Monica S. v. Frank Bisignano, Commissioner of Social Security

District Court, E.D. Washington·Decided March 26, 2026·No. 1:24-cv-03090·Unknown

Opinion

EASTERN DISTRICT OF WASHINGTON

Mar 26, 2026

SEAN F. MCAVOY, CLERK

EASTERN DISTRICT OF WASHINGTON

MONICA S.,1 No: 1:24-CV-03090-LRS Plaintiff,

v. ORDER REVERSING AND REMANDING THE COMMISSIONER’S COMMISSIONER OF SOCIAL BENEFITS

Defendant.

BEFORE THE COURT are the parties’ briefs. ECF Nos. 10, 14. This matter was submitted for consideration without oral argument. Plaintiff is represented by attorney D. James Tree. Defendant is represented by Special Assistant United States Attorney Erin F. Highland. The Court, having reviewed the administrative record and the parties’ briefing, is fully informed. For the reasons discussed below,

1 The Court identifies a plaintiff in a Social Security case only by the first name and last initial to protect privacy. See Local Civil Rule 5.2(c). Plaintiff’s brief, ECF No. 10, is granted and Defendant’s brief, ECF No. 14, is denied. Plaintiff Monica S. (Plaintiff), filed for supplemental security income (SSI) on

June 12, 2015, and for child’s insurance benefits based on disability on June 16, 2015, alleging disability beginning June 26, 2012 in both applications. Tr. 247-59. Benefits were denied initially, Tr. 126-35, and upon reconsideration, Tr. 137-48.

Plaintiff appeared at a hearing before an administrative law judge (ALJ) on February 23, 2018. Tr. 33-71. In April 2018, the ALJ issued an unfavorable decision, Tr. 12- 32, and in February 2019, the Appeals Council denied review. Tr. 1-6. Plaintiff appealed to the United States District Court for the Eastern District of Washington

and in May 2020, the Honorable Stanley A. Bastian issued an order reversing and remanding the case for further administrative proceedings. Tr. 548-72. A second hearing was held on May 27, 2021. Tr. 478-507. In June 2021, the

ALJ issued a second unfavorable decision. Tr. 443-69. In March 2022, pursuant to the stipulation of the parties, the undersigned issued an order reversing and remanding the case for further proceedings. Tr. 955-60. A third hearing occurred on September 20, 2023. Tr. 1209-41. In March 2024, the ALJ issued a third unfavorable

decision. Tr. 927-54. The matter is now before this Court pursuant to 42 U.S.C. § 1383(c)(3). The facts of the case are set forth in the administrative hearing and transcripts, the ALJ’s decision, and the briefs of Plaintiff and the Commissioner, and are therefore only summarized here.

Plaintiff was born in 1992 and was 19 years old on the alleged onset date. Tr. 944. She testified that she finished ninth grade. Tr. 49. She has tried to get a GED but has not succeeded. Tr. 490, 1215. She has no work experience. Tr. 50. On the

alleged onset date, her father was fatally shot in her presence and she sustained a gunshot wound to her face. Tr. 50-51. Since then, the main issue preventing her from work is mental. Tr. 55. She has anxiety, PTSD, and depression. Tr. 51, 56, 1227. She has frequent flashbacks. Tr. 1232. She testified she socially isolates. Tr. 488, 493.

When she is around people she gets frustrated and her anger builds up. Tr. 496. She lashes out at people and has outbursts of anger. Tr. 1231.

A district court’s review of a final decision of the Commissioner of Social Security is governed by 42 U.S.C. § 405(g). The scope of review under § 405(g) is limited; the Commissioner’s decision will be disturbed “only if it is not supported by substantial evidence or is based on legal error.” Hill v. Astrue, 698 F.3d 1153, 1158

(9th Cir. 2012). “Substantial evidence” means “relevant evidence that a reasonable mind might accept as adequate to support a conclusion.” Id. at 1159 (quotation and citation omitted). Stated differently, substantial evidence equates to “more than a mere scintilla[,] but less than a preponderance.” Id. (quotation and citation omitted). In determining whether the standard has been satisfied, a reviewing court must consider the entire record as a whole rather than searching for supporting evidence in isolation. Id.

In reviewing a denial of benefits, a district court may not substitute its judgment for that of the Commissioner. Edlund v. Massanari, 253 F.3d 1152, 1156 (9th Cir. 2001). If the evidence in the record “is susceptible to more than one

rational interpretation, [the court] must uphold the ALJ’s findings if they are supported by inferences reasonably drawn from the record.” Molina v. Astrue, 674 F.3d 1104, 1111 (9th Cir. 2012). Further, a district court “may not reverse an ALJ’s decision on account of an error that is harmless.” Id. An error is harmless “where it

is inconsequential to the [ALJ’s] ultimate nondisability determination.” Id. at 1115 (quotation and citation omitted). The party appealing the ALJ’s decision generally bears the burden of establishing that it was harmed. Shinseki v. Sanders, 556 U.S.

396, 409-10 (2009). A claimant must satisfy two conditions to be considered “disabled” within the meaning of the Social Security Act. First, the claimant must be “unable to engage in

any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than twelve months.” 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). Second, the claimant’s impairment must be “of such severity that he is not only unable to do [his or her] previous work[,] but cannot, considering [his or her] age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy.” 42

U.S.C. §§ 423(d)(2)(A), 1382c(a)(3)(B). The Commissioner has established a five-step sequential analysis to determine whether a claimant satisfies the above criteria. See 20 C.F.R. §§ 404.1520(a)(4)(i)-

(v), 416.920(a)(4)(i)-(v). At step one, the Commissioner considers the claimant’s work activity. 20 C.F.R. §§ 404.1520(a)(4)(i), 416.920(a)(4)(i). If the claimant is engaged in “substantial gainful activity,” the Commissioner must find that the claimant is not disabled. 20 C.F.R. §§ 404.1520(b), 416.920(b).

If the claimant is not engaged in substantial gainful activity, the analysis proceeds to step two. At this step, the Commissioner considers the severity of the claimant’s impairment. 20 C.F.R. §§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii). If the

claimant suffers from “any impairment or combination of impairments which significantly limits [his or her] physical or mental ability to do basic work activities,” the analysis proceeds to step three. 20 C.F.R. §§ 404.1520(c), 416.920(c). If the claimant’s impairment does not satisfy this severity threshold,

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Monica S. v. Frank Bisignano, Commissioner of Social Security, (E.D. Wash. 2026).

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