Miller v. Saul

District Court, N.D. California·Decided March 30, 2022·No. 5:20-cv-05304·Unknown

Opinion

S.M., Case No. 20-cv-05304-SVK

Plaintiff, ORDER ON CROSS-MOTIONS FOR v. SUMMARY JUDGMENT

ANDREW SAUL, Re: Dkt. Nos. 23, 26 Defendant.

Plaintiff appeals from the final decision of the Commissioner of Social Security, which awarded her disability benefits for the period beginning April 8, 2018 but denied benefits for the period April 1, 2016 to April 7, 2018. The Parties have consented to the jurisdiction of a magistrate judge. Dkt. 8, 18. For the reasons discussed below, the Court GRANTS Plaintiff’s motion for summary judgment (Dkt. 23) and DENIES Defendant Commissioner’s cross-motion for summary judgment (Dkt. 26). On or about October 3, 2017, Plaintiff filed applications for Title II disability insurance benefits and Title VII supplemental security income. See Dkt. 21 (Administrative Record (“AR”)) 249-254, AR 272-274. After a hearing, an Administrative Law Judge (“ALJ”) issued a decision finding that Plaintiff was disabled beginning on April 8, 2018 but was not disabled prior to that date. AR 12-36 (the “ALJ Decision”). The ALJ concluded that since April 1, 2016 (the onset date claimed by Plaintiff), Plaintiff suffered from the following severe impairments: complex regional pain syndrome (CRPS) type 1, anxiety disorder, polycystic ovary syndrome (PCOS), and fibromyalgia. AR 18. The ALJ concluded that other impairments “described, or mentioned in passing” in the record, including insomnia, affective disorder, irritable bowel syndrome (IBS), and medical marijuana use, were not severe. AR 18-19. The ALJ found that prior to April 8, 2018, Plaintiff had the residual functional capacity (“RFC”) to perform sedentary work with certain limitations and would be absent once a month. AR 21. The ALJ found that beginning on April 8, 2018, Plaintiff had the RFC to perform sedentary work with the same limitations except that she would be absent 3 times per month. AR 26-27. The ALJ determined that Plaintiff had been unable to perform her past relevant work as an animal caretaker, housesitter, and home attendant since April 1, 2016. AR 28-29. The ALJ found that before April 8, 2018, there were other jobs that Plaintiff could perform. AR 29-30. However, he found that from that date on, there were no jobs existing in significant numbers in the national economy that Plaintiff could perform. AR 30-31. Accordingly, the ALJ found that Plaintiff was disabled beginning on April 8, 2018, but she was not disabled before that date. AR 31. The issue in this case is whether Plaintiff is entitled to benefits for the period April 1, 2016 (the date Plaintiff claims her disability began) to April 7, 2018 (the day before the date the ALJ found her to be disabled). Following the Appeals Council’s denial of Plaintiff’s request to review the ALJ Decision (AR 1-6), Plaintiff timely appealed the ALJ Decision to this Court. Dkt. 1 (Complaint). In accordance with Civil Local Rule 16-5, the parties filed cross-motions for summary judgment (Dkt. 23, 26), which are now ready for decision without oral argument. II. ISSUES FOR REVIEW 1. Did the ALJ properly evaluate the medical evidence? 2. Did the ALJ properly evaluate Plaintiff’s credibility? 3. Did the ALJ properly evaluate the lay witness statements? 4. Did the ALJ properly evaluate Plaintiff’s residual functional capacity and her ability to perform other work for the period prior to April 8, 2018? III. STANDARD OF REVIEW This Court is authorized to review the Commissioner’s decision to deny disability benefits, but “a federal court’s review of Social Security determinations is quite limited.” Brown-Hunter v. Colvin, 806 F.3d 487, 492 (9th Cir. 2015); see also 42 U.S.C. § 405(g). Federal courts “leave it to the ALJ to determine credibility, resolve conflicts in the testimony, and resolve ambiguities in the record.” Brown-Hunter, 806 F.3d at 492 (internal quotation marks and citation omitted). The Commissioner’s decision will be disturbed only if it is not supported by substantial evidence or if it is based on the application of improper legal standards. Id. at 492. “Under the substantial-evidence standard, a court looks to an existing administrative record and asks whether it contains sufficient evidence to support the agency’s factual determinations,” and this threshold is “not high.” Biestek v. Berryhill, -- U.S. --, 139 S. Ct. 1148, 1154 (2019) (internal quotation marks, citation, and alteration omitted); see also Rounds v. Comm’r of Soc. Sec. Admin., 807 F.3d 996, 1002 (9th Cir. 2015) (“Substantial evidence” means more than a mere scintilla but less than a preponderance; it is “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion”) (internal quotation marks and citations omitted). The Court “must consider the evidence as a whole, weighing both the evidence that supports and the evidence that detracts from the Commissioner’s conclusion.” Rounds, 807 F.3d at 1002 (internal quotation marks and citation omitted). Where the evidence is susceptible to more than one rational interpretation, the Court must uphold the ALJ’s findings if supported by inferences reasonably drawn from the record. Id. Even if the ALJ commits legal error, the ALJ’s decision will be upheld if the error is harmless. Brown-Hunter, 806 F.3d at 492. But “[a] reviewing court may not make independent findings based on the evidence before the ALJ to conclude that the ALJ’s error was harmless” and is instead “constrained to review the reasons the ALJ asserts.” Id. (internal quotation marks and citation omitted). A. Issue One: Evaluation of Medical Evidence 1. Standard for evaluating medical evidence As stated above, Plaintiff’s applications for Social Security benefits were filed in October 2017. Thus, this case is subject to Social Security Administration regulations regarding the evaluation of medical opinions that went into effect on March 27, 2017, which include a change in how medical evidence must be evaluated. “The new regulations provide that the Commissioner ‘will no longer give any specific evidentiary weight to medical opinions; this includes giving controlling weight to any medical opinion.’” V.W. v. Comm'r of Soc. Sec., No. 18-cv-07297-JCS, also 20 C.F.R. § 404.1520c(a). Instead, the Commissioner will evaluate the persuasiveness of all medical opinions based on (1) supportability; (2) consistency; (3) relationship with the claimant; (4) specialization; and (5) other factors, such as “evidence showing a medical source has familiarity with the other evidence in the claim or an understanding of our disability program's policies and evidentiary requirements.” 20 C.F.R. § 404.1520c(a), (c)(1)-(5), § 416.920c(a), (c)(1)-(5). “The two ‘most important factors for determining the persuasiveness of medical opinions are consistency and supportability,’ which are the ‘same factors’ that ‘form the foundation of the current treating source rule.’” V.W., 2020 WL 1505716, at *13 (quoting Revisions to Rules, 82 Fed. Reg. 5844-01 at 5853). When evaluating medical opinions, the Commissioner “may, but [is] not required to,” explain how the Social Security Administration considered the remaining factors listed in paragraphs (c)(3) through (c)(5) of the regulations, as appropriate. 20 C.F.R. § 404.1520c(b)(2), § 416.920c(b)(2). “Although the regulations eliminate the ‘physician hierarchy,’ deference to specific medical opinions, and assigning ‘weight’ to a medical opinion” that were required under the previous regulations, “the ALJ must still ‘articulat

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