, ECF 23 No. 10, and Plaintiff’s Reply Brief, ECF No. 11. 24 After reviewing the administrative record, briefs filed by the parties, and 25 applicable case law, the Court is fully informed. For the reasons set forth below, 26 the Court reverses the Commissioner’s decision. 27 I. Jurisdiction 28 On April 20, 2020, Plaintiff filed an application for Title XVI application 1 supplemental security income with the onset date of December 8, 2017. She later 2 amended the alleged onset date to April 20, 2020, the filing date. Plaintiff’s 3 application was denied initially and on reconsideration. Plaintiff timely requested a 4 hearing. 5 On December 22, 2021, the ALJ held a telephonic hearing. Plaintiff 6 appeared and testified before an ALJ, with the assistance of her counsel Robert 7 Tree. Jaye Stutz, vocational expert also participated. On January 24, 2022, the ALJ 8 found that Plaintiff was not disabled. 9 Plaintiff requested review by the Appeals Council; the Appeals Council 10 denied the request on March 6, 2023. The Appeals Council’s denial of review 11 makes the ALJ’s decision the “final decision” of the Commissioner of Social 12 Security, which this Court is permitted to review. 42 U.S.C. §§ 405(g), 13 1383(c)(1)(3). 14 Plaintiff filed a timely appeal on May 5, 2023. ECF No. 1. The matter is 15 before this Court pursuant to 42 U.S.C. § 405(g). 16 II. Five-Step Sequential Evaluation Process 17 The Social Security Act defines disability as the “inability to engage in any 18 substantial gainful activity by reason of any medically determinable physical or 19 mental impairment which can be expected to result in death or which has lasted or 20 can be expected to last for a continuous period of not less than twelve months.” 42 21 U.S.C. § 423(d)(1)(A), 1382c(a)(3)(A). A claimant shall be determined to be under 22 a disability only if their impairments are of such severity that the claimant is not 23 only unable to do their previous work, but cannot, considering claimant’s age, 24 education, and work experiences, engage in any other substantial gainful work that 25 exists in the national economy. 42 U.S.C. §§ 423(d)(2)(A), 1382c(a)(3)(B). The 26 Commissioner has established a five-step sequential evaluation process to 27 determine whether a person is disabled in the statute. See 20 C.F.R. 28 § 404.1520(a)(4)(i)–(v), 416.920(a)(4)(i)–(v). 1 Step One: Is the claimant engaged in substantial gainful activities? Id. 2 § 404.1520(a)(4)(i), 416.920(a)(4)(i). Substantial gainful activity is work done for 3 pay and requires compensation above the statutory minimum. Keyes v. Sullivan, 4 894 F.2d 1053, 1057 (9th Cir. 1990). If the claimant is engaged in substantial 5 activity, benefits are denied. Id. § 404.1520(b), 416.920(b). If the claimant is not, 6 the ALJ proceeds to step two. 7 Step Two: Does the claimant have a medically-severe impairment or 8 combination of impairments? Id. § 404.1520(a)(4)(ii), 416.920(a)(4)(ii). A severe 9 impairment is one that lasted or must be expected to last for at least 12 months and 10 must be proven through objective medical evidence. Id. §§ 404.1509, 416.909. If 11 the claimant does not have a severe impairment or combination of impairments, the 12 disability claim is denied. Id. §§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii). If the 13 impairment is severe, the evaluation proceeds to the third step. 14 Step Three: Does the claimant’s impairment meet or equal one of the listed 15 impairments acknowledged by the Commissioner to be so severe as to preclude 16 substantial gainful activity? Id. § 404.1520(a)(4)(iii), 416.920(a)(4)(iii). If the 17 impairment meets or equals one of the listed impairments, the claimant is 18 conclusively presumed to be disabled. Id. § 404.1520(d), 416.920(d). If the 19 impairment is not one conclusively presumed to be disabling, the evaluation 20 proceeds to the fourth step. 21 Before proceeding to the fourth step, the ALJ must first determine the 22 claimant’s residual functional capacity (RFC). An individual’s residual functional 23 capacity is their ability to do physical and mental work activities on a sustained 24 basis despite limitations from their impairments. Id. § 404.1545(a)(1), 25 416.945(a)(1). The RFC is relevant to both the fourth and fifth steps of the 26 analysis. 27 Step Four: Does the impairment prevent the claimant from performing work 28 they have performed in the past? Id. § 404.1520(a)(4)(iv), 416.920(a)(4)(iv). If the 1 claimant is able to perform their previous work, they are not disabled. Id. 2 § 404.1520(f), 416.920(f). If the claimant cannot perform this work, the evaluation 3 proceeds to the fifth and final step. 4 Step Five: Is the claimant able to perform other work in the national 5 economy in view of their age, education, and work experience? Id. 6 § 404.1520(a)(4)(v), 416.920(a)(4)(v). The initial burden of proof rests upon the 7 claimant to establish a prima facie case of entitlement to disability benefits. Tackett 8 v. Apfel, 108 F.3d 1094, 1098 (9th Cir. 1999). This burden is met once a claimant 9 establishes that a physical or mental impairment prevents him from engaging in her 10 previous occupation. Id. At step five, the burden shifts to the Commissioner to 11 show that the claimant can perform other substantial gainful activity. Id. 12 III. Standard of Review 13 The Commissioner’s determination will be set aside only when the ALJ’s 14 findings are based on legal error or are not supported by substantial evidence in the 15 record as a whole. Matney v. Sullivan, 981 F.2d 1016, 1018 (9th Cir. 1992) (citing 16 42 U.S.C. § 405(g)). Substantial evidence is “more than a mere scintilla,” 17 Richardson v. Perales, 402 U.S. 389, 401 (1971), but “less than a preponderance,” 18 Sorenson v. Weinberger, 514 F.2d 1112, 1119 n.10 (9th Cir. 1975). Substantial 19 evidence is “such relevant evidence as a reasonable mind might accept as adequate 20 to support a conclusion.” Richardson, 402 U.S. at 401. 21 A decision supported by substantial evidence will be set aside if the proper 22 legal standards were not applied in weighing the evidence and making the decision. 23 Brawner v. Secr’y of Health & Human Servs., 839 F.2d 432, 433 (9th Cir. 1988).

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