Padua v. O'Malley

CourtDistrict Court, N.D. California
DecidedMarch 28, 2025
Docket5:24-cv-00088
StatusUnknown

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

Bluebook
Padua v. O'Malley, (N.D. Cal. 2025).

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 SAN JOSE DIVISION 7 8 G.P., Case No. 24-cv-00088-VKD

9 Plaintiff, ORDER GRANTING PLAINTIFF’S 10 v. SOCIAL SECURITY APPEAL; REMANDING ACTION FOR 11 LELAND DUDEK1, et al., DETERMINATION OF ONSET DATE AND CALCULATION OF BENEFITS Defendants. 12 Re: Dkt. Nos. 19, 22 13 14 15 Plaintiff G.P.2 challenges a final decision of the Commissioner of Social Security 16 (“Commissioner”) denying his applications for child disability insurance benefits3 under Title II of 17 the Social Security Act (“Act”), 42 U.S.C. § 423 et seq., and supplemental security income 18 (“SSI”) under Title XVI of the Act, 42 U.S.C. § 1381 et seq. G.P.’s primary contentions are that 19 the administrative law judge (“ALJ”) failed to properly assess the materiality of his substance use 20 disorder; disregarded or failed to fully credit several medical opinions; incorrectly assessed the 21

22 1 Leland Dudek, the current acting Commissioner of the Social Security Administration, is substituted for his predecessor pursuant to Federal Rule of Civil Procedure 25(d). 23

2 Because orders of the Court are more widely available than other filings, and this order contains 24 potentially sensitive medical information, this order refers to the plaintiff only by his initials. This order does not alter the degree of public access to other filings in this action provided by Rule 25 5.2(c) of the Federal Rules of Civil Procedure and Civil Local Rule 5-1(c)(5)(B)(i).

26 3 The ALJ found that G.P. did not qualify for the child disability benefits requested because of his age at the time of the first record of treatment. AR 22. The remainder of the ALJ’s decision 27 focused on G.P’s entitlement to SSI. G.P. does not challenge the ALJ’s determination regarding 1 severity of his mental impairments; and improperly rejected his subjective testimony. G.P. 2 appeals the ALJ’s decision, seeking remand for payment of benefits. Dkt. No. 19. The 3 Commissioner agrees that remand is appropriate but contends that remand should be for further 4 administrative proceedings, rather than award of benefits. Dkt. No. 22. G.P. did not file any 5 reply. As both parties agree that remand in some form is appropriate, the sole question before the 6 Court is the nature of the remand. 7 Upon consideration of the moving and responding papers and the relevant evidence of 8 record, for the reasons set forth below, the Court grants G.P’s appeal and remands this case for 9 determination of the disability onset date and calculation of benefits consistent with this order.4 10 I. BACKGROUND 11 A. G.P.’s Relevant History 12 G.P. applied for child disability insurance benefits and SSI in 2020 at the age of 34, 13 asserting the following conditions: bipolar disorder, epilepsy, congestive heart failure, acute renal 14 failure, acute liver failure, slurred speech, cardiogenic shock, and left-ventricular-thrombus. AR 15 29, 185, 190, 311, 318, 320, 330, 359. He alleged a disability onset date of March 31, 2004. AR 16 104. 17 G.P. attended high school through the 11th grade and has not obtained a GED. AR 60-61. 18 He does not have past relevant work. Dkt. No. 19 at 2. He lost his mother in the sixth grade and 19 currently lives with his father. AR 1002-03; Dkt. No. 19 at 2. G.P. has a history of alcohol and 20 methamphetamine use and was hospitalized in November 2018 for congestive heart failure and 21 liver failure attributed to methamphetamine use. AR 715. In 2021, he lost his twin brother to 22 heart failure. AR 1002, 1222. 23 G.P’s applications were denied initially on December 29, 2020 and again on 24 reconsideration on November 12, 2021. AR 182-83, 185, 190. G.P. subsequently requested a 25 hearing before an administrative law judge and appeared at a telephonic hearing before 26

27 4 All parties have expressly consented that all proceedings in this matter may be heard and finally 1 Administrative Law Judge David LaBarre on September 16, 2022. AR 54. The ALJ issued an 2 unfavorable decision on January 18, 2023. AR 18-30. 3 B. ALJ’s Decision 4 The ALJ found that G.P has not engaged in substantial gainful activity since March 31, 5 2004, his alleged disability onset date. AR 21. However, focusing on the time period for which 6 G. P. provided treatment records, beginning in October 2011, the ALJ determined that G.P. has the 7 following severe impairments: 8 seizures/epilepsy; congestive heart failure, acute renal failure and cardiomegaly, all due to methamphetamine; left ventricular 9 thrombus, due to methamphetamine use; major depressive disorder; 10 other specified trauma- and stressor-related disorder; persistent bereavement disorder; generalized anxiety disorder; somatic 11 symptom disorder, persistent, moderate; unspecified schizophrenia spectrum and other psychotic disorder; and poly-substance use 12 disorder (alcohol and methamphetamine) 13 AR 22. The ALJ concluded that, with the substance use, G.P.’s mental impairments met “the 14 criteria of section 12.04 of 20 CFR Part 404, Subpart P, Appendix 1 (20 CFR 416.920(d), 416.925 15 and 416.936).” Id. In making this determination, the ALJ considered the four broad areas of 16 mental functioning described in the regulations for evaluating mental impairments, known as the 17 paragraph B criteria: (1) understanding, remembering, or applying information; (2) interacting 18 with others; (3) concentrating, persisting, or maintaining pace; and (4) adapting or managing 19 oneself. Id.; see also 20 C.F.R. § 404.1520a(c)(3) (citing 20 C.F.R. pt. 404, subpt. P, App. 1-Part- 20 A2, § 12.00E). The ALJ found that G.P had moderate limitations in understanding, remembering, 21 or applying information, and in adapting or managing oneself. Id. He further found marked 22 limitations in interacting with others and in concentrating, persisting, or maintaining pace. Id. 23 The ALJ also determined that if G.P. stopped the substance use, then during the relevant 24 time period, he would continue to have severe impairments, but not any impairment that met or 25 medically equaled the severity of a listed impairment. Id. The ALJ found that, in the absence of 26 substance use, G.P. would have only moderate limitations in each of the four paragraph B 27 functional areas. AR 23. Based on this assessment, the ALJ found that G.P. had the residual 1 following limitations: 2 [G.P.] can never climb ladders, ropes or scaffolds. The claimant should avoid hazards such as unprotected heights and dangerous 3 machinery. In addition, the claimant should avoid exposure to 4 vibration; and avoid concentrated exposure fumes, dust, odors, gases and poor ventilation. The claimant can perform low stress work, 5 which is defined as simple, routine instructions and tasks involving simple work-related decisions and occasional workplace changes; 6 brief, occasional interaction with co-workers and no interaction [with] the general public; no fast-paced work, i.e. assembly line 7 work; and cannot perform work that requires the claimant to be 8 responsible for the safety of others. He can tolerate a moderate noise intensity level as defined in the Dictionary of Occupational 9 Titles/Selected Characteristics of Occupations in the DOT.

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